AN
ACT Relating to mental illness; amending RCW 71.05.010, 71.05.020, 71.05.030,
71.05.035, 71.05.050, 71.05.130, 71.05.150, 71.05.160, 71.05.170, 71.05.200,
71.05.210, 71.05.230, 71.05.280, 71.05.290, 71.05.300, 71.05.330, 71.05.340,
71.05.390, 71.05.530, 71.05.560, 10.77.005, 10.77.010, 10.77.020, 10.77.030,
10.77.040, 10.77.060, 10.77.070, 10.77.080, 10.77.090, 10.77.110, 10.77.140,
10.77.150, 10.77.180, 10.77.190, 10.77.200, 10.77.210, and 10.97.030; adding
new sections to chapter 71.05 RCW; adding new sections to chapter 10.77 RCW;
adding a new section to chapter 72.10 RCW; creating new sections; recodifying
RCW 10.77.005; repealing RCW 71.05.015 and 71.05.080; providing effective
dates; and providing an expiration date.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
NEW
SECTION. Sec. 1. It is
the intent of the legislature to: (1) Clarify that it is the nature of a
person's current conduct, current mental condition, history, and likelihood of
committing future acts that pose a threat to public safety or himself or
herself, rather than simple categorization of offenses, that should determine
treatment procedures and level; (2) improve and clarify the sharing of
information between the mental health and criminal justice systems; and (3)
provide additional opportunities for mental health treatment for persons whose
conduct threatens himself or herself or threatens public safety and has led to
contact with the criminal justice system.
The
legislature recognizes that a person can be incompetent to stand trial, but may
not be gravely disabled or may not present a likelihood of serious harm. The
legislature does not intend to create a presumption that a person who is found
incompetent to stand trial is gravely disabled or presents a likelihood of
serious harm requiring civil commitment.
Sec.
2. RCW
71.05.010 and 1997 c 112 s 2 are each amended to read as follows:
The
provisions of this chapter are intended by the legislature:
(1)
To ((end)) prevent inappropriate, indefinite commitment of
mentally disordered persons and to eliminate legal disabilities that arise from
such commitment;
(2)
To provide prompt evaluation and timely and appropriate treatment of persons
with serious mental disorders;
(3)
To safeguard individual rights;
(4)
To provide continuity of care for persons with serious mental disorders;
(5)
To encourage the full use of all existing agencies, professional personnel, and
public funds to prevent duplication of services and unnecessary expenditures;
(6)
To encourage, whenever appropriate, that services be provided within the
community;
(7)
To protect the public safety.
Sec.
3. RCW
71.05.020 and 1997 c 112 s 3 are each amended to read as follows:
For
the purposes of this chapter:
(1)
"Antipsychotic medications((," also referred to as
"neuroleptics,))" means that class of drugs primarily used to
treat serious manifestations of mental illness associated with thought
disorders ((and currently includes phenothiazines, thioxanthenes,
butyrophenone, dihydroindolone, and dibenzoxazipine)), which includes,
but is not limited to atypical antipsychotic medications;
(2)
"Attending staff" means any person on the staff of a public or
private agency having responsibility for the care and treatment of a patient;
(3)
"County designated mental health professional" means a mental
health professional appointed by the county to perform the duties specified in
this chapter;
(4)
"Custody" means involuntary detention under the provisions of this
chapter or chapter 10.77 RCW, uninterrupted by any period of unconditional
release from a facility providing involuntary care and treatment;
(((4)))
(5) "Department" means the department of social and health
services;
(((5)))
(6) "Developmental disabilities professional" means a person
who has specialized training and three years of experience in directly treating
or working with persons with developmental disabilities and is a psychiatrist,
psychologist, or social worker, and such other developmental disabilities
professionals as may be defined by rules adopted by the secretary;
(((6)))
(7) "Developmental disability" means that condition defined in
RCW 71A.10.020(2);
(((7)))
(8) "Evaluation and treatment facility" means any facility
which can provide directly, or by direct arrangement with other public or
private agencies, emergency evaluation and treatment, outpatient care, and
timely and appropriate inpatient care to persons suffering from a mental
disorder, and which is certified as such by the department. A physically
separate and separately operated portion of a state hospital may be designated
as an evaluation and treatment facility. A facility which is part of, or
operated by, the department or any federal agency will not require
certification. No correctional institution or facility, or jail, shall be an
evaluation and treatment facility within the meaning of this chapter;
(((8)))
(9) "Gravely disabled" means a condition in which a person, as
a result of a mental disorder: (a) Is in danger of serious physical harm
resulting from a failure to provide for his or her essential human needs of
health or safety((,)); or (b) manifests severe deterioration in
routine functioning evidenced by repeated and escalating loss of cognitive or
volitional control over his or her actions and is not receiving such care as is
essential for his or her health or safety;
(((9)))
(10) "Habilitative services" means those services provided by
program personnel to assist persons in acquiring and maintaining life skills
and in raising their levels of physical, mental, social, and vocational
functioning. Habilitative services include education, training for employment,
and therapy. The habilitative process shall be undertaken with recognition of
the risk to the public safety presented by the individual being assisted as
manifested by prior charged criminal conduct;
(((10)))
(11) "History of one or more violent acts" refers to the period of
time ten years prior to the filing of a petition under this chapter, excluding
any time spent, but not any violent acts committed, in a mental health facility
or in confinement as a result of a criminal conviction;
(12)
"Individualized service plan" means a plan prepared by a
developmental disabilities professional with other professionals as a team, for
an individual with developmental disabilities, which shall state:
(a)
The nature of the person's specific problems, prior charged criminal behavior,
and habilitation needs;
(b)
The conditions and strategies necessary to achieve the purposes of
habilitation;
(c)
The intermediate and long-range goals of the habilitation program, with a
projected timetable for the attainment;
(d)
The rationale for using this plan of habilitation to achieve those intermediate
and long-range goals;
(e)
The staff responsible for carrying out the plan;
(f)
Where relevant in light of past criminal behavior and due consideration for
public safety, the criteria for proposed movement to less-restrictive settings,
criteria for proposed eventual discharge from involuntary confinement, and a projected
possible date for discharge from involuntary confinement; and
(g)
The type of residence immediately anticipated for the person and possible
future types of residences;
(((11)))
(13) "Judicial commitment" means a commitment by a court
pursuant to the provisions of this chapter;
(((12)))
(14) "Likelihood of serious harm" means:
(a)
A substantial risk that: (i) Physical harm will be inflicted by an
individual upon his or her own person, as evidenced by threats or attempts to
commit suicide or inflict physical harm on oneself((, (b) a substantial risk
that)); (ii) physical harm will be inflicted by an individual upon
another, as evidenced by behavior which has caused such harm or which places
another person or persons in reasonable fear of sustaining such harm((, or
(c) a substantial risk that)); or (iii) physical harm will be
inflicted by an individual upon the property of others, as evidenced by
behavior which has caused substantial loss or damage to the property of others;
or
(((13)))
(b) The individual has threatened the physical safety of another and has a
history of one or more violent acts;
(15)
"Mental disorder" means any organic, mental, or emotional impairment
which has substantial adverse effects on an individual's cognitive or
volitional functions;
(((14)))
(16) "Mental health professional" means a psychiatrist,
psychologist, psychiatric nurse, or social worker, and such other mental health
professionals as may be defined by rules adopted by the secretary pursuant to
the provisions of this chapter;
(((15)))
(17) "Peace officer" means a law enforcement official of a
public agency or governmental unit, and includes persons specifically given
peace officer powers by any state law, local ordinance, or judicial order of
appointment;
(((16)))
(18) "Private agency" means any person, partnership,
corporation, or association not defined as a public agency, whether or not
financed in whole or in part by public funds, which constitutes an evaluation
and treatment facility or private institution, hospital, or sanitarium, which
is conducted for, or includes a department or ward conducted for the care and
treatment of persons who are mentally ill;
(((17)))
(19) "Professional person" ((shall)) means a
mental health professional((, as above defined,)) and shall also mean a
physician, registered nurse, and such others as may be defined by rules adopted
by the secretary pursuant to the provisions of this chapter;
(((18)))
(20) "Psychiatrist" means a person having a license as a
physician and surgeon in this state who has in addition completed three years
of graduate training in psychiatry in a program approved by the American
medical association or the American osteopathic association and is certified or
eligible to be certified by the American board of psychiatry and neurology;
(((19)))
(21) "Psychologist" means a person who has been licensed as a
psychologist pursuant to chapter 18.83 RCW;
(((20)))
(22) "Public agency" means any evaluation and treatment
facility or institution, hospital, or sanitarium which is conducted for, or
includes a department or ward conducted for, the care and treatment of persons
who are mentally ill or deranged, if the agency is operated directly by,
federal, state, county, or municipal government, or a combination of such
governments;
(((21)))
(23) "Resource management services" has the meaning given in
chapter 71.24 RCW;
(((22)))
(24) "Secretary" means the secretary of the department of
social and health services, or his or her designee;
(((23)))
(25) "Social worker" means a person with a master's or further
advanced degree from an accredited school of social work or a degree deemed
equivalent under rules adopted by the secretary;
(26)
"Violent act" means behavior that resulted in homicide, attempted
suicide, nonfatal injuries, or substantial damage to property.
Sec.
4. RCW
71.05.030 and 1985 c 354 s 31 are each amended to read as follows:
Persons
suffering from a mental disorder may not be involuntarily committed for
treatment of such disorder except pursuant to provisions of this chapter,
chapter 10.77 RCW ((or its successor)), chapter 71.06 RCW, chapter 71.34
RCW, transfer pursuant to RCW 72.68.031 through 72.68.037, or pursuant to court
ordered evaluation and treatment not to exceed ninety days pending a criminal
trial or sentencing.
Sec.
5. RCW
71.05.035 and 1989 c 420 s 2 are each amended to read as follows:
((With
respect to chapter 420, Laws of 1989,)) The legislature finds that
among those persons who endanger the safety of others by committing ((felony))
crimes are a small number of persons with developmental disabilities. While
their conduct is not typical of the vast majority of persons with developmental
disabilities who are responsible citizens, for their own welfare and for the
safety of others the state may need to exercise control over those few
dangerous individuals who are developmentally disabled, have been charged with
((felony)) crimes that involve a threat to public safety or security,
and have been found either incompetent to stand trial or not guilty by reason
of insanity. The legislature finds, however, that the use of civil commitment
procedures under chapter 71.05 RCW to effect state control over dangerous
developmentally disabled persons has resulted in their commitment to
institutions for the mentally ill. The legislature finds that existing
programs in mental institutions may be inappropriate for persons who are
developmentally disabled because the services provided in mental institutions
are oriented to persons with mental illness, a condition not necessarily
associated with developmental disabilities. Therefore, the legislature
believes that, where appropriate, and subject to available funds, persons with
developmental disabilities who have been charged with ((felony)) crimes that
involve a threat to public safety or security and have been found
incompetent to stand trial or not guilty by reason of insanity should receive
state services addressing their needs, that such services must be provided in
conformance with an individual habilitation plan, and that their initial
treatment should be separate and discrete from treatment for persons involved
in any other treatment or habilitation program in a manner consistent with the
needs of public safety.
Sec.
