HB 1183 provide and revise certain provisions regarding mental health ...0 -->
State of South Dakota
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NINETY-SECOND SESSION
LEGISLATIVE ASSEMBLY, 2017
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492Y0595
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SENATE HEALTH AND HUMAN SERVICES
ENGROSSED NO. HB 1183 - 2/27/2017
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Introduced by: Representatives Johns, Beal, Brunner, Chase, Glanzer, Haggar, Haugaard,
Jensen (Kevin), Johnson, Lake, Lust, McPherson, Mickelson, Peterson
(Kent), Qualm, Rhoden, Rounds, Rozum, Soli, Stevens, Tieszen, and
Zikmund and Senators Solano and Rusch
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FOR AN ACT ENTITLED, An Act to provide and revise certain provisions regarding mental
health procedures in criminal justice, to make an appropriation therefor, and to declare an
emergency.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF SOUTH DAKOTA:
Section 1. That the code be amended by adding a NEW SECTION to read:
Terms used in this Act mean:
(1) "Mental health response team," a support team tasked with finding viable community
resources to help persons with severe mental illness involved in the court system;
(2) "Mental health screening tool," a brief, routine process using a standardized
instrument that has been validated with offender populations to identify indicators
of mental health issues that is used to determine a need for further mental health
assessment or evaluation;
(3) "Oversight council," the council established by section 33 of this Act;
(4) "Performance measure," a metric that captures performance on critical variables
central to accomplishing the mission and goals within this Act;
(5) "Psychiatric certification," a credential obtained by passing the psychiatric-mental
health nursing board certification through the American Nurses Credentialing Center;
(6) "Telehealth," a mode of delivering healthcare services that utilizes information and
communication technologies to enable the diagnosis, consultation, treatment,
education, care management, and self-management of patients at a distance from
health care providers.
Section 2. That the code be amended by adding a NEW SECTION to read:
The South Dakota Sheriffs' Association shall develop a jail mental health screening pilot
program and convene at least four jail administrators and at least two mental health providers
to select a mental health screening tool for the pilot program. The pilot program shall include
at least four jails. The jails in the pilot program shall utilize a mental health screening tool
during the jail intake process and shall collect and report data to the oversight council on the
number of persons screened and the number of persons screening positive for signs and
symptoms of acute psychiatric disturbance and disorder.
Section 3. That the code be amended by adding a NEW SECTION to read:
The South Dakota Sheriffs' Association shall coordinate training for jails to administer the
jail mental health screening tool.
Section 4. That the code be amended by adding a NEW SECTION to read:
The South Dakota Sheriffs' Association shall coordinate with the jails in the jail mental
health screening pilot program to develop a process to implement a mental health screening tool
statewide.
Section 5. That chapter 24-11 be amended by adding a NEW SECTION to read:
Each jail shall report annually to the oversight council on the number and percentage of
persons screened at intake using a mental health screening tool and the number and percentage
of positive screenings.
Section 6. That chapter 24-11 be amended by adding a NEW SECTION to read:
Any jail using a mental health screening tool shall provide the screening results to the circuit
committing magistrate or court.
Section 7. That the code be amended by adding a NEW SECTION to read:
The Department of Social Services shall create a crisis services grant program to any
municipality, county, or groups of counties for the purposes of encouraging the establishment
of new crisis response services or the expansion of existing crisis response services. The grant
program shall be in existence until the grant program funding is exhausted. The department shall
collect data on the number of applications for the grant program, the number and percentage of
applications accepted, the amount awarded to each grantee, and the location, purpose, and
population served by the crisis response services. The department shall report this information
semiannually to the oversight council until the program ends.
Section 8. That § 23-3-39.6 be amended to read:
23-3-39.6.
Any Each state's attorney or deputy state's attorney shall
attend receive training
on
evidence-based practices, as defined in subdivision 16-22-1(7); mental health and available
mental health services; and the following issues pertaining to domestic abuse: enforcement of
criminal laws in domestic abuse situations; availability of community resources; and protection
of the victim. After initial training, each state's attorney or deputy state's attorney shall attend
further training at least once every four years.
