                           ILLINOIS OFFICIAL REPORTS
                                         Appellate Court




                           People v. Olsson, 2012 IL App (2d) 110856




Appellate Court            THE PEOPLE OF THE STATE OF ILLINOIS, Plaintiff-Appellee, v.
Caption                    PAUL OLSSON, Defendant-Appellant.



District & No.             Second District
                           Docket Nos. 2-11-0856, 2-12-0012 cons.


Filed                      November 6, 2012


Held                       The review proceedings conducted with respect to defendant’s
(Note: This syllabus       commitment pursuant to section 104-25(g)(2) of the Code of Criminal
constitutes no part of     Procedure as a person unfit to stand trial and for whom treatment has
the opinion of the court   been unsuccessful were deficient due to the failure of the facility to which
but has been prepared      defendant was committed to report on his treatment and condition;
by the Reporter of         therefore, the orders entered following those proceedings were vacated
Decisions for the          and the cause was remanded for a new hearing pursuant to section 104-
convenience of the         25(g)(2)(i).
reader.)


Decision Under             Appeal from the Circuit Court of Lake County, Nos. 05-CF-3046, 05-CF-
Review                     3629; the Hon. Christopher R. Stride, Judge, presiding.



Judgment                   Vacated and remanded with directions.
Counsel on                 Gillian E. Gosch, of Waukegan, for appellant.
Appeal
                           Michael J. Waller, State’s Attorney, of Waukegan (Lawrence M. Bauer
                           and Diane L. Campbell, both of State’s Attorneys Appellate Prosecutor’s
                           Office, of counsel), for the People.


Panel                      JUSTICE ZENOFF delivered the judgment of the court, with opinion.
                           Justices Burke and Hudson concurred in the judgment and opinion.




                                             OPINION

¶1           These consolidated appeals arise from orders entered during the period when defendant,
        Paul Olsson, was in the custody of the Department of Human Services (Department)
        pursuant to section 104-25(g)(2) of the Code of Criminal Procedure of 1963 (Code) (725
        ILCS 5/104-25(g)(2) (West 2010)), which provides for the potentially long-term commitment
        of a criminal defendant who has been found unfit to stand trial and for whom treatment to
        attain fitness has been unsuccessful. The period of commitment under this provision may be
        as long as the maximum sentence for the charged offense. Id. While the defendant is
        committed under section 104-25(g)(2), the trial court must periodically review his or her
        condition and treatment needs. Defendant argues that the trial court’s review proceedings
        were deficient because (1) the facility to which he is committed failed to comply with its
        statutory duty to report on his treatment and his condition, and (2) the trial court failed to
        conduct a meaningful hearing to determine whether he had been restored to fitness. We agree
        with the first argument and therefore vacate the orders and remand for further proceedings.
        We find no error, however, relative to the question of defendant’s fitness.
¶2           At the outset, a somewhat detailed overview of the Code’s provisions concerning fitness
        to stand trial will serve as a useful backdrop for an understanding of the procedural history
        of these appeals and of the issues defendant raises. “A defendant is unfit to stand trial if he
        is ‘unable to understand the nature and purpose of the proceedings against him or to assist
        in his defense.’ ” People v. Weeks, 393 Ill. App. 3d 1004, 1008 (2009) (quoting People v.
        Burton, 184 Ill. 2d 1, 13 (1998)). The due process clause forbids conviction of a defendant
        who is unfit to stand trial. People v. McCallister, 193 Ill. 2d 63, 110 (2000). Section 104-
        13(a) of the Code (725 ILCS 5/104-13(a) (West 2010)) provides that, when an issue of
        fitness involves the defendant’s mental condition, the court shall order the defendant to be
        examined by one or more physicians, clinical psychologists, or psychiatrists. The person or
        persons conducting the examination must submit a written report. 725 ILCS 5/104-15(a)
        (West 2010). If the report indicates that the defendant is unfit to stand trial, it shall also
        include an opinion as to whether, with treatment, the defendant is likely to attain fitness