6. RCW
71.05.050 and 1997 c 112 s 5 are each amended to read as follows:
Nothing
in this chapter shall be construed to limit the right of any person to apply
voluntarily to any public or private agency or practitioner for treatment of a
mental disorder, either by direct application or by referral. Any person
voluntarily admitted for inpatient treatment to any public or private agency
shall be released immediately upon his or her request. Any person voluntarily
admitted for inpatient treatment to any public or private agency shall orally
be advised of the right to immediate release and further advised of such rights
in writing as are secured to them pursuant to this chapter and their rights of
access to attorneys, courts, and other legal redress. Their condition and
status shall be reviewed at least once each one hundred eighty days for
evaluation as to the need for further treatment and/or possible release, at
which time they shall again be advised of their right to release upon request:
PROVIDED HOWEVER, That if the professional staff of any public or private
agency or hospital regards a person voluntarily admitted who requests release
as presenting, as a result of a mental disorder, an imminent likelihood of
serious harm, or is gravely disabled, they may detain such person for
sufficient time to notify the ((designated)) county designated
mental health professional of such person's condition to enable ((such))
the county designated mental health professional to authorize such
person being further held in custody or transported to an evaluation and
treatment center pursuant to the provisions of this chapter, which shall in
ordinary circumstances be no later than the next judicial day: PROVIDED
FURTHER, That if a person is brought to the emergency room of a public or
private agency or hospital for observation or treatment, the person refuses
voluntary admission, and the professional staff of the public or private agency
or hospital regard such person as presenting as a result of a mental disorder
an imminent likelihood of serious harm, or as presenting an imminent danger
because of grave disability, they may detain such person for sufficient time to
notify the ((designated)) county designated mental health
professional of such person's condition to enable ((such)) the county
designated mental health professional to authorize such person being
further held in custody or transported to an evaluation treatment center
pursuant to the conditions in this chapter, but which time shall be no more
than six hours from the time the professional staff determine that an
evaluation by the county designated mental health professional is necessary.
Sec.
7. RCW
71.05.130 and 1991 c 105 s 3 are each amended to read as follows:
In any judicial proceeding for involuntary commitment or detention,
or in any proceeding challenging such commitment or detention, the prosecuting
attorney for the county in which the proceeding was initiated shall represent
the individuals or agencies petitioning for commitment or detention and shall
defend all challenges to such commitment or detention: PROVIDED, That ((after
January 1, 1980,)) the attorney general shall represent and provide legal
services and advice to state hospitals or institutions with regard to all
provisions of and proceedings under this chapter except in proceedings
initiated by such hospitals and institutions seeking fourteen day detention.
Sec.
8. RCW
71.05.150 and 1997 c 112 s 8 are each amended to read as follows:
(1)(a)
When a county designated mental health professional ((designated by
the county)) receives information alleging that a person, as a result of a
mental disorder: (i) Presents a likelihood of serious harm((,));
or (ii) is gravely disabled; ((such mental health professional)) the
county designated mental health professional may, after investigation and
evaluation of the specific facts alleged((,)) and of the reliability and
credibility of ((the)) any person ((or persons, if any,))
providing information to initiate detention, ((may,)) if satisfied that
the allegations are true and that the person will not voluntarily seek
appropriate treatment, file a petition for initial detention. Before filing
the petition, the county designated mental health professional must personally
interview the person, unless the person refuses an interview, and determine
whether the person will voluntarily receive appropriate evaluation and
treatment at an evaluation and treatment facility.
(b)
Whenever it appears, by petition for initial detention, to the satisfaction of
a judge of the superior court that a person presents, as a result of a mental
disorder, a likelihood of serious harm, or is gravely disabled, and that the
person has refused or failed to accept appropriate evaluation and treatment
voluntarily, the judge may issue an order requiring the person to appear within
twenty-four hours after service of the order at a designated evaluation and
treatment facility for not more than a seventy-two hour evaluation and
treatment period. The order shall state the address of the evaluation and
treatment facility to which the person is to report and whether the required
seventy-two hour evaluation and treatment services may be delivered on an
outpatient or inpatient basis and that if the person named in the order fails
to appear at the evaluation and treatment facility at or before the date and
time stated in the order, such person may be involuntarily taken into custody
for evaluation and treatment. The order shall also designate retained counsel
or, if counsel is appointed from a list provided by the court, the name,
business address, and telephone number of the attorney appointed to represent
the person.
(c)
The county designated mental health professional shall then serve or
cause to be served on such person, his or her guardian, and conservator, if
any, a copy of the order to appear together with a notice of rights and a
petition for initial detention. After service on such person the county
designated mental health professional shall file the return of service in
court and provide copies of all papers in the court file to the evaluation and
treatment facility and the designated attorney. The county designated
mental health professional shall notify the court and the prosecuting attorney
that a probable cause hearing will be held within seventy-two hours of the date
and time of outpatient evaluation or admission to the evaluation and treatment
facility. The person shall be permitted to remain in his or her home or other
place of his or her choosing prior to the time of evaluation and shall be
permitted to be accompanied by one or more of his or her relatives, friends, an
attorney, a personal physician, or other professional or religious advisor to
the place of evaluation. An attorney accompanying the person to the place of
evaluation shall be permitted to be present during the admission evaluation.
Any other individual accompanying the person may be present during the
admission evaluation. The facility may exclude the individual if his or her
presence would present a safety risk, delay the proceedings, or otherwise
interfere with the evaluation.
(d)
If the person ordered to appear does appear on or before the date and time
specified, the evaluation and treatment facility may admit such person as
required by RCW 71.05.170 or may provide treatment on an outpatient basis. If
the person ordered to appear fails to appear on or before the date and time
specified, the evaluation and treatment facility shall immediately notify the county
designated mental health professional ((designated by the county))
who may notify a peace officer to take such person or cause such person to be
taken into custody and placed in an evaluation and treatment facility. Should
the county designated mental health professional notify a peace officer
authorizing him or her to take a person into custody under the provisions of
this subsection, he or she shall file with the court a copy of such
authorization and a notice of detention. At the time such person is taken into
custody there shall commence to be served on such person, his or her guardian,
and conservator, if any, a copy of the original order together with a notice of
detention, a notice of rights, and a petition for initial detention.
(2)
When a county designated mental health professional ((designated by
the county)) receives information alleging that a person, as the result of
a mental disorder, presents an imminent likelihood of serious harm, or is in
imminent danger because of being gravely disabled, after investigation and
evaluation of the specific facts alleged and of the reliability and credibility
of the person or persons providing the information if any, the county
designated mental health professional may take such person, or cause by
oral or written order such person to be taken into emergency custody in an
evaluation and treatment facility for not more than seventy-two hours as
described in RCW 71.05.180.
(3)
A peace officer may take such person or cause such person to be taken into
custody and placed in an evaluation and treatment facility pursuant to
subsection (1)(d) of this section.
(4)
A peace officer may, without prior notice of the proceedings provided for in
subsection (1) of this section, take or cause such person to be taken into
custody and immediately delivered to an evaluation and treatment facility or
the emergency department of a local hospital:
(a)
Only pursuant to subsections (1)(d) and (2) of this section; or
(b)
When he or she has reasonable cause to believe that such person is suffering
from a mental disorder and presents an imminent likelihood of serious harm or
is in imminent danger because of being gravely disabled.
(5)
Persons delivered to evaluation and treatment facilities by peace officers
pursuant to subsection (4)(b) of this section may be held by the facility for a
period of up to twelve hours: PROVIDED, That they are examined by a mental
health professional within three hours of their arrival. Within twelve hours
of their arrival, the ((designated)) county designated mental
health professional must file a supplemental petition for detention, and
commence service on the designated attorney for the detained person.
Sec.
9. RCW
71.05.160 and 1997 c 112 s 10 are each amended to read as follows:
Any
facility receiving a person pursuant to RCW 71.05.150 shall require a petition
for initial detention stating the circumstances under which the person's
condition was made known and stating that such officer or person has evidence,
as a result of his or her personal observation or investigation, that the
actions of the person for which application is made constitute a likelihood of
serious harm, or that he or she is gravely disabled, and stating the specific
facts known to him or her as a result of his or her personal observation or
investigation, upon which he or she bases the belief that such person should be
detained for the purposes and under the authority of this chapter.
If
a person is involuntarily placed in an evaluation and treatment facility
pursuant to RCW 71.05.150, on the next judicial day following the initial
detention, the county designated mental health professional ((designated
by the county)) shall file with the court and serve the designated attorney
of the detained person the petition or supplemental petition for initial
detention, proof of service of notice, and a copy of a notice of emergency
detention.
Sec.
10. RCW
71.05.170 and 1997 c 112 s 11 are each amended to read as follows:
Whenever
the ((designated)) county designated mental health professional
petitions for detention of a person whose actions constitute a likelihood of
serious harm, or who is gravely disabled, the facility providing seventy-two
hour evaluation and treatment must immediately accept on a provisional basis
the petition and the person. The facility shall then evaluate the person's
condition and admit or release such person in accordance with RCW 71.05.210.
The facility shall notify in writing the court and the ((designated))
county designated mental health professional of the date and time of the
initial detention of each person involuntarily detained in order that a
probable cause hearing shall be held no later than seventy-two hours after
detention.
The
duty of a state hospital to accept persons for evaluation and treatment under
this section shall be limited by chapter 71.24 RCW.
Sec.
11. RCW
71.05.200 and 1997 c 112 s 14 are each amended to read as follows:
(1)
Whenever any person is detained for evaluation and treatment pursuant to this
chapter, both the person and, if possible, a responsible member of his or her
immediate family, guardian, or conservator, if any, shall be advised as soon as
possible in writing or orally, by the officer or person taking him or her into
custody or by personnel of the evaluation and treatment facility where the
person is detained that unless the person is released or voluntarily admits
himself or herself for treatment within seventy-two hours of the initial
detention:
(a)
That a judicial hearing in a superior court, either by a judge or court
commissioner thereof, shall be held not more than seventy-two hours after the
initial detention to determine whether there is probable cause to detain the
person after the seventy-two hours have expired for up to an additional
fourteen days without further automatic hearing for the reason that the person
is a mentally ill person whose mental disorder presents a likelihood of serious
harm or that the person is gravely disabled;
(b)
That the person has a right to communicate immediately with an attorney; has a
right to have an attorney appointed to represent him or her before and at the
probable cause hearing if he or she is indigent; and has the right to be told
the name and address of the attorney the mental health professional has
designated pursuant to this chapter;
(c)
That the person has the right to remain silent and that any statement he or she
makes may be used against him or her;
(d)
That the person has the right to present evidence and to cross-examine
witnesses who testify against him or her at the probable cause hearing; and
(e)
That the person has the right to refuse psychiatric medications,
including antipsychotic medication beginning twenty-four hours prior to the
probable cause hearing.
(2)
When proceedings are initiated under RCW 71.05.150 (2), (3), or (4)(b), no
later than twelve hours after such person is admitted to the evaluation and
treatment facility the personnel of the evaluation and treatment facility or
the county designated mental health professional shall serve on such
person a copy of the petition for initial detention and the name, business
address, and phone number of the designated attorney and shall forthwith
commence service of a copy of the petition for initial detention on the
designated attorney.
(3)
The judicial hearing described in subsection (1) of this section is hereby
authorized, and shall be held according to the provisions of subsection (1) of
this section and rules promulgated by the supreme court.
Sec.
12. RCW
71.05.210 and 1997 c 112 s 15 are each amended to read as follows:
Each
person involuntarily admitted to an evaluation and treatment facility shall,
within twenty-four hours of his or her admission, be examined and evaluated by
a licensed physician who may be assisted by a physician assistant according to
chapter 18.71A RCW or an advanced registered nurse practitioner according to
chapter 18.79 RCW and a mental health professional ((as defined in this
chapter)), and shall receive such treatment and care as his or her
condition requires including treatment on an outpatient basis for the period
that he or she is detained, except that, beginning twenty-four hours prior to a
((court proceeding)) trial or hearing pursuant to RCW 71.05.215,
71.05.240, 71.05.310, 71.05.320, 71.05.340, or 71.05.370, the individual
may refuse ((all but emergency life-saving treatment)) psychiatric
medications, but may not refuse: (1) Any other medication previously
prescribed by a person licensed under Title 18 RCW; or (2) emergency lifesaving
treatment, and the individual shall be informed at an appropriate time of
his or her right ((to)) of such refusal ((of treatment)).
((Such)) The person shall be detained up to seventy-two hours,
if, in the opinion of the professional person in charge of the facility, or his
or her professional designee, the person presents a likelihood of serious harm,
or is gravely disabled. A person who has been detained for seventy-two hours
shall no later than the end of such period be released, unless referred for
further care on a voluntary basis, or detained pursuant to court order for
further treatment as provided in this chapter.
If,
after examination and evaluation, the licensed physician and mental health
professional determine that the initial needs of the person would be better
served by placement in a chemical dependency treatment facility, then the
person shall be referred to an approved treatment program defined under RCW
70.96A.020.
