in Re: Commitment of Cedric Ausbie ( 2019 )


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  • Affirmed and Memorandum Opinion filed August 6, 2019.
    In The
    Fourteenth Court of Appeals
    NO. 14-18-00167-CV
    IN RE COMMITMENT OF CEDRIC AUSBIE
    On Appeal from the 351st District Court
    Harris County, Texas
    Trial Court Cause No. 1302213-0101Z
    MEMORANDUM                       OPINION
    In this appeal from a final judgment and an order of civil commitment, a trial
    court found Cedric Ausbie is a sexually violent predator as defined in the Texas
    Health and Safety Code and subject to civil commitment. See Tex. Health & Safety
    Code Ann. §§ 841.001-.151 (Vernon 2017 & Supp. 2018). On appeal, Ausbie
    contends the evidence is legally and factually insufficient to “support a beyond-a-
    reasonable-doubt finding that Mr. Ausbie has a behavioral abnormality that makes
    him likely to engage in a predatory act of sexual violence.” We affirm.
    BACKGROUND
    I.    The Texas Civil Commitment of Sexually Violent Predators Act
    The Texas Civil Commitment of Sexually Violent Predators Act (SVP Act)
    provides for the civil commitment of sexually violent predators based on legislative
    findings that “a small but extremely dangerous group of sexually violent predators
    exists and that those predators have a behavioral abnormality that is not amenable to
    traditional mental illness treatment modalities and that makes the predators likely to
    engage in repeated predatory actions of sexual violence.” Tex. Health & Safety
    Code Ann. § 841.001. The Legislature expressly found that “a civil commitment
    procedure for the long-term supervision and treatment of sexually violent predators
    is necessary and in the interest of the state.” 
    Id. Under the
    SVP Act, a person is a sexually violent predator if the person (1) is
    a repeat sexually violent offender, and (2) suffers from a behavioral abnormality that
    makes the person likely to engage in a predatory act of sexual violence. 
    Id. § 841.003(a).
    Before the State files suit, a person must be administratively determined
    to be a sexually violent predator. 
    Id. §§ 841.021-.023;
    In re Commitment of
    Bohannan, 
    388 S.W.3d 296
    , 298 (Tex. 2012).                When the administrative
    determination is made, notice is given to an attorney representing the State. Tex.
    Health & Safety Code Ann. § 841.023.
    Once the person is referred to the State, an attorney representing the State may
    file a civil commitment proceeding in the court of conviction for the person’s most
    recent sexually violent offense. 
    Id. § 841.041(a).
    If a judge or jury determines that
    the person is a sexually violent predator, the trial court must commit the person for
    treatment and supervision to begin on the date of release from prison and to continue
    “until the person’s behavioral abnormality has changed to the extent that the person
    is no longer likely to engage in a predatory act of sexual violence.” See 
    id. § 2
    841.081(a).
    II.   Ausbie’s Trial
    The State filed a petition alleging Ausbie is a sexually violent predator and
    requesting that he be committed for treatment and supervision. The case was tried
    in a bench trial in October 2017.
    The State presented pen packets which showed Ausbie’s convictions for two
    sexual offenses. Ausbie sexually assaulted a 16-year-old girl in 2004. Ausbie
    pleaded guilty to the offense of sexual assault of a child and was sentenced to two
    years’ confinement. He was released in 2007. In 2011, he was charged with
    indecency with a child; the victim was a nine-year-old boy. He pleaded guilty and
    was sentenced to seven years’ confinement in 2013.
    The State presented two experts, who performed a clinical assessment of
    Ausbie, to testify concerning their opinion about whether Ausbie suffers from a
    behavioral abnormality: Dr. Sheri Gaines, a board-certified psychiatrist, and Dr.
    Timothy Proctor, a board-certified forensic psychologist.