Section 9. That § 23A-43-3 be amended to read:
23A-43-3.
When If a determination is made that a release pursuant to § 23A-43-2 will not
reasonably assure the appearance of the defendant as required, the committing magistrate or
court shall, either in lieu of or in addition to the methods of release described in § 23A-43-2,
impose the first of the following conditions of release which will reasonably assure the
appearance of the defendant for trial or, if no single condition gives that assurance, any
combination of the following conditions:
(1) Place the defendant in the custody of a designated person or organization agreeing
to supervise him;
(2) Place restrictions on the travel, association, or place of abode of the defendant during
the period of release;
(3) Require the defendant to complete a mental health assessment by a specified date and
follow any treatment recommendations. The court shall consider available funding
sources before imposing this condition of release;
(4) Require an appearance bond in a specified amount. The bond shall be executed by
depositing with the clerk of the court, in cash or other security, as directed, a sum not
to exceed ten percent of the amount of the bond. The deposit shall be returned upon
the performance of the conditions of release;
(4)(5) Require the execution of a bail bond with sufficient solvent sureties, or the deposit
of cash in lieu of a bail bond; or
(5)(6) Impose any other condition reasonably necessary to assure the defendant's appearance
as required, including a condition requiring that the defendant return to custody after
specified hours.
Section 10. That chapter 23A-43 be amended by adding a NEW SECTION to read:
If a court has imposed conditions of release that require a defendant to follow any treatment
recommendations pursuant to subdivision 23A-43-3(3), the provider of those treatment services
shall report any noncompliance to the court that has imposed the condition of release.
Section 11. That the code be amended by adding a NEW SECTION to read:
The Supreme Court may establish rules, pursuant to § 16-3-1, regarding the definition of
noncompliance in section 10 of this Act and how noncompliance may be reported to the court.
Section 12. That § 23A-43-4 be amended to read:
23A-43-4. In determining which conditions of release will reasonably assure appearance,
a committing magistrate or court shall, on the basis of available information, take into account
the nature and circumstances of the offense charged, the weight of the evidence against the
defendant, the defendant's family ties, employment, financial resources, character and mental
condition, the results of any mental health assessment, the length of his the defendant's residence
in the community, his the defendant's record of convictions, his the defendant's record of
appearance at court proceedings or of flight to avoid prosecution or failure to appear at court
proceedings, and the risk that he the defendant will flee or pose a danger to any person or to the
community.
Section 13. That the code be amended by adding a NEW SECTION to read:
The Unified Judicial System shall collect and report to the oversight council the number and
percent of defendants for whom mental health assessment and mental health treatment is
required as a condition of bond, and the number and percent of those with assessment and
treatment as a condition of bond who comply with conditions.
Section 14. That the code be amended by adding a NEW SECTION to read:
The Unified Judicial System shall report semiannually to the oversight council the number
of persons referred to any mental health court, the number and the percentage admitted to any
mental health court, the number and the percentage of those admitted who complete mental
health court requirements, and the number and the percentage of persons convicted of a new
crime within one to three years of completing mental health court requirements.
Section 15. That the code be amended by adding a NEW SECTION to read:
The Association of County Commissioners, formed pursuant to § 7-7-28, may create and
administer a fund for the purpose of assisting counties with the cost of competency evaluations
for defendants for whom an evaluation has been ordered by the court. The Department of Social
Services may contract with the association to reallocate funds used at the Human Services
Center on contractual services for forensic evaluations to be administered through this fund. The
fund may also receive and distribute money from any other source. The association board of
directors shall provide procedures for the equitable distribution of money from this fund to the
counties utilizing court-ordered competency evaluations and provide for the payment of an
administrative fee and other reasonable expenses related to the administration of the fund. The
association shall report to the oversight council the amount distributed annually in total and by
county and the number of competency evaluations completed with funds from the program. The
liability of the association related to the administration of this fund shall be limited to the money
as is available for such purposes in the fund.
