State of Tennessee v. Timothy Clark Naifeh ( 2016 )


Menu:
  •            IN THE COURT OF CRIMINAL APPEALS OF TENNESSEE
    AT JACKSON
    February 16, 2016 Session Heard at Union University1
    STATE OF TENNESSEE v. TIMOTHY CLARK NAIFEH
    Appeal from the Circuit Court for Obion County
    No. CC12CR134      James C. Beasley, Jr., Judge
    No. W2015-01204-CCA-R3-CD - Filed May 27, 2016
    The Defendant, Timothy Clark Naifeh, was convicted by an Obion County jury of six
    counts of vehicular homicide. Prior to trial, the Defendant filed two motions challenging
    his competence to stand trial, both of which were denied by the trial court. Following a
    sentencing hearing, the trial court merged his convictions into three counts of vehicular
    homicide by intoxication, a Class B felony. See T.C.A. § 39-13-213(a)(1). The sentence
    was to be served by split confinement, with one year of incarceration and the remainder
    on probation. On appeal, the Defendant argues that the trial court erred in finding that he
    was competent to stand trial and that his sentence was improper. Upon our review, we
    affirm the judgments of the trial court. However, for purposes of clarity, we remand this
    matter for entry of corrected judgment forms in Counts 1, 2, and 3, specifying an
    effective sentence of ten years, with one year of incarceration and the remaining nine
    years on probation.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Circuit Court Affirmed
    CAMILLE R. MCMULLEN, J., delivered the opinion of the court, in which JOHN EVERETT
    WILLIAMS and TIMOTHY L. EASTER, JJ., joined.
    Charles S. Kelley, Sr., Dyersburg, Tennessee, for the Defendant-Appellant, Timothy
    Clark Naifeh.
    Herbert H. Slatery III, Attorney General and Reporter; David H. Findley, Senior Counsel;
    Thomas A. Thomas, District Attorney General; and James T. Cannon, Assistant District
    Attorney General, for the Appellee, State of Tennessee.
    1
    Oral Argument was heard in this case on February 16, 2016, at Union University in Jackson,
    Tennessee, as a part of the S.C.A.L.E.S (Supreme Court Advancing Legal Education for Students)
    project.
    OPINION
    On January 7, 2012, the Defendant, a licensed defense attorney, crashed his truck
    into a vehicle occupied by four passengers.2 Two of the passengers, fifty-one-year-old
    David Bell and eighty-one-year-old Frances Sue Bell, died immediately upon impact, and
    a third, eighty-one-year-old Jack Bell, died at the hospital the next morning. The
    Defendant sustained significant head trauma from the accident and was airlifted to
    Regional Medical Center in Memphis, Tennessee, where he remained for several weeks.
    He was later transferred to a rehabilitation facility in Atlanta, Georgia, and then to a
    nursing home in Lake County, Tennessee, before returning home in April 2012. A
    toxicology report on the Defendant‟s blood sample revealed that at the time of the
    accident, the Defendant was under the influence of multiple prescription drugs, including
    Valium, Xanax, and Phentermine.3 The Obion County Grand Jury subsequently indicted
    the Defendant for three counts of vehicular homicide by intoxication, a Class B felony,
    and three alternative counts of vehicular homicide by conduct creating a substantial risk
    of death and serious bodily injury, a Class C felony. See T.C.A. § 39-13-213(a)(1)-(2).
    Competency Proceedings. On April 19, 2013, the Defendant filed an eighty-
    seven-page motion challenging his competence to stand trial based on the brain injuries
    he sustained in the accident. The Defendant‟s motion was heard on May 23, 2014, by the
    Criminal Court of Shelby County, sitting by interchange.
    Defendant’s Experts. Dr. Robert Kennon, a licensed psychologist who had
    performed approximately 150 competency evaluations, met with the Defendant on two
    occasions in early 2013. The Defendant initially resisted and expressed concern over
    how the information from Dr. Kennon‟s evaluation would be used. Dr. Kennon noted
    that this suspicious reaction was unusual and that criminal defendants exhibiting
    misleading or malingering behavior tend to be overly cooperative. Despite his initial
    reluctance, the Defendant submitted to psychological testing by Dr. Kennon over a six
    and a half hour period. The Defendant exhibited a full scale IQ score of 72 on the
    Wechsler Adult Intelligence Scale, which placed the Defendant‟s intellectual level in the
    bottom three percent of adults his age and indicated “a borderline mild mental retarded
    classification range of intellectual abilities.” The Defendant also scored in the lower one
    2
    The transcript from the Defendant‟s jury trial is absent from the appellate record. Thus, we
    deduce much of the factual background of this case from the trial exhibits, which, interestingly, were
    included in the record on appeal.
    3
    Based on the exhibits from trial, it appears that the Defendant had a prescription for Xanax and
    Phentermine but not Valium. Moreover, based on the August 11, 2014 correspondence from Forensic
    Pathologist Dr. Gregory J. Davis, which was also introduced at trial, the Defendant‟s blood concentrations
    for both Phentermine and Valium were well above the “therapeutic range.”
    -2-
    percent in the subcategory of “processing speed,” which reflected “significant problems
    with attention, concentration, processing information and doing it in a timely manner.”
    On the Wide Range Brain Achievement Test, the Defendant “functioned relatively well”
    in the categories of reading and spelling, although his reading comprehension level was
    lower than Dr. Kennon expected. In contrast, the Defendant‟s math skills were at an
    eighth grade equivalency level, which Dr. Kennon attributed to the Defendant‟s inability
    to concentrate.
    On the Wechsler Memory Scale, which specifically tested the Defendant‟s
    auditory and visual memory, the Defendant scored in the lower one percent in immediate
    memory and the lower .3 percent in delayed memory. Dr. Kennon explained that these
    scores indicated a “moderate[ly] to severely impaired range of functioning in these
    areas.” He further noted that the Defendant fell into the lower .2 percent in visual
    memory, which was consistent with the right frontal lobe injury to the Defendant‟s brain.
    The Defendant also exhibited “significant visual spacial deficits” on the Rey Complex
    Figure Test, falling in the lower two percent range in immediate memory recall and the
    lower one percent range in delayed memory recall.
    On the Millon Clinical Multiaxial Inventory, an objective true-false test used to
    assess personality characteristics and psychopathology, the Defendant portrayed himself
    in a “fairly positive light” and reported that he had no psychological issues. Finally, on
    the Beck Depression Inventory, a subjective assessment designed to measure a subject‟s
    level of depression, the results indicated that the Defendant had mild symptoms of
    depression. Dr. Kennon testified that the fact that the Defendant did not exaggerate his
    condition or portray himself as more impaired on either the Millon or Beck inventories
    suggested that he was not malingering.
