in Re Commitment of David Delacruz ( 2020 )


Menu:
  •        TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN
    NO. 03-19-00420-CV
    In re Commitment of David Delacruz
    FROM THE 21ST DISTRICT COURT OF BASTROP COUNTY
    NO. 807-21, THE HONORABLE CHRISTOPHER DARROW DUGGAN, JUDGE PRESIDING
    MEMORANDUM OPINION
    In this civil commitment proceeding, the State petitioned to have appellant, David
    Delacruz, declared a sexually violent predator under the Sexually Violent Predator Act. See Tex.
    Health & Safety Code §§ 841.001-.151 (the Act). After a jury found beyond a reasonable doubt
    that Delacruz was a sexually violent predator under the Act, the trial court rendered a final
    judgment and entered an order of civil commitment. In three issues, Delacruz argues that the
    evidence supporting the jury’s finding that he is a sexually violent predator is legally and
    factually insufficient and that the trial court erred by sustaining two objections to witness
    testimony. We will affirm the trial court’s judgment and order of civil commitment.
    BACKGROUND
    In November 2010, Delacruz pleaded guilty to four counts of indecency with a
    child by contact. See Tex. Penal Code § 22.011(a)(1). The court assessed Delacruz’s punishment
    at ten years’ confinement in the Institutional Division of the Texas Department of Criminal
    Justice (TDCJ) for each of the indecency counts and ordered the sentences to run concurrently.
    Before Delacruz was scheduled to be released from TDCJ, the State filed a
    petition in Bastrop County district court to civilly commit Delacruz as a sexually violent predator
    under the Act, alleging that he was a repeat sexually violent offender who suffers from a
    behavioral abnormality that makes him likely to engage in a predatory act of sexual violence. See
    Tex. Health & Safety Code § 841.003(a). The trial court determined that Delacruz was indigent
    and appointed him counsel. Six witnesses testified at trial: Dr. Stephen Thorne and Dr. Sheri
    Gaines, the State’s expert witnesses; Delacruz; a friend of Delacruz; Delacruz’s brother; and
    Delacruz’s wife. The jury found that Delacruz is a sexually violent predator, and the trial court
    rendered a final judgment and order of civil commitment accordingly. See id. §§ 841.062(b)
    (jury determination that person is predator), .081 (order on civil commitment of predator).
    DISCUSSION
    A sexually violent predator is a person who (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). A “behavioral abnormality” is “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). The State must
    prove beyond a reasonable doubt that the person it seeks to civilly commit is a sexually violent
    predator. Id. § 841.062.
    Proceedings pursuant to the Act are civil in nature, but because the State’s burden
    of proof at trial is the same as in a criminal case, we review verdicts in cases brought under the
    Act using the standard of review applied in criminal cases. In re Commitment of Stuteville,
    2
    
    463 S.W.3d 543
    , 551 (Tex. App.—Houston [1st Dist.] 2015, pet. denied); In re Commitment of
    Wirtz, 
    451 S.W.3d 462
    , 464 (Tex. App.—Houston [14th Dist.] 2014, no pet.). When reviewing a
    legal-sufficiency challenge to the evidence in a sexually violent predator case, we assess all of
    the evidence in the light most favorable to the verdict to determine whether a rational jury could
    find, beyond a reasonable doubt, each of the elements that the State must prove to support a
    judgment of civil commitment. 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)). When
    reviewing factual-sufficiency challenges to the evidence in sexually violent predator cases, we
    weigh the evidence to determine whether a verdict that is supported by legally sufficient
    evidence nevertheless reflects a risk of injustice that requires ordering a new trial.          In re
    Commitment of Day, 
    342 S.W.3d 193
    , 213 (Tex. App.—Beaumont 2011, pet. denied); see Wirtz,
    451 S.W.3d at 464-65 (noting that while factual sufficiency review has been abolished in
    criminal cases in which State’s burden is beyond reasonable doubt, courts have continued to
    perform factual sufficiency review in sexually violent predator cases, and declined to decide
    whether factual sufficiency review remains available in those proceedings because evidence in
    case at issue was legally and factually sufficient).1 The risk of an injustice is “essentially light”
    when (1) the burden of proof is beyond a reasonable doubt and (2) the evidence is determined to
    be legally sufficient to support the jury’s finding that the defendant is a sexually violent predator.