Section 16. That § 23A-10A-3 be amended to read:
23A-10A-3. At any time after the commencement of a prosecution for an offense and prior
to the sentencing of the defendant, the defendant or the prosecuting attorney may file a motion
for a hearing to determine the mental competency of the defendant. The court shall grant the
motion, or shall order such a hearing on its own motion, if there is reasonable cause to believe
that the defendant may presently be suffering from a mental disease or developmental disability,
or other conditions set forth in § 23A-10A-1, rendering
him the defendant mentally incompetent
to the extent that
he the defendant is unable to understand the nature and consequences of the
proceeding against
him the defendant or to assist properly in
his the defendant's defense. Prior
to the date of hearing, the court may order that a psychiatric or psychological examination of the
defendant be conducted, and that a psychiatric or psychological report be filed with the court,
pursuant to the provisions of §§ 23A-46-1 and 23A-46-2. The examination shall be completed
within twenty-one days of the court order, unless for good cause the court grants a continuance.
The hearing shall be conducted pursuant to the provisions of § 23A-46-3.
Section 17. That chapter 23A-10A be amended by adding a NEW SECTION to read:
The Unified Judicial System shall collect and report to the oversight council the average
number of days from court order to the completion of competency examinations, and the
number of competency examination continuances for good cause requested and granted.
Section 18. That § 23A-46-1 be amended to read:
23A-46-1. A psychiatric or psychological examination ordered pursuant to this chapter,
§§ 23A-10A-3 to 23A-10A-4.2, inclusive, 23A-26-12 to 23A-26-12.6, inclusive, or 23A-27-42
to 23A-27-46, inclusive, shall be conducted by a:
(1) A licensed or certified psychiatrist or;
(2) A licensed clinical psychologist, or, if;
(3) A certified social worker licensed for private independent practice with two years of
supervised clinical experience in a mental health setting and with training on how to
conduct and score competency evaluations;
(4) A certified nurse practitioner or clinical nurse specialist with current psychiatric
certification and with training on how to conduct and score competency evaluations;
(5) A licensed professional counselor-mental health with training on how to conduct and
score competency evaluations; or
(6) If the court finds it appropriate, by more than one such examiner.
Each examiner shall be designated by the court, except that if the examination is ordered
under § 23A-27-43 or 23A-46-9, upon the request of the defendant an additional examiner may
be selected by the defendant. For the purposes of an examination pursuant to an order under
§ 23A-10-4, 23A-10A-3, 23A-26-12.1, 23A-27-43, or 23A-46-9, the court may commit the
person to be examined for a reasonable period to the custody of a suitable facility.
Section 19. That the code be amended by adding a NEW SECTION to read:
The licensing board of each professional listed in § 23A-46-1 shall maintain a list of each
professional licensed under their authority qualified to conduct competency evaluations. The
Department of Social Services shall maintain a list of those evaluators for use by the courts in
coordination with Department of Health, as needed.
Section 20. That § 23A-46-2 be amended to read:
23A-46-2. A psychiatric or psychological report ordered pursuant to this chapter, §§ 23A-10A-3 to 23A-10A-4.2, inclusive; 23A-26-12 to 23A-26-12.6, inclusive; or 23A-27-42 to 23A-27-46, inclusive, shall be prepared by the examiner designated to conduct the psychiatric or
psychological examination, shall be filed with the court with copies provided to the counsel for
the person examined and to the prosecuting attorney and shall include:
(1) The person's history, if applicable, and present symptoms;
(2) A description of the psychiatric, psychological, and medical tests that were employed
and their results;
(3) The examiner's findings; and
(4) The examiner's opinions as to diagnosis, prognosis and:
(a) If the examination is ordered under § 23A-10A-3, whether the person is
suffering from a mental disease or defect rendering
him the person mentally
incompetent to the extent that
he the person is unable to understand the nature
and consequences of the proceedings against
him the person or to assist
properly in his the person's defense;
(b) If the examination is ordered under § 23A-10-4, whether the person was
insane at the time of the offense charged;
(c) If the examination is ordered under § 23A-46-9, whether the person is
suffering from a mental disease or defect as a result of which his the person's
release would create a substantial risk of bodily injury to another person or
serious damage to property of another;
(d) If the examination is ordered under § 23A-26-12.1 or 23A-27-43, whether the
person is suffering from a mental disease or defect as a result of which he the
person is in need of custody for care or treatment in a suitable facility; and
(e) If the examination is ordered as a part of a presentence investigation, any
recommendation the examiner may have as to how the mental condition of the
defendant should affect the sentence.
