SB 1412, as amended, Nielsen. Criminal proceedings: mentally incompetent offenders.
(1) Existing law prohibits a person from being tried or adjudged to punishment while that person is mentally incompetent. Existing law establishes a process by which a defendant’s mental competency is evaluated and by which the defendant receives treatment, including, if applicable, antipsychotic medication, with the goal of returning the defendant to competency. Existing law credits time spent by a defendant in a state hospital or other facility as a result of commitment during the process toward the term of any imprisonment for which the defendant is sentenced.
This bill would, similarly, prohibit a person from having his or her probation, mandatory supervision, postrelease community supervision, or parole revoked while that person is mentally incompetent. The bill would establish a process by which the person’s mental
competency is evaluated and by which the defendant receives treatment, including, if applicable, antipsychotic medication, with the goal of returning the person to competency.begin delete Thisend deletebegin insert Theend insert bill would credit time spent by a defendant in a state hospital or other facility as a result of commitment during the process toward the period of revocation or the remaining term of supervision that was suspended. If a defendant is found mentally incompetent during postrelease community supervision or parole revocation hearings, the bill would allow the court to order the defendant to undergo treatment, dismiss the pending revocation matter and return the defendant to supervision, in which case the bill would allow the court to modify the terms and conditions of supervision or refer the matter to the public guardian of the county to
initiate conservatorship proceedings, or refer the matter to a local mental health court, reentry court, or other collaborative justice court available for improving the mental health of the defendant. By increasing the duties of local officials, including the county mental health director and county public guardian,begin delete thisend deletebegin insert theend insert bill would impose a state-mandated local program.
If a personbegin delete isend delete subject to parole due to a conviction for an offense of first or 2nd degree murder or a registerable sex offense in which one or more of the victims of the offense was a child under 14 years of agebegin insert is found mentally incompetentend insert,
the bill would requirebegin insert theend insert court tobegin delete remand the person to the custody of the Department of Corrections and Rehabilitation upon a finding of probable cause that the person violated a term or condition of parole, if the person is found mentally incompetentend deletebegin insert
order the person to undergo treatment to restore mental competency. If his or her mental competency is not restored, the bill would establish procedures for his or her supervision or referral, as specifiedend insert.
The bill would also make conforming changes.
(2) During the pendency of an action in a case in which the defendant has been charged with a misdemeanor, if the defendant’s behavior leads the judge to conclude that the defendant is mentally disordered and incompetent to stand trial, existing law requires the judge to state the conclusion in the record and inquire of the attorney for the defendant whether, in the opinion of the attorney, the defendant is mentally disordered. Existing law requires the court to order the defendant to be referred for evaluation and treatment, as specified, if counsel for the defendant informs the court that he or she believes the defendant is or may be mentally disordered.
This bill would repeal those provisions.
(3) The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to these statutory provisions.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: yes.
The people of the State of California do enact as follows:
Section 1367 of the Penal Code is amended to
2read:
(a) A person cannot be tried or adjudged to punishment
4or have his or her probation, mandatory supervision, postrelease
5community supervision, or parole revoked while that person is
6mentally incompetent. A defendant is mentally incompetent for
7purposes of this chapter if, as a result of mental disorder or
8developmental disability, the defendant is unable to understand
9the nature of the criminal proceedings or to assist counsel in the
10conduct of a defense in a rational manner.
11(b) Section 1370 shall apply to a person who is charged with a
12felony or alleged to have violated the terms of probation or
13mandatory supervision and is incompetent as a result of a mental
14disorder. Section 1370.01 shall apply to a person who is charged
15
with a misdemeanor or misdemeanors only, or a violation of formal
16or informal probation for a misdemeanor, and the judge finds
17reason to believe that the defendant is mentally disordered, and
18may, as a result of the mental disorder, be incompetent to stand
19trial. Section 1370.1 shall apply to a person who is incompetent
20as a result of a developmental disability and shall apply to a person
21who is incompetent as a result of a mental disorder, but is also
22developmentally disabled. Section 1370.02 shall apply to a person
23alleged to have violated the terms of his or her postrelease
24community supervision or parole.
Section 1367.1 of the Penal Code is repealed.
Section 1368 of the Penal Code is amended to read:
(a) If, during the pendency of an action and prior to
28judgment, or during revocation proceedings for a violation of
29probation, mandatory supervision, postrelease community
30supervision, or parole, a doubt arises in the mind of the judge as
31to the mental competence of the defendant, he or she shall state
P4 1that doubt in the record and inquire of the attorney for the defendant
2whether, in the opinion of the attorney, the defendant is mentally
3competent. If the defendant is not represented by counsel, the court
4shall appoint counsel. At the request of the defendant or his or her
5counsel or upon its own motion, the court shall recess the
6proceedings for as long as may be reasonably necessary to permit
7counsel to confer with the defendant and to form an opinion as to
8the mental competence of the
defendant at that point in time.
9(b) If counsel informs the court that he or she believes the
10defendant is or may be mentally incompetent, the court shall order
11that the question of the defendant’s mental competence is to be
12determined in a hearing which is held pursuant to Sections 1368.1
13and 1369. If counsel informs the court that he or she believes the
14defendant is mentally competent, the court may nevertheless order
15a hearing. Any hearing shall be held in the superior court.
16(c) Except as provided in Section 1368.1, when an order for a
17hearing into the present mental competence of the defendant has
18been issued, all proceedings in the criminal prosecution shall be
19suspended until the question of the present mental competence of
20the defendant has been determined.
21If a jury has been impaneled and sworn to try the defendant, the
22jury
shall be discharged only if it appears to the court that undue
23hardship to the jurors would result if the jury is retained on call.
24If the defendant is declared mentally incompetent, the jury shall
25be discharged.
Section 1368.1 of the Penal Code is amended to read:
(a) If the action is on a complaint charging a felony,
28proceedings to determine mental competence shall be held prior
29to the filing of an information unless the counsel for the defendant
30requests a preliminary examination under the provisions of Section
31859b. At such preliminary examination, counsel for the defendant
32may (1) demur, (2) move to dismiss the complaint on the ground
33that there is not reasonable cause to believe that a felony has been
34committed and that the defendant is guilty thereof, or (3) make a
35motion under Section 1538.5.
36(b) If the action is on a complaint charging a misdemeanor,
37counsel for the defendant may (1) demur, (2) move to dismiss the
38complaint on the ground that there is not reasonable cause to
39
believe that a public offense has been committed and that the
P5 1defendant is guilty thereof, or (3) make a motion under Section
21538.5.
3(c) If the proceeding involves an alleged violation of probation,
4mandatory supervision, postrelease community supervision, or
5parole, counsel for the defendant may move to reinstate supervision
6on the ground that there is not probable cause to believe that the
7defendant violated the terms of his or her supervision.
8(d) In ruling upon any demurrer or motion described in
9subdivision (a), (b), or (c), the court may hear any matter which
10is capable of fair determination without the personal participation
11of the defendant.
12(e) A demurrer or motion described in subdivision (a), (b), or
13(c) shall be made in the court having jurisdiction over the
14complaint. The defendant shall not be
certified until the demurrer
15or motion has been decided.
Section 1369 of the Penal Code is amended to read:
Except as stated in subdivision (g), a trial by court or
18jury of the question of mental competence shall proceed in the
19following order:
20(a) The court shall appoint a psychiatrist or licensed
21psychologist, and any other expert the court may deem appropriate,
22to examine the defendant. In any case where the defendant or the
23defendant’s counsel informs the court that the defendant is not
24seeking a finding of mental incompetence, the court shall appoint
25two psychiatrists, licensed psychologists, or a combination thereof.
26One of the psychiatrists or licensed psychologists may be named
27by the defense and one may be named by the prosecution. The
28examining psychiatrists or licensed psychologists shall evaluate
29the nature of the defendant’s mental disorder,
if any, the
30defendant’s ability or inability to understand the nature of the
31criminal proceedings or assist counsel in the conduct of a defense
32in a rational manner as a result of a mental disorder and, if within
33the scope of their licenses and appropriate to their opinions,
34whether or not treatment with antipsychotic medication is medically
35appropriate for the defendant and whether antipsychotic medication
36is likely to restore the defendant to mental competence. If an
37examining psychologist is of the opinion that antipsychotic
38medication may be medically appropriate for the defendant and
39that the defendant should be evaluated by a psychiatrist to
40determine if antipsychotic medication is medically appropriate,
P6 1the psychologist shall inform the court of this opinion and his or
2her recommendation as to whether a psychiatrist should examine
3the defendant. The examining psychiatrists or licensed
4psychologists shall also address the issues of whether the defendant
5has capacity to make decisions regarding
antipsychotic medication
6and whether the defendant is a danger to self or others. If the
7defendant is examined by a psychiatrist and the psychiatrist forms
8an opinion as to whether or not treatment with antipsychotic
9medication is medically appropriate, the psychiatrist shall inform
10the court of his or her opinions as to the likely or potential side
11effects of the medication, the expected efficacy of the medication,
12possible alternative treatments, and whether it is medically
13appropriate to administer antipsychotic medication in the county
14jail. If it is suspected the defendant is developmentally disabled,
15the court shall appoint the director of the regional center for the
16developmentally disabled established under Division 4.5
17(commencing with Section 4500) of the Welfare and Institutions
18Code, or the designee of the director, to examine the defendant.