    Dr. Kennon gave the Defendant a score of thirty-eight out of ninety-nine on the
    Global Assessment Functioning Scale (“GAF”), which is a “subjective appraisal of an
    individual‟s functional capacity.” This score indicated “major impairment in his capacity
    to work, his capacity to handle daily activities, his capacity to make appropriate
    judgments, his ability to remember information and focus and concentrate.” However,
    Dr. Kennon noted that GAF scores were extremely subjective and had recently been
    discredited. Dr. Kennon additionally testified that “given the cognitive impairment that
    [the Defendant] has suffered . . . I found he suffered from retro grade amnesia of th[e]
    accident.” Dr. Kennon ultimately concluded that the Defendant was not competent to
    stand trial. He added,
    Well, he possesses very poor cognitive - low cognitive function that
    falls in the borderline range. His ability to encode, to retrieve, to remember
    information has also been significantly impacted by this traumatic brain
    -3-
    injury. He possessed limited to no insight as to what happened, what
    occurred and as a result of that I do not - I found that he was not able to
    assist his attorney in providing information about or details about the - or
    for that matter, reliable facts about the incident. That he is disadvantaged
    due to his – to challenge witnesses. He‟s not able to recognize distortions
    in what someone may or may not say. He‟s not able to encode information
    about details during the process of a court hearing. I don‟t think that he
    possesses the adequate attention and concentration to recall information
    during a trial. I also do not think that he possesses the capacity to deal with
    multiple details and to recall that information like the test results I think
    support that.
    ...
    He‟s overly suspicious and those factors, I think, will also or further the
    deterrence to his capacity to work with his attorney.
    Dr. Kennon opined that the Defendant‟s condition was unlikely to improve.
    On cross-examination, Dr. Kennon testified that the Defendant was fully
    cooperative with testing despite his original suspiciousness. He also conceded that the
    Defendant‟s inability to recall the accident could have been affected by the drugs he was
    on at the time of the accident. He agreed that the Defendant understood that he was
    charged with a crime and could go to jail. Moreover, he admitted that the Defendant was
    able to carry on a coherent conversation and could at least talk to counsel about various
    issues. He agreed that the major issue with regard to the Defendant‟s competency to
    stand trial was the effect the Defendant‟s impaired memory would have on his ability to
    assist in preparing a defense. He explained that the Defendant would not be able to
    challenge witnesses or testify because he could not independently recall anything from
    the day of the accident. In addition, the Defendant exhibited “disbelief” that three people
    were killed in the accident, although he remarked on the severity of his own injuries. Dr.
    Kennon was struck by how “egocentric” the Defendant‟s account of the accident was,
    noting “[i]t was very much . . . about [him]” and “very little about anybody else.” In
    response to questions from the trial court, Dr. Kennon recounted the Defendant‟s
    description of the accident as follows:
    [The Defendant] said, “I was banged up good.” He said - I said –
    “They say I hit somebody head on. I don‟t know.” He said, “It was just a
    bump.” I said, “You mean like a speed bump?” And he said “Yeah, it was
    just a bump in the road.” He said, “May have been a pot hole. I was in a
    truck. Went to the hospital in a helicopter.” He said, “I went to a local
    -4-
    hospital and then was transferred to the MED and after that, different ones.”
    And he had difficulty telling me which ones.
    The trial court interjected and was concerned that the issue of competency was
    complicated by the fact that the Defendant was a licensed attorney that had practiced
    criminal law and was reluctant to answer questions that he felt would get him into
    trouble. In response to the trial court‟s concerns, Dr. Kennon stated,
    I think he‟s going to have difficulty comprehending a trial dealing
    with that information and assembling that and being able to recall what‟s
    been said, what‟s not been said and therefore to assist his attorney in that
    process. He‟s not able to because of his lack of recollection whether that‟s
    related to substance abuse or to the trauma. I suspect it‟s trauma. . . . This
    man suffered severe trauma, head trauma with -- I mean, some of the
    trauma that he experienced not many people live through that. . . .
    [B]ecause he‟s an attorney and I -- I‟m with you, I struggle with this
    greatly. Because of that fact that he‟s an attorney I would propose to you
    that some of the behaviors that you‟re seeing are even further of this – not
    blatant malingering, but some of the behaviors that you‟re witnessing with
    him “I don‟t want to answer that”, I‟m hesitant -
    ....
    . . . is suggestive of his lack of insight. It‟s suggestive of poor judgment.
    That‟s what I think. I think it‟s a matter of poor judgment.
    Dr. Robert Murray, a psychiatrist, interviewed the Defendant on December 10,
    2012, for approximately an hour. After his initial evaluation of the Defendant‟s mental
    condition, he closely reviewed the psychological testing performed by Dr. Kennon. Dr.
    Murray confirmed that he utilized Dr. Kennon‟s test results to assist in his own
    evaluation of the Defendant. He noted that Dr. Kennon conducted a standard “mini”
    mental status exam, which he described as a “very well standardized” evaluation of
    cognitive function, and that the Defendant scored a seventeen out of thirty. Dr. Murray
    explained that this score was consistent with substantial impairment and “at least 10
    points short of where [the Defendant] should be.” He further explained that the
    Defendant‟s IQ of 72 was not consistent with his previous level of intelligence as a
    practicing attorney. Moreover, Dr. Murray agreed that the Defendant‟s scores on the
    Wechsler Memory Scale reflected that the Defendant‟s long-term visual memory had
    suffered the most significant impairment.
    -5-
    Dr. Murray did not notice any major changes in the Defendant‟s condition during
    his second evaluation on February 24, 2014. He observed that the Defendant was
    “functioning on a reasonable level in terms of knowing where he was and getting around”
    but that “his gait was clumsy.” Dr. Murray explained that the damage to the frontal lobe
    portion of the Defendant‟s brain was consistent with memory loss, paranoia, and poor
    judgment. Dr. Murray also noted that this sort of injury would create “a significant
    personality change as a result of the trauma,” and he opined that the Defendant‟s
    condition was unlikely to improve.
    Although Dr. Murray did not believe that the Defendant was malingering, he
    conceded that the Defendant had previously made statements recognizing that
    participating in testing was not necessarily in his self-interest. He also agreed that notes
    from Western Mental Health Institute (“WMHI”), the inpatient facility where the State
    had the Defendant evaluated, reflected that the Defendant made somatic complaints that
    made it impossible to administer psychological tests. However, he noted that Dr. Kennon
    found no evidence of misleading behavior and that the tests Dr. Kennon used were
    designed to detect malingering tendencies. Still, Dr. Murray agreed that “[the
    Defendant‟s] understanding of the legal proceedings [was] not bad” and that “the primary
    issue [was] the lack of memory.” Dr. Murray opined that the Defendant‟s limited
    retention rendered him incapable of assisting his counsel in the preparation of his defense
    at trial.
    On cross-examination, Dr. Murray admitted that the Defendant generally
    understood legal workings and stated, “[t]here [were] some ways he understood that
    better than I do.” He conceded that the Defendant was able to carry on a coherent
    conversation and could at least consult with counsel. He noted, however, that the
    Defendant‟s head trauma as well as the Valium in his system at the time of the accident
    would have led to significant memory loss. Although Dr. Murray acknowledged that the
    Defendant had a different attitude about being tested by Dr. Kennon than he did about
    being tested at WMHI, he attributed this variation to the Defendant‟s poor judgment and
    paranoia. On redirect, Dr. Murray noted that there would likely be some variability with
    the Defendant‟s mental condition even on a daily basis. Finally, in response to questions
    raised by the trial court, Dr. Murray testified that the Defendant suffered the most
    memory loss near the time of the accident because his “memory coding system was being
    derailed” during that interval.
    State’s Experts. Dr. Doug King, a staff psychiatrist at Pathways Behavioral
    Health Services, met with the Defendant for approximately an hour on May 14, 2013, to
    assess the Defendant‟s competency to stand trial. The Defendant was largely cooperative
    with the evaluation; however, Dr. King noted,
    -6-
    [The Defendant] made a statement, after I explained the purpose of
    the interview, that some of the things he said might go against him. He did
    not explicitly state at any time „I refuse to answer something‟ or get
    belligerent about questions. There was one question about illicit drugs and
    he - his affect changed at that point and I would have to look at my report
    to know exactly what he said but, he sort of balked at that and said
    something like he probably should not answer that question.
