Bill Text: FL S0474 | 2015 | Regular Session | Introduced


Bill Title: Mental Health Treatment

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2015-05-01 - Died in Criminal Justice [S0474 Detail]

Download: Florida-2015-S0474-Introduced.html
       Florida Senate - 2015                                     SB 474
       
       
        
       By Senator Sobel
       
       
       
       
       
       33-00401-15                                            2015474__
    1                        A bill to be entitled                      
    2         An act relating to mental health treatment; amending
    3         s. 916.107, F.S.; authorizing forensic and civil
    4         facilities to order the continuation of
    5         psychotherapeutic medications for individuals
    6         receiving such medication in the jail before
    7         admission; amending s. 916.13, F.S.; providing
    8         timeframes within which status hearings must be held;
    9         making technical changes; amending s. 916.145, F.S.;
   10         authorizing the court to dismiss certain charges
   11         within a specified timeframe for defendants who remain
   12         incompetent to proceed to trial; providing an
   13         exception; amending s. 916.15, F.S.; providing a
   14         timeframe within which status hearings must be held;
   15         reenacting s. 394.658(1)(a), F.S., relating to the
   16         requirements of the Criminal Justice, Mental Health,
   17         and Substance Abuse Reinvestment Grant Program, to
   18         incorporate the amendment made to s. 916.13, F.S., in
   19         a reference thereto; reenacting ss. 916.106(9) and
   20         916.17, F.S., relating to mentally deficient and
   21         mentally ill defendants, to incorporate the amendment
   22         made to ss. 916.13 and 916.15, F.S., in a reference
   23         thereto; reenacting s. 394.467(7)(a), F.S., relating
   24         to involuntary inpatient placement, to incorporate the
   25         amendments made to s. 916.15, F.S., in references
   26         thereto; providing an effective date.
   27          
   28  Be It Enacted by the Legislature of the State of Florida:
   29  
   30         Section 1. Subsection (3) of section 916.107, Florida
   31  Statutes, is amended to read:
   32         916.107 Rights of forensic clients.—
   33         (3) RIGHT TO EXPRESS AND INFORMED CONSENT.—
   34         (a) A forensic client shall be asked to give express and
   35  informed written consent for treatment. If a client refuses such
   36  treatment as is deemed necessary and essential by the client’s
   37  multidisciplinary treatment team for the appropriate care of the
   38  client, such treatment may be provided under the following
   39  circumstances:
   40         1. In an emergency situation in which there is immediate
   41  danger to the safety of the client or others, such treatment may
   42  be provided upon the written order of a physician for a period
   43  not to exceed 48 hours, excluding weekends and legal holidays.
   44  If, after the 48-hour period, the client has not given express
   45  and informed consent to the treatment initially refused, the
   46  administrator or designee of the civil or forensic facility
   47  shall, within 48 hours, excluding weekends and legal holidays,
   48  petition the committing court or the circuit court serving the
   49  county in which the facility is located, at the option of the
   50  facility administrator or designee, for an order authorizing the
   51  continued treatment of the client. In the interim, the need for
   52  treatment shall be reviewed every 48 hours and may be continued
   53  without the consent of the client upon the continued written
   54  order of a physician who has determined that the emergency
   55  situation continues to present a danger to the safety of the
   56  client or others.
   57         2. In a situation other than an emergency situation, the
   58  administrator or designee of the facility shall petition the
   59  court for an order authorizing necessary and essential treatment
   60  for the client.
   61         a. If the client was treated with psychotherapeutic
   62  medications at the jail before his or her transfer to the
   63  forensic or civil facility and lacks the capacity to make an
   64  informed decision regarding the continuation of such treatment
   65  at the time of admission, the admitting physician may order
   66  continued administration of psychotherapeutic medications if, in
   67  his or her clinical judgment, abrupt cessation of
   68  psychotherapeutic medications could pose a risk to the health or
   69  safety of the client while a court order for such medication is
   70  pursued. The administrator or designee of the civil or forensic
   71  facility may, within 5 business days after the client’s
   72  admission, petition the committing court or the circuit court
   73  serving the county in which the facility is located for an order
   74  authorizing the continued treatment of a client with
