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)
FY13 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
Enabling
September
Legislation
1, 2007)
••
Government
Code of
508.146,
Medically
Recommended
Supervision,
enables TCOOMMI,
in cooperation
with
As
the result
HB 1670,
offenders
withIntensive
a reportable
conviction
or adjudication
under
Correctional Managed Health Care, to identify offenders who may be eligible for early parole review due to a medical
Chapter
62,Board
Code
of Criminal
were
previously
ineligible
for a MRIS
condition. If the
of Pardons
and Paroles Procedure,
then determines that
based
on the offender’s
condition and
medical
th
evaluation,
the
offender
does
not
constitute
a
threat
to
public
safety,
the
offender
is
released
to
a
medically
suitable
consideration. During the 80 Legislative Session, HB 2611 was passed allowing
placement and appropriate supervision.
•
MRIS consideration for such offenders if “in a persistent vegetative state or being a
person
with
an1670,
organic
syndrome
withSession,
significant
total
mobility
impairment”.
As
the result
of HB
enactedbrain
during the
78th Legislative
offendersto
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
withthe
significant
total mobility impairment”.
HB 431,
also
enacted
during
80th toLegislative
Session, allows MRIS consideration
•
for defendants convictedthof a state jail felony.
HB 431, also enacted during the 80 Legislative Session, allows MRIS consideration for defendants convicted of a state jail
felony.
1
MRIS Data Comparison
(by fiscal year)
2000
1800
1600
Referrals**
1400
1200
Presentations
1000
800
Approvals
600
400
200
0
FY2009
FY2010
FY2011
FY2012
FY2013
1318
1443
1807
1857
1362
Presentations
337
457
349
491
359
Approvals
59
102
100
72
69
Referrals**
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
2
MRIS Offender Data
MRIS Referrals
1362*
Individual Offenders Referred
Presentations for MRIS consideration
Individual Offenders Presented
1000
359**
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
3
MRIS FY13 Referral Status
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
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
Not Legal US Citizen
4
Active ICE Detainer
2
Pending response from unit medical provider
at close of FY13
Offender refused MRIS
61
20
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.
4
MRIS Referral Sources
(Comparison by fiscal year)
800
700
600
500
400
300
200
100
0
FY 2010
Total 1443
FY 2011
Total 1807
FY 2012
Total 1857
FY 2013
Total 1362*
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
Unit Direct % of Total Referrals
44%
42%
* Includes multiple referrals for 237 “individual”
offenders
5
40%
39%
MRIS Referrals for FY13
Approved by Source
600
500
400
300
200
100
0
Referrals
1362
Presented
359
Approved
69*
% Of Total
Approvals
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%
* 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.
.
6
MRIS FY13
Presented for MRIS Consideration
by Diagnosis
Terminally Ill
173
Physically Handicapped
Elderly
20
0
Long Term Care
157
Mentally Ill
8
Mentally Retarded
1
Total Presented
359*
*Includes presentations for 288 “individual” offenders to the Board (274)/Judge (14) for MRIS consideration. Of those, 42 had multiple
presentations to the Board.
7
MRIS Approvals by Diagnosis
(Comparison by fiscal year)
FY
2010
Terminally Ill
FY
2011
FY
2012
FY
2013
54
49
49
45
Physically Handicapped
0
3
2
2
Elderly
1
4
0
0
46
44
21
22
Mentally Ill
1
0
0
0
Mentally Retarded
0
0
0
0
102
100
72
69
Long Term Care
Total Approvals
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.
8
Status of FY13 Presentations
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
Presented FY13:
359*
CID
State Jail
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
9
Status of FY13 Approved Cases
A total of 69 offenders were approved during FY13. All 69 cases were presented for
consideration during FY13.
FY13 TOTALS
Approved
69
CID
State Jail
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
Reflects status of approved cases as of 08/31/2013
10
FY13 Offender Deaths
There were 176 offenders referred during FY13 who passed away while incarcerated. The following reflects the status
of those FY13 referrals.
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
Not eligible (Parole Approved / Pending Discharge / ISF / SAFPF)
Deceased after Withdrawal of MRIS Approval
9
13
1
Deceased within 24 hours of referral
10
Deceased in voting process on day of Approval
4
11
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.
1021
Deceased post MRIS release - 67%
Discharged sentence - 19%
Currently on MRIS Supervision - 7%
286
108
70
44
Returned to TDCJ: Released under
other supervision or deceased in
custody - 5%
Other: TDCJ or Federal Custody,
Absconded, Deported - 3%
12
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