19The court may order the developmentally disabled defendant to
20be confined for examination in a residential facility or state
21hospital.
22The regional center director shall recommend to the court a
23suitable residential facility or state hospital. Prior to issuing an
24order pursuant to this section, the court shall consider the
25recommendation of the regional center director. While the person
26is confined pursuant to order of the court under this section, he or
27she shall be provided with necessary care and treatment.
28(b) (1) The counsel for the defendant shall offer evidence in
29support of the allegation of mental incompetence.
30(2) If the defense declines to offer any evidence in support of
31the allegation of mental incompetence, the prosecution may do so.
32(c) The prosecution shall present its case regarding the issue of
33the defendant’s present mental competence.
34(d) Each party may offer rebutting testimony, unless the court,
35for good reason in furtherance of justice, also permits other
36evidence in support of the original contention.
37(e) When the evidence is concluded, unless the case is submitted
38without final argument, the prosecution shall make its final
39argument and the defense shall conclude with its final argument
40to the court or jury.
P7 1(f) In a jury trial, the court shall charge the jury, instructing
2them on all matters of law necessary for the rendering of a verdict.
3It shall be presumed that the defendant is mentally competent
4unless it is proved by a preponderance of the evidence that the
5defendant is mentally incompetent. The verdict of the jury shall
6be unanimous.
7(g) Only a court trial is required to
determine competency in
8any proceeding for a violation of probation, mandatory supervision,
9postrelease community supervision, or parole.
Section 1369.1 of the Penal Code is amended to read:
(a) As used in this chapter, “treatment facility”
12includes a county jail. Upon the concurrence of the county board
13of supervisors, the county mental health director, and the county
14sheriff, the jail may be designated to provide medically approved
15medication to defendants found to be mentally incompetent and
16unable to provide informed consent due to a mental disorder,
17pursuant to this chapter. In the case of Madera, Napa, and Santa
18Clara Counties, the concurrence shall be with the board of
19supervisors, the county mental health director, and the county
20sheriff or the chief of corrections. The provisions of Sections 1370
21and 1370.01 shall apply to antipsychotic medications provided in
22a county jail, provided, however, that the maximum period of time
23a defendant may be treated in a treatment facility pursuant to this
24section shall
not exceed six months. The provisions of Section
251370.02 shall apply to antipsychotic medications provided to a
26person in a county jail pending revocation of postrelease
27community supervision, provided, however, that the maximum
28period of time a defendant may be treated in a treatment facility
29pursuant to this section shall not exceed one year. The provisions
30of Section 1370 shall apply to antipsychotic medications provided
31to a person in a county jail pending revocation of mandatory
32supervision, provided, however, that the maximum period of time
33a defendant may be treated in a treatment facility pursuant to this
34section shall not exceed the remaining period of mandatory
35supervision imposed pursuant to subparagraph (B) of paragraph
36(5) of subdivision (h) of Section 1170.
37(b) This section does not abrogate or limit any law enacted to
38ensure the due process rights set forth in Sell v. United States
39(2003) 539 U.S. 166.
P8 1(c) This section shall remain in effect only until January 1, 2016,
2and as of that date is repealed, unless a later enacted statute, that
3is enacted before January 1, 2016, deletes or extends that date.
Section 1370 of the Penal Code is amended to read:
(a) (1) (A) If the defendant is found mentally
6competent, the criminal process shall resume, the trial on the
7offense charged or hearing on the alleged violation shall proceed,
8and judgment may be pronounced.
9(B) If the defendant is found mentally incompetent, the trial,
10the hearing on the alleged violation, or the judgment shall be
11suspended until the person becomes mentally competent.
12(i) In the meantime, the court shall order that the mentally
13incompetent defendant be delivered by the sheriff to a state hospital
14for the care and treatment of the mentally disordered, or to any
15other available public or private treatment facility, including a
16local county
jail treatment facility, approved by the community
17program director that will promote the defendant’s speedy
18restoration to mental competence, or placed on outpatient status
19as specified in Section 1600.
20(ii) However, if the action against the defendant who has been
21found mentally incompetent is on a complaint charging a felony
22offense specified in Section 290, the prosecutor shall determine
23whether the defendant previously has been found mentally
24incompetent to stand trial pursuant to this chapter on a charge of
25a Section 290 offense, or whether the defendant is currently the
26subject of a pending Section 1368 proceeding arising out of a
27charge of a Section 290 offense. If either determination is made,
28the prosecutor shall so notify the court and defendant in writing.
29After this notification, and opportunity for hearing, the court shall
30order that the defendant be delivered by the sheriff to a state
31hospital or other secure treatment facility
for the care and treatment
32of the mentally disordered unless the court makes specific findings
33on the record that an alternative placement would provide more
34appropriate treatment for the defendant and would not pose a
35danger to the health and safety of others.
36(iii) If the action against the defendant who has been found
37mentally incompetent is on a complaint charging a felony offense
38specified in Section 290 and the defendant has been denied bail
39pursuant to subdivision (b) of Section 12 of Article I of the
40California Constitution because the court has found, based upon
P9 1clear and convincing evidence, a substantial likelihood that the
2person’s release would result in great bodily harm to others, the
3court shall order that the defendant be delivered by the sheriff to
4a state hospital for the care and treatment of the mentally disordered
5unless the court makes specific findings on the record that an
6alternative placement would provide more
appropriate treatment
7for the defendant and would not pose a danger to the health and
8safety of others.
9(iv) The clerk of the court shall notify the Department of Justice
10in writing of any finding of mental incompetence with respect to
11a defendant who is subject to clause (ii) or (iii) for inclusion in his
12or her state summary criminal history information.
13(C) Upon the filing of a certificate of restoration to competence,
14the court shall order that the defendant be returned to court in
15accordance with Section 1372. The court shall transmit a copy of
16its order to the community program director or a designee.
17(D) A defendant charged with a violent felony may not be
18delivered to a state hospital or treatment facility pursuant to this
19subdivision unless the state hospital or treatment facility has a
20secured perimeter or
a locked and controlled treatment facility,
21and the judge determines that the public safety will be protected.
22(E) For purposes of this paragraph, “violent felony” means an
23offense specified in subdivision (c) of Section 667.5.
24(F) A defendant charged with a violent felony may be placed
25on outpatient status, as specified in Section 1600, only if the court
26finds that the placement will not pose a danger to the health or
27safety of others. If the court places a defendant charged with a
28violent felony on outpatient status, as specified in Section 1600,
29the court must serve copies of the placement order on defense
30counsel, the sheriff in the county where the defendant will be
31placed and the district attorney for the county in which the violent
32felony charges are pending against the defendant.
33(2) Prior to making the order
directing that the defendant be
34confined in a state hospital or other treatment facility or placed on
35outpatient status, the court shall proceed as follows:
36(A) The court shall order the community program director or a
37designee to evaluate the defendant and to submit to the court within
3815 judicial days of the order a written recommendation as to
39whether the defendant should be required to undergo outpatient
40treatment, or committed to a state hospital or to any other treatment
P10 1facility. No person shall be admitted to a state hospital or other
2treatment facility or placed on outpatient status under this section
3without having been evaluated by the community program director
4or a designee. The community program director or designee shall
5evaluate the appropriate placement for the defendant between a
6state hospital or a local county jail treatment facility based upon
7guidelines provided by the State Department of State Hospitals.
8If a local county
jail treatment facility is selected, the State
9Department of State Hospitals shall provide treatment at the county
10jail treatment facility and reimburse the county jail treatment
11facility for the reasonable costs of the bed during the treatment.
12The six-month limitation in Section 1369.1 shall not apply to
13individuals deemed incompetent to stand trial who are being treated
14to restore competency within a county jail treatment facility
15pursuant to this section.
16(B) The court shall hear and determine whether the defendant
17lacks capacity to make decisions regarding the administration of
18antipsychotic medication, and shall proceed as follows:
19(i) The court shall hear and determine whether any of the
20following is true:
21(I) The defendant lacks capacity to make decisions regarding
22antipsychotic medication, the defendant’s
mental disorder requires
23medical treatment with antipsychotic medication, and, if the
24defendant’s mental disorder is not treated with antipsychotic
25medication, it is probable that serious harm to the physical or
26mental health of the patient will result. Probability of serious harm
27to the physical or mental health of the defendant requires evidence
28that the defendant is presently suffering adverse effects to his or
29her physical or mental health, or the defendant has previously
30suffered these effects as a result of a mental disorder and his or
31her condition is substantially deteriorating. The fact that a
32defendant has a diagnosis of a mental disorder does not alone
33establish probability of serious harm to the physical or mental
34health of the defendant.
