Colorado Code § 16-8-106

Examinations and report
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(1) (a) All examinations ordered by the court in
criminal cases shall be accomplished by the entry of an order of the court specifying the place
where such examination is to be conducted and the period of time allocated for such
examination. The defendant may be committed for such examination to the Colorado psychiatric
hospital in Denver, the Colorado mental health institute at Pueblo, the place where he or she is in
custody, or such other public institution designated by the court. In determining the place where
such examination is to be conducted, the court shall give priority to the place where the
defendant is in custody, unless the nature and circumstances of the examination require
designation of a different facility. The defendant shall be observed and examined by one or more
psychiatrists or forensic psychologists during such period as the court directs. For good cause
shown, upon motion of the prosecution or defendant, or upon the court's own motion, the court
may order such further or other examination as is advisable under the circumstances. Nothing in
this section shall abridge the right of the defendant to procure an examination as provided in
section 16-8-108.
(b) An interview conducted in any case that includes a class 1 or class 2 felony charge or
a felony sex offense charge described in section 18-3-402, 18-3-404, 18-3-405, or 18-3-405.5,
C.R.S., pursuant to this section must be video and audio recorded and preserved. The court shall
advise the defendant that any examination with a psychiatrist or forensic psychologist may be
video and audio recorded. A copy of the recording must be provided to all parties and the court
with the examination report. Any jail or other facility where the court orders the examination to
take place must permit the recording to occur and must provide the space and equipment
necessary for such recording. If space and equipment are not available, the sheriff or facility
director shall attempt to coordinate a location and the availability of equipment with the court,
which may consult with the district attorney and defense counsel for an agreed upon location. If
no agreement is reached, and upon the request of either the defense counsel or district attorney,
the court shall order the location of the examination, which may include the Colorado mental
health institute at Pueblo.
(c) (I) Prior to or during any examination required by this section, the psychiatrist or
forensic psychologist shall assess whether the recording of the examination is likely to cause or
is causing mental or physical harm to the defendant or others or will make the examination not
useful to the expert forensic opinion. If such a determination is made and documented
contemporaneously in writing, the psychiatrist or forensic psychologist shall not record the
examination or shall cease recording the examination, and the psychiatrist or forensic
psychologist shall advise the court and the parties of this determination and the reasons therefore
in a written report to the court. If only a partial recording is made, the psychiatrist or forensic
psychologist shall provide the partial recording to the court and the parties, and the partial
recording may be used by any psychiatrist or forensic psychologist in forming an opinion,
submitting a report, or testifying on the issue of the defendant's mental health.
(II) If the examination is not recorded in whole or in part, the written report explaining
the decision not to record the examination is admissible as evidence, and, at the request of either
party, the court shall instruct the jury that failure to record the examination may be considered by
the jury in determining the weight to afford the expert witness testimony.
(III) The psychiatrist or forensic psychologist does not need to record the administration
of psychometric testing that involves the use of copyrighted material.
(d) The court shall determine the admissibility of any recording or partial recording, in
whole or in part, subject to all available constitutional and evidentiary objections.
(2) (a) The defendant shall have a privilege against self-incrimination during the course
of an examination under this section. The fact of the defendant's noncooperation with
psychiatrists, forensic psychologists, and other personnel conducting the examination may be
admissible in the defendant's trial on the issue of insanity or impaired mental condition and in
any sentencing hearing held pursuant to section 18-1.3-1201 or 18-1.3-1302, C.R.S. This
paragraph (a) shall apply only to offenses committed before July 1, 1995.
(b) The defendant shall have a privilege against self-incrimination during the course of
an examination under this section. The fact of the defendant's noncooperation with psychiatrists,
forensic psychologists, and other personnel conducting the examination may be admissible in the
defendant's trial on the issue of insanity and in any sentencing hearing held pursuant to section
18-1.3-1201 or 18-1.4-102, C.R.S. This paragraph (b) shall apply to offenses committed on or
after July 1, 1995, but prior to July 1, 1999.
(c) The defendant shall cooperate with psychiatrists, forensic psychologists, and other
personnel conducting any examination ordered by the court pursuant to this section. Statements
made by the defendant in the course of the examination shall be protected as provided in section
16-8-107. If the defendant does not cooperate with psychiatrists, forensic psychologists, and
other personnel conducting the examination, the court shall not allow the defendant to call any
psychiatrist, forensic psychologist, or other expert witness to provide evidence at the defendant's
trial concerning the defendant's mental condition including, but not limited to, providing
evidence on the issue of insanity or at any sentencing hearing held pursuant to section 18-1.3-
1201 for an offense charged prior to July 1, 2020, or pursuant to section 18-1.4-102. In addition,
the fact of the defendant's noncooperation with psychiatrists, forensic psychologists, and other
personnel conducting the examination may be admissible in the defendant's trial to rebut any
evidence introduced by the defendant with regard to the defendant's mental condition including,
but not limited to, the issue of insanity and in any sentencing hearing held pursuant to section
18-1.3-1201 for an offense charged prior to July 1, 2020, or pursuant to section 18-1.4-102. This
subsection (2)(c) applies to offenses committed on or after July 1, 1999.
(3) (a) To aid in forming an opinion as to the mental condition of the defendant, it is
permissible in the course of an examination under this section to use confessions and admissions
of the defendant and any other evidence of the circumstances surrounding the commission of the
offense, as well as the medical and social history of the defendant, in questioning the defendant.