                                                 -2-
     within one year. 725 ILCS 5/104-15(b) (West 2010). The trial court shall conduct a fitness
     hearing within 45 days of receipt of the report. 725 ILCS 5/104-16(a) (West 2010). Either
     the State or the defendant may demand that the issue of fitness be heard by a jury. 725 ILCS
     5/104-12 (West 2010). Additionally, the court, on its own motion, may refer the question to
     a jury. Id.
¶3       If the court or the jury finds that the defendant is unfit, it shall also determine “whether
     there is substantial probability that the defendant, if provided with a course of treatment, will
     attain fitness within one year,” in which case the trial court shall order the defendant to
     undergo treatment for the purpose of rendering him or her fit. 725 ILCS 5/104-16(d) (West
     2010). Pursuant to section 104-18(a) of the Code (725 ILCS 5/104-18(a) (West 2010)), the
     defendant’s treatment supervisor must submit a written progress report at least seven days
     before any fitness hearing or whenever the treatment supervisor believes that the defendant
     has attained fitness or that there is not a substantial probability the defendant will attain
     fitness within one year of the original finding of unfitness. Section 104-20(a) of the Code
     (725 ILCS 5/104-20(a) (West Supp. 2011)) provides that the trial court shall set a date to
     reexamine the issue of fitness not more than 90 days after “entry or continuation of any order
     to undergo treatment” or within 14 days after receipt of a progress report indicating that the
     defendant has attained fitness or that there is not a substantial probability the defendant will
     attain fitness within one year of the original finding of unfitness. If the court finds that the
     defendant is making progress toward fitness, the court may continue or modify the original
     treatment order. 725 ILCS 5/104-20(b) (West Supp. 2011). If the court finds that the
     defendant remains unfit and is not making progress toward attaining fitness within one year
     of the original finding of unfitness, the court must proceed in accordance with section 104-23
     of the Code (725 ILCS 5/104-23 (West 2010)).
¶4       Section 104-23 provides, in pertinent part, as follows:
              “(a) Upon a determination that there is not a substantial probability that the defendant
         will attain fitness within one year from the original finding of unfitness, a defendant or
         the attorney for the defendant may move for a discharge hearing pursuant to the
         provisions of Section 104-25. The discharge hearing shall be held within 120 days of the
         filing of a motion for a discharge hearing, unless the delay is occasioned by the
         defendant.
              (b) If at any time the court determines that there is not a substantial probability that
         the defendant will become fit to stand trial or to plead within one year from the date of
         the original finding of unfitness, or if at the end of one year from that date the court finds
         the defendant still unfit and for whom no special provisions or assistance can compensate
         for his disabilities and render him fit, the State shall request the court:
                  (1) To set the matter for hearing pursuant to Section 104-25 unless a hearing has
              already been held pursuant to paragraph (a) of this Section; or
                  (2) To release the defendant from custody and to dismiss with prejudice the
              charges against him; or
                  (3) To remand the defendant to the custody of the Department *** and order a
              [civil commitment] hearing to be conducted pursuant to the provisions of the Mental