    In re Commitment of Gray, No. 03-16-00662-CV, 
    2018 WL 911863
    , at *1 (Tex. App.—Austin
    Feb 16, 2018, no pet.) (mem. op.) (citing Day, 
    342 S.W.3d at 213
    ). However, if in our view after
    1
    The issue of whether factual sufficiency review is available in a case brought under the
    Act is currently pending before the Texas Supreme Court in its review of In re Commitment of
    Stoddard, 
    601 S.W.3d 879
     (Tex. App.—Fort Worth 2019, pet. granted).
    3
    weighing the evidence, the risk of an injustice remains too great to allow the verdict to stand, we
    may grant the defendant a new trial. 
    Id.
    In his second and third issues, Delacruz claims that the evidence is legally and
    factually insufficient to support the jury’s finding that he is a sexually violent predator.
    Specifically, Delacruz contends that because he was not permitted to tell the jury that it was
    required to find that Delacruz was a “dangerous sexual offender” with a “serious mental illness,
    abnormality, or disorder” that “subjects him to civil commitment” as opposed to a “dangerous
    but typical recidivist convicted in an ordinary criminal case,” the jury’s sexually-violent-predator
    finding was necessarily based on legally insufficient evidence. Delacruz argues that, because the
    jury was not “permitted to know” that the Act is directed at “a small, but extremely dangerous
    group of sexually violent predators who are not amenable to treatment,” it “could not possibly
    have made an informed decision that [] Delacruz is part of that group.” Delacruz also argues
    that, even if legally sufficient, the evidence is factually insufficient to support the jury’s finding
    that he is a sexually violent predator.
    Dr. Thorne, a forensic psychologist, testified that he had examined Delacruz and
    that his evaluation was based on principles of forensic psychology. Dr. Thorne provided the jury
    with the statutory definition of “behavioral abnormality” found in chapter 841 of the Texas
    Health and Safety Code. He stated that the methodology he employs is followed by experts in
    the field of forensic psychology performing behavioral abnormality evaluations. This approach
    includes reviewing prison records and offense reports, conducting a personal interview,
    performing psychological and actuarial testing, and applying the relevant research to the specific
    case. Dr. Thorne testified that in this case he also spoke with Delacruz’s current treatment provider
    and reviewed Delacruz’s juvenile detention records, statements provided by victims, and the
    4
    transcripts of depositions of Delacruz and another mental health professional, Dr. Sheri Gaines.
    Dr. Thorne testified that after completing the evaluation, his opinion was that Delacruz has a
    behavioral abnormality that makes him likely to engage in a predatory act of sexual violence.
    Dr. Thorne testified at length about the basis for his opinion. Dr. Thorne testified
    about the risk assessment he performed in order to determine the likelihood that Delacruz would
    commit an offense in the future. This assessment included considering both risk factors and
    protective factors. Dr. Thorne identified two main risk factors as (1) sexual deviancy and
    (2) anti-social illegal behavior in general. According to Dr. Thorne, anti-social behavior is a
    pattern or behavior over time “where people violate kind of rules or norms of society where they
    engage in rebellious kinds of reckless, irresponsible behavior, where they break the law, where
    they do things that might threaten the safety and well-being of another individual, or violate
    their rights.” Dr. Thorne testified that Delacruz exhibited those tendencies by assaulting a girl
    when he was fourteen, resulting in his being charged with assault causing bodily injury. Soon
    thereafter, Delacruz was charged with assault after putting his mother in a chokehold and telling
    her how easy it would be to kill her. Dr. Thorne testified that Delacruz’s records also reflect that
    he was suspended for bringing a knife to school in fifth grade and that as a juvenile he had
    engaged in theft, arson, drug trafficking, and exposing himself to females while in detention.
    Dr. Thorne testified that because this behavior started before adolescence, it raised a concern that
    the anti-social behavior was ingrained in Delacruz and therefore harder to modify. Dr. Thorne
    also testified that Delacruz’s inability to comply with the terms or conditions of mandatory
    supervision was a strong indicator of anti-social personality disorder and constituted a significant
    risk factor when evaluating the likelihood that Delacruz would reoffend in the future. Dr. Thorne
    stated that anti-social personality disorder is a chronic condition and that his diagnosis of anti-
    5
    social personality disorder was not changed by the fact that Delacruz had a below-average
    number of disciplinary cases while incarcerated and seemed to be able to control his behavior in
    a structured setting such as TDCJ.
