In re Commitment of Gavin , 2014 IL App (1st) 122918 ( 2014 )


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    2014 IL App (1st) 122918
                                                   No. 1-12-2918
    Opinion filed June 30, 2014
    Third Division
    ______________________________________________________________________________
    IN THE
    APPELLATE COURT OF ILLINOIS
    FIRST DISTRICT
    ______________________________________________________________________________
    In re COMMITMENT OF                        )
    )
    Appeal from the Circuit Court
    EDWARD GAVIN                               )
    of Cook County.
    )
    (The People of the State of Illinois,      )
    )
    No. 06 CR 80009
    Petitioner-Appellee,                )
    )
    v.                                         )
    The Honorable
    )
    Michael B. McHale,
    Edward Gavin,                              )
    Judge, presiding.
    )
    Respondent-Appellant).              )
    ______________________________________________________________________________
    PRESIDING JUSTICE HYMAN delivered the judgment of the court, with opinion.
    Justices Neville and Pucinski concurred in the judgment and opinion.
    OPINION
    ¶1           Proceedings under the Sexually Violent Persons Commitment Act (SVP Act) identify
    individuals who are dangerous due to mental disorders that would predispose them to sexual
    violence and forces them into treatment for their own good and for the safety of society. 725
    ILCS 207/1 et seq. (West 2010). Respondent Edward Gavin appeals a jury's finding that he is a
    sexually violent person under the SVP Act, arguing (i) he was improperly limited during his voir
    dire of the jury; (ii) the evidence failed to prove he met the definition of a sexually violent
    1-12-2918
    person; (iii) the State's opening statement and closing arguments were improper and so
    prejudicial as to require a new trial; and (iv) the trial court erred when it would not hold a proper
    dispositional hearing.
    ¶2          We reverse and remand for a new trial on the grounds that the State in both its opening
    remarks and closing arguments made sarcastic and otherwise highly improper and prejudicial
    statements about Gavin and his attorney that denied Gavin of his right to a fair trial.
    ¶3                                           BACKGROUND
    ¶4          As is common with commitment proceedings under the SVP Act, only expert witnesses
    testified. We recite the facts with an understanding that the experts testified without personal
    knowledge of most of the facts other than some statements made by Gavin during an interview.
    See Ill. R. Evid. 801(d)(2)(A) (eff. Jan 1, 2011). What follows summarizes the experts'
    testimony.
    ¶5          Gavin, born in 1958, began using alcohol when he was only eight years old. He has a
    history of alcohol, marijuana, heroin, and cocaine use. He had been sent to juvenile detention by
    the time he was 14, and later dropped out of high school. In 1975, at age 17, Gavin raped a 14-
    year-old girl. That same day, he attempted to rape a 21-year-old woman. He pleaded guilty to
    both the rape and the attempted rape, and was given a four- to six-year sentence. He was later
    released on parole. In 1980, Gavin was referred for substance abuse treatment, but it is unclear
    whether he attended any treatment sessions. That year, Gavin tried to rape another woman and
    was subsequently charged, convicted, and sentenced to 12 years in the penitentiary on the
    attempted rape. He received six months of sex offender treatment while in the Department of
    Corrections (DOC), but did not complete the program.
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    ¶6            In 1988, having been released early, Gavin went to a hotel where he spent the day with
    prostitutes, drinking, and using drugs. Physically unable to finish sex with the prostitutes, he
    raped and robbed a 48-year-old hotel maid. Charged with aggravated criminal sexual assault and
    attempted armed robbery, he pleaded guilty and received a 15-year sentence.
    ¶7           While on parole in 1996, Gavin attended monthly sex offender treatment for a year, but
    did not complete the program. Later, Gavin committed a burglary for which he was convicted
    and returned to the custody of the DOC.
    ¶8            During his incarcerations, prison authorities issued Gavin 36 disciplinary write-ups for
    breaking prison rules, 3 of them for sexual misconduct. DOC records indicate that Gavin made
    inappropriate comments to female staff members, fondled his genitals in front of a female doctor,
    refused to cover his genitals while in the hospital, asked female staffers to have a long-term
    relationship with him, and—in 1991—forced his way into the office of the female school
    principal, attacked her, fondling her and kissing her neck, until a correctional officer and two
    inmates pulled him off. Authorities put Gavin in segregation between 12 and 15 times.
    ¶9            In 2006, the State filed a petition to commit Gavin as a sexually violent person under the
    SVP Act. During pretrial proceedings, the court placed Gavin in the custody of the Department
    of Human Services (DHS). Since then, he has not received any tickets for sexual misconduct,
    though he was found to have two pornographic videos and marijuana. He also has refused sex
    offender treatment at DHS.
    ¶ 10          The circuit court conducted a jury trial on the petition in 2012. Before trial, Gavin
    submitted proposed jury questions for voir dire, including, "You will hear evidence that Mr.
    Gavin has been convicted of indecent liberties with a child. How would that affect your decision
    in this case?" The trial court did not allow Gavin to inquire about his specific arrests and
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    convictions, but allowed him to ask the jury whether they could be fair given his four convictions
    for "sexually violent offenses." When asked during voir dire, the jurors indicated that these
    convictions would not affect their fairness.
    ¶ 11          During opening statement, the State attempted to argue the facts surrounding Gavin's
    previous sex crimes as though those facts would be in evidence.
    "MS. WELKIE [Assistant State's Attorney]: *** [The experts] look at these
    patterns of behavior that they see in this individual's background. And the patterns of
    behavior, just some of them, I will give you now, that they relied on to form their
    opinion.
    *** [W]hat you're going to hear during the testimony today from the doctors is
    that on a day in 1975 *** this respondent committed not one but two sexually violent
    offenses. In the same location in a CHS building, in a Chicago public housing
    building, in an elevator. The first one happens at about 4:50 in the evening. A 21-
    year-old women [sic] gets on the elevator, the respondent is in the elevator with her,
    and he rips off her blouse and fondles her breast. *** Just over two hours later in the
    exact same elevator, in the exact same building, he attacks a 14 year old. This time
    he's able to stop the elevator between floors and he's able to make the 14 year old
    undress, and he rapes her in the elevator."
    Gavin objected to the State's portrayal, and the court overruled him. The State continued:
    "MS. WELKIE: *** In 1980, you're going to hear in the same CHA housing
    building he *** grabbed a 15 or 16 year old girl—
    MR. COYNE [Gavin's counsel]: We would object.
    MS. WELKIE:—and he began to rape—
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    THE COURT: Overruled.
    MS. WELKIE: —her.
    THE COURT: Actually sustained. Rephrase.
    MS. WELKIE: When he was in the CHA building, the same building, that he was
    in where he committed the first two from 1975 he's on parole for them, a girl who is
    either 15 or 16 years old, he assaults her. He grabs her and he—
    MR. COYNE: Same objection, Judge.
    MS. WELKIE: —and she is screaming. He pulls her down and—
    THE COURT: Overruled.
    MS. WELKIE: —and he is attempted to penetrate her vagina with his penis. This
    is viewed by the Chicago Police Department officers. They come up to try to aid her.
