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)

FY12 Annual ReportFY12 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.

MRIS Data Comparison(by fiscal year)

0

200

400

600

800

1000

1200

1400

1600

1800

2000

Referrals** 1319 1318 1443 1807 1857

Presentations 438 337 457 349 491

Approvals 103 59 102 100 72

FY 2008 FY2009 FY2010 FY2011 FY2012

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There were a total of 72 MRIS approvals during FY12. Of those, 64 were CID offenders approved by the Texas Board of Pardons and Paroles. The remaining 8

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 1857*

Individual Offenders Referred 1167

Presentations for MRIS consideration 491**

Individual Offenders Presented 406

* Includes multiple referrals for 405 “individual” offenders

** Includes multiple presentations for 69 “individual” offenders to Board/Judge for MRIS consideration

MRIS FY12 Referral Status

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ELIGIBLE REFERRALS INELIGIBLE REFERRALS

Presented to Board/Judge for consideration 491 Sex Offender; HB2611 criteria not met 308

Clinical Criteria Not Met 657 3G / Not Long Term Care or Terminally Ill 136

Offender referred to unit medical provider 88 Parole Approved 66

Deceased prior to presentation for MRIS consideration 43 Not an Offender (SAFPF / ISF) 4

Pending Presentation to Board/Judge at close of FY11 18 Pending Discharge 2

Active Detainer / Not Legal US Citizen 13

Pending response from unit medical provider at close of FY11 26

Offender refused MRIS 5

Total Eligible 1341 Total Ineligible 516

Total Referrals - 1857**

* Includes multiple presentations for 69 “individual” offenders to Board/Judge for MRIS consideration

** Includes multiple referrals for 405 “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 397 628 757 737

Family 291 253 329 283

Offender 170 161 189 154

TCOOMMI Re-Review 140 229 240 467

Other: Legislative,Attorney, DataReports

320 172 292 216

FY 2009 Total 1318

FY 2010 Total 1443

FY 2011 Total 1807*

FY 2012 Total 1857*

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Unit Direct % of Total Referrals 30% 44% 42% 40%

* Includes multiple referrals for 405 “individual” offenders

0

100

200

300

400

500

600

700

800

Unit Medical Staff 737 268 35 49%

Family 283 55 6 8%

Other: Legislative,Attorney, Data Report

216 78 12 17%

Offender 154 5 0 0%

TCOOMMI Re-Review 467 85 19 26%

Referrals 1857

Presented 491

Approved 72*

% of Total Approvals

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* A total of 72 offenders were approved during FY12. Of those, 70 of those cases were presented for consideration during FY12 and

2 were pending decision from presentation in FY11.

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MRIS Referrals for FY12

Approved by Source

Terminally Ill 176

Physically Handicapped 15

Elderly 6

Long Term Care 281

Mentally Ill 13

Mentally Retarded 0

Total Presented 491*

MRIS FY12 Presented for MRIS Consideration

by Diagnosis

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*Includes presentations for 406 “individual” offenders to Board/Judge for MRIS consideration. Of those, 69 had multiple presentations.

FY

2009 FY

2010 FY

2011 FY

2012

Terminally Ill 34 54 49 49

Physically Handicapped 0 0 3 2

Elderly 1 1 4 0

Long Term Care 24 46 44 21

Mentally Ill 0 1 0 0

Mentally Retarded 0 0 0 0

Total Approvals 59 102 100 72

MRIS Approval Rates by Diagnosis(Comparison by fiscal year)

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There were a total of 72 MRIS approvals during FY12. Of those, 64 were CID offenders approved by the Texas Board of Pardons and Paroles. The remaining 8

were State Jail Confinees approved by sentencing Judges.

Status of FY12 Presentations

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A total of 491 cases were presented for MRIS consideration during FY12. Of those, 475 were

referred in FY12 and 16 were FY11 referrals pending presentation. The following reflects the status

of all cases presented for vote during FY12.

FY12 TOTALS CID State Jail

Presented FY12: 491* 479 12

Approved 72 64 8

Consideration denied 386 386 0

Denied MRIS 26 25 1

Deceased pending decision 7 5 2

Pending decision at close of FY11 0 0 0

*Includes presentations for 406 “individual” offenders to Board/Judge for MRIS consideration. Of those, 69 had multiple presentations

Status of FY12 Approved Cases

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Reflects status of approved cases as of 08/31/2012

A total of 72 offenders were approved during FY12. Of those, 70 of those cases were presented

for consideration during FY12 and two were pending decision from presentation in FY11.

FY12 TOTALS CID State Jail

Approved 72 64 8

Released 34 28 6

Deceased pending release 25 24 1

Vote withdrawn 7 7 0

Pending release at close of FY12 6 6 0

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FY12 Offender Deaths

Sex Offender – Did not meet criteria as set for by House Bill 2611 51

MRIS Consideration Denied / Denied MRIS 24

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

34

Deceased after referral – prior to receipt of MRIS medical summary 9

Deceased within 48 hours of receipt of MRIS medical summary 2

Medical Summary indicated Clinical Criteria Not Met 7

Deceased pending decision 7

MRIS Approved – Deceased pending release 20

No significant change in condition since prior denial – Not presented for vote 14

Not eligible (Parole Approved / Pending Discharge / ISF / SAFPF) 11

Deceased pending disposition of ICE detainer 3

Deceased within 24 hours of referral 3

Deceased in voting process on day of Approval 2

During FY12 a total of 456 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, 251 had been referred for MRIS one or more times during their incarceration. Of those, 187 received referrals during FY12. The following reflects status of the FY12 referrals.

Current Status of Offenders Released on MRIS

986

268

121

4267

Deceased post MRIS release - 66%

Discharged sentence - 18%

Currently on MRIS Supervision - 8%

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

Returned toTDCJ; Released under othersupervision or deceased in custody - 5%

Since the program’s inception on December 1, 1991, 1484 offenders have been released, seven of whom have released twice for a total of 1491 actual releases. The following chart depicts current status of each offender released.

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