    On May 15, 2013, Dr. King wrote a letter to the trial court that advised, “a more
    comprehensive evaluation is needed in order to make a determination of [the
    Defendant‟s] competency to stand trial,” and recommended that the court order a
    comprehensive inpatient evaluation.
    Dr. King felt that the Defendant would be better assessed over a thirty-day period
    in light of inconsistencies between the Defendant‟s responses and behavior. Dr. King
    testified that, although the Defendant claimed that he did not understand the charges
    against him, the Defendant was aware that he would not face trial if he was found to be
    incompetent. Moreover, the Defendant was able to remember and articulate details about
    his family, including his son‟s upcoming appointment at West Point. Dr. King was
    surprised that the Defendant could discuss “over learned” details about his family history
    but had no “over learned knowledge” about courtroom protocol after being an attorney
    for many years. On cross-examination, Dr. King explained that “over learned
    knowledge,” is “information repeated over and over and integrated into the individual[‟]s
    nervous system more than necessary to just retain information. . . . . [I]t becomes
    automatic, habitual.”
    In response to questions raised by the trial court, Dr. King testified that he was
    also surprised that the Defendant was so cordial and articulate after reviewing the
    Defendant‟s records. He noted that, although the Defendant gave some indication of
    short-term memory impairment, he remembered which door led to the lobby from Dr.
    King‟s office and remembered that he was supposed to call his brother to pick him up.
    Dr. King was unable to determine whether the Defendant would benefit from medication;
    however, he did not believe that the Defendant suffered from depression. Finally, Dr.
    King noted that high-functioning individuals like the Defendant generally had a better
    ability to recover from trauma.
    Upon Dr. King‟s recommendation, the trial court ordered that the Defendant
    submit to a thirty-day, comprehensive inpatient evaluation at WMHI. Dr. Hillary Linder,
    a staff psychiatrist at WMHI, determined that the Defendant was competent to stand trial
    based on his interaction with the Defendant during that time. Dr. Linder explained that
    the Defendant demonstrated problems with his memory and mobility but otherwise
    -7-
    communicated well and got along with others. Dr. Linder testified that the Defendant
    engaged in normal activities without trouble, showed no signs of paranoia, and remained
    consistent in his behavior and overall mental status throughout the thirty-day assessment.
    Dr. Linder did not believe that the Defendant was exhibiting malingering behavior;
    however, he noted that the Defendant made statements like, “you‟re not my guy” to the
    WMHI doctors and refused to answer questions about the accident. Moreover, the
    Defendant refused to participate in psychological testing because he felt that it was not in
    his best interest.
    On cross-examination, Dr. Linder agreed that the Defendant was generally
    cooperative but that he refused to speak with them about his evaluation or his memory
    situation. Dr. Linder disagreed with the findings of Dr. Kennon and “was surprised that
    [the Defendant] functioned as low on the memory retention as Dr. Kennon sa[id].” He
    agreed, however, that the WMHI staff had no test results to compare with Dr. Kennon‟s
    because the Defendant refused for thirty days to participate in testing. Moreover,
    although Dr. Linder gave the Defendant a similar GAF score as Dr. Kennon, he explained
    that GAF scores are inexact and primarily used for people with mental illness rather than
    people with brain injury related to head trauma. Dr. Linder conceded that the
    Defendant‟s CAT scan reviewed multiple hemorrhages in his brain. However, he did not
    schedule the Defendant to meet with a neuropsychologist because he did not think the
    Defendant would cooperate with testing. He was unsure of what the results of additional
    testing would have been and agreed that the Defendant may have hurt himself even more
    by refusing to participate.
    Dr. Suzanne Tauseff, a staff psychologist at WMHI, was a member of the team
    that evaluated the Defendant and observed the Defendant in both individual and group
    settings. She testified that the Defendant initially refused to undergo psychological
    testing because he “fe[lt] that that would not be in his best legal interest” and “might hurt
    him in terms of his legal charges.” However, he eventually became more cordial and
    began citing various physical issues in order to avoid testing. Likewise, the Defendant
    would not discuss his accident because he did not feel that it was in his best legal interest,
    and he seemed unsure of whether his recollection of the event was based on his actual
    memory or based on things other people had told him.
    Dr. Tauseff testified that the Defendant spoke like an attorney and appeared to
    have a very good understanding of the legal process. She noted that he gave a few
    nuanced responses indicating that he had retained forensic knowledge from practice,
    including an explanation of congruent and consecutive sentencing and the benefit of a
    criminal defendant having twelve jurors, rather than six. Dr. Tauseff noted, however, that
    the Defendant was inconsistent and that he mostly responded to forensic questioning
    with, “I don‟t know” or “I‟m not sure.” In general, Dr. Tauseff did not have a problem
    -8-
    carrying on a normal conversation with the Defendant and based on her observations, she
    believed that the Defendant “possess[ed] the requisite capacities for competency to stand
    trial.”
    On cross-examination, Dr. Tauseff agreed that most of the tests administered by
    Dr. Kennon were standardized, although she noted that not all psychologists use the same
    tests. While there were no neuropsychologists at WMHI, Dr. Tauseff stated that some
    measure of the Defendant‟s neuropsychological functioning would be helpful in assessing
    his memory. However, she thought that any attempt to have the Defendant evaluated by
    a neuropsychologist would have been futile because he refused to participate in testing.
    Dr. Tauseff also testified that she did not detect any malingering by the Defendant but
    that he did use language like “you‟re not my guy” as an explanation for his
    noncompliance. Dr. Tauseff acknowledged that the Defendant tested poorly in his prior
    assessments but noted that “testing is not a magical thing. It‟s a starting point.” She
    continued,
    [E]ven though [the Defendant‟s] scores looked very, very low[,] he
    was still able to navigate socially in a very difficult environment over a
    thirty day period. Never had any behavioral discontrol and basically
    educated the team in terms of some of the forensic knowledge that he had.
    So he had a very high understanding of that . . . material.
    Dr. Tauseff explained that behavioral observations and forensic questioning, although not
    standardized, were very important assessment tools. Moreover, she stated that her unit
    often found individuals with lower IQ scores than 72 to be competent.
    Defendant’s Lay Witnesses. Cristy Cooper Davis, a former Assistant Public
    Defender in Dyer County, testified that she met the Defendant in 2005 and that they had
    rekindled a romantic relationship shortly before the accident in January 2012. The
    Defendant resided with Davis4 at her home in Dyersburg for about six months after the
    accident. Davis explained that the Defendant could eat, shower, and dress himself
    without help but that he would often forget when he had done so. Davis also observed
    that the Defendant could not stay focused on the subject matter of a conversation for any
    extended period or comprehend routine tasks like remembering to take his medication
    each day. She further testified that the Defendant had no “realistic recollection” of the
    accident. Based on her background in criminal law and her interactions with the
    4
    We acknowledge that we do not use titles when referring to every witness. We intend no
    disrespect in doing so. Judge John Everett Williams believes that referring to witnesses without proper
    titles is disrespectful even though none is intended. He would prefer that every adult witness be referred
    to as Mr. or Mrs. or by his or her proper title.