    Proctor testified he has been conducting evaluations with regard to behavioral
    abnormality for ten years and has conducted approximately 70 evaluations. Proctor
    relied on principles of forensic psychology in his evaluation of Ausbie and testified
    it was his opinion “Ausbie has a behavioral abnormality that makes him likely to
    engage in a predatory act of sexual violence.” To form his opinion, Proctor stated
    he reviewed “the standard types of records in these cases,” including police reports,
    victim statements, court documents, judgments, pen packets, “prison records that
    deal with summaries of him in his history, his behavior in prison, medical and
    psychiatric treatment in prison”; interviewed Ausbie face-to-face; scored the Static-
    99R instrument, which is an actuarial test; and reviewed the deposition of Gaines,
    3
    the deposition of psychologist Dr. Bauer, who conducted a multidisciplinary report
    and concluded Ausbie has a behavioral abnormality, the deposition of psychologist
    Dr. Mauro, who was asked to evaluate Ausbie’s competency and concluded he was
    incompetent to testify at the commitment trial and also has a psychotic disorder
    which significantly impairs him, and the deposition of Ausbie which provided a
    “continued look” into his psychotic state.
    Proctor explained that the records he reviewed are typically reviewed by
    experts to form an opinion if a person has a behavioral abnormality. He explained
    he relied on the data in these records because, in order to determine if Ausbie has a
    behavioral abnormality, Proctor has to know Ausbie’s history, behavior, problems,
    and prior sexual offenses. Proctor testified that “[m]any of the commonly used risk
    factors in the research are based on the person’s history and past.             So, in
    understanding the person right now, it’s important that we look back.”
    Proctor testified he met Ausbie in person at the Skyview unit in March 2017
    but was unable to conduct a typical interview in length or scope because of Ausbie’s
    level of impairment and severe mental illness. Proctor could not communicate with
    Ausbie and did not consider Ausbie at any point during the interview to be
    competent.    Despite Ausbie’s inability to communicate with Proctor, Proctor
    explained the interview was very important because he could observe “how impaired
    [Ausbie] is and how impaired his thinking is and his behavior is.” Ausbie did not
    understand why Proctor was there and was “very distracted by things going on in his
    head”; it was difficult for Proctor to get Ausbie to respond to any questions and
    Ausbie got “a little bit agitated.” Proctor diagnosed Ausbie with “a severe mental
    disorder called schizoaffective disorder that’s a type of schizophrenia.” Proctor
    stated that “a major driver in [Ausbie’s] likelihood of committing predatory acts of
    sexual violence is his very disorganized thinking . . . and he has serious difficulty in
    4
    controlling his behavior. So, witnessing that firsthand was important and added to
    my evaluation.”
    Proctor testified he was unable to score Ausbie under the typical psychopathy
    checklist called P.C.L.R. because the instrument score is based in part on self-
    reporting and Ausbie could not provide any information because of his severe mental
    impairment. Although Proctor was unable to score the psychopathy checklist, he
    was able to determine that Ausbie’s behavioral abnormality is “not driven by
    psychopathy or him being a psychopath.” Proctor stated Ausbie has antisocial traits
    and a psychotic disorder but psychopathy is not “what’s driving his sexual acting
    out behavior or what is driving this” behavioral abnormality.
    Further, Proctor stated that, although “diagnoses” are not “required to find
    [Ausbie] has a behavioral abnormality,” he diagnosed Ausbie with schizoaffective
    disorder and borderline intellectual functioning.            According to Proctor,
    schizoaffective disorder relates to a finding of behavioral abnormality because the
    disorder impacts Ausbie’s “ability to control his behavior and emotionally manage
    . . . his behavior. And in particular it deals with how his sexual deviancy comes out
    in his ability to control sexual deviant thoughts and urges.” Proctor stated Ausbie’s
    borderline intellectual functioning contributes to finding Ausbie has a behavioral
    abnormality because “this mental functioning . . . disinhibits him, impacts his
    decision making choices, emotional functioning, and then leads to the sexual
    deviancy manifesting itself.”
