PSYCHIATRIC SECURITY REVIEW BOARD
(PSRB)
Connecticut General Statutes Sections 17a-581 – 17a-603
PSRB Independent state agency founded in
1985
By statute, the Board’s primary concern By statute, the Board’s primary concern is the “protection of society”is the “protection of society”
The Board confines individuals to the The Board confines individuals to the Department of Mental Health and Department of Mental Health and Addiction Services or to the Department Addiction Services or to the Department of Developmental Services for “custody, of Developmental Services for “custody, care and treatment”care and treatment”
PUBLIC SAFETY MANDATE
PSRB FUNCTION
Statutorily mandated to protect the Statutorily mandated to protect the public through the oversight of persons public through the oversight of persons found not guilty by reason of mental found not guilty by reason of mental defect or disease (NGRI or Not Guilty by defect or disease (NGRI or Not Guilty by Reason of Insanity)Reason of Insanity)
Determines the level of supervision, Determines the level of supervision, treatment and placement of an treatment and placement of an acquittee required to protect the publicacquittee required to protect the public
PSRB APPOINTMENTS
Appointed by governor to serve a four Appointed by governor to serve a four year termyear term
Confirmed by legislatureConfirmed by legislature May be re-appointedMay be re-appointed Appointment, per statute, by area of Appointment, per statute, by area of
expertiseexpertise Honorary per diem - $75Honorary per diem - $75
PSRB MEMBERS
Attorney - Robert Berger, Esq.,ChairAttorney - Robert Berger, Esq.,Chair
Psychiatrist – Justin Schechter, M.D.Psychiatrist – Justin Schechter, M.D.
Psychologist - Mark Kirschner, Ph.D.Psychologist - Mark Kirschner, Ph.D.
Probation/parole expert - John Ryan, M.A.Probation/parole expert - John Ryan, M.A.
Lay person - Sylvia CancelaLay person - Sylvia Cancela
Victim services expert - Susan Blair, M.S., Victim services expert - Susan Blair, M.S., LPCLPC
PSRB STAFF Ellen Lachance, Executive DirectorEllen Lachance, Executive Director Heidi Magro, Program CoordinatorHeidi Magro, Program Coordinator Adrienne Bonner, Secretary 2Adrienne Bonner, Secretary 2 Phone:Phone: (860) 566-1441(860) 566-1441 Fax:Fax: (860) 566-1425(860) 566-1425 Answering service: 1-888-586-8756 Answering service: 1-888-586-8756
Need name of person calling, agency, Need name of person calling, agency, callback number and brief description of callback number and brief description of the issuethe issue
Website: www.ct.gov/psrbWebsite: www.ct.gov/psrb
POWERS OF PSRB Place with DMHAS or Department of Place with DMHAS or Department of
Developmental Services Developmental Services Confine in maximum security (Whiting) or Confine in maximum security (Whiting) or
less restrictive secured hospital settingless restrictive secured hospital setting Grant, modify or terminate Temporary LeaveGrant, modify or terminate Temporary Leave Grant, modify or terminate Conditional Grant, modify or terminate Conditional
Release (revoke authority to reside in the Release (revoke authority to reside in the community)community)
Establish conditions for community Establish conditions for community movement/placementmovement/placement
Order supervision through the Office of Adult Order supervision through the Office of Adult ProbationProbation different from court ordered probation, i.e., different from court ordered probation, i.e.,
violation of probation chargeviolation of probation charge Issue a SubpoenaIssue a Subpoena
POWER OF PSRB ORDERS
Sec. 17a-603Sec. 17a-603. Court enforcement of statutes . Court enforcement of statutes and orders. The Superior Court, on application and orders. The Superior Court, on application of the Psychiatric Security Review Board or the of the Psychiatric Security Review Board or the Attorney General, may enforce by appropriate Attorney General, may enforce by appropriate decree or process any provision of sections 17a-decree or process any provision of sections 17a-580 to 17a-602, inclusive, or any order of the 580 to 17a-602, inclusive, or any order of the board rendered in pursuance of any statutory board rendered in pursuance of any statutory provision.provision.
