United States District Court, District of Columbia
L. FRIEDMAN United States District Judge
reasons set forth in the Opinion issued this same day, it is
that the petition of St. Elizabeths Hospital, joined by
Petitioner John W. Hinckley, Jr., for full-time convalescent
leave to Williamsburg, Virginia, with conditions, is GRANTED
in part and DENIED in part; it is
ORDERED that Petitioner John W. Hinckley, Jr. is permitted to
reside full-time in Williamsburg, Virginia, on convalescent
leave, which shall begin no sooner than August 5, 2016. The
Hospital shall notify the Court, counsel for the government,
counsel for Mr. Hinckley, and the U.S. Secret Service as to
when Mr. Hinckley will travel to Williamsburg, Virginia, to
begin convalescent leave; and it is
ORDERED that such convalescent leave is subject to the
Prior to placement on convalescent leave, St. Elizabeths
Hospital (the "Hospital") and the Williamsburg
treatment team - defined for these purposes as Dr. Deborah
Giorgi-Guarnieri, Mr. Jonathan Weiss, and Mr. Carl Beffa -
shall provide each other, the Court, counsel for the
government and for Mr, Hinckley, and the United States Secret
Service with a list of all treatment team providers, their
telephone numbers, and email addresses. Both the Hospital and
the Williamsburg treatment team shall notify counsel for the
government and for Mr, Hinckley of any changes in the contact
While on convalescent leave, Mr. Hinckley shall notify Mr.
Weiss before going to any private residences.
Department of Behavioral Health at St. Elizabeths Hospital -
through the Forensic Outpatient Department or
"FOPD" and its Director, Dr. Nicole Johnson - shall
have the ultimate responsibility for ensuring that Mr.
Hinckley receives appropriate psychiatric treatment and
medication while residing in Williamsburg, Virginia, on
Hinckley shall travel to the FOPD at 35 K Street N.E.,
Washington D.C., as often as clinically indicated but not
less than once per month for monitoring of his mental
condition and compliance with these conditions of his
convalescent leave. Following his placement on convalescent
leave, Mr. Hinckley shall participate in an individual
psychotherapy session with Dr, Sidney Binks at the FOPD
during his monthly FOPD visit. Following six months on
convalescent leave, Mr. Hinckley's therapeutic
relationship with Dr, Binks may terminate. Upon completion of
his appointments at the FOPD, Mr. Hinckley shall return
directly to his mother's home.in Williamsburg, Virginia,
unless there is an emergency that requires him to remain in
Washington, D.C., overnight consistent with paragraph 5 of
FOPD shall notify the United States Secret Service, counsel
for Mr. Hinckley and counsel for the government of the date
and time of Mr. Hinckley's scheduled FOPD appointment.
They shall provide the intended travel route and time of
departure from Williamsburg, Virginia. Notice shall be
provided to all parties at least two weeks prior to the
scheduled appointment. Mr. Hinckley shall travel directly to
and from the FOPD on the designated route and may do so
unaccompanied. If an emergency causes Mr. Hinckley to be
delayed for more than thirty minutes, he shall notify the
FOPD, and the FOPD shall immediately notify the Secret
Service. If construction or an accident forces Mr. Hinckley
to take an alternate route to or from Washington, D.C., Mr.
Hinckley shall notify the FOPD as soon as possible, and the
FOPD shall immediately notify the Secret Service. If Mr.
Hinckley must spend the night in the District of Columbia or
surrounding area due to an emergency, the FOPD shall
immediately notify the United States Secret Service, counsel
for the government, and counsel for Mr. Hinckley, and shall
provide them with the location of Mr. Hinckley's
accommodations for the night.
Dr.'Nicole Johnson, Director of Forensic Services, at the
FOPD shall conduct weekly telephone calls with Mr. Hinckley
to assess the status of risk factors. She shall prepare a
progress note summarizing the content of these weekly
telephone calls. For the first six months of Mr.
Hinckley's outplacement, Dr. Johnson shall speak with
Mrs. Joann Hinckley at least once per week. Thereafter, the
FOPD shall maintain telephone contact with Mrs. Hinckley
twice monthly. Dr. Johnson shall document her contact with
Mr. Hinckley and his mother in Mr. Hinckley's medical
chart. Dr. Johnson shall consult with each member of the
Williamsburg treatment team and a family member of Mr.
Hinckley's prior to the monthly FOPD visits. Dr, Johnson
shall submit the monthly progress notes of all Williamsburg
treatment providers along with the monthly summary drafted by
Mr. Weiss, see paragraph 7 of this Order, and her own
progress notes to the Court and both counsel every month. Dr.