    -9-
    Defendant, she did not believe that he could rationally understand the proceedings against
    him or assist counsel in preparing his defense.
    Attorney Jason Creasy met with the Defendant on March 10, 2014, and again on
    April 22, 2014, in order to assess his competency to stand trial. Although Creasy and the
    Defendant had previously worked together, the Defendant did not initially recognize
    Creasy and had no recollection of a high-profile case that they had been working on
    together at the time of the accident. Moreover, the Defendant had no recollection of
    anything from the day of his accident and could not answer basic questions about the
    elements of crimes or legal processes such as jury selection. The Defendant also could
    not recall events in his life that were unrelated to the case, such as the name of his
    divorce attorney or the birth dates of his children. Creasy did not believe the Defendant
    was capable of understanding the proceedings against him or rationally consulting with
    his attorney. On cross-examination, Creasy conceded that Defendant seemed to
    understand that he was charged with a criminal offense and that he could be incarcerated
    if convicted. He agreed that the Defendant could converse with him but felt that the
    Defendant‟s memory and concentration issues would make it difficult to build a defense.
    James T. Powell, a criminal defense attorney, interviewed the Defendant for two
    hours in February 2013 to assess whether he could assist in his own defense. Powell
    questioned him as if he were preparing a defense. The Defendant could not remember
    the accident or any of the events leading up to it and “did not have a good grasp” on legal
    processes such as jury selection. Moreover, the Defendant became very agitated when
    asked if he would testify on his own behalf. Powell did not believe that the Defendant
    was capable of understanding his charges or assisting his attorney in preparing a defense.
    On cross-examination, Powell testified that when he asked the Defendant if he
    understood why he was there, the Defendant responded, “It‟s something about my
    driving.” Powell noted that although the Defendant “wasn‟t babbling,” he “just didn‟t
    have any grasp . . . of what had happened.” Furthermore, the Defendant told Powell that
    he wanted to testify but could not say what, if anything, he would testify to. In response
    to questions raised by the trial court, Powell testified that the Defendant could not
    remember a prior occasion when he and Powell had played golf together. On recross-
    examination, Powell conceded that criminal clients had often lied to him in the past.
    Lake County Sheriff Bryan Avery, who had known the Defendant for thirty-five
    years, noticed a significant difference in the Defendant‟s demeanor since the accident.
    For example, he recalled that in the spring of 2013, the Defendant came to the Sheriff‟s
    Department and tried to have his mother evicted. Sheriff Avery‟s brother Kevin Avery, a
    close friend of the Defendant‟s, testified that since the accident, the Defendant would lose
    focus and repeated himself frequently during a conversation. Avery also noted that the
    Defendant would never have had a pet turtle before but now had two turtles and a snake.
    -10-
    Lake County Mayor Macey Roberson and her assistant secretary, Darlene Jones,
    long-time friends and colleagues of the Defendant, testified that after his accident, the
    Defendant had a difficult time carrying on a conversation because he would forget what
    they were talking about, jump around to different topics, and repeat himself.
    Lori Campbell and Amy Howell, both of whom had previously worked for the
    Defendant, testified similarly that the Defendant could no longer stay focused during a
    conversation. Campbell noted that the Defendant‟s brother had to change the door locks
    at the Defendant‟s office to keep him from getting inside. Moreover, Howell stated that
    the Defendant often brought up old cases as if he were still practicing law, could not
    remember how old his children were, and referred to his pet turtle as his roommate.
    Vicky Lebo, an employee of Northwest Correctional Complex and long-time friend of
    the Defendant‟s, testified that the Defendant would “lose[] track in the middle of a
    conversation,” forget things, and ask her to take him shopping for items he had just
    bought. Finally, she noted that “[the Defendant‟s] life pretty much revolves around [his
    pet] turtle now,” and that he would ask her if she thought the turtle was listening when he
    spoke to it.
    Captain Dennis Dean of the Obion County Sheriff‟s Department served as the
    administrative officer of the county jail and was present when the Defendant was booked
    in October of 2012. The Defendant‟s brother had to assist Captain Dean in booking the
    Defendant because the Defendant was unable to answer routine questions or provide
    information such as phone numbers and emergency contacts.
    The Defendant‟s older brother, Dr. James Naifeh, testified that the Defendant was
    a much higher level functioning person before his accident and that he could no longer
    practice law or care for his own finances. He further noted the Defendant was now easily
    angered and often violent toward his family members, particularly his mother and
    younger brother, Chris. Dr. Naifeh testified that, although the Defendant‟s intellect was
    good, he could not rationalize or make decisions because there was no longer a
    connection between certain parts of his brain.
    Chris Naifeh, the Defendant‟s younger brother, testified that he was appointed the
    Defendant‟s conservator two months after the accident and that he had the most contact
    with the Defendant. He recalled one occasion where the Defendant abruptly exited a
    restaurant where they were eating and attempted to walk back to his home in Tiptonville.
    Naifeh said that he had to “manhandle” the Defendant and physically carry him back
    inside the nursing home facility where he resided at the time. Naifeh further testified that
    the Defendant would often become agitated and violent toward him and their elderly
    mother, and Naifeh believed the Defendant‟s irate behavior stemmed from his brain
    injury.
    -11-
    State’s Rebuttal Lay Witness. Susan Wallace, the Defendant‟s ex-wife, testified
    that she and the Defendant were married for thirteen years, had three children together,
    and still spoke regularly. Three weeks prior to the competency hearing, the Defendant
    called and asked her to testify on his behalf. At that time, the Defendant also told
    Wallace that he remembered the accident, and she described their conversation, in
    relevant part, as follows:
    I said, “Do you remember?” And he said, “Yes.” And I said, “What
    happened that day?” I said, “Did you fall asleep? You were texting with
    Cristy Cooper? . . . [W]ere [you] texting her back? What made you cross
    that center line?”
    ....
    And he told me that his attorney and he had decided that they would
    go with sleep apnea, that he was suffering from sleep apnea and that‟s the
    reason why he crossed the line.
    Following closing remarks by counsel, the trial court took the matter under
    advisement to determine whether additional testimony regarding the Defendant‟s
    competency was necessary. In a written order issued on August 25, 2014, the trial court
    found that the Defendant was competent to stand trial.
    Renewed Motion to Declare the Defendant Incompetent to Stand Trial. On
    September 17, 2014, the Defendant filed a second motion challenging his competency to
    stand trial, wherein he claimed that he had sustained further physical and mental injury
    since the first hearing. The renewed motion was heard on November 25, 2014. Dr.
    James Naifeh testified that the Defendant passed out during a hunting trip with his son on
    August 24, 2014. The Defendant was transported by ambulance to Dyersburg Regional
    Medical Center and remained hospitalized there for several days before being transferred
    to Jackson-Madison County Hospital for additional treatment. He eventually moved to a
    nursing rehabilitation center in Ridgely, Tennessee, for approximately one month.
    After the Defendant was released, a follow-up MRI was taken of his brain. The
    MRI revealed damage to his frontal lobe, but the radiologist could not determine whether
    this injury was new or old.5 However, the MRI also revealed a new stroke that was not
    detected prior to the Defendant‟s hospitalization in August 2014. Dr. Naifeh testified that
    5
    Notably, the report on a CAT scan taken on August 23, 2014, which is attached as an exhibit to
    the Defendant‟s original motion to reconsider, identifies the Defendant‟s right frontal lobe damage as an
    “Old right frontal infraction.”