Sec. 17a-581-50Sec. 17a-581-50. Enforcement of board orders . Enforcement of board orders The Board may apply to the Court for an The Board may apply to the Court for an appropriate order of enforcement when its appropriate order of enforcement when its directive to an agency or person is not followed. directive to an agency or person is not followed. (Effective May 21, 1992)(Effective May 21, 1992)
CONNECTICUT’S NOT GUILTY BY REASON OF MENTAL DISEASE OR
DEFECT (NGRI) STANDARDS
CGS section 53a-13CGS section 53a-13 Affirmative defenseAffirmative defense
Only defense can raiseOnly defense can raise Defendant has burden of proof to Defendant has burden of proof to
show lack of capacity due to mental show lack of capacity due to mental disease or defectdisease or defect
NGRI STANDARDS AND EXCLUSIONS
STANDARDSTANDARD CGS Section 53a-13 CGS Section 53a-13 Affirmative defenseAffirmative defense
Only defense can raise insanityOnly defense can raise insanity Defendant has burden of proof to show lack Defendant has burden of proof to show lack
of capacity due to mental disease or defect of capacity due to mental disease or defect
EXCLUSIONSEXCLUSIONS Repeated criminal or otherwise antisocial Repeated criminal or otherwise antisocial
conductconduct Pathological or compulsive gamblingPathological or compulsive gambling Voluntary use of drugs/alcoholVoluntary use of drugs/alcohol
ARRESTED DECISION BY DEFENSETO USE NGRI
TRIAL
NGRINOT
GUILTYGUILTY
COMMITTED TO PSRB
INSANITY DEFENSE
CONFINEMENT TO DMHAS OR DDS
COMMITMENT TERM
Set by Superior CourtSet by Superior Court Up to the maximum sentence if Up to the maximum sentence if
convictedconvicted Potentially indefinite or lifePotentially indefinite or life Average is 30 yearsAverage is 30 years Can be extended beyond the maximum Can be extended beyond the maximum
by court if still dangerousby court if still dangerous PSRB recommends Continued PSRB recommends Continued
Commitment or Discharge from the BoardCommitment or Discharge from the Board
CONTINUED COMMITMENT
Initiated by State’s AttorneyInitiated by State’s Attorney Burden of proof on the state (clear and Burden of proof on the state (clear and
convincing evidence)convincing evidence) Acquittee has psychiatric disabilities or Acquittee has psychiatric disabilities or
is mentally retarded to the extent that is mentally retarded to the extent that his discharge at the expiration of his his discharge at the expiration of his maximum term of commitment would maximum term of commitment would constitute a danger to himself or othersconstitute a danger to himself or others
PSRB and court hearingsPSRB and court hearings Superior court sets new commitment termSuperior court sets new commitment term
CONTINUED COMMITMENT 1985 – 12/21/2011
Continued Commitments – 89Continued Commitments – 89 1 continued commitment1 continued commitment 2525 2 continued commitments2 continued commitments 1919 3+ continued commitments 3+ continued commitments 4545
43 still under PSRB43 still under PSRB
DISCHARGE METHODS Petition for DischargePetition for Discharge
PSRB hearingPSRB hearing Burden of proof on acquittee for early Burden of proof on acquittee for early
release to show they would not release to show they would not constitute a danger to themselves or constitute a danger to themselves or othersothers
Superior court grants dischargeSuperior court grants discharge Max outMax out If discharged, acquittee becomes a If discharged, acquittee becomes a
voluntary patientvoluntary patient
DISCHARGE1985 – 12/21/2011
Discharge – 195Discharge – 195 Death Death 3434 Early discharge Early discharge 4848 Max out Max out 109109 Commitment overturnedCommitment overturned 44
PSRB HEARINGS
Initial Commitment Initial Commitment
Review of Status (every 2 years)Review of Status (every 2 years)
Transfer in or out of maximum securityTransfer in or out of maximum security
Temporary Leave applicationsTemporary Leave applications
Conditional Release applicationsConditional Release applications
Modification of Conditional ReleaseModification of Conditional Release
Revocation of Conditional ReleaseRevocation of Conditional Release
CONTESTED HEARING PROCEDURES
For all hearings DMHAS, DDS or other witnesses For all hearings DMHAS, DDS or other witnesses give narrative testimony followed by examination give narrative testimony followed by examination from acquittee’s counsel and state’s attorney from acquittee’s counsel and state’s attorney
State may waive presence at hearing but all State may waive presence at hearing but all acquittees must have legal representation (except acquittees must have legal representation (except for rare occasion when acquittee represents self)for rare occasion when acquittee represents self)