An
evaluation and treatment center admitting any person pursuant to this chapter
whose physical condition reveals the need for hospitalization shall assure that
such person is transferred to an appropriate hospital for treatment. Notice of
such fact shall be given to the court, the designated attorney, and the ((designated))
county designated mental health professional and the court shall order
such continuance in proceedings under this chapter as may be necessary, but in
no event may this continuance be more than fourteen days.
Sec.
13. RCW
71.05.230 and 1997 c 112 s 18 are each amended to read as follows:
A
person detained for seventy-two hour evaluation and treatment may be detained
for not more than fourteen additional days of involuntary intensive treatment
or ninety additional days of a less restrictive alternative to involuntary
intensive treatment if the following conditions are met:
(1)
The professional staff of the agency or facility providing evaluation services
has analyzed the person's condition and finds that the condition is caused by
mental disorder and either results in a likelihood of serious harm, or results
in the detained person being gravely disabled and are prepared to testify those
conditions are met; and
(2)
The person has been advised of the need for voluntary treatment and the
professional staff of the facility has evidence that he or she has not in good
faith volunteered; and
(3)
The facility providing intensive treatment is certified to provide such
treatment by the department; and
(4)
The professional staff of the agency or facility or the county designated
mental health professional ((designated by the county)) has filed a
petition for fourteen day involuntary detention or a ninety day less
restrictive alternative with the court. The petition must be signed either by
two physicians or by one physician and a mental health professional who have
examined the person. If involuntary detention is sought the petition shall
state facts that support the finding that such person, as a result of mental
disorder, presents a likelihood of serious harm, or is gravely disabled and
that there are no less restrictive alternatives to detention in the best
interest of such person or others. The petition shall state specifically that
less restrictive alternative treatment was considered and specify why treatment
less restrictive than detention is not appropriate. If an involuntary less
restrictive alternative is sought, the petition shall state facts that support
the finding that such person, as a result of mental disorder, presents a
likelihood of serious harm, or is gravely disabled and shall set forth the less
restrictive alternative proposed by the facility; and
(5)
A copy of the petition has been served on the detained person, his or her
attorney and his or her guardian or conservator, if any, prior to the probable
cause hearing; and
(6)
The court at the time the petition was filed and before the probable cause
hearing has appointed counsel to represent such person if no other counsel has
appeared; and
(7)
The court has ordered a fourteen day involuntary intensive treatment or a
ninety day less restrictive alternative treatment after a probable cause
hearing has been held pursuant to RCW 71.05.240; and
(8)
At the conclusion of the initial commitment period, the professional staff of
the agency or facility or the county designated mental health
professional ((designated by the county)) may petition for an additional
period of either ninety days of less restrictive alternative treatment or
ninety days of involuntary intensive treatment as provided in RCW 71.05.290;
and
(9)
If the hospital or facility designated to provide outpatient treatment is other
than the facility providing involuntary treatment, the outpatient facility so
designated has agreed to assume such responsibility.
NEW
SECTION. Sec. 14. A
new section is added to chapter 71.05 RCW to read as follows:
In
making a determination of whether there is a likelihood of serious harm in a
hearing conducted under RCW 71.05.240 or 71.05.320, the court shall give great
weight to whether the person has: (1) A recent history of one or more violent
acts; or (2) a recent history of one or more commitments under this chapter or
its equivalent provisions under the laws of another state which were based on a
likelihood of serious harm. The existence of prior violent acts or commitments
under this chapter or its equivalent shall not be the sole basis for
determining whether a person presents a likelihood of serious harm.
For
the purposes of this section "recent" refers to the period of time
not exceeding three years prior to the current hearing.
Sec.
15. RCW
71.05.280 and 1997 c 112 s 22 are each amended to read as follows:
At
the expiration of the fourteen-day period of intensive treatment, a
person may be confined for further treatment pursuant to RCW 71.05.320 if:
(1)
Such person after having been taken into custody for evaluation and treatment
has threatened, attempted, or inflicted: (a) Physical harm upon the person of
another or himself or herself, or substantial damage upon the property of
another, and (b) as a result of mental disorder presents a likelihood of
serious harm; or
(2)
Such person was taken into custody as a result of conduct in which he or she
attempted or inflicted physical harm upon the person of another or himself or
herself, or substantial damage upon the property of others, and continues to
present, as a result of mental disorder, a likelihood of serious harm; or
(3)
Such person has been determined to be incompetent and criminal charges have
been dismissed pursuant to RCW 10.77.090(((3))) (4), and has
committed acts constituting a felony, and as a result of a mental disorder,
presents a substantial likelihood of repeating similar acts. In any proceeding
pursuant to this subsection it shall not be necessary to show intent, willfulness,
or state of mind as an element of the ((felony)) crime; or
(4)
Such person is gravely disabled.
Sec.
16. RCW
71.05.290 and 1997 c 112 s 24 are each amended to read as follows:
(1)
At any time during a person's fourteen day intensive treatment period, the
professional person in charge of a treatment facility or his or her
professional designee or the ((designated)) county designated
mental health professional may petition the superior court for an order
requiring such person to undergo an additional period of treatment. Such
petition must be based on one or more of the grounds set forth in RCW
71.05.280.
(2)
The petition shall summarize the facts which support the need for further
confinement and shall be supported by affidavits signed by two examining
physicians, or by one examining physician and examining mental health
professional. The affidavits shall describe in detail the behavior of the
detained person which supports the petition and shall explain what, if any,
less restrictive treatments which are alternatives to detention are available
to such person, and shall state the willingness of the affiant to testify to
such facts in subsequent judicial proceedings under this chapter.
(3)
If a person has been determined to be incompetent pursuant to RCW 10.77.090(((3)))
(4), then the professional person in charge of the treatment facility or
his or her professional designee or the county designated mental health
professional may directly file a petition for one hundred eighty day treatment
under RCW 71.05.280(3). No petition for initial detention or fourteen day
detention is required before such a petition may be filed.
Sec.
17. RCW
71.05.300 and 1997 c 112 s 25 are each amended to read as follows:
The
petition for ninety day treatment shall be filed with the clerk of the superior
court at least three days before expiration of the fourteen-day period of
intensive treatment. At the time of filing such petition, the clerk shall set
a time for the person to come before the court on the next judicial day after
the day of filing unless such appearance is waived by the person's attorney,
and the clerk shall notify the ((designated)) county designated
mental health professional. The ((designated)) county designated
mental health professional shall immediately notify the person detained, his or
her attorney, if any, and his or her guardian or conservator, if any, and the
prosecuting attorney, and provide a copy of the petition to such persons as
soon as possible.
At
the time set for appearance the detained person shall be brought before the
court, unless such appearance has been waived and the court shall advise him or
her of his or her right to be represented by an attorney and of his or her
right to a jury trial. If the detained person is not represented by an
attorney, or is indigent or is unwilling to retain an attorney, the court shall
immediately appoint an attorney to represent him or her. The court shall, if
requested, appoint a reasonably available licensed physician, psychologist, or
psychiatrist, designated by the detained person to examine and testify on
behalf of the detained person.
The
court may, if requested, also appoint a professional person as defined in RCW
71.05.020 to seek less restrictive alternative courses of treatment and to
testify on behalf of the detained person. In the case of a developmentally
disabled person who has been determined to be incompetent pursuant to RCW
10.77.090(((3))) (4), then the appointed professional person
under this section shall be a developmental disabilities professional.
The
court shall also set a date for a full hearing on the petition as provided in
RCW 71.05.310.
NEW
SECTION. Sec. 18. A new
section is added to chapter 71.05 RCW to read as follows:
(1)
If an individual is referred to a county designated mental health professional
under RCW 10.77.090(1)(d)(iii)(A), the county designated mental health
professional shall examine the individual within forty-eight hours. If the
county designated mental health professional determines it is not appropriate
to detain the individual or petition for a ninety-day less restrictive
alternative under RCW 71.05.230(4), that decision shall be immediately presented
to the superior court for hearing. The court shall hold a hearing to consider
the decision of the county designated mental health professional not later than
the next judicial day. At the hearing the superior court shall review the
determination of the county designated mental health professional and determine
whether an order should be entered requiring the person to be evaluated at an
evaluation and treatment facility. No person referred to an evaluation and
treatment facility may be held at the facility longer than seventy-two hours.
(2)
If an individual is placed in an evaluation and treatment facility under RCW
10.77.090(1)(d)(iii)(B), a professional person shall evaluate the individual
for purposes of determining whether to file a ninety-day inpatient or
outpatient petition under chapter 71.05 RCW. Immediately following completion
of the evaluation, the professional person shall file a petition or, if the
recommendation of the professional person is to release the individual, present
his or her recommendation to the court. The superior court shall review the
recommendation not later than the next judicial day. For an individual subject
to this subsection, the professional person may directly file a petition for
ninety-day inpatient or outpatient treatment and no petition for initial
detention or fourteen-day detention is required before such a petition may be
filed.
(3)
If a county designated mental health professional or the professional person
and prosecuting attorney or attorney general, as appropriate, stipulate that
the individual does not present a likelihood of serious harm or is not gravely
disabled, the hearing under this section is not required and the individual, if
in custody, shall be released.
(4)
The individual shall have the rights specified in RCW 71.05.250.
NEW
SECTION. Sec. 19. A
new section is added to chapter 71.05 RCW to read as follows:
Whenever
a county designated mental health professional or professional person is
conducting an evaluation under this chapter, consideration shall include all
reasonably available information and records regarding: (1) Prior
recommendations for evaluation of the need for civil commitments when the
recommendation is made pursuant to an evaluation conducted under chapter 10.77
RCW; (2) history of one or more violent acts; (3) prior determinations of
incompetency or insanity under chapter 10.77 RCW; and (4) prior commitments
under this chapter.
Sec.
20. RCW
71.05.330 and 1997 c 112 s 27 are each amended to read as follows:
(1)
Nothing in this chapter shall prohibit the superintendent or professional
person in charge of the hospital or facility in which the person is being
involuntarily treated from releasing him or her prior to the expiration of the
commitment period when, in the opinion of the superintendent or professional
person in charge, the person being involuntarily treated no longer presents a
likelihood of serious harm.
Whenever
the superintendent or professional person in charge of a hospital or facility
providing involuntary treatment pursuant to this chapter releases a person
prior to the expiration of the period of commitment, the superintendent or
professional person in charge shall in writing notify the court which committed
the person for treatment.
(2)
Before a person committed under grounds set forth in RCW 71.05.280(3) or
71.05.320(2)(c) is released under this section, the superintendent or
professional person in charge shall in writing notify the prosecuting attorney
of the county in which the criminal charges against the committed person were
dismissed, of the release date. Notice shall be provided at least thirty days
before the release date. Within twenty days after receiving notice, the
prosecuting attorney may petition the court in the county in which the person
is being involuntarily treated for a hearing to determine whether the person is
to be released. The prosecuting attorney shall provide a copy of the petition
to the superintendent or professional person in charge of the hospital or
facility providing involuntary treatment, the attorney, if any, and the
guardian or conservator of the committed person. The court shall conduct a
hearing on the petition within ten days of filing the petition. The committed
person shall have the same rights with respect to notice, hearing, and counsel
as for an involuntary treatment proceeding, except as set forth in this
subsection and except that there shall be no right to jury trial. The issue to
be determined at the hearing is whether or not the person may be released
without substantial danger to other persons, or substantial likelihood of
committing ((felonious)) criminal acts jeopardizing public safety
or security. If the court disapproves of the release, it may do so only on the
basis of substantial evidence. Pursuant to the determination of the court upon
the hearing, the committed person shall be released or shall be returned for
involuntary treatment subject to release at the end of the period for which he
or she was committed, or otherwise in accordance with the provisions of this
chapter.
Sec.
21. RCW
71.05.340 and 1997 c 112 s 28 are each amended to read as follows:
(1)(a)
When, in the opinion of the superintendent or the professional person in charge
of the hospital or facility providing involuntary treatment, the committed
person can be appropriately served by outpatient treatment prior to or at the
expiration of the period of commitment, then such outpatient care may be
required as a condition for early release for a period which, when added to the
inpatient treatment period, shall not exceed the period of commitment. If the
hospital or facility designated to provide outpatient treatment is other than
the facility providing involuntary treatment, the outpatient facility so
designated must agree in writing to assume such responsibility. A copy of the
conditions for early release shall be given to the patient, the ((designated))
county designated mental health professional in the county in which the
patient is to receive outpatient treatment, and to the court of original
commitment.