35(II) The defendant is a danger to others, in that the defendant
36has inflicted, attempted to inflict, or made a serious threat of
37inflicting substantial physical harm on another while in custody,
38or
the defendant had inflicted, attempted to inflict, or made a
39serious threat of inflicting substantial physical harm on another
40that resulted in his or her being taken into custody, and the
P11 1defendant presents, as a result of mental disorder or mental defect,
2a demonstrated danger of inflicting substantial physical harm on
3others. Demonstrated danger may be based on an assessment of
4the defendant’s present mental condition, including a consideration
5of past behavior of the defendant within six years prior to the time
6the defendant last attempted to inflict, inflicted, or threatened to
7inflict substantial physical harm on another, and other relevant
8evidence.
9(III) The people have charged the defendant with a serious crime
10against the person or property, involuntary administration of
11antipsychotic medication is substantially likely to render the
12defendant competent to stand trial, the medication is unlikely to
13have side effects that interfere with
the defendant’s ability to
14understand the nature of the criminal proceedings or to assist
15counsel in the conduct of a defense in a reasonable manner, less
16intrusive treatments are unlikely to have substantially the same
17results, and antipsychotic medication is in the patient’s best medical
18interest in light of his or her medical condition.
19(ii) If the court finds any of the conditions described in clause
20(i) to be true, the court shall issue an order authorizing the treatment
21facility to involuntarily administer antipsychotic medication to the
22defendant when and as prescribed by the defendant’s treating
23psychiatrist. The court shall not order involuntary administration
24of psychotropic medication under subclause (III) of clause (i)
25unless the court has first found that the defendant does not meet
26the criteria for involuntary administration of psychotropic
27medication under subclause (I) of clause (i) and does not meet the
28criteria under subclause
(II) of clause (i).
29(iii) In all cases, the treating hospital, facility, or program may
30administer medically appropriate antipsychotic medication
31prescribed by a psychiatrist in an emergency as described in
32subdivision (m) of Section 5008 of the Welfare and Institutions
33Code.
34(iv) If the court has determined that the defendant has the
35capacity to make decisions regarding antipsychotic medication,
36and if the defendant, with advice of his or her counsel, consents,
37the court order of commitment shall include confirmation that
38antipsychotic medication may be given to the defendant as
39prescribed by a treating psychiatrist pursuant to the defendant’s
40consent. The commitment order shall also indicate that, if the
P12 1defendant withdraws consent for antipsychotic medication, after
2the treating psychiatrist complies with the provisions of
3subparagraph (C), the defendant shall be returned to
court for a
4hearing in accordance with subparagraphs (C) and (D) regarding
5whether antipsychotic medication shall be administered
6involuntarily.
7(v) If the court has determined that the defendant has the
8capacity to make decisions regarding antipsychotic medication
9and if the defendant, with advice from his or her counsel, does not
10consent, the court order for commitment shall indicate that, after
11the treating psychiatrist complies with the provisions of
12subparagraph (C), the defendant shall be returned to court for a
13hearing in accordance with subparagraphs (C) and (D) regarding
14whether antipsychotic medication shall be administered
15involuntarily.
16(vi) Any report made pursuant to paragraph (1) of subdivision
17(b) shall include a description of any antipsychotic medication
18administered to the defendant and its effects and side effects,
19including effects on the defendant’s
appearance or behavior that
20would affect the defendant’s ability to understand the nature of
21the criminal proceedings or to assist counsel in the conduct of a
22defense in a reasonable manner. During the time the defendant is
23confined in a state hospital or other treatment facility or placed on
24outpatient status, either the defendant or the people may request
25that the court review any order made pursuant to this subdivision.
26The defendant, to the same extent enjoyed by other patients in the
27state hospital or other treatment facility, shall have the right to
28contact the patients’ rights advocate regarding his or her rights
29under this section.
30(C) If the defendant consented to antipsychotic medication as
31described in clause (iv) of subparagraph (B), but subsequently
32withdraws his or her consent, or, if involuntary antipsychotic
33medication was not ordered pursuant to clause (v) of subparagraph
34(B), and the treating psychiatrist determines that
antipsychotic
35medication has become medically necessary and appropriate, the
36treating psychiatrist shall make efforts to obtain informed consent
37from the defendant for antipsychotic medication. If informed
38consent is not obtained from the defendant, and the treating
39psychiatrist is of the opinion that the defendant lacks capacity to
40make decisions regarding antipsychotic medication based on the
P13 1conditions described in subclause (I) or (II) of clause (i) of
2subparagraph (B), the treating psychiatrist shall certify whether
3the lack of capacity and any applicable conditions described above
4exist. That certification shall contain an assessment of the current
5mental status of the defendant and the opinion of the treating
6psychiatrist that involuntary antipsychotic medication has become
7medically necessary and appropriate.
8(D) (i) If the treating psychiatrist certifies that antipsychotic
9medication has become medically necessary
and appropriate
10pursuant to subparagraph (C), antipsychotic medication may be
11administered to the defendant for not more than 21 days, provided,
12however, that, within 72 hours of the certification, the defendant
13is provided a medication review hearing before an administrative
14law judge to be conducted at the facility where the defendant is
15receiving treatment. The treating psychiatrist shall present the case
16for the certification for involuntary treatment and the defendant
17shall be represented by an attorney or a patients’ rights advocate.
18The attorney or patients’ rights advocate shall be appointed to meet
19with the defendant no later than one day prior to the medication
20review hearing to review the defendant’s rights at the medication
21review hearing, discuss the process, answer questions or concerns
22regarding involuntary medication or the hearing, assist the
23defendant in preparing for the hearing and advocating for his or
24her interests at the hearing, review the panel’s final determination
25following the
hearing, advise the defendant of his or her right to
26judicial review of the panel’s decision, and provide the defendant
27with referral information for legal advice on the subject. The
28defendant shall also have the following rights with respect to the
29medication review hearing:
30(I) Tobegin delete beingend deletebegin insert beend insert given timely access to the defendant’s records.
31(II) To be present at the hearing, unless the defendant waives
32that right.
33(III) To present evidence at the hearing.
34(IV) To question persons presenting evidence supporting
35involuntary medication.
36(V) To make reasonable requests for attendance of witnesses
37on the defendant’s behalf.
38(VI) To a hearing conducted in an impartial and informal
39manner.
P14 1(ii) If the administrative law judge determines that the defendant
2either meets the criteria specified in subclause (I) of clause (i) of
3subparagraph (B), or meets the criteria specified in subclause (II)
4of clause (i) of subparagraph (B), then antipsychotic medication
5may continue to be administered to the defendant for the 21-day
6certification period. Concurrently with the treating psychiatrist’s
7certification, the treating psychiatrist shall file a copy of the
8certification and a petition with the court for issuance of an order
9to administer antipsychotic medication beyond the 21-day
10certification period. For purposes of this subparagraph, the treating
11psychiatrist
shall not be required to pay or deposit any fee for the
12filing of the petition or other document or paper related to the
13petition.
14(iii) If the administrative law judge disagrees with the
15certification, medication may not be administered involuntarily
16until the court determines that antipsychotic medication should be
17administered pursuant to this section.
18(iv) The court shall provide notice to the prosecuting attorney
19and to the attorney representing the defendant, and shall hold a
20hearing, no later than 18 days from the date of the certification, to
21determine whether antipsychotic medication should be ordered
22beyond the certification period.
23(v) If, as a result of the hearing, the court determines that
24antipsychotic medication should be administered beyond the
25certification period, the court shall issue an order
authorizing the
26administration of that medication.
27(vi) The court shall render its decision on the petition and issue
28its order no later than three calendar days after the hearing and, in
29any event, no later than the expiration of the 21-day certification
30period.
31(3) When the court orders that the defendant be confined in a
32state hospital or other public or private treatment facility, the court
33shall provide copies of the following documents which shall be
34taken with the defendant to the state hospital or other treatment
35facility where the defendant is to be confined:
36(A) The commitment order, including a specification of the
37charges.
38(B) A computation or statement setting forth the maximum term
39of commitment in accordance with subdivision (c).
P15 1(C) A computation or statement setting forth the amount of
2credit for time served, if any, to be deducted from the maximum
3term of commitment.
4(D) State summary criminal history information.
5(E) Any arrest reports prepared by the police department or
6other law enforcement agency.
7(F) Any court-ordered psychiatric examination or evaluation
8reports.
9(G) The community program director’s placement
10recommendation report.