    Dr. Thorne testified that the other risk factor, sexually deviant behavior, is “some
    type of sexual act, thought, urge, or impulse that can be harmful to another individual or to that
    person himself.” Dr. Thorne characterized Delacruz’s history of sex offenses beginning during
    his teenage years and continuing into adulthood as constituting sexual deviance, an opinion he
    formed based on his review of the details of the various sex offenses that he recounted to the
    jury. The first sex offense, which occurred in July 1998 when Delacruz was fifteen years old,
    involved his nine-year-old female cousin. According to the offense report, Delacruz was alone
    with his cousin and her brother at his grandmother’s house. Delacruz and his cousin were
    watching a television program when a sex scene came on and the cousin reportedly said, “I can
    do that.” When Delacruz told her she could not, the cousin took off her clothes and Delacruz
    fondled her breast and vaginal area. Delacruz took off his clothes and while his cousin straddled
    him he rubbed her vaginal area against his penis. Although Delacruz denied penetration, the
    records were inconsistent in this regard. Dr. Thorne testified that Delacruz has not been consistent
    in recounting the event to people including in his deposition and in his conversation with
    Dr. Gaines. At times, Delacruz has admitted fondling his cousin and at other times has denied it.
    Dr. Thorne testified that Delacruz has recently suggested that his nine-year-old cousin initiated
    the encounter, which Dr. Thorne found significant because it indicates that Delacruz continues to
    minimize his role in the incident. Dr. Thorne also found it significant that the incident occurred
    while the cousin’s brother was in the house because that is consistent with impulsive, risk-taking
    behavior. Delacruz was found to have committed indecency with a child by exposure and was
    6
    given a two-year probated sentence. Delacruz did not successfully complete probation, which
    Dr. Thorne testified constituted anti-social behavior, a risk factor for reoffending.
    The incident that resulted in the revocation of Delacruz’s probation occurred
    when he was sixteen years old. While on probation, Delacruz committed aggravated assault with
    a deadly weapon against a 17-year-old girl who Delacruz had invited to go “camping” with him
    and his friends. While the group was watching a horror movie, Delacruz picked the girl up, put
    her on a couch, and while holding her down rubbed a kitchen knife against her vaginal area and
    stated that he could kill her. After the girl got up and left the room, Delacruz followed her, held
    the knife to her neck, started kissing her and told her the different ways he could kill her.
    Eventually, Delacruz and his friends left. Delacruz stated that he had been joking around after
    watching a horror movie and denied any sexual conduct. Delacruz was found to have committed
    aggravated assault with a deadly weapon, his probation was revoked, and he was placed at a
    Texas Youth Commission correctional facility. Although the offense was not charged as a sex
    crime, Dr. Thorne testified that he considered the assault to be sexually deviant.
    Dr. Thorne testified that in 2010, Delacruz was convicted of four sexually violent
    offenses involving his eight- and nine-year-old nieces. The offense report stated that on several
    occasions Delacruz kissed his nieces on the lips and fondled their breasts and genitals over and
    under their clothing. Delacruz was sentenced to ten years’ imprisonment for each of four counts
    of indecency with a child by contact. Dr. Thorne stated that Delacruz denied committing these
    offenses during his interview but that in his deposition he had admitted that he had touched his
    nieces’ vaginas and breasts. Dr. Thorne testified that, while denying an offense is not necessarily
    a risk factor for reoffending, it does become relevant when determining how successful the
    offender will be in sex-offender treatment programs. Dr. Thorne stated that the number of times
    7
    Delacruz engaged in this activity with his nieces demonstrates a continued pattern of sexual
    deviancy. Dr. Thorne testified that Delacruz’s reoffenses after having previously been found
    guilty of sex offenses demonstrates “persistence after punishment,” another significant risk factor
    for reoffending. Delacruz was also convicted of secretly taking videos of his nieces while
    they were showering. Delacruz admitted to doing this and stated that he was told he could sell
    the images to help pay a debt he owed to a cocaine dealer. Delacruz also stated that he took
    the videos of his nieces because he was “intrigued by their bodies.” Dr. Thorne stated that
    Delacruz’s inconsistent explanations of why he took the videos demonstrated a lack of honesty
    about the incidents, which could hinder successful treatment. Dr. Thorne testified that the video
    incidents were also examples of anti-social behavior in that they demonstrated a lack of empathy.
