Skip to main content

Main menu

  • Home
  • Current Issue
  • Ahead of Print
  • Past Issues
  • Info for
    • Authors
    • Print Subscriptions
  • About
    • About the Journal
    • About the Academy
    • Editorial Board
  • Feedback
  • Alerts
  • AAPL

User menu

  • Alerts

Search

  • Advanced search
Journal of the American Academy of Psychiatry and the Law
  • AAPL
  • Alerts
Journal of the American Academy of Psychiatry and the Law

Advanced Search

  • Home
  • Current Issue
  • Ahead of Print
  • Past Issues
  • Info for
    • Authors
    • Print Subscriptions
  • About
    • About the Journal
    • About the Academy
    • Editorial Board
  • Feedback
  • Alerts
OtherLegal Digest

Revocation of Conditional Release of Federal Insanity Acquittees

Robert Polo and Gregory B. Leong
Journal of the American Academy of Psychiatry and the Law Online March 2024, 52 (1) 106-108; DOI: https://doi.org/10.29158/JAAPL.230123L1-23
Robert Polo
Fellow in Forensic Psychiatry
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Gregory B. Leong
Adjunct Clinical Professor of Psychiatry (Voluntary)Department of Psychiatry and Behavioral SciencesKeck School of Medicine of USCUniversity of Southern CaliforniaLos Angeles, California
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • PDF
Loading
  • not guilty by reason of insanity
  • conditional release
  • revocation of release
  • burden of proof

Insanity Acquittees Must Overcome Presumption of Dangerousness

In United States v. Williams, 70 F.4th 359 (6th Cir. 2023), the U.S. Court of Appeals for the Sixth Circuit affirmed that after the court establishes that a not guilty by reason of insanity acquittee has violated a condition of release according to 18 U.S.C. § 4243(g) (2018), the burden is on the acquittee to prove by clear and convincing evidence that release would not be a substantial risk to the public.

Facts of the Case

In 1997, Richard Williams threatened to send a bomb to a brush company, Boucherie, if they did not properly compensate him for a toothbrush he designed. Mr. Williams had a history of schizoaffective disorder, bipolar type. A prominent component of his illness was delusional thinking about a toothbrush he created in the 1980s. He provided samples to Boucherie, but the company declined to purchase the product. Mr. Williams believed that they stole his work without giving him the credit he deserved.

The threat Mr. Williams made in 1997 resulted in a felony charge for sending a threatening message in interstate commerce. The district court found him not guilty by reason of insanity, then civilly committed him for mental health treatment. With this treatment, his mental status improved, resulting in release two years after the initial commitment.

The conditions of his release included taking prescribed medications and refraining from contact with Boucherie. Mr. Williams failed to meet both conditions on multiple occasions. A communication with Boucherie in 2021 led the court to order a mental health evaluation.

The report stated that Mr. Williams experienced “psychosis and manic behavior.” In addition, it highlighted a history of aggressive and threatening acts. The report concluded that his release would endanger others and that he would “likely” violate conditions in the future.

The U.S. District Court for the Eastern District of Tennessee at Knoxville determined that releasing him would “pose a significant risk to the community, revoked his release, and committed him for treatment” (Williams, p 362). The court allocated the burden of proof to Mr. Williams to show clear and convincing evidence that he was not a substantial risk to the public to obtain release.

Mr. Williams appealed, arguing that the court improperly placed the burden of proof according to 18 U.S.C. § 4243(g) (2018) and misapprehended the evidence.

Ruling and Reasoning

The U.S. Court of Appeals for the Sixth Circuit affirmed in a three to zero decision that, in revoking his conditional release, the burden of proof was properly shifted back to Mr. Williams. As an insanity acquittee, he had to prove by clear and convincing evidence that he was not a substantial risk to the public. The Sixth Circuit also affirmed the district court’s finding that Mr. Williams posed a substantial risk based on the cited evidence.

The court’s reasoning began with historical context. Prior to 1984, defendants who invoked the insanity defense did not bear the burden of proving their mental state at the time of the act. This burden rested with the prosecution. Notably, John Hinckley Jr., who shot at and injured President Ronald Reagan and three others, was found not guilty by reason of insanity because the government could not prove he was sane at the time of the act.

This led Congress to pass the Insanity Defense Reform Act in 1984. The Act established that pleading not guilty by reason of insanity burdens the defense to establish mental state at the time of the alleged offense (18 U.S.C. § 4242 (b)(3) (2018)). In using an affirmative defense, the defendant has to prove insanity by clear and convincing evidence (18 U.S.C. § 17 (2018)).

The Insanity Defense Reform Act also created a civil-commitment procedure for individuals found not guilty by reason of insanity, which is outlined in 18 U.S.C. § 4243 (2018). Upon receiving this verdict, individuals are civilly committed for mental health treatment. But, at future hearings they may still obtain release or conditional release if they prove by clear and convincing evidence that they are not a substantial risk to the public. The first hearing takes place within 40 days of the verdict and subsequent hearings take place upon improvement of their mental condition. Individuals who are conditionally released must show by the same standard of proof that modifying or eliminating the conditions would not create a substantial risk to the public.

