texas correctional office on offenders with medical or mental impairments (tcoommi) medically...
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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.
12
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%