    Dr. Thorne testified that Delacruz, as a teenager, was diagnosed with bipolar
    personality disorder and admitted for treatment at a psychiatric hospital. Dr. Thorne stated that
    if a person already has a proclivity for committing sex offenses, a psychiatric disorder increases
    the risk of impulsive behavior and contributes to the risk of future sexual deviancy. Delacruz
    reported that at times he committed sexual offenses while under the influence of drugs. Dr. Thorne
    testified that substance abuse does not cause people to commit sex offenses but it can make
    people more impulsive and increase the risk of reoffending.
    Dr. Thorne administered the Psychopathy Checklist (PCL) assessment for
    evaluating whether an individual is a psychopath and testified that he did not believe that
    Delacruz met the criteria for a psychopath diagnosis and the large majority of sex offenders are
    not psychopaths. Dr. Thorne testified that he also used the Static-99R to evaluate Delacruz.
    He explained that the Static-99R is a ten-item actuarial instrument commonly used by experts
    to assess a sex offender’s likelihood of committing a future sex offense. Dr. Thorne scored
    8
    Delacruz as a “positive 4,” a score that places Delacruz in the above-average range for
    reoffending and twice as likely as the “typical” sex offender to reoffend. Dr. Thorne testified
    that he does not use the Static-99R in isolation to evaluate the risk of reoffending but considers it
    along with the other risk factors and protective factors.
    Dr. Thorne used the Diagnostic and Statistical Manual of Mental Disorders
    (DSM-5) to diagnose Delacruz with pedophilic disorder, which he described as having a pattern
    of arousal by and sexual fantasies about children for a period of six months or more. Pedophilic
    disorder is a chronic condition that does not go away on its own and needs comprehensive
    treatment.   Dr. Thorne also made a “rule-out” diagnosis of voyeuristic disorder, which he
    described as being aroused by watching others perform sexual acts for a period of six months or
    more. This “rule-out” diagnosis means that any mental health professional who works with
    Delacruz in the future should rule out whether he meets the criteria for voyeuristic disorder.
    Dr. Thorne did not diagnose Delacruz with this disorder because he was unsure whether it had
    persisted for the required six-month period. Dr. Thorne testified that information he received
    after conducting his evaluation of Delacruz might have caused him to make a “rule-out”
    diagnosis of exhibitionism.
    Dr. Thorne also considered Delacruz’s “protective factors,” which are thought to
    decrease an individual’s risk for committing sex offense in the future. These factors included
    that Delacruz appears to have social support, had previously maintained employment, and had
    not committed a sex offense against a “boy victim” or a “stranger victim,” meaning a person
    Delacruz had known for fewer than 24 hours. However, Dr. Thorne noted that the presence
    of protective factors has not prevented Delacruz from reoffending in the past and there was
    testimony that in a letter written by Delacruz’s wife, she seemed to be blaming Delacruz’s nieces
    9
    for his adult convictions. Dr. Thorne testified that Delacruz is participating in a nine-month sex
    offender treatment program while incarcerated and is reported to be participating in a meaningful
    way. Successfully completing that program would constitute an additional protective factor.
    Dr. Thorne expressed concern, however, about Delacruz’s plan to live with his wife and their 13-
    year-old daughter and stated that that concern should be addressed in treatment.
    In sum, Dr. Thorne evaluated Delacruz as having two significant risk factors:
    antisocial behavior and sexual deviancy. Delacruz has reoffended after being punished for
    sex offenses and has demonstrated “persistence after punishment.” Dr. Thorne testified that
    Delacruz has a pattern of rule violations, and although there are some protective factors in play,
    they have not historically prevented him from reoffending. Dr. Thorne testified that the totality
    of the factors presented led him to the conclusion that Delacruz meets the criteria for having a
    behavioral abnormality that makes him likely to engage in a predatory act of sexual violence.
    Dr. Gaines testified as an expert forensic psychiatrist. Dr. Gaines stated that she
    conducted a standard psychiatric evaluation used in a forensic case by reviewing records and
    interviewing Delacruz. Dr. Gaines identified two risk factors for reoffending: sexual deviancy
    and antisocial lifestyle. Dr. Gaines reviewed offense records, witness statements, medical records,
    psychiatric records, juvenile records, and Delacruz’s deposition transcript, and interviewed him
    for two and a half hours. Dr. Gaines testified that based on her training, education, and the
    evaluation she performed, she reached the opinion that Delacruz suffers from a behavioral
    abnormality that makes him likely to engage in predatory acts of sexual violence. Dr. Gaines
    explained that psychiatric literature supports that past behavior is a good indicator of future
    behavior, especially when past behavior has been repeated.