Hearings open to public – thereby releasing Hearings open to public – thereby releasing psychiatric/medical record information into the psychiatric/medical record information into the public domainpublic domain
Rules for cameras and recording devicesRules for cameras and recording devices Hearing transcripts available to the publicHearing transcripts available to the public
HEARING RULES Contested hearings follow the general rules of Contested hearings follow the general rules of
CT’s Uniform Administrative Procedures ActCT’s Uniform Administrative Procedures Act Moving party has burden of going forward and Moving party has burden of going forward and
presenting evidence presenting evidence Victim may make an impact statementVictim may make an impact statement All parties entitled to an independent evaluation All parties entitled to an independent evaluation Right to inspect, copy all relevant and material Right to inspect, copy all relevant and material
records- PSRB sends everything to acquittee’s records- PSRB sends everything to acquittee’s counsel and state’s attorneycounsel and state’s attorney
Board cannot have information unavailable to Board cannot have information unavailable to state or defensestate or defense
Right to cross-examineRight to cross-examine Right to present evidenceRight to present evidence Acquittee allowed to make unsworn statement at Acquittee allowed to make unsworn statement at
hearinghearing
BOARD DELIBERATIONS Quorum required for voteQuorum required for vote
Majority vote required for decisionMajority vote required for decision Final orders in writing-public documentFinal orders in writing-public document
Memorandum of Decision (MOD)Memorandum of Decision (MOD) Report to CourtReport to Court
Minutes - written recording of votes- Minutes - written recording of votes- public documentpublic document
TESTIFYING
Know the materialKnow the material Organize all documentsOrganize all documents Identify red flagsIdentify red flags Identify risk elementsIdentify risk elements
Know the legal questionKnow the legal question What is the hearing about?What is the hearing about? What is my role?What is my role?
WHEN ANSWERING QUESTIONS…
Speak clearly and loud enoughSpeak clearly and loud enough Look at the Board membersLook at the Board members
Read the nonverbalRead the nonverbal Restate or expand on if neededRestate or expand on if needed View them as “inquiring minds” not as View them as “inquiring minds” not as
enemiesenemies Pause long enough to organize your thinkingPause long enough to organize your thinking Be certain you understand the question; ask if Be certain you understand the question; ask if
you don’tyou don’t If you don’t know say soIf you don’t know say so Answer just the question askedAnswer just the question asked
““Too many criminals Too many criminals plead insanity and are plead insanity and are acquitted”acquitted”
PSRB POPULATION 144 acquittees as of 12/21/2011144 acquittees as of 12/21/2011 AgencyAgency
DMHAS- 143DMHAS- 143 DDS – 1DDS – 1
Current placementCurrent placement CVH – 109CVH – 109
Dutcher Unit – 82 (62 with TL)Dutcher Unit – 82 (62 with TL)Whiting Unit - 27 Whiting Unit - 27
CR – 32 (1 at CVH voluntarily)CR – 32 (1 at CVH voluntarily) DDS - 1DDS - 1 JAIL - 1JAIL - 1 AWOL - 1 AWOL - 1
““The insanity defense is a The insanity defense is a rich man’s defense – if rich man’s defense – if you can afford a high-you can afford a high-priced lawyer you can priced lawyer you can ‘get off’ using an ‘get off’ using an insanity plea”insanity plea”
MaleMale90%90%
CaucasianCaucasian62%62%
HispanicHispanic8%8%
FemaleFemale10%10%
African AmericanAfrican American25%25%
OtherOther5%5%
DEMOGRAPHICS
DEMOGRAPHICS
Age range - 23 to 83Age range - 23 to 83
Average age – 49Average age – 49
Average age at time of crime - 34Average age at time of crime - 34
GED – 10%GED – 10%
High school graduate - 48% High school graduate - 48%
College Degree – 13%College Degree – 13%
CRIME INFORMATION
Crime Crime NumberNumber
Crime Crime NumberNumber
Murder/Attempted Murder/Attempted MurderMurder
6969 Manufacture/Possession Manufacture/Possession of Weapon or Dangerous of Weapon or Dangerous InstrumentInstrument
2525
AssaultAssault 6262 Robbery/Larceny/BurglaryRobbery/Larceny/Burglary 2424
Sexual AssaultSexual Assault 3333 Reckless Endangerment - Reckless Endangerment - First DegreeFirst Degree
1616
ArsonArson 2727 ThreateningThreatening 1616
Risk of Injury/Risk Risk of Injury/Risk of Injury to a Minorof Injury to a Minor
2828 KidnappingKidnapping 1212
Harassment - First Harassment - First DegreeDegree
44
““Most insanity Most insanity acquittees have acquittees have committed violent acts committed violent acts against a relative or an against a relative or an acquaintance” acquaintance”
