Category Archives: Mental Health

High Court Denies Defendant’s Request For Mental Health Sentencing Alternative

Mental health disorder names - not criminally responsible

In State v. Colon, No. 59046-8-II (Apr. 29, 2025), the WA Court of Appeals held that sentencing courts may deny a defendant’s request for a Mental Health Sentencing Alternative (MHSA). Reasons for denial may include (1) no nexus between a defendant’s mental health diagnoses and the crime; (2) the victim opposes a MHSA; (3) the defendant has a lengthy criminal history and non-compliance with court orders with limited history of engagement in mental health treatment, and (4) continued treatment within prison is more suitable.

FACTUAL BACKGROUND

Colon was convicted of felony violation of a no-contact order by going to his ex-wife and children’s apartment. He requested sentencing under the MHSA. However, the trial court denied his request and sentenced Colon to 60 months of prison.

At a re-sentencing hearing, the court again denied Colon’s request for a MHSA  and found it inappropriate. The sentencing court concluded neither the community nor Colon would benefit from a MHSA for several reasons: there was no nexus between Colon’s mental health diagnoses and his conduct underlying his conviction; the victim’s opposition to a MHSA and her history with Colon; and Colon was a poor fit for a MHSA because of his criminal history, non-compliance with court orders, and limited history of engagement in mental health treatment.

Colon appealed, arguing that the sentencing court abused its discretion by denying his request for a MHSA on a non-statutory, impermissible basis.

COURT’S ANALYSIS & CONCLUSIONS

The Court of Appeals (COA) began by saying Courts may deviate from the standard prison sentences under specified circumstances, such as for a MHSA. Furthermore, granting an alternative sentence is entirely within the sentencing court’s discretion. However, the sentencing court must meaningfully consider the request for a discretionary sentence in accordance with the applicable law.

The COA stated a MHSA has four eligibility requirements:

  • The defendant is convicted of a felony that is not a serious violent offense or sex offense;
  • The defendant is diagnosed with a serious mental illness recognized by the diagnostic manual in use by mental health professionals at the time of sentencing;
  • The defendant and the community would benefit from supervision and treatment, as determined by the judge; and
  • The defendant is willing to participate in the sentencing alternative.

Here, Colon argued the sentencing court improperly held that a nexus must exist between his conduct and his mental health diagnosis. This “nexus,” he argued, is not one of the four eligibility requirements (elements) for a MHSA sentence. The COA felt differently.

“This is not an additional element, but simply one way to consider whether the community would benefit from treatment aimed at controlling symptoms arising from Colon’s mental health diagnoses that could lead to criminal conduct in the community,” said the COA. “Thus, the court did not abuse its discretion when it considered this factor in connection with whether a MHSA would benefit the community.”

Additionally, COA held that the sentencing court gave other reasons supporting its determination that a MHSA was inappropriate. These include the victim’s opinion, Colon’s criminal history, Colon’s noncompliance with community custody, and Colon’s  lack of participation in treatment and services. The COA reasoned these considerations speak to the court weighing Colon’s prospective treatment and how to protect the community.

“The court did not abuse its discretion in denying Colon’s request for a MHSA based on its consideration of a nexus between Colon’s mental health diagnoses and his conduct. Instead, the court considered the relevant statutory factors and made clear that its conclusion was based on the lack of benefit to both Colon and the community.” ~WA Court of Appeals

Please contact my office if you, a friend or family member are charged with a crime. Hiring an effective and competent defense attorney is the first and best step toward justice.

Mentally Ill Are Decompensating in Washington Jails

Prisons have become warehouses for the mentally ill.

Great article by journalist Susannah Frame discusses the record number of inmates with mental illnesses suffering in jail.

Decades of research show that people with serious mental illness who are jailed experience steep declines in their mental health, This is especially true for inmates locked in solitary confinement. But in the state of Washington, the time spent behind bars for people who are mentally ill and waiting for court-ordered treatment is at an all-time high.

Washington is experiencing the biggest backlog in state history of mentally ill defendants sitting in jails. Amny of them are waiting for required services to restore their competency. This allows defendants the help they need to understand the charges against them and to participate in their defense.

In October 2021, approximately 350 defendants deemed incompetent to stand trial were waiting for a bed at Western State Hospital or Eastern State Hospital. In October 2022, the number was about 850 people, a 142% increase in one year, state records show. The numbers include people waiting both in and out of county jails.

“Jail is the worst place to be for a person who has a serious mental illness . . . It can really cause irreversible brain damage. And the longer that a person spends in untreated psychosis the harder it is for them to return to the same level of functioning once they’re receiving treatment again.” ~Lisa Dailey, Executive Director of the Washington DC-based Treatment Advocacy Center.

The state agency charged with providing services to mentally ill defendants, the Department of Social and Health Services (DSHS). Unfortunately, DSHS has been in “contempt” of a 2015 federal court order since July 2016. The order stems from a 2014 class action lawsuit, known as Trueblood. In the case, federal Judge Marsha Pechman ruled DSHS is violating the civil rights of defendants waiting in jail for services. She ordered that mentally ill defendants get a bed at a state psychiatric hospital within seven days. Currently some people are waiting seven months.

Massive Increase in Demand for Social Services

DSHS officials said the biggest challenge to moving people into mental health hospitals is the dramatic increase in demand. The number of people in jail ordered to receive in-hospital services jumped from 996 people in 2015 to 2397 people in 2022. That’s an increase of 141%.

“We knew ahead of time that services would be increasing over time. We knew that. But can you predict? Can you look into a crystal ball and know exactly what’s going to happen? No. Ideally, they would be in the community. They would be with their family, their friends, they wouldn’t be involved in the criminal justice system. The ultimate goal is to prevent them from having that interaction, to begin with.” ~DSHS Chief Medical Officer Dr. Brian Waiblinger

DSHS has several construction projects underway to create more bed space and resources. Projects include a 58-bed facility on the grounds of Western State Hospital scheduled to open within months. These beds are designated for people charged with a crime who need competency evaluations or restoration services.

“It’s a very difficult time right now,” Waiblinger said. “(But) I am very hopeful that we can turn this around. I think we need to do something about creating more community resources.”

Jail is a terrible place, especially for those suffering from mental illness. Please review my Making Bail Legal Guide and contact my office if you, a friend or family member are charged with a crime. Hiring an effective and competent defense attorney is the first and best step toward justice.