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policies and procedures of the illinois criminal justice system

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If <strong>the</strong> judge, after hearing, determines that a defendant is fit to st<strong>and</strong> trial, <strong>the</strong> court process will<br />

proceed even if <strong>the</strong> defense continues to contest fitness. If an individual is found unfit to st<strong>and</strong><br />

trial, he or she will <strong>the</strong>n be rem<strong>and</strong>ed by <strong>the</strong> judge to <strong>the</strong> Illinois Department <strong>of</strong> Human Services<br />

Division <strong>of</strong> Mental Health (DMH). DMH will <strong>the</strong>n make <strong>the</strong> determination as to what services or<br />

treatment he or she needs in order to be fit to st<strong>and</strong> trial. An individual must be made fit within<br />

one year <strong>and</strong> <strong>the</strong> services may be inpatient or outpatient.<br />

If an individual is not determined fit to st<strong>and</strong> trial after one year, DMH will report to court<br />

whe<strong>the</strong>r he or she remains unfit but is making progress towards fitness or if fitness cannot be<br />

achieved. If <strong>the</strong> defendant is deemed unfit to st<strong>and</strong> trial <strong>and</strong> unable to achieve fitness, <strong>the</strong> state<br />

may drop charges with prejudice, pursue a civil commitment, or <strong>the</strong> case may proceed to a<br />

discharge hearing.<br />

During <strong>the</strong> discharge hearing, <strong>the</strong> judge may find <strong>the</strong> individual not guilty by reason <strong>of</strong> insanity,<br />

not guilty, or not acquit <strong>the</strong> individual. If <strong>the</strong> judge does not acquit him or her <strong>and</strong> DMH believes<br />

he or she can achieve fitness, <strong>the</strong> judge can order a term <strong>of</strong> extended treatment. Statutory<br />

limitations exist governing how long an individual may remain in extended treatment based on<br />

<strong>the</strong> <strong>of</strong>fense committed [725 ILCS 5/104-23]. Appendix B provides a flowchart <strong>of</strong> <strong>the</strong> process for<br />

individuals found unfit to st<strong>and</strong> trial.<br />

Findings regarding defendant’s mental condition at <strong>the</strong> time <strong>of</strong> <strong>the</strong><br />

<strong>of</strong>fense<br />

Not guilty by reason <strong>of</strong> insanity<br />

A defendant may assert an affirmative defense <strong>of</strong> not guilty by reason <strong>of</strong> insanity. This<br />

affirmative defense asserts that <strong>the</strong> defendant’s mental state at <strong>the</strong> time <strong>of</strong> <strong>the</strong> <strong>of</strong>fense results in<br />

his or her lacking substantial capacity to appreciate <strong>the</strong> <strong>criminal</strong>ity <strong>of</strong> his or her act [720 ILCS<br />

5/6-2]. If <strong>the</strong> defendant is found not guilty by reason <strong>of</strong> insanity, he or she shall be ordered to <strong>the</strong><br />

DMH for an evaluation, ei<strong>the</strong>r inpatient or outpatient, to determine whe<strong>the</strong>r he or she is in need<br />

<strong>of</strong> mental health services. If <strong>the</strong> evaluation is completed on an inpatient basis, during this period<br />

<strong>the</strong> defendant will remain held in secure custody until <strong>the</strong> appropriate placement determination<br />

has been made, at which time <strong>the</strong> defendant will be transported to <strong>the</strong> designated facility [730<br />

ILCS 5/5-2-4]. Appendix C provides a flowchart <strong>of</strong> process for individuals found not guilty by<br />

reason <strong>of</strong> insanity.<br />

Guilty but mentally ill<br />

Illinois also permits a trial to result in a finding or verdict <strong>of</strong> guilty but mentally ill. Such a<br />

finding does not result in an acquittal but ra<strong>the</strong>r, is treated as a finding <strong>of</strong> guilty as <strong>the</strong> name<br />

implies. The defendant is sentenced just as in any o<strong>the</strong>r case <strong>and</strong> may receive ei<strong>the</strong>r probation,<br />

conditional discharge or a term <strong>of</strong> imprisonment. In such event, <strong>the</strong> defendant is to be provided<br />

mental health services <strong>and</strong> treatment but still must serve out his or her sentence as does any o<strong>the</strong>r<br />

convicted person.<br />

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