    He is so intent his—what you're gonna hear is that—
    MR. COYNE: Objection.
    MS. WELKIE: —his sexual urges—
    THE COURT: All right. Let's have a side bar.
    At side bar, the court sustained Gavin's objection, and instructed the State to tell the jury that
    these facts of Gavin's sex crimes would only come in to show the basis of the State's experts'
    opinions. Gavin requested a curative instruction, which the trial judge refused because he did not
    believe the jury had been prejudiced. The State then retold the facts of Gavin's 1980 conviction:
    "MS. WELKIE: So 1980, the doctors are going to tell you that they relied on the
    fact that in his 1980 conviction, he's in the same Chicago Housing Authority, that he
    grabs a victim a 15 or 16 year old girl, he pulls her down. He's trying to rape her. He
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    is trying to place his penis in his [sic] vagina. That sexual urge that the doctors are
    going to tell you about in their diagnosis as being evidenced by this.
    And the doctors are going to tell you that in the evidence of the sexually violent
    offense, the police approach. They on view see him sexually assaulting her or
    attempting to sexually assault this girl. They have to beat him over the head to get
    him off of her. That is what the evidence through the doctors and what the doctors
    relied upon is going to show. And all of this while he is on probation for the sexually
    violent offense from 1975."
    ¶ 12          Gavin did not object, and the State continued:
    "But his sexual offending didn't stop there, and the behaviors that the doctors are
    relying upon did not stop there. He continues to offend and in 1988, when he is now
    approximately 29 years old, I believe, he commits another sexually violent offense,
    and that's aggravated criminal sexual assault.
    In that case he attacks a 48-year-old woman, a maid from a hotel. He does so in
    the hotel room. And he is armed with some type of block of wood. He forces sexual
    intercourse upon her, and the doctors will tell you that *** the reports that they read
    said that he also riffled through her purse and demanded money from her.
    So this sexual behavior, this pattern of sexual behavior that the doctors observed
    is what lends itself to their diagnoses, is what you're going to hear, of the paraphilia
    not otherwise specified, and also the antisocial personality disorder. And those are
    only some of the behaviors that they're going to tell you about during the trial."
    ¶ 13          During its case-in-chief, the State called two expert witnesses: Dr. Vasiliki Tsoflias, a
    forensic psychologist, and Dr. Kimberly Weitl, a psychologist, to testify as experts in clinical and
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    forensic psychology, and in the evaluation, treatment, and risk analysis of sex offenders. Both
    experts examined Gavin's records from the DOC and DHS, police reports, court documents,
    attorney statements, and reports from other mental health professionals. Gavin refused to be
    interviewed by Tsoflias, but consented to an interview with Weitl.
    ¶ 14          Referring to the Diagnostic and Statistical Manual of Mental Disorders fourth edition text
    revision (DSM-IV-TR), both experts diagnosed Gavin with paraphilia, not otherwise specified,
    nonconsent (PNOS nonconsent). Tsoflias diagnosed Gavin with a personality disorder, not
    otherwise specified, with antisocial and narcissistic features, while Weitl diagnosed him with
    antisocial personality disorder. The DSM-IV-TR generally defines paraphilia as "recurrent,
    intense sexually arousing fantasies, sexual urges, or behaviors generally involving 1) nonhuman
    objects, 2) the suffering or humiliation of oneself or one's partner, or 3) children or other
    nonconsenting persons that occur over a period of at least 6 months."Am. Psychiatric Ass'n,
    Diagnostic & Statistical Manual of Mental Disorders 566 (4th ed., text rev. 2000). The experts
    testified that none of these disorders will resolve themselves and, accordingly, require treatment.
    ¶ 15          PNOS nonconsent, while commonly accepted in the mental health community, is a
    controversial diagnosis and is sometimes made in error. The diagnosis cannot be based solely on
    the commission of multiple rapes, but the experts believed the diagnosis to be justified here.
    Tsoflias believed Gavin met the criteria for PNOS nonconsent because he had, on multiple
    occasions, forced women to have sex with him since the age of 16. She based this diagnosis on
    his conduct between 1975 and 1991, but admitted that from 1991 to 2012 Gavin has not
    committed any sex crimes. She also opined that (i) as a result of uncontrollable urges for
    nonconsensual sex, Gavin spent most of his life in prison; and (ii) Gavin had a pattern of
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    substance abuse before committing sexual crimes, which made him less able to control his
    behavior.
    ¶ 16          As to the personality disorder diagnosis, the disorder is defined as "personality or
    characteristics that are not considered normal in [the person's] culture *** that interfere with
    their ability to interact with others or impair their function." Tsoflias opined that Gavin's
    personality disorder manifested itself by his "repeatedly engaging in behaviors that are grounds
    for arrest," and that he "shows a lack of concern for the safety of others, *** exhibited through
    his violent acts and his disregard for the consequences that his acts have on his victims." Tsoflias
    admitted that the personality disorder alone would not satisfy the SVP Act's element of a mental
    disorder, but that the two diagnoses work together, with the personality disorder causing Gavin
    to disregard the law and the safety of others, and the PNOS nonconsent making him desirous of
    nonconsensual sex.
    ¶ 17          The experts used two actuarial instruments to determine Gavin's risk of sexually
    reoffending: the Static 99R and the Minnesota Sex Offender Screening Tool-Revised (MnSOST-
    R). The Static 99R examines several static characteristics associated with the risk of sexually
    reoffending. The MnSOST-R looks at several static and dynamic factors to do the same. Both
    instruments have only moderate predictive accuracy. Under both measures Gavin fit in the high
    risk category.
    ¶ 18          Weitl noted that other sex offenders who scored as high as Gavin on the MnSOST-R
    recidivated at a rate of 74% within six years. The MnSOST-R has been criticized for having a
    small sample size. Moreover, some experts in the field question its predictive accuracy because
    most individuals that it places in a high-risk category are civilly committed and cannot be further
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    studied. Other sex offenders who scored similarly to Gavin on the Static 99-R, sexually
    recidivated at a rate of 37.9% within 5 years, and 48.6% within 10.
    ¶ 19           Weitl also had Gavin take the Multiphasic Sexual Inventory II (MSI-II). That test showed
    Gavin's thinking and behaviors in the average range compared to other men convicted of rape,
    and that he has trouble understanding his urges and fantasies.
    ¶ 20           The experts also considered other dynamic and protective risk factors, which increase or
    decrease the chance a person will sexually reoffend. Among the factors increasing the risk of
    reoffending are that Gavin (i) committed sexual offenses as a minor and as an adult; (ii)
    exhibited antisocial behavior beginning at a young age; (iii) never completed sex offender
    treatment; (iv) has problems with intimacy, never having been married or in a long-term
    relationship; (v) has a criminal lifestyle; (vi) has violated his parole; (vii) cannot control his
    behavior; (viii) has a history of violence; (ix) has deviant sexual interest in nonconsensual sex;
    (x) seems unable to control his behavior; (xi) uses pornography and prostitution; (xii) has anti-
    social personality disorder; and (xiii) is a substance abuser who was intoxicated when he
    committed sex offenses. The experts opined that each of these factors increases the chance that
    Gavin would sexually reoffend.