A conditional release can be revoked according to 18 U.S.C. § 4243(g) (2018). The subsection does not explicitly state where the burden of proof lies during the hearing, so the court started by applying the ordinary default rule. Because 18 U.S.C. § 4243 is connected to the affirmative defense of insanity, the burden of proof defaults to the defendant unless otherwise specified.

The court described the practical application of the law to show that placing the burden on the government would be counterintuitive. On pleading not guilty by reason of insanity, the defense takes on the burden to prove insanity at the time of the act. If found not guilty by reason of insanity, individuals are presumed dangerous and civilly committed. As established in United States v. Gutierrez, 704 F.3d 442 (5th Cir. 2013), the burden does not shift to the government upon commitment. It remains with acquittees to prove they would not be a substantial risk to the public if finally released or conditionally released. If conditionally released, the burden does not change as they seek to alter conditions or secure final release. Because the burden remains with acquittees through the entire process, violating the terms of their conditional release would not relieve them of this burden.

The court clarified that the government first bears the burden of establishing that an individual violated a condition of release. Only after a violation has been established does the court hold a hearing to determine whether "continued release would create a substantial risk" to the public (18 U.S.C. § 4243(g) (2018)). At his hearing, Mr. Williams faced the same options: he could convince the court that he would not be a substantial risk to the public if released with conditions or finally released. But, the court noted that “[r]arely does the law give more favorable treatment to those who seek forgiveness than those who ask permission” (Williams, p 365).

With this in mind, the Sixth Circuit determined that the district court did not err in revoking Mr. Williams conditional release. The court utilized a mental health report, testimony, and other records. Other than the cross-examination of a probation officer, Mr. Williams presented “no evidence at all. With such a lopsided record, the court did not err, let alone clearly err, in finding that Williams posed ‘a substantial risk’ to the public” (Williams, p 368).

Discussion

The Sixth Circuit affirmed the district court’s decision to revoke Mr. Williams’ conditional release under 18 U.S.C. § 4243(g). Williams clarified that § 4243(g) places the burden on the government to prove a condition of release has been violated. But, at the subsequent hearing, the burden returns to the acquittee who must prove by clear and convincing evidence that release would not be a substantial risk to the public.

This ruling is an extension of the ruling in Gutierrez, which established that the burden to overcome a presumption of dangerousness is placed on the acquittee when committed after being found not guilty by reason of insanity. Together, Gutierrez and Williams establish that the burden to overcome a presumption of dangerousness remains with the acquittee from initial civil commitment until final release. Depending on the charge, this process may extend beyond the maximum sentence if an individual were instead found guilty. While Williams addressed federal insanity defense law, individual states have their own laws related to the insanity defense. It remains to be seen how this ruling may or may not affect such state law where applicable.

  • © 2024 American Academy of Psychiatry and the Law
PreviousNext
Back to top

In this issue

Journal of the American Academy of Psychiatry and the Law Online: 52 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 52, Issue 1
1 Mar 2024
  • Table of Contents
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in recommending The Journal of the American Academy of Psychiatry and the Law site.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Revocation of Conditional Release of Federal Insanity Acquittees
(Your Name) has forwarded a page to you from Journal of the American Academy of Psychiatry and the Law
(Your Name) thought you would like to see this page from the Journal of the American Academy of Psychiatry and the Law web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Revocation of Conditional Release of Federal Insanity Acquittees
Robert Polo, Gregory B. Leong
Journal of the American Academy of Psychiatry and the Law Online Mar 2024, 52 (1) 106-108; DOI: 10.29158/JAAPL.230123L1-23

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Revocation of Conditional Release of Federal Insanity Acquittees
Robert Polo, Gregory B. Leong
Journal of the American Academy of Psychiatry and the Law Online Mar 2024, 52 (1) 106-108; DOI: 10.29158/JAAPL.230123L1-23
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Insanity Acquittees Must Overcome Presumption of Dangerousness
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • Addressing Mental States in Expert Witness Testimony
  • Excessive Force in Involuntary Mental Health Examination
  • Medical Malpractice and Ordinary Negligence Cases Share Same Standard for Causation
Show more LEGAL DIGEST

Similar Articles

Keywords

  • not guilty by reason of insanity
  • conditional release
  • revocation of release
  • burden of proof

Site Navigation

  • Home
  • Current Issue
  • Ahead of Print
  • Archive
  • Information for Authors
  • About the Journal
  • Editorial Board
  • Feedback
  • Alerts

Other Resources

  • Academy Website
  • AAPL Meetings
  • AAPL Annual Review Course

Reviewers

  • Peer Reviewers

Other Publications

  • AAPL Practice Guidelines
  • AAPL Newsletter
  • AAPL Ethics Guidelines
  • AAPL Amicus Briefs
  • Landmark Cases

Customer Service

  • Cookie Policy
  • Reprints and Permissions
  • Order Physical Copy

Copyright © 2025 by The American Academy of Psychiatry and the Law