Johnson shall corroborate Mr. Hinckley's self-report with
the reports of treatment providers and family members by
noting and addressing any discrepancies.
Jonathan Weiss, a licensed clinical social worker, will
provide case management services to Mr. Hinckley. Mr.
Hinckley shall meet with Mr. Weiss as often as required by
Mr. Weiss but not less than twice per month. Mr. Weiss will
make recommendations to Mr. Hinckley and the FOPD treatment
team for opportunities to increase Mr. Hinckley's
socialization, enrichment, or mental health support in the
Williamsburg community, and will assist Mr, Hinckley in
pursuing these opportunities. He also will assist Mr.
Hinckley in finding paid employment and volunteer positions.
Mr. Weiss will consult with each of Mr. Hinckley's work
and volunteer supervisors no less than once a month to
confirm Mr. Hinckley's attendance and adequate work
performance. These reports shall be integrated into Mr.
Weiss's monthly progress notes for Mr. Hinckley's
case management. If Mr. Weiss or any other treatment provider
learns that Mr. Hinckley has been absent from his volunteer,
work or other activities for more than 12 hours without prior
notice to a member of the treatment team or the FOPD, that
individual shall immediately notify the FOPD, who shall
immediately notify the Williamsburg treatment team, counsel
for the government, and counsel for Mr. Hinckley. Prior to
Mr. Hinckley's monthly FOPD appointment, Mr. Weiss will
provide written feedback to the FOPD and Williamsburg
treatment teams, summarizing any contact with Mr. Hinckley
related to case management and recommendations. He will also
participate in monthly telephone conference calls with the
FOPD treatment team and the other Williamsburg treatment
providers prior to Mr. Hinckley's scheduled monthly FOPD
appointment. Mr. Weiss will collect monthly progress notes
from the Williamsburg providers, and the notes of any contact
with the Hinckley family and any volunteer or work
supervisors. He shall draft a summary of these materials for
the Court. Mr. Weiss shall deliver these documents and the
summary to Dr. Johnson every month in advance of Mr.
Hinckley's monthly appointment with FOPD. Mr. Weiss will
also corroborate Mr. Hinckley's self-report with the
reports of treatment providers and family members by noting
and addressing any discrepancies.
While on convalescent leave, Mr. Hinckley shall participate
in structured activities in the Williamsburg, Virginia,
community, such as a volunteer position or positions and/or
paid employment, which are approved by Mr. Weiss and the
FOPD, He shall be responsible for volunteering and/or working
at least three days each week. Mr. Hinckley shall provide a
weekly schedule of his volunteer/employment activities to Mr.
Weiss and the FOPD in advance. Mr. Hinckley shall consent to
any employer or volunteer organization speaking with any
treatment provider involved in his care. Mr. Hinckley shall
promptly notify Mr. Weiss and the FOPD of any changes in his
place(s) of employment and/or volunteer activities. Mr. Weiss
will be the primary point of contact with the United States
Secret Service regarding Mr. Hinckley's volunteer,
employment, and planned recreation activities in
Giorgi-Guarnieri will provide psychiatric treatment to Mr.
Hinckley, monitor Mr. Hinckley's risk factors, and
prescribe medication for Mr. Hinckley as often as she
determines is clinically indicated but not less than twice
per month. After the first six months of convalescent leave,
the frequency of Mr. Hinckley's appointments with Dr.
Giorgi-Guarnieri may reduce to monthly, as opposed to twice
monthly, if each member of the Williamsburg treatment team
and Dr. Johnson agree that such a reduction is clinically
indicated and appropriate for risk management. Dr.
Giorgi-Guarnieri shall promptly notify the FOPD of any
changes in Mr. Hinckley's prescribed psychiatric
medication. Dr. Giorgi-Guarnieri will monitor Mr. Hinckley
for any'signs of deterioration or decompensation in his
mental condition and will be especially alert for anger,
psychosis, depression, any ideas of elopement, endangerment
to self or others, noncompliance with the conditions of
convalescent leave, or rejection of the supervision provided
to Mr. Hinckley by his family members. If any such symptoms
or behaviors are detected, she will immediately notify
designated staff at the FOPD. Dr. Giorgi-Guarnieri will
continue to assess and monitor the risk factors identified in
the Hospital's checklists, which she will complete and
return to the FOPD and other members of the Williamsburg
treatment team, along with written feedback summarizing her
contact with Mr. Hinckley prior to his scheduled monthly FOPD
appointment. Dr, Giorgi-Guarnieri also will ...