    ¶ 21           According to the State's experts, there were no protective factors that decreased Gavin's
    likelihood of reoffending. Protective factors include the completion of sex offender treatment,
    having a debilitating illness with less than 15 years to live, and living in the community for a
    significant time without reoffending. Both experts admitted that Gavin's arrest while on parole in
    1996 did not involve any sexual offenses. Moreover, Gavin suffers from high blood pressure,
    diabetes, hypertension, hyperthyroidism, and osteoarthritis in his right hand. Some of the
    conditions are controlled by medication. Neither expert considered these diseases as protective
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    factors because they were not life-threatening. But they could not say how any of the conditions
    specifically affected Gavin's likelihood of reoffending. Moreover, Gavin's records from DHS
    indicate that he has "asymptomatic ischemic changes on his EKG," but the experts did not know
    what that meant and did not consider it as a protective factor.
    ¶ 22          Gavin had a right orchiectomy, the removal of his right testicle, in 1997. Neither expert
    considered this a protective factor. But they did not consult with any physicians to determine
    whether the removal of one testicle would alter Gavin's sexual desires. Gavin also needs to have
    his hip replaced after suffering severe degenerative damage. He now uses a handicap shower, a
    lower bunk, walks with a cane, and is on "unassigned" work status. The experts did not consider
    any of these to be protective factors because, they opined, a medical condition could reduce the
    risk of sexual recidivism only if it was untreatable and would kill the individual within 15 years.
    ¶ 23          Based on the actuarial instruments, and the dynamic and protective risk factors, the
    experts believed there to be a substantial probability that Gavin will engage in future acts of
    sexual violence.
    ¶ 24          Early in Weitl's testimony, the trial court instructed the jury:
    "The same as the last doctor, folks. I'm allowing this witness to testify, in part, to
    records including but not limited to police reports, Department of Corrections
    records, Department of Human Services records, psychological evaluations,
    psychological articles and statements, other than those made by the respondent to this
    witness.
    These materials are not being admitted into evidence. The testimony is being
    allowed for a limited purpose. It's being allowed so that the witness may tell you what
    she relied on to form her opinion. The material being referred to is not evidence in
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    this case and may not be considered by you as evidence. You may consider the
    material for the purpose of deciding what weight, if any, you'll give the opinions
    testified to by this witness."
    ¶ 25         Gavin presented no evidence during his case-in-chief.
    ¶ 26         Before closing arguments, the trial judge instructed the jury the arguments are not
    evidence. During closing arguments, the State again referred to the facts of Gavin's sex crimes:
    "MS. RIVERS: *** So you heard from two doctors. And what both of them told
    you was that the respondent was [a sexually violent person]. ***
    They looked at his total criminal history. They read all of his records that were in
    front of them. And when they did, they came to the conclusion that I believe you will.
    When looking at his criminal history it went all the way back to 1974. Where a ten
    year old was grabbed by the respondent.
    Then in 1975 the respondent was convicted. Remember he went into an elevator
    where a 14 year old was, and he raped that 14 year old. He was convicted of raping
    that 14 year old. Earlier that day *** he attempted to rape another woman who was
    21, and he was convicted of that offense.
    Mr. Gavin goes to prison for those two offenses, and he stays there for a few
    years, but by 1980 he's on parole. And when he's on parole he attempts to rape
    another woman. As a matter of fact, he was convicted by a jury for attempting to pull
    a 15 or 16 year old down the hall that took police officers to bang him on the head
    with a gun in order for him to stop his—
    MR. COYNE: Judge, objection.
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    THE COURT: Overruled. Ladies and gentlemen, you should rely on your own
    recollection of the evidence.
    Go ahead.
    MS. RIVERS: In order for him to stop his attempted rape on her. Mr. Gavin was
    again convicted and sentenced and spent time in prison.
    By 1988, Mr. Gavin was out again, and this time after being with prostitutes he
    finds a maid in the hotel that he was in, who was doing her job, a 48-year-old woman,
    and there he commits aggravated sexual assault where he forces her.
    MR. COYNE: Same objection, Judge.
    THE COURT: Let's have a side bar."
    ¶ 27          At side bar, the trial judge overruled the objection and admonished the State not to
    represent the facts of Gavin's crimes as substantive evidence. The court noted that it did not think
    the jury had been prejudiced yet. The State continued its argument:
    "MS. RIVERS: *** I would like to bring your attention back to what the doctors
    relied on when they came to the conclusion that the respondent is a sexually violent
    person.
    One of the things that they looked at was that in 1988, after being released from
    the 1980 case, the respondent, after a full day of, or a day where he had prostitutes
    with him, he goes to and he does sexually offend against a 48-year-old maid at the
    hotel.
    The doctors didn't just look at that. They continued. They looked at, again, all of
    his records. Dr. Weitl told you, and so did Dr. Tsoflias, that while in the [DOC], the
    respondent continued to sexually act out."
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    The State then described Gavin's disciplinary problems in prison. It then went on to argue how
    Gavin's crimes are indicative of his mental disorders and discuss the risk analysis measures the
    experts performed:
    "[The experts] diagnosed the respondent with mental disorders.
    Now, the first one they agreed hundred percent on. The paraphilia not otherwise
    specified, sexually attracted to non-consenting persons. And you see their logic when
    you look back at the criminal cases. It's their intent [sic] reoccurring that occurs over
    a six-month period to act out either actions or fantasies.
    And when you look back at the criminal history, you see it started in 1974. It went
    from '74 to '80, to '88, to'90. Clearly it was continuing beyond, well, well beyond the
    six months. And clearly, they were intense enough that he had to be hit on the head
    with a gun in order to be removed from one of his victims.
    ***
    And what they told you about antisocial personality disorder was that it is a
    pervasive pattern of failing to follow social norms.
    Well, we have that through the history of Mr. Gavin. We have burglaries, we have
    aliases, we have batteries, and of course there are the sex offenses. So *** they found
    these traits, and gave him that diagnosis."
    ¶ 28          Gavin argued that the State had not proven beyond a reasonable doubt that he was a
    sexually violent person. He noted that he had not sexually offended since 1991. He pointed to the
    expert's failure to investigate or consider his medical conditions, and their reliance on inaccurate
    risk assessment tools.
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    ¶ 29          During rebuttal, the State argued that "when you [the jury] go back to the room and you
    begin deliberations, you've heard this evidence and that presumption [that Gavin is not a sexually
    violent person] is now gone." Gavin objected, and the court sustained the objection and told the
    jury to disregard the comment.
    ¶ 30          The State continued, describing Gavin's argument as "twisting," "disingenuous," and
    "ridiculous." Gavin objected, and the court overruled the objection. The State then continued,
    referring to the facts underlying Gavin's convictions as substantive evidence:
    "MS. WELKIE: Counsel wants you to believe that since 1991, when he took a
    woman from, when his sexual urges and desires forced a women [sic], who was
    employed by the [DOC] as a principal or school teacher into room down to the
    ground fondling her and kissing her, and he was reprimanded for it and got a ticket
    for it because since that date he hasn't forced another woman to the ground—
    MR. COYNE: Objection.