    With regard to the antisocial traits cluster of risk factors, Proctor testified he
    considered Ausbie’s psychotic disorder and unstable relationship history. He also
    considered Ausbie’s nonsexual criminal history as an antisocial lifestyle. Proctor
    testified Ausbie was charged with aggravated assault with a deadly weapon when he
    was 17 years old. A few months later, Ausbie was charged with aggravated assault
    5
    causing bodily injury for which he received and completed probation in December
    2002. In 2003, Ausbie “was detained and taken to the psychiatric hospital after he
    jumped out in front of a car and was refusing to get off the car, even when the car
    started moving.” In 2004, “there was a possession of marijuana charge he got some
    jail time for. Also a criminal trespass with some jail time in [20]04.” Ausbie was
    also charged with public intoxication and criminal mischief before being charged
    with the 2004 sexual assault of a child and serving a prison sentence until 2011.
    With regard to the sexual deviance risk factor, Proctor characterized Ausbie’s
    sexual offenses as sexually deviant because “[o]ne, there’s force in both of his sexual
    offense convictions. Additionally, his second victim was a prepubescent child”
    which “suggests the pedophilic urges and interests and possibly a pedophilic
    disorder.”
    Proctor explained that the details of Ausbie’s two sexual offenses were
    important and allowed him to identify numerous risk factors relative to determining
    if Ausbie suffers from a behavioral abnormality, including (1) physical coercion
    during sex; (2) unrelated victim; (3) aggressive and agitated behavior; (4) persistence
    after punishment, which means “committing a sex offense after being sanctioned for
    a sex offense”; (5) age discrepancy between Ausbie and the victims; (6) one victim
    was a male; and (7) the boy was a stranger victim.
    Proctor also testified that another factor he considered in forming his opinion
    was that Ausbie has a history of substance use problems that are currently “not active
    because he’s in prison.” Proctor testified Ausbie used “[c]ocaine, which is a
    stimulant; marijuana; P.C.P.; and other hallucinogenics, in particular ecstasy.”
    According to Proctor, “[s]ubstance use is something that disinhibits” and “having a
    prior history of having a problem when in the free world with substance use is a risk
    factor for re-offense.”
    6
    Based on the records he reviewed, Proctor also applied the Static-99R which
    is an actuarial test used to evaluate a sex offender’s risk of recidivism. He scored
    Ausbie a “7”; “[t]his score puts him in the highest level, well above average risk” on
    the Static-99R. Proctor testified other evaluators scored Ausbie and similarly found
    him to be in the “well above average risk” category.
    Proctor could not identify any protective factors to mitigate the numerous risk
    factors. Proctor concluded Ausbie suffers from a behavioral abnormality.
    Gaines testified she has been a psychiatrist for 27 years and has evaluated
    approximately 125 people to assess whether in her opinion they have a behavioral
    abnormality.    Gaines testified that, according to the statutory definition, “a
    behavioral abnormality is a congenital or acquired condition that affects one’s
    emotional or volitional capacity and predisposes them to commit a sexually violent
    act such that they are a menace to society.” In her opinion, Ausbie suffers from a
    behavioral abnormality.
    Gaines explained that in evaluating Ausbie she reviewed “a lot of collateral
    information,” conducted a face-to-face interview, and “used [her] knowledge and
    experience to formulate an opinion,” which is the “accepted methodology” used by
    “psychiatrists in conducting these same evaluations in the State of Texas.” Gaines
    stated she reviewed “lot of records including prison medical records, Sheriff’s
    reports, witness reports,” Proctor’s deposition, Mauro’s deposition, Bauer’s
    multidisciplinary report and conclusion that Ausbie has a behavioral abnormality,
    and Ausbie’s deposition.
    Gaines explained that her records review and interview of Ausbie were both
    important in forming her opinion that Ausbie has a behavioral abnormality. She
    stated the “collateral information was important for facts and details. The face-to-
    face evaluation was important for [her] to evaluate Mr. Ausbie, be able to come up
    7
    with a psychiatric diagnosis, better understand his level of functioning, understand
    his thought processes, understand his psychiatric difficulties.”
    Gaines stated Ausbie’s interview was shorter than typical because of his “low
    level of functioning” and his difficulty with new things, new people, a new routine,
    sitting still, and being asked questions.        Gaines testified “Ausbie became so
    uncomfortable that he asked to terminate the interview and return to his cell.”
