In the Matter of the Civil Commitment of R.F. Svp 490-08 , 217 N.J. 152 ( 2014 )


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  •                                                      SYLLABUS
    (This syllabus is not part of the opinion of the Court. It has been prepared by the Office of the Clerk for the
    convenience of the reader. It has been neither reviewed nor approved by the Supreme Court. Please note that, in the
    interest of brevity, portions of any opinion may not have been summarized.)
    In the matter of the Civil Commitment of R.F. SVP 490-08 (A-10-12) (070552)
    Argued September 9, 2013 -- Decided March 19, 2014
    ALBIN, J., writing for a majority of the Court.
    In this appeal, the Court considers the proper scope of appellate review in commitment cases involving the
    Sexually Violent Predator Act (SVPA or Act), N.J.S.A. 30:4-27.24 to -27.38.
    In 2004, seventeen-year-old R.F. engaged in sexual conduct with two children, A.M. (twelve years old) and
    J.W. (thirteen years old). He pled guilty in adult court to endangering the welfare of both children. The court
    sentenced R.F. to a five-year term at the Adult Diagnostic and Treatment Center at Avenel (ADTC or Avenel).
    Before R.F. completed his sentence, the State petitioned to have him civilly committed under the SVPA.
    At R.F.’s commitment hearing, the Honorable Serena J. Perretti, J.S.C., reviewed a number of documents,
    including expert reports, R.F.’s plea and sentencing transcripts, and statements from R.F., A.M., and J.W. Although
    A.M. and J.W.’s statements described incidents of forcible sex, J.W.’s statement indicated that A.M. was in a
    consensual relationship with R.F. The varying accounts about whether force was used were not reconcilable.
    Judge Perretti also heard testimony from three expert witnesses, two for the State and one for R.F. The
    State’s first expert diagnosed R.F. with pedophilia, ADHD, and antisocial personality disorder and placed R.F. in the
    moderate- to high-risk category for sexually reoffending. The State’s second expert diagnosed R.F. with antisocial
    personality disorder and believed that R.F.’s diagnostic scores placed him in the group with a thirty-six percent
    likelihood of sexually reoffending within fifteen years. The second expert declined to diagnose pedophilia because
    A.M. had admitted having a consensual relationship with R.F. and because the diagnostic manual (DSM-IV-TR)
    explicitly says not to diagnose pedophilia in “an individual in late adolescence involved in an ongoing sexual
    relationship with a 12- or 13-year-old.” R.F.’s expert also rejected the pedophilia diagnosis. Instead, she diagnosed
    R.F. with conduct disorder and testified that he posed a “fairly low” risk of sexually reoffending. She further
    rejected the diagnostic test (Static-99) that the State’s experts had used in assessing R.F.’s risk of sexually
    reoffending, given R.F.’s cognitive limitations and the fact that the offenses were committed when he was a
    juvenile.
    After reviewing the evidence, Judge Perretti found that R.F. committed predicate sexual offenses that made
    him eligible for commitment under the SVPA and that he suffered from a personality disorder. Nonetheless, Judge
    Perretti denied the State’s petition for civil commitment because the State failed to establish that R.F. was highly
    likely to sexually reoffend. In reaching that conclusion, Judge Perretti credited the opinion of R.F.’s expert that
    R.F.’s risk of reoffending was “fairly low,” and that R.F. had learned that it is wrong to have sex with someone
    under age. She took into account R.F.’s youth and cognitive limitations. Additionally, she gave weight to the fact
    that R.F. disclosed his wrongdoing to the victims’ families, noting that the disclosures “indicate[] a resolution to
    desist.” Judge Perretti further explained that the testimony of the State’s experts appeared to be based on “an
    exaggeration or misunderstanding” of the record. Although Judge Perretti accepted that there was a reasonable
    chance that R.F. would “get in trouble” if released into the community, she held that the State lacked clear and
    convincing evidence that R.F. was “highly likely to commit a sexually violent offense in the foreseeable future.” In
    denying the State’s petition for civil commitment, Judge Perretti made clear that R.F. is subject to parole supervision
    for life. She also indicated that R.F. would “require many social services.” R.F. must also comply with a discharge
    plan prepared by the Special Treatment Unit (STU).
    In an unpublished per curiam opinion, the Appellate Division reversed the dismissal of the State’s SVPA
    petition and directed that R.F. be civilly committed. The panel rejected Judge Perretti’s factual findings. The panel
    found that R.F.’s “behavior was calculating and predatory” and that “[h]e sought out the girls with the intention of
    1
    engaging in sexual activity, with or without their assent.” The panel faulted Judge Perretti for “unduly discount[ing]
    the testimony of the State’s expert witnesses,” stressing that their opinions were “well-supported by the record.”
    Dismissing the opinion of R.F.’s expert, the panel determined that R.F. was “highly likely to re-offend,” and granted
    the State’s petition for commitment. The Court granted R.F.’s petition for certification. 
    212 N.J. 288
    (2012).
    HELD: The trial court’s findings in a civil commitment hearing under the Sexually Violent Predator Act, N.J.S.A.
    30:4-27.24 to -27.38, are entitled to deference, and a reviewing court may not overturn the commitment court’s
    ruling based upon its determination that it would have come to a different conclusion had it sat as the trier of fact.
    1. The SVPA permits the State to involuntarily commit “a person who has been convicted . . . of a sexually violent
    offense” who “suffers from a mental abnormality or personality disorder that makes the person likely to engage in
    acts of sexual violence if not confined in a secure facility for control, care and treatment.” N.J.S.A. 30:4-27.26. In
    order to commit someone, the State must establish, by clear and convincing evidence, that (1) the individual has
    been convicted of a sexually violent offense; (2) he suffers from a mental abnormality or personality disorder; and
    (3) as a result of his psychiatric abnormality or disorder, it is highly likely that the individual will not control his or
    her sexually violent behavior and will sexually reoffend. (pp. 27-28)
    2. The decision whether a person previously convicted of a sexually violent offense is highly likely to sexually
    reoffend “lies with the courts.” Although that determination “is guided by medical expert testimony,” the ultimate
    determination is “a legal one, not a medical one,” and a trial judge is “not required to accept all or any part of [an]
    expert opinion[].” Instead, a trial judge is required to exercise independent judgment in making findings that are
    supported by the record. (pp. 29-33)
    3. The judges who hear SVPA cases generally are “specialists” and “their expertise in the subject” is entitled to
    “special deference.” The experienced judges assigned to hear these cases have the difficult task of assessing expert
    testimony, making factfindings about events described from varying viewpoints, and predicting the probability of a
    person’s future conduct. Consequently, “[t]he scope of appellate review of a commitment determination is
    extremely narrow.” The trial courts have the “opportunity to hear and see the witnesses and to have the ‘feel’ of the
    case,” and, accordingly, an appellate court should not modify a trial court’s determination either to commit or
    release an individual unless “the record reveals a clear mistake.” Judge Perretti understood that many facts were in
    dispute -- a point not fully grasped by the Appellate Division. Here, the panel overstepped the narrow scope of
    appellate review because it assembled the pieces of the record that supported the State’s case, rather than analyzing
    whether there was sufficient credible evidence to support the trial court’s factfindings. (pp. 29-35)
    4. The trial court appropriately considered that R.F. is subject to a multiplicity of conditions and restrictions through
    parole supervision for life, including conditions that “would reduce the likelihood of recurrence of criminal
    behavior,” N.J.A.C. 10A:71-6.12(n). These sweeping supervision requirements are also accompanied by mandatory
    registration requirements under Megan’s Law. N.J.S.A. 2C:7-2. (pp. 36-37)
    5. The fact that an individual may need assistance in housing, in vocational training, in mental health counseling,
    and in other life skills is not a reason for his continued commitment. Our civil commitment jurisprudence has
    emphasized the importance of “provid[ing] the needed level of care in the least restrictive manner,” and not
    infringing on an individual’s “liberty or autonomy any more than appears reasonably necessary to accomplish” the
    State’s goals of public safety and effective treatment. When releasing an individual from the STU, the Department
    of Human Services must prepare a discharge plan. The goal of a discharge plan is to “facilitate the person’s
    adjustment and reintegration into the community.” The STU staff and the Department of Human Services are in the
    best position to decide what services and counseling are required for R.F. to successfully navigate outside the
    confines of a State institution. (pp. 37-39)
    6. R.F. has been detained at the STU for over five years without any judicial review of his mental or behavioral
    status. Without re-litigating Judge Perretti’s findings, the State is not foreclosed from re-petitioning for SVPA
    commitment if there are changed circumstances or conditions that might have a bearing on whether R.F. is highly
    likely to sexually reoffend. (p. 41)
    2
    The judgment of the Appellate Division is REVERSED, the judgment of the trial court is REINSTATED,
    and the matter is REMANDED to the trial court for proceedings consistent with this opinion.
    JUSTICE PATTERSON, DISSENTING, expresses the view that the Appellate Division was correct in
    its determination that the State presented clear and convincing evidence that R.F. is a sexually violent predator who
    is highly likely to engage in acts of sexual violence after his release, and that the trial court’s finding to the contrary
    was a clear mistake.
    CHIEF JUSTICE RABNER, JUSTICE LaVECCHIA, and JUDGES RODRÍGUEZ and CUFF (both
    temporarily assigned) join in JUSTICE ALBIN’s opinion. JUSTICE PATTERSON filed a dissenting
    opinion.
    3
    SUPREME COURT OF NEW JERSEY
    A-10 September Term 2012
    070552
    IN THE MATTER OF
    THE CIVIL COMMITMENT OF
    R.F. SVP 490-08
    Argued September 9, 2013 – Decided March 19, 2014
    On certification to the Superior Court,
    Appellate Division.
    Nora R. Locke, Assistant Deputy Public
    Defender, argued the cause for appellant
    R.F. (Joseph E. Krakora, Public Defender,
    Mental Health Advocacy, attorney).
    Lisa A. Puglisi, Assistant Attorney General,
    argued the cause for respondent State of New
    Jersey (John J. Hoffman, Acting Attorney
    General, attorney; Melissa H. Raksa,
    Assistant Attorney General, of counsel; Ms.
    Puglisi and Amy Beth Cohn, Deputy Attorney
    General, on the letter briefs).
    JUSTICE ALBIN delivered the opinion of the Court.
    Before the State can deprive a person of his freedom,
    either in a criminal trial or a civil commitment hearing, the
    State must satisfy a high standard of proof.   Under the New
    Jersey Sexually Violent Predator Act (SVPA or Act), N.J.S.A.
    30:4-27.24 to -27.38, a person previously convicted of a sexual
    offense can be civilly committed only if the State can establish
    by clear and convincing evidence that he suffers from a mental
    abnormality or personality disorder that makes him highly likely
    to commit a sexually violent offense.    The experienced judges
    assigned to hear these cases have the difficult task of
    assessing expert testimony that often is in conflict, making
    factfindings about events described from varying viewpoints, and
    ultimately predicting the probability of a person’s future
    conduct.    In the balance, an individual’s right to liberty is
    weighed against society’s interest in public safety.
    In this case, R.F., when he was seventeen years old,
    engaged in sexual conduct with two children, ages twelve and
    thirteen.    He pled guilty in adult court to endangering the
    welfare of both children and was sentenced to a five-year term
    at the Adult Diagnostic and Treatment Center at Avenel (ADTC or
    Avenel).    Before R.F. completed his sentence, the State
    petitioned to have R.F. civilly committed under the SVPA.