    THE COURT: Overruled.
    MS. WELKIE: —somehow this paraphilia not otherwise specified has gone away.
    That is absolutely against the manifest weight of the evidence. ***
    We have met our burden. You heard these are lifelong chronic conditions that do
    not go away. And they can only be dealt with effectively with treatment and treatment
    he hasn't had.
    And look at his, look at his time in the [DOC]. *** He gets three sexual
    misconduct tickets for having his genitals out in front of people, telling people he
    wants to be in a long-term relationships, attempting to assault someone *** as you
    heard from what to doctors relied upon, to the fact that it took correctional guards and
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    other inmates, multiple people, to pull him off of this woman. Just as he had to be, as
    you heard the doctors relied upon, pulled off of that girl back in 1980. These are urges
    that run strong."
    ¶ 31         Regarding the effects of Gavin's health on his risk to sexually reoffend, the State argued:
    "Let's get real here. The doctors have told you that it's a debilitating condition,
    debilitating conditions, that are the types of conditions that they are looking at to
    overcome this overwhelming evidence of risk. *** when you go back into that jury
    room, you don't have to leave your common experience and your commonsense at the
    door. You take it back with you.
    And here is the list of what is supposedly so debilitating, according to Counsel,
    that it would justify lowering his risk *** hypertension. Oh, there's a stopper.
    Because how many people in the United States right now suffer from hypertension
    and have to go to work every day, and have to have it controlled by medication?
    *** [T]hen the fact that he has only one testicle. Well, oh, my gosh, I'm glad no
    one told Lance Armstrong that you can't ever accomplish your goals, and in his case
    his goals are raping people ***.
    There's the fact that he is all of 53 years old. Well, my goodness. Fifty-three years
    old. Isn't he old? Born in 1958. Well, you know what, here's the class he's with from
    1958. Madonna, Evelyn [sic] Degeneres, Tim Burton, Gary Altman, Alex Baldwin,
    Drew Carey, Tim Robbins, Kevin Bacon is six days older than him, and Barb Cuban
    is seventeen days older than him. Oh, wow, that age and those disabilities are really,
    really, really, really, really, going to be able to cause a protective factor enough to be
    able to knock down the amount of risk in this case."
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    The State also characterized Gavin's arguments as an attempt to disregard the testimony of both
    experts. "[W]hat they're asking you to do is to throw out the testimony of two experienced,
    educated, and trained psychologists, doctors, experts, people that they stipulated were experts in
    this area ***. That's ridiculous."
    ¶ 32          After argument, the court instructed the jury that evidence "received for a limited purpose
    should not be considered by you for any other purpose." The court reiterated to the jury that they
    could give the expert opinions any weight they wished, and that the underlying basis of the
    expert's opinions was only admitted to help determine that weight.
    ¶ 33         As the jury deliberated, Gavin moved for a mistrial, arguing that (i) the State's sarcastic
    tone was inappropriate, (ii) the State attempted to diminish its burden of proof, and (iii) the State
    made inappropriate, personal attacks on Gavin's counsel. While the court acknowledged the
    State's sarcastic tone, it denied the motion.
    ¶ 34          The jury found Gavin to be a sexually violent person under the SVP Act. The State then
    requested an immediate disposition. Gavin argued that an initial commitment order was proper,
    but the court should hold a separate dispositional hearing to determine whether Gavin could be
    subject to conditional release. The court declined to hold a dispositional hearing and, based on
    the evidence at trial, committed Gavin to a secure treatment and detention facility. Gavin later
    moved for a new trial, which the court denied. Gavin timely appeals.
    ¶ 35                                               ANALYSIS
    ¶ 36          Gavin appeals on four grounds: (i) the court improperly limited his voir dire of the jury;
    (ii) the evidence failed to establish that he was a sexually violent person under the SVP Act; (iii)
    the State made improper remarks during its opening and closing; and (iv) the trial court erred in
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    failing to hold a dispositional hearing. While we reverse on the third issue and remand for a new
    trial, we will address the first issue on the voir dire.
    ¶ 37                                                 Voir Dire
    ¶ 38           Gavin argues that he should have been allowed to ask whether the potential jurors could
    be fair and impartial given (i) he had been convicted of aggravated criminal sexual assault,
    attempted rape, rape, and indecent liberties with a child; and (ii) he had sexually offended against
    a juvenile. The trial court disagreed and only allowed him to ask whether jurors could be fair and
    impartial knowing Gavin was convicted of sexually violent offenses four times. Under the
    circumstances, we find the voir dire limitation reasonable.
    ¶ 39           When impaneling a jury in a civil case, the Illinois Supreme Court Rules provide that the
    trial judge conduct the voir dire examination of prospective jurors and question them on matters
    touching their qualifications to serve in the case. Ill. S. Ct. R. 234 (eff. May 1, 1997). "One of the
    purposes of voir dire is to filter out those potential jurors who are either unable or unwilling to be
    fair and impartial." In re Commitment of Trulock, 
    2012 IL App (3d) 110550
    , ¶ 44. "[V]oir dire is
    not to be used to indoctrinate jurors or to impanel a jury with a particular predisposition" or
    "ascertain prospective jurors' opinions with respect to evidence to be presented at trial." (Internal
    quotation marks omitted.) In re Commitment of Butler, 
    2013 IL App (1st) 113606
    , ¶ 17.
    ¶ 40           Where a trial deals with a controversial subject matter, prospective jurors should be
    questioned about the controversial subject matter to elicit facts of possible bias or prejudice
    regarding the controversial subject matter. See 
    id. ¶ 23.
    But it is inappropriate to use voir dire to
    gauge the potential juror's reactions to specific evidence. 
    Id. ¶ 21.
    The manner and scope of voir
    dire—including whether to allow counsel's supplemental questions—rests within the trial court's
    sound discretion. 
    Id. ¶ 15.
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    ¶ 41        We review the limitations on supplemental questions for an abuse of discretion, and will
    reverse only when the trial court's conduct thwarts the selection of an impartial jury. Id.; see e.g.
    In re Commitment of Hill, 
    334 S.W.3d 226
    (Tex. 2011) (questions on bias toward homosexuals
    proper and should have been allowed). "So long as the procedures employed by the circuit court
    provided a reasonable insurance that prejudice, if any, would be discovered, the court's exercise
    of discretion would be upheld." People v. Allen, 
    313 Ill. App. 3d 842
    , 845-46 (2000).
    ¶ 42          For instance, in In re Commitment of Butler, 
    2013 IL App (1st) 113606
    , the State filed a
    petition to commit Butler as a sexually violent person. 
    Id. ¶ 3.
    The trial court did not allow
    Butler to ask the jurors if they could be fair given that he had been convicted of three sexually
    violent offenses. 
    Id. ¶ 14.
    Instead, the court only allowed the respondent to ask, "Knowing that
    Mr. Butler has already been convicted of a sexually violent offense, can you be fair in
    determining whether or not he is a sexually violent person in this case?' " 
    Id. ¶ 5.
