Prior Conduct Can be Considered as a Permissible Factor to Justify Upward Sentencing Variance Despite the Presence of Mental Illness
In United States v. Adams, 124 F.4th 432 (6th Cir. 2024), the Sixth Circuit affirmed a district court’s 24-month statutory maximum sentence for a defendant, imposed after revoking his supervised release because of violations, including absconding and committing violent state crimes. The defendant argued the sentence was procedurally unreasonable, claiming the court improperly used his mental health as an aggravating factor, but the court ruled the sentence was based on his conduct, not his mental health, despite prior consideration of his mental illness as a mitigating factor.
Facts of the Case
In 2014, Mario Adams was charged with being a felon in possession of a firearm. Before trial, the district court ordered a competency evaluation, which documented his extensive psychiatric history, including diagnoses of schizoaffective disorder, schizophrenia, bipolar disorder, and substance abuse. Mr. Adams also had a history of multiple psychiatric hospitalizations. In January 2015, the court found him incompetent to stand trial and committed him to the custody of the attorney general. A second evaluation in May 2015 also deemed him incompetent, but a third evaluation later that year found him competent, and Mr. Adams stipulated to this finding. He pleaded guilty and was sentenced to 87 months in prison, followed by 36 months of supervised release.
Mr. Adams began supervised release in October 2020. Two months later, probation officers reported that he had missed drug screenings and was struggling with mental health and substance use conditions. A probation report noted diagnoses of antisocial personality disorder, specified trauma-related disorder, schizophrenia, stimulant use disorder, severe cannabis use disorder, and severe alcohol use disorder. In February 2021, probation officers again reported noncompliance with supervised release terms, leading the court to order a four-month stay in a halfway house. During this period, Mr. Adams repeatedly failed drug tests, lost his job, and was discharged from the halfway house because of his behavior.
In June 2021, a warrant was issued for Mr. Adams’s arrest because of ongoing violations. He appeared in court in August 2021 and was ordered to complete another 90-day stay at a halfway house, followed by 30 months of supervised release, with a requirement to adhere to psychiatric medication. Mr. Adams showed improvement during this stay, maintaining employment, complying with rules, taking his medications, and managing his mental health. But with only 16 days remaining, he absconded, prompting another arrest warrant. For approximately one year, he had no contact with probation officers and could not be located. During this time, he was charged with two state crimes, felony assault and breaking and entering, and pleaded guilty to both, receiving two years of community control under mental health supervision.
In June 2023, the district court revoked Mr. Adams’s supervised release because of his violations, specifically absconding and committing two state crimes. The court first confirmed his competency for the revocation hearing, referencing a January 2023 competency evaluation that noted ongoing violent ideations. The court calculated a guidelines range of sentencing of 8 to 14 months in prison. The government advocated for a sentence at the upper end, emphasizing Mr. Adams’s violent assault charge and violent ideations from the competency evaluation. Mr. Adams’s attorney highlighted his prior progress at the halfway house, including medication adherence, consistent employment, and mental health improvements, and requested a sentence of time served with concurrent state and federal supervised release. Mr. Adams explained that extenuating circumstances, such as family deaths and the halfway house losing his belongings, hindered his ability to secure transitional housing.
The court expressed frustration, however, noting Mr. Adams’s ability to “live well” despite his mental health challenges, but that he had violated supervised release terms. It emphasized his violent behavior, stating that society was “not safe with [Mr. Adams] in it” (Adams, p 436–7). After review, the court imposed an above-guidelines sentence of 24 months in prison, the statutory maximum. Mr. Adams’s attorney objected, arguing that the upward variance was unjustified and urging the court to consider his mental health as a mitigating factor. The court overruled the objection, stating that the guidelines were designed for “average individuals,” not someone who had committed violence and absconded, and that the upward variance was appropriate even after considering Mr. Adams’s mental health conditions. Mr. Adams appealed, challenging the procedural reasonableness of the sentence and arguing that the court impermissibly used his mental illness to justify the upward variance.