11(H) Records of any finding of mental incompetence pursuant
12to this chapter arising out of a complaint charging a felony offense
13specified in Section 290 or any pending Section 1368 proceeding
14arising out of a charge
of a Section 290 offense.
15(4) When the defendant is committed to a treatment facility
16pursuant to clause (i) of subparagraph (B) of paragraph (1) or the
17court makes the findings specified in clause (ii) or (iii) of
18subparagraph (B) of paragraph (1) to assign the defendant to a
19treatment facility other than a state hospital or other secure
20treatment facility, the court shall order that notice be given to the
21appropriate law enforcement agency or agencies having local
22jurisdiction at the site of the placement facility of any finding of
23mental incompetence pursuant to this chapter arising out of a
24charge of a Section 290 offense.
25(5) When directing that the defendant be confined in a state
26hospital pursuant to this subdivision, the court shall select the
27hospital in accordance with the policies established by the State
28Department of State Hospitals.
29(6) (A) If the defendant is committed or transferred to a state
30hospital pursuant to this section, the court may, upon receiving the
31written recommendation of the medical director of the state hospital
32and the community program director that the defendant be
33transferred to a public or private treatment facility approved by
34the community program director, order the defendant transferred
35to that facility. If the defendant is committed or transferred to a
36public or private treatment facility approved by the community
37program director, the court may, upon receiving the written
38recommendation of the community program director, transfer the
39defendant to a state hospital or to another public or private
40treatment facility approved by the community program director.
P16 1In the event of dismissal of the criminal charges before the
2defendant recovers competence, the person shall be subject to the
3applicable provisions of the
Lanterman-Petris-Short Act (Part 1
4(commencing with Section 5000) of Division 5 of the Welfare and
5Institutions Code). Where either the defendant or the prosecutor
6chooses to contest either kind of order of transfer, a petition may
7be filed in the court for a hearing, which shall be held if the court
8determines that sufficient grounds exist. At the hearing, the
9prosecuting attorney or the defendant may present evidence bearing
10on the order of transfer. The court shall use the same standards as
11are used in conducting probation revocation hearings pursuant to
12Section 1203.2.
13Prior to making an order for transfer under this section, the court
14shall notify the defendant, the attorney of record for the defendant,
15the prosecuting attorney, and the community program director or
16a designee.
17(B) If the defendant is initially committed to a state hospital or
18secure treatment facility pursuant to clause (ii) or
(iii) of
19subparagraph (B) of paragraph (1) and is subsequently transferred
20to any other facility, copies of the documents specified in paragraph
21(3) shall be taken with the defendant to each subsequent facility
22to which the defendant is transferred. The transferring facility shall
23also notify the appropriate law enforcement agency or agencies
24having local jurisdiction at the site of the new facility that the
25defendant is a person subject to clause (ii) or (iii) of subparagraph
26(B) of paragraph (1).
27(7) An order by the court authorizing involuntary medication
28of the defendant shall be valid for no more than one year. The
29court shall review the order six months after the order was made
30to determine if the grounds for the authorization remain. In the
31review, the court shall consider the reports of the treating
32psychiatrist or psychiatrists and the defendant’s patients’ rights
33advocate or attorney. The court may require testimony from the
34treating
psychiatrist or psychiatrists and the patients’ rights
35advocate or attorney, if necessary. The court may continue the
36order authorizing involuntary medication for up to another six
37months, or vacate the order, or make any other appropriate order.
38(b) (1) Within 90 days of a commitment made pursuant to
39subdivision (a), the medical director of the state hospital or other
40treatment facility to which the defendant is confined shall make a
P17 1written report to the court and the community program director
2for the county or region of commitment, or a designee, concerning
3the defendant’s progress toward recovery of mental competence.
4Where the defendant is on outpatient status, the outpatient treatment
5staff shall make a written report to the community program director
6concerning the defendant’s progress toward recovery of mental
7competence. Within 90 days of placement on outpatient status, the
8community program director shall report
to the court on this matter.
9If the defendant has not recovered mental competence, but the
10report discloses a substantial likelihood that the defendant will
11regain mental competence in the foreseeable future, the defendant
12shall remain in the state hospital or other treatment facility or on
13outpatient status. Thereafter, at six-month intervals or until the
14defendant becomes mentally competent, where the defendant is
15confined in a treatment facility, the medical director of the hospital
16or person in charge of the facility shall report in writing to the
17court and the community program director or a designee regarding
18the defendant’s progress toward recovery of mental competence.
19Where the defendant is on outpatient status, after the initial 90-day
20report, the outpatient treatment staff shall report to the community
21program director on the defendant’s progress toward recovery,
22and the community program director shall report to the court on
23this matter at six-month intervals. A copy of these reports shall be
24
provided to the prosecutor and defense counsel by the court. If the
25report indicates that there is no substantial likelihood that the
26defendant will regain mental competence in the foreseeable future,
27the committing court shall order the defendant to be returned to
28the court for proceedings pursuant to paragraph (2) of subdivision
29(c). The court shall transmit a copy of its order to the community
30program director or a designee.
31(2) Where the court has issued an order authorizing the treating
32facility to involuntarily administer antipsychotic medication to the
33defendant, the reports made at six-month intervals concerning the
34defendant’s progress toward regaining competency shall also
35consider the issue of involuntary medication. Each report shall
36include, but is not limited to, all the following:
37(A) Whether or not the defendant has the capacity to make
38decisions concerning
antipsychotic medication.
39(B) If the defendant lacks capacity to make decisions concerning
40antipsychotic medication, whether the defendant risks serious harm
P18 1to his or her physical or mental health if not treated with
2antipsychotic medication.
3(C) Whether or not the defendant presents a danger to others if
4he or she is not treated with antipsychotic medication.
5(D) Whether the defendant has a mental illness for which
6medications are the only effective treatment.
7(E) Whether there are any side effects from the medication
8currently being experienced by the defendant that would interfere
9with the defendant’s ability to collaborate with counsel.
10(F) Whether there are any effective alternatives to medication.
11(G) How quickly the medication is likely to bring the defendant
12to competency.
13(H) Whether the treatment plan includes methods other than
14medication to restore the defendant to competency.
15(I) A statement, if applicable, that no medication is likely to
16restore the defendant to competency.
17(3) After reviewing the reports, the court shall determine whether
18or not grounds for the order authorizing involuntary administration
19of antipsychotic medication still exist and shall do one of the
20following:
21(A) If the original grounds for involuntary medication still exist,
22the order authorizing the treating facility to involuntarily administer
23antipsychotic medication to the defendant
shall remain in effect.
24(B) If the original grounds for involuntary medication no longer
25exist, and there is no other basis for involuntary administration of
26antipsychotic medication, the order for the involuntary
27administration of antipsychotic medication shall be vacated.
28(C) If the original grounds for involuntary medication no longer
29exist, and the report states that there is another basis for involuntary
30administration of antipsychotic medication, the court shall set a
31hearing within 21 days to determine whether the order for the
32involuntary administration of antipsychotic medication shall be
33vacated or whether a new order for the involuntary administration
34of antipsychotic medication shall be issued. The hearing shall
35proceed as set forth in subparagraph (B) of paragraph (2) of
36subdivision (a).
37(4) Any
defendant who has been committed or has been on
38outpatient status for 18 months and is still hospitalized or on
39outpatient status shall be returned to the committing court where
40a hearing shall be held pursuant to the procedures set forth in
P19 1Section 1369. The court shall transmit a copy of its order to the
2community program director or a designee.
3(5) If it is determined by the court that no treatment for the
4defendant’s mental impairment is being conducted, the defendant
5shall be returned to the committing court. The court shall transmit
6a copy of its order to the community program director or a
7designee.
8(6) At each review by the court specified in this subdivision,
9the court shall determine if the security level of housing and
10treatment is appropriate and may make an order in accordance
11with its determination. If the court determines that the defendant
12shall continue to be
treated in the state hospital or on an outpatient
13basis, the court shall determine issues concerning administration
14of antipsychotic medication, as set forth in subparagraph (B) of
15paragraph (2) of subdivision (a).
16(c) (1) At the end of three years from the date of commitment
17or a period of commitment equal to the maximum term of
18imprisonment provided by law for the most serious offense charged
19in the information, indictment, or misdemeanor complaint, or the
20maximum term of imprisonment provided by law for a violation
21of probation or mandatory supervision, whichever is shorter, a
22defendant who has not recovered mental competence shall be
23returned to the committing court. The court shall notify the
24community program director or a designee of the return and of
25any resulting court orders.