    Although Gaines was not asked to evaluate Ausbie’s competency, she concluded
    Ausbie was incompetent and did not really understand why she interviewed him.
    To form her opinion that Ausbie suffers from a behavioral abnormality,
    Gaines testified she considered “his clinical presentation, which includes that
    inability to communicate factually, does contain many risk factors that are included
    in how I arrived at my opinion. His inability to tolerate stress, his inability to tolerate
    change, his lack of self-awareness, his lack of impulse control, all of those things are
    part of his psychiatric presentation that helped me come to my opinion.”
    Gaines also testified she diagnosed Ausbie with schizoaffective disorder,
    unspecified paraphilic disorder, antisocial traits, substance use disorder, and
    borderline intellectual functioning by using the DSM-5 (Diagnostic and Statistical
    Manual of Disorders), which is “usually relied upon by psychiatrists in making . . .
    conclusions about behavior abnormality.” According to Gaines, “[s]omeone with a
    schizoaffective disorder has psychosis, either auditory hallucinations, delusions,
    something that is out of touch with reality.” And there “is a mood component” to
    the disorder with symptoms of depression. Gaines testified “[t]he psychotic part of
    the diagnosis was clear to observe” during her interview of Ausbie because he was
    “clearly out of touch with reality.” Gaines confirmed the mood component by
    reviewing records, which showed Ausbie had periods of depression and mania with
    impulsivity and aggression.
    8
    Gaines stated she reviewed Sheriff’s records, district attorney’s records, court
    records, and victim statements to diagnose Ausbie with unspecified paraphilic
    disorder which is “a disorder where there is [sic] deviant sexual thoughts, deviant
    sexual behaviors, and those things are interfering with someone’s life. It is a very
    nonspecific diagnosis” because Ausbie committed sexual offenses against a male
    child victim and a female adolescent victim.         Gaines stated Ausbie had no
    recollection of the two sexual offenses he committed and she did not question him
    long about them during the interview because Ausbie “was on the verge of an
    aggressive outburst.”
    Gaines described Ausbie’s two sexual offenses in detail and stated the facts
    of the offenses were important to her forming an “opinion that he has a behavioral
    abnormality that makes him likely to engage in predatory acts of sexual violence in
    the future.” Based on the details of the offenses she could “identify the factors that
    are discussed in the literature.” She considered the offenses to be violent because
    they involved physical force, “involved pushing people, punching people, ripping
    people’s clothes off, all of which are violent acts.” Gaines opined Ausbie is a sexual
    deviant because he committed “forceful unwanted sexual acts against” a 16-year-old
    girl and a nine-year-old boy. She also opined “Ausbie’s emotional volitional
    capacity [has] been affected to the extent that it predisposes him to commit a sexually
    violent offense so that he is a menace to the health and safety of another person.”
    Gaines further stated that records show Ausbie never participated in sex
    offender treatment programs because he was not “stable enough psychiatrically.”
    Gaines testified that in her experience and “the literature shows that completing sex
    offender treatment is helpful in reducing recidivism.”          Gaines testified that
    hypothetically, if “Ausbie were able to complete sex offender treatment and fall into
    those statistics, it would statistically help with decreasing recidivism.” According
    9
    to Gaines, Ausbie takes antidepressants and antipsychotic medications to target
    psychotic features like auditory hallucinations, delusions, paranoia, illogical thought
    processes, disorganized behavior, aggression, impulsivity, and irritability. Ausbie
    has experienced psychotic episodes since he was about 17 years old and has taken
    antipsychotic medications since 2004, but none have been successful in treating his
    psychotic features.
    Gaines explained Ausbie receives a lot of supervision on a daily basis because
    he is “extremely disorganized to the point that he is not able to take care of his
    activities of daily living such as showering, brushing his teeth, getting up, having a
    routine, a schedule.” According to records, Ausbie has had compliance issues with
    taking his medications throughout his adulthood and is currently on “long-acting
    depot injectables.”