VICTIM INFORMATION
Victim is primarily a family member or Victim is primarily a family member or friendfriend
77% of cases victim is known 77% of cases victim is known
TRADITIONAL MENTAL HEALTH TREATMENT
Clinician / client relationshipClinician / client relationship Confidentiality is a guiding principleConfidentiality is a guiding principle Advance the interest of the clientAdvance the interest of the client Ethical principles Ethical principles
do gooddo good do no harmdo no harm
Advocacy for the clientAdvocacy for the client
PSRB/FORENSIC CONTEXT OF MENTAL
HEALTH SERVICE Different clinician/client relationshipDifferent clinician/client relationship Different confidentialityDifferent confidentiality Advance interest of justiceAdvance interest of justice Additional ethical principlesAdditional ethical principles
Truth tellingTruth telling Respect for personRespect for person
Not an agent for the acquitteeNot an agent for the acquittee
CONFIDENTIALITY ISSUES
Confidential information is open to public Confidential information is open to public realm during court proceedingsrealm during court proceedings
Psychiatric and medical information open to Psychiatric and medical information open to PSRB, acquittee, acquittee’s counsel and PSRB, acquittee, acquittee’s counsel and State’s AttorneyState’s Attorney
Give confidentiality warningGive confidentiality warning Records - confidential to publicRecords - confidential to public Testimony and MODs - open to publicTestimony and MODs - open to public Agencies required to follow HIPAA Agencies required to follow HIPAA
procedures except for provision of procedures except for provision of information to PSRBinformation to PSRB
COMMUNITY ACCESS FOR PSRB ACQUITTEES
TEMPORARY LEAVE (TL)
Acquittee remains a patient of CVHAcquittee remains a patient of CVH Authorization granted to CVH for:Authorization granted to CVH for:
Access to community treatment and/or Access to community treatment and/or social activitiessocial activities
Achievement of a specific clinical Achievement of a specific clinical outcomeoutcome
Assessment of specific clinical needsAssessment of specific clinical needs Assessment of specific risks to public Assessment of specific risks to public
safetysafety
CONDITIONAL RELEASE (CR)
Acquittee is discharged from CVH Acquittee is discharged from CVH Authorization granted to the acquittee Authorization granted to the acquittee
by PSRB for:by PSRB for: Community living with mandated Community living with mandated
services to ensure public safetyservices to ensure public safety Treatment to promote recoveryTreatment to promote recovery
READINESS FOR TL or CR
Clinical markers:Clinical markers: minimal risk to the public minimal risk to the public demonstrates insight into nature of crimedemonstrates insight into nature of crime insight and understanding of mental illnessinsight and understanding of mental illness
recognizes onset of early warning signs of illnessrecognizes onset of early warning signs of illness acknowledges awareness of substance abuse issuesacknowledges awareness of substance abuse issues takes medication as prescribedtakes medication as prescribed ability to understand mandatory nature of ability to understand mandatory nature of
requirementsrequirements
PSRB ACQUITTEE INFORMATION PACKET
All identified community providers and probation All identified community providers and probation officer receive packet prior to any TL or CR officer receive packet prior to any TL or CR planning from CVHplanning from CVH
All arrest/police reports/applications for warrantsAll arrest/police reports/applications for warrants Reports prepared by defense and prosecution experts Reports prepared by defense and prosecution experts
at time of trialat time of trial Whiting 60-day evaluation reportWhiting 60-day evaluation report Six month reports Six month reports Memoranda of DecisionMemoranda of Decision Any special reports or psych testingAny special reports or psych testing Any other documentation community providers Any other documentation community providers
believe is necessary to make an adequate assessmentbelieve is necessary to make an adequate assessment
PLANNING FOR TL OR CR Development of TL or CR plan should be Development of TL or CR plan should be
a collaboration with CVH, community a collaboration with CVH, community providers, probation officer and/or providers, probation officer and/or familyfamily specific input as to what services your specific input as to what services your
agency will provide that meet the agency will provide that meet the individual needs of the acquitteeindividual needs of the acquittee