    On appeal,
    Butler claimed this limitation—removing the number three—thwarted the selection of an
    impartial jury. 
    Id. ¶ 14.
    This court disagreed, holding the trial court did not abuse its discretion in
    refusing to permit voir dire on the number of sexually violent offense, and that a "more general
    inquiry was sufficient to ascertain any existing bias or prejudice for sexually violent offenders
    that would preclude a juror from being fair and impartial." 
    Id. ¶ 24.
    ¶ 43          Under Butler, the trial court does not abuse its discretion when limiting counsel's inquiry
    to bias arising from convictions for sexually violent offenses. See In re Commitment of Butler,
    
    2013 IL App (1st) 113606
    , ¶ 24. This inquiry sufficiently allows for the discovery of bias or
    prejudice toward a person who commits rape or aggravated sexual assault.
    ¶ 44          Gavin points to the State's experts' testimony about the graphic details of Gavin's crimes,
    details which could evoke passion and outrage, and argues that he should have been allowed to
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    1-12-2918
    question the potential jurors about his crimes to determine whether their nature would cause
    prejudice or shock. But it is not the purpose of voir dire to preview the evidence for the jury, or
    to measure the jurors' reactions to certain facts. In re Commitment of Butler, 
    2013 IL App (1st) 113606
    , ¶ 17. If it were, attorneys in SVP Act cases might preview the whole trial before the
    venire.
    ¶ 45             Next, Gavin argues that he should have been allowed to inquire regarding sex crimes
    against juveniles, which can incite passion and bias in many. See People v. Bailey, 
    249 Ill. App. 3d
    79, 84 (1993) (Stouder, J., dissenting) ("There are few crimes more heinous and that evoke
    more outrage than sex crimes with a child victim."). Gavin maintains that the trial court should
    not have foreclosed inquiry into whether hearing about his child victims might cause bias or
    prejudice in a juror. See People v. Strain, 
    194 Ill. 2d 467
    , 476 (2000) ("The jurors must harbor no
    bias or prejudice which would prevent them from returning a verdict according to the law and
    evidence."). But that is not the same question Gavin wanted to ask the jury. The question Gavin
    sought to ask—"You will hear evidence that Mr. Gavin has been convicted of indecent liberties
    with a child. How would that affect your decision in this case?"—differs. Gavin never proposed
    to ask potential jurors whether they could be impartial knowing that some of the victims of his
    sexually violent offenses were children. (The circuit court reasonably precluded the name of
    Gavin's crimes during voir dire.) Accordingly, the circuit court did not abuse its discretion in
    rejecting the question as posed.
    ¶ 46                            State's Opening Statement and Closing Arguments
    ¶ 47             Gavin contends the State compromised his right to a fair trial, pointing to several
    remarks during both the State's opening statement and closing arguments. We agree, finding the
    totality of the State's remarks so prejudicial that the jury admonitions could not provide a cure.
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    1-12-2918
    ¶ 48          First, Gavin asserts that during closing argument the State diminished its presumption
    that Gavin is not a sexually violent person as well as its burden of proof.
    ¶ 49          "We will not interfere with the trial court's determination of the propriety of the
    prosecution's closing argument absent a clear abuse of discretion resulting in manifest prejudice
    to the defendant." People v. Willis, 
    2013 IL App (1st) 110233
    , ¶ 102. In proceedings under the
    SVP Act, the State has the burden of proving each element beyond a reasonable doubt. 725 ILCS
    207/35(d)(1) (West 2010). The respondent carries a presumption during trial that he or she is not
    a sexually violent person. In re Commitment of Fields, 
    2012 IL App (1st) 112191
    , ¶ 75. The
    State has wide latitude in closing arguments, and may comment on and draw inferences from the
    evidence. People v. Miller, 
    302 Ill. App. 3d 487
    , 495 (1998). But the State may not tell the jury
    that the presumption has been stripped away during its closing argument. See People v. Keene,
    
    169 Ill. 2d 1
    , 25-26 (1995).
    ¶ 50          During rebuttal argument, the State argued that the presumption was "now gone." Gavin
    objected, and the court sustained his objection, instructing the jury to disregard the comment.
    Gavin urges us to find that the prejudice remained uncured despite the fact that trial court
    properly instructed the jury on the presumption, sustained Gavin's timely objection, and gave a
    curative instruction. "We find no prejudice where prompt objections were sustained and, where
    appropriate, the jury instructed." People v. Wilson, 
    199 Ill. App. 3d 792
    , 794 (1990). This was
    not, however, the only grave error that gives rise to potential prejudice, as we will discuss.
    ¶ 51          Next, Gavin complains about how the State argued that the jury would have to believe
    that the experts had lied to find in his favor, an impermissible argument under Illinois law.
    "Though the State is given wide latitude in closing arguments [citation], the State is not allowed
    to misstate the law or facts of the case, and it is not allowed to diminish its burden of proof."
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    1-12-2918
    People v. Carbajal, 
    2013 IL App (2d) 111018
    , ¶ 29. It is improper for the State to argue that to
    return a verdict in favor of the respondent, the jury must believe that the State's witnesses are
    lying. People v. Miller, 
    302 Ill. App. 3d 487
    , 497 (1998). This is a misstatement of law and
    improperly shifts the burden of proof to the respondent, denying the respondent a fair trial.
    People v. Wilson, 
    199 Ill. App. 3d 792
    , 796 (1990). "The correct standard for consideration of
    the evidence *** is not whether one side is more believable, but whether, taking all of the
    evidence into consideration, *** every essential element of the charge has been proven beyond a
    reasonable doubt." 
    Id. at 797.
    ¶ 52          In its rebuttal, the State characterized Gavin's argument as "throw[ing] out" the testimony
    of both experts, and "substitut[ing their] own judgment *** for all of the evidence." Gavin did
    not object. As such, this issue is forfeit, and we review it under the criminal plain error doctrine.
    People v. Curry, 
    2013 IL App (4th) 120724
    , ¶¶ 72-73.
    ¶ 53          The State argues that we should apply the civil plain error doctrine to SVP Act cases. We
    disagree. Our supreme court has not yet decided whether the criminal or civil plain error analysis
    applies to proceedings under the SVP Act. See In re Commitment of Fields, 
    2012 IL App (1st) 112191
    , ¶ 57. Application of the plain error rule in civil proceedings is "exceedingly rare." In re
    Commitment of Curtner, 
    2012 IL App (4th) 110820
    , ¶ 26. It applies " 'where the act complained
    of was a prejudicial error so egregious that it deprived the complaining party of a fair trial and
    substantially impaired the integrity of the judicial process.' " Wilbourn v. Cavalenes, 398 Ill.
    App. 3d 837, 856 (2010).
    ¶ 54          This is much stricter than the criminal plain error rule. The reason being that civil
    proceedings do not typically implicate Sixth Amendment concerns. 
