1. Texas Correctional Office on Offenders with Medical or Mental Impairments (TCOOMMI) Medically Recommended Intensive Supervision (MRIS) FY10 Annual Report Texas Department of Criminal Justice Reentry and Integration Division

2. 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. 1 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 80 th 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 80 th 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 80 th 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 80 th 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 80 th 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 80 th Legislative Session, allows MRIS consideration for defendants convicted of a state jail felony.

3. MRIS Data Comparison (by fiscal year) 2 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

4. MRIS Offender Data 3 MRIS Referrals1443* Individual Offenders Referred1050 Presentations for MRIS consideration457** Individual Offenders Presented405 * Includes multiple referrals for 263 individual offenders ** Includes multiple presentations for 46 individual offenders to Board/Judge for MRIS consideration

5. MRIS FY10 Referral Status 4 ELIGIBLE REFERRALSINELIGIBLE REFERRALS Presented to Board/Judge for consideration 362 * Parole Approved48 Clinical Criteria Not Met556 3G / Not Long Term Care or Terminal Illness13 Pending response from unit medical provider at close of FY1012Not an Offender (SAFPF / ISF)7 Sex Offender; Not Persistent Vegetative State or Organic Brain Syndrome254Pending Discharge7 Offender referred to unit medical provider94Death Row1 Deceased prior to presentation for MRIS consideration59 Pending Presentation to Board/Judge at close of FY1016 Active Detainer / Not Legal US Citizen10 Refused MRIS / Discharged Sentence4 Total Eligible1367Total Ineligible76 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 offenders condition.

6. 5 Unit Direct % of Total Referrals 40% 44% 30% 44% * Includes multiple referrals for 263 individual offenders

7. 6 * 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.. MRIS Referrals for FY10 Approved by Source

8. MRIS FY10 Presented for MRIS Consideration by Diagnosis 7 * Includes multiple presentations for 46 individual offenders to Board/Judge for MRIS consideration

9. MRIS Approval Rates by Diagnosis (Comparison by fiscal year) 8 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.

10. Status of FY10 Presentations 9 Reflects status of approved cases as of 08/31/2010 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 TOTALSCIDState Jail Presented FY10:457*43126 Approved1018021 Consideration denied317 Denied MRIS28235 Deceased pending decision88 MRIS cancelled due to improvement in condition22 Pending decision at close of FY1011 * Includes multiple presentations of 46 individual offenders to Board/Judge for MRIS consideration

11. Status of FY10 Approved Cases 10 Reflects status of approved cases as of 08/31/2010 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 TOTALSCIDState Jail Approved1028022 Released695019 Deceased pending release17161 Vote withdrawn651 Pending release at close of FY1055 Deceased in voting process on day of approval 33 Received regular parole vote same day and released to regular caseload 11 Refused MRIS11

12. 11 FY10 Offender Deaths Sex Offender – Did not meet criteria as set for by House Bill 261144 Deceased after receipt of MRIS medical summary and during processing of case for presentation to Board of Pardons and Paroles / Presiding Judge 31 MRIS Approved – Deceased pending release15 Deceased within 48 hours of receipt of MRIS medical summary15 Not eligible (Parole Approved / Pending Discharge / ISF / SAFPF)13 Deceased after referral – prior to receipt of MRIS medical summary12 MRIS Consideration Denied / Denied MRIS11 No significant change in condition since prior denial – Not presented for vote7 Deceased pending decision6 Deceased in voting process on day of Approval2 Medical Summary indicated Clinical Criteria Not Met2 Deceased pending disposition of ICE detainer1 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.

13. Current Status of Offenders Released on MRIS Since the programs 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. 12