Section 21. That the code be amended by adding a NEW SECTION to read:
The presiding judge of each judicial circuit may appoint one or more mental health response
teams. Each team appointed shall include a court services officer for the jurisdiction where the
team is to operate, a mental health provider, and a member of law enforcement and may also
include a representative that works with jail administration and one or more representatives
from the public. The Unified Judicial System shall maintain a record of the membership of each
team and report nonidentifying data to the oversight council. The team may operate
telephonically or through electronic communications.
The records prepared or maintained by the team are confidential. Notwithstanding, the
records may be inspected by or disclosed to justices, judges, magistrates, and employees of the
Unified Judicial System in the course of their duties or to any person specifically authorized by
order of the court.
Section 22. That the code be amended by adding a NEW SECTION to read:
The mental health response team may establish a process for identifying eligible persons
through assessment; a documented process for referral to treatment; a team approach to the
development and modification of individualized treatment plans and ongoing coordination to
ensure plan effectiveness; a process for information sharing among the team members; and
planning and coordination, including referrals for nonmental health services and resources.
Section 23. That the code be amended by adding a NEW SECTION to read:
The Unified Judicial System shall collect and report to the oversight council the name of any
circuits that establish mental health response teams, the number of persons meeting the mental
health response team criteria, and the number and the percentage of persons meeting the criteria
who are released from jail pretrial and referred for mental health assessment or treatment.
Section 24. That the code be amended by adding a NEW SECTION to read:
The Supreme Court may establish rules, pursuant to § 16-3-1, regarding formation of a
mental health response team and the procedures to be followed by the team.
Section 25. That chapter 23A-40 be amended by adding a NEW SECTION to read:
Each court-appointed defense attorney shall receive training on mental illness, available
mental health services, eligibility criteria and referral processes, and forensic evaluations.
Section 26. That the code be amended by adding a NEW SECTION to read:
The Supreme Court may establish rules, pursuant to § 16-3-1, regarding procedures for
court-appointed defense attorney training on mental illness.
Section 27. That the code be amended by adding a NEW SECTION to read:
Officers within any state prison shall receive training on recognizing the signs and
symptoms of mental health problems and defusing mental health crises. After initial training,
each officer shall attend further training at least once every four years.
Section 28. That chapter 24-11 be amended by adding a NEW SECTION to read:
Officers within any jail, as defined in § 24-11-1, shall receive training developed by the
Division of Criminal Investigation on recognizing the signs and symptoms of mental health
problems and defusing mental health crises. After initial training, each officer shall attend
further training at least once every four years.
Section 29. That § 16-22-15 be amended to read:
16-22-15. Any person who exercises supervision over a probationer pursuant to § 23A-27-12.1 or provides intervention services to any probationer shall receive sufficient training on
evidence-based practices and on, how to target criminal risk factors to reduce recidivism,
recognizing the signs and symptoms of mental health problems, and defusing mental health
crises.