   75  psychotherapeutic medications. At the time the client is
   76  transferred to the forensic or civil facility, or upon a request
   77  submitted by the admitting physician after the client is
   78  evaluated, the jail physician shall provide the forensic or
   79  civil facility with the current psychotherapeutic medication
   80  order.
   81         b. The court order shall allow such treatment for up to a
   82  period not to exceed 90 days after following the date that of
   83  the entry of the order was entered. Unless the court is notified
   84  in writing that the client has provided, in writing, express and
   85  informed consent in writing or that the client has been
   86  discharged by the committing court, the administrator or
   87  designee shall, before the expiration of the initial 90-day
   88  order, petition the court for an order authorizing the
   89  continuation of treatment for an additional 90 days another 90
   90  day period. This procedure shall be repeated until the client
   91  provides consent or is discharged by the committing court.
   92         3. At the hearing on the issue of whether the court should
   93  enter an order authorizing treatment for which a client was
   94  unable to or refused to give express and informed consent, the
   95  court shall determine by clear and convincing evidence that the
   96  client has mental illness, intellectual disability, or autism,
   97  that the treatment not consented to is essential to the care of
   98  the client, and that the treatment not consented to is not
   99  experimental and does not present an unreasonable risk of
  100  serious, hazardous, or irreversible side effects. In arriving at
  101  the substitute judgment decision, the court must consider at
  102  least the following factors:
  103         a. The client’s expressed preference regarding treatment;
  104         b. The probability of adverse side effects;
  105         c. The prognosis without treatment; and
  106         d. The prognosis with treatment.
  107  
  108  The hearing shall be as convenient to the client as may be
  109  consistent with orderly procedure and shall be conducted in
  110  physical settings not likely to be injurious to the client’s
  111  condition. The court may appoint a general or special magistrate
  112  to preside at the hearing. The client or the client’s guardian,
  113  and the representative, shall be provided with a copy of the
  114  petition and the date, time, and location of the hearing. The
  115  client has the right to have an attorney represent him or her at
  116  the hearing, and, if the client is indigent, the court shall
  117  appoint the office of the public defender to represent the
  118  client at the hearing. The client may testify or not, as he or
  119  she chooses, and has the right to cross-examine witnesses and
  120  may present his or her own witnesses.
  121         (b) In addition to the provisions of paragraph (a), in the
  122  case of surgical procedures requiring the use of a general
  123  anesthetic or electroconvulsive treatment or nonpsychiatric
  124  medical procedures, and prior to performing the procedure,
  125  written permission shall be obtained from the client, if the
  126  client is legally competent, from the parent or guardian of a
  127  minor client, or from the guardian of an incompetent client. The
  128  administrator or designee of the forensic facility or a
  129  designated representative may, with the concurrence of the
  130  client’s attending physician, authorize emergency surgical or
  131  nonpsychiatric medical treatment if such treatment is deemed
  132  lifesaving or for a situation threatening serious bodily harm to
  133  the client and permission of the client or the client’s guardian
  134  could not be obtained before provision of the needed treatment.
  135         Section 2. Subsection (2) of section 916.13, Florida
  136  Statutes, is amended to read:
  137         916.13 Involuntary commitment of defendant adjudicated
  138  incompetent.—
  139         (2) A defendant who has been charged with a felony and who
  140  has been adjudicated incompetent to proceed due to mental
  141  illness, and who meets the criteria for involuntary commitment
  142  to the department under the provisions of this chapter, may be
  143  committed to the department, and the department shall retain and
  144  treat the defendant.
  145         (a) Within No later than 6 months after the date of
  146  admission and at the end of any period of extended commitment,
  147  or at any time the administrator or designee determines shall
  148  have determined that the defendant has regained competency to
  149  proceed or no longer meets the criteria for continued
  150  commitment, the administrator or designee shall file a report
  151  with the court pursuant to the applicable Florida Rules of
  152  Criminal Procedure.
  153         (b) A status hearing shall be held within 30 days after the
  154  court receives notification that the defendant is competent to
