## Facts

- C.R., an adult federal defendant identified by initials, appeared for sentencing in the Eastern District of New York.
- The sentencing record focused on C.R.’s serious psychological and/or sexual-behavior disorder and the related risk of future harm if untreated.
- The court considered a treatment-centered sentencing plan combining incarceration, in-custody medical care, and long-term community monitoring.
- The court relied on the federal sentencing factors in 18 U.S.C. § 3553(a), including the need for effective medical care and correctional treatment.

## Issues

1. How should a sentencing court apply 18 U.S.C. § 3553(a) when a defendant’s dangerousness is tied to significant mental or behavioral disorders?
2. Whether public protection and deterrence may be served through intensive in-custody treatment and extended supervised release conditions, rather than a longer prison term.
3. What sentence is “sufficient, but not greater than necessary” when long-term treatment and strict post-release controls are available.

## Decision

- The court imposed a sentence of 30 months’ imprisonment, structured to provide intensive medical treatment during custody.
- The court ordered a lengthy period of supervised release designed to ensure long-term therapy and close probation oversight.
- The court concluded that a combined plan of treatment in prison and strict, treatment-focused supervision after release satisfied § 3553(a) without requiring a longer custodial term.

## Legal Principles

- Sentencing must reflect the purposes and factors in 18 U.S.C. § 3553(a), including the parsimony requirement that the sentence be no longer than necessary to achieve statutory goals.
- Section 3553(a)(2)(D) permits and supports tailoring a sentence to provide needed medical care and correctional treatment in an effective manner.
- A court may treat supervised release as a primary mechanism for long-term risk management by imposing stringent conditions, including mandatory treatment and intensive monitoring, to protect the public and reduce recidivism.

## Conclusion

The court crafted a sentencing package centered on treatment and controlled reintegration: a defined prison term for intensive medical care followed by years of supervised-release therapy and strict supervision, finding this approach met § 3553(a)’s goals without a longer incarceration term.


United States v. C.R., 792 F. Supp. 2d 343 (E.D.N.Y. 2011)