26(2) Whenever any defendant is returned to the court pursuant
27to paragraph
(1) or (4) of subdivision (b) or paragraph (1) of this
28subdivision and it appears to the court that the defendant is gravely
29disabled, as defined in subparagraph (B) of paragraph (1) of
30subdivision (h) of Section 5008 of the Welfare and Institutions
31Code, the court shall order the conservatorship investigator of the
32county of commitment of the defendant to initiate conservatorship
33proceedings for the defendant pursuant to Chapter 3 (commencing
34with Section 5350) of Part 1 of Division 5 of the Welfare and
35Institutions Code. Any hearings required in the conservatorship
36proceedings shall be held in the superior court in the county that
37ordered the commitment. The court shall transmit a copy of the
38order directing initiation of conservatorship proceedings to the
39community program director or a designee, the sheriff and the
40district attorney of the county in which criminal charges are
P20 1pending, and the defendant’s counsel of record. The court shall
2notify the community program director or a designee, the sheriff
3
and district attorney of the county in which criminal charges are
4pending, and the defendant’s counsel of record of the outcome of
5the conservatorship proceedings.
6(3) If a change in placement is proposed for a defendant who
7is committed pursuant to subparagraph (B) of paragraph (1) of
8subdivision (h) of Section 5008 of the Welfare and Institutions
9Code, the court shall provide notice and an opportunity to be heard
10with respect to the proposed placement of the defendant to the
11sheriff and the district attorney of the county in which the criminal
12charges or revocation proceedings are pending.
13(4) Where the defendant is confined in a treatment facility, a
14copy of any report to the committing court regarding the
15defendant’s progress toward recovery of mental competence shall
16be provided by the committing court to the prosecutor and to the
17defense counsel.
18(d) With the exception of proceedings alleging a violation of
19mandatory supervision, the criminal action remains subject to
20dismissal pursuant to Section 1385. If the criminal action is
21dismissed, the court shall transmit a copy of the order of dismissal
22to the community program director or a designee. In a proceeding
23alleging a violation of mandatory supervision, if thebegin delete court finds begin insert person is not placed under
24that the person is not gravely disabledend delete
25a conservatorshipend insert as described in paragraph (2) of subdivision (c),
26begin insert or if a conservatorship is terminated,end insert the court shall reinstate
27mandatory supervision and may modify the terms and conditions
28of
supervision to include appropriate mental health treatment or
29refer the matter to a local mental health court, reentry court, or
30other collaborative justice court available for improving the mental
31health of the defendant.
32(e) If the criminal action against the defendant is dismissed, the
33defendant shall be released from any commitment ordered under
34this section, but without prejudice to the initiation of any
35proceedings that may be appropriate under the
36Lanterman-Petris-Shortbegin delete Act, Partend deletebegin insert Act (Partend insert 1 (commencing with
37Section 5000) of Division 5 of the Welfare and Institutionsbegin delete Codeend delete
38begin insert Code)end insert.
39(f) As used in this chapter, “community program director” means
40the person, agency, or entity designated by the State Department
P21 1of State Hospitals pursuant to Section 1605 of this code and Section
24360 of the Welfare and Institutions Code.
3(g) For the purpose of this section, “secure treatment facility”
4shall not include, except for state mental hospitals, state
5developmental centers, and correctional treatment facilities, any
6facility licensed pursuant to Chapter 2 (commencing with Section
71250) of, Chapter 3 (commencing with Section 1500) of, or Chapter
83.2 (commencing with Section 1569) of, Division 2 of the Health
9and Safety Code, or any community board and care facility.
10(h) Nothing in this section shall preclude a defendant from filing
11a petition for habeas corpus to challenge the continuing validity
12of an order
authorizing a treatment facility or outpatient program
13to involuntarily administer antipsychotic medication to a person
14being treated as incompetent to stand trial.
Section 1370.01 of the Penal Code is amended to read:
(a) (1) If the defendant is found mentally competent,
17the criminal process shall resume, the trial on the offense charged
18shall proceed, and judgment may be pronounced. If the defendant
19is found mentally incompetent, the trial, judgment, or hearing on
20the alleged violation shall be suspended until the person becomes
21mentally competent, and the court shall order that (A) in the
22meantime, the defendant be delivered by the sheriff to an available
23public or private treatment facility approved by the county mental
24health director that will promote the defendant’s speedy restoration
25to mental competence, or placed on outpatient status as specified
26in this section, and (B) upon the filing of a certificate of restoration
27to competence, the defendant be returned to court in accordance
28with Section 1372. The court
shall transmit a copy of its order to
29the county mental health director or his or her designee.
30(2) Prior to making the order directing that the defendant be
31confined in a treatment facility or placed on outpatient status, the
32court shall proceed as follows:
33(A) The court shall order the county mental health director or
34his or her designee to evaluate the defendant and to submit to the
35court within 15 judicial days of the order a written recommendation
36as to whether the defendant should be required to undergo
37outpatient treatment, or committed to a treatment facility. No
38person shall be admitted to a treatment facility or placed on
39outpatient status under this section without having been evaluated
40by the county mental health director or his or her designee. No
P22 1person shall be admitted to a state hospital under this section unless
2the county mental health director finds that there
is no less
3restrictive appropriate placement available and the county mental
4health director has a contract with the State Department of State
5Hospitals for these placements.
6(B) The court shall hear and determine whether the defendant,
7with advice of his or her counsel, consents to the administration
8of antipsychotic medication, and shall proceed as follows:
9(i) If the defendant, with advice of his or her counsel, consents,
10the court order of commitment shall include confirmation that
11antipsychotic medication may be given to the defendant as
12prescribed by a treating psychiatrist pursuant to the defendant’s
13consent. The commitment order shall also indicate that, if the
14defendant withdraws consent for antipsychotic medication, after
15the treating psychiatrist complies with the provisions of
16subparagraph (C), the defendant shall be returned to court for a
17hearing in accordance with
this subdivision regarding whether
18antipsychotic medication shall be administered involuntarily.
19(ii) If the defendant does not consent to the administration of
20medication, the court shall hear and determine whether any of the
21following is true:
22(I) The defendant lacks capacity to make decisions regarding
23antipsychotic medication, the defendant’s mental disorder requires
24medical treatment with antipsychotic medication, and, if the
25defendant’s mental disorder is not treated with antipsychotic
26medication, it is probable that serious harm to the physical or
27mental health of the patient will result. Probability of serious harm
28to the physical or mental health of the defendant requires evidence
29that the defendant is presently suffering adverse effects to his or
30her physical or mental health, or the defendant has previously
31suffered these effects as a result of a mental disorder and his
or
32her condition is substantially deteriorating. The fact that a
33defendant has a diagnosis of a mental disorder does not alone
34establish probability of serious harm to the physical or mental
35health of the defendant.
36(II) The defendant is a danger to others, in that the defendant
37has inflicted, attempted to inflict, or made a serious threat of
38inflicting substantial physical harm on another while in custody,
39or the defendant had inflicted, attempted to inflict, or made a
40serious threat of inflicting substantial physical harm on another
P23 1that resulted in his or her being taken into custody, and the
2defendant presents, as a result of mental disorder or mental defect,
3a demonstrated danger of inflicting substantial physical harm on
4others. Demonstrated danger may be based on an assessment of
5the defendant’s present mental condition, including a consideration
6of past behavior of the defendant within six years prior to the time
7the defendant last
attempted to inflict, inflicted, or threatened to
8inflict substantial physical harm on another, and other relevant
9evidence.
10(III) The people have charged the defendant with a serious crime
11against the person or property; involuntary administration of
12antipsychotic medication is substantially likely to render the
13defendant competent to stand trial; the medication is unlikely to
14have side effects that interfere with the defendant’s ability to
15understand the nature of the criminal proceedings or to assist
16counsel in the conduct of a defense in a reasonable manner; less
17intrusive treatments are unlikely to have substantially the same
18results; and antipsychotic medication is in the patient’s best medical
19interest in light of his or her medical condition.
20(iii) If the court finds any of the conditions described in clause
21(ii) to be true, the court shall issue an order authorizing the
22
treatment facility to involuntarily administer antipsychotic
23medication to the defendant when and as prescribed by the
24defendant’s treating psychiatrist. The court shall not order
25involuntary administration of psychotropic medication under
26subclause (III) of clause (ii) unless the court has first found that
27the defendant does not meet the criteria for involuntary
28administration of psychotropic medication under subclause (I) of
29clause (ii) and does not meet the criteria under subclause (II) of
30clause (ii).
31(iv) In all cases, the treating hospital, facility, or program may
32administer medically appropriate antipsychotic medication
33prescribed by a psychiatrist in an emergency as described in
34subdivision (m) of Section 5008 of the Welfare and Institutions
35Code.
36(v) Any report made pursuant to subdivision (b) shall include
37a description of any antipsychotic medication administered to
the
38defendant and its effects and side effects, including effects on the
39defendant’s appearance or behavior that would affect the
40defendant’s ability to understand the nature of the criminal
P24 1proceedings or to assist counsel in the conduct of a defense in a
2reasonable manner. During the time the defendant is confined in
3a state hospital or other treatment facility or placed on outpatient
4status, either the defendant or the people may request that the court
5review any order made pursuant to this subdivision. The defendant,
6to the same extent enjoyed by other patients in the state hospital
7or other treatment facility, shall have the right to contact the
8patients’ rights advocate regarding his or her rights under this
9section.