Executive Director must sign Executive Director must sign Community Provider Approval FormCommunity Provider Approval Form
COMMUNITY TREATMENT ISSUES
BudgetingBudgeting Family IssuesFamily Issues Substance abuse treatment/MonitoringSubstance abuse treatment/Monitoring DisclosureDisclosure
Vocational issuesVocational issues Relationship issuesRelationship issues
Problem sexual behaviorProblem sexual behavior Leisure activitiesLeisure activities
PROHIBITIONS FOR ACQUITTEES ON TL or CR
No alcoholNo alcohol No drugsNo drugs
Includes over the Includes over the counter medscounter meds
No weapons - No weapons - everever Own Own Buy Buy In presenceIn presence Guns (any type)Guns (any type) No hunting knivesNo hunting knives No defensive weaponsNo defensive weapons
No gamblingNo gambling Restrictions on Restrictions on
associationassociation Restrictions on Restrictions on
movementmovement No out of stateNo out of state Must abide by rules and Must abide by rules and
regulations of community regulations of community programsprograms
SUPERVISION17a-587 (b) 17a-587 (b) The board may designate any The board may designate any capable person or appropriate public or capable person or appropriate public or private agency to supervise the private agency to supervise the acquittee on temporary leave…..acquittee on temporary leave…..
Sec. 17a-589. (Formerly Sec. 17-257j). Sec. 17a-589. (Formerly Sec. 17-257j). Supervision of acquittee on conditional Supervision of acquittee on conditional release. release. The board may designate any The board may designate any capable person or appropriate public or capable person or appropriate public or private agency to supervise the private agency to supervise the acquittee on conditional releaseacquittee on conditional release, , subject subject to such conditions as the board sets in to such conditions as the board sets in the order for conditional release.the order for conditional release.
REPORTING RESPONSIBILITIES
All providers and PO immediately report to CVH All providers and PO immediately report to CVH (TL) or CR supervisor, CRSU and PSRB (CR):(TL) or CR supervisor, CRSU and PSRB (CR): any violation of the TL or CR orderany violation of the TL or CR order any treatment/medication noncomplianceany treatment/medication noncompliance any change in mental statusany change in mental status any positive test for alcohol or drugsany positive test for alcohol or drugs any possession of weaponsany possession of weapons any violation of the law any violation of the law any association with known criminalsany association with known criminals any change in level of intensity of agreedany change in level of intensity of agreed upon upon
service interventionservice intervention
PROBATION OFFICER RESPONSIBILITIES ON
TL or CR Monitoring John Doe’s compliance with this Monitoring John Doe’s compliance with this
Temporary Leave or Conditional ReleaseTemporary Leave or Conditional Release Determining the level of supervision deemed Determining the level of supervision deemed
necessary to effectively monitor John Doe and necessary to effectively monitor John Doe and providing this information to CVH providing this information to CVH
Utilizing any and all techniques of supervision Utilizing any and all techniques of supervision available, including but not limited to electronic available, including but not limited to electronic monitoring, search of person and property, monitoring, search of person and property, toxicology screens, job site visits and home visitstoxicology screens, job site visits and home visits
Performing Performing randomrandom blood or urine analysis on blood or urine analysis on John Doe for purposes of monitoring alcohol John Doe for purposes of monitoring alcohol consumption and illicit drug usage at a consumption and illicit drug usage at a frequency determined by the Office of Adult frequency determined by the Office of Adult ProbationProbation
COMMUNITY PROVIDER RESPONSIBILITIES
Provide testimony at PSRB hearingsProvide testimony at PSRB hearings TL – TL – Consulting Forensic Psychiatrist Consulting Forensic Psychiatrist
and CVH staffand CVH staff CR – CR – CR supervisor and six month CR supervisor and six month
reporter reporter Monitoring of public safety riskMonitoring of public safety risk Monitoring adherence to stipulations of Monitoring adherence to stipulations of
MODMOD Medication monitoring if orderedMedication monitoring if ordered Home visits/inspectionsHome visits/inspections
TL SUPERVISORRESPONSIBILITIES
Coordinates community treatment and Coordinates community treatment and monitoringmonitoring