Ruling and Reasoning
The Sixth Circuit cited United States v. Bolds, 511 F.3d 568 (6th Cir. 2007), which mandates procedural reasonableness for sentences imposed after supervised release revocation, and United States v. Fowler, 956 F.3d 431 (6th Cir. 2020), which holds that considering impermissible factors in sentencing constitutes an abuse of discretion. Mr. Adams argued that the district court improperly used his mental health, specifically his “future dangerousness” because of mental illness, as an aggravating factor to justify the upward variance, claiming this violated precedent set in United States v. Moses, 106 F.3d 1273 (6th Cir. 1997). In Moses, the court reversed an upward departure based on mental illness, ruling that public safety concerns related to a defendant’s mental health should not be addressed by extending sentences to prolong incarceration.
The Sixth Circuit rejected Mr. Adams’s claim that the district court used his mental illness as an aggravating factor, finding instead that the sentence was based on his conduct, absconding from a halfway house and committing two state crimes (felony assault and breaking and entering), and the failure of prior interventions. The court noted that the district court had previously treated Mr. Adams’s mental health as a mitigating factor, ordering noncustodial measures like halfway house stays and medication compliance. But, given his recent violations, the district court concluded that similar interventions were inadequate to protect the public, deter reoffending, or promote respect for the law. The Sixth Circuit emphasized that the district court imposed the 24-month statutory maximum sentence “despite [Mr. Adams’s] mental health, not because of it,” focusing on his conduct rather than his diagnoses (Adams, p 440).
Although the district court referenced Mr. Adams’s mental health and a competency report noting violent ideations, the Sixth Circuit determined these were not the basis for the upward variance. The court acknowledged concerns about using competency reports, which assess only a defendant’s ability to proceed with trial, to evaluate dangerousness, as this could compromise such evaluations’ integrity. But it found the district court’s references to the report were contextual, reinforcing its view of Mr. Adams’s conduct, not a primary sentencing factor. Citing United States v. Owen, 940 F.3d 308 (6th Cir. 2019), the court clarified that, although mental health can be a mitigating factor, it is not mandatory to treat it as such when a defendant’s conduct justifies a harsher sentence. Concluding that the district court relied on permissible factors, Mr. Adams’s conduct and prior intervention failures, the Sixth Circuit affirmed the sentence as procedurally reasonable.
Discussion
In United States v. Adams, the Sixth Circuit Court of Appeals examined the procedural reasonableness of a sentencing variance in the context of mental illness. The court affirmed the district court’s decision to impose a 24-month statutory maximum sentence, an upward variance from the 8- to 14-month guidelines range, for Mr. Adams’s supervised release violations. Despite Mr. Adams’s history of mental health conditions, the Sixth Circuit found that the district court appropriately based its sentence on permissible factors, namely, Mr. Adams’s conduct, including absconding from a halfway house and committing violent state crimes (felony assault and breaking and entering), rather than his mental health status. The ruling underscores that, although mental illness can serve as a mitigating factor, as it did in Mr. Adams’s prior noncustodial interventions (e.g., halfway house placements and mandated medication), other factors, such as a defendant’s conduct and risk of dangerousness, may take precedence in sentencing when prior interventions fail.
A notable concern arose from the district court’s reference to a competency report that documented Mr. Adams’s diagnoses and violent ideations. The Sixth Circuit cautioned that competency evaluations, intended solely to assess a defendant’s fitness for trial, are not designed to evaluate dangerousness or sentencing factors. Using such reports to identify aggravating factors could undermine their reliability and discourage defendants from pursuing necessary evaluations. But the Sixth Circuit concluded that the district court’s brief mentions of the report were not the basis for its sentencing decision but rather contextual support for its focus on Mr. Adams’s conduct. This case highlights the need for careful consideration of mental health in sentencing and warns against misusing competency reports, emphasizing that courts must rely on permissible, conduct-based factors to ensure procedural reasonableness in sentencing.
- © 2025 American Academy of Psychiatry and the Law