10(C) If the defendant consented to antipsychotic medication as
11described in clause (i) of subparagraph (B), but subsequently
12withdraws his or her consent, or, if involuntary antipsychotic
13medication was not ordered pursuant to
clause (ii) of subparagraph
14(B), and the treating psychiatrist determines that antipsychotic
15medication has become medically necessary and appropriate, the
16treating psychiatrist shall make efforts to obtain informed consent
17from the defendant for antipsychotic medication. If informed
18consent is not obtained from the defendant, and the treating
19psychiatrist is of the opinion that the defendant lacks capacity to
20make decisions regarding antipsychotic medication as specified
21in subclause (I) of clause (ii) of subparagraph (B), or that the
22defendant is a danger to others as specified in subclause (II) of
23clause (ii) of subparagraph (B), the committing court shall be
24notified of this, including an assessment of the current mental
25status of the defendant and the opinion of the treating psychiatrist
26that involuntary antipsychotic medication has become medically
27necessary and appropriate. The court shall provide copies of the
28report to the prosecuting attorney and to the attorney representing
29the defendant and shall
set a hearing to determine whether
30involuntary antipsychotic medication should be ordered in the
31manner described in subparagraph (B).
32(3) When the court, after considering the placement
33recommendation of the county mental health director required in
34paragraph (2), orders that the defendant be confined in a public or
35private treatment facility, the court shall provide copies of the
36following documents which shall be taken with the defendant to
37the treatment facility where the defendant is to be confined:
38(A) The commitment order, including a specification of the
39charges.
P25 1(B) A computation or statement setting forth the maximum term
2of commitment in accordance with subdivision (c).
3(C) A computation or statement setting forth the amount of
4credit for
time served, if any, to be deducted from the maximum
5term of commitment.
6(D) State summary criminal history information.
7(E) Any arrest reports prepared by the police department or
8other law enforcement agency.
9(F) Any court-ordered psychiatric examination or evaluation
10reports.
11(G) The county mental health director’s placement
12recommendation report.
13(4) A person subject to commitment under this section may be
14placed on outpatient status under the supervision of the county
15mental health director or his or her designee by order of the court
16in accordance with the procedures contained in Title 15
17(commencing with Section 1600) except that where the term
18“community program director” appears
the term “county mental
19health director” shall be substituted.
20(5) If the defendant is committed or transferred to a public or
21private treatment facility approved by the county mental health
22director, the court may, upon receiving the written recommendation
23of the county mental health director, transfer the defendant to
24another public or private treatment facility approved by the county
25mental health director. In the event of dismissal of the criminal
26charges before the defendant recovers competence, the person
27shall be subject to the applicable provisions of Part 1 (commencing
28with Section 5000) of Division 5 of the Welfare and Institutions
29Code. Where either the defendant or the prosecutor chooses to
30contest the order of transfer, a petition may be filed in the court
31for a hearing, which shall be held if the court determines that
32sufficient grounds exist. At the hearing, the prosecuting attorney
33or the defendant may present evidence bearing
on the order of
34transfer. The court shall use the same standards as are used in
35conducting probation revocation hearings pursuant to Section
361203.2.
37Prior to making an order for transfer under this section, the court
38shall notify the defendant, the attorney of record for the defendant,
39the prosecuting attorney, and the county mental health director or
40his or her designee.
P26 1(b) Within 90 days of a commitment made pursuant to
2subdivision (a), the medical director of the treatment facility to
3which the defendant is confined shall make a written report to the
4court and the county mental health director or his or her designee,
5concerning the defendant’s progress toward recovery of mental
6competence. Where the defendant is on outpatient status, the
7outpatient treatment staff shall make a written report to the county
8mental health director concerning the defendant’s progress toward
9recovery of mental
competence. Within 90 days of placement on
10outpatient status, the county mental health director shall report to
11the court on this matter. If the defendant has not recovered mental
12competence, but the report discloses a substantial likelihood that
13the defendant will regain mental competence in the foreseeable
14future, the defendant shall remain in the treatment facility or on
15outpatient status. Thereafter, at six-month intervals or until the
16defendant becomes mentally competent, where the defendant is
17confined in a treatment facility, the medical director of the hospital
18or person in charge of the facility shall report in writing to the
19court and the county mental health director or a designee regarding
20the defendant’s progress toward recovery of mental competence.
21Where the defendant is on outpatient status, after the initial 90-day
22report, the outpatient treatment staff shall report to the county
23mental health director on the defendant’s progress toward recovery,
24and the county mental health director shall
report to the court on
25this matter at six-month intervals. A copy of these reports shall be
26provided to the prosecutor and defense counsel by the court. If the
27report indicates that there is no substantial likelihood that the
28defendant will regain mental competence in the foreseeable future,
29the committing court shall order the defendant to be returned to
30the court for proceedings pursuant to paragraph (2) of subdivision
31(c). The court shall transmit a copy of its order to the county mental
32health director or his or her designee.
33(c) (1) If, at the end of one year from the date of commitment
34or a period of commitment equal to the maximum term of
35imprisonment provided by law for the most serious offense charged
36in the misdemeanor complaint, whichever is shorter, the defendant
37has not recovered mental competence, the defendant shall be
38returned to the committing court. The court shall notify the county
39mental health director
or his or her designee of the return and of
40any resulting court orders.
P27 1(2) Whenever any defendant is returned to the court pursuant
2to subdivision (b) or paragraph (1) of this subdivision and it appears
3to the court that the defendant is gravely disabled, as defined in
4subparagraph (A) of paragraph (1) of subdivision (h) of Section
55008 of the Welfare and Institutions Code, the court shall order
6the conservatorship investigator of the county of commitment of
7the defendant to initiate conservatorship proceedings for the
8defendant pursuant to Chapter 3 (commencing with Section 5350)
9of Part 1 of Division 5 of the Welfare and Institutions Code. Any
10hearings required in the conservatorship proceedings shall be held
11in the superior court in the county that ordered the commitment.
12The court shall transmit a copy of the order directing initiation of
13conservatorship proceedings to the county mental health director
14or his or her designee and shall
notify the county mental health
15director or his or her designee of the outcome of the proceedings.
16(d) The criminal action remains subject to dismissal pursuant
17to Section 1385. If the criminal action is dismissed, the court shall
18transmit a copy of the order of dismissal to the county mental
19health director or his or her designee.
20(e) If the criminal charge against the defendant is dismissed,
21the defendant shall be released from any commitment ordered
22under this section, but without prejudice to the initiation of any
23proceedings which may be appropriate under Part 1 (commencing
24with Section 5000) of Division 5 of the Welfare and Institutions
25Code.
Section 1370.02 is added to the Penal Code, to read:
(a) If the defendant is found mentally competent
28during a postrelease community supervision or parole revocation
29hearing, the revocation proceedings shall resume. The formal
30hearing on the revocation shall occur within a reasonable time
31after resumption of the proceedings, but in no event may the
32defendant be detained in custody for over 180 days from the date
33of arrest.
34(b) If the defendant is found mentally incompetent, the court,
35based upon consideration of the information and recommendations
36contained in the expert reports required by Section 1369, shall
37have discretion to order any of the following:
38(1) (A) If the court determines that there is a
reasonable
39likelihood that the defendant may be restored to competency and
40returned to court to face the revocation proceedings no later than
P28 1180 days from the date of the arrest of the defendant, the court
2may order the defendant to undergo treatment as authorized by
3Section 1370 or 1370.1 for restoring the defendant to competency,
4except that:
5(i) The initial written progress report due to the court pursuant
6to subdivision (b) of Section 1370 shall be provided to the court
7within 45 days and subsequent progress reports shall be provided
8to the court at two-month intervals.
9(ii) The initial written progress report due to the court under
10subdivision (b) of Section 1370.1 shall be provided to the court
11within 45 days and subsequent progress reports shall be provided
12within 90 days.
13(B) If the defendant is restored to
competency within 180 days
14of arrest, the defendant shall be returned to court under the
15procedures required by Section 1372.
16(C) If the defendant is not restored to competency within 180
17days of arrest, the defendant shall be returned to court and the court
18shall proceed under paragraph (2) or (3).
19(2) Dismiss the pending revocation matter and return the
20defendant to supervision. If the matter is dismissed pursuant to
21this paragraph, the court may also:
22(A) Modify the terms and conditions of supervision to include
23appropriate mental health treatment.
24(B) Refer the matter to the public guardian of the county of
25commitment to initiate conservatorship proceedings.
26(3) Refer the matter to any
local mental health court, reentry
27court, or other collaborative justice court available for improving
28the mental health of the defendant.