    Id. While proceedings
    under
    the SVP Act are civil in nature (725 ILCS 207/20 (West 2010)), they implicate Sixth
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    1-12-2918
    Amendment rights, including the right to be informed of the nature of the accusation (725 ILCS
    207/25(a) (West 2010)), the right to counsel (725 ILCS 207/25(c)(1) (West 2010)), the right to
    call and confront witnesses (725 ILCS 207/25(c)(3) (West 2010)), the right to an impartial jury
    (725 ILCS 207/25(d) (West 2010)), and the right to a speedy trial (725 ILCS 207/35(a) (West
    2010)). These are all subjects that fall within the purview of sixth amendment guarantees.
    Moreover, the SVP Act gives the respondent the right against self-incrimination (725 ILCS
    207/25(c)(2) (West 2010)), a fifth amendment right. All of these rights make these proceedings
    quasi-criminal in nature.
    ¶ 55          Moreover, the possibility of indefinite commitment in a secure facility places at stake a
    vital liberty interest, as serious as the consequences of a criminal trial. See Kansas v. Hendricks,
    
    521 U.S. 346
    , 372 (1997) (Kennedy, J., concurring) ("the practical effect of [an SVP] law may
    be to impose confinement for life"); 725 ILCS 207/40(a) (West 2010) ("If a court or jury
    determines that the person *** is a sexually violent person, the court shall order the person to be
    committed *** until such time as the person is no longer a sexually violent person."); In re
    Commitment of Weekly, 
    2011 IL App (1st) 102276
    , ¶ 47; Townes v. Commonwealth of Virginia,
    
    609 S.E.2d 1
    , 4 (Va. 2005) ("a person subjected to an involuntary civil commitment proceeding
    has a substantial liberty interest in avoiding confinement in a mental hospital"). Hence,
    proceedings under the SVP Act have much in common with criminal cases as compared to civil
    cases. Consequently, the criminal plain error rule should apply to appeals from SVP Act
    proceedings. See In re Detention of Sveda, 
    354 Ill. App. 3d 373
    , 377 (2004) (applying criminal
    plain-error rule to SVP Act case); In re Commitment of Bushong, 
    351 Ill. App. 3d 807
    , 813-14
    (2004) (same); In re Detention of Traynoff, 
    358 Ill. App. 3d 430
    , 444 (2005) (same).
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    1-12-2918
    ¶ 56          The criminal plain error doctrine allows us to reach a forfeited error that affects
    substantial rights where: (i) the evidence is so closely balanced, the jury's guilty verdict might
    have resulted from the error and not the evidence; or (ii) the error is so serious the defendant was
    denied a substantial right and, thus, a fair trial. People v. Ware, 
    2014 IL App (1st) 120485
    , ¶ 14.
    "Our first step in plain error review is to determine whether any error occurred at all." People v.
    Sullivan, 
    2014 IL App (3d) 120312
    , ¶ 26.
    ¶ 57          We do not believe it was error for the State to characterize Gavin's arguments as a request
    to "throw out" and "ignore" all the expert testimony. The prosecution should not make arguments
    that tend to shift the burden of proof to the respondent, like having to prove one witness or
    another a liar. See People v. Miller, 
    302 Ill. App. 3d 487
    , 497 (1998) (finding plain error where
    prosecutor argued that to acquit defendant jury would have to find all State's witnesses were
    lying). But calling a lay witness a liar is not the same as arguing that an expert's opinion and its
    bases are valid or invalid. "[T]he State may rely on expert witness opinion and in doing so may
    also explain the basis for those opinions." In re Commitment of Butler, 
    2013 IL App (1st) 113606
    , ¶ 36. It is proper for both parties to argue how much weight the jury should give an
    expert opinion, in accordance with the court's instructions. Here, after arguments, the court
    properly instructed the jury to give the experts' opinions "whatever weight you think [they]
    deserve." While the rebuttal mischaracterizes Gavin's argument, the State did not argue that the
    only way to find in favor of Gavin was to "throw out" the experts' testimony. Thus, no error, or
    plain error, occurred.
    ¶ 58          Gavin also accuses the State of improperly attacking his counsel during the closing for
    calling Gavin's arguments "twisting and disingenuous." The court overruled Gavin's objection to
    these remarks. "Unless predicated on evidence that defense counsel behaved unethically, it is
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    1-12-2918
    improper for a prosecutor to accuse defense counsel of attempting to create reasonable doubt by
    confusion, misrepresentation, or deception." People v. Johnson, 
    208 Ill. 2d 53
    , 82 (2003).
    ¶ 59          In describing Gavin's argument as "twisting and disingenuous," the prosecutor did not
    overstep the boundary of permissible argument as set forth in Johnson. While the comment may
    be unprofessional, we do not believe it transmits a prejudicial connotation.
    ¶ 60          Gavin argues the State erred in saying that Gavin's counsel wanted the jury "to leave your
    common experience and your common sense at the door," and also made numerous sarcastic
    comments about Gavin's health as it relates to his risk of sexual recidivism, to which Gavin did
    not object to at the time. As such, we review it for plain error (People v. Curry, 2013 IL App
    (4th) 120724, ¶¶ 72-73).
    ¶ 61          Gavin argued that he did have serious medical conditions that prevented him from
    reoffending. The State argued the jury did not have to abandon common sense, implying Gavin's
    argument was absurd. Either party may argue that an expert's opinion is contrary to or in line
    with common sense and that the opinion ignores or uses the best available facts. People v.
    Daniels, 
    391 Ill. App. 3d 750
    , 788 (2009). Accordingly, the State's invitation to the jury to use
    common sense to assess its experts was proper.
    ¶ 62          As to the State's use of sarcasm, we again review for plain error. The trial court
    acknowledged that "there was a note of sarcasm throughout some of the argument by Ms.
    Welkie, which in [its] opinion having been in [the criminal] courthouse for now going on 20
    years, [it did not] find all that uncommon." Nevertheless, courts often condone sarcasm. The
    prosecutor's words themselves indicate an extreme level of sarcasm, and we can only imagine the
    inflection, tone, and manner in which the words were delivered. By making light of a serious
    issue at the penultimate point of the trial, what comes across in the transcript is not argument as
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    1-12-2918
    much as ridicule and derision at its harshest. This is not only offensive; it also is unprofessional.
    See People v. Burton, 
    338 Ill. App. 3d 406
    , 418 (2003); see People v. Moss, 
    205 Ill. 2d 139
    , 174-
    75 (2001) (McMorrow, J., specially concurring) (describing sarcasm as improper and
    unprofessional).
    ¶ 63         We are aware that "it is entirely proper for a prosecutor to denounce a defendant's
    wickedness, engage in some degree of invective, and draw inferences unfavorable to the
    defendant if such inferences are based upon the evidence." (Internal quotation marks omitted.)
    
    Burton, 338 Ill. App. 3d at 418
    . But we believe in this case the prosecution went too far. Cf. 
    id. at 418-19
    (finding no error where remarks were "not out of proportion to what the jury properly
    considered as evidence").
    ¶ 64         This is that rare case where, in the heat of closing, the State's arguments reached the
    extreme, crossed over from merely tough talk into the realm of inflammatory rhetoric designed
    to improperly appeal to the juror’s emotions. Though denominated a civil proceeding, the
    deprivation of Gavin's liberty is at stake, and we look at criminal, rather than civil, jurisprudence
    for guidance. As an aside, we cannot ignore the extreme reluctance of trial judges to declare a
    mistrial for misdeeds similar to those here. Trial judges in these situations have been known to
    say either out loud or to themselves that the appellate court will “figure it out later.”