    -12-
    the Defendant‟s memory and ambulation had declined since the August stroke, noting,
    “He stumbles, he stutters.” Dr. Naifeh explained that a stroke could affect numerous
    neurological issues and that it affects each person differently. However, he conceded that
    a stroke could disturb movement and speech without affecting mental issues and that the
    damage to the Defendant‟s right frontal lobe, which controls “thinking [and] thought
    processes,” was consistent with his previous injuries from the accident. Moreover, he
    testified that the Defendant suffered from sleep apnea and had been prescribed a CPAP
    machine after the accident to help him breathe at night.
    On cross-examination, Dr. Naifeh testified that the Defendant was living at home
    and was “functional.” He confirmed that the Defendant still had difficulty walking but
    was not bedridden. He noted that he was planning to consult a neurologist to evaluate the
    Defendant‟s mental condition but had not yet made an appointment. Although he was
    sure that the Defendant had suffered a recent stroke in the left basal ganglia portion of his
    brain, he was unsure of what that portion of the brain does. Dr. Naifeh also testified that
    the Defendant had suffered cerebral atrophy or shrinkage of brain matter.
    At the conclusion of the hearing, the trial court orally denied the Defendant‟s
    motion to reconsider, and a written order was filed on January 9, 2015. In its reasoning,
    the court expressed concern over the Defendant‟s worsening physical condition but
    ultimately determined that the Defendant was competent to stand trial. The trial court
    subsequently granted the Defendant‟s request to file an application for an interlocutory
    appeal of the competency determination pursuant Rule 9 of the Tennessee Rules of
    Appellate Procedure. See Tenn. R. App. P. 9(a). On April 17, 2015, this court denied the
    Defendant‟s application. The Defendant‟s case proceeded to a jury trial, and the
    Defendant was convicted as charged of six counts of vehicular homicide on May 12,
    2015.
    Sentencing Hearing. At the June 29, 2015 sentencing hearing, the State entered
    the Defendant‟s presentence report into evidence. The report reflected that he had a prior
    conviction for possession of cocaine in June 1992. It also included victim impact
    statements from seven members of the victims‟ family. The State then requested
    enhancement of the Defendant‟s sentence based on the application of enhancement factor
    (10), that the Defendant had no hesitation about committing a crime when the risk to
    human life was high. See T.C.A. § 40-35-114(10). In support of enhancement, the State
    noted that several motorists testified at trial that the Defendant nearly struck them before
    he eventually collided into the victims‟ vehicle. The State also sought consecutive
    sentencing under the dangerous offender category. See T.C.A. § 40-35-115(b).
    The State then presented four witnesses. First, Obion County Sheriff Jerry
    Vastbinder testified that he had arranged for the Defendant to serve any sentence of
    -13-
    incarceration in a Tennessee Department of Correction (“TDOC”) special needs facility.
    Next, Judy Bell, the widow of victim David Bell and daughter-in-law of victims Jack and
    Frances Sue Bell, testified that the Defendant should be held responsible for his behavior.
    Addressing the Defendant, she stated,
    You made a decision that you were well aware of. . . . [Y]ou chose to take
    drugs. You are a man that was well-educated, that was an attorney for
    Tennessee. You knew the consequences of your behavior. You chose to
    ignore them. . . . [Y]ou chose a selfish act that devastated my family.
    She further stated that the achievements of her three children had been overshadowed by
    the death of their father and grandparents and that holidays continued to be difficult.
    Jonathan Bell, the son of David Bell and grandson of Jack and Frances Sue Bell, testified
    that he no longer visited his relatives in Tennessee because he associates pain and
    hardship with the location of the accident. Kathy Bell Gray, the daughter of Jack and
    Frances Sue Bell and older sister of David Bell, testified, “The people I trusted most in
    my life are gone.” She described the devastating impact of losing three loved ones and
    pointed out that the Defendant had made no expression of remorse or sorrow for his
    actions whatsoever. She felt that justice was necessary, would benefit the community,
    and would “make a better man out of [the Defendant].”
    Seven witnesses testified on the Defendant‟s behalf. Reed Yates, the Mayor of
    Tiptonville, testified that he had known the Defendant his entire life and that, before the
    accident, the Defendant had served as the city attorney, the county attorney, and the
    attorney for Reelfoot Utility District. He said that the Defendant had enjoyed a high
    character in the community and had a reputation for being honest, charitable, and a great
    father. Ricky Gooch and Shane Hamilton, longtime friends of the Defendant and his
    family, testified similarly that the Defendant had a reputation for truth and veracity.
    Hamilton noted that the Defendant was known for being charitable and was “willing to
    help anybody[.]” Amy Howell and Lori Campbell, both of whom worked for the
    Defendant, testified that the Defendant had a reputation for being honest and that he often
    volunteered for various organizations.
    Dr. James Naifeh, the Defendant‟s older brother, testified that the Defendant had
    high blood pressure, high cholesterol, brain injuries, and issues with mobility. He
    emphasized that the Defendant was completely disabled, that his disability would not
    ever improve, and that he could not return to work as an attorney, drive, or even cook for
    himself. He further explained that it would be very difficult for the Defendant to adapt to
    the structure and regulations of a penal institution because he was incapable of following
    directions due to his memory and processing deficits. He noted that the Defendant was
    unable to discern when he needs to eat or if he is cold. Dr. Naifeh was unfamiliar with
    -14-
    the TDOC special needs facility and could not render an opinion on how the Defendant
    would function in that facility.
    Chris Naifeh, the Defendant‟s younger brother, testified that he was primarily
    responsible for the Defendant‟s needs and that he saw the Defendant at least every other
    day. He confirmed that the Defendant was drawing 100 percent disability and that he
    took care of all of the Defendant‟s financial affairs. He also stated that the Defendant
    could not drive and was entirely dependent on others for transportation. Naifeh felt that
    the Defendant “would never be the same” and that he lost his brother on January 7, 2012.
    On cross-examination, Naifeh apologized to the family of the victims.
    The Defendant, who did not testify, stated, “[I want to] [t]hank the Court for its
    time and attention. I‟m very sorry for what happened. It destroyed lots of lives, and I‟m
    very sorry for what happened.”
    Following arguments from counsel, the trial court merged the Defendant‟s
    convictions into three counts of vehicular homicide by intoxication and imposed a
    midrange sentence of ten years for each count. The court denied consecutive sentencing
    but ordered that the Defendant serve one year of incarceration, followed by ten years of
    probation.6 The Defendant immediately filed a motion for new trial on June 29, 2015,
    which was heard and denied that same day.7 In denying relief, the court again addressed
    the issue of competency:
    I‟ve had several observations during the course of the proceedings and the
    trial that give me indication to think that [the Defendant], at least in limited
    capacity, but has some capacity to understand the proceedings. I‟ve noted
    throughout that he takes notes. Obviously, I don‟t know what he‟s putting
    on his notes, but it‟s obvious that he was taking notes, that he had a special
    interest, at least in one or two of the witnesses who testified that I saw
    where he positioned himself in the courtroom in a position where he could
    look at exhibits and some other things that just gave me an impression that
    he kind of understood what was going on. I‟ve never said that I felt that he
    was a hundred percent capable of doing everything that you would like for
    6
    We note that the trial court‟s language appears inconsistent with its prior imposition of an
    effective ten-year sentence. However, based on our interpretation of the record, we understand the
    sentence to be ten years, with one year of service and the remainder on probation. See infra Part II.
