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TCOOMMI_MRIS_Statist.. - Texas Department of Criminal Justice

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					Texas Department of Criminal Justice

   Reentry and Integration Division
    Texas Correctional Office on Offenders
      with Medical or Mental Impairments
                 (TCOOMMI)

 Medically Recommended Intensive Supervision
                   (MRIS)
           FY10 Annual Report
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.


                                    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.


                                             1
                            MRIS Data Comparison
                               (by fiscal year)
                    1800

                    1600

                    1400

                    1200

                    1000

                     800

                     600

                     400

                     200

                        0
                                  FY 2006                 FY 2007          FY 2008               FY2009                FY2010
  Referrals**                        1600                     941            1319                  1318                   1443
  Presentations                       401                     290             438                   337                   457
  Approvals                           161                     101             103                    59                   102

There were a total of 102 MRIS approvals during FY10. Of those, 80 were CID offenders approved by the Texas Board of Pardons and
Paroles. The remaining 22 were State Jail confinees approved by sentencing Judges.

**Includes ineligible referrals with no qualifying medical condition
                                                                       2
                     MRIS Offender Data


                      MRIS Referrals                                    1443*

                         Individual Offenders Referred                   1050

                      Presentations for MRIS consideration               457**
                         Individual Offenders Presented                    405




* Includes multiple referrals for 263 “individual” offenders

** Includes multiple presentations for 46 “individual” offenders to Board/Judge for MRIS
consideration




                                                  3
                              MRIS FY10 Referral Status
 ELIGIBLE REFERRALS                                                                       INELIGIBLE REFERRALS

 Presented to Board/Judge for consideration                                 362*          Parole Approved                                      48
                                                                                          3G / Not Long Term Care or
 Clinical Criteria Not Met                                                   556          Terminal Illness                                     13

 Pending response from unit medical provider
 at close of FY10                                                              12         Not an Offender (SAFPF / ISF)                          7
 Sex Offender; Not Persistent Vegetative State
 or Organic Brain Syndrome                                                   254          Pending Discharge                                      7

 Offender referred to unit medical provider                                    94         Death Row                                              1
 Deceased prior to presentation for MRIS
 consideration                                                                 59
 Pending Presentation to Board/Judge at close
 of FY10                                                                       16
 Active Detainer / Not Legal US Citizen                                        10
 Refused MRIS / Discharged Sentence                                              4
                            Total Eligible                                 1367                         Total Ineligible                       76
                                                          Total Referrals - 1443**
* Includes multiple presentations for 46 “individual” offenders to Board/Judge for MRIS consideration
** Includes multiple referrals for 263 “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
                                                                           4
condition.
                       MRIS Referral Sources
                     (Comparison by fiscal year)




                               0
                             70
                               0
                             60
                               0
                             50
                               0
                             40
                               0
                             30
                               0
                             20
                               0
                             10




                                        FY 2007          FY 2008      FY 2009    FY 2010
                               0




                                       Total 941        Total 1319   Total 1318 Total 1443*

     Unit Medical Staff                    372               577        397            628
     Fam ily                               286               289        291            253
     Offender                              223               191        170            161
     TCOOMMI Re-Review                       9               161        140            229
     Other: Legislative,                    51               101        320            172
     Attorney, Data
     Reports

Unit Direct % of Total Referrals         40%              44%        30%         44%

   * Includes multiple referrals for 263 “individual” offenders

                                                            5
                  MRIS Referrals for FY10
                   Approved by Source




                          0
                        70
                          0
                        60
                          0
                        50
                          0
                        40
                          0
                        30
                          0
                        20
                          0
                        10




                                  Referrals        Presented          Approved         % of Total
                          0




                                    1443              457               102*           Approvals

  Unit Medical Staff                  628               271                69               68%
  Fam ily                             253                42                 4               4%
  Other: Legislative,                 172                95                16               16%
  Attorney, Data Report
  Offender                            161                17                 1               1%
  TCOOMMI Re-Review                   229                32                12               12%

* A total of 102 offenders were approved during FY10. Of those, 101 of those cases were referred and presented
for consideration during FY10 and one was pending decision from presentation in FY09.
.
                                                    6
                   MRIS FY10
        Presented for MRIS Consideration
                  by Diagnosis