    ¶ 65          Most of the prosecutor's sarcasm concerned the effect of Gavin's health problems on his
    risk of sexually reoffending. Her comments included: "Let's get real here. *** Oh, there's a
    stopper. Because how many people in the United States right now suffer from hypertension. ***
    Well, oh, my gosh, I'm glad no one told Lance Armstrong that you can't ever accomplish your
    goals, and in his [Gavin's] case his goals are raping people *** . Well, my goodness. Fifty-three
    years old. Isn't he old? Born in 1958. Well, you know what, here's the class he's with from 1958.
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    1-12-2918
    [List of celebrities] *** Oh, wow, that age and those disabilities are really, really, really, really,
    really, going to be able to cause a protective factor *** ." The record is replete with this kind of
    incendiary language. The State's rebuttal was disproportionately sarcastic and not based on the
    evidence. See 
    Burton, 338 Ill. App. 3d at 418
    -19 (finding no error where remarks were "not out
    of proportion to what the jury properly considered as evidence"). Moreover, the State's reference
    to celebrities had nothing to do with the issues in the case, nor was there any way for the jury to
    confirm its accuracy.
    ¶ 66       The prosecution must be above this kind of mockery. It is one thing to point out an illogical
    argument. It is another, much more damaging and prejudicial route, to continuously mock the
    respondent, an individual who, according to the State, has an abnormal and dangerous mental
    illness. Doing so inflames the passions of the jury, and distracts it from properly considering the
    evidence of Gavin's risk of sexual recidivism. We will consider this error in light of the others.
    ¶ 67           Gavin next asserts that the State should not have been allowed to argue the facts of
    Gavin's sex crimes as substantive evidence. We agree. We review evidentiary rulings for an
    abuse of discretion, which will be found only where the trial court's ruling is "arbitrary, fanciful,
    unreasonable, or where no reasonable person would take the view adopted by the trial court."
    (Internal quotation marks omitted.) In re Commitment of Doherty, 
    403 Ill. App. 3d 615
    , 621
    (2010). The trial court is granted great discretion in these rulings to ensure that the jury will not
    be mislead or deceived into using evidence for an improper purpose. The judge should take
    special care in conducting jury trials under the SVP Act to ensure that the jury's verdict is not
    used to punish the respondent for his past crimes. See In re Lance H., 
    2012 IL App (5th) 110244
    ,
    ¶ 21 (noting dual objectives of involuntary commitment are (i) to provide care for those unable to
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    1-12-2918
    care for themselves due to mental illness, and (ii) to protect society from dangerously mentally
    ill).
    ¶ 68           Experts may give their opinions based on facts not in evidence if the facts are of a type
    reasonably relied on by experts in their particular field. People v. Nieves, 
    193 Ill. 2d 513
    , 527-28
    (2000); see Ill. R. Evid. 703 (eff. Jan. 1, 2011); Ill. R. Evid. 705 (eff. Jan. 1, 2011). The facts
    underlying an expert's opinion are not considered substantive evidence unless separately
    admitted. In re Commitment of 
    Doherty, 403 Ill. App. 3d at 621
    . The prosecutor should not refer
    to this type of evidence as substantive during closing argument. People v. Murphy, 
    157 Ill. App. 3d
    115, 119 (1987); see In re Commitment of Butler, 
    2013 IL App (1st) 113606
    , ¶ 36 ("In its
    quest to sustain its burden, the State may rely on expert witness opinion and in doing so may also
    explain the basis for those opinions.").
    ¶ 69           "A 'prosecutor's comments in closing argument will result in reversible error only when
    they engender "substantial prejudice" against the defendant to the extent that it is impossible to
    determine whether the verdict of the jury was caused by the comments or the evidence.' " People
    v. Kirchner, 
    194 Ill. 2d 502
    , 549 (2000); People v. Burton, 
    338 Ill. App. 3d 406
    , 418 (2003)
    (holding argument does not prejudice jury where evidence of guilt overwhelming and argument a
    fair rendition of facts of the case). The challenged comments must be viewed in the context of
    the whole argument, and the totality of the record. See 
    Kirchner, 194 Ill. 2d at 549
    .
    ¶ 70           The State argues that this court's opinion in In re Commitment of Butler, 2013 IL App
    (1st) 113606, indicates that the prosecutor did not err. We disagree. Butler is distinguishable in
    two ways. First, unlike here, the prosecutors in Butler framed the facts underlying the
    respondent's past convictions as a "deviant pattern" of behavior the experts relied on in reaching
    their diagnosis. 
    Id. ¶ 33.
    While there might have been some avoidable prejudice arising from the
    -27-
    1-12-2918
    Butler prosecutors' depiction of the substantive facts, they qualified their remarks by repeatedly
    referencing the doctor experts' reliance on the substantive facts.
    ¶ 71           Here, the State insufficiently tied the underlying facts to the testimony that Gavin had a
    mental disorder. For example, regarding PNOS nonconsent, the State argued, "when you look
    back at the criminal history, you see it started in 1974. It went from '74 to '80, to '88, to '90.
    Clearly it was continuing beyond, well, well beyond the six months. And clearly, they were
    intense enough that he had to be hit on the head with a gun in order to be removed from one of
    his victims." Regarding the antisocial personality disorder, the State argued, "We have
    burglaries, we have aliases, we have batteries, and of course there are the sex offenses. So ***
    they found these traits, and gave him that diagnosis."
    ¶ 72           An expert may disclose hearsay " 'for the limited purpose of explaining the basis for his
    [or her] opinion.' " In re Detention of Hunter, 
    2013 IL App (4th) 120299
    , ¶ 32 (quoting People v.
    Nieves, 
    193 Ill. 2d 513
    , 528 (2000)). In SVP Act cases, the rubric of DSM-IV-TR allows experts
    to diagnose paraphilia based on a person's behavior. See Am. Psychiatric Ass'n, Diagnostic &
    Statistical Manual of Mental Disorders 566 (4th ed., text rev. 2000). Thus, the details of Gavin's
    crimes inform the experts' diagnosis of PNOS nonconsent. In re Detention of Hardin, 391 Ill.
    App. 3d 211, 219-20 (2009).
    ¶ 73           But the State repeatedly referred to the underlying facts as something other than the basis
    for the experts' opinions. For example, the prosecutors stated that the experts were going to "tell"
    or "show" the jury about Gavin's past sex crimes. The prosecutors referred to these hearsay
    statements as "facts" and "evidence." Needless to say, the experts' testimony cannot be used to
    show or tell about the facts underlying Gavin's crimes. None of those facts are in evidence. In
    fact, it is the exact opposite. Those details can only be used by the jury to assess the weight of the
    -28-
    1-12-2918
    experts' opinions, and not for the truth of the matter asserted. In re Commitment of Butler, 
    2013 IL App (1st) 113606
    , ¶ 37 n.2 (noting admissibility of facts relied on by expert not exception to
    the hearsay rule). For example, the fact that an expert relied on police reports or trial testimony
    may strengthen their opinions in the eyes of the jury. The fact that an expert interpreted medical
    records without medical training may do the opposite.