    7
    It appears from the record that there was a brief recess during the sentencing hearing, at which
    time defense counsel, for expediency purposes, submitted a motion for new trial to be heard in the same
    proceeding.
    -15-
    a client to do, but I did find that there was enough, in my opinion, legally,
    to find that he was competent to assist counsel[.]
    This timely appeal followed.
    ANALYSIS
    I. Competency Determination. On appeal, the Defendant, citing Dusky v.
    United States, 
    362 U.S. 402
    (1960) (per curiam) and State v. Harrison, 
    270 S.W.3d 21
    (Tenn. 2008), contends that the trial court erred in finding that he was competent to stand
    trial. He maintains that, based on the evidence presented at both competency hearings,
    his mental condition did not satisfy the legal competency standard. He emphasizes that
    he was unable to work, to drive, to handle his own finances, to follow instructions, or to
    carry on a consistent conversation, and that he was receiving disability benefits for his
    injuries. Upon review, we conclude that the trial court did not err in finding that the
    Defendant was competent to stand trial.
    “[T]he Fourteenth Amendment to the United States Constitution and article I,
    section 8 of the Tennessee Constitution prohibit the trial of a person who is mentally
    incompetent.” State v. Blackstock, 
    19 S.W.3d 200
    , 205 (Tenn. 2000) (citing Pate v.
    Robinson, 
    383 U.S. 375
    , 385 (1966); Berndt v. State, 
    733 S.W.2d 119
    (Tenn. Crim. App.
    1987)). In Dusky, the United States Supreme Court articulated the test for competency to
    stand trial as “whether [the defendant] has sufficient present ability to consult with his
    lawyer with a reasonable degree of rational understanding and whether he has a rational
    and factual understanding of the proceedings against him.” 
    Dusky, 362 U.S. at 402
    ; see
    also 
    Blackstock, 19 S.W.3d at 205
    . Our supreme court, adopting the Dusky factors, held
    that “[t]he standard for determining competency to stand trial is whether the accused has
    „the capacity to understand the nature and object of the proceedings against him, to
    consult with counsel and to assist in preparing his defense.‟” State v. Black, 
    815 S.W.2d 166
    , 174 (Tenn. 1991) (quoting Mackey v. State, 
    537 S.W.2d 704
    , 707 (Tenn. Crim. App.
    1975)); see also 
    Harrison, 270 S.W.3d at 33
    . The burden of establishing incompetence to
    stand trial rests with the defendant, and the defendant must establish his incompetency by
    a preponderance of the evidence. See State v. Reid, 
    164 S.W.3d 286
    , 307 (Tenn. 2005);
    State v. Leming, 
    3 S.W.3d 7
    , 13-14 (Tenn. Crim. App. 1998). “The trial court‟s findings
    „are conclusive on appeal unless the evidence preponderates otherwise.‟” 
    Reid, 164 S.W.3d at 306
    (quoting State v. Oody, 
    823 S.W.2d 554
    , 559 (Tenn. Crim. App. 1991)).
    “Amnesia in and of itself does not constitute incompetency to stand trial.”
    
    Leming, 3 S.W.3d at 16
    ; (citing State v. Dempsey Ray, No. 86-290-III, 
    1988 WL 18350
    ,
    at *4 (Tenn. Crim. App., at Nashville, Mar. 2, 1988)); see also State v. Neil M. Friedman,
    No. 03C01-9704-CR-00140, 
    1998 WL 170133
    , at *2-4 (Tenn. Crim. App., at Knoxville,
    -16-
    Apr. 14, 1998) (rejecting a defendant‟s claim that he was deprived of a fair trial due to his
    inability to remember the events of the crimes). Where memory is at issue in determining
    competency, two inquiries must be made to ensure that a defendant receives the
    guarantees of due process. 
    Leming, 3 S.W.3d at 16
    . First, the trial court must analyze
    whether the defendant‟s level of competency satisfies the Dusky factors. Id. (citing
    
    Dusky, 362 U.S. at 402
    ). “Second, there must be an analysis of whether the defendant
    can receive a fair trial despite the amnesia, considering such factors as whether the crime
    and the defendant‟s whereabouts can be reconstructed without the defendant‟s testimony
    and whether access to government files would assist the defendant in preparing a
    defense.” 
    Id. (citing United
    States v. Swanson, 
    572 F.2d 523
    , 527 (5th Cir. 1978);
    Dempsey Ray, 
    1988 WL 18350
    , at *7).
    In denying the Defendant‟s first incompetency motion, the trial court noted that
    both of the Defendant‟s experts conceded that the Defendant possessed at least a general
    understanding of the legal proceedings against him as well as the ability to converse with
    his counsel. The court further noted that two of the State‟s experts, Dr. Linder and Dr.
    Touseff, determined that the Defendant met the legal competency standard based on their
    personal observations of the Defendant during his thirty-day inpatient assessment at
    WMHI. Furthermore, despite extensive testimony from the Defendant‟s lay witnesses
    regarding his mental and physical deterioration, the trial court emphasized that the
    Defendant was a licensed attorney and pointed to instances where “[the Defendant‟s]
    answers to questions and comments to witnesses indicate[d] that he still ha[d] a rational
    understanding of the proceedings against him.” The trial court also credited the rebuttal
    lay testimony from the Defendant‟s ex-wife, who stated that the Defendant told her
    several weeks prior to the competency hearing that he remembered the accident and
    planned to assert a defense of sleep apnea. Based on the proof, the trial court determined
    “that [the Defendant] ha[d] a rational understanding of the proceedings against him and
    the ability to consult with his attorney, thereby satisfying the Dusky requirements.” The
    court acknowledged the Defendant‟s diminished mental condition, noting that “[i]t may
    be difficult and it may take time to explain issues to him,” but nonetheless thought “that
    [the Defendant] [was] capable of understanding the issues and discussing them with his
    attorney.” Moreover, the trial court adopted the same reasoning in denying the
    Defendant‟s second incompetency motion. Although the court expressed concern over
    the Defendant‟s physical deterioration, it determined that no major changes in his mental
    condition had occurred. Consequently, the trial court ultimately found that, based on the
    expert proof, the only dispositive issue regarding the Defendant‟s competency was the
    effect of his impaired memory on his ability to assist in his defense. See 
    Harrison, 270 S.W.3d at 33
    .
    The record does not preponderate against the finding of the trial court. The expert
    proof reflects that the Defendant was not cooperative with testing administered by the
    -17-
    State and made various statements recognizing that answering the questions posed by the
    State‟s experts was not in his best self-interest. Moreover, both the Defendant‟s and
    State‟s experts consistently testified the Defendant understood various legal processes
    and could carry on a conversation with an attorney. The Defendant‟s experts conceded
    that the primary issue regarding the Defendant‟s competency to stand trial was his
    impaired memory. Although the Defendant emphasizes the testimony of various lay
    witnesses, including criminal defense attorneys, about the potential impact of his
    diminished intellectual ability at trial, the expert proof reflects that the Defendant met the
    competency prongs of Dusky.
    We must now review whether the Defendant‟s impaired memory impacted his
    ability to assist in his defense to such an extent that he was not competent to stand trial.