                                                -3-
              Health and Developmental Disabilities Code [(Mental Health Code) (405 ILCS 5/100
              et seq. (West 2010))] ***. *** If the defendant is committed to the Department ***
              pursuant to such hearing, the court having jurisdiction over the criminal matter shall
              dismiss the charges against the defendant, with the leave to reinstate. *** A
              defendant who is not committed shall be remanded to the court having jurisdiction
              of the criminal matter for disposition pursuant to subparagraph (1) or (2) of paragraph
              (b) of this Section.” Id.
¶5        At the discharge hearing referred to in subsections (a) and (b)(1) of section 104-23 (725
     ILCS 5/104-23(a), (b)(1) (West 2010)), the trial court must determine whether there is
     sufficient evidence to prove beyond a reasonable doubt that the defendant is guilty of a
     crime. If so, the defendant may be remanded pursuant to section 104-25(d) (725 ILCS 5/104-
     25(d) (West 2010)) for further treatment, and the treatment period may be extended to a
     maximum period of 5 years when the crime is first-degree murder; 2 years when the crime
     is a Class X or Class 1 felony; or 15 months if the crime is a Class 2, 3, or 4 felony. Id.
¶6        Section 104-25(g)(2) (725 ILCS 5/104-25(g)(2) (West 2010)), which is central to these
     appeals, provides for the continued commitment of the defendant if he or she remains unfit
     at the end of the extended treatment period under section 104-25(d). The threshold
     requirement for commitment under section 104-25(g)(2) is a determination that the defendant
     “is subject to involuntary admission under the [Mental Health Code] or constitutes a serious
     threat to the public safety.” Id. A treatment plan shall be prepared for a defendant committed
     under this provision and every 90 days the director of the facility in which the defendant has
     been placed must file with the trial court a written treatment plan report. (The contents of the
     treatment plan and the treatment plan report will be described below.) Pursuant to section
     104-25(g)(2)(i), the trial court must hold a hearing every 180 days to determine whether the
     defendant is:
              “(A) subject to involuntary admission; or
              (B) in need of mental health services in the form of inpatient care; or
              (C) in need of mental health services but not subject to involuntary admission nor
          inpatient care.” 725 ILCS 5/104-25(g)(2)(i) (West 2010).
     Based on its finding, the trial court shall enter “an appropriate order.” Id.
¶7        In 2005, defendant was charged with sex offenses involving children. In October 2007,
     he was found unfit to stand trial. In December 2009, the trial court conducted a discharge
     hearing and determined that there was sufficient evidence to sustain convictions of several
     of the offenses defendant was charged with committing. The court ordered defendant’s
     treatment extended to October 12, 2010. On September 30, 2010, the State filed a motion to
     commit defendant to the Department, and on February 10, 2011, the court entered an order
     (1) finding that defendant was subject to involuntary admission and (2) remanding him to the
     Department until October 12, 2037. The court found that defendant was suffering from a
     mental illness, specifically, pedophilia.
¶8        Defendant was placed in the Elgin Mental Health Center, and the record on appeal



                                               -4-
       contains two “Fitness Evaluations”1 prepared by Elgin Mental Health Center personnel. The
       first fitness evaluation, which was dated May 5, 2011, indicated that defendant’s mental
       status had remained consistent and that he had continued to state that he would not
       participate in treatment. The evaluation noted that defendant took part in activities such as
       basketball, walking, weight training, and social events. He also read, watched television, and
       played video games. Defendant played certain games and watched certain videos that were
       detrimental to his treatment for pedophilia. Defendant was apparently not inclined to learn
       about his illness or how to manage it. Although defendant was diagnosed with pedophilia,
       his treatment team suspected that he also suffered from a personality disorder. However,
       because defendant would not cooperate with psychological testing, a diagnosis of a
       personality disorder could not be confirmed.
¶9          The second fitness evaluation was dated September 28, 2011. It noted that defendant was
       discovered to be in possession of “[a]nime cartoon porn” and video and still images of
       young-looking males (some wearing only underwear) and “young looking characters.” The
       report further indicated that defendant “stopped attending the DBT (Dialectical Behavior
       Therapy) group, which was the only recommended group he has been willing to attend some
       of the time” and that defendant “continues to not participate in any treatment for pedophilia.”
¶ 10        With reference to defendant’s fitness to stand trial, both evaluations stated as follows:
                “[Defendant] has an understanding of the roles of court personnel and the court
            procedures. He can name his charges and understands the possible consequences of these
            charges. [Defendant] has the capacity to assist with his defense if he chooses.
            [Defendant] does have a psychiatric diagnosis of Pedophilia which does not interfere
            with his ability to stand trial.
                It is the opinion of the clinical team that [defendant] is Fit to Stand Trial, however
            the treatment team concedes that it has not provided any new information in this report
            to overturn previous court rulings that [defendant] is Unfit. If the court is not in
            agreement with the opinion that he is Fit to Stand trial, [defendant] is subject to
            involuntary admission based on his diagnosis of Pedophilia and constitutes a serious
            threat to the public safety.”
       Both evaluations bear the signature of Richard Malis, a psychiatrist.
¶ 11        On August 1, 2011, the trial court conducted a hearing pursuant to section 104-
       25(g)(2)(i). Defendant was not present. The trial court indicated that it had received
       correspondence from defendant indicating that he considered the proceedings a sham and had
       chosen not to attend. Defendant’s attorney was present at the hearing. The trial court invited