    At an SVPA commitment hearing, the Honorable Serena J.
    Perretti, J.S.C., sifted through a ream of documentary evidence
    and heard testimony from three expert witnesses, two for the
    State and one for R.F.    Although Judge Perretti found that R.F.
    committed predicate sexual offenses and suffered from a
    personality disorder, she concluded that the State had not
    proven by clear and convincing evidence that R.F. was highly
    likely to engage in sexually violent behavior if not civilly
    2
    committed.   In coming to the decision that the State had not met
    the evidentiary standard for SVPA commitment, Judge Perretti
    made specific findings of fact and ultimately placed decisive
    weight on R.F.’s expert.   She also made clear that R.F. is
    subject to parole supervision for life, N.J.S.A. 2C:43-6.4;
    N.J.A.C. 10A:71-6.12.   R.F., moreover, must also comply with a
    discharge plan prepared by the Special Treatment Unit (STU)
    where he has been civilly committed.
    The Appellate Division reversed, determining that the
    opinions of the State’s experts were “well-supported by the
    record and amply substantiate the State’s petition for R.F.’s
    commitment under the SVPA.”    Selecting the facts it deemed more
    credible, accepting the opinions it viewed more persuasive, and
    drawing its own inferences from the record, the panel came to a
    different conclusion than Judge Perretti.
    The issue, however, is not whether members of the panel
    would have decided the case differently had they heard the case.
    Nor is the issue whether evidence in the record supports the
    opinions of the State’s experts.       Rather, the issue is whether
    sufficient credible evidence in the record supports Judge
    Perretti’s findings.    Those findings are entitled to deference,
    for Judge Perretti was not only intimately familiar with the
    case file but also had the unique opportunity to hear the
    3
    witnesses, to judge their credibility, and to weigh their
    testimony -- things that cannot be gleaned from the cold record.
    Judge Perretti’s determination that the State did not
    establish by clear and convincing evidence that R.F. was highly
    likely to sexually reoffend unless institutionalized is
    supported by sufficient credible evidence in the record.     Her
    findings are not clearly mistaken and are entitled to deference.
    We therefore reverse the Appellate Division and remand for
    proceedings consistent with this opinion.
    In light of the passage of more than five years between
    Judge Perretti’s decision and our resolution today, we will stay
    the release of R.F. for thirty days to allow the State to file a
    new petition if there are any changed circumstances or
    conditions that would warrant civil commitment.   On his release,
    R.F. will be subject to a discharge plan and parole supervision
    for life.
    I.
    R.F. was charged in two separate juvenile complaints with
    committing, in May and July 2004, first-degree aggravated sexual
    assaults against twelve-year-old A.M. and thirteen-year-old J.W.
    and other related offenses.   R.F. was seventeen years old when
    the events that gave rise to the charges occurred.   As part of a
    plea agreement, the case was waived to adult court where R.F.
    4
    pled guilty to the lesser charges of third-degree endangering
    the welfare of A.M. and J.W., N.J.S.A. 2C:24-4(a).1   The State
    recommended that R.F. be sentenced to a five-year term at the
    ADTC based on an evaluation that he was a repetitive and
    compulsive offender.
    In giving a factual basis to the charges, R.F. admitted
    that, on separate occasions, he had “sex” with A.M. and J.W.
    With each girl, he touched various parts of her body and placed
    his “penis like in her butt,” but “it fell out.”    R.F., however,
    insisted that the sexual acts were consensual -- a position he
    maintained in later interviews.    During the plea colloquy, R.F.
    stated:    “I just did it because they wanted to have sex . . .
    [.]   I didn’t want to do it, but I cannot say no to a girl for
    some stupid reason.”    Nevertheless, he admitted that having sex
    with a minor was “wrong” and that he felt “bad.”2
    That R.F. was cognitively impaired was evident at the time
    of the plea.    Two of three psychiatrists who examined him
    declared that he was not competent to participate in the
    proceedings.    Nevertheless, R.F. declared that he wished to
    proceed.
    1
    R.F. waived his right to have the charges presented to a grand
    jury and pled guilty to the endangering charges as presented in
    an accusation. In accordance with the plea bargain, the State
    dismissed the juvenile charges.
    2
    In statements given to the police, both A.M. and J.W. claimed
    that their sexual encounters with R.F. were not consensual.
    5
    After that plea proceeding, at the correctional facility
    where he was incarcerated, R.F. threw a box at a corrections
    officer and then resisted several officers and spit on them.
    That incident led to R.F. pleading guilty to fourth-degree
    aggravated assault, N.J.S.A. 2C:12-1(b)(5).
    In July 2005, R.F. was sentenced on the endangering and
    assault charges.   An evaluation submitted by the ADTC to the
    court indicated that, although R.F. was deemed a repetitive and
    compulsive offender, he was considered amenable to treatment at
    the program at Avenel.    R.F. did not object to an Avenel
    sentence.   However, his attorney urged the court to find as a
    mitigating factor that R.F. “did not contemplate that his
    conduct would cause or threaten serious harm,” N.J.S.A. 2C:44-
    1(b)(2).    The defense attorney stressed that R.F. was “barely
    competent to understand the proceedings” and that his conduct
    was the result of his psychiatric disorder, his “lack of
    education,” and “his inability to comprehend the consequences of
    [his] actions.”
    Although the prosecutor commented on the seriousness of
    all three offenses, he acknowledged that R.F. had “a lot of
    mental limitations” and that R.F. was “in severe need of” both
    sex offender and mental health treatment.   The defense and
    prosecution agreed that the incident in the county jail was the
    product of “frustration” on R.F.’s part.
    6
    In imposing sentence, the court found, as aggravating
    factors, that R.F. had “acted out violently, or engaged in
    threats of violence,” and that the two young victims were
    “vulnerable” and “incapable of resisting his advances.”     As
    mitigating factors the court found that R.F. was diagnosed with
    “mild mental retardation,” “deficits in his visual cognitive
    processes,” and “attention deficit, hyperactivity disorder”
    (ADHD), and that R.F. was classified as “neuro-psychiatrically
    compromised.”   The court also noted R.F.’s youth and expression
    of remorse:   “[H]e knew what he was doing was wrong, but he . .
    . couldn’t resist the impulse to engage in the unlawful
    activity.”
    The court sentenced R.F. to concurrent five-year terms on
    the endangering charges, to be served at the ADTC, and to a
    concurrent nine-month term on the assault charge, and imposed
    all requisite fines and penalties.3   The court also imposed
    parole supervision for life, N.J.S.A. 2C:43-6.4, and noted that
    R.F. was subject to sex offender registration under N.J.S.A.
    2C:7-2.
    In May 2008, before R.F. completed his sentence, the State
    petitioned the Superior Court to have R.F. civilly committed
    under the SVPA.   Attached to the State’s petition were the
    3
    R.F. was given jail credit for 310 days served in the county
    jail.
    7
    clinical certificates of two psychiatrists, each offering an
    opinion that R.F. “has serious difficulty controlling his
    sexually inappropriate impulses, and . . . is highly likely to
    sexually reoffend.”   Based on the petition and clinical
    certificates, a Superior Court judge found probable cause to
    believe that R.F. met the standards for commitment under the
    SVPA.   R.F. was temporarily committed to the STU, a secure
    facility designated for sex offenders, pending an SVPA hearing.4
    II.
    Judge Perretti presided at the commitment hearing held in
    December 2008.   During the hearing, a number of documents were
    presented to Judge Perretti, including statements that had been
    given by A.M. and J.W. to the police.   Those statements
    described incidents of forcible sex, including the accusation by
    A.M. that R.F. grabbed her by the throat and the accusation by
    4
    The Attorney General is empowered to initiate proceedings to
    involuntarily commit persons who have been identified as
    sexually violent predators. N.J.S.A. 30:4-27.28. If there is
    probable cause to believe that a person is a sexually violent
    predator, a court orders an initial commitment until a trial-
    like hearing is conducted. N.J.S.A. 30:4-27.28(g). At the
    plenary hearing, the State must demonstrate “by clear and
    convincing evidence that the person needs continued involuntary
    commitment as a sexually violent predator.” N.J.S.A. 30:4-
    27.32.
    8
    J.W. that R.F. threatened her with a knife.5    J.W.’s statement,
    however, indicated that R.F. and A.M. were in a consensual
    relationship with each other.     The documentary record revealed
    that A.M. and J.W. were not strangers to R.F. but seemingly
    within his circle of friends -- despite their significant age
    differences.
    R.F. self-reported his sexual encounters with the two young
    girls.    In late July 2004, R.F. told A.M.’s mother that he
    attempted to have sexual intercourse with her daughter, and in
    late August, he told J.W.’s brother that he had intercourse with
    J.W.     Eventually, the mothers of the two girls reported the
    matters to the police.     The varying accounts given by R.F.,
    A.M., and J.W. about whether force was used are not
    reconcilable.
    At the hearing, the State called two expert witnesses, Dr.
    Robert Harris, a psychiatrist, and Dr. Sean McCall, a
    psychologist.     R.F. called one expert witness, Dr. Vivian
    Shnaidman, a psychiatrist.
    A.
    Dr. Harris testified that he interviewed R.F. three times,
    for approximately five to six hours in all, and found him
    cooperative but struggling, at times, to “maintain[] a line of
    5
    These statements were made part of the presentence report used
    by the trial court in fixing R.F.’s sentence.
    9
    thought.”   Illustrative of this point is that, according to Dr.
    Harris, R.F. stated “that he was not attracted to younger kids,”
    “that he wasn’t attracted to girls over the age of 13,” “that
    some people are attracted to 17-year old girls and he doesn’t
    think it’s right and he would . . . hurt those people,” and
    then, finally, that “his arousal to the 10 and 13 year old
    girls” is “not right.”   Concerning R.F.’s mental capacity to
    participate in his earlier criminal proceedings, Dr. Harris was
    knowledgeable about the report of one psychiatrist who opined
    that R.F. was competent to participate but not about the reports
    of two other psychiatrists who opined that he was not.
    Dr. Harris expressed his understanding that R.F. had
    “befriended” twelve-year-old A.M. and thirteen-year-old J.W.     At
    the time, R.F. considered the girls to be his “peers.”   R.F.
    reported to him that he became “sexually interested” in A.M.
    when she was nine or ten years old, which corresponded to when
    R.F. was fourteen or fifteen years old.   From his review of the
    police reports and statements of A.M. and J.W. and his
    interviews with R.F., Dr. Harris hypothesized that R.F. was
    “targeting these two girls, creating an environment for them to
    play in . . . and really going out of his way to groom [them].”
    Dr. Harris noted that the assault of A.M. occurred when R.F.
    entered the bathroom where she was concealing herself during a
    game of hide-and-seek with friends, including R.F.   In an
    10
    apparent reference to the assault on J.W., Dr. Harris stated
    that R.F. had “created this kind of clubhouse in an area where
    younger people would hang out.”     (J.W.’s statement, however,
    indicated that she and her friends built the clubhouse.)      As
    part of his grooming theory, Dr. Harris also emphasized that
    R.F. bought A.M. food and a bicycle -- although the sources he
    relied on indicate that these gifts followed the incident in the
    bathroom.