When the defendant is noncooperative with psychiatrists, forensic psychologists, and other
personnel conducting the examination, an opinion of the mental condition of the defendant may
be rendered by such psychiatrists, forensic psychologists, or other personnel based upon such
confessions, admissions, and any other evidence of the circumstances surrounding the
commission of the offense, as well as the known medical and social history of the defendant, and
such opinion may be admissible into evidence at trial and in any sentencing hearing held
pursuant to section 18-1.3-1201 or 18-1.3-1302, C.R.S. It shall also be permissible to conduct a
narcoanalytic interview of the defendant with such drugs as are medically appropriate and to
subject the defendant to polygraph examination. In any trial or hearing on the issue of the
defendant's sanity, eligibility for release, or impaired mental condition, and in any sentencing
hearing held pursuant to section 18-1.3-1201 or 18-1.3-1302, C.R.S., the physicians and other
personnel conducting the examination may testify to the results of any such procedures and the
statements and reactions of the defendant insofar as the same entered into the formation of their
opinions as to the mental condition of the defendant both at the time of the commission of the
alleged offense and at the present time. This paragraph (a) shall apply only to offenses
committed before July 1, 1995.
(b) To aid in forming an opinion as to the mental condition of the defendant, it is
permissible in the course of an examination under this section to use confessions and admissions
of the defendant and any other evidence of the circumstances surrounding the commission of the
offense, as well as the medical and social history of the defendant, in questioning the defendant.
When the defendant is noncooperative with psychiatrists, forensic psychologists, and other
personnel conducting the examination, an opinion of the mental condition of the defendant may
be rendered by such psychiatrists, forensic psychologists, or other personnel based upon such
confessions, admissions, and any other evidence of the circumstances surrounding the
commission of the offense, as well as the known medical and social history of the defendant, and
such opinion may be admissible into evidence at trial and in any sentencing hearing held
pursuant to section 18-1.3-1201 for an offense charged prior to July 1, 2020, or pursuant to
section 18-1.4-102. It shall also be permissible to conduct a narcoanalytic interview of the
defendant with such drugs as are medically appropriate and to subject the defendant to polygraph
examination. In any trial or hearing on the issue of the defendant's sanity or eligibility for
release, and in any sentencing hearing held pursuant to section 18-1.3-1201 for an offense
charged prior to July 1, 2020, or pursuant to section 18-1.4-102, the physicians and other
personnel conducting the examination may testify to the results of any such procedures and the
statements and reactions of the defendant insofar as the same entered into the formation of their
opinions as to the mental condition of the defendant both at the time of the commission of the
alleged offense and at the present time. This subsection (3)(b) applies to offenses committed on
or after July 1, 1995.
(c) For offenses committed on or after July 1, 1999, when a defendant undergoes an
examination pursuant to the provisions of paragraph (b) of this subsection (3) because the
defendant has given notice pursuant to section 16-8-107 (3) that he or she intends to introduce
expert opinion evidence concerning his or her mental condition, the physicians, forensic
psychologists, and other personnel conducting the examination may testify to the results of any
such procedures and the statements and reactions of the defendant insofar as such statements and
reactions entered into the formation of their opinions as to the mental condition of the defendant.
(4) A written report of the examination shall be prepared in triplicate and delivered to
the clerk of the court which ordered it. The clerk shall furnish a copy of the report both to the
prosecuting attorney and the counsel for the defendant.
(5) With respect to offenses committed before July 1, 1995, the report of examination
shall include, but is not limited to:
(a) The name of each physician, forensic psychologist, or other expert who examined the
defendant; and
(b) A description of the nature, content, extent, and results of the examination and any
tests conducted; and
(c) A diagnosis and prognosis of the defendant's physical and mental condition; and
(d) (I) An opinion as to whether the defendant suffers from a mental disease or defect;
and, if so,
(II) Separate opinions as to whether the defendant was insane or had an impaired mental
condition at the time of the commission of the act or is ineligible for release, as those terms are
defined in this article, and, in any class 1 felony case, an opinion as to how the mental disease or
defect affects any mitigating factor. The nature of the opinions required depends upon the type
of examination ordered by the court.
(6) With respect to offenses committed on or after July 1, 1995, the report of
examination shall include, but is not limited to, the items described in subsections (5)(a), (5)(b),
and (5)(c) of this section, and:
(a) An opinion as to whether the defendant suffered from a mental disease or defect or
from a condition of mind caused by mental disease or defect that prevented the person from
forming the culpable mental state that is an essential element of any crime charged; and, if so,
(b) Separate opinions as to whether the defendant was insane or is ineligible for release,
as those terms are defined in this article 8, and, in any class 1 felony case for an offense charged
prior to July 1, 2020, an opinion as to how the mental disease or defect or the condition of mind
caused by mental disease or defect affects any mitigating factor. The nature of the opinions
required depends upon the type of examination ordered by the court.
(7) With respect to offenses committed on or after July 1, 1999, when a defendant has
undergone an examination pursuant to the provisions of this section because the defendant has
given notice pursuant to section 16-8-107 (3) that he or she intends to introduce expert opinion
evidence concerning his or her mental condition, the report of examination shall include, but is
not limited to, the items described in subsections (5)(a), (5)(b), and (5)(c) of this section, and:
(a) An opinion as to whether the defendant suffered from a mental disease or defect or
from a condition of mind caused by mental disease or defect that affected the defendant's mental
condition; and, if so,
(b) Separate opinions as to the defendant's mental condition including, but not limited to,
whether the defendant was insane or is ineligible for release, as those terms are defined in this
article 8, and, in any class 1 felony case for an offense charged prior to July 1, 2020, an opinion
as to how the mental disease or defect or the condition of mind caused by mental disease or
defect affects any mitigating factor. The nature of the opinions required depends upon the type
of examination ordered by the court.

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