Verify compliance with PSRB mandates Verify compliance with PSRB mandates Maintain contact with community Maintain contact with community
providers, probation officer and employer providers, probation officer and employer at least monthlyat least monthly
Supervision meetings and home visits with Supervision meetings and home visits with acquitteeacquittee
Provides written and verbal monthly progress Provides written and verbal monthly progress reports to CVH reports to CVH
Collaborate with CVH for modifications of TLCollaborate with CVH for modifications of TL
CR SUPERVISOR RESPONSIBILITIES
Shift of clinical/legal responsibilityShift of clinical/legal responsibility Oversees all community treatment and monitoringOversees all community treatment and monitoring
Verify compliance with PSRB mandates and treatment Verify compliance with PSRB mandates and treatment Maintain contact with community providers, probation Maintain contact with community providers, probation
officer and employer at least monthlyofficer and employer at least monthly Supervision meetings and home visits with acquitteeSupervision meetings and home visits with acquittee
Provide quarterly written reports to PSRB, CRSU and other Provide quarterly written reports to PSRB, CRSU and other community providerscommunity providers
Provide verbal reports to PSRB and CRSU Provide verbal reports to PSRB and CRSU Review requests to modify CRReview requests to modify CR Review any new MOD with acquittee and forward signed Review any new MOD with acquittee and forward signed
copy to PSRBcopy to PSRB Ensuring substance abuse screenings are conducted as Ensuring substance abuse screenings are conducted as
per MODper MOD Coordinate and chair ATT meetingsCoordinate and chair ATT meetings
EMERGENCY PLAN On TL, hospital will develop and distribute planOn TL, hospital will develop and distribute plan For CR:For CR:
Insurance informationInsurance information Notification listNotification list Up to date photoUp to date photo Treatment plan changesTreatment plan changes Respite/Crisis bedsRespite/Crisis beds Voluntary hospitalizationVoluntary hospitalization Revocation of conditionalRevocation of conditional releaserelease
VOLUNTARY HOSPITALIZATION
CR ONLY By law, can use community hospital By law, can use community hospital
psychiatric unitspsychiatric units By practice, CVH By practice, CVH
When ready for dischargeWhen ready for dischargeWritten report to PSRBWritten report to PSRBVerbal answer from ChairVerbal answer from Chair
Can remain at CVH voluntarilyCan remain at CVH voluntarily
REVOCATION PROCEDURES
CR ONLY Chair issues order for revocation based on Chair issues order for revocation based on
probable causeprobable cause Acquittee taken into custody by law Acquittee taken into custody by law
enforcement enforcement Confined involuntarily at CVH for inpatient Confined involuntarily at CVH for inpatient
evaluation on issue of termination of CRevaluation on issue of termination of CR Hearing conducted to determine future statusHearing conducted to determine future status
Remain on CRRemain on CR Modification of CRModification of CR Ordered confinedOrdered confined
Conditional Release Revocation
1985 to 6/1/2011 Reasons for Revocation:Reasons for Revocation:
Psychiatric decompensationPsychiatric decompensation 17 17 Supervision non-complianceSupervision non-compliance 10 10 Treatment non-complianceTreatment non-compliance 8 8 Alcohol/DrugsAlcohol/Drugs 8 8 Two or more reasonsTwo or more reasons 1414 OtherOther 1313
Hearing Result:Hearing Result: No change to conditional releaseNo change to conditional release 8 8 Termination of conditional releaseTermination of conditional release 5050 Modification of conditional releaseModification of conditional release 1111 OtherOther 1 1
DMHAS-Conditional Release
Service Unit (CRSU)Providing consultation and oversight Providing consultation and oversight
for Local Mental Health Authorities for Local Mental Health Authorities and community agencies providing and community agencies providing
services to acquittees services to acquittees
DMHAS-CRSUDMHAS-CRSUDivision of Forensic ServicesDivision of Forensic Services
PO Box 351, Russell Hall, 2nd floor PO Box 351, Russell Hall, 2nd floor Middletown, CT 06457Middletown, CT 06457
DMHAS-Conditional Release Service Unit
ContactErin Leavitt-Smith, LPCErin Leavitt-Smith, LPC
Office:Office: 860-262-5879860-262-5879
Fax:Fax: 860-262-5841860-262-5841
Cell: 860-573-0750Cell: 860-573-0750
24 hr availability for 24 hr availability for notification and notification and consultationconsultation
DMHAS-Conditional Release Service Unit
(CRSU) Consultation regarding: Consultation regarding:
PSRB regulationsPSRB regulations DMHAS policies regarding management DMHAS policies regarding management