    In reaching her ultimate opinion that Ausbie suffers from a behavioral
    abnormality, Gaines identified many risk factors — with the two major risk factors
    being Ausbie’s sexual deviancy and his antisocial personality traits.            Gaines
    identified these additional risk factors: serious and persistent mental illness, physical
    violence in the commission of his offenses, a male and young child victim in one of
    his sexual offenses, a stranger victim, persistence after punishment, lack of sex
    offender treatment, substance use history, nonsexual crime history, lack of
    supervision upon a release from prison, lack of insight, lack of awareness, lack of
    coping skills, Ausbie’s young age and the fact he has never been married.
    Gaines testified she did not identify any protective factors to mitigate the
    numerous risk factors, such as completing sex offender treatment, “learning a lot
    from sex offender treatment, having a good solid discharge plan, and older age.”
    Gaines testified it is “[n]ot typical at all” for someone to have “zero protective
    factors.”
    10
    After considering the evidence presented, the trial court found Ausbie to be a
    sexually violent predator and signed a final judgment and order of commitment on
    October 3, 2017. Ausbie filed a motion for new trial arguing, among other things,
    the evidence is legally and factually insufficient to support the trial court’s finding
    that Ausbie is a sexually violent predator. The motion for new trial was overruled
    by operation of law. See Tex. R. Civ. P. 329b(c). Ausbie filed a timely appeal.
    ANALYSIS
    Ausbie argues the evidence is legally and factually insufficient to “support a
    beyond-a-reasonable-doubt finding that Mr. Ausbie has a behavioral abnormality
    that makes him likely to engage in a predatory act of sexual violence.”
    I.    Standard of Review and Applicable Law
    The commitment of a person as a sexually violent predator is a civil
    proceeding. In re Commitment of Harris, 
    541 S.W.3d 322
    , 327 (Tex. App.—
    Houston [14th Dist.] 2017, no pet.). However, because the SVP Act requires the
    State to prove beyond a reasonable doubt that a person is a sexually violent predator,
    we review the legal sufficiency of the evidence using the appellate standard of
    review for criminal cases. Id.; In re Commitment of Mullens, 
    92 S.W.3d 881
    , 885
    (Tex. App.—Beaumont 2002, pet. denied) (citing Jackson v. Virginia, 
    443 U.S. 307
    ,
    319 (1979)). We consider the evidence in the light most favorable to the verdict to
    determine whether a rational factfinder could have found beyond a reasonable doubt
    the elements required for commitment. 
    Harris, 541 S.W.3d at 327
    ; 
    Mullens, 92 S.W.3d at 885
    . The factfinder is the sole judge of the credibility of the witnesses
    and the weight to be given to their testimony. See 
    Harris, 541 S.W.3d at 327
    ;
    
    Mullens, 92 S.W.3d at 887
    .
    Although factual sufficiency review has been abandoned in criminal cases, as
    11
    an intermediate appellate court with final authority over factual sufficiency
    challenges in civil cases, we perform a factual sufficiency review in SVP Act cases
    when the issue is raised on appeal. 
    Harris, 541 S.W.3d at 327
    . “Under a factual
    sufficiency review, we consider ‘whether a verdict that is supported by legally
    sufficient evidence nevertheless reflects a risk of injustice that would compel
    ordering a new trial.’” 
    Id. (quoting In
    re Commitment of Day, 
    342 S.W.3d 193
    , 213
    (Tex. App.—Beaumont 2011, pet. denied)). “‘[W]e view all of the evidence in a
    neutral light and ask whether a jury was rationally justified in finding guilt beyond
    a reasonable doubt.’” In re Commitment of Wirtz, 
    451 S.W.3d 462
    , 464 (Tex.
    App.—Houston [14th Dist.] 2014, no pet.) (quoting In re Commitment of Gollihar,
    
    224 S.W.3d 843
    , 846 (Tex. App.—Beaumont 2007, no pet.)).
    Under the SVP Act, a person is a sexually violent predator if he (1) is a repeat
    sexually violent offender, and (2) suffers from a behavioral abnormality that makes
    him likely to engage in a predatory act of sexual violence. Tex. Health & Safety
    Code Ann. § 841.003(a). A person is a repeat sexually violent offender if (as
    relevant here) the person is convicted of more than one sexually violent offense and
    a sentence is imposed for at least one of the offenses. 