               1
                 The fitness evaluations accompanied cover letters from the Department addressed to the
       trial judge. The May 11, 2011, cover letter referenced a “Progress Report” to which the only
       attachment was a fitness evaluation, and the October 4, 2011, letter did not reference anything.
       However, the body of the October 4 letter contained a sentence informing the judge that the
       Department was filing a “Treatment Plan Report” every 90 days as required by law. The next
       sentence reads, “Attached is our report.” As stated, the only thing attached to the October 4 letter
       was a fitness evaluation.

                                                   -5-
       defendant’s attorney and the prosecutor to “address the fitness question.” The prosecutor
       noted the opinion set forth in the May 5, 2011, fitness evaluation, but advised the court that
       the State did not seek a finding that defendant was fit. Defendant’s attorney stated that “[the
       Elgin Mental Health Center] has not only provided no new information, but they have
       provided no treatment to [defendant],” adding that “[h]e remains as ardently delusional as
       he has ever been.”
¶ 12        The State called Malis as a witness. He testified that he had been treating defendant for
       the preceding 11 months. Malis would see defendant on the unit most days and actually met
       with defendant at least once a month. Malis testified that defendant was mentally ill and in
       need of inpatient treatment. According to Malis, defendant would pose a risk of harm to
       others if released. Following the hearing, the trial court entered a written order finding that
       defendant was subject to involuntary admission and in need of mental health services in the
       form of inpatient care.
¶ 13        Another hearing pursuant to section 104-25(g)(2)(i) took place on November 21, 2011.
       (It is unclear why the trial court scheduled this hearing only roughly four months after the
       preceding one.) Again, defendant did not attend the hearing. Malis testified again and offered
       essentially the same opinions he had offered at the August 1, 2011, hearing. The trial court
       entered a written order finding that defendant remained unfit, was subject to involuntary
       admission, and was in need of mental health services in the form of inpatient care. Defendant
       filed separate notices of appeal from the August 1, 2011, and November 21, 2011, orders.
       We granted defendant’s motion to consolidate the appeals.
¶ 14        Defendant first argues that the proceedings below did not conform to the requirements
       of section 104-25(g)(2) inasmuch as the trial court ruled without the benefit of the treatment
       plan reports specified in that provision. Section 104-25(g)(2) provides, in pertinent part:
                “If the defendant does not have a current treatment plan, then within 3 days of
            admission under this subdivision (g)(2), a treatment plan shall be prepared for each
            defendant and entered into his or her record. The plan shall include (i) an assessment of
            the defendant’s treatment needs, (ii) a description of the services recommended for
            treatment, (iii) the goals of each type of element of service, (iv) an anticipated timetable
            for the accomplishment of the goals, and (v) a designation of the qualified professional
            responsible for the implementation of the plan. The plan shall be reviewed and updated
            as the clinical condition warrants, but not less than every 30 days.
                Every 90 days after the initial admission under this subdivision (g)(2), the facility
            director shall file a typed treatment plan report with the original court having jurisdiction
            over the defendant. The report shall include an opinion as to whether the defendant is fit
            to stand trial and whether the defendant is currently subject to involuntary admission, in
            need of mental health services on an inpatient basis, or in need of mental health services
            on an outpatient basis. The report shall also summarize the basis for those findings and
            provide a current summary of the 5 items required in a treatment plan. A copy of the
            report shall be forwarded to the clerk of the court, the State’s Attorney, and the
            defendant’s attorney if the defendant is represented by counsel.” (Emphasis added.) 725
            ILCS 5/104-25(g)(2) (West 2010).


