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persons who are found to be unfit (incompetent) to proceed because of mental health illness and those who are

                   found to be intellectually disabled are treated under the law, and you should carefully study the relevant Family
                   Code sections for these differences.  If your client is found to be unfit to proceed because of a mental health
                   illness,  your  client  may  avoid  commitment  to  a  hospital  setting  if  the  court  determines  that  they  can  be

                   adequately  treated  in  an  alternative  care  setting.    TFC  §  55.33(a)(2).    You  should  be  seeking  alternative
                   treatments  in  your  client’s  community  to  present  to  the  court  in  order  to  keep  your  client  from  being
                   committed to a hospital, unless absolutely necessary (danger to self).

               7.  Lack of Responsibility for Conduct (The Insanity Defense)
                   In Texas, the relevant inquiry to determine lack of responsibility for conduct is: At the time of the alleged
                   conduct, did the child, as a result of mental health illness or intellectual disability, lack substantial capacity to

                   either appreciate the wrongfulness of their conduct or to conform their conduct to the requirements of the
                   law? TFC § 55.51(a).  Factors that might suggest referral for evaluation are:
                       •  Age, in particular for younger adolescents;

                       •  Limited intellectual functioning;
                       •  History of poor academic achievement;
                       •  History of emotional/behavioral problems; and
                       •  Third-party accounts alleging unusual/bizarre/disorganized behavior by your client at or around the

                          time of the offense.
                   If you pursue an insanity defense, you should carefully read and review TFC §§ 55.51-55.61 and the other
                   Family Code provisions and Texas Health & Safety Code provisions to which the Family Code cites.  You

                   should know that the test for lack of responsibility for conduct (insanity) in juvenile court is broader than in
                   adult court, where the question of whether the defendant lacked the capacity to conform their conduct to the
                   requirements of the law is not part of the insanity inquiry.  Also, if your client is pursuing this defense, find a
                   reputable doctor (psychologist or psychiatrist) as quickly as you can and have that individual immediately

                   interview your client.  Have the interview videotaped if you can, especially if your client is exhibiting signs of
                   psychosis.  Your client may be given medication that will alleviate the symptoms of their mental health illness
                   soon after they are admitted to detention.  The symptoms of your client’s mental health illness need to be
                   preserved as evidence for the jury before this medication takes effect.  Finally, be aware that some judges do

                   not realize a verdict that the child is not responsible for their conduct is not an automatic “get out of jail free”
                   card.  The verdict is followed by a hearing to determine whether your client’s lack of responsibility is the result
                   of mental health illness or intellectual disability. TFC § 55.52.  If the court determines that your client’s lack of
                   responsibility is the result of mental health illness or intellectual disability, the court will direct your client to

                   treatment, either through commitment, placement in a private psychiatric facility, or, if appropriate, treatment
                   in an alternative setting.
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