Section 30. That § 16-14-4 be amended to read:
16-14-4. The Chief Justice of the Supreme Court of South Dakota shall annually summon
all the members of the Judicial Conference to attend a conference at such time and place in the
state as the Chief Justice may designate and at which the Chief Justice, or such member as the
Chief Justice may designate, shall preside. Special sessions of the conference may be called by
the Chief Justice at such the times and places as the Chief Justice may designate. All persons
so summoned shall attend such the annual and special meetings.
Each magistrate and circuit judge shall complete training on evidence-based practices,
including the use of validated risk and needs assessments and behavioral health assessments in
decision making
, mental illness, eligibility criteria for mental health services, and availability
of mental health services. The form and length of this training requirement shall be determined
by the Chief Justice
. As used in this section, the term, behavioral health assessment, means an
evaluation to determine the extent of an individual's substance abuse or mental health service
needs.
Section 31. That the code be amended by adding a NEW SECTION to read:
The Department of Social Services shall annually compile a list of services available through
the community mental health system and eligibility criteria for each service to distribute to
judges, court services officers, and jails. The department shall coordinate with the Unified
Judicial System and sheriffs to disseminate this information.
Section 32. That § 16-22-24 be amended to read:
16-22-24. Treatment and intervention programs, as used in this section, mean substance
abuse, mental health, or cognitive based treatment received by probationers or parolees.
All treatment and intervention programs for parolees and probationers shall be intended to
reduce recidivism as demonstrated by research or documented evidence.
Payment for substance abuse or mental health treatment services may be made only if such
the services are recommended through an assessment conducted by a provider accredited by the
Department of Social Services. Payment for cognitive based treatment services may be made
only if such the services are recommended through a risk and needs assessment tool used by the
Department of Corrections or the Unified Judicial System.
The Department of Social Services shall collect data related to the participation, completion
and treatment outcomes of all probationers and parolees receiving treatment services paid for
by the Department of Social Services. The Department of Social Services shall report this
information semiannually to the oversight council.
The Department of Corrections shall collect data on the recidivism outcomes of parolees
receiving treatment and interventions. The Department of Corrections shall report this
information semiannually to the oversight council.
The Unified Judicial System shall collect data on the recidivism outcomes of probationers
receiving treatment and interventions, the number and the percentage of probationers referred
for mental health assessment, the number and the percentage of probationers referred for mental
health treatment, and the annual cost of probationer mental health assessments and treatment
both in total and separated by funding source. The Unified Judicial System shall report this
information semiannually to the oversight body established pursuant to § 16-22-21.
Section 33. That the code be amended by adding a NEW SECTION to read:
There is hereby established an oversight council responsible for monitoring and reporting
performance and outcome measures related to the provisions set forth in this Act. The Unified
Judicial System shall provide staff support for the council.
Section 34. That the code be amended by adding a NEW SECTION to read:
The oversight council shall be composed of fourteen members. The Governor shall appoint
the following four members: a member from the Department of Social Services; a member from
law enforcement; a member from a mental health provider; and one at-large member. The Chief
Justice shall appoint the following four members: a member who is a criminal defense attorney;
a member who is a judge; one member who is a county commissioner; and one at-large member.
The majority leader of the Senate shall appoint two senators, one from each political party. The
majority leader of the House of Representatives shall appoint two representatives, one from each
political party. The attorney general shall appoint two members, one of whom shall be a state's
attorney.
Section 35. That the code be amended by adding a NEW SECTION to read:
The oversight council shall meet within ninety days after appointment and shall meet at least
semiannually thereafter. The oversight council terminates five years after its first meeting,
unless the Legislature, by Joint Resolution, continues the oversight council for a specified period
of time.