                                                  -6-
¶ 15       The only reports submitted by personnel of the facility where defendant was receiving
       treatment were the two fitness evaluations. It does not appear that these evaluations were
       intended to function as treatment plan reports, and, in our view, they cannot be repurposed
       to serve that function. Other than indicating that defendant should receive inpatient
       treatment, neither evaluation assessed his treatment needs in specific terms or described the
       services defendant should be receiving, the goals of the services, or the time frame for
       accomplishing those goals as required by section 104-25(g)(2).
¶ 16       The State stresses that defendant’s evident refusal to cooperate with the mental health
       professionals charged with his care made it difficult to design a treatment program. This
       certainly could be true, but it is mere supposition on the State’s part. If a defendant’s refusal
       to cooperate frustrates efforts to develop a treatment program, it is incumbent upon the
       author of a treatment plan report to say so explicitly, rather than to leave the court to guess
       whether proper efforts have been made to care for the defendant. The State also argues that
       Malis’s testimony remedied any deficiencies in the evaluations. We disagree. Although Malis
       testified that defendant was in need of inpatient treatment, his testimony was otherwise
       focused on defendant’s mental condition, not how to treat it.
¶ 17       We recognize that section 104-25(g)(2) provides that the court on its own motion may
       order a hearing to review a defendant’s treatment plan, or that the defendant or the State may
       request such a hearing, which is separate and apart from the periodic hearings required under
       section 104-25(g)(2)(i). To be sure, a defendant might request such review in order to
       challenge deficiencies in the treatment plan and the treatment plan reports. However, even
       where the defendant fails to seek review of the treatment plan, deficiencies in the treatment
       plan reports may be raised on appeal from an order pursuant to section 104-25(g)(2)(i). The
       subject matter of those reports is germane to the issue of whether a defendant is in need of
       inpatient treatment or can be treated on an outpatient basis. Absent reports that comply with
       the statute, the trial court will lack the information necessary to make a knowledgeable and,
       therefore, reliable decision about the appropriate setting in which mental health services
       should be administered. Moreover, inasmuch as this error fundamentally undermines the
       fairness of the proceedings, the usual rules for preservation of trial court errors should be
       relaxed. See generally Ill. S. Ct. R. 615(a) (eff. Jan. 1, 1967) (“Plain errors or defects
       affecting substantial rights may be noticed although they were not brought to the attention
       of the trial court.”).
¶ 18       Although we agree with defendant that the trial court erred in proceeding without the
       required treatment plan reports, we disagree with defendant’s argument that the proceedings
       were deficient with respect to the issue of his fitness to stand trial. Under the circumstances
       of this case, the trial court was under no obligation to consider defendant’s fitness at the
       hearings on August 1, 2011, and November 21, 2011. Nothing in section 104-25(g)(2)
       requires a fitness hearing to be held after the trial court makes the threshold finding necessary
       to remand the defendant to the Department under that provision. Thereafter, the trial court
       must conduct hearings every 180 days to determine whether the defendant is subject to
       involuntary admission or in need of mental health services (in the form of inpatient care or
       otherwise). These subjects are distinct from the question of whether the defendant is fit to
       stand trial. See People v. Lang, 113 Ill. 2d 407, 440-41 (1986).