    Dr. Harris acknowledged that R.F. maintained that the
    sexual encounters with A.M. and J.W. were consensual.      In his
    psychiatric analysis, Dr. Harris observed, on the one hand, that
    R.F. -- who is in the “low average to borderline intellectual”
    range -- “has this very reactive quality to him where . . . he
    doesn’t think about what he’s doing.      He acts in a way without
    any kind of planning.”   On the other hand, Dr. Harris found that
    R.F.’s “sexual offenses were very well planned.      He spent a
    great deal of time grooming and creating an environment to which
    he had access to these two girls.”
    Dr. Harris diagnosed R.F. with pedophilia,6 ADHD,7 and
    antisocial personality disorder.8      Dr. Harris concluded that
    6
    The Diagnostic and Statistical Manual of Mental Disorders
    characterizes pedophilia in the following way:
    The paraphilic focus of Pedophilia involves
    sexual activity with a prepubescent child
    (generally age 13 years or younger).    The
    11
    R.F.’s pedophilia and antisocial personality placed him at a
    high risk to reoffend if he were not committed to the STU for
    sex offender treatment.
    Because R.F. was “essentially 18 years old” at the time of
    the offenses, Dr. Harris did not believe that R.F.’s youth
    undermined the pedophilia diagnosis.   He explained that R.F. had
    been attracted to A.M. for several years.   Dr. Harris, however,
    did not elaborate on the point that R.F.’s attraction dated to a
    time when he was fourteen or fifteen years old.   Instead, he
    individual with Pedophilia must be age 16
    years or older and at least 5 years older
    than the child.     For individuals in late
    adolescence with Pedophilia, no precise age
    difference   is   specified,  and   clinical
    judgment must be used; both the sexual
    maturity of the child and the age difference
    must be taken into account.
    [American      Psychiatric      Association,
    Diagnostic and Statistical Manual of Mental
    Disorders 571 (4th ed. Text Revision 2000)
    [hereinafter DSM-IV-TR].]
    The latest edition of the DSM was published in 2013.
    American Psychiatric Association, Diagnostic and Statistical
    Manual of Mental Disorders (5th ed. 2013).
    7
    “The essential feature of [ADHD] is a persistent pattern of
    inattention and/or hyperactivity-impulsivity that is more
    frequently displayed and more severe than is typically observed
    in individuals at a comparable level of development.” DSM-IV-
    
    TR, supra, at 85
    .
    8
    Antisocial personality disorder is defined by “a pervasive
    pattern of disregard for, and violation of, the rights of others
    that begins in childhood or early adolescence and continues into
    adulthood.” 
    DSM-IV-TR, supra, at 701
    .
    12
    cited to a statement by R.F. that he still had arousal to
    children.   Dr. Harris stated that he did not know whether J.W.
    was prepubescent and that R.F. was unable “to figure out if she
    was [sexually] develop[ed].”   (A pedophilia diagnosis requires
    that the victim be prepubescent, according to the 
    DSM-IV-TR, supra, at 571
    .)
    Dr. Harris diagnosed R.F. with antisocial personality
    disorder because R.F. had a history of failing to control his
    behavior and because, he believed, the treatment at the ADTC was
    not successful.   However, Dr. Harris agreed that R.F. had not
    been cited for any infractions since his commitment to the STU.
    Dr. Harris measured R.F.’s risk of sexually reoffending
    with a diagnostic tool called the Static-99.   R.F.’s scores of a
    four and a five placed him in the moderate- to high-risk
    category for sexually reoffending.   Although Dr. Harris agreed
    that the Static-99 “should be used with caution” in grading
    juvenile offenders, he judged R.F. as an adult because he was
    just shy of eighteen years at the time of the offenses.9
    B.
    9
    The Static-99 is an actuarial test used to estimate the
    probability of sexually violent recidivism in adult males
    previously convicted of sexually violent offenses. See Andrew
    Harris et al., Static-99 Coding Rules Revised-2003 5 (2003).
    This Court has explained that actuarial information, including
    the Static-99, is “simply a factor to consider, weigh, or even
    reject, when engaging in the necessary factfinding under the
    SVPA.” In re Commitment of R.S., 
    173 N.J. 134
    , 137 (2002).
    13
    Dr. McCall, a psychologist at the STU, testified that,
    based on R.F.’s antisocial personality disorder, R.F. posed a
    high risk of sexually reoffending if not committed.    Unlike Dr.
    Harris, Dr. McCall did not diagnose pedophilia because A.M.
    admitted to J.W. that she had a consensual relationship with
    R.F.   He cited to the 
    DSM-IV-TR, supra, at 572
    , which explicitly
    says not to diagnose pedophilia in “an individual in late
    adolescence involved in an ongoing sexual relationship with a
    12- or 13-year-old.”    Dr. McCall also could not substantiate
    paraphilia10 as a diagnosis because it was uncertain how
    “arousing” the events were to R.F. and because the activities
    did not occur over a period of six months.11
    Dr. McCall settled on a diagnosis of antisocial personality
    disorder based on R.F.’s “fights in prison,” his “still breaking
    the rules,” his “being self-centered [and] kind of impulsive,”
    and his “willingness and interest in going after young girls.”
    In the breaking-the-rules category, Dr. McCall also pointed out
    that R.F. apparently had a consensual sexual encounter with
    10
    The DSM-IV-TR describes 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.” 
    DSM-IV-TR, supra, at 566
    .
    11
    Dr. McCall initially believed that R.F. suffered from
    pedophilia and paraphilia, but ultimately abandoned those
    diagnoses on further consideration.
    14
    another inmate at the ADTC.   Dr. McCall emphasized that R.F. was
    on probation for a simple assault as a juvenile when he
    committed the endangering offenses.   He believed that R.F.’s
    commission of those offenses while under probation supervision
    for simple assault “was a robust predictor of [sexual offense]
    recidivism.”   Dr. McCall noted that R.F. tested in the “low
    average range of intellectual functioning” and that, given his
    Static-99 score of four, he fell within the group with a thirty-
    six percent likelihood of sexually reoffending within fifteen
    years.
    Dr. McCall conceded that R.F. held firm that his sexual
    encounters with A.M. and J.W. were consensual; that he never
    admitted at any time to using force or a weapon; that neither
    A.M. nor J.W. alleged that R.F. anally penetrated them; that
    J.W. stated that she asked R.F. to build a fort in the woods
    (J.W.’s statement, however, indicates that she and her friends
    built the fort); that J.W., after having sex with R.F., believed
    she was having her period because of bleeding (thus suggesting
    that she was not prepubescent); that A.M. and J.W. admitted that
    they “hung out” with R.F.; and that R.F. saw himself as a
    “peer.”   Dr. McCall also acknowledged that in R.F.’s statement
    to the police he admitted that it was wrong for him to have sex
    with A.M. and J.W. because of their age differences.
    C.
    15
    Dr. Shnaidman, a psychiatrist who had been a consultant at
    the ADTC for more than five years, determined that R.F. did not
    fit the diagnostic profile for pedophilia or paraphilia.    She
    ruled out those diagnoses because R.F. did not have “a specific
    arousal to prepubescent children” or nonconsensual sex.    Dr.
    Shnaidman, however, diagnosed R.F. with conduct disorder.12      She
    also conceded that he met the definition for antisocial
    personality disorder.   She did not select the latter diagnosis
    because, although he committed the county-jail assault and other
    institutional infractions after he turned eighteen, R.F. did not
    mentally become eighteen on the day of his eighteenth birthday.
    Moreover, she did not weigh R.F.’s alleged consensual sexual
    encounter with another resident as an increased risk factor
    because the evidence did not suggest any “predatory or abusive”
    relationship.    As she explained, “our standard for sex offenders
    somehow becomes much higher than the standards that we even hold
    ourselves to.”
    Dr. Shnaidman also rejected the Static-99 as an effective
    diagnostic tool in assessing R.F.’s risk of sexually reoffending
    due to his cognitive limitations and the fact that the offenses
    were committed when he was a juvenile.    The Static-99, in her
    12
    “The essential feature of Conduct Disorder is a repetitive and
    persistent pattern of behavior in which the basic rights of
    others or major age-appropriate societal norms or rules are
    violated.” 
    DSM-IV-TR, supra, at 93
    .
    16
    estimation, is a test primarily for adults, and even then, is
    only “one piece of information.”
    In Dr. Shnaidman’s opinion, R.F. posed a “fairly low” risk
    of sexually reoffending.   She could not say the risk was “zero”
    but it was “not likely.”   She came to that conclusion because,
    as a result of his criminal conviction and the treatment at the
    ADTC, R.F. knows that it is wrong to have sex with underage
    girls and to force someone to have sex.
    In explaining the conduct that led to R.F.’s convictions,
    Dr. Shnaidman stressed R.F.’s cognitive limitations.   She
    diagnosed him with “borderline intellectual functioning,” noting
    that at the age of twenty-two he had trouble reading The Cat in
    the Hat.   She recounted that when she interviewed R.F., he did
    not “actually know” the charges to which he had pled guilty.
    She explained that R.F. saw himself as part of the victims’ peer
    group and considered his interactions to be consensual.
    According to Dr. Shnaidman, the evidence, including R.F.’s
    mental limitations, did not support the claim that R.F. was
    “grooming” A.M. and J.W.
    In light of the differing accounts given by A.M., J.W., and
    R.F., Dr. Shnaidman acknowledged the difficulty in discerning
    the true circumstances of the encounters, but she emphasized
    that R.F. always denied using force and that A.M. told at least
    17
    one friend (J.W.) that the sexual activity with R.F. was
    consensual.
    In making her risk assessment, Dr. Shnaidman considered
    that R.F. would be subject to parole supervision for life.      In
    her opinion, R.F. poses a low risk to reoffend and “seems to be
    motivated not to re-offend,” but nevertheless she stressed that
    providing structure and support for R.F. in the community would
    further reduce the risk of recidivism.   Dr. Shnaidman expressed
    that anyone “involved in sex offender treatment should be
    transitioned into the community with some kind of supervision
    and some kind of services,” and in R.F.’s case vocational
    training and counseling would serve as prevention therapy.
    III.
    Before rendering her decision, Judge Perretti not only
    heard the testimony of the three expert witnesses, but also
    reviewed the relevant documentary evidence, such as the victims’
    and R.F.’s statements, R.F.’s plea and sentencing transcripts,
    and the expert reports.   She viewed the evidence through the
    prism of the governing legal principles, keeping in mind that
    the State had the burden of establishing by clear and convincing
    evidence the elements required for SVPA commitment.
    Judge Perretti first concluded that R.F. pled guilty to
    predicate offenses that made him eligible for commitment under
    18
    the SVPA.   She noted that the record revealed that R.F. had
    penetrated thirteen-year-old J.W. and had sexual contact with
    twelve-year-old A.M.   Based on these circumstances, Judge
    Perretti concluded that R.F.’s convictions for third-degree
    endangering the welfare of those children were sexually violent
    offenses under the Act.
    Second, Judge Perretti concluded that, based on his conduct
    in the community and in custody as well as the experts’
    testimony, R.F. had juvenile conduct disorder.    She determined
    that Dr. Harris’s diagnosis of pedophilia did “not squarely fit
    the criteria of the DSM IV.”   In that regard, Judge Perretti
    observed that “there may have been an ongoing relationship
    between [R.F.] and A.M.” and that it is not known whether she
    was prepubescent.   She also noted that both Dr. McCall and Dr.