(b)
Before a person committed under grounds set forth in RCW 71.05.280(3) or
71.05.320(2)(c) is conditionally released under (a) of this subsection, the
superintendent or professional person in charge of the hospital or facility
providing involuntary treatment shall in writing notify the prosecuting
attorney of the county in which the criminal charges against the committed
person were dismissed, of the decision to conditionally release the person.
Notice and a copy of the conditions for early release shall be provided at
least thirty days before the person is released from inpatient care. Within
twenty days after receiving notice, the prosecuting attorney may petition the
court in the county that issued the commitment order to hold a hearing to
determine whether the person may be conditionally released and the terms of the
conditional release. The prosecuting attorney shall provide a copy of the
petition to the superintendent or professional person in charge of the hospital
or facility providing involuntary treatment, the attorney, if any, and guardian
or conservator of the committed person, and the court of original commitment.
If the county in which the committed person is to receive outpatient treatment
is the same county in which the criminal charges against the committed person
were dismissed, then the court shall, upon the motion of the prosecuting attorney,
transfer the proceeding to the court in that county. The court shall conduct a
hearing on the petition within ten days of the filing of the petition. The
committed person shall have the same rights with respect to notice, hearing,
and counsel as for an involuntary treatment proceeding, except as set forth in
this subsection and except that there shall be no right to jury trial. The
issue to be determined at the hearing is whether or not the person may be
conditionally released without substantial danger to other persons, or
substantial likelihood of committing ((felonious)) criminal acts
jeopardizing public safety or security. If the court disapproves of the
conditional release, it may do so only on the basis of substantial evidence.
Pursuant to the determination of the court upon the hearing, the conditional
release of the person shall be approved by the court on the same or modified
conditions or the person shall be returned for involuntary treatment on an
inpatient basis subject to release at the end of the period for which he or she
was committed, or otherwise in accordance with the provisions of this chapter.
(2)
The hospital or facility designated to provide outpatient care or the secretary
may modify the conditions for continued release when such modification is in
the best interest of the person. Notification of such changes shall be sent to
all persons receiving a copy of the original conditions.
(3)(a)
If the hospital or facility designated to provide outpatient care, the ((designated))
county designated mental health professional, or the secretary
determines that:
(i)
A conditionally released person is failing to adhere to the terms and
conditions of his or her release((, that));
(ii)
Substantial deterioration in ((the)) a conditionally released
person's functioning has occurred((,));
(iii)
There is evidence of substantial decompensation with a ((high)) reasonable
probability that the decompensation can be reversed by further inpatient
treatment((,)); or ((there is))
(iv)
The person poses a likelihood of serious harm((, then,)).
Upon
notification by the hospital or facility designated to provide outpatient care,
or on his or her own motion, the ((designated)) county designated
mental health professional or the secretary may order that the conditionally
released person be apprehended and taken into custody and temporarily detained
in an evaluation and treatment facility in or near the county in which he or
she is receiving outpatient treatment.
((The))
(b) The hospital or facility designated to provide outpatient treatment
shall notify the secretary or county designated mental health professional when
a conditionally released person fails to adhere to terms and conditions of his
or her release or experiences substantial deterioration in his or her condition
and, as a result, presents an increased likelihood of serious harm. The county
designated mental health professional or secretary shall order the person
apprehended and temporarily detained in an evaluation and treatment facility in
or near the county in which he or she is receiving outpatient treatment.
(c)
A person ((shall be)) detained under this subsection (3) shall be
held until such time, not exceeding five days, as a hearing can be
scheduled to determine whether or not the person should be returned to the
hospital or facility from which he or she had been conditionally released. The
((designated)) county designated mental health professional or
the secretary may modify or rescind such order at any time prior to commencement
of the court hearing.
(((b)))
(d) The court that originally ordered commitment shall be notified
within two judicial days of a person's detention under the provisions of this
section, and the ((designated)) county designated mental health
professional or the secretary shall file his or her petition and order of
apprehension and detention with the court and serve them upon the person
detained. His or her attorney, if any, and his or her guardian or conservator,
if any, shall receive a copy of such papers as soon as possible. Such person
shall have the same rights with respect to notice, hearing, and counsel as for
an involuntary treatment proceeding, except as specifically set forth in this
section and except that there shall be no right to jury trial. The issues to
be determined shall be: (i) Whether the conditionally released person did or
did not adhere to the terms and conditions of his or her release; (ii) that
substantial deterioration in the person's functioning has occurred; (iii) there
is evidence of substantial decompensation with a ((high)) reasonable
probability that the decompensation can be reversed by further inpatient
treatment; or (iv) there is a likelihood of serious harm; and, if any of the
conditions listed in this subsection (3)(((b))) (d) have
occurred, whether the conditions of release should be modified or the person
should be returned to the facility.
(((c)))
(e) Pursuant to the determination of the court upon such hearing, the
conditionally released person shall either continue to be conditionally
released on the same or modified conditions or shall be returned for
involuntary treatment on an inpatient basis subject to release at the end of
the period for which he or she was committed for involuntary treatment, or
otherwise in accordance with the provisions of this chapter. Such hearing may
be waived by the person and his or her counsel and his or her guardian or
conservator, if any, but shall not be waivable unless all such persons agree to
waive, and upon such waiver the person may be returned for involuntary
treatment or continued on conditional release on the same or modified
conditions.
(4)
The proceedings set forth in subsection (3) of this section may be initiated by
the ((designated)) county designated mental health professional
or the secretary on the same basis set forth therein without requiring or
ordering the apprehension and detention of the conditionally released person,
in which case the court hearing shall take place in not less than five days
from the date of service of the petition upon the conditionally released
person.
Upon
expiration of the period of commitment, or when the person is released from
outpatient care, notice in writing to the court which committed the person for
treatment shall be provided.
(5)
The grounds and procedures for revocation of less restrictive alternative
treatment shall be the same as those set forth in this section for conditional
releases.
(6) In the event of a revocation of a conditional release, the subsequent
treatment period may be for no longer than the actual period authorized in the
original court order.
Sec.
22. RCW
71.05.390 and 1993 c 448 s 6 are each amended to read as follows:
Except
as provided in this section, the fact of admission and all information and
records compiled, obtained, or maintained in the course of providing services
to either voluntary or involuntary recipients of services at public or private
agencies shall be confidential.
Information
and records may be disclosed only:
(1)
In communications between qualified professional persons to meet the
requirements of this chapter, in the provision of services or appropriate
referrals, or in the course of guardianship proceedings. The consent of the patient,
or his or her guardian, shall be obtained before information or records may be
disclosed by a professional person employed by a facility unless provided
to a professional person((, not)): (a) Employed by the
facility((, who does not have the)); (b) who has medical
responsibility for the patient's care ((or who is not)); (c) who is
a ((designated)) county designated mental health professional ((or
who is not involved in)); (d) who is providing services under ((the
community mental health services act,)) chapter 71.24 RCW; or (e) who is
employed by a state or local correctional facility where the person is confined.
(2)
When the communications regard the special needs of a patient and the necessary
circumstances giving rise to such needs and the disclosure is made by a
facility providing outpatient services to the operator of a care facility in
which the patient resides.
(3)
When the person receiving services, or his or her guardian, designates persons
to whom information or records may be released, or if the person is a minor,
when his or her parents make such designation.
(4)
To the extent necessary for a recipient to make a claim, or for a claim to be
made on behalf of a recipient for aid, insurance, or medical assistance to
which he or she may be entitled.
(5)
For either program evaluation or research, or both: PROVIDED, That the
secretary of social and health services adopts rules for the conduct of the
evaluation or research, or both. Such rules shall include, but need not be
limited to, the requirement that all evaluators and researchers must sign an
oath of confidentiality substantially as follows:
"As
a condition of conducting evaluation or research concerning persons who have
received services from (fill in the facility, agency, or person) I,
. . . . . . . . ., agree not to
divulge, publish, or otherwise make known to unauthorized persons or the public
any information obtained in the course of such evaluation or research regarding
persons who have received services such that the person who received such
services is identifiable.
I
recognize that unauthorized release of confidential information may subject me
to civil liability under the provisions of state law.
/s/............................... "
(6) To
the courts as necessary to the administration of this chapter.
(7) To
law enforcement officers, public health officers, or personnel of the
department of corrections or the indeterminate sentence review board for
persons who are the subject of the records and who are committed to the custody
of the department of corrections or indeterminate sentence review board which
information or records are necessary to carry out the responsibilities of their
office. Except for dissemination of information released pursuant to RCW
71.05.425 and 4.24.550, regarding persons committed under this chapter under
RCW 71.05.280(3) and 71.05.320(2)(c) after dismissal of a sex offense as
defined in RCW 9.94A.030, the extent of information that may be released is
limited as follows:
(a)
Only the fact, place, and date of involuntary admission, the fact and date of
discharge, and the last known address shall be disclosed upon request; and
(b) The
law enforcement and public health officers or personnel of the department of
corrections or indeterminate sentence review board shall be obligated to keep
such information confidential in accordance with this chapter; and
(c)
Additional information shall be disclosed only after giving notice to said
person and his or her counsel and upon a showing of clear, cogent and
convincing evidence that such information is necessary and that appropriate
safeguards for strict confidentiality are and will be maintained. However, in
the event the said person has escaped from custody, said notice prior to
disclosure is not necessary and that the facility from which the person escaped
shall include an evaluation as to whether the person is of danger to persons or
property and has a propensity toward violence.
(8) To
the attorney of the detained person.
(9) To
the prosecuting attorney as necessary to carry out the responsibilities of the
office under RCW 71.05.330(2) and 71.05.340(1)(b) and 71.05.335. The
prosecutor shall be provided access to records regarding the committed person's
treatment and prognosis, medication, behavior problems, and other records
relevant to the issue of whether treatment less restrictive than inpatient
treatment is in the best interest of the committed person or others.
Information shall be disclosed only after giving notice to the committed person
and the person's counsel.
(10) To
appropriate law enforcement agencies and to a person, when the identity of the
person is known to the public or private agency, whose health and safety has
been threatened, or who is known to have been repeatedly harassed, by the
patient. The person may designate a representative to receive the disclosure.
The disclosure shall be made by the professional person in charge of the public
or private agency or his or her designee and shall include the dates of
admission, discharge, authorized or unauthorized absence from the agency's
facility, and only such other information that is pertinent to the threat or
harassment. The decision to disclose or not shall not result in civil
liability for the agency or its employees so long as the decision was reached
in good faith and without gross negligence.
(11) To
the persons designated in RCW 71.05.425 for the purposes described in that
section.
(12)
Civil liability and immunity for the release of information about a particular
person who is committed to the department under RCW 71.05.280(3) and
71.05.320(2)(c) after dismissal of a sex offense as defined in RCW 9.94A.030,
is governed by RCW 4.24.550.
(13) To
a patient's next of kin, guardian, or conservator, if any, in the event of
death, as provided in RCW 71.05.400.
(14) To
the department of health of the purposes of determining compliance with state
or federal licensure, certification, or registration rules or laws. However,
the information and records obtained under this subsection are exempt from
public inspection and copying pursuant to chapter 42.17 RCW.
The
fact of admission, as well as all records, files, evidence, findings, or orders
made, prepared, collected, or maintained pursuant to this chapter shall not be
admissible as evidence in any legal proceeding outside this chapter without the
written consent of the person who was the subject of the proceeding except in a
subsequent criminal prosecution of a person committed pursuant to RCW
71.05.280(3) or 71.05.320(2)(c) on charges that were dismissed pursuant to
chapter 10.77 RCW due to incompetency to stand trial or in a civil commitment
proceeding pursuant to chapter 71.09 RCW. The records and files maintained in
any court proceeding pursuant to this chapter shall be confidential and
available subsequent to such proceedings only to the person who was the subject
of the proceeding or his or her attorney. In addition, the court may order the
subsequent release or use of such records or files only upon good cause shown
if the court finds that appropriate safeguards for strict confidentiality are
and will be maintained.
