In re the Detention of Adam Mauro

Court of Appeals of Iowa·Decided November 23, 2021·No. 20-1428·Published

Opinion

IN THE COURT OF APPEALS OF IOWA

No. 20-1428

Filed November 23, 2021

IN RE THE DETENTION OF ADAM MAURO,

ADAM MAURO, Respondent-Appellant,

Appeal from the Iowa District Court for Warren County, Randy V. Hefner, Judge.

Adam Mauro appeals the district court’s denial of his requests for placement in the transitional release program for sex offenders and release with supervision. AFFIRMED.

Jill Eimermann, Assistant Public Defender, Special Defense Unit, for appellant.

Thomas J. Miller, Attorney General, and Sharon K. Hall, Assistant Attorney General, for appellee State.

Considered by Bower, C.J., and Vaitheswaran and Schumacher, JJ.

VAITHESWARAN, Judge.

Adam Mauro was civilly committed to a unit for sexual offenders. See In re Det. of Mauro, No. 07-1704, 2009 WL 398503, at *1 (Iowa Ct. App. Feb. 19, 2009); see also Iowa Code §§ 229A.3(1), 229A.4(1), 229A.7(5) (2019). He underwent annual examinations, as required by statute. See Iowa Code § 229A.8. Mauro requested hearings in connection with his 2019 and 2020 annual evaluations. A consolidated hearing was held on both. The district court determined “beyond a reasonable doubt Mauro’s mental abnormality remain[ed] such that he [was] likely to engage in predatory acts that constitute[d] a sexually violent offense if discharged” and “all of the conditions identified in section 229A.8A(2) for placement in [the civil commitment unit’s] transitional release program [were] not [] satisfied.” See id. § 229A.8(6)(d)(1), (2).

On appeal, Mauro argues (1) “the State did not prove beyond a reasonable doubt that [he] was not suitable for placement in the transitional release program”; (2) “Iowa law permit[s] an individual placed in the transitional release program to reside at a location outside of the civil commitment unit for sex offenders in Cherokee, Iowa”; and (3) “the evidence was insufficient to find that [he] continue[d] to suffer from a mental abnormality and that he remain[ed] likely to commit a sexually violent offense if released with supervision.” I. Sufficiency of the Evidence—Ineligibility for Transitional Release The State has the burden of proving beyond a reasonable doubt that “[t]he committed person is not suitable for placement in a transitional release program pursuant to section 229A.8A.” Id. § 229A.8(6)(d). Section 229A.8A, in turn, states:

2. A committed person is suitable for placement in the transitional release program if the court finds that all of the following apply:

a. The committed person’s mental abnormality is no longer such that the person is a high risk to reoffend.

b. The committed person has achieved and demonstrated significant insights into the person’s sex offending cycle.

c. The committed person has accepted responsibility for past behavior and understands the impact sexually violent crimes have upon a victim.

d. A detailed relapse prevention plan has been developed and accepted by the treatment provider which is appropriate for the committed person’s mental abnormality and sex offending history.

e. No major discipline reports have been issued for the committed person for a period of six months.

f. The committed person is not likely to escape or attempt to escape custody pursuant to section 229A.5B.

g. The committed person is not likely to engage in predatory acts constituting sexually violent offenses while in the program.

h. The placement is in the best interest of the committed person.

i. The committed person has demonstrated a willingness to agree to and abide by all rules of the program.

....

4. A committed person who refuses to register as a sex offender is not eligible for placement in a transitional release program.[1]

Mauro acknowledges “the State meets its burden if it proves at least one [of these conditions] does not exist.” He also acknowledges “[a] detailed relapse prevention plan” was not developed and accepted as required by section 229A.8A(d), establishing one of the criteria for ineligibility in the program.2 Our opinion could

1 See Taft v. Iowa Dist. Ct. for Linn Cnty., 879 N.W.2d 634, 637 (Iowa 2016) (“A different subsection adds a tenth condition requiring committed persons to agree to register as a sex offender to be eligible for placement in the transitional release program.”). 2 Mauro argues the rule prescribing a relapse prevention plan at phase IV of the

several phases of treatment was “arbitrary.” The department of human services does not appear to have promulgated a rule governing the phases of treatment at the civil commitment unit. See Iowa Admin. Code r. 441–31; Swanson v. Civ. Commitment Unit for Sex Offenders, 737 N.W.2d 300, 302 (Iowa 2007) (“The Iowa legislature amended chapter 229A in 2002 directing [the department of human

end with these concessions. We elect to proceed to Mauro’s argument that the State expert’s “criticisms” of him are not “supported by science as she offered no scientific or medical correlation to connect her specific concerns to [his] risk to sexually reoffend.”

Dr. Anna Salter interviewed Mauro for “3 hours and 20 minutes.” She noted that “[Mauro] has been in [the civil commitment unit] since 2007 and has been unable to change or subdue his sexual arousal to male prepubescent children, including boys under 5.” She cited a report of Mauro’s therapist stating “his deviant arousal to children remains so strong that he had only to walk in a restaurant on his second community outing before becoming instantly aroused by a prepubescent boy.” She continued, “[O]n three different occasions in the last few years, he has gone on supervised outings to restaurants and become sexually attracted to children. Apparently, he has only to see a boy of a certain age in person in order to become sexually preoccupied with that child.” After describing the various phases of treatment at the civil commitment unit,3 she noted that Mauro was twice placed in the highest treatment phase “but was revoked each time.” She summarized two tests given to Mauro periodically throughout his commitment and

services] to ‘adopt rules pursuant to chapter 17A necessary to administer this chapter.’” Iowa Code § 229A.15B (2003). Currently, [the department] has not promulgated any rules. Instead, [the civil commitment unit] developed a ‘Patient Handbook and Orientation Manual.’ . . . The handbook explains the five phases of the program.”). There is no indication Mauro challenged the handbook provisions as “arbitrary.” 3 Dr. Salter stated, “The phases are as follows: 1 Treatment Engagement/Interfering Factors[;] 2 Identification of Dynamic Risk Factors/Long Term Vulnerabilities[;] 3 Specific Interventions for Dynamic Risk Factors/Long Term Vulnerabilities[;] 4 Maintenance of Change[;] 5 Transitional Release.”

stated “every” one of the results “documented a deviant arousal to children.” Dr. Salter opined:

[Mauro’s] deviant arousal pattern, unchanged by his cognitive homework assignments and almost 20 years in secure settings, is a threat to his future and to the safety of young boys who cross his path. He is not helped by his narcissism, as it interferes with his recognizing that his only path to a good future is to use every tool that he can find to diminish his deviant arousal. His problem is . . .

the extent to which his sexual attraction to male children puts him at risk for future offenses.

Mauro responds to Dr. Salter’s report by reiterating that his undisputed pedophilia diagnosis is not sufficient to establish a risk or reoffending. Dr. Salter addressed this assertion at the hearing. She stated, “you can reduce your attraction to kids. Many people have through behavioral reconditioning, through medication, or through the application of appropriate interventions . . . . You can learn to control it.” She opined Mauro was “definitely not ready . . . for either the transitional release program or discharge.” When asked whether Mauro had “achieved and demonstrated significant insights into his sex offending cycle,” she responded:

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