    Shnaidman rejected the diagnosis of pedophilia.   Judge Perretti,
    moreover, did not find paraphilia as an appropriate diagnosis
    based on Dr. Shnaidman’s testimony.   In support of the juvenile
    conduct disorder diagnosis, Judge Perretti mentioned that R.F.
    had been “assigned to the mental health program at [the] ADTC
    and reportedly had bouts of anger which resulted in his getting
    into trouble.”   Referencing his therapist’s report, she stated
    that R.F. had “demonstrated distorted thinking and had only a
    limited understanding of his crime”; that he “had deficits in
    intellectual functioning, social skills, communication skills
    19
    and developing relationships”; that he “had poor impulse control
    which resulted in [his] acting out behaviors within the [ADTC]”;
    and that he “had made only limited progress in treatment.”        She
    also observed that R.F. received a number of disciplinary
    citations at the ADTC, including an incident in which R.F. was
    found in a portable bathroom with another inmate “under
    suspicious circumstances.”
    Despite the predicate-offense and personality-disorder
    findings, Judge Perretti held that the State did not establish
    by clear and convincing evidence that R.F. was “highly likely to
    commit a sexually violent offense.”   In reaching this
    conclusion, Judge Perretti placed great weight on Dr.
    Shnaidman’s opinion that R.F.’s risk to reoffend was “‘fairly
    low’” and that R.F. had learned that it is wrong to have sex
    with someone under age.   She also gave weight to the fact that
    R.F. disclosed his wrongdoing to the victims’ families:     “It
    would seem that [R.F.] was conscious at the time that he made
    his disclosures of the wrongness of his acts” and that the
    disclosures “indicate[] a resolution to desist.”   Further, Judge
    Perretti highlighted that R.F. would be subject to parole
    supervision for life, “which affords some protection to the
    public and may act as a deterrent.”
    Judge Perretti also observed that some of the testimony of
    the State’s experts “appears [to be] based upon an exaggeration
    20
    or misunderstanding of the circumstances which led to their
    conclusions.”    For example, Dr. Harris diagnosed R.F. with
    pedophilia partly based on the assumption that R.F. had engaged
    in grooming behavior.    Yet, as Judge Perretti pointed out, the
    documentary evidence revealed that R.F. had not -- as believed
    by Dr. Harris -- built the fort that Dr. Harris saw as a way of
    luring children.    Judge Perretti, moreover, noted that the
    “gifts” from R.F. to A.M. “followed the sex incident”13 and
    supposedly were “offered and received to keep her quiet.”      To
    her mind, the State did not demonstrate that A.M. or J.W. had
    “any ongoing fear of [R.F.] who continued to be part of the
    circle of friends.”
    Judge Perretti further explained that Dr. Harris’s opinions
    “depend[ed] greatly upon [R.F.’s] self-disclosures” during his
    interviews with R.F.    However, some of R.F.’s statements
    referenced by Dr. Harris, in the judge’s view, were
    “incomprehensible,” “babbling,” and showed “a seeming confusion
    as to time and persons.”
    In addition, Judge Perretti maintained that Dr. McCall’s
    initial paraphilia diagnosis was based on an unfounded
    assumption.     Dr. McCall assumed that J.W. sustained injuries
    during her sexual encounter with R.F. based on the presence of
    13
    Judge Perretti mistakenly referred to J.W. here instead of
    A.M.
    21
    bloodstains.   J.W., however, stated to the police that she
    believed the blood was a result of “her monthly period.”
    Judge Perretti also noted that the prosecutor’s office did
    not pursue aggravated sexual assault charges but rather allowed
    R.F. to plead guilty to third-degree endangering charges with a
    five-year maximum exposure.   Yet, the State’s petition for civil
    commitment, if granted, “in this case is tantamount to life in
    custody.”   That raised in her mind issues of proportionality.
    Judge Perretti found both Dr. Harris and Dr. Shnaidman
    “equally well-qualified” and that the difference of opinions
    between these “highly respected” experts was “itself a matter
    generating doubt.”   To Judge Perretti, there was a distinction
    between a reasonable prediction that R.F. would “get in trouble
    if released now into the community” -- a proposition she
    accepted -- and a finding by clear and convincing evidence that
    R.F. was “highly likely to commit a sexually violent offense in
    the foreseeable future” -- a proposition she did not accept.
    Last, Judge Perretti had little doubt that R.F. would
    “require many social services if he is to peacefully negotiate
    life in the community.”   She maintained, however, that the
    “State must step up to the plate now and cannot simply hide
    [R.F.] in the Special Treatment Unit.”   Judge Perretti dismissed
    the State’s SVPA petition but stayed her order pending appeal.
    22
    IV.
    In an unpublished per curiam opinion, the Appellate
    Division reversed the dismissal of the State’s petition, thereby
    directing that R.F. be civilly committed.   The panel concluded
    “that the record does not support the trial court’s
    determination that R.F. does not qualify for [SVPA] commitment.”
    Although the panel acknowledged that “[t]he scope of appellate
    review of the trial court’s findings is extremely narrow,”
    citing In re Civil Commitment of V.A., 
    357 N.J. Super. 55
    , 63
    (App. Div.), certif. denied, 
    177 N.J. 490
    (2003), the panel made
    its own findings of fact and rejected those made by Judge
    Perretti.
    The panel deemed it error for the trial court to consider
    that R.F. -- with his limited cognitive ability -- viewed
    himself as the girls’ peer.   It found that R.F.’s “behavior was
    calculating and predatory” and that “[h]e sought out the girls
    with the intention of engaging in sexual activity, with or
    without their assent.”   Thus, accepting in full the victims’
    accounts, it determined that R.F. “violently sexually assaulted”
    A.M. in a locked bathroom and lured J.W. to “a secluded area
    [and] then forcibly sexually assaulted her at knife point.”     The
    panel maintained that R.F.’s “denial or minimization of the harm
    he caused his victims . . . reveal[ed] his distorted and
    23
    pathological perception that he was acting in an age-appropriate
    manner when he assaulted the girls.”
    The panel faulted the trial court for “unduly discount[ing]
    the testimony of the State’s expert witnesses,” stressing that
    their opinions were “well-supported by the record.”      It was
    dismissive of Dr. Shnaidman’s opinion for failing to reckon “the
    danger posed to the community at large by the precipitous
    release” of R.F.    Last, the panel determined that, based on his
    history of noncompliance with treatment, R.F. was “highly likely
    to re-offend if released under the conditions suggested by Dr.
    Shnaidman.”
    We granted R.F.’s petition for certification.       In re Civil
    Commitment of R.F., 
    212 N.J. 288
    (2012).
    V.
    A.
    R.F. submits that the Appellate Division failed to adhere
    to the limited scope of its review when it disregarded the trial
    court’s findings.   According to R.F., the trial court heard
    extensive testimony from three different experts, considered
    voluminous documentary materials, and then reached a decision
    fully supported by the evidence.      R.F. argues that the trial
    court did not have to credit the ultimate opinions of the
    State’s experts or to reject the opinion offered by Dr.
    24
    Shnaidman.   Rather, the court had to exercise its own
    independent judgment in making findings of fact and determining
    whether R.F. was highly likely to sexually reoffend.     The panel,
    R.F. maintains, did not give Judge Perretti’s findings the
    utmost deference and merely substituted its own findings.    Last,
    R.F. believes that the SVPA allows the court to place conditions
    on R.F.’s release from the STU or to make recommendations in
    regard to parole supervision for life.
    B.
    The State urges this Court to affirm the Appellate
    Division, reasoning that the trial court’s determination was a
    “manifestly mistaken exercise of discretion.”   The State argues
    that Judge Perretti “abused her discretion when she rejected the
    diagnosis of pedophilia” because “there was ample evidence in
    the record to support a diagnosis of pedophilia.”   It submits
    that Judge Perretti speculated in suggesting that R.F.’s
    disclosures to Dr. Harris may have been unreliable and that J.W.
    may not have been prepubescent.
    The State also declares that the evidence “overwhelmingly
    established that R.F. is ‘likely to engage in acts of sexual
    violence if not confined’” to the STU, quoting N.J.S.A. 30:4-
    27.26.   The State questioned the trial court’s finding that R.F.
    could be released subject to parole supervision for life without
    25
    endangering the public, given that he had “sexually assaulted
    the victims while on supervised probation.”
    Last, the State professes that this Court has no
    jurisdiction to place conditions on R.F.’s discharge in the
    event that it reinstates Judge Perretti’s decision.       Based on
    its reading of N.J.S.A. 30:4-27.32(b), the State suggests that
    court-imposed conditions can only be implemented and enforced if
    R.F. is committed under the SVPA and later found by the
    commitment court no longer to be a sexually violent predator.
    VI.
    The preeminent issue in this case concerns the scope of
    appellate review in commitment cases involving the Sexually
    Violent Predator Act, N.J.S.A. 30:4-27.24 to -27.38.       Trial
    judges who handle SVPA commitment hearings generally possess
    expertise and experience in highly complex matters where
    credibility decisions must be made, expert psychiatric testimony
    assessed, future conduct predicted, and individual liberty
    weighed against public safety.    The level of deference that is
    accorded to trial court decisions in SVPA cases is at the heart
    of the conflict between R.F. and the State.    Resolving that
    issue requires an understanding of the SVPA, to which we turn
    now.
    A.
    26
    The SVPA permits the State to involuntarily commit “a
    person who has been convicted . . . of a sexually violent
    offense” who “suffers from a mental abnormality or personality
    disorder that makes the person likely to engage in acts of
    sexual violence if not confined in a secure facility for
    control, care and treatment.”    N.J.S.A. 30:4-27.26.    At the
    commitment hearing, the State must establish three elements:
    (1) that the individual has been convicted of a sexually violent
    offense, ibid.; (2) that he suffers from a mental abnormality or
    personality disorder, ibid.; and (3) that as a result of his
    psychiatric abnormality or disorder, “it is highly likely that
    the individual will not control his or her sexually violent
    behavior and will reoffend,” In re Commitment of W.Z., 
    173 N.J. 109
    , 130 (2002).   Although the first two elements derive
    directly from the statute, to comport with substantive due
    process concerns, this Court interpreted the third statutory
    element as requiring the State to show that a person is “highly
    likely,” not just “likely,” to sexually reoffend.       
    Ibid. The State bears
    the burden of proving all three elements by
    clear and convincing evidence.   N.J.S.A. 30:4-32(a).      Clear and
    convincing evidence is evidence that produces “a firm belief or
    conviction” that the allegations are true; it is evidence that
    is “so clear, direct and weighty and convincing” that the
    factfinder can “come to a clear conviction” of the truth without
    27
    hesitancy.   In re Jobes, 
    108 N.J. 394
    , 407 (1987) (quoting State
    v. Hodge, 
    95 N.J. 369
    , 376 (1984)).     The terms of the statute
    must be strictly met.     The State cannot confine a person because
    it is reasonably likely that he will not be able to abide by all
    of society’s laws or norms.    SVPA commitment is limited to those
    who are highly likely to sexually reoffend.     Cf. Kansas v.
    Crane, 
    534 U.S. 407
    , 412, 
    122 S. Ct. 867
    , 870, 
    151 L. Ed. 2d 856
    , 862 (2002) (noting “the constitutional importance of
    distinguishing a dangerous sexual offender subject to civil
    commitment ‘from other dangerous persons who are perhaps more
    properly dealt with exclusively through criminal proceedings’”
    (quoting Kansas v. Hendricks, 
    521 U.S. 346
    , 360, 
    117 S. Ct. 2072
    , 2081, 
    138 L. Ed. 2d 501
    , 514 (1997))).