    Id. § 841.003(b).
    A behavioral
    abnormality is defined as “a congenital or acquired condition that, by affecting a
    person’s emotional or volitional capacity, predisposes the person to commit a
    sexually violent offense, to the extent that the person becomes a menace to the health
    and safety of another person.” 
    Id. § 841.002(2).
    A predatory act is defined as “an
    act directed toward individuals, including family members, for the primary purpose
    of victimization.” 
    Id. § 841.002(5).
    II.   Sufficiency of the Evidence
    Within his legal and factual sufficiency challenge, Ausbie presents three
    distinct arguments. We will address these arguments in turn.
    12
    A.     Expert Opinions
    First, Ausbie argues the experts’ opinions in this case are unreliable and
    constitute legally and factually insufficient evidence because the experts relied on
    “hearsay information in records (mostly police reports)” and “some prison records”
    to form their opinions about whether he suffers from a behavioral abnormality.
    Citing to Coastal Transport Company v. Crown Central Petroleum Corporation,
    
    136 S.W.3d 227
    (Tex. 2004), Ausbie argues “that he may for the first time on appeal
    challenge an expert’s foundational data when the face of the record shows the
    unreliability of this foundational data.” Ausbie specifically states, “An expert
    opinion based on what the face of the record shows to be unreliable hearsay falls
    within this category of challenges to an expert’s foundational data that can be raised
    for the first time on appeal.”
    Contrary to Ausbie’s assertion, Coastal Transport does not support his
    argument that he may for the first time on appeal challenge Proctor’s and Gaines’s
    foundational data as unreliable. The supreme court held that an objection in the trial
    court is required when “a challenge to expert testimony questions the underlying
    methodology, technique, or foundational data used by the witness.” 
    Id. at 229
    “When a scientific opinion is admitted in evidence without objection, it may be
    considered probative evidence even if the basis for the opinion is unreliable.” City
    of San Antonio v. Pollock, 
    284 S.W.3d 809
    , 818 (Tex. 2009). Ausbie did not object
    in the trial court to Proctor’s and Gaines’s expert testimony specifically challenging
    the reliability of their foundational data. He cannot do so for the first time on appeal.
    See 
    Pollock, 284 S.W.3d at 818
    ; Coastal Transport 
    Co., 136 S.W.3d at 229
    , 233.
    We note that Ausbie made a hearsay objection to Proctor and Gaines testifying
    about the facts and details of his sexual assault of a child offense. However, under
    Texas Rule of Evidence 705(a), experts may disclose on direct examination, or be
    13
    required to disclose on cross-examination, the underlying facts or data upon which
    they relied; and they may discuss a defendant’s prior offense as part of the basis for
    the experts’ opinions. See Tex. R. Evid. 705(a).
    Further, we reject Ausbie’s contention that the experts’ opinions in this case
    are unreliable because they were based on hearsay in the form of “mostly police
    reports” which Ausbie claims the Texas Court of Criminal Appeals “described . . .
    as ‘inherently unreliable’”. Ausbie cites to Cole v. State, 
    839 S.W.2d 798
    (Tex.
    Crim. App. 1990) (op. on reh’g), to support his contention. But we find Cole
    inapposite. In Cole, the court rejected the State’s attempt to introduce a chemist’s
    report into evidence under the hearsay exception in Texas Rule of Evidence 803(8).
    
    Id. at 810.
    The court explained that the “items upon which the tests were performed
    were collected as part of investigating a crime, and the reports prepared by the DPS
    chemist were unquestionably a product of evaluating the results of that investigation
    . . . , and perhaps most importantly, the reports were not prepared for purposes
    independent of specific litigation, nor were they ministerial, objective observations
    of an unambiguous factual nature.” 