    See 
    Leming, 3 S.W.3d at 16
    . The trial court determined that the Defendant‟s inability to
    recall the accident did not amount to incompetence because the degree of his amnesia did
    not hinder his ability to establish a defense. The court reasoned:
    Will the defendant‟s input to counsel and/or testimony even make much of
    a difference? . . . The Court has not heard the proof but my understanding is
    that the issue is not going to be identity or how the accident actually
    happened but rather the cause. All of the factual issues can be provided by
    the State and the Court would order the State to make all statements of
    witnesses and investigative reports available to defense counsel. The Court
    is not aware of the defense theory but based upon testimony so far two
    theories appear to be possible, ingestion of valium or sleep apnea. Both of
    those theories can be put forth without the defendant‟s testimony.
    Although it may be difficult to consult with, explain to and analyze issues
    with the defendant the Court feels under the law it is possible. The
    defendant has the burden to establish incompetence by a preponderance of
    the evidence . . . [and] [t]he Court feels that burden has not been met.
    Here, the record does not reflect, and the Defendant does not show, that the trial
    court‟s determination was erroneous. Our review of this issue is hindered by the fact that
    the Defendant failed to include a transcript of the jury trial in the record on appeal. At
    oral argument, defense counsel advised the court that not including the transcript was
    intentional. He did not believe it was necessary for the resolution of the issues raised in
    this appeal. We disagree. It is extremely difficult, if not impossible, to determine what
    effect, if any, that the Defendant‟s impaired memory had on preparing his defense at trial
    without a transcript of his jury trial in the appellate record. We do not know the
    strategies employed by the defense, the defense theory, or how the evidence adduced at
    trial could have been impacted by the Defendant‟s condition. Ordinarily, without a
    transcript, we are left to presume that the trial court was correct. State v. Bibbs, 806
    -18-
    S.W.2d 786, 790 (Tenn. Crim. App. 1991) (citing Smith v. State, 
    584 S.W.2d 811
    , 812
    (Tenn. Crim. App. 1979) (“In the absence of an adequate record on appeal, we must
    presume that the trial court‟s ruling was supported by the evidence.”); Vermilye v. State,
    
    584 S.W.2d 226
    , 230 (Tenn. Crim. App. 1979)). However, in this case, the Defendant
    has also failed to provide any argument or produce any evidence demonstrating how his
    inability to recall the accident rendered him incompetent to assist in his defense. Finally,
    defense counsel conceded during oral argument that the Defendant‟s inability to assist in
    his defense ultimately made no difference in the outcome at trial. Accordingly, the
    Defendant is not entitled to relief on this issue.
    II. Sentencing. The Defendant also argues that his sentence was improper. First,
    he contends that the trial court erred by enhancing his sentence from eight to ten years
    based on a theory of general deterrence not supported by the record. Moreover, he
    maintains that the trial court wrongly denied a sentence of full probation. The State
    responds that the Defendant has waived consideration of issues related to sentencing by
    failing to include the trial transcripts in the record on appeal. The State further asserts
    that, waiver notwithstanding, the Defendant‟s sentence was proper. Upon review, we
    agree with the State.
    We review the length and manner of service of a sentence imposed by the trial
    court under an abuse of discretion standard with a presumption of reasonableness. State
    v. Bise, 
    380 S.W.3d 682
    , 708 (Tenn. 2012). Moreover, the misapplication of
    enhancement or mitigating factors does not invalidate the imposed sentence “unless the
    trial court wholly departed from the 1989 Act, as amended in 2005.” 
    Id. at 706.
    “So long
    as there are other reasons consistent with the purposes and principles of sentencing, as
    provided by statute, a sentence imposed by the trial court within the appropriate range
    should be upheld.” 
    Id. This standard
    of review also applies to “questions related to
    probation or any other alternative sentence.” State v. Caudle, 
    388 S.W.3d 273
    , 278-79
    (Tenn. 2012). “A court only abuses its discretion when it „applie[s] an incorrect legal
    standard, or reache[s] a decision which is against logic or reasoning that cause[s] an
    injustice to the party complaining.‟” State v. Sihapanya, -- S.W.3d -- , No. W2012-
    00716-SC-R11-CD, 
    2014 WL 2466054
    , at *2 (Tenn. Apr. 30, 2014) (quoting State v.
    Shuck, 
    953 S.W.2d 662
    , 669 (Tenn. 1997)). The defendant has the burden of showing
    the impropriety of the sentence on appeal. T.C.A. § 40-35-401(d), Sentencing Comm‟n
    Cmts.
    Pursuant to the 2005 amendments to the Sentencing Act, a trial court must
    consider the following when determining a defendant‟s specific sentence and the
    appropriate combination of sentencing alternatives:
    (1) The evidence, if any, received at the trial and the sentencing hearing;
    -19-
    (2) The presentence report;
    (3) The principles of sentencing and arguments as to sentencing alternatives;
    (4) The nature and characteristics of the criminal conduct involved;
    (5) Evidence and information offered by the parties on the mitigating and
    enhancement factors set out in §§ 40-35-113 and 40-35-114;
    (6) Any statistical information provided by the administrative office of the courts
    as to sentencing practices for similar offenses in Tennessee; and
    (7) Any statement the defendant wishes to make in the defendant‟s own behalf
    about sentencing.
    T.C.A. § 40-35-210(b)(1)-(7). In addition, “[t]he potential or lack of potential for the
    rehabilitation or treatment of the defendant should be considered in determining the
    sentence alternative or length of a term to be imposed.” 
    Id. § 40-35-103(5).
    A court
    must impose a sentence “no greater than that deserved for the offense committed” and
    “the least severe measure necessary to achieve the purposes for which the sentence is
    imposed.” 
    Id. §§ 40-35-103(2),
    (4).
    As Range I, standard offender, the Defendant was subject to a sentencing range of
    eight to twelve years for each of his three convictions for vehicular homicide by
    intoxication, a Class B felony. See T.C.A. § 40-35-112(a)(2). Thus, the trial court‟s
    sentence was well within the statutory range. However, the Defendant argues that the
    trial court improperly enhanced his sentence to ten years based on the need for “general
    deterrence.” He maintains that the record did not support enhancement and that the State
    otherwise failed to show that enhancement was appropriate. Despite the Defendant‟s
    contentions, it is clear from the record that the court carefully weighed the relevant
    statutory factors, as well as the sentencing principles, in determining the length of the
    Defendant‟s sentence. Although the trial court prefaced its analysis with an extensive
    discussion about the seriousness of driving under the influence, it is clear that the court
    also relied on the application of enhancement factor (10), that the Defendant had no
    hesitation about committing a crime when the risk to human life was high, as a basis for
    imposing a ten-year sentence. See T.C.A. § 40-35-114(10).
    The Defendant does not challenge the trial court‟s reliance on enhancement factor
    (10) and, to the extent that the trial court‟s reliance stemmed from evidence introduced at
    trial, the Defendant has waived consideration of such by failing to include the trial
    transcript in the appellate record. Nevertheless, we conclude that the record adequately
    -20-
    supports the trial court‟s application of enhancement factor (10). Here, it is undisputed
    that the Defendant operated his vehicle while under the influence of multiple drugs, at
    least one of which was not prescribed, which resulted in the death of three people as well
    as significant injury to the Defendant himself. The fact that the Defendant was an
    experienced defense attorney made this factor particularly significant, as he fully
    understood the potential consequences of driving while impaired. Although the court
    applied one mitigating factor in light of the Defendant‟s brain damage, it was within the
    discretion of the court to determine the weight to afford each factor. We note that we are
    bound to a trial court‟s imposition of a within-range sentence that is otherwise consistent
    with the purposes and principles of the Sentencing Act. See State v. Carter, 
    254 S.W.3d 335
    , 346 (Tenn. 2008). Moreover, because the statutory enhancement and mitigating
    factors are advisory only, and because “a trial court‟s weighing of various mitigating and
    enhancement factors [is] left to the trial court‟s sound discretion[,]” we conclude that the
    trial court did not err in its sentencing determinations because the record supports the
    within-range sentences imposed. See T.C.A. § 40-35-114(c)(2) (2010); 
    Carter, 254 S.W.3d at 345
    .