    At issue in this case is not whether R.F. committed a
    predicate sexual offense under the SVPA or even whether he
    suffers from a personality disorder or mental abnormality --
    although the nature of the disorder or abnormality is contested.
    The key dispute is whether based on the sexual offenses
    committed, the disorder or abnormality, and his juvenile history
    and institutional infractions, R.F. is highly likely to commit
    another sexual offense.
    We now turn to the standard governing appellate review.
    B.
    28
    “The scope of appellate review of a commitment
    determination is extremely narrow.”       In re D.C., 
    146 N.J. 31
    , 58
    (1996) (citing State v. Fields, 
    77 N.J. 282
    , 311 (1978)).          The
    judges who hear SVPA cases generally are “specialists” and
    “their expertise in the subject” is entitled to “special
    deference.”   See In re Civil Commitment of T.J.N., 390 N.J.
    Super. 218, 226 (App. Div. 2007).       The final decision whether a
    person previously convicted of a sexually violent offense is
    highly likely to sexually reoffend “lies with the courts, not
    the expertise of psychiatrists and psychologists.      Courts must
    balance society’s interest in protection from harmful conduct
    against the individual’s interest in personal liberty and
    autonomy.”    See 
    D.C., supra
    , 146 N.J. at 59 (stating principles
    that apply in ordinary civil commitment hearings).       A trial
    judge is “not required to accept all or any part of [an] expert
    opinion[].”   
    Id. at 61.
      The ultimate determination is “a legal
    one, not a medical one, even though it is guided by medical
    expert testimony.”    
    Id. at 59.
    We give deference to the findings of our trial judges
    because they have the “opportunity to hear and see the witnesses
    and to have the ‘feel’ of the case, which a reviewing court
    cannot enjoy.”   State v. Johnson, 
    42 N.J. 146
    , 161 (1964).         An
    appellate court should not overturn a trial court’s findings
    because it “might have reached a different conclusion were it
    29
    the trial tribunal” or because “the trial court decided all
    evidence or inference conflicts in favor of one side” in a close
    case.   
    Id. at 162.
    Accordingly, an appellate court should not modify a trial
    court’s determination either to commit or release an individual
    unless “the record reveals a clear mistake.”   
    D.C., supra
    , 146
    N.J. at 58 (citing 
    Fields, supra
    , 77 N.J. at 311); see 
    Johnson, supra
    , 42 N.J. at 162 (stating that trial court’s findings
    should be disturbed only if so clearly mistaken “that the
    interests of justice demand intervention” and only then should
    appellate court “appraise the record as if it were deciding the
    matter at inception and make its own findings and conclusions”).
    So long as the trial court’s findings are supported by
    “sufficient credible evidence present in the record,” those
    findings should not be disturbed.    
    Johnson, supra
    , 42 N.J. at
    162; see In re Civil Commitment of J.M.B., 
    197 N.J. 563
    , 597
    (stating that appellate courts must defer where there is
    “substantial, credible evidence to support the court’s
    findings”), cert. denied, 
    558 U.S. 999
    , 
    130 S. Ct. 509
    , 175 L.
    Ed. 2d 361 (2009).
    VII.
    In light of these governing standards, we now must
    determine whether the Appellate Division had a proper basis to
    30
    overthrow the findings of the trial court.     In the end, we
    conclude that the panel overstepped the narrow scope of
    appellate review applicable in this case.     The major flaw in the
    panel’s analysis is that instead of surveying the record to see
    whether there was sufficient credible evidence to support Judge
    Perretti’s factfindings, the panel assembled bits and pieces of
    the record that supported the State’s case.    The issue was not,
    as the panel stated, whether the opinions of the State’s experts
    were “well-supported by the record” and thus “amply
    substantiate[d] the State’s petition.”    That the Appellate
    Division would have come to a different conclusion had it sat as
    the trier of fact is not a basis for overturning the trial
    court’s decision.
    The State bore the burden of proving by clear and
    convincing evidence each of the elements for commitment under
    the SVPA.   Judge Perretti found that the State satisfied the
    first two elements.   She found, however, that the State did not
    present clear and convincing evidence of the third and decisive
    element -- that R.F. was highly likely to sexually reoffend.     In
    reaching that conclusion, Judge Perretti stated her reasons for
    rejecting the ultimate opinions of the State’s two experts and
    accepting the opinion of Dr. Shnaidman.    Sufficient credible
    evidence is present in the record to support Judge Perretti’s
    decision.
    31
    A.
    Judge Perretti found that R.F.’s plea of guilty to
    endangering the welfare of twelve-year-old A.M. and thirteen-
    year-old J.W. in 2004, when R.F. was seventeen years old,
    constituted prior “sexually violent offenses” under the catch-
    all provision of the SVPA, N.J.S.A. 30:4-27.26(b).14   No one
    disputes that finding.
    Judge Perretti also found that R.F. suffered from a
    personality disorder -- the second element necessary for
    commitment under the SVPA.   That finding is not contested.
    Nevertheless, the State argues that Judge Perretti abused her
    discretion in rejecting Dr. Harris’s pedophilia diagnosis.      Yet,
    the State’s own expert, Dr. McCall, as well as Dr. Shnaidman,
    did not believe that pedophilia was substantiated -- and,
    according to Judge Perretti, a pedophilia diagnosis did “not
    squarely fit the criteria of the DSM IV.”   Moreover, we cannot
    14
    N.J.S.A. 30:4-27.26(a) specifically designates such offenses
    as aggravated sexual assault and sexual assault as sexually
    violent offenses. The offenses classified in subsection (a),
    however, are not an exhaustive list. N.J.S.A. 30:4-27.26(b)
    expands sexually violent offenses to include “any offense for
    which the court makes a specific finding on the record that,
    based on the circumstances of the case, the person’s offense
    should be considered a sexually violent offense.” A finding of
    a sexually violent offense under subsection (b) “requires
    substantially equivalent conduct to the conduct captured by the
    offenses listed in subsection (a).” 
    J.M.B., supra
    , 197 N.J. at
    595. Here, although R.F. pled guilty to endangering the welfare
    of a child, the substantially equivalent conduct would be sexual
    assault against J.W., N.J.S.A. 2C:14-2(c)(4), and sexual assault
    against A.M., N.J.S.A. 2C:14-2(b).
    32
    say that Judge Perretti clearly erred by accepting the opinion
    of Dr. Shnaidman who found that a paraphilia diagnosis was
    inappropriate because R.F. did not have “a specific arousal to
    prepubescent children.”    Judge Perretti was not bound to adopt
    the State’s opinions; she was required to exercise her
    independent judgment in making findings that, as here, were
    supported by the record.    See 
    D.C., supra
    , 146 N.J. at 59.
    B.
    The critical finding of Judge Perretti was that the State
    failed to show by clear and convincing evidence that R.F., if
    released from confinement, was highly likely to commit another
    violent sexual offense.    In coming to that conclusion, Judge
    Perretti took into account R.F.’s youth, the cognitive
    limitations that led him to perceive himself as a peer of
    twelve- and thirteen-year old girls, and his self-reporting of
    his sexual encounters to the mother of A.M. and the brother of
    J.W.    She also placed great weight on Dr. Shnaidman’s opinion
    that R.F. had learned that having sexual relations with someone
    under age is wrong and that his risk of sexually reoffending was
    “fairly low.”
    Judge Perretti understood that many facts were in dispute -
    - a point not fully grasped by the Appellate Division.    The
    experts disagreed about whether the evidence established that
    the girls were prepubescent, an important factor in assessing
    33
    the nature of R.F.’s disorder; whether, given R.F.’s cognitive
    limitations and age, the Static-99 was an appropriate diagnostic
    tool for measuring his risk of sexually reoffending; and whether
    R.F.’s viewing the girls as his peers increased or decreased the
    risk that he would sexually reoffend.   Additionally, there were
    conflicting accounts about whether violence was used during the
    sexual encounters and misunderstandings about whether R.F. built
    a fort and then used it to lure children.   Before the SVPA
    commitment hearing, no trial ever resolved these disputed facts
    and issues.    That difficult task was left to Judge Perretti.
    She sifted through the documentary evidence, heard the testimony
    of the experts, and came to her factual findings and legal
    conclusions.
    Judge Perretti had a full understanding of the factual
    limitations in the record, and that led her to have doubt about
    whether the State had carried its burden.    In its opinion, the
    Appellate Division exceeded its scope of review because it did
    not canvass the record for credible evidence to support Judge
    Perretti’s factfindings.   Instead, it drew its own inferences
    from the record and made its own factfindings -- different from
    those of Judge Perretti -- that R.F. acted in a “predatory”
    manner, violently sexually assaulted the girls, and minimized
    the harm he caused the victims.    However, a mere disagreement
    with the trial court’s factfindings cannot be the basis for
    34
    substituted factfindings by an appellate court.    Judge Perretti,
    moreover, was authorized to discount an expert opinion that she
    believed was at odds with the record and not as well grounded as
    another expert opinion.
    In this case, a judge who sat regularly on SVPA cases and
    who was a specialist in the area came to a reasoned conclusion
    based on sufficient credible evidence in the record.    She judged
    a cognitively impaired young man who was convicted of having
    sexual relations with underage minors and who had a prior
    juvenile record and a history of institutional infractions.
    Judge Perretti did not look at the case through rose-colored
    glasses.    She knew that the raw truth sometimes is not easily
    discernible.    She did what we expect of judges -- she viewed
    difficult facts against the applicable law.
    Judge Perretti understood that a reasonable prediction
    could be made that, given his disorder and background, without
    help, R.F. would “get in trouble if released now into the
    community.”    But the SVPA only permits for the civil commitment
    of those who are highly likely to commit a sexually violent
    offense if released.    See 
    W.Z., supra
    , 173 N.J. at 129-30; cf.
    
    Crane, supra
    , 534 U.S. at 
    412, 122 S. Ct. at 870
    , 151 L. Ed. 2d
    at 862.    That she could not find by clear and convincing
    evidence.
    35
    Judge Perretti also considered that R.F. is subject to a
    multiplicity of conditions and restrictions through parole
    supervision for life, which will minimize any potential threat
    to public safety.   See N.J.S.A. 2C:43-6.4; N.J.A.C. 10A:71-
    6.12(b).   The sweeping supervision to which R.F. will be subject
    after his release requires R.F. to:   live in an approved
    residence, N.J.A.C. 10A:71-6.12(d)(5)-(6); receive permission to
    leave the state, N.J.A.C. 10A:71-6.12(d)(7); refrain from
    possessing weapons, N.J.A.C. 10A:71-6.12(d)(8)-(9), and from
    possessing or using controlled dangerous substances, N.J.A.C.
    10A:71-6.12(d)(10); submit to drug and alcohol testing, N.J.A.C.