Sec.
23. RCW
71.05.530 and 1973 1st ex.s. c 142 s 58 are each amended to read as follows:
Evaluation
and treatment facilities authorized pursuant to this chapter may be part of the
comprehensive community mental health services program conducted in counties
pursuant to ((the Community Mental Health Services Act,)) chapter 71.24
RCW, and may receive funding pursuant to the provisions thereof.
Sec.
24. RCW
71.05.560 and 1973 1st ex.s. c 142 s 61 are each amended to read as follows:
The
department ((of social and health services)) shall adopt such rules ((and
regulations)) as may be necessary to effectuate the intent and purposes of
this chapter, which shall include but not be limited to evaluation of the
quality of the program and facilities operating pursuant to this chapter,
evaluation of the effectiveness and cost effectiveness of such programs and
facilities, and procedures and standards for certification and other action
relevant to evaluation and treatment facilities.
NEW
SECTION. Sec. 25. A
new section is added to chapter 71.05 RCW to read as follows:
In
any judicial proceeding in which a professional person has made a
recommendation regarding whether an individual should be committed for
treatment under this chapter, and the court does not follow the recommendation,
the court shall enter findings that state with particularity its reasoning,
including a finding whether the state met its burden of proof in showing
whether the person presents a likelihood of serious harm.
NEW
SECTION. Sec. 26. A
new section is added to chapter 71.05 RCW to read as follows:
The
department shall develop state-wide protocols to be utilized by professional
persons and county designated mental health professionals in administration of
this chapter and chapter 10.77 RCW. The protocols shall be updated at least
every three years. The protocols shall provide uniform development and
application of criteria in evaluation and commitment recommendations, of
persons who have, or are alleged to have, mental disorders and are subject to this
chapter.
The
initial protocols shall be developed not later than September 1, 1999. The
department shall develop and update the protocols in consultation with
representatives of county designated mental health professionals, local
government, law enforcement, county and city prosecutors, public defenders, and
groups concerned with mental illness. The protocols shall be submitted to the
governor and legislature upon adoption by the department.
NEW
SECTION. Sec. 27. A new
section is added to chapter 71.05 RCW to read as follows:
Where
appropriate, and under the prescription of an authorized professional person,
atypical antipsychotic medications may be accessed for use by a regional
support network through the fund established in section 57 of this act.
Sec.
28. RCW
10.77.005 and 1989 c 420 s 1 are each amended to read as follows:
((With
respect to this act,)) The legislature finds that among those
persons who endanger the safety of others by committing ((felony))
crimes are a small number of persons with developmental disabilities. While
their conduct is not typical of the vast majority of persons with developmental
disabilities who are responsible citizens, for their own welfare and for the
safety of others the state may need to exercise control over those few
dangerous individuals who are developmentally disabled, have been charged with
((felony)) crimes that involve a threat to public safety or security,
and have been found either incompetent to stand trial or not guilty by reason
of insanity. The legislature finds, however, that the use of civil commitment
procedures under chapter 71.05 RCW to effect state control over dangerous
developmentally disabled persons has resulted in their commitment to
institutions for the mentally ill. The legislature finds that existing
programs in mental institutions may be inappropriate for persons who are
developmentally disabled because the services provided in mental institutions
are oriented to persons with mental illness, a condition not necessarily
associated with developmental disabilities. Therefore, the legislature
believes that, where appropriate, and subject to available funds, persons with
developmental disabilities who have been charged with ((felony)) crimes that
involve a threat to public safety or security and have been found
incompetent to stand trial or not guilty by reason of insanity should receive
state services addressing their needs, that such services must be provided in
conformance with an individual habilitation plan, and that their initial
treatment should be separate and discrete from treatment for persons involved
in any other treatment or habilitation program in a manner consistent with the
needs of public safety.
Sec.
29. RCW
10.77.010 and 1993 c 31 s 4 are each amended to read as follows:
As
used in this chapter:
(1)
A "criminally insane" person means any person who has been acquitted
of a crime charged by reason of insanity, and thereupon found to be a
substantial danger to other persons or to present a substantial likelihood of
committing ((felonious)) criminal acts jeopardizing public safety
or security unless kept under further control by the court or other persons or
institutions.
(2)
"Indigent" means any person who is financially unable to obtain
counsel or other necessary expert or professional services without causing
substantial hardship to the person or his or her family.
(3)
"Secretary" means the secretary of the department of social and
health services or his or her designee.
(4)
"Department" means the state department of social and health
services.
(5)
"Treatment" means any currently standardized medical or mental health
procedure including medication.
(6)
"Incompetency" means a person lacks the capacity to understand the
nature of the proceedings against him or her or to assist in his or her own
defense as a result of mental disease or defect.
(7)
((No condition of mind proximately induced by the voluntary act of a person
charged with a crime shall constitute "insanity".
(8)))
"Furlough" means an authorized leave of absence for a resident of a
state institution operated by the department designated for the custody, care,
and treatment of the criminally insane, consistent with an order of conditional
release from the court under this chapter, without any requirement that the
resident be accompanied by, or be in the custody of, any law enforcement or
institutional staff, while on such unescorted leave.
(((9)))
(8) "Developmental disability" means the condition defined in
RCW 71A.10.020(2).
(((10)))
(9) "Developmental disabilities professional" means a person
who has specialized training and three years of experience in directly treating
or working with persons with developmental disabilities and is a psychiatrist
or psychologist, or a social worker, and such other developmental disabilities
professionals as may be defined by rules adopted by the secretary.
(((11)))
(10) "Habilitative services" means those services provided by
program personnel to assist persons in acquiring and maintaining life skills
and in raising their levels of physical, mental, social, and vocational
functioning. Habilitative services include education, training for employment,
and therapy. The habilitative process shall be undertaken with recognition of
the risk to the public safety presented by the individual being assisted as
manifested by prior charged criminal conduct.
(((12)
"Psychiatrist" means a person having a license)) (11)
"Expert or professional person" means:
(a)
A psychiatrist licensed as a physician and surgeon in this state who has,
in addition, completed three years of graduate training in psychiatry in a
program approved by the American medical association or the American
osteopathic association and is certified or eligible to be certified by the
American board of psychiatry and neurology((.
(13)
"Psychologist" means a person who has been));
(b)
A psychologist licensed as a psychologist pursuant to chapter 18.83 RCW((.
(14)
"Social worker" means a person));
or
(c)
A social worker with a master's or further advanced degree from an
accredited school of social work or a degree deemed equivalent under rules
adopted by the secretary.
(((15)))
(12) "Individualized service plan" means a plan prepared by a
developmental disabilities professional with other professionals as a team, for
an individual with developmental disabilities, which shall state:
(a)
The nature of the person's specific problems, prior charged criminal behavior,
and habilitation needs;
(b)
The conditions and strategies necessary to achieve the purposes of
habilitation;
(c)
The intermediate and long-range goals of the habilitation program, with a
projected timetable for the attainment;
(d)
The rationale for using this plan of habilitation to achieve those intermediate
and long-range goals;
(e)
The staff responsible for carrying out the plan;
(f)
Where relevant in light of past criminal behavior and due consideration for
public safety, the criteria for proposed movement to less-restrictive settings,
criteria for proposed eventual discharge from involuntary confinement, and a
projected possible date for discharge from involuntary confinement; and
(g)
The type of residence immediately anticipated for the person and possible
future types of residences.
(13)
"Violent act" means behavior that: (a)(i) Resulted in; (ii) if
completed as intended would have resulted in; or (iii) was threatened to be
carried out by a person who had the intent and opportunity to carry out the
threat and would have resulted in, homicide, nonfatal injuries, or substantial
damage to property; or (b) recklessly creates an immediate risk of serious
physical injury to another person.
(14)
"County designated mental health professional" has the same meaning
as provided in RCW 71.05.020.
(15)
"History of one or more violent acts" means violent acts committed
during: (a) The ten-year period of time prior to the filing of criminal
charges; plus (b) the amount of time equal to time spent during the ten-year
period in a mental health facility or in confinement as a result of a criminal
conviction.
Sec.
30. RCW
10.77.020 and 1993 c 31 s 5 are each amended to read as follows:
(1)
At any and all stages of the proceedings pursuant to this chapter, any person
subject to the provisions of this chapter shall be entitled to the assistance
of counsel, and if the person is indigent the court shall appoint counsel to
assist him or her. A person may waive his or her right to counsel; but such
waiver shall only be effective if a court makes a specific finding that he or
she is or was competent to so waive. In making such findings, the court shall
be guided but not limited by the following standards: Whether the person
attempting to waive the assistance of counsel, does so understanding:
(a)
The nature of the charges;
(b)
The statutory offense included within them;
(c)
The range of allowable punishments thereunder;
(d)
Possible defenses to the charges and circumstances in mitigation thereof; and
(e)
All other facts essential to a broad understanding of the whole matter.
(2)
Whenever any person is subjected to an examination pursuant to any provision of
this chapter, he or she may retain an expert or professional person to perform
an examination in his or her behalf. In the case of a person who is indigent,
the court shall upon his or her request assist the person in obtaining an
expert or professional person to perform an examination or participate in the
hearing on his or her behalf. An expert or professional person obtained by an
indigent person pursuant to the provisions of this chapter shall be compensated
for his or her services out of funds of the department, in an amount determined
by ((it)) the secretary to be fair and reasonable.
(3)
((Whenever any person has been committed under any provision of this
chapter, or ordered to undergo alternative treatment following his or her
acquittal of a crime charged by reason of insanity, such commitment or
treatment cannot exceed the maximum possible penal sentence for any offense
charged for which the person was acquitted by reason of insanity. If at the end
of that period the person has not been finally discharged and is still in need
of commitment or treatment, civil commitment proceedings may be instituted, if
appropriate.
(4))) Any
time the defendant is being examined by court appointed experts or professional
persons pursuant to the provisions of this chapter, the defendant shall be
entitled to have his or her attorney present. The defendant may refuse to
answer any question if he or she believes his or her answers may tend to
incriminate him or her or form links leading to evidence of an incriminating
nature.
NEW
SECTION. Sec. 31. A
new section is added to chapter 10.77 RCW to read as follows:
(1)
Whenever any person has been: (a) Committed to a correctional facility or inpatient
treatment under any provision of this chapter; or (b) ordered to undergo
alternative treatment following his or her acquittal by reason of insanity of a
crime charged, such commitment or treatment cannot exceed the maximum possible
penal sentence for any offense charged for which the person was committed, or
was acquitted by reason of insanity.
(2)
Whenever any person committed under any provision of this chapter has not been
finally discharged within seven days of the maximum possible penal sentence
under subsection (1) of this section, and the professional person in charge of
the facility believes it more likely than not that the person will not be
finally discharged, the professional person shall, prior to the person's
release from the facility, notify the appropriate county designated mental
health professional of the impending release and provide a copy of all relevant
information regarding the person, including the likely release date and shall
indicate why final discharge was not made.
(3)
A county designated mental health professional who receives notice and records
under subsection (2) of this section shall, prior to the date of probable
release, determine whether to initiate proceedings under chapter 71.05 RCW.
Sec.
32. RCW
10.77.030 and 1974 ex.s. c 198 s 3 are each amended to read as follows:
(1)
Evidence of insanity is not admissible unless the defendant, at the time of
arraignment or within ten days thereafter or at such later time as the court
may for good cause permit, files a written notice of his or her intent
to rely on such a defense.
(2)
Insanity is a defense which the defendant must establish by a preponderance of
the evidence.
(3)
No condition of mind proximately induced by the voluntary act of a person
charged with a crime shall constitute insanity.
Sec.
33. RCW
10.77.040 and 1974 ex.s. c 198 s 4 are each amended to read as follows:
Whenever
the issue of insanity is submitted to the jury, the court shall instruct the
jury to return a special verdict in substantially the following form:
answer
yes or no
1. Did the defendant commit the act charged? . . . . .
2. If your answer to number 1 is yes, do you acquit
him or her because of insanity existing at the time of the act charged? . . . . .