    ¶ 74          Moreover, the State argued the explicit facts underlying Gavin's convictions as a
    narrative. It occasionally prefaced its recitation of these details by noting that these facts were
    what the experts "relied on" to form their opinions. But, unlike in Butler, the prosecutors did not
    mention how the experts relied on these facts to diagnose or assess Gavin. This narration of the
    facts underlying Gavin's crimes, which at times reads as if Gavin was on trial for rape, was error.
    It misdirected the focus of the case, disconnecting the underlying facts and the experts' use of
    them. In other words, as a narrative, the underlying facts took on the cloak of evidence, thereby
    leading the jury to consider these facts independent of the expert testimony.
    ¶ 75          The purpose of SVP Act is to identify sexually dangerous persons and force them into
    treatment for their own good and for the safety of society. See In re Lance H., 
    2012 IL App (5th) 110244
    , ¶ 21. Never should civil commitment proceedings be used to punish respondents for
    their past crimes. See Kansas v. 
    Hendricks, 521 U.S. at 373
    (Kennedy, J., concurring) ("while
    incapacitation is a goal common to both the criminal and civil systems of confinement,
    retribution and general deterrence are reserved for the criminal system alone"). Here, the
    prosecution, at the beginning and the end of the case, created substantial prejudice, encouraging
    the jury to consider the facts underlying Gavin's crimes as substantive evidence, amplifying the
    possibility that the jury would use the proceedings to punish him for his past acts. See Daniel
    Krauss et als., The Impact of Case Factors on Jurors' Decisions in a Sexual Violent Predator
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    1-12-2918
    Hearing, 20 Psychol. Pub. Pol'y & L. 135, 141 (2014) ("it is possible that jurors are double
    counting prior convictions in their risk estimates—once through the evidence presented on prior
    convictions, and again when they consider expert testimony that includes prior convictions as
    part of its risk estimate").
    ¶ 76           Butler is further distinguishable in that the evidence in that case was not as close as it was
    here. Where there is strong evidence of reasonable doubt, the effects of prejudicial acts increase
    exponentially. See People v. Eddington, 
    129 Ill. App. 3d 745
    , 780 (1984) ("misstatement of
    evidence ***, in a close case, can be error"). In Butler, it does not appear that the experts were
    subject to any meaningful cross examination or that there was any weakness inherent in their
    testimony. See Butler, 
    2013 IL App (1st) 113606
    , ¶ 33. Here, Gavin's cross examination of the
    State's experts indicated that they made a number of assumptions regarding Gavin's medical
    records, which they had no training interpreting. They admitted that Gavin has a number of
    ailments that affect his ability to move and to use force, but they declined to consider his
    illnesses a protective factor. The experts further admitted that they did not believe Gavin had
    committed any sexually deviant behavior since 1991, twenty-one years before trial. In other
    words, Gavin gave the jury strong reasons to disregard the experts' opinions.
    ¶ 77           The State further argues that the trial court's jury instruction mitigated any prejudice. We
    disagree. The trial court instructed the jury in accordance with Illinois Pattern Jury Instruction,
    Civil, No. 2.04 (2008), stating that the bases of the experts' testimony was not evidence and
    could only be used to evaluate their opinions. There is a strong presumption that the jurors
    followed the instruction of the court. In re Detention of Lieberman, 
    379 Ill. App. 3d 585
    , 605
    (2007). But " '[t]here are some contexts in which the risk that the jury will not, or cannot, follow
    instructions is so great, and the consequences of failure so vital to the defendant, that the
    -30-
    1-12-2918
    practical and human limitations of the jury system cannot be ignored.' " Richardson v. Marsh,
    
    481 U.S. 200
    , 207 (1987). This case presents such a context.
    ¶ 78           The jury here was properly instructed, but the prosecutors presented their arguments in
    such a way to rebut the presumption that the instructions were followed. We acknowledge that
    this instruction, in some circumstances, is confusing. When giving it, courts are asking the jury
    to perform "mental gymnastics." David H. Kaye et als., The New Wigmore: A Treatise on
    Evidence: Expert Evidence § 4.7.2 (2d ed. 2010) ("the jury is told not to consider the otherwise
    inadmissible basis testimony for its truth. *** this limiting instruction is even more troubling
    than most. It asks of juries something that is not just practically difficult, but logically
    incoherent. *** [Because] expert basis testimony is only relevant—even for the limited purpose
    of evaluating the expert's testimony—if it turns out to be true. If the expert's basis is false, any
    conclusions reached on that basis are unsubstantiated and unhelpful. To admit basis testimony
    for the nonhearsay purpose of jury evaluation of the experts is therefore to ignore the reality that
    jury evaluation of the expert requires a direct assessment of the truth of the expert's basis. Having
    invited the jury to make such an assessment, is it either fair or practical then to ask the jury to
    turn around and ignore it?"). It matters a great deal not only what the prosecutors say, but how
    they say it. By leaning so heavily on facts underlying Gavin's crimes, the State made the already
    difficult mental gymnastics of the jury nigh impossible.
    ¶ 79           The prosecution under the SVP Act treads a fine line, and must be prudent enough to
    know when its remarks regarding the respondent’s past deviant sexual actions expose the jury to
    prejudicial matter. Moreover, it is the duty of the courts and the prosecutor to ensure that the
    respondent receives a fair trial. People v. Sales, 
    151 Ill. App. 3d 226
    , 233 (1986). In an SVP Act
    case, the focus should not be on the respondent's past actions, but on whether the individual
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    1-12-2918
    mental condition currently poses a risk of sexual recidivism. Accordingly, we believe the trial
    court erred in not further limiting the prosecution's recitation of the experts' basis testimony.
    ¶ 80                                             CONCLUSION
    ¶ 81          The prejudicial impact of all the prosecutorial errors mandates a new trial. People v.
    Boling, 
    2014 IL App (4th) 120634
    , ¶ 144. After the prosecution resorted to extreme sarcasm and
    mockery in its rebuttal and referred to the underlying facts of Gavin's history of sexual crimes
    and deviancy for the truth of the matter asserted, the jury could not have properly considered the
    evidence. This is so because the evidence and arguments in favor of Gavin are strong enough to
    require a new trial. Both experts admitted that they did not understand how some of Gavin's
    ailments specifically affected his ability to sexually recidivate. Moreover, both experts admitted
    that Gavin had not manifested any symptom of his paraphilia since 1991, 21 years before trial. If,
    absent prosecutorial misconduct, the jury had been allowed to consider the evidence and
    arguments, they could have found reasonable doubt that Gavin is a sexually violent person.
    ¶ 82          Accordingly, we reverse and remand for a new trial.
    ¶ 83          We decline to address the remainder of Gavin's appeal. As to the dispositional hearing,
    we direct the trial court to consider its procedures in light of In re Commitment of Fields, 
    2014 IL 115542
    .
    ¶ 84          Reversed and remanded.
    -32-