    10A:71-6.12(d)(13), and psychological testing, N.J.A.C. 10A:71-
    6.12(d)(11); complete appropriate counseling or treatment,
    N.J.A.C. 10A:71-6.12(d)(12), including any therapy specified by
    the staff at the ADTC, N.J.A.C. 10A:71-6.12(g); obtain
    permission before accepting employment, N.J.A.C. 10A:71-
    6.12(d)(14); notify his parole officer if he becomes unemployed,
    N.J.A.C. 10A:71-6.12(d)(15); avoid any contact with A.M. or
    J.W., N.J.A.C. 10A:71-6.12(d)(16); comply with any curfew,
    N.J.A.C. 10A:71-6.12(d)(17); and submit to warrantless searches
    by his parole officer, N.J.A.C. 10A:71-6.12(d)(21).
    The terms of R.F.’s supervised release also require that he
    generally not contact or attempt to contact a minor, N.J.A.C.
    36
    10A:71-6.12(e)(1)-(2), and not live with a minor without
    permission, N.J.A.C. 10A:71-6.12(e)(3).
    What is more, “special conditions” can be imposed on R.F.
    if “such conditions would reduce the likelihood of recurrence of
    criminal behavior.”   N.J.A.C. 10A:71-6.12(n).      These supervision
    requirements are also accompanied by mandatory registration
    requirements under Megan’s Law.    N.J.S.A. 2C:7-2.     It was
    appropriate for Judge Perretti to consider these conditions in
    reaching her decision.
    VIII.
    A.
    Judge Perretti acknowledged that R.F., who at the time had
    been confined for over four years, first at the county jail,
    then at the ADTC, and later at the STU, would “require many
    social services if he is to peacefully negotiate life in the
    community.”   That, in the free world, an individual may need
    assistance in housing, in vocational training, in mental health
    counseling, and in other life skills is not a reason for his
    continued commitment in the STU.       That is what Judge Perretti
    meant when she stated:   “The State must step up to the plate now
    and cannot simply hide [R.F.] in the Special Treatment Unit.”
    Upholding Judge Perretti’s decision means that R.F. must be
    released with an appropriate discharge plan prepared by the STU
    37
    staff.   See N.J.S.A. 30:4-27.37 (“A person discharged by the
    court shall have a discharge plan prepared by the treatment team
    at the facility designated for the custody, care and treatment
    of sexually violent predators . . . .”); N.J.S.A. 30:4-27.32(b)
    (stating that person found not to be sexually violent offender
    must be released with “discharge plan”).     That discharge plan,
    crafted by staff of the STU, presumably will provide for the
    services and counseling necessary for R.F.’s successful
    reintegration into the community.
    The Department of Human Services, which operates the STU,
    must decide whether to provide the services necessary for former
    committees, such as R.F., to live successfully in the free
    world.   Surely, the Department will want to maximize the
    likelihood of R.F.’s reintegration into the community and
    minimize the risk of recidivism.     Our civil commitment
    jurisprudence has emphasized the importance of “provid[ing] the
    needed level of care in the least restrictive manner,” In re
    S.L., 
    94 N.J. 128
    , 141 (1983), and not infringing on an
    individual’s “liberty or autonomy any more than appears
    reasonably necessary to accomplish” the State’s goals of public
    safety and effective treatment, State v. Krol, 
    68 N.J. 236
    , 261-
    62 (1975).
    Significantly, the SVPA provides for a “conditional
    discharge” of a committee when the Department of Human Services
    38
    so recommends and “the court finds that the person will not be
    likely to engage in acts of sexual violence because the person
    is amenable to and highly likely to comply with a plan to
    facilitate the person’s adjustment and reintegration into the
    community.”    N.J.S.A. 30:4-27.32(c)(1).   The goal of a discharge
    plan for an individual who is conditionally discharged is to
    “render involuntary commitment as a sexually violent predator
    unnecessary for that person.”     
    Ibid. Although R.F.’s release
    follows from a different provision of the SVPA, the goal of his
    discharge plan prepared by the STU should also be to facilitate
    his “adjustment and reintegration into the community.”      See
    
    ibid. R.F. has lived
    over nine years -- his entire adult life --
    in the custody of the State.    The record is clear that R.F. is a
    cognitively impaired young man who requires assistance when he
    is released into the community.    Clearly, the STU staff and the
    Department of Human Services will be in the best position to
    decide what services and counseling R.F. will require to
    successfully navigate outside the confines of a State
    institution.    Accordingly, we remand to the civil commitment
    court to allow the “treatment team” at the STU to formulate an
    appropriate discharge plan.
    B.
    39
    Our difference with the dissent is that it pays lip service
    to the standard of review by ignoring evidence and testimony
    that supports the findings of Judge Perretti and by cherry-
    picking facts that would support the State’s petition.     In
    addition, the dissent has a mistaken understanding of some
    portions of the record.   For example, the dissent does not take
    into account that Dr. Shnaidman found and Judge Perretti
    accepted that R.F. -- having served his prison term --
    understands that it is wrong to have sexual relations with
    underage individuals.
    The dissent also misapprehends our citation to the
    subsection of the SVPA that references a “conditional
    discharge,” N.J.S.A. 30:4-27.32(c)(1).    We know that R.F. is not
    a candidate for conditional discharge under that statute.       Our
    only point is that whether a discharge plan is crafted under
    N.J.S.A. 30:4-27.32(c)(1) or under N.J.S.A. 30:4-27.32(b), when
    the court finds a person, such as R.F., should be released, the
    goal is “to facilitate the person’s adjustment and reintegration
    into the community so as to render involuntary commitment”
    unnecessary, N.J.S.A. 30:4-27.32(c)(1).
    The complex and difficult judgment calls to be made after
    hearing the testimony of the experts and sifting through the
    evidence was for the trial judge, and we must not second-guess
    40
    those calls unless they are clearly mistaken and unsupported by
    the evidence.   It is here where we part ways with the dissent.
    C.
    R.F. has been detained at the STU for over five years
    without any judicial review of his mental or behavioral status.
    This Court has not been informed of R.F.’s current status or of
    his progress at the STU over the lengthy history of this appeal.
    We cannot foreclose the possibility that circumstances or
    conditions that might have a bearing on whether R.F. is highly
    likely to sexually reoffend have changed since Judge Perretti’s
    ruling.   Our decision does not deprive the State of the right to
    re-petition for SVPA commitment based on changed circumstances
    and conditions.15   Nevertheless, if there is a basis to re-
    petition, it may not be used as an occasion to re-litigate or
    collaterally attack Judge Perretti’s findings.   Those findings
    are not to be revisited.
    In light of the unusual posture of this appeal, we will
    stay the discharge of R.F. for thirty days.   During that period,
    a discharge plan shall be prepared and the State can decide
    whether there is any ground to re-petition based on changed
    circumstances and conditions since Judge Perretti’s decision.
    If the State chooses to re-petition, the civil commitment court
    15
    N.J.S.A. 30:4-27.28 describes the procedures by which the
    Attorney General may initiate involuntary commitment proceedings
    under the SVPA.
    41
    shall provide R.F. with a prompt probable-cause determination,
    see N.J.S.A. 30:4-27.28(f), and hearing, see N.J.S.A. 30:4-
    27.29(a) (requiring hearing “within 20 days from the date of the
    temporary commitment order”).
    IX.
    For the reasons expressed, we reverse the judgment of the
    Appellate Division and reinstate the decision rendered by the
    trial court, subject to the modifications set forth in this
    opinion.   We remand to the trial court for proceedings
    consistent with this opinion.
    CHIEF JUSTICE RABNER, JUSTICE LaVECCHIA, and JUDGES
    RODRÍGUEZ and CUFF (both temporarily assigned) join in JUSTICE
    ALBIN’s opinion. JUSTICE PATTERSON filed a separate, dissenting
    opinion.
    42
    SUPREME COURT OF NEW JERSEY
    A-10 September Term 2012
    070552
    IN THE MATTER OF
    THE CIVIL COMMITMENT OF
    R.F. SVP 490-08
    JUSTICE PATTERSON, dissenting.
    When it enacted the Sexually Violent Predator Act (SVPA),
    N.J.S.A. 30:4-27.24 to -27.38, the Legislature sought to protect
    potential victims from harm while also safeguarding the due
    process rights of sexual offenders.   Given the deprivation of
    liberty that follows civil commitment under the statute, the
    SVPA authorizes courts to civilly commit an individual only if
    the State proves by clear and convincing evidence that the
    individual is a “sexually violent predator” who, if released
    into the community, would be “highly likely” to sexually
    reoffend.   N.J.S.A. 30:4-27.26; N.J.S.A. 30:4-27.32(a); In re
    Civil Commitment of W.Z., 
    173 N.J. 109
    , 132 (2002).   The trial
    court’s determination “should be modified only if the record
    reveals a clear mistake.”   In re D.C., 
    146 N.J. 31
    , 58 (1996).
    In my view, as in the opinion of the Appellate Division
    panel, the record of this case reveals a clear mistake.    With
    due respect for the seasoned judge who presided over the
    commitment hearing, the testimony presented to her simply does
    1
    not support her conclusion that R.F. is not a sexually violent
    predator.    Even if we disregard the compelling testimony of the
    State’s expert witnesses that R.F. poses a significant risk to
    the public, and R.F.’s self-described “deviant arousal” for
    preteen girls and the sight of blood, the testimony of R.F.’s
    own expert establishes the risk imposed by R.F.’s impending
    release.    R.F.’s expert conceded that R.F. has a psychiatric
    condition that meets the clinical definition of antisocial
    personality disorder.   R.F.’s expert opined that by virtue of a
    cognitive impairment, R.F. considered himself a peer of the
    twelve- and thirteen-year-old victims of his offenses --
    prompting him to perceive sexual contact with a child to be
    tantamount to adult dating behavior, rather than criminal
    assault.    R.F.’s expert provided no assurance that R.F. can
    successfully navigate an independent existence in the community,
    and strongly suggested that he cannot.    Nonetheless, the trial
    court ordered his release.
    I respectfully submit that, notwithstanding the deferential
    standard to which the trial court’s factual findings are
    entitled, the court’s ruling in this case should not survive
    appellate review.    The Appellate Division panel did not
    substitute its judgment for that of the trial judge, but did
    what an appellate court is intended to do: provide a careful
    review of the evidence in accordance with the statutory mandate
    2
    and the compelling public safety interest at stake.    The panel
    tested the trial court’s determination against the record before
    it, and unanimously found that determination to be contrary to
    the evidence.
    I would affirm the panel’s judgment, and would authorize
    the continued civil commitment of R.F., subject to annual review
    as required by N.J.S.A. 30:4-27.35.   I respectfully dissent.
    I.
    The record before the trial court should be viewed in the
    context of the Legislature’s purpose when it enacted the SVPA.
    The Legislature recognized that violent sexual offenders “suffer
    from mental abnormalities or personality disorders which make
    them likely to engage in repeat acts of predatory sexual
    violence if not treated for their mental conditions.”    N.J.S.A.
    30:4-27.25(a).   As this Court has noted, “[t]he Legislature
    enacted the SVPA to protect other members of society from the
    danger posed by sexually violent predators.”    In re Civil
    Commitment of J.M.B., 
    197 N.J. 563
    , 570-71, cert. denied, 
    558 U.S. 999
    , 
    30 S. Ct. 509
    , 
    175 L. Ed. 2d 361
    (2009); see also
    
    W.Z., supra
    , 173 N.J. at 132 (stating that “[t]o be committed
    under the SVPA an individual must be proven to be a threat to
    the health and safety of others because of the likelihood of his
    or her engaging in sexually violent acts”).    The Legislature
    foresaw the risks posed by sexually violent predators and the
    3
    shortcomings of the existing procedure for involuntary
    commitment to address those risks.    