                   Terminally Ill                                           113
                   Physically Handicapped                                      9
                   Elderly                                                    79
                   Long Term Care                                           250
                   Mentally Ill                                                6
                   Mentally Retarded                                           0
                                            Total Presented                457*

* Includes multiple presentations for 46 “individual” offenders to Board/Judge for MRIS
consideration


                                                7
MRIS Approval Rates by Diagnosis
   (Comparison by fiscal year)

                                                                  FY                FY               FY               FY
                                                                 2007              2008             2009             2010
 Terminally Ill                                                         58                64               34               54
 Physically Handicapped                                                    0                3                0                 0
 Elderly                                                                   0                1                1                 1
 Long Term Care                                                         42                34               24               46
 Mentally Ill                                                              1                1                0                 1
 Mentally Retarded                                                         0                0                0                 0
                            Total Approvals                           101              103                 59             102

There were a total of 102 MRIS approvals during FY10. Of those, 80 were CID offenders approved by the Texas Board of Pardons and
Paroles. The remaining 22 were State Jail Confinees approved by sentencing Judges.


                                                                  8
                    Status of FY10 Presentations
 A total of 102 offenders were approved during FY10. Of those, 101 of those cases
 were referred and presented for consideration during FY10 and one was pending
 decision from presentation in FY09. The following reflects the status of all cases
 presented for vote during FY10.


                                                                 FY10 TOTALS              CID   State Jail
Presented FY10:                                                 457*                      431      26
   Approved                                                              101              80       21
   Consideration denied                                                  317              317
   Denied MRIS                                                            28              23        5
   Deceased pending decision                                              8                8
   MRIS cancelled due to improvement in condition                         2                2

   Pending decision at close of FY10                                      1                1

 * Includes multiple presentations of 46 “individual” offenders to Board/Judge for MRIS
 consideration
   Reflects status of approved cases as of 08/31/2010
                                                        9
        Status of FY10 Approved Cases

A total of 102 offenders were approved during FY10. Of those, 101 of those cases
were referred and presented for consideration during FY10 and one was pending
decision from presentation in FY09.

                                                       FY10 TOTALS       CID   State Jail
  Approved                                                   102         80       22
            Released                                              69    50       19
            Deceased pending release                              17    16        1
            Vote withdrawn                                          6    5        1
            Pending release at close of FY10                        5    5
            Deceased in voting process on day                       3    3
            of approval
            Received regular parole vote same                       1    1
            day and released to regular caseload
            Refused MRIS                                            1             1
  Reflects status of approved cases as of 08/31/2010
                                                        10
                             FY10 Offender Deaths
During FY10 a total of 421 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, 211 had been referred for MRIS one
or more times during their incarceration. Of those, 159 received referrals during FY10. The following reflects status of
the FY10 referrals.

      Sex Offender – Did not meet criteria as set for by House Bill 2611                                      44

      Deceased after receipt of MRIS medical summary and during processing of case for presentation           31
      to Board of Pardons and Paroles / Presiding Judge

      MRIS Approved – Deceased pending release                                                                15

      Deceased within 48 hours of receipt of MRIS medical summary                                             15

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

      Deceased after referral – prior to receipt of MRIS medical summary                                      12

      MRIS Consideration Denied / Denied MRIS                                                                 11

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

      Deceased pending decision                                                                                6

      Deceased in voting process on day of Approval                                                            2

      Medical Summary indicated Clinical Criteria Not Met                                                      2

      Deceased pending disposition of ICE detainer                                                             1

                                                            11
               Current Status of Offenders
                   Released on MRIS
Since the program’s inception on December 1, 1991, 1356 offenders have been
released, seven of whom have released twice for a total of 1363 actual releases. The
following chart depicts current status of each offender released.
               881
                                                        Deceased post MRIS release - 65%


                                                        Discharged sentence - 17%


                                                        Currently on MRIS Supervision - 11%


                                                        Other: TDCJ or Federal Custody,
                            224                         Absconded, Deported - 4%
                                   149
                                                        Returned toTDCJ; Released under other
                                                        supervision - 4%
                                              53
                                                   49




                                         12

				
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