3. If your answer to number 2 is yes, is the
defendant a substantial danger to other persons unless kept under further
control by the court or other persons or institutions? . . . . .
4. If your answer to number 2 is yes, does the
defendant present a substantial likelihood of committing ((felonious)) criminal
acts jeopardizing public safety or security unless kept under further control
by the court or other persons or institutions? . . . . .
5. If your answers to either number 3 or number 4 is
yes, is it in the best interests of the defendant and others that the defendant
be placed in treatment that is less restrictive than detention in a state
mental hospital? . . . . .
Sec.
34. RCW
10.77.060 and 1989 c 420 s 4 are each amended to read as follows:
(1)(a)
Whenever a defendant has pleaded not guilty by reason of insanity, or there is
reason to doubt his or her competency, the court on its own motion or on the
motion of any party shall either appoint or request the secretary to designate
at least two qualified experts or professional persons, one of whom shall be
approved by the prosecuting attorney, to examine and report upon the mental
condition of the defendant. At least one of the experts or professional
persons appointed shall be a developmental disabilities professional if the
court is advised by any party that the defendant may be developmentally disabled.
For purposes of the examination, the court may order the defendant committed to
a hospital or other ((suitable)) suitably secure public or private
mental health facility for a period of time necessary to complete the
examination, but not to exceed fifteen days from the time of admission to
the facility.
(b)
When a defendant is ordered to be committed for inpatient examination under
this subsection (1), the court may delay granting bail until the defendant has
been evaluated for competency or sanity and appears before the court.
Following the evaluation, in determining bail the court shall consider: (i)
Recommendations of the expert or professional persons regarding the defendant's
competency, sanity, or diminished capacity; (ii) whether the defendant has a
recent history of one or more violent acts; (iii) whether the defendant has
previously been acquitted by reason of insanity or found incompetent; (iv)
whether it is reasonably likely the defendant will fail to appear for a future
court hearing; and (v) whether the defendant is a threat to public safety.
(2)
The court may direct that a qualified expert or professional person retained by
or appointed for the defendant be permitted to witness the examination
authorized by subsection (1) of this section, and that the defendant shall have
access to all information obtained by the court appointed experts or
professional persons. The defendant's expert or professional person shall have
the right to file his or her own report following the guidelines of subsection
(3) of this section. If the defendant is indigent, the court shall upon the
request of the defendant assist him or her in obtaining an expert or
professional person.
(3)
The report of the examination shall include the following:
(a)
A description of the nature of the examination;
(b)
A diagnosis of the mental condition of the defendant;
(c)
If the defendant suffers from a mental disease or defect, or is developmentally
disabled, an opinion as to competency;
(d)
If the defendant has indicated his or her intention to rely on the defense of
insanity pursuant to RCW 10.77.030, an opinion as to the defendant's sanity at
the time of the act;
(e)
When directed by the court, an opinion as to the capacity of the defendant to
have a particular state of mind which is an element of the offense charged;
(f)
An opinion as to whether the defendant is a substantial danger to other
persons, or presents a substantial likelihood of committing ((felonious))
criminal acts jeopardizing public safety or security, unless kept under
further control by the court or other persons or institutions.
(4)
The secretary may execute such agreements as appropriate and necessary to
implement this section.
NEW
SECTION. Sec. 35. A
new section is added to chapter 10.77 RCW to read as follows:
(1)
Whenever a defendant is evaluated under this chapter, a copy of the order
requiring the evaluation shall be transmitted to the county designated mental
health professional of the county in which the defendant was charged.
(2)(a)
When a defendant is evaluated under RCW 10.77.060, the professional person
shall make a recommendation to the court whether the defendant should be
examined by a county designated mental health professional for purposes of
filing a petition under chapter 71.05 RCW whenever the court determines, and
enters a finding that, the defendant is charged with: (i) A felony; or (ii) a
nonfelony crime and: (A) Is charged with, or has a history of, one or more
violent acts; (B) is a threat to public safety; (C) has previously been
acquitted by reason of insanity; or (D) has previously been found incompetent
pursuant to this chapter.
(b)
The facility conducting the evaluation shall provide its report and
recommendation to the court in which the criminal proceeding is pending. A
copy of the report and recommendation shall be provided to the county
designated mental health professional, the prosecuting attorney, the defense
attorney, and the professional person at the local correctional facility where
the defendant is being held. Upon request, the facility shall also provide
copies of any source documents relevant to the evaluation to the county
designated mental health professional. The report and recommendation shall be
provided not less than twenty-four hours preceding the transfer of the
defendant to the correctional facility in the county in which the criminal
proceeding is pending.
(c)
If the facility concludes, under RCW 10.77.060(3)(f), the person should be kept
under further control, an evaluation shall be conducted of such person under
chapter 71.05 RCW. The court shall order an evaluation be conducted by the
appropriate county designated mental health professional: (i) Prior to release
from confinement for such person who is convicted, if sentenced to confinement
for twenty-four months or less; (ii) for any person who is acquitted; or (iii)
for any person whose charges are dismissed pursuant to RCW 10.77.090(4).
(3)
The county designated mental health professional shall provide written
notification within twenty-four hours of the results of the determination
whether to commence proceedings under chapter 71.05 RCW. The notification
shall be provided to the persons identified in subsection (2)(b) of this section.
(4)
The prosecuting attorney shall provide a copy of the results of any proceedings
commenced by the county designated mental health professional under subsection
(3) of this section to the facility conducting the evaluation under this
chapter.
Sec.
36. RCW
10.77.070 and 1973 1st ex.s. c 117 s 7 are each amended to read as follows:
When
the defendant wishes to be examined by a qualified expert or professional
person of his or her own choice such examiner shall be permitted to have
reasonable access to the defendant for the purpose of such examination, as well
as to all relevant medical and psychological records and reports.
Sec.
37. RCW
10.77.080 and 1974 ex.s. c 198 s 7 are each amended to read as follows:
The
defendant may move the court for a judgment of acquittal on the grounds of
insanity: PROVIDED, That a defendant so acquitted may not later contest the
validity of his or her detention on the grounds that he or she
did not commit the acts charged. At the hearing upon ((said)) the
motion the defendant shall have the burden of proving by a preponderance of the
evidence that he or she was insane at the time of the offense or
offenses with which he or she is charged. If the court finds that the
defendant should be acquitted by reason of insanity, it shall enter specific
findings in substantially the same form as set forth in RCW 10.77.040 ((as
now or hereafter amended)). If the motion is denied, the question may be
submitted to the trier of fact in the same manner as other issues of fact.
Sec.
38. RCW
10.77.090 and 1989 c 420 s 5 are each amended to read as follows:
(1)(a)
If at any time during the pendency of an action and prior to judgment((,))
the court finds, following a report as provided in RCW 10.77.060, ((as
now or hereafter amended, that the)) a defendant is incompetent((,))
the court shall order the proceedings against the defendant be stayed((,))
except as provided in subsection (((5))) (7) of this section((,
and,)).
(b)
If the defendant is charged with a felony and determined to be
incompetent, ((may)) the court shall commit the defendant to
the custody of the secretary, who shall place such defendant in an appropriate
facility of the department for evaluation and treatment, or the court may
alternatively order the defendant to undergo evaluation and treatment at some
other facility as determined by the department, or under the guidance
and control of ((some other)) a professional person, until he or
she has regained the competency necessary to understand the proceedings against
him or her and assist in his or her own defense, but in any event, for no
longer than a period of ninety days.
(c)
A defendant found incompetent shall be evaluated at the direction of the
secretary and a determination made whether the defendant is developmentally
disabled. Such evaluation and determination shall be accomplished as soon as
possible following the court's placement of the defendant in the custody of the
secretary. When appropriate, and subject to available funds, if the defendant
is determined to be developmentally disabled, he or she may be placed in a
program specifically reserved for the treatment and training of persons with
developmental disabilities where the defendant shall have the right to
habilitation according to an individualized service plan specifically developed
for the particular needs of the defendant. The program shall be separate from
programs serving persons involved in any other treatment or habilitation
program. The program shall be appropriately secure under the circumstances and
shall be administered by developmental disabilities professionals who shall
direct the habilitation efforts. The program shall provide an environment
affording security appropriate with the charged criminal behavior and necessary
to protect the public safety. The department may limit admissions of such
persons to this specialized program in order to ensure that expenditures for
services do not exceed amounts appropriated by the legislature and allocated by
the department for such services. The department may establish admission
priorities in the event that the number of eligible persons exceeds the limits
set by the department. A copy of the report shall be sent to the facility.
(d)(i)
If the defendant is:
(A)
Charged with a nonfelony crime and has: (I) A history of one or more violent
acts, or a pending charge of one or more violent acts; or (II) been previously
acquitted by reason of insanity or been previously found incompetent under this
chapter with regard to an alleged offense involving actual, threatened, or
attempted physical harm to a person; and
(B)
Found by the court to be not competent; then
(C)
The court shall order the secretary to place the defendant: (I) At a secure
mental health facility in the custody of the department or an agency designated
by the department for mental health treatment and restoration of competency.
The placement shall not exceed fourteen days in addition to any unused time of
the evaluation under RCW 10.77.060. The fourteen-day period shall be
considered to include only the time the defendant is actually at the facility
and shall be in addition to reasonable time for transport to or from the
facility; (II) on conditional release for up to ninety days for mental health treatment
and restoration of competency; or (III) any combination of (d)(i)(C)(I) and
(II) of this subsection.
(ii)
At the end of the mental health treatment and restoration period in (d)(i) of
this subsection, or at any time a professional person determines competency has
been, or is unlikely to be, restored the defendant shall be returned to court
for a hearing. If, after notice and hearing, competency has been restored, the
stay entered under (a) of this subsection shall be lifted. If competency has not
been restored, the proceedings shall be dismissed. If the court concludes that
competency has not been restored, but that further treatment within the time
limits established by (d)(i) of this subsection is likely to restore
competency, the court may order that treatment for purposes of competency
restoration be continued. Such treatment may not extend beyond the combination
of time provided for in (d)(i)(C)(I) and (II) of this subsection.
(iii)(A)
If the proceedings are dismissed under (d)(ii) of this subsection and the
defendant was on conditional release at the time of dismissal, the court shall
order the county designated mental health professional within that county to
evaluate the defendant pursuant to chapter 71.05 RCW. The evaluation may be conducted
in any location chosen by the professional.
(B)
If the defendant was in custody and not on conditional release at the time of
dismissal, the defendant shall be detained and sent to an evaluation and
treatment facility for up to seventy-two hours for evaluation for purposes of
filing a petition under chapter 71.05 RCW.
(iv)
If at any time during the proceeding the court finds, following notice and
hearing, a defendant is not likely to regain competency, the proceedings shall
be dismissed and the defendant shall be evaluated as provided in (d)(iii) of
this subsection.
(e)
If the defendant is charged with a crime that is not a felony and the defendant
does not meet the criteria under (d) of this subsection, the court may stay or
dismiss proceedings and detain the defendant for sufficient time to allow the
county designated mental health professional to evaluate the defendant and
consider initial detention proceedings under chapter 71.05 RCW. The court must
give notice to all parties at least twenty-four hours before the dismissal of
any proceeding under this subsection (1)(e), and provide an opportunity for a
hearing on whether to dismiss the proceedings.
(2)
On or before expiration of the initial ninety-day period of commitment under
subsection (1)(b) of this section the court shall conduct a hearing, at
which it shall determine whether or not the defendant is incompetent. ((If
the defendant is charged with a crime which is not a felony, the court may stay
or dismiss proceedings and detain the defendant for sufficient time to allow
the county mental health professional to evaluate the defendant and commence
proceedings under chapter 71.05 RCW if appropriate; and subsections (2) and (3)
of this section shall not be applicable: PROVIDED, That, upon order of the
court, the prosecutor may directly petition for fourteen days of involuntary
treatment under chapter 71.05 RCW.