29(c) Notwithstanding any other law, if a person subject to parole
30pursuant to Section 3000.1 or paragraph (4) of subdivision (b) of
31Section 3000 is found mentally incompetent, the courtbegin delete, upon a
32finding of probable cause that the person violated a term or
33condition of parole, shall remand the person to the custody of the
34Department of Corrections and Rehabilitation and the jurisdiction
35of the Board of Parole Hearings for the purpose of
future parole
36consideration. If the court finds no probable cause to believe that
37the person violated a term or condition of parole, the court may
38proceed under paragraph (2) or (3) of subdivision (b), or bothend delete
39order the person to undergo treatment pursuant to Section 1370
40for restoring the person to competency, except that if the person
P29 1is not restored to competency within the maximum period of
2confinement and the court dismisses the revocation, the court shall
3return the person to parole supervision, refer the matter to the
4public guardian of the county of commitment to initiate
5conservatorship proceedings, or refer the person to other
6appropriate mental health treatment based upon any
7recommendations by the parole agent and mental health expertsend insert.
Section 1370.1 of the Penal Code is amended to read:
(a) (1) (A) If the defendant is found mentally
10competent, the criminal process shall resume, the trial on the
11offense charged or hearing on the alleged violation shall proceed,
12and judgment may be pronounced.
13(B) If the defendant is found mentally incompetent and is
14developmentally disabled, the trial or judgment shall be suspended
15until the defendant becomes mentally competent.
16(i) Except as provided in clause (ii) or (iii), the court shall
17consider a recommendation for placement, which recommendation
18shall be made to the court by the director of a regional center or
19designee. In the meantime, the court shall order that the mentally
20incompetent defendant be
delivered by the sheriff or other person
21designated by the court to a state hospital or developmental center
22for the care and treatment of the developmentally disabled or any
23other available residential facility approved by the director of a
24regional center for the developmentally disabled established under
25Division 4.5 (commencing with Section 4500) of the Welfare and
26Institutions Code as will promote the defendant’s speedy attainment
27of mental competence, or be placed on outpatient status pursuant
28to the provisions of Section 1370.4 and Title 15 (commencing with
29Section 1600).
30(ii) However, if the action against the defendant who has been
31found mentally incompetent is on a complaint charging a felony
32offense specified in Section 290, the prosecutor shall determine
33whether the defendant previously has been found mentally
34incompetent to stand trial pursuant to this chapter on a charge of
35a Section 290 offense, or whether the defendant is
currently the
36subject of a pending Section 1368 proceeding arising out of a
37charge of a Section 290 offense. If either determination is made,
38the prosecutor shall so notify the court and defendant in writing.
39After this notification, and opportunity for hearing, the court shall
40order that the defendant be delivered by the sheriff to a state
P30 1hospital or other secure treatment facility for the care and treatment
2of the developmentally disabled unless the court makes specific
3findings on the record that an alternative placement would provide
4more appropriate treatment for the defendant and would not pose
5a danger to the health and safety of others.
6(iii) If the action against the defendant who has been found
7mentally incompetent is on a complaint charging a felony offense
8specified in Section 290 and the defendant has been denied bail
9pursuant to subdivision (b) of Section 12 of Article I of the
10California Constitution because the court has found,
based upon
11clear and convincing evidence, a substantial likelihood that the
12person’s release would result in great bodily harm to others, the
13court shall order that the defendant be delivered by the sheriff to
14a state hospital for the care and treatment of the developmentally
15disabled unless the court makes specific findings on the record
16that an alternative placement would provide more appropriate
17treatment for the defendant and would not pose a danger to the
18health and safety of others.
19(iv) The clerk of the court shall notify the Department of Justice
20in writing of any finding of mental incompetence with respect to
21a defendant who is subject to clause (ii) or (iii) for inclusion in his
22or her state summary criminal history information.
23(C) Upon becoming competent, the court shall order that the
24defendant be returned to the committing court pursuant to the
25procedures set forth
in paragraph (2) of subdivision (a) of Section
261372 or by another person designated by the court. The court shall
27further determine conditions under which the person may be absent
28from the placement for medical treatment, social visits, and other
29similar activities. Required levels of supervision and security for
30these activities shall be specified.
31(D) The court shall transmit a copy of its order to the regional
32center director or designee and to the Director of Developmental
33Services.
34(E) A defendant charged with a violent felony may not be placed
35in a facility or delivered to a state hospital, developmental center,
36or residential facility pursuant to this subdivision unless the facility,
37state hospital, developmental center, or residential facility has a
38secured perimeter or a locked and controlled treatment facility,
39and the judge determines that the public safety will be
protected.
P31 1(F) For purposes of this paragraph, “violent felony” means an
2offense specified in subdivision (c) of Section 667.5.
3(G) A defendant charged with a violent felony may be placed
4on outpatient status, as specified in Section 1370.4 or 1600, only
5if the court finds that the placement will not pose a danger to the
6health or safety of others.
7(H) As used in this section, “developmental disability” means
8a disability that originates before an individual attains 18 years of
9age, continues, or can be expected to continue, indefinitely and
10constitutes a substantial handicap for the individual, and shall not
11include other handicapping conditions that are solely physical in
12nature. As defined by the Director of Developmental Services, in
13consultation with the Superintendent of Public Instruction, this
14term shall
include intellectual disability, cerebral palsy, epilepsy,
15and autism. This term shall also include handicapping conditions
16found to be closely related to intellectual disability or to require
17treatment similar to that required for individuals with an intellectual
18disability, but shall not include other handicapping conditions that
19are solely physical in nature.
20(2) Prior to making the order directing that the defendant be
21confined in a state hospital, developmental center, or other
22residential facility, or be placed on outpatient status, the court shall
23order the regional center director or designee to evaluate the
24defendant and to submit to the court within 15 judicial days of the
25order a written recommendation as to whether the defendant should
26be committed to a state hospital or developmental center or to any
27other available residential facility approved by the regional center
28director. A person shall not be admitted to a state hospital,
29
developmental center, or other residential facility or accepted for
30outpatient status under Section 1370.4 without having been
31evaluated by the regional center director or designee.
32(3) When the court orders that the defendant be confined in a
33state hospital or other secure treatment facility pursuant to clause
34(ii) or (iii) of subparagraph (B) of paragraph (1), the court shall
35provide copies of the following documents which shall be taken
36with the defendant to the state hospital or other secure treatment
37facility where the defendant is to be confined:
38(A) State summary criminal history information.
39(B) Any arrest reports prepared by the police department or
40other law enforcement agency.
P32 1(C) Records of a finding of mental incompetence pursuant to
2this
chapter arising out of a complaint charging a felony offense
3specified in Section 290 or a pending Section 1368 proceeding
4arising out of a charge of a Section 290 offense.
5(4) When the defendant is committed to a residential facility
6pursuant to clause (i) of subparagraph (B) of paragraph (1) or the
7court makes the findings specified in clause (ii) or (iii) of
8subparagraph (B) of paragraph (1) to assign the defendant to a
9facility other than a state hospital or other secure treatment facility,
10the court shall order that notice be given to the appropriate law
11enforcement agency or agencies having local jurisdiction at the
12site of the placement facility of a finding of mental incompetence
13pursuant to this chapter arising out of a charge of a Section 290
14offense.
15(5) (A) If the defendant is committed or transferred to a state
16hospital or developmental center
pursuant to this section, the court
17may, upon receiving the written recommendation of the executive
18director of the state hospital or developmental center and the
19regional center director that the defendant be transferred to a
20residential facility approved by the regional center director, order
21the defendant transferred to that facility. If the defendant is
22committed or transferred to a residential facility approved by the
23regional center director, the court may, upon receiving the written
24recommendation of the regional center director, transfer the
25defendant to a state hospital or developmental center or to another
26residential facility approved by the regional center director.
27In the event of dismissal of the criminal action or revocation
28proceedings before the defendant recovers competence, the person
29shall be subject to the applicable provisions of the
30Lanterman-Petris-Short Act (Part 1 (commencing with Section
315000) of Division 5 of the Welfare and Institutions
Code) or to
32commitment or detention pursuant to a petition filed pursuant to
33Section 6502 of the Welfare and Institutions Code.
34The defendant or prosecuting attorney may contest either kind
35of order of transfer by filing a petition with the court for a hearing,
36which shall be held if the court determines that sufficient grounds
37exist. At the hearing, the prosecuting attorney or the defendant
38may present evidence bearing on the order of transfer. The court
39shall use the same standards as used in conducting probation
40revocation hearings pursuant to Section 1203.2.
P33 1Prior to making an order for transfer under this section, the court
2shall notify the defendant, the attorney of record for the defendant,
3the prosecuting attorney, and the regional center director or
4designee.