    Id. Here, Ausbie’s
    commitment is a civil
    proceeding and not a criminal case; and the State did not attempt to introduce any
    reports into evidence. Additionally, even if the State had offered police reports into
    evidence, Rule 803(8) generally provides an exception to hearsay for police records
    offered into evidence in a civil case. See Tex. R. Evid. 803(8).
    Accordingly, we reject Ausbie’s first argument.
    B.     Serious Difficulty Controlling Behavior
    Second, Ausbie contends the evidence is legally and factually insufficient to
    support a finding that he lacks volitional control or has serious difficulty controlling
    his behavior. In that regard, Ausbie contends the evidence “conclusively establishes
    that, even with his severe mental illness and all the other risk factors the State experts
    14
    said he has, [he] was able to control himself from committing sex offenses for
    approximately 99.9993% of the time he lived as an adult in the free world before
    going to prison.”
    The State presented testimony from experts Gaines and Proctor who opined
    that Ausbie suffers from a behavioral abnormality. They based their opinions on
    their interview with Ausbie, the thousands of pages of records they reviewed, the
    risk assessment they conducted, and the actuarial tests administered. Both experts
    testified numerous times that Ausbie lacks volitional control and has serious
    difficulty controlling his behavior.
    Proctor for example testified that “a major driver in [Ausbie’]s likelihood of
    committing predatory acts of sexual violence is his very disorganized thinking, that
    his behavior and his thinking are disorganized, and he has serious difficulty in
    controlling his behavior.”     Proctor testified Ausbie’s schizoaffective disorder
    “impacts his ability to control his behavior and emotionally manage, you know, his
    behavior.” Proctor also testified that Ausbie “has significantly impaired emotional
    and volitional capacity. His psychological and emotional functioning is impaired.
    His capacity to make decisions, control his behavior, is impaired. And that includes
    with respect in particular to sexual offenses.” Gaines similarly testified that “Ausbie
    has serious difficulty controlling his sexual behaviors” based not only on the prior
    sexual offense convictions but on “his current behavior that demonstrates he
    continues to have trouble controlling his impulses.”
    Further, Ausbie’s contention the evidence conclusively establishes he was
    able to “control himself from committing sex offenses approximately 99.9993% of
    the approximately 8 years he lived in the free world” is meritless. His calculation is
    incorrect in that Ausbie did not live 8 years in the free world after he committed
    sexual assault of a child in 2004. Ausbie claims he did not commit a sexual offense
    15
    between 2004 and 2011. But evidence shows he was not released from prison for
    his first conviction until May 2007 and committed indecency with a child in April
    2011. Ausbie was therefore imprisoned for less than 4 years and “lived in the free
    world” for approximately 4 years before committing another offense.
    As we have stated above, both experts testified several times that Ausbie lacks
    volitional control and has serious difficulty controlling his behavior. Ausbie’s
    argument based on his flawed calculation does not constitute a challenge to Gaines’s
    and Proctor’s opinion that Ausbie has a behavioral abnormality. To the extent
    Ausbie attempts to argue that neither expert provided a percentage of how likely
    they believed Ausbie was to reoffend, the SVP Act “does not require a numerical or
    percentage statement of whether a person is ‘likely’ to reoffend.”         See In re
    Commitment of Kalati, 
    370 S.W.3d 435
    , 439 (Tex. App.—Beaumont 2012, pet.
    denied).
    Accordingly, we reject Ausbie’s second argument.
    C.     Applicability of SVP Act
    Third, Ausbie asserts the evidence is “insufficient also because it conclusively
    establishes that, according to the [S]tate experts, a ‘major driver’ of any behavioral
    abnormality that [he] may have is his severe mental illness which is treated by
    traditional mental illness modalities through various medications” and he should not
    be subject to civil commitment under the SVP Act. According to Ausbie, “[a]nother
    indication” that the SVP Act does not apply to him “is the provision in the trial
    court’s commitment order placing [him] in the custody and control of the Health and
    Human Services Commission (HHSC) purportedly under Section 841.0835” when
    persons committed under the SVP Act have always been placed in the custody and
    control of the Texas Civil Commitment Office. Appellant claims that even the trial
    court “apparently believed” he should not be committed according to the provisions
    16
    of the SVP Act because it committed him “to the custody and control of HHSC to
    provide psychiatric services”; “[t]his further indicates that [he] should be subject to
    commitment under Chapter 574 of the Texas Health and Safety Code (which
    provides inpatient traditional mental health services to a mentally ill person) and not
    Chapter 841.”