The oversight council has the following powers and duties:
(1) Review the recommendations of the task force on community justice and mental
illness early intervention from the final report dated November 2016 and track
implementation and evaluate compliance with this Act;
(2) Review data and reporting required by this Act;
(3) Review compliance with the training required by this Act;
(4) Calculate costs averted by the provisions in this Act;
(5) Establish a statewide crisis intervention training review team. The review team shall
analyze and make recommendations to the oversight council on the ongoing need for
a crisis intervention training coordinator to provide training and technical assistance
to cities, counties, or regions across the state; build local capacity for crisis
intervention; and expand the number of crisis intervention trained law enforcement
officers. The crisis intervention training review team shall collect and report
semiannually to the oversight council data on the number of requests for assistance
from the crisis intervention training coordinator, the names of the agencies
submitting the requests for assistance, the number of requests granted, the number
of law enforcement officers trained, and training adherence to the Memphis crisis
intervention team model or other evidence-based model. The crisis intervention
review team shall, upon completion of the first year of the crisis intervention training
coordinator funding, make a recommendation to the oversight council as to the
continued funding of the crisis intervention training coordinator. The review team
shall terminate upon the recommendation of the oversight council;
(6) Review the recommendations of the crisis intervention team training review team;
(7) Review the crisis response grants distributed pursuant to section 7 of this Act;
(8) Review the Division of Criminal Investigation's development of training on mental
illness;
(9) Evaluate the need for and feasibility of a statewide crisis call center or regional call
centers for persons in crisis;
(10) Track progress and make recommendations to improve the implementation of mental
health screenings in jails pursuant to sections 2, 3, 4, and 5 of this Act;
(11) Establish a work group to make recommendations to the council to create a process
for the completion of a mental health assessment following a jail mental health
screening. The work group shall estimate the cost of assessments needed following
screening at the time of jail intake, using data from the jail mental health screening
pilot program; examine payment options including cost-sharing between state and
counties; determine improvements to information sharing between jails and mental
health providers; and consider whether an individual with a screening indicating the
need for assessment has a pre-existing relationship with a mental health provider;
(12) Review the payments to counties for mental competency examinations and reports
pursuant to section 15 of this Act;
(13) Evaluate the need for and feasibility of forensic assertive community treatment
teams;
(14) Establish a work group that includes representatives from sheriffs, jail administrators,
jail mental health staff providers, and community mental health providers to make
recommendations to the council to improve information sharing among jails and
mental health providers and improve coordination among jails and mental health
providers to refer persons released from jail to mental health services;
(15) Monitor the competency evaluation funding program;
(16) Study and make recommendations to improve the recruitment and retention of mental
health professionals;
(17) Study and make recommendations to expand access to mental health services for
criminal justice populations;
(18) Evaluate the need for and feasibility and cost effectiveness of telehealth options for
jail mental health assessments, consultations for law enforcement officers who
encounter persons in crisis, crisis response during law enforcement encounters with
persons in crisis, mental health services for persons on probation, and mental health
services for persons in jail;
(19) Make recommendations to the Governor and Legislature regarding pilot programs for
needed and feasible telehealth options to provide mental health services to persons
with mental illness in the criminal justice system; and
(20) Prepare and submit an annual summary report of the performance and outcome
measures that are part of this Act to the Legislature, Governor, and Chief Justice. The
report shall include recommendations for improvements and a summary of savings
generated from this Act.
Section 36. There is hereby appropriated the sum of six hundred fifty-five thousand three
hundred forty-three dollars ($655,343) in other fund expenditure authority, or so much thereof
as may be necessary, to the Unified Judicial System for expenditures from the court automation
fund for the purpose of mental health awareness and implementation.
Section 37. The Chief Justice of the Supreme Court shall approve vouchers and the state
auditor shall draw warrants to pay expenditures authorized by this Act.
Section 38. Any amounts appropriated in this Act not lawfully expended or obligated shall
revert in accordance with the procedures prescribed in chapter 4-8.
Section 39. Sections 4, 5, 6, 14, 25, 26, and 28 of this Act are effective on July 1, 2018. The
remaining sections of this Act, except sections 33 to 38, inclusive, are effective on July 1, 2017.
Section 40. Whereas, this Act is necessary for the support of the state government and its
existing public institutions, an emergency is hereby declared to exist, and sections 33 to 38,
inclusive, of this Act shall be in full force and effect from and after its passage and approval.