(2))) (3) If
the court finds by a preponderance of the evidence that ((the)) a
defendant charged with a felony is incompetent, the court shall have the
option of extending the order of commitment or alternative treatment for an
additional ninety-day period, but it must at the time of extension set a
date for a prompt hearing to determine the defendant's competency before the
expiration of the second ninety-day period. The defendant, the
defendant's attorney, or the prosecutor((, or the judge)) shall
have the right to demand that the hearing ((on or before the expiration of
the second ninety day period)) be before a jury. No extension shall be
ordered for a second ninety-day period, nor for any subsequent period as
provided in subsection (((3))) (4) of this section if the
defendant's incompetence has been determined by the secretary to be solely the
result of a developmental disability which is such that competence is not
reasonably likely to be regained during an extension. ((If no demand is
made, the hearing shall be before the court. The court or jury shall determine
whether or not the defendant has become competent.
(3))) (4)
For persons charged with a felony, at the hearing upon the expiration of
the second ninety-day period or at the end of the first ninety-day
period, in the case of a developmentally disabled defendant, if the jury or
court((, as the case may be,)) finds that the defendant is incompetent,
the charges shall be dismissed without prejudice, and either civil commitment
proceedings shall be instituted((, if appropriate,)) or the court shall
order the release of the defendant: PROVIDED, That the criminal charges shall
not be dismissed if ((at the end of the second ninety-day period, or at the
end of the first ninety-day period, in the case of a developmentally disabled
defendant,)) the court or jury finds that: (a) The defendant (i)
is a substantial danger to other persons((,)); or (ii)
presents a substantial likelihood of committing ((felonious)) criminal
acts jeopardizing public safety or security((,)); and ((that))
(b) there is a substantial probability that the defendant will regain
competency within a reasonable period of time. In the event that the court or
jury makes such a finding, the court may extend the period of commitment for an
additional six months. At the end of ((said)) the six-month
period, if the defendant remains incompetent, the charges shall be dismissed
without prejudice and either civil commitment proceedings shall be instituted((,
if appropriate,)) or the court shall order release of the defendant.
(((4)))
(5) If the defendant is referred to the county designated mental health professional
for consideration of initial detention proceedings under chapter 71.05 RCW
pursuant to this chapter, the county designated mental health professional
shall provide prompt written notification of the results of the determination
whether to commence initial detention proceedings under chapter 71.05 RCW, and
whether the person was detained. The notification shall be provided to the
court in which the criminal action was pending, the prosecutor, the defense
attorney in the criminal action, and the facility that evaluated the defendant
for competency.
(6)
The fact that the defendant is unfit to proceed does not preclude any pretrial
proceedings which do not require the personal participation of the defendant.
(((5)))
(7) A defendant receiving medication for either physical or mental
problems shall not be prohibited from standing trial, if the medication either
enables the defendant to understand the proceedings against him or her and to
assist in his or her own defense, or does not disable him or her from so
understanding and assisting in his or her own defense.
(((6)))
(8) At or before the conclusion of any commitment period provided for by
this section, the facility providing evaluation and treatment shall provide to
the court a written report of examination which meets the requirements of RCW
10.77.060(3).
Sec.
39. RCW
10.77.110 and 1989 c 420 s 6 are each amended to read as follows:
(1)
If a defendant is acquitted of a ((felony)) crime by reason of
insanity, and it is found that he or she is not a substantial danger to other
persons, and does not present a substantial likelihood of committing ((felonious))
criminal acts jeopardizing public safety or security, unless kept under
further control by the court or other persons or institutions, the court shall
direct the defendant's final discharge. If it is found that such defendant is
a substantial danger to other persons, or presents a substantial likelihood of
committing ((felonious)) criminal acts jeopardizing public safety
or security, unless kept under further control by the court or other persons or
institutions, the court shall order his or her hospitalization, or any
appropriate alternative treatment less restrictive than detention in a state
mental hospital, pursuant to the terms of this chapter.
(2)
If the defendant has been found not guilty by reason of insanity and a
substantial danger, or presents a substantial likelihood of committing ((felonious))
criminal acts jeopardizing public safety or security, so as to require
treatment then the secretary shall immediately cause the defendant to be
evaluated to ascertain if the defendant is developmentally disabled. When
appropriate, and subject to available funds, the defendant may be committed to
a program specifically reserved for the treatment and training of
developmentally disabled persons. A person so committed shall receive
habilitation services according to an individualized service plan specifically
developed to treat the behavior which was the subject of the criminal
proceedings. The treatment program shall be administered by developmental
disabilities professionals and others trained specifically in the needs of
developmentally disabled persons. The treatment program shall provide physical
security to a degree consistent with the finding that the defendant is
dangerous and may incorporate varying conditions of security and alternative
sites when the dangerousness of any particular defendant makes this necessary.
The department may limit admissions to this specialized program in order to
ensure that expenditures for services do not exceed amounts appropriated by the
legislature and allocated by the department for such services. The department
may establish admission priorities in the event that the number of eligible
persons exceeds the limits set by the department.
(3)
If it is found that such defendant is not a substantial danger to other
persons, and does not present a substantial likelihood of committing ((felonious))
criminal acts jeopardizing public safety or security, but that he or she
is in need of control by the court or other persons or institutions, the court
shall direct the defendant's conditional release. ((If the defendant is
acquitted by reason of insanity of a crime which is not a felony, the court
shall order the defendant's release or order the defendant's continued custody
only for a reasonable time to allow the county-designated mental-health
professional to evaluate the individual and to proceed with civil commitment
pursuant to chapter 71.05 RCW, if considered appropriate.))
Sec.
40. RCW
10.77.140 and 1989 c 420 s 8 are each amended to read as follows:
Each
person committed to a hospital or other facility or conditionally released
pursuant to this chapter shall have a current examination of his or her mental
condition made by one or more experts or professional persons at least once
every six months. ((Said)) The person may retain, or if the
person is indigent and so requests, the court may appoint a qualified expert or
professional person to examine him or her, and such expert or professional
person shall have access to all hospital records concerning the person. In the
case of a committed or conditionally released person who is developmentally
disabled, the expert shall be a developmental disabilities professional. The
secretary, upon receipt of the periodic report, shall provide written notice to
the court of commitment of compliance with the requirements of this section.
Sec.
41. RCW
10.77.150 and 1993 c 31 s 6 are each amended to read as follows:
(1)
Persons examined pursuant to RCW 10.77.140((, as now or hereafter amended,))
may make application to the secretary for conditional release. The secretary
shall, after considering the reports of experts or professional persons
conducting the examination pursuant to RCW 10.77.140, forward to the court of
the county which ordered the person's commitment the person's application for
conditional release as well as the secretary's recommendations concerning the
application and any proposed terms and conditions upon which the secretary
reasonably believes the person can be conditionally released. Conditional
release may also contemplate partial release for work, training, or educational
purposes.
(2)
The court of the county which ordered the person's commitment, upon receipt of
an application for conditional release with the secretary's recommendation for
conditional release, shall within thirty days schedule a hearing. The court
may schedule a hearing on applications recommended for disapproval by the
secretary. The prosecuting attorney shall represent the state at such hearings
and shall have the right to have the patient examined by an expert or
professional person of the prosecuting attorney's choice. If the committed
person is indigent, and he or she so requests, the court shall appoint a
qualified expert or professional person to examine the person on his or her
behalf. The issue to be determined at such a hearing is whether or not the
person may be released conditionally without substantial danger to other
persons, or substantial likelihood of committing ((felonious)) criminal
acts jeopardizing public safety or security. The court, after the hearing,
shall rule on the secretary's recommendations, and if it disapproves of
conditional release, may do so only on the basis of substantial evidence. The
court may modify the suggested terms and conditions on which the person is to
be conditionally released. Pursuant to the determination of the court after
hearing, the committed person shall thereupon be released on such conditions as
the court determines to be necessary, or shall be remitted to the custody of
the secretary. If the order of conditional release includes a requirement for
the committed person to report to a community corrections officer, the order
shall also specify that the conditionally released person shall be under the
supervision of the secretary of corrections or such person as the secretary of
corrections may designate and shall follow explicitly the instructions of the
secretary of corrections including reporting as directed to a community
corrections officer, remaining within prescribed geographical boundaries, and notifying
the community corrections officer prior to making any change in the offender's
address or employment.
(3)
If the court determines that receiving regular or periodic medication or other
medical treatment shall be a condition of the committed person's release, then
the court shall require him or her to report to a physician or other medical or
mental health practitioner for the medication or treatment. In addition to
submitting any report required by RCW 10.77.160, the physician or other medical
or mental health practitioner shall immediately upon the released person's
failure to appear for the medication or treatment report the failure to the
court, to the prosecuting attorney of the county in which the released person
was committed, and to the supervising community corrections officer.
(4)
Any person, whose application for conditional release has been denied, may
reapply after a period of six months from the date of denial.
Sec.
42. RCW
10.77.180 and 1993 c 31 s 9 are each amended to read as follows:
Each
person conditionally released pursuant to RCW 10.77.150((, as now or
hereafter amended,)) shall have his or her case reviewed by the court which
conditionally released him or her no later than one year after such release and
no later than every two years thereafter, such time to be scheduled by the
court. Review may occur in a shorter time or more frequently, if the court, in
its discretion, on its own motion, or on motion of the person, the secretary of
social and health services, the secretary of corrections, medical or mental
health practitioner, or the prosecuting attorney, so determines. The sole
question to be determined by the court is whether the person shall continue to
be conditionally released. The court in making its determination shall be
aided by the periodic reports filed pursuant to RCW 10.77.140((, as now or
hereafter amended,)) and ((RCW)) 10.77.160, and the opinions of the
secretary ((of social and health services)) and other experts or
professional persons.
Sec.
43. RCW
10.77.190 and 1993 c 31 s 10 are each amended to read as follows:
(1)
Any person submitting reports pursuant to RCW 10.77.160, the secretary, or the
prosecuting attorney may petition the court to, or the court on its own motion
may schedule an immediate hearing for the purpose of modifying the terms of
conditional release if the petitioner or the court believes the released person
is failing to adhere to the terms and conditions of his or her conditional release
or is in need of additional care and treatment.
(2)
If the prosecuting attorney, the secretary of social and health services, the
secretary of corrections, or the court, after examining the report filed with
them pursuant to RCW 10.77.160, or based on other information received by them,
reasonably believes that a conditionally released person is failing to adhere
to the terms and conditions of his or her conditional release the court or
secretary of social and health services or the secretary of corrections may
order that the conditionally released person be apprehended and taken into
custody until such time as a hearing can be scheduled to determine the facts
and whether or not the person's conditional release should be revoked or
modified. The court shall be notified before the close of the next judicial
day of the apprehension. Both the prosecuting attorney and the conditionally
released person shall have the right to request an immediate mental examination
of the conditionally released person. If the conditionally released person is
indigent, the court or secretary of social and health services or the secretary
of corrections or their designees shall, upon request, assist him or her
in obtaining a qualified expert or professional person to conduct the
examination.
(3)
If the hospital or facility designated to provide outpatient care determines
that a conditionally released person presents a threat to public safety, the
hospital or facility shall immediately notify the secretary of social and health
services or the secretary of corrections or their designees. The secretary
shall order that the conditionally released person be apprehended and taken
into custody.
(4)
The court, upon receiving notification of the apprehension, shall promptly
schedule a hearing. The issue to be determined is whether the conditionally
released person did or did not adhere to the terms and conditions of his or her
release, or whether the person presents a threat to public safety.
Pursuant to the determination of the court upon such hearing, the conditionally
released person shall either continue to be conditionally released on the same
or modified conditions or his or her conditional release shall be revoked and
he or she shall be committed subject to release only in accordance with
provisions of this chapter.
Sec.
44. RCW
10.77.200 and 1993 c 31 s 11 are each amended to read as follows:
(1)
Upon application by the committed or conditionally released person, the
secretary shall determine whether or not reasonable grounds exist for final
discharge. In making this determination, the secretary may consider the
reports filed under RCW 10.77.060, 10.77.110, 10.77.140, and 10.77.160, and
other reports and evaluations provided by professionals familiar with the
case. If the secretary approves the final discharge he or she then shall
authorize ((said)) the person to petition the court.