5(B) If the defendant is committed to a state hospital or secure
6treatment facility pursuant
to clause (ii) or (iii) of subparagraph
7(B) of paragraph (1) and is subsequently transferred to another
8facility, copies of the documents specified in paragraph (3) shall
9be taken with the defendant to the new facility. The transferring
10facility shall also notify the appropriate law enforcement agency
11or agencies having local jurisdiction at the site of the new facility
12that the defendant is a person subject to clause (ii) or (iii) of
13subparagraph (B) of paragraph (1).
14(b) (1) Within 90 days of admission of a person committed
15pursuant to subdivision (a), the executive director or designee of
16the state hospital, developmental center, or other facility to which
17the defendant is committed, or the outpatient supervisor where the
18defendant is placed on outpatient status, shall make a written report
19to the committing court and the regional center director or a
20designee concerning the defendant’s progress toward becoming
21mentally
competent. If the defendant has not become mentally
22competent, but the report discloses a substantial likelihood the
23defendant will become mentally competent within the next 90
24days, the court may order that the defendant shall remain in the
25state hospital, developmental center, or other facility or on
26outpatient status for that period of time. Within 150 days of an
27admission made pursuant to subdivision (a) or if the defendant
28becomes mentally competent, the executive director or designee
29of the hospital or developmental center or person in charge of the
30facility or the outpatient supervisor shall report to the court and
31the regional center director or his or her designee regarding the
32defendant’s progress toward becoming mentally competent. The
33court shall provide to the prosecutor and defense counsel copies
34of all reports under this section. If the report indicates that there
35is no substantial likelihood that the defendant has become mentally
36competent, the committing court shall order the defendant to be
37
returned to the court for proceedings pursuant to paragraph (2) of
38subdivision (c). The court shall transmit a copy of its order to the
39regional center director or designee and to the executive director
40of the developmental center.
P34 1(2) A defendant who has been committed or has been on
2outpatient status for 18 months, and is still hospitalized or on
3outpatient status, shall be returned to the committing court where
4a hearing shall be held pursuant to the procedures set forth in
5Section 1369. The court shall transmit a copy of its order to the
6regional center director or designee and the executive director of
7the developmental center.
8(3) If it is determined by the court that no treatment for the
9defendant’s mental impairment is being conducted, the defendant
10shall be returned to the committing court. A copy of this order
11shall be sent to the regional center director or designee and
to the
12executive director of the developmental center.
13(4) At each review by the court specified in this subdivision,
14the court shall determine if the security level of housing and
15treatment is appropriate and may make an order in accordance
16with its determination.
17(c) (1) (A) At the end of three years from the date of
18commitment or a period of commitment equal to the maximum
19term of imprisonment provided by law for the most serious offense
20charged in the information, indictment, or misdemeanor complaint,
21or the maximum term of imprisonment provided by law for a
22violation of probation or mandatory supervision, whichever is
23shorter, a defendant who has not become mentally competent shall
24be returned to the committing court.
25(B) The court shall notify the regional center
director or designee
26and the executive director of the developmental center of that
27return and of any resulting court orders.
28(2) (A) Except as provided in subparagraph (B), in the event
29of dismissal of the criminal charges before the defendant becomes
30mentally competent, the defendant shall be subject to the applicable
31provisions of the Lanterman-Petris-Short Act (Part 1 (commencing
32with Section 5000) of Division 5 of the Welfare and Institutions
33Code), or to commitment and detention pursuant to a petition filed
34pursuant to Section 6502 of the Welfare and Institutions Code. If
35it is found that the person is not subject to commitment or detention
36pursuant to the applicable provision of the Lanterman-Petris-Short
37Act (Part 1 (commencing with Section 5000) of Division 5 of the
38Welfare and Institutions Code) or to commitment or detention
39pursuant to a petition filed pursuant to Section 6502 of the Welfare
40and Institutions
Code, the individual shall not be subject to further
P35 1confinement pursuant to this article and the criminal action remains
2subject to dismissal pursuant to Section 1385. The court shall notify
3the regional center director and the executive director of the
4developmental center of any dismissal.
5(B) In revocation proceedings alleging a violation of mandatory
6supervision in which the defendant remains incompetent upon
7return to court under subparagraph (A), the defendant shall be
8subject to the applicable provisions of the Lanterman-Petris-Short
9Act (Part 1 (commencing with Section 5000) of Division 5 of the
10Welfare and Institutions Code), or to commitment and detention
11pursuant to a petition filed pursuant to Section 6502 of the Welfare
12and Institutions Code. If it is found that the person is not subject
13to commitment or detention pursuant to the applicable provision
14of the Lanternman-Petris-Short Act (Part 1 (commencing with
15Section 5000) of
Division 5 of the Welfare and Institutions Code)
16or to commitment or detention pursuant to a petition filed pursuant
17to Section 6502 of the Welfare and Institutions Code, the court
18shall reinstate mandatory supervision and modify the terms and
19conditions of supervision to include appropriate mental health
20treatment or refer the matter to a local mental health court, reentry
21court, or other collaborative justice court available for improving
22the mental health of the defendant. Actions alleging a violation of
23mandatory supervision shall not be subject to dismissal under
24Section 1385.
25(d) Except as provided in subparagraph (B) of paragraph (2) of
26subdivision (c), the criminal action remains subject to dismissal
27pursuant to Section 1385. If at any time prior to the maximum
28period of time allowed for proceedings under this article, the
29regional center director concludes that the behavior of the defendant
30related to the defendant’s criminal offense
has been eliminated
31during time spent in court-ordered programs, the court may, upon
32recommendation of the regional center director, dismiss the
33criminal charges. The court shall transmit a copy of any order of
34dismissal to the regional center director and to the executive
35director of the developmental center.
36(e) For the purpose of this section, “secure treatment facility”
37shall not include, except for state mental hospitals, state
38developmental centers, and correctional treatment facilities, a
39facility licensed pursuant to Chapter 2 (commencing with Section
401250) of, Chapter 3 (commencing with Section 1500) of, or Chapter
P36 13.2 (commencing with Section 1569) of, Division 2 of the Health
2and Safety Code, or a community board and care facility.
Section 1370.5 of the Penal Code is amended to read:
(a) A person committed to a state hospital or other
5public or private mental health facility pursuant to the provisions
6of Section 1370, 1370.01, 1370.02, or 1370.1, who escapes from
7or who escapes while being conveyed to or from a state hospital
8or facility, is punishable by imprisonment in a county jail not to
9exceed one year or in the state prison for a determinate term of
10one year and one day. The term of imprisonment imposed pursuant
11to this section shall be served consecutively to any other sentence
12or commitment.
13(b) The medical director or person in charge of a state hospital
14or other public or private mental health facility to which a person
15has been committed
pursuant to the provisions of Section 1370,
161370.01, 1370.02, or 1370.1 shall promptly notify the chief of
17police of the city in which the hospital or facility is located, or the
18sheriff of the county if the hospital or facility is located in an
19unincorporated area, of the escape of the person, and shall request
20the assistance of the chief of police or sheriff in apprehending the
21person, and shall within 48 hours of the escape of the person orally
22notify the court that made the commitment, the prosecutor in the
23case, and the Department of Justice of the escape.
Section 1371 of the Penal Code is amended to read:
The commitment of the defendant, as described in
26Section 1370, 1370.1, or 1370.02, exonerates his or her bail, or
27entitles a person, authorized to receive the property of the
28defendant, to a return of any money he or she may have deposited
29instead of bail, or gives, to the person or persons found by the court
30to have deposited any money instead of bail on behalf of the
31defendant, a right to the return of that money.
Section 1373 of the Penal Code is amended to read:
The expense of sending the defendant to the state hospital
34or other facility, and of bringing himbegin insert or herend insert back, are chargeable
35to the county in which the indictment was found, information was
36filed, or revocation proceeding was held; but the county may
37recoverbegin delete themend deletebegin insert the expenseend insert from the estate of the defendant, if he
38begin insert or sheend insert has any, or from a relative, bound to provide for and
39maintain himbegin insert
or herend insert.
Section 1375.5 of the Penal Code is amended to read:
(a) Time spent by a defendant in a hospital or other
2facility as a result of a commitment therein as a mentally
3incompetent pursuant to this chapter shall be credited on the term
4of imprisonment, if any, for which the defendant is sentenced in
5the criminal case which was suspended pursuant to Section 1370
6or 1370.1.
7(b) Time spent by an offender in a hospital or other facility as
8a result of a commitment as a mentally incompetent pursuant to
9Section 1370.02 shall be credited toward any period of revocation
10or remaining term of supervision that was suspended.
11 (c) As used in this section, “time spent in a hospital or other
12facility” includes days a defendant is
treated as an outpatient
13pursuant to Title 15 (commencing with Section 1600) of Part 2.
If the Commission on State Mandates determines
15that this act contains costs mandated by the state, reimbursement
16to local agencies and school districts for those costs shall be made
17pursuant to Part 7 (commencing with Section 17500) of Division
184 of Title 2 of the Government Code.
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