  155  proceed or no longer meets the criteria for continued
  156  commitment.
  157         Section 3. Section 916.145, Florida Statutes, is amended to
  158  read:
  159         916.145 Dismissal of charges.—
  160         (1) The charges against a any defendant adjudicated
  161  incompetent to proceed due to the defendant’s mental illness
  162  shall be dismissed without prejudice to the state if the
  163  defendant remains incompetent to proceed 5 years after such
  164  determination, unless the court in its order specifies in its
  165  order its reasons for believing that the defendant will become
  166  competent to proceed within the foreseeable future and specifies
  167  the time within which the defendant is expected to become
  168  competent to proceed. The court may dismiss such charges 3 years
  169  or more after such determination, up to the 5 years after the
  170  determination, unless the charge is: The charges against the
  171  defendant are dismissed without prejudice to the state to refile
  172  the charges should the defendant be declared competent to
  173  proceed in the future.
  174         (a) Arson;
  175         (b) Sexual battery;
  176         (c) Robbery;
  177         (d) Kidnapping;
  178         (e) Aggravated child abuse;
  179         (f) Aggravated abuse of an elderly person or disabled
  180  adult;
  181         (g) Aggravated assault with a deadly weapon;
  182         (h) Murder;
  183         (i) Manslaughter;
  184         (j) Aggravated manslaughter of an elderly person or
  185  disabled adult;
  186         (k) Aggravated manslaughter of a child;
  187         (l) Unlawful throwing, projecting, placing, or discharging
  188  of a destructive device or bomb;
  189         (m) Armed burglary;
  190         (n) Aggravated battery;
  191         (o) Aggravated stalking;
  192         (p) A forcible felony as defined in s. 776.08 and not
  193  listed elsewhere in this subsection;
  194         (q) An offense involving the possession, use, or discharge
  195  of a firearm;
  196         (r) An attempt to commit an offense listed in this
  197  subsection;
  198         (s) An offense allegedly committed by a defendant who has
  199  had a forcible or violent felony conviction within the 5 years
  200  preceding the date of arrest for the nonviolent felony sought to
  201  be dismissed;
  202         (t) An offense allegedly committed by a defendant who,
  203  after having been found incompetent and under court supervision
  204  in a community-based program, is formally charged by a state
  205  attorney with a new felony offense; or
  206         (u) An offense for which there is an identifiable victim
  207  and such victim has not consented to the dismissal.
  208         (2) This section does not prohibit the state from refiling
  209  dismissed charges if the defendant is declared to be competent
  210  to proceed in the future.
  211         Section 4. Subsection (5) is added to section 916.15,
  212  Florida Statutes, to read:
  213         916.15 Involuntary commitment of defendant adjudicated not
  214  guilty by reason of insanity.—
  215         (5) A status hearing must be held within 30 days after the
  216  court receives notification that the defendant no longer meets
  217  the criteria for continued commitment.
  218         Section 5. For the purpose of incorporating the amendment
  219  made by this act to section 916.13, Florida Statutes, in a
  220  reference thereto, paragraph (a) of subsection (1) of section
  221  394.658, Florida Statutes, is reenacted to read:
  222         394.658 Criminal Justice, Mental Health, and Substance
  223  Abuse Reinvestment Grant Program requirements.—
  224         (1) The Criminal Justice, Mental Health, and Substance
  225  Abuse Statewide Grant Review Committee, in collaboration with
  226  the Department of Children and Families, the Department of
  227  Corrections, the Department of Juvenile Justice, the Department
  228  of Elderly Affairs, and the Office of the State Courts
  229  Administrator, shall establish criteria to be used to review
  230  submitted applications and to select the county that will be
  231  awarded a 1-year planning grant or a 3-year implementation or
  232  expansion grant. A planning, implementation, or expansion grant
  233  may not be awarded unless the application of the county meets
  234  the established criteria.
  235         (a) The application criteria for a 1-year planning grant
  236  must include a requirement that the applicant county or counties
  237  have a strategic plan to initiate systemic change to identify
  238  and treat individuals who have a mental illness, substance abuse
  239  disorder, or co-occurring mental health and substance abuse
  240  disorders who are in, or at risk of entering, the criminal or
  241  juvenile justice systems. The 1-year planning grant must be used
  242  to develop effective collaboration efforts among participants in
  243  affected governmental agencies, including the criminal,
  244  juvenile, and civil justice systems, mental health and substance