(2)
The petition shall be served upon the court and the prosecuting attorney. The
court, upon receipt of the petition for final discharge, shall within
forty-five days order a hearing. Continuance of the hearing date shall only be
allowed for good cause shown. The prosecuting attorney shall represent the
state, and shall have the right to have the petitioner examined by an expert or
professional person of the prosecuting attorney's choice. If the petitioner is
indigent, and the person so requests, the court shall appoint a qualified
expert or professional person to examine him or her. If the petitioner is
developmentally disabled, the examination shall be performed by a developmental
disabilities professional. The hearing shall be before a jury if demanded by
either the petitioner or the prosecuting attorney. The burden of proof shall
be upon the petitioner to show by a preponderance of the evidence that the
petitioner no longer presents, as a result of a mental disease or defect, a
substantial danger to other persons, or a substantial likelihood of committing
((felonious)) criminal acts jeopardizing public safety or
security, unless kept under further control by the court or other persons or
institutions.
(3)
Nothing contained in this chapter shall prohibit the patient from petitioning
the court for final discharge or conditional release from the institution in
which he or she is committed. The issue to be determined on such proceeding is
whether the petitioner, as a result of a mental disease or defect, is a
substantial danger to other persons, or presents a substantial likelihood of
committing ((felonious)) criminal acts jeopardizing public safety
or security, unless kept under further control by the court or other persons or
institutions.
Nothing
contained in this chapter shall prohibit the committed person from petitioning
for release by writ of habeas corpus.
Sec.
45. RCW
10.77.210 and 1993 c 31 s 12 are each amended to read as follows:
(1)
Any person involuntarily detained, hospitalized, or committed pursuant to the
provisions of this chapter shall have the right to adequate care and
individualized treatment. The person who has custody of the patient or is in
charge of treatment shall keep records detailing all medical, expert, and
professional care and treatment received by a committed person, and shall keep
copies of all reports of periodic examinations of the patient that have been
filed with the secretary pursuant to this chapter. Except as provided in RCW
10.77.205 and 4.24.550 regarding the release of information concerning insane
offenders who are acquitted of sex offenses and subsequently committed pursuant
to this chapter, all records and reports made pursuant to this chapter, shall
be made available only upon request, to the committed person, to his or her
attorney, to his or her personal physician, to the supervising community
corrections officer, to the prosecuting attorney, to the court, to the
protection and advocacy agency, or other expert or professional persons who,
upon proper showing, demonstrates a need for access to such records. All
records and reports made pursuant to this chapter shall also be made available,
upon request, to the department of corrections or the indeterminate sentence
review board if the person was on parole, probation, or community supervision
at the time of detention, hospitalization, or commitment or the person is
subsequently convicted for the crime for which he or she was detained,
hospitalized, or committed pursuant to this chapter.
(2)
All relevant records and reports as defined by the department in rule shall be
made available, upon request, to criminal justice agencies as defined in RCW
10.97.030.
NEW
SECTION. Sec. 46. In
developing rules under RCW 10.77.210(2), the department shall implement the following
legislative intent: Increasing public safety; and making decisions based on a
person's current conduct and mental condition rather than the classification of
the charges.
NEW
SECTION. Sec. 47. A
new section is added to chapter 10.77 RCW to read as follows:
A
copy of relevant records and reports as defined by the department, in
consultation with the department of corrections, made pursuant to this chapter,
and including relevant information necessary to meet the requirements of
section 35(2) of this act and RCW 10.77.090, shall accompany the defendant upon
transfer to a mental health facility or a correctional institution or facility.
NEW
SECTION. Sec. 48. A
new section is added to chapter 72.10 RCW to read as follows:
The
secretary shall, for any person committed to a state correctional facility
after the effective date of this section, inquire at the time of commitment
whether the person had received outpatient mental health treatment within the
two years preceding confinement and the name of the person providing the
treatment.
The
secretary shall inquire of the treatment provider if he or she wishes to be
notified of the release of the person from confinement, for purposes of
offering treatment upon the inmate's release. If the treatment provider wishes
to be notified of the inmate's release, the secretary shall attempt to provide
such notice at least seven days prior to release.
At
the time of an inmate's release if the secretary is unable to locate the
treatment provider, the secretary shall notify the regional support network in
the county the inmate will most likely reside following release.
If
the secretary has, prior to the release from the facility, evaluated the inmate
and determined he or she requires postrelease mental health treatment, a copy
of relevant records and reports relating to the inmate's mental health
treatment or status shall be promptly made available to the offender's present
or future treatment provider. The secretary shall determine which records and
reports are relevant and may provide a summary in lieu of copies of the
records.
Sec.
49. RCW
10.97.030 and 1990 c 3 s 128 are each amended to read as follows:
For
purposes of this chapter, the definitions of terms in this section shall apply.
(1)
"Criminal history record information" means information contained in
records collected by criminal justice agencies, other than courts, on
individuals, consisting of identifiable descriptions and notations of arrests,
detentions, indictments, informations, or other formal criminal charges, and
any disposition arising therefrom, including acquittals by reason of
insanity, dismissals based on lack of competency, sentences, correctional
supervision, and release.
The
term includes information contained in records maintained by or obtained from
criminal justice agencies, other than courts, which records provide individual
identification of a person together with any portion of the individual's record
of involvement in the criminal justice system as an alleged or convicted
offender, except:
(a)
Posters, announcements, or lists for identifying or apprehending fugitives or
wanted persons;
(b)
Original records of entry maintained by criminal justice agencies to the extent
that such records are compiled and maintained chronologically and are
accessible only on a chronological basis;
(c)
Court indices and records of public judicial proceedings, court decisions, and
opinions, and information disclosed during public judicial proceedings;
(d)
Records of traffic violations which are not punishable by a maximum term of
imprisonment of more than ninety days;
(e)
Records of any traffic offenses as maintained by the department of licensing
for the purpose of regulating the issuance, suspension, revocation, or renewal
of drivers' or other operators' licenses and pursuant to RCW 46.52.130 ((as
now existing or hereafter amended));
(f)
Records of any aviation violations or offenses as maintained by the department
of transportation for the purpose of regulating pilots or other aviation
operators, and pursuant to RCW 47.68.330 ((as now existing or hereafter
amended));
(g)
Announcements of executive clemency.
(2)
"Nonconviction data" consists of all criminal history record
information relating to an incident which has not led to a conviction or other
disposition adverse to the subject, and for which proceedings are no longer
actively pending. There shall be a rebuttable presumption that proceedings are
no longer actively pending if more than one year has elapsed since arrest,
citation, or service of warrant and no disposition has been entered.
(3)
"Conviction record" means criminal history record information
relating to an incident which has led to a conviction or other disposition
adverse to the subject.
(4)
"Conviction or other disposition adverse to the subject" means any
disposition of charges ((, except)) other than: (a) A decision
not to prosecute((,)); (b) a dismissal((,)); or (c)
acquittal ((except when the)); with the following exceptions, which
shall be considered dispositions adverse to the subject: An acquittal ((is))
due to a finding of not guilty by reason of insanity and a dismissal by
reason of incompetency, pursuant to chapter 10.77 RCW((and the person
was committed pursuant to chapter 10.77 RCW: PROVIDED, HOWEVER, That));
and a dismissal entered after a period of probation, suspension, or
deferral of sentence ((shall be considered a disposition adverse to the
subject)).
(5)
"Criminal justice agency" means: (a) A court; or (b) a government
agency which performs the administration of criminal justice pursuant to a
statute or executive order and which allocates a substantial part of its annual
budget to the administration of criminal justice.
(6)
"The administration of criminal justice" means performance of any of
the following activities: Detection, apprehension, detention, pretrial
release, post-trial release, prosecution, adjudication, correctional
supervision, or rehabilitation of accused persons or criminal offenders. The
term also includes criminal identification activities and the collection,
storage, dissemination of criminal history record information, and the
compensation of victims of crime.
(7)
"Disposition" means the formal conclusion of a criminal proceeding at
whatever stage it occurs in the criminal justice system.
(8)
"Dissemination" means disclosing criminal history record information
or disclosing the absence of criminal history record information to any person
or agency outside the agency possessing the information, subject to the
following exceptions:
(a)
When criminal justice agencies jointly participate in the maintenance of a
single record keeping department as an alternative to maintaining separate
records, the furnishing of information by that department to personnel of any
participating agency is not a dissemination;
(b)
The furnishing of information by any criminal justice agency to another for the
purpose of processing a matter through the criminal justice system, such as a
police department providing information to a prosecutor for use in preparing a
charge, is not a dissemination;
(c)
The reporting of an event to a record keeping agency for the purpose of
maintaining the record is not a dissemination.
NEW
SECTION. Sec. 50. A
new section is added to chapter 10.77 RCW to read as follows:
Where
appropriate, and under the prescription of an authorized professional person,
atypical antipsychotic medications may be accessed for use by a regional
support network through the fund established in section 57 of this act.
NEW
SECTION. Sec. 51. The
code reviser shall alphabetize the definitions in RCW 10.77.010 and correct any
references.
NEW
SECTION. Sec. 52. The
following acts or parts of acts are each repealed:
(1) RCW
71.05.015 and 1979 ex.s. c 215 s 1; and
(2) RCW
71.05.080 and 1973 1st ex.s. c 142 s 13.
NEW
SECTION. Sec. 53. This
act takes effect July 1, 1998, except for sections 18, 35, 38, and 39 of this
act, which take effect March 1, 1999.
NEW
SECTION. Sec. 54. (1)
The Washington state institute for public policy shall conduct an evaluation of
this act to determine:
(a)
Whether there has been a reduction in recidivism for mentally ill offenders who
are felons or who meet the criteria specified in RCW 10.77.090(1)(d) and
received mental health services as a result of the provisions of chapters 10.77
and 71.05 RCW.
(b)
The number of nonfelony offenders who have been referred to competency
restoration under RCW 10.77.090(1)(d)(i)(C) and the percentage of such
offenders who have been restored to competency within the allotted time for
felons, nonfelony offenders meeting the criteria under RCW 10.77.090(1)(d), and
the nonfelony offenders who do not meet this criteria.
(c)
Whether the information-sharing provisions of this act are adequate to provide
necessary information to the affected parties. The analysis shall include
findings as to whether the flow of information is resulting in the efficient
usage of the information and whether there are revisions in the flow which
would better allow the courts, professional persons, and parties to proceedings
to make better use of the information.
(2)
The evaluation shall be presented to the legislature on or before November 15,
2003.
*NEW
SECTION. Sec. 55.
The department of corrections shall report to
the fiscal committees of the legislature on the efficacy of the regional
support networks in implementing the provisions of this act. Such report shall
be submitted annually on or before September 30th and shall include information
about the administrative expenses of the regional support networks.
*Sec. 55 was vetoed. See message at end of chapter.
NEW
SECTION. Sec. 56. RCW
10.77.005 is recodified within chapter 10.77 RCW after RCW 10.77.090.
NEW
SECTION. Sec. 57.
$210,000 of the general fund‑-state appropriation for fiscal year 1999 is
provided solely for the establishment of a fund to reimburse regional support
networks for the cost of atypical antipsychotic medications. This amount is
not subject to the provisions of RCW 71.24.035(17)(d).
NEW
SECTION. Sec. 58. If
any provision of this act or its application to any person or circumstance is
held invalid, the remainder of the act or the application of the provision to
other persons or circumstances is not affected.
NEW
SECTION. Sec. 59. If
specific funding for the purposes of this act, referencing this act by bill or
chapter number, is not provided by June 30, 1998, in the omnibus appropriations
act, this act is null and void.
*NEW
SECTION. Sec. 60.
This act shall expire on June 30, 2001.
*Sec. 60 was vetoed. See message at end of chapter.
NEW
SECTION. Sec. 61. The
joint legislative audit and review committee shall conduct an evaluation of the
efficiency and effectiveness of this act in meeting its stated goals. Such an
evaluation shall include the operation of the state mental hospitals and the
regional support networks, as well as any other appropriate entity. The joint
legislative audit and review committee shall prepare an interim report of its
findings which shall be delivered to the appropriate legislative committees of
the house of representatives and the senate no later than September 1, 2000.
In addition, the joint legislative audit and review committee shall prepare a
final report of its findings which shall be delivered to the appropriate
legislative committees of the house of representatives and the senate no later
than January 1, 2001.
