Texas Correctional Office on OffendersTexas Correctional Office on Offenderswith Medical or Mental Impairmentswith Medical or Mental Impairments

(TCOOMMI)(TCOOMMI)

Medically Recommended Intensive SupervisionMedically Recommended Intensive Supervision

(MRIS)(MRIS)

FY13 Annual ReportFY13 Annual Report

Texas Department of Criminal JusticeTexas Department of Criminal Justice

Reentry and Integration DivisionReentry and Integration Division

Medically Recommended Intensive Supervision (MRIS) provides

for the early parole review and release of certain categories of

offenders who are mentally ill, mentally retarded, elderly,

terminally ill, long term care or physically handicapped. The

purpose of MRIS is to release offenders, who pose minimal public

safety risk, from incarceration to more cost effective alternatives.

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Legislative Updates(Effective September 1, 2007)

• As the result of HB 1670, offenders with a reportable conviction or adjudication under Chapter 62, Code of Criminal Procedure, were previously ineligible for MRIS consideration. During the 80th Legislative Session, HB 2611 was passed allowing MRIS consideration for such offenders if “in a persistent vegetative state or being a person with an organic brain syndrome with significant to total mobility impairment”.

• HB 431, also enacted during the 80th Legislative Session, allows MRIS consideration for defendants convicted of a state jail felony.

• Government Code 508.146, Medically Recommended Intensive Supervision, enables TCOOMMI, in cooperation with Correctional Managed Health Care, to identify offenders who may be eligible for early parole review due to a medical condition. If the Board of Pardons and Paroles then determines that based on the offender’s condition and a medical evaluation, the offender does not constitute a threat to public safety, the offender is released to a medically suitable placement and appropriate supervision.

• As the result of HB 1670, enacted during the 78th Legislative Session, offenders with a reportable conviction or adjudication under Chapter 62, Code of Criminal Procedure, were previously ineligible for MRIS consideration. During the 80 th Legislative Session, HB 2611 was passed allowing MRIS consideration for such offenders if “in a persistent vegetative state or being a person with an organic brain syndrome with significant to total mobility impairment”.

• HB 431, also enacted during the 80th Legislative Session, allows MRIS consideration for defendants convicted of a state jail felony.

Enabling Legislation

MRIS Data Comparison(by fiscal year)

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There were a total of 69 MRIS approvals during FY13. Of those, 59 were CID offenders approved by the Texas Board of Pardons and Paroles. The remaining

10 were State Jail confinees approved by sentencing Judges.

**Includes ineligible referrals with no qualifying medical condition

0

200

400

600

800

1000

1200

1400

1600

1800

2000

Referrals**

Presentations

Approvals

Referrals** 1318 1443 1807 1857 1362

Presentations 337 457 349 491 359

Approvals 59 102 100 72 69

FY2009 FY2010 FY2011 FY2012 FY2013

MRIS Offender Data

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MRIS Referrals 1362*

Individual Offenders Referred 1000

Presentations for MRIS consideration 359**

Individual Offenders Presented 288

* Includes multiple referrals for 237 “individual” offenders

** Of the 359 presentations, 345 were presented to the Board and 14 were presented to a Judge; This also includes multiple

presentations for 42 “individual” offenders to the Board for MRIS consideration

MRIS FY13 Referral Status

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ELIGIBLE REFERRALS INELIGIBLE REFERRALS

Presented to Board/Judge for consideration* 333 Sex Offender; HB2611 criteria not met 229

Clinical Criteria Not Met 477 3G / Not Long Term Care or Terminally Ill 116

Offender referred to unit medical provider 46 Parole Approved 61

Deceased prior to presentation for MRIS consideration 53 SAFPF / ISF Offender 2

Pending Presentation to Board/Judge at close of FY13 11 Pending Discharge 5

Active ICE Detainer 2 Not Legal US Citizen 4

Pending response from unit medical provider at close of FY13 20

Offender refused MRIS 3

Total Eligible 945 Total Ineligible 417

Total Referrals - 1362**

* Of the 333 presentations, 319 were presented to the Board and 14 were presented to a Judge; This also includes multiple presentations for 42 “individual” offenders to the

Board for MRIS consideration

** Includes multiple referrals for 237 “individual” offenders

Note: Clinical Criteria Not Met may include offenders who were previously presented and denied MRIS with next review indicating no change in offender’s condition.