    The SVP Act specifically provides for the civil commitment of sexually
    violent predators who have a “behavioral abnormality that is not amenable to
    traditional mental illness treatment modalities and that makes the predators likely to
    engage in repeated predatory acts of sexual violence.” See Tex. Health & Safety
    Code Ann. § 841.001. Contrary to Ausbie’s contention, Proctor and Gaines did not
    testify that Ausbie’s severe mental illness is “a ‘major driver’ of any behavioral
    abnormality that [he] may have” and can be treated by traditional mental illness
    treatment modalities. In fact, there is no evidence in the record that Ausbie is
    amenable to traditional mental illness treatment modalities so that he should not be
    civilly committed under the SVP Act.
    Additionally, Ausbie incorrectly claims the trial court’s commitment order
    does not comply with Texas Health and Safety Code section 841.0835 and places
    him in the custody and control of the Health and Human Services Commission
    instead of the Texas Civil Commitment Office. The order almost verbatim tracks
    the language of section 841.0835 and states in pertinent part as follows:
    CEDRIC AUSBIE has this day been adjudged a sexually violent
    predator as defined in Section 841.003 of the Texas Health and Safety
    Code and has been civilly committed as such in accordance with
    Section 841.081 of the Texas Health and Safety Code. Therefore, the
    following commitment requirements in accordance with Section
    841.082 of the Texas Health and Safety Code are necessary to ensure
    that CEDRIC AUSBIE complies with treatment and supervision, and
    to protect the community.
    17
    *                  *                  *
    IT IS FURTHER ORDERED that the [Texas Civil
    Commitment] Office shall determine conditions of supervision and
    treatment for CEDRIC AUSBIE. The Office shall provide treatment
    and supervision to CEDRIC AUSBIE. The provisions of supervision
    must include a tracking service and, if determined necessary by the
    Office, supervised housing.
    IT IS FURTHER ORDERED that pursuant to Section 841.0835
    of the Texas Health and Safety Code, the Health and Human Services
    Commission, after coordination with the Office, shall provide
    psychiatric services, disability services, and housing for CEDRIC
    AUSBIE due to his intellectual disability and mental illness that
    prevents CEDRIC AUSBIE from effectively participating in the sex
    offender treatment program administered by the Office until such time
    that said services are no longer necessary. This shall include
    psychiatric treatment, medication and counseling specifically designed
    for CEDRIC AUSBIE’S psychiatric needs, adding any services that are
    appropriate. If the office has determined that CEDRIC AUSBIE is
    unable to effectively participate in the sex offender treatment program
    because CEDRIC AUSBIE’s mental illness prevents CEDRIC
    AUSBIE from understanding and internalizing the concepts presented
    by the program’s treatment material, the Health and Human Services
    Commission shall provide inpatient mental health services until
    CEDRIC AUSBIE is able to participate effectively in the sex offender
    treatment program.
    The trial court’s commitment order complies with Texas Health and Safety
    Code section 841.0835. Ausbie’s contentions are meritless. Accordingly, we reject
    Ausbie’s third argument.
    We conclude the evidence is legally sufficient to support the trial court’s
    finding that Ausbie suffers from a behavioral abnormality that makes him likely to
    engage in a predatory act of sexual violence. See 
    Harris, 541 S.W.3d at 329
    . We
    also conclude the evidence is not so weak that it “reflects a risk of injustice that
    would compel ordering a new trial.” See id.; see also 
    Wirtz, 451 S.W.3d at 466
    . We
    overrule Ausbie’s first and second issues.
    18
    CONCLUSION
    We affirm the trial court’s judgment and civil commitment order.
    /s/         Meagan Hassan
    Justice
    Panel consists of Justices Christopher, Hassan, and Poissant.
    19