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)

FY11 Annual ReportFY11 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.

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.

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.

**Died,refused,on benefits

MRIS Data Comparison(by fiscal year)

0

200

400

600

800

1000

1200

1400

1600

1800

2000

Referrals** 941 1319 1318 1443 1807

Presentations 290 438 337 457 349

Approvals 101 103 59 102 100

FY 2007 FY 2008 FY2009 FY2010 FY2011

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There were a total of 100 MRIS approvals during FY11. Of those, 91 were CID offenders approved by the Texas Board of Pardons and Paroles. The remaining 9

were State Jail confinees approved by sentencing Judges.

**Includes ineligible referrals with no qualifying medical condition

MRIS Offender Data

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MRIS Referrals 1807*

Individual Offenders Referred 1344

Presentations for MRIS consideration 349**

Individual Offenders Presented 304

* Includes multiple referrals for 332 “individual” offenders

** Includes multiple presentations for 37 “individual” offenders to Board/Judge for MRIS consideration

MRIS FY11 Referral Status

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ELIGIBLE REFERRALS INELIGIBLE REFERRALS

Presented to Board/Judge for consideration 337* Sex Offender; HB2611 criteria not met 361

Clinical Criteria Not Met 575 3G / Not Long Term Care or Terminally Ill 253

Offender referred to unit medical provider 138 Parole Approved 56

Deceased prior to presentation for MRIS consideration 39 Not an Offender (SAFPF / ISF) 7

Pending Presentation to Board/Judge at close of FY11 16 Pending Discharge 5

Active Detainer / Not Legal US Citizen 12

Pending response from unit medical provider at close of FY11 8

Total Eligible 1125 Total Ineligible 682

Total Referrals - 1807**

* Includes multiple presentations for 37 “individual” offenders to Board/Judge for MRIS consideration

** Includes multiple referrals for 332 “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.

MRIS Referral Sources (Comparison by fiscal year)

Unit Medical Staff 577 397 628 757

Family 289 291 253 329

Offender 191 170 161 189

TCOOMMI Re-Review 161 140 229 240

Other: Legislative,Attorney, DataReports

101 320 172 292

FY 2008 Total 1319

FY 2009 Total 1318

FY 2010 Total 1443

FY 2011 Total 1807*

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Unit Direct % of Total Referrals 44% 30% 44% 42%

* Includes multiple referrals for 332 “individual” offenders

0

100

200

300

400

500

600

700

800

Unit Medical Staff 757 197 52 52%

Family 329 29 10 10%

Other: Legislative,Attorney, Data Report

292 75 27 27%

Offender 189 4 1 1%

TCOOMMI Re-Review 240 44 10 10%

Referrals 1807

Presented 349

Approved 100*

% of Total Approvals

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* A total of 100 offenders were approved during FY11. Of those, 99 of those cases were presented for consideration during FY11

and one was pending decision from presentation in FY10.

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MRIS Referrals for FY11

Approved by Source

Terminally Ill 129

Physically Handicapped 8

Elderly 12

Long Term Care 196

Mentally Ill 4

Mentally Retarded 0

Total Presented 349*

MRIS FY11 Presented for MRIS Consideration

by Diagnosis

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*Includes presentations for 304 “individual” offenders to Board/Judge for MRIS consideration. Of those, 37 had multiple presentations.

FY

2008 FY

2009 FY

2010 FY

2011

Terminally Ill 64 34 54 49

Physically Handicapped 3 0 0 3

Elderly 1 1 1 4

Long Term Care 34 24 46 44

Mentally Ill 1 0 1 0

Mentally Retarded 0 0 0 0

Total Approvals 103 59 102 100

MRIS Approval Rates by Diagnosis(Comparison by fiscal year)

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There were a total of 100 MRIS approvals during FY11. Of those, 91 were CID offenders approved by the Texas Board of Pardons and

Paroles. The remaining 9 were State Jail Confinees approved by sentencing Judges.

Status of FY11 Presentations

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A total of 349 cases were presented for MRIS consideration during FY11. Of those, 337 were

referred in FY11 and 12 were FY10 referrals pending presentation. The following reflects the status

of all cases presented for vote during FY11.

FY11 TOTALS CID State Jail

Presented FY11: 349* 336 13

Approved 99 90 9

Consideration denied 219 219

Denied MRIS 16 13 3

Deceased pending decision 7 7

Pending decision at close of FY10 9 8 1

*Includes presentations for 304 “individual” offenders to Board/Judge for MRIS consideration. Of those, 37 had multiple presentations

Note: One case received two votes during a single presentation with the board approving, withdrawing the approval due to new information, and then denying

consideration. The actual number of votes is 1 greater (350) than the actual number of presentations recorded (349).

Status of FY11 Approved Cases

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Reflects status of approved cases as of 08/31/2011

A total of 100 offenders were approved during FY11. Of those, 99 of those cases were

presented for consideration during FY11 and one was pending decision from presentation in

FY10. FY11 TOTALS CID State Jail

Approved 100 91 9

Released 85 76 9

Deceased pending release 9 9

Vote withdrawn 3 3

Pending release at close of FY11 3 3

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FY11 Offender Deaths

Sex Offender – Did not meet criteria as set for by House Bill 2611 42

MRIS Consideration Denied / Denied MRIS 22

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

14

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

Deceased within 48 hours of receipt of MRIS medical summary 9

Medical Summary indicated Clinical Criteria Not Met 8

Deceased pending decision 7

MRIS Approved – Deceased pending release 7

No significant change in condition since prior denial – Not presented for vote 7

Not eligible (Parole Approved / Pending Discharge / ISF / SAFPF) 5

Deceased pending disposition of ICE detainer 6

Deceased within 24 hours of referral 6

Deceased in voting process on day of Approval 1

During FY11 a total of 423 offender deaths were reported to TCOOMMI by TDCJ Health Services Division. This number includes offenders who were not eligible for MRIS (i.e., death row, ISF, SAFPF), those who died as the result of suicide, unit incident, sudden death (i.e., cardiac arrest), etc. Of those reported offenders, 192 had been referred for MRIS one or more times during their incarceration. Of those, 147 received referrals during FY11. The following reflects status of the FY11 referrals.

Current Status of Offenders Released on MRIS

945

243

152

4761

Deceased post MRIS release - 65%

Discharged sentence - 17%

Currently on MRIS Supervision - 11%

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

Returned toTDCJ; Released under othersupervision or deceased in custody - 4%

Since the program’s inception on December 1, 1991, 1448 offenders have been released, seven of whom have released twice for a total of 1455 actual releases. The following chart depicts current status of each offender released.

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