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Unit Direct % of Total Referrals 44% 42% 40% 39%

* Includes multiple referrals for 237 “individual” offenders

MRIS Referral Sources (Comparison by fiscal year)

0

100

200

300

400

500

600

700

800

Unit Medical Staff 628 757 737 528

Family 253 329 283 329

Offender 161 189 154 146

TCOOMMI Re-Review 229 240 467 170

Other: Legislative, Attorney,Data Reports

172 292 216 189

FY 2010Total 1443

FY 2011Total 1807

FY 2012Total 1857

FY 2013Total 1362*

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* A total of 69 offenders were approved during FY13. Of those, 69 of those cases were presented for consideration during FY13 and

0 were pending decision from presentation in FY12.

.

MRIS Referrals for FY13

Approved by Source

0

100

200

300

400

500

600

Unit Medical 528 181 34 49%

Family 329 63 11 16%

Other: Legislative, Attorney,Data Report

189 72 17 25%

Offender 146 8 1 1%

TCOOMMI Re-Review 170 35 6 9%

Referrals1362

Presented359

Approved69*

% Of Total Approvals

Terminally Ill 173

Physically Handicapped 20

Elderly 0

Long Term Care 157

Mentally Ill 8

Mentally Retarded 1

Total Presented 359*

MRIS FY13 Presented for MRIS Consideration

by Diagnosis

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*Includes presentations for 288 “individual” offenders to the Board (274)/Judge (14) for MRIS consideration. Of those, 42 had multiple presentations to the

Board.

FY

2010 FY

2011 FY

2012 FY

2013

Terminally Ill 54 49 49 45

Physically Handicapped 0 3 2 2

Elderly 1 4 0 0

Long Term Care 46 44 21 22

Mentally Ill 1 0 0 0

Mentally Retarded 0 0 0 0

Total Approvals 102 100 72 69

MRIS Approvals by Diagnosis(Comparison by fiscal year)

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There were a total of 69 MRIS approvals during FY13. Of those 59 were CID offenders approved by the Texas Board of Pardons and Paroles. The remaining

10 were State Jail Confinees approved by sentencing Judges.

Status of FY13 Presentations

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A total of 359 cases were presented for MRIS consideration during FY13. Of those, 333 were

referred in FY13 and 26 were FY12 referrals pending presentation. The following reflects the status

of all cases presented for vote during FY13.

FY13 TOTALS CID State Jail

Presented FY13: 359* 345 14

Approved 69 59 10

Consideration denied 268 268 0

Denied MRIS 15 12 3

Deceased pending decision 3 2 1

Pending decision at close of FY13 4 4 0

*Includes presentations for 288 “individual” offenders to Board (274)/Judge (14) for MRIS consideration. Of those, 42 had multiple presentations to the Board

Status of FY13 Approved Cases

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Reflects status of approved cases as of 08/31/2013

A total of 69 offenders were approved during FY13. All 69 cases were presented for

consideration during FY13.

FY13 TOTALS CID State Jail

Approved 69 59 10

Released 39 31 8

Deceased pending release 24 23 1

Vote withdrawn 6 5 1

Pending release at close of FY13 0 0 0

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FY13 Offender Deaths

Sex Offender – Did not meet criteria as set for by House Bill 2611 36

MRIS Consideration Denied / Denied MRIS 32

Deceased after receipt of MRIS medical summary and during processing of case for presentation to Board of Pardons and Paroles / Presiding Judge

19

Deceased after referral – prior to receipt of MRIS medical summary 13

Deceased within 48 hours of receipt of MRIS medical summary 10

Medical Summary indicated Clinical Criteria Not Met 6

Deceased pending decision 3

MRIS Approved – Deceased pending release 20

No significant change in condition since prior denial – Not presented for vote 9

Not eligible (Parole Approved / Pending Discharge / ISF / SAFPF) 13

Deceased after Withdrawal of MRIS Approval 1

Deceased within 24 hours of referral 10

Deceased in voting process on day of Approval 4

There were 176 offenders referred during FY13 who passed away while incarcerated. The following reflects the status of those FY13 referrals.

Current Status of Offenders Released on MRIS

Since the program’s inception on December 1, 1991, 1529 offenders have been released, seven of whom have released twice for a total of 1536 actual releases. The following chart depicts current status of each individual offender released.

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1021

286

10870

44

Deceased post MRIS release - 67%

Discharged sentence - 19%

Currently on MRIS Supervision - 7%

Returned to TDCJ: Released underother supervision or deceased incustody - 5%

Other: TDCJ or Federal Custody,Absconded, Deported - 3%