                                                 -7-
¶ 19        The Code specifically provides for the original fitness determination and the threshold
       fitness determination for commitment under section 104-25(g)(2). Defendant does not
       challenge either of these determinations. The only other provision of the Code that requires
       a fitness determination is section 104-20, which provides as follows:
                 “(a) Upon entry or continuation of any order to undergo treatment, the court shall set
            a date for hearing to reexamine the issue of the defendant’s fitness not more than 90 days
            thereafter. In addition, whenever the court receives a report from the supervisor of the
            defendant’s treatment [containing the opinion that the defendant has attained fitness or
            that there is no substantial probability that he or she will attain fitness within one year of
            the original finding of unfitness], the court shall forthwith set the matter for a first
            hearing within 14 days unless good cause is demonstrated why the hearing cannot be
            held. On the date set or upon conclusion of the matter then pending before it, the court,
            sitting without a jury, shall conduct a hearing, unless waived by the defense, and shall
            determine:
                      (1) Whether the defendant is fit to stand trial or to plead; and if not,
                      (2) Whether the defendant is making progress under treatment toward attainment
                 of fitness within one year from the date of the original finding of unfitness.
                 (b) If the court finds the defendant to be fit pursuant to this Section, the court shall
            set the matter for trial; provided that if the defendant is in need of continued care or
            treatment and the supervisor of the defendant’s treatment agrees to continue to provide
            it, the court may enter any order it deems appropriate for the continued care or treatment
            of the defendant by the facility or program pending the conclusion of the criminal
            proceedings.
                 (c) If the court finds that the defendant is still unfit but that he is making progress
            toward attaining fitness, the court may continue or modify its original treatment order
            entered pursuant to Section 104-17.
                 (d) If the court finds that the defendant is still unfit and that he is not making progress
            toward attaining fitness such that there is not a substantial probability that he will attain
            fitness within one year from the date of the original finding of unfitness, the court shall
            proceed pursuant to Section 104-23. However, if the defendant is in need of continued
            care and treatment and the supervisor of the defendant’s treatment agrees to continue to
            provide it, the court may enter any order it deems appropriate for the continued care or
            treatment by the facility or program pending the conclusion of the criminal proceedings.”
            725 ILCS 5/104-20 (West Supp. 2011).
¶ 20        We conclude that this provision ceases to apply during the period of commitment under
       section 104-25(g)(2). To hold otherwise would lead to absurd results. Commitment under
       section 104-25(g)(2) occurs at the expiration of an extended treatment term of a maximum
       of 15 months, 2 years, or 5 years. At that point, it is no longer possible for the defendant to
       attain fitness within one year following the original finding of unfitness. However, section
       104-20(d) (725 ILCS 5/104-20(d) (West Supp. 2011)) provides that, if there is not a
       substantial probability that the defendant will attain fitness within the one-year period, the
       trial court shall proceed pursuant to section 104-23, under which the trial court must do one