    Next, the Defendant argues that the trial court should have imposed a sentence of
    full probation rather than imposing one year of incarceration. He maintains that
    confinement is inappropriate “based on the unrebutted proof that [the Defendant] needs
    regular medical care, and is not capable of following the rules and structure of a penal
    institution.” Any sentence that does not involve complete confinement is an alternative
    sentence. See generally State v. Fields, 
    40 S.W.3d 435
    (Tenn. 2001). In determining
    whether to deny alternative sentencing and impose a sentence of total confinement, the
    trial court should consider whether:
    (A) Confinement is necessary to protect society by restraining a defendant
    who has a long history of criminal conduct;
    (B) Confinement is necessary to avoid depreciating the seriousness of the
    offense or confinement is particularly suited to provide an effective
    deterrence to others likely to commit similar offenses; or
    (C) Measures less restrictive than confinement have frequently or recently
    been applied unsuccessfully to the defendant[.]
    
    Id. § 40-35-103(1)(A)-(C);
    see State v. Ashby, 
    823 S.W.2d 166
    , 169 (Tenn. 1991).
    A trial court‟s determination of whether the defendant is entitled to an alternative
    sentence and whether the defendant is a suitable candidate for full probation are different
    inquiries with different burdens of proof. State v. Boggs, 
    932 S.W.2d 467
    , 477 (Tenn.
    -21-
    Crim. App. 1996). “A defendant‟s sentence is based on „the nature of the offense and the
    totality of the circumstances in which it was committed, including the defendant‟s
    background.‟” State v. Trotter, 
    201 S.W.3d 651
    , 653 (Tenn. 2006) (quoting 
    Ashby, 823 S.W.2d at 168
    ). The seriousness of the offense alone may justify a trial court‟s denial of
    alternative sentencing. See 
    Trotter, 201 S.W.3d at 655
    . Following the 2005 amendments
    to the Sentencing Act, a defendant is no longer entitled to a presumption that he or she is
    a favorable candidate for alternative sentencing. 
    Carter, 254 S.W.3d at 347
    .
    Here, the Defendant was eligible for probation because each sentence was ten
    years or less and because the offenses were not specifically excluded by statute. See
    T.C.A. § 40-35-303(a); State v. Langston, 
    708 S.W.2d 830
    , 832-33 (Tenn. 1986)
    (concluding that a defendant is eligible for probation if each sentence is ten years or less
    regardless of the effective sentence). However, an eligible defendant “is not
    automatically entitled to probation as a matter of law.” T.C.A. § 40-35-303(b),
    Sentencing Comm‟n Cmts. Although the trial court shall automatically consider
    probation as a sentencing alternative for eligible defendants, the defendant bears the
    burden of proving his or her suitability for probation. 
    Id. The defendant
    must
    demonstrate that probation would serve “the ends of justice and the best interests of both
    the public and the defendant.” State v. Souder, 
    105 S.W.3d 602
    , 607 (Tenn. Crim. App.
    2002) (citations omitted). When considering probation, the trial court should consider the
    nature and circumstances of the offense, the defendant‟s criminal record, the defendant‟s
    background and social history, the defendant‟s present condition, including physical and
    mental condition, the deterrent effect on the defendant, and the best interests of the
    defendant and the public. State v. Kendrick, 
    10 S.W.3d 650
    , 656 (Tenn. Crim. App.
    1999) (citing State v. Grear, 
    568 S.W.2d 285
    , 286 (Tenn. 1978)). “[A] trial court‟s
    decision to grant or deny probation will not be invalidated unless the trial court wholly
    departed from the relevant statutory considerations in reaching its determination.”
    Sihapanya, 
    2014 WL 2466054
    , at *3.
    We conclude that the trial court did not abuse its discretion by denying full
    probation. Although the Defendant references his injuries and his history of being a good
    citizen, he puts forth no legal basis for why this would otherwise entitle him to a sentence
    of full probation. Nevertheless, the record reflects that trial court carefully analyzed the
    propriety of an alternative sentence in light of the circumstances of the Defendant‟s case.
    Because the Defendant‟s sentence resulted from his convictions for Class B felonies, he
    is not a favorable candidate for alternative sentencing. See T.C.A. § 40-35-102. In
    addition, the trial court determined that the facts surrounding the offense, and the nature
    of the Defendant‟s criminal conduct weighed against probation. Further, the court noted
    that the crimes involved numerous victims and emphasized the emotional impact that the
    Defendant‟s criminal behavior had on the victims. The court also found that
    incarceration was necessary because a sentence of full probation would unduly depreciate
    -22-
    the seriousness of the offense. Because the trial court properly considered the evidence,
    the enhancement and mitigating factors, and the purposes and principles of sentencing
    prior to imposing a within-range sentence of ten years, with one year to be served in
    confinement, the Defendant has failed to establish that his sentence was improper.
    Finally, although not raised by either on appeal, there are inconsistencies on the
    judgment forms. Although the trial court imposed an effective sentence of ten years, the
    court later ordered that the Defendant “serve one year in prison, followed by 10 years of
    probation.” Similarly, on the judgment forms for Counts 1, 2, and 3, under the section
    entitled “Sentencing Length,” the trial court listed the Defendant‟s sentence as “10
    Years,” but handwrote “10 years to serve 1 year in jail followed by 10 years of
    probation” in the “Special Conditions” section of the judgment form. The trial court
    listed that the Defendant serve a twelve-month period of incarceration prior to his release
    on probation but nonetheless listed the length of probation as ten years “when not in jail.”
    Despite these linguistic inconsistencies, we conclude that the trial court meant to impose
    an effective sentence of ten, rather than eleven years. This is particularly so given that a
    sentence greater than ten years would render the Defendant ineligible for an alternative
    sentence. See T.C.A. § 40-35-303(a) (“A defendant shall be eligible for probation under
    this chapter if the sentence actually imposed upon the defendant is ten (10) years or
    less.”). This was clearly not the intention of the trial court. Thus, for clarity, we remand
    this matter for entry of corrected judgment forms in Counts 1, 2, and 3, reflecting a total
    effective sentence of ten years in the TDOC, suspended to split confinement with twelve
    months of incarceration at the Obion County jail and the remaining nine years on
    probation. See T.C.A. § 40-35-306(a) (“A defendant receiving probation may be
    required to serve a portion of the sentence in continuous confinement for up to one (1)
    year in the local jail or workhouse[.]”); see also T.C.A. § 40-35-319(a), Sentencing
    Cmm‟n Cmts.
    CONCLUSION
    Upon review, we affirm the judgments of the trial court. However, we remand
    this matter for entry of corrected judgment forms in Counts 1, 2, and 3, consistent with
    this opinion.
    _________________________________
    CAMILLE R. McMULLEN, JUDGE
    -23-