of acquitteesof acquittees Risk management issuesRisk management issues Temporary Leave and Conditional Temporary Leave and Conditional
Release planningRelease planning Modifications of Conditional ReleaseModifications of Conditional Release Review of treatment planReview of treatment plan Reports and testimony to the PSRBReports and testimony to the PSRB Out-of-state travelOut-of-state travel
DMHAS-Conditional Release Service Unit
(CRSU) Monitoring the delivery of services to Monitoring the delivery of services to
acquittees to ensure compliance and acquittees to ensure compliance and appropriate level of care by:appropriate level of care by: Review of Progress ReportsReview of Progress Reports Ongoing contact with PSRB, CVH, Ongoing contact with PSRB, CVH,
Conditional Release/Temporary Leave Conditional Release/Temporary Leave supervisors and other community supervisors and other community providersproviders
Participation in All Treaters MeetingsParticipation in All Treaters Meetings Receipt of verbal and written Receipt of verbal and written
emergency reports to the PSRBemergency reports to the PSRB
SIX MONTH REPORTS
Statutorily mandated forensic evaluations Statutorily mandated forensic evaluations conducted by DMHAS, DDS or CR provider conducted by DMHAS, DDS or CR provider reporting on:reporting on: The acquittee’s current mental conditionThe acquittee’s current mental condition Diagnosis and medicationDiagnosis and medication Current treatment and progressCurrent treatment and progress Status regarding danger posed to self or othersStatus regarding danger posed to self or others Long-term treatment plansLong-term treatment plans Any modification of the existing Board orderAny modification of the existing Board order
Input from all community providersInput from all community providers
ALL PROVIDERS TEAM MEETINGS
Collaborative meeting of involved Collaborative meeting of involved community providers and probation community providers and probation officer for purposes of: officer for purposes of:
Ongoing assessment of risk Ongoing assessment of risk managementmanagement
Review of relevant issuesReview of relevant issues Monitoring of compliance with service Monitoring of compliance with service
delivery as stipulated by the MOD and delivery as stipulated by the MOD and DMHAS regulationsDMHAS regulations
Facilitating reporting requirementsFacilitating reporting requirements
GUN CONTROL LAWFEDERAL AND STATE
Prohibition from owning, possessing or Prohibition from owning, possessing or having access to guns and ammunitionhaving access to guns and ammunition State – Discharged from custody State – Discharged from custody
within preceding 20 years after within preceding 20 years after having been found not guilty by having been found not guilty by reason of mental disease or defectreason of mental disease or defect
Federal – Has been adjudicated as Federal – Has been adjudicated as mental defective or has been mental defective or has been committed to a mental institutioncommitted to a mental institution
Acquittals are included on state and Acquittals are included on state and federal criminal background information federal criminal background information databasesdatabases
SEX OFFENDER REGISTRY
Acquittees who have committed sex Acquittees who have committed sex offenses must register upon Conditional offenses must register upon Conditional Release or Discharge.Release or Discharge. Blood sample or saliva swab (as of Blood sample or saliva swab (as of
October 1, 2003), fingerprints and October 1, 2003), fingerprints and photographphotograph
Registration monitored on a quarterly Registration monitored on a quarterly basis by State police for at least 10 yearsbasis by State police for at least 10 years
Change of address notification required Change of address notification required of acquitteeof acquittee
On InternetOn Internet
DNA REGISTRY
State statute effective October 1, 2003State statute effective October 1, 2003 All individuals convicted of a felony All individuals convicted of a felony
and all individuals found NGRI for a and all individuals found NGRI for a felony must register DNA sample with felony must register DNA sample with state policestate police
Failure to do so could result in fine Failure to do so could result in fine and additional chargesand additional charges
Reporting is not optionalReporting is not optional MODs can be enforced by Superior MODs can be enforced by Superior
Court orderCourt order Failure to report necessary information Failure to report necessary information
or follow MOD may expose provider or follow MOD may expose provider agency to liability issuesagency to liability issues
ONE MORE THING…