    J.M.B., supra
    , 197 N.J. at
    571.
    In that setting, the Legislature “broaden[ed] the reach of
    New Jersey law to afford protection to society from those
    sexually violent predators who pose a danger as a result of a
    mental abnormality or personality disorder which makes them
    likely to engage in repeated acts of predatory sexual violence.”
    In re Civil Commitment of E.D., 
    353 N.J. Super. 450
    , 456 (App.
    Div. 2002); see N.J.S.A. 30:4-27.25(b)-(c) (stating that in
    light of shortcomings in existing involuntary commitment
    procedures, “it [was] necessary to modify the involuntary civil
    commitment process in recognition of the need for commitment of
    those sexually violent predators who pose a danger to others
    should they be returned to society”).
    To be involuntarily committed under the SVPA, an individual
    must be adjudged a “sexually violent predator,” defined as “a
    person who has been convicted . . . of a sexually violent
    offense” and who “suffers from a mental abnormality or
    personality disorder that makes the person likely to engage in
    acts of sexual violence if not confined in a secure facility for
    control, care and treatment.”    N.J.S.A. 30:4-27.26; N.J.S.A.
    30:4-27.32(a).    The Legislature defined “[l]ikely to engage in
    acts of sexual violence” to mean “the propensity of a person to
    4
    commit acts of sexual violence is of such a degree as to pose a
    threat to the health and safety of others.”     N.J.S.A. 30:4-
    27.26.
    As the majority notes, at an SVPA civil commitment hearing,
    the State is required to prove by clear and convincing evidence
    three elements derived from the SVPA and case law.    Ante at ___
    (slip op. at 27).    First, the State must prove that the
    individual has been convicted of one or more of the sexually
    violent offenses enumerated in the statute, or “any offense for
    which the court makes a specific finding on the record that,
    based on the circumstances of the case, the person’s offense
    should be considered a sexually violent offense.”    N.J.S.A.
    30:4-27.26; see 
    W.Z., supra
    , 173 N.J. at 127.
    Second, the State must prove that the individual “suffers
    from a mental abnormality or personality disorder that makes the
    person likely to engage in acts of sexual violence” unless he or
    she is confined.    N.J.S.A. 30:4-27.26; 
    W.Z., supra
    , 173 N.J. at
    130.    “A finding of mental abnormality that results in an
    impaired but not a total loss of ability to control sexually
    dangerous behavior” may suffice; the State need not demonstrate
    “a total lack of capacity to control such dangerous behavior.”
    
    W.Z., supra
    , 173 N.J. at 126-27.
    Finally, the State must prove that the individual poses a
    threat to the health and safety of others, which is established
    5
    upon proof by clear and convincing evidence that he or she has
    “serious difficulty in controlling his or her harmful behavior
    such that it is highly likely that [he or she] will not control
    his or her sexually violent behavior and will reoffend.”      
    Id. at 130.
       This Court has explained that the court’s findings
    regarding the threat of recidivism:
    incorporate a temporal sense that will
    require an assessment of the reasonably
    foreseeable    future.     No   more  specific
    finding    concerning    precisely   when   an
    individual will recidivate need be made by
    the trial court. Commitment is based on the
    individual’s danger to self and others
    because of his or her present serious
    difficulty    with   control   over  dangerous
    sexual behavior.
    [Id. at 132-33.]
    That determination requires the court to carefully
    scrutinize the testimony of the expert witnesses presented by
    the State and the individual who is the subject of the hearing.
    Prior to the enactment of the SVPA, this Court noted that in the
    context of a commitment hearing, the determination of a violent
    sex offender’s dangerousness is “a legal one, not a medical one,
    even though it is guided by medical expert testimony.”       
    D.C., supra
    , 146 N.J. at 38, 59.     In making that determination, the
    court must carefully balance the safety of the public against
    the individual’s liberty interests.     
    Id. at 59.
    6
    Civil commitment under the SVPA is not indefinite.     Rather,
    the reviewing court holds an annual hearing to determine whether
    the “involuntary commitment of a sexually violent predator shall
    be continued,” imposing on the State the burden of proving the
    statutory elements by clear and convincing evidence.     N.J.S.A.
    30:4-27.35.   A trial court’s denial of the State’s motion for
    civil commitment pursuant to the SVPA has immediate consequences
    for that individual and for the public.   Under the terms of the
    SVPA, the individual must be released “within 48 hours . . . or
    by the end of the next working day, whichever is longer,”
    N.J.S.A. 30:4-27.32(b), with a discharge plan prepared under
    N.J.S.A. 30:4-27.37, and notice to law enforcement and victims
    to the extent required by N.J.S.A. 30:4-27.38.
    Charged with protecting the public from violent sexual
    predators, and safeguarding the due process rights of the
    individual under review, the judiciary plays a crucial role in
    the application of the SVPA.   A critical component of that role
    is a thorough and rigorous appellate review.     Our appellate
    courts recognize the specialized expertise of the commitment
    court, and will reverse that court’s determination only upon “an
    abuse of discretion or a lack of evidence to support it.”        In re
    Civil Commitment of T.J.N., 
    390 N.J. Super. 218
    , 225-26 (App.
    Div. 2007); accord In re Civil Commitment of R.Z.B., 392 N.J.
    Super. 22, 35-36 (App. Div. 2007).   “‘The appropriate inquiry is
    7
    to canvass the . . . expert testimony in the record and
    determine whether the [commitment judge’s] findings were clearly
    erroneous.’”     
    R.Z.B., supra
    , 392 N.J. Super. at 36 (alteration
    in original) (quoting 
    D.C., supra
    , 146 N.J. at 58-59).
    Nonetheless, appellate review of an SVPA determination entails
    scrutiny of the evidence before the trial judge, and a
    determination of whether the judge’s findings are supported by
    that evidence.    See Curtis v. Finneran, 
    83 N.J. 563
    , 570 (1980)
    (stating in context of nonjury civil action, “the trial court
    must state clearly its factual findings and correlate them with
    the relevant legal conclusions”); In re Civil Commitment of
    J.P., 
    393 N.J. Super. 7
    , 17 (App. Div. 2007) (stating in context
    of trial court’s determination that defendant’s underlying
    sexual conduct constituted predicate sexual offense under SVPA,
    “[t]rial judges must understand that the requirement to
    articulate specific findings . . . is essential to meaningful
    review of the record”).     In short, given the competing interests
    at stake, appellate review of an SVPA determination must be
    conducted with precision and care.
    II.
    In my view, the Appellate Division panel properly
    identified this case as the rare instance in which the trial
    court’s findings lack a firm foundation in the record,
    warranting reversal.
    8
    The trial court’s task was to determine three issues: (1)
    whether R.F. had been convicted of a sexually violent offense;
    (2) whether R.F. suffered from a mental abnormality or
    personality disorder; and (3) whether as a result of that
    abnormality or disorder, it is highly likely that R.F. will not
    control his sexually violent behavior, and that he will
    reoffend.   N.J.S.A. 30:4-27.26; 
    W.Z., supra
    , 173 N.J. at 127-33.
    The trial court found that the State had proven by clear and
    convincing evidence the first and second elements -- that R.F.
    had been convicted of a predicate offense as defined by the
    SVPA, and that he suffered from a mental abnormality or
    personality disorder within the meaning of N.J.S.A. 30:4-27.26.
    Accordingly, the trial court’s denial of the State’s application
    for civil commitment was premised on a single determination:
    that the State had failed to meet its burden of proving by clear
    and convincing evidence that by virtue of his recognized mental
    abnormality or personality disorder, R.F. is highly likely to
    reoffend.
    Like the Appellate Division panel, I am persuaded that the
    State presented clear and convincing evidence -- indeed,
    overwhelming evidence -- that R.F. is a sexually violent
    predator who is highly likely to engage in acts of sexual
    violence after his release.   My conclusion is not premised upon
    the differences between the opinions offered by the various
    9
    experts, but upon their common ground.    While it diverged to
    some extent from the expert opinions offered by the State, the
    testimony of R.F.’s expert witness confirmed the State’s
    evidence in significant respects, and in my view supported
    R.F.’s continued confinement, not his release.   I respectfully
    submit that the trial court’s conclusion that the State had
    failed to meet its burden under the SVPA is contrary to the
    evidence, and is premised upon reasoning that is simply
    irrelevant to the SVPA.
    As the majority recounts, the State’s expert psychiatrist,
    Dr. Robert Harris, diagnosed R.F. with pedophilia, attention-
    deficit hyperactivity disorder (ADHD) and antisocial personality
    disorder.    The expert’s diagnoses were premised in part upon his
    interviews with R.F.   In those interviews, R.F. admitted that he
    began to be attracted to one victim when she was ten years old.
    R.F. also told the expert on multiple occasions that he had a
    “deviant arousal” for girls aged between ten and thirteen, and
    that he was also aroused by images of blood.   Dr. Harris
    testified that the combination of pedophilia and anti-social
    personality disorder greatly exacerbated R.F.’s risk of
    reoffense.   Acknowledging that the Static-99 diagnostic tool
    should be used with caution to assess juvenile offenders, Dr.
    Harris nevertheless relied upon it, given that R.F. was almost
    eighteen years old at the time of his offense.   By Dr. Harris’s
    10
    assessment, R.F.’s Static-99 scores of four and five meant that
    he presents a moderate to high risk of sexually reoffending.
    Dr. Harris noted that R.F. may identify himself with young
    children or perceive them to be his peers.    He considered this
    factor to heighten, rather than mitigate, R.F.’s risk of
    reoffending if released from civil commitment.    The expert was
    further concerned by R.F.’s sexual activity during his
    confinement, finding that this denoted R.F.’s inability to
    comply with rules and regulations.    Ultimately, Dr. Harris
    concluded that R.F. presented a high risk of reoffense.
    The State’s second expert witness, psychologist Dr. Sean
    McCall, did not concur with Dr. Harris’s definitive diagnosis of
    pedophilia in R.F.   Instead, Dr. McCall adopted a provisional
    diagnosis of “rule out pedophilia,” as well as a diagnosis of
    antisocial personality disorder.     Dr. McCall opined that R.F.
    had admitted that he was sexually aroused by young girls, and
    noted R.F.’s willingness to “act upon” that arousal.     Dr. McCall
    described R.F.’s escalating sexual violence and deviance, noting
    his use of force against the first victim and his use of a
    weapon against the second.   Like Dr. Harris, Dr. McCall relied
    upon the Static-99 test given R.F.’s near-adult status at the
    time of his offenses and the nature of those offenses.    The
    expert determined R.F.’s Static-99 score to be a four, which he
    equated to a thirty-six percent chance of being reconvicted for
    11
    a sexual offense within fifteen years.   Dr. McCall shared Dr.
    Harris’s concern that R.F.’s continued inability to refrain from
    sexual activity while confined indicated that he could not
    comport himself to the restrictive standards of commitment, much
    less the standards of society.   Dr. McCall found that R.F.’s
    diagnosis of antisocial personality disorder predisposed him to
    reoffend.   Dr. McCall concluded that R.F. was at a high risk to
    sexually reoffend if not committed.   During his cross-
    examination, Dr. McCall expressed the same concern as Dr. Harris
    regarding R.F.’s emotional identification with children,
    concluding that it increased the risk of R.F. reoffending
    sexually.