  245  abuse treatment service providers, transportation programs, and
  246  housing assistance programs. The collaboration efforts shall be
  247  the basis for developing a problem-solving model and strategic
  248  plan for treating adults and juveniles who are in, or at risk of
  249  entering, the criminal or juvenile justice system and doing so
  250  at the earliest point of contact, taking into consideration
  251  public safety. The planning grant shall include strategies to
  252  divert individuals from judicial commitment to community-based
  253  service programs offered by the Department of Children and
  254  Families in accordance with ss. 916.13 and 916.17.
  255         Section 6. For the purpose of incorporating the amendments
  256  made by this act to sections 916.13 and 916.15, Florida
  257  Statutes, in a reference thereto, subsection (9) of section
  258  916.106, Florida Statutes, is reenacted to read:
  259         916.106 Definitions.—For the purposes of this chapter, the
  260  term:
  261         (9) “Forensic client” or “client” means any defendant who
  262  has been committed to the department or agency pursuant to s.
  263  916.13, s. 916.15, or s. 916.302.
  264         Section 7. For the purpose of incorporating the amendments
  265  made by this act to sections 916.13 and 916.15, Florida
  266  Statutes, in references thereto, section 916.17, Florida
  267  Statutes, is reenacted to read:
  268         916.17 Conditional release.—
  269         (1) Except for an inmate currently serving a prison
  270  sentence, the committing court may order a conditional release
  271  of any defendant in lieu of an involuntary commitment to a
  272  facility pursuant to s. 916.13 or s. 916.15 based upon an
  273  approved plan for providing appropriate outpatient care and
  274  treatment. Upon a recommendation that outpatient treatment of
  275  the defendant is appropriate, a written plan for outpatient
  276  treatment, including recommendations from qualified
  277  professionals, must be filed with the court, with copies to all
  278  parties. Such a plan may also be submitted by the defendant and
  279  filed with the court with copies to all parties. The plan shall
  280  include:
  281         (a) Special provisions for residential care or adequate
  282  supervision of the defendant.
  283         (b) Provisions for outpatient mental health services.
  284         (c) If appropriate, recommendations for auxiliary services
  285  such as vocational training, educational services, or special
  286  medical care.
  287  
  288  In its order of conditional release, the court shall specify the
  289  conditions of release based upon the release plan and shall
  290  direct the appropriate agencies or persons to submit periodic
  291  reports to the court regarding the defendant’s compliance with
  292  the conditions of the release and progress in treatment, with
  293  copies to all parties.
  294         (2) Upon the filing of an affidavit or statement under oath
  295  by any person that the defendant has failed to comply with the
  296  conditions of release, that the defendant’s condition has
  297  deteriorated to the point that inpatient care is required, or
  298  that the release conditions should be modified, the court shall
  299  hold a hearing within 7 days after receipt of the affidavit or
  300  statement under oath. After the hearing, the court may modify
  301  the release conditions. The court may also order that the
  302  defendant be returned to the department if it is found, after
  303  the appointment and report of experts, that the person meets the
  304  criteria for involuntary commitment under s. 916.13 or s.
  305  916.15.
  306         (3) If at any time it is determined after a hearing that
  307  the defendant who has been conditionally released under
  308  subsection (1) no longer requires court-supervised followup
  309  care, the court shall terminate its jurisdiction in the cause
  310  and discharge the defendant.
  311         Section 8. For the purpose of incorporating the amendment
  312  made by this act to section 916.15, Florida Statutes, in a
  313  reference thereto, paragraph (a) of subsection (7) of section
  314  394.467, Florida Statutes, is reenacted to read:
  315         394.467 Involuntary inpatient placement.—
  316         (7) PROCEDURE FOR CONTINUED INVOLUNTARY INPATIENT
  317  PLACEMENT.—
  318         (a) Hearings on petitions for continued involuntary
  319  inpatient placement shall be administrative hearings and shall
  320  be conducted in accordance with the provisions of s. 120.57(1),
  321  except that any order entered by the administrative law judge
  322  shall be final and subject to judicial review in accordance with
  323  s. 120.68. Orders concerning patients committed after
  324  successfully pleading not guilty by reason of insanity shall be
  325  governed by the provisions of s. 916.15.
  326         Section 9. This act shall take effect October 1, 2015.

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