                                                   -8-
       of three things–hold a discharge hearing, release the defendant and dismiss the charges with
       prejudice, or order a civil commitment hearing. There is no conceivable reason to require the
       trial court to take any of these actions after a discharge hearing has already been held, the
       defendant has not been acquitted, and the defendant has been committed under section 104-
       25(g)(2).
¶ 21        We next consider whether the failure to conduct a fitness hearing violated defendant’s
       right to due process. In Lang, the defendant was found unfit to stand trial for murder.
       Pursuant to section 104-23(b)(3) of the Code (725 ILCS 5/104-23(b)(3) (West 2010)), the
       defendant was civilly committed to the Department, and the murder charge was dismissed
       with leave to reinstate. The trial court periodically reviewed its finding that the defendant
       was subject to involuntary admission and consistently found that he was. The court did not
       revisit the question of fitness at the review hearings. Following the seventh review hearing,
       the defendant’s attorneys unsuccessfully petitioned the court for a formal hearing into his
       fitness to stand trial. Our supreme court held that the petition should have been granted. The
       Lang court reasoned that the dismissal with leave to reinstate did not discharge the defendant
       or terminate the proceedings against him and that he retained the right to a speedy trial to
       clear his name. Lang, 113 Ill. 2d at 444. The Lang court explained that “the guarantee of
       fundamental fairness inherent in the due process clause requires periodic review of
       respondent’s fitness status, so as to determine if he is fit to stand trial, thereby ensuring that
       respondent’s speedy trial rights are not violated.” Id.
¶ 22        A key difference between this case and Lang, however, is that the defendant in
       Lang–through his attorneys–specifically requested a formal fitness hearing; in this case,
       defendant’s attorney made no such request. Indeed, defendant’s attorney concurred with the
       State that there was no evidence of a change in defendant’s condition that would warrant
       revisiting prior determinations that defendant was unfit to stand trial. The issue in Lang was
       whether the trial court erred in denying the defendant’s request for a fitness hearing; the
       supreme court had no occasion to consider whether the trial court had an independent duty,
       as a matter of due process, to review the defendant’s fitness in the absence of such a request.
       In our view, the due process clause does not impose such a duty on the trial court. We hold
       that due process is satisfied if the defendant is afforded periodic review of fitness upon
       request. It is noteworthy that, although section 104-25(g)(2) does not require periodic fitness
       hearings, it requires the author of the treatment plan report to provide an opinion as to
       whether the defendant is fit to stand trial. Requiring those responsible for the defendant’s
       treatment to monitor and report on the defendant’s fitness helps the defense reach an
       informed decision whether to seek a fitness hearing.
¶ 23        Our holding comports with the core understanding of due process as affording the right
       to notice and a meaningful opportunity to be heard. LaChance v. Erickson, 522 U.S. 262, 266
       (1998). Moreover, there is precedent in other settings demonstrating that due process is not
       violated merely because the individual whose protected interest is at stake must take the
       initiative in obtaining a hearing. See People v. Schaefer, 154 Ill. 2d 250, 255-56 (1993) (right
       to hearing to rescind statutory summary suspension of driving privileges following an arrest
       for driving under the influence of alcohol affords due process even though defendant must
       positively invoke the right by petitioning for rescission).

                                                  -9-
¶ 24       As further support for our holding, we note that a criminal defendant’s interest in clearing
       his or her name is only one aspect of the defendant’s protected liberty interest. The defendant
       also has an interest in his or her physical liberty. When the evidence of guilt is strong, the
       defense might place the defendant’s physical liberty ahead of the defendant’s interest in
       clearing his or her name. Thus, the defense strategy might focus not on establishing the
       defendant’s fitness and clearing the way for a criminal trial that the defendant would likely
       lose, but rather on obtaining care for the defendant in the least restrictive setting possible. We
       can conceive of no reason to hold that one strategy or the other is constitutionally dictated.2
¶ 25       For the foregoing reasons, we vacate the orders of the circuit court of Lake County
       entered on August 1, 2011, and November 21, 2011, and remand for a new hearing pursuant
       to section 104-25(g)(2)(i).

¶ 26       Vacated and remanded with directions.




               2
                 Lurking in the background of this discussion are potentially thorny questions concerning
       who decides what strategy to pursue. Does the decision belong to the defendant or to his or her
       attorney? If the attorney believes that the defendant is fit and the defendant expresses a desire to
       clear his or her name, it would seem that the attorney should respect the defendant’s wishes. The
       situation is more problematic when the attorney believes that the defendant’s expressed desire to
       proceed to trial and clear his or her name is the product of the disability that is rendering the
       defendant unfit. Scholars have noted the difficulty of allocating decision-making authority in cases
       where the defendant’s fitness is in doubt. See Rodney J. Uphoff, The Role of the Criminal Defense
       Lawyer in Representing the Mentally Impaired Defendant: Zealous Advocate or Officer of the Court,
       1988 Wis. L. Rev. 65. Although these questions are well outside the scope of the issues in these
       appeals, as framed by the parties, they might become pertinent in future proceedings in the trial
       court.

                                                  -10-