    Dr. Vivian Schnaidman, an expert in psychiatry, testified
    on behalf of R.F.   Dr. Shnaidman diagnosed R.F. with conduct
    disorder.   She initially characterized his condition as a
    juvenile manifestation of antisocial personality disorder, but
    conceded under questioning from the trial judge that R.F.’s
    mental condition met the Diagnostic and Statistical Manual of
    Mental Disorders criteria1 for antisocial personality disorder.
    She stated that because R.F. had conduct disorder, “there is
    definitely psychopathology, I just don’t want it to be sexual
    psychopathology.”   Dr. Shnaidman rejected the use of the Static-
    1
    American Psychiatric Association, Diagnostic and Statistical
    Manual of Mental Disorders 706 (4th ed. Text Revision 2000)
    (DSM-IV-TR).
    12
    99 diagnostic test because of R.F.’s age and cognitive
    limitations, and opined that despite his mental conditions, R.F.
    is at a low risk to reoffend.
    Dr. Shnaidman emphasized R.F.’s belief that his young
    victims, who had accepted him as someone with whom they could
    play “hide-and-seek,” were in fact his peers.   She testified
    that in concert with R.F.’s cognitive impairment, this belief
    caused him to equate his sexual assaults on his twelve and
    thirteen year old victims to adult dating behavior.    Although
    she conceded that children of these victims’ ages may not, as a
    matter of law, consent to sexual activity, Dr. Shnaidman
    suggested that R.F. believed that the victims were his
    contemporaries, and therefore were capable of giving consent.
    Dr. Shnaidman acknowledged R.F.’s interaction with the victims
    prior to the assaults, which had been characterized by the
    State’s experts as R.F.’s “grooming” of the victims.    She
    minimized the significance of those interactions, observing that
    if such contact took place between adult men and adult women, it
    would be called “dating.”   Dr. Shnaidman testified that in
    R.F.’s mind, his sexual encounters with his young victims
    constituted “dating.”
    Dr. Shnaidman testified regarding R.F.’s plea bargain,
    pursuant to which R.F. had pled guilty to two charges of third-
    degree endangering the welfare of a minor, N.J.S.A. 2C:24-4(a),
    13
    rather than the more serious charges pending against him, two
    counts of first-degree aggravated sexual assault N.J.S.A. 2C:14-
    2(a)(4).   To Dr. Shnaidman, the State’s decision to enter into
    the plea bargain indicated that R.F.’s conduct, contrary to
    statements from his victims indicating R.F.’s use of force and
    weapons, fell somewhere on the spectrum between consensual
    sexual activity and sexual activity conducted through the use of
    force.   Dr. Shnaidman opined that R.F. had learned from his
    mistakes and now understood that he would not be protected from
    prosecution because he was not yet eighteen when these offenses
    were committed.
    Thus, while the expert witnesses who testified before the
    trial court disagreed on significant points, there was
    substantial consensus among them.      All of the experts agreed
    that R.F.’s mental condition met the DSM-IV-TR criteria for
    antisocial personality disorder.      All of the experts agreed that
    R.F. misidentified children as his peers and that he has had
    sexual encounters with minors.     All of the experts recognized
    that R.F. had likely been sexually active, in violation of
    facility rules, while confined.2      None of the experts remotely
    2
    Dr. Shnaidman testified that she asked R.F. whether he continued
    to be sexually active while in confinement but that he denied it
    and informed her that he was uncomfortable discussing anything
    sexual with her. Dr. Shnaidman agreed that R.F. was likely
    sexually active while confined, but stated that “the fact that
    14
    suggested that following his offenses, R.F. gained the ability
    to control the arousal that is prompted by his contact with
    children.   Indeed, the very explanation that Dr. Shnaidman
    offers in R.F.’s defense -- that R.F.’s mental condition
    rendered him incapable of understanding that he is not the
    contemporary of a pubescent girl, or of distinguishing between
    the sexual assault of a child and adult dating behavior --
    itself raises serious concerns.3
    In my view, the trial court’s analysis of the record fails
    to support its conclusion.   The court cited factors that would
    tend to exacerbate, not reduce, the risk of recidivism: R.F.’s
    disciplinary record and lack of significant progress while
    confined, his poor impulse control, his limited ability to
    comprehend that he had committed sexual offenses and what the
    trial judge described as his “bizarre” statements about being
    aroused by young girls and blood.    The trial judge noted
    discrepancies between R.F.’s narrative of the two incidents that
    he may have had sexual activity with one or two peers in this
    facility, it’s not -- for me it’s not a deal breaker.”
    3
    I am not reassured, as is the majority, by R.F.’s purported
    understanding “that it is wrong to have sexual relations with
    underage individuals.” Ante at ___ (slip op. at 40). During
    cross-examination, R.F.’s expert Dr. Shnaidman explained that
    while R.F. believed that his victims consented to sexual
    activity and that one of his victims was in fact his girlfriend,
    he still felt remorse because he was criminally charged and
    convicted. She testified that, “[t]he details of exactly how
    and why it was wrong may still remain muddled in his mind, but
    he knows that it was wrong and he would take it back if he could
    because he feels bad that he did something bad.”
    15
    led to his conviction for endangering the welfare of a child and
    the official record.   She observed that R.F. had received
    numerous disciplinary citations while confined, including one
    involving suspected sexual activity with another resident of the
    facility, that he claimed to have another personality that he
    termed “Goliath,” that he reported experiencing blackouts, that
    he demonstrated what the court termed “distorted thinking,” and
    that “he had only a limited understanding of his crime.”     The
    judge found evidence in the expert testimony and in R.F.’s
    treatment records that R.F. is significantly cognitively
    impaired.   She noted that R.F. made only limited progress in
    treatment, that he had been diagnosed with attention deficit
    hyperactivity disorder and bipolar disorder and that he suffered
    from juvenile conduct disorder.    The trial judge stated that
    based upon R.F.’s past conduct, it could be reasonably predicted
    that “he will get in trouble if released now into the
    community.”
    Nonetheless, the trial judge stated that she was “not so
    clearly convinced” that R.F. was “highly likely to commit a
    sexually violent offense in the foreseeable future.”    That
    conclusion was not based upon any expert testimony indicating
    that R.F. has made progress with treatment and time.    Instead,
    the trial judge focused upon a factor recognized nowhere in the
    SVPA or in the case law applying it: the terms of defendant’s
    16
    plea bargain.   The trial judge conjectured that the prosecutor’s
    decision to permit R.F. to plead guilty to a lesser included
    offense, rather than to try him for first-degree aggravated
    sexual assault, revealed that the State had doubts about the
    underlying offenses.   She stated:
    The Sussex County Prosecutor’s Office and
    the sentencing Judge are those more closely
    connected   to  [R.F.’s]   sexual   offending
    behavior and most capable of making an
    evaluation of appropriate sanctions punitive
    and remedial. Rather than pursue child rape
    convictions possible here with a presumptive
    30-year sentence, the two offenses were pled
    out as third-degree endangering charges . .
    . with concurrent sentences of five years at
    [the Adult Diagnostic and Treatment Center].
    The   State’s  petition   now   seeks   civil
    commitment to [the] Special Treatment Unit
    with an indeterminate time which in this
    case is tantamount to life in custody. This
    disproportion itself raises doubts in this
    Court’s mind.
    In fact, the record reveals nothing whatsoever about the reason
    why the State entered into a plea agreement with R.F.; like any
    other plea bargain, the agreement in this case may have been
    influenced by a range of factors.    Further, the trial judge’s
    suggestion that R.F.’s civil commitment is akin to a life
    sentence is belied by the statute’s requirement that R.F.’s
    commitment be reviewed annually, pursuant to N.J.S.A. 30:4-
    27.35.   I respectfully submit that the trial court’s reliance
    upon speculation about R.F.’s plea bargain and erroneous
    17
    assumptions regarding his term of commitment constituted
    significant errors, and led the court to the wrong decision.
    The Appellate Division panel did not, as the majority
    suggests, substitute its judgment for that of the trial court in
    drawing inferences from a debatable record.   Instead, the panel
    properly concluded that the trial court’s analysis lacked
    support in the evidence, and that it accordingly could not
    withstand even a deferential appellate review.   In my view, the
    panel furthered the Legislature’s goals that violent sexual
    offenders be ensured due process and provided treatment, and
    that public safety -- in this case the safety of children -- be
    preserved.
    I do not share the majority’s confidence that R.F.’s
    release with a discharge plan, with the restrictions imposed by
    community supervision for life (CSL) under N.J.S.A. 2C:43-6.4,
    will protect the community.4   The restrictions of CSL cited by
    the majority -- requiring R.F. to seek authorization regarding
    his residence and employment, to contact his parole officer for
    4
    The “conditional discharge” cited by the majority, ante at ___
    (slip op. at 38-39), is unavailable in this case. Such a
    discharge is authorized by the SVPA only “[i]f the Department of
    Human Services recommends conditional discharge of the person
    and the court finds that the person will not be likely to engage
    in acts of sexual violence because the person is amenable to and
    highly likely to comply with a plan to facilitate the person’s
    adjustment and reintegration into the community so as to render
    involuntary commitment as a sexually violent predator
    unnecessary for that person.” N.J.S.A. 30:4-27.32(c)(1). No
    such finding has been made with respect to R.F.
    18
    various reasons, to submit to drug, alcohol and psychological
    testing and to complete treatment -- can provide effective
    protection to the public and adequate supervision for certain
    offenders released from SVPA confinement.    I submit, however,
    that R.F. is not such an offender, and this is not such a case.
    Given R.F.’s previous failure to make progress in treatment, his
    violation of rules regarding sexual activity even while
    confined, his documented inability to control his sexual
    impulses and his history of violence, the restrictions imposed
    as part of CSL provide scant protection to potential victims,
    especially children whom R.F. may encounter.     Particularly in
    light of R.F.’s own expert’s opinion that his identification
    with children led him to confuse sexual activity with minors
    with adult dating, there is no assurance that he would comply
    with a ban on contact with his victims or other minors, and a
    strong suggestion that he would not.    In my view, CSL
    restrictions are simply inadequate to protect the community from
    the risk that R.F. will reoffend.
    I respectfully submit that a substantial error was made
    when the trial court denied the State’s motion to civilly commit
    R.F. under N.J.S.A. 30:4-27.32(a).     I would affirm the Appellate
    Division’s determination, and I respectfully dissent.
    19
    SUPREME COURT OF NEW JERSEY
    NO.   A-10                                 SEPTEMBER TERM 2012
    ON CERTIFICATION TO        Appellate Division, Superior Court
    IN THE MATTER OF
    THE CIVIL COMMITMENT OF
    R.F. SVP 490-08
    DECIDED         March 19, 2014
    Chief Justice Rabner                       PRESIDING
    OPINION BY        Justice Albin
    CONCURRING/DISSENTING OPINIONS BY
    DISSENTING OPINION BY               Justice Patterson
    REVERSE/
    CHECKLIST                         REINSTATE/            AFFIRM
    REMAND
    CHIEF JUSTICE RABNER                   X
    JUSTICE LaVECCHIA                      X
    JUSTICE ALBIN                          X
    JUSTICE PATTERSON                                         X
    JUDGE RODRÍGUEZ (t/a)                  X
    JUDGE CUFF (t/a)                       X
    TOTALS                                 5                  1
    1