    10
    Dr. Gaines diagnosed Delacruz with pedophilic disorder, antisocial personality
    disorder, and substance abuse disorder, stating that Delacruz’s substance abuse disorder is in
    remission while he is in a controlled environment. Dr. Gaines reported that Delacruz admitted
    that when he was 26 or 27, he touched his eight- and nine-year-old nieces over and under their
    clothing, that he massaged their breasts and vaginal areas, and filmed them showering and
    undressing. Dr. Gaines considered the fact that the victims were young and vulnerable to be a
    significant risk factor. Because the incidents occurred approximately ten times over a period of
    two years, Dr. Gaines found his sexual deviance to be a pattern of repeated, pervasive acts,
    another risk factor for reoffending. Dr. Gaines expressed concern that Delacruz blames his
    victims as being the initiators, describes his offenses as joking around, and has a pattern of
    obtaining sexual arousal from prepubescent girls.
    Dr. Gaines testified that Delacruz’s back to back offenses constitute “persistence
    after punishment,” and that Delacruz did not seem to be remorseful. Dr. Gaines identified as
    protective factors that Delacruz is doing well in a structured environment, appears to have a
    support system, and is currently in a sex-offender treatment program while incarcerated.
    However, considering all the factors, both risk and protective, Dr. Gaines opined that based on
    her training, education and experience, Delacruz has a behavioral abnormality that makes him
    likely to engage in predatory acts of sexual violence.
    In his second issue on appeal, Delacruz argues that the evidence was legally
    insufficient to support the jury’s verdict. Specifically, Delacruz claims that a rational juror could
    not find beyond a reasonable doubt, that he is a sexually violent predator because the jury was
    not told that the Act was “directed at a small, extremely dangerous group of persons who are not
    amenable to traditional treatment.” See Tex. Health & Safety Code § 841.001 (setting forth
    11
    legislative finding that civil commitment procedure for sexually violent predators is necessary
    and in interest of state because of existence of small but extremely dangerous group of sexually
    violent predators with behavioral abnormality that is not amenable to traditional mental illness
    modalities that make them likely to engage in repeated predatory acts of sexual violence and for
    whom existing involuntary commitment procedures of Texas Health and Safety Code are
    inadequate to address risk they pose to society).
    In evaluating the sufficiency of the evidence under the standard applied in
    criminal cases, sufficiency of the evidence should be measured by the elements as defined by
    the hypothetically correct jury charge for the case. See Malik v. State, 
    953 S.W.2d 234
    , 240
    (Tex. Crim. App. 1997). In a civil commitment case, the reviewing court “look[s] to see if a
    rational fact finder could have found, beyond a reasonable doubt, the elements required for the
    commitment under [the Act].” In re Commitment of Mullens, 
    92 S.W.3d at 885
    . Under the Act,
    the State must prove that a person is a sexually violent predator beyond a reasonable doubt. See
    Tex. Health & Safety Code § 841.062(a) (“The judge or jury shall determine whether, beyond a
    reasonable doubt, the person is a sexually violent predator.”). A person is a sexually violent
    predator under the Act 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). A person is a “repeat sexually violent offender” if 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); see also id. § 841.002(8) (defining “sexually violent offense” to
    include, among other things, indecency with a child by contact, as defined by Texas Penal Code
    section 21.11(a)(1)). The Act defines “behavioral abnormality” as “a congenital or acquired
    condition that, by affecting a person’s emotional or volitional capacity, predisposes the person to
    12
    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). The Act defines “predatory act” as “an act
    directed toward individuals, including family members, for the primary purpose of victimization.”
    Id. § 841.002(5).
    Relying on the legislative findings stated in section 841.001, Delacruz argues that
    the absence of evidence that he is part of a small but extremely dangerous group of persons who
    are not amenable to traditional treatment causes the evidence to be legally insufficient to support
    the jury’s finding that he is a sexually violent predator. Delacruz cites no law—and we find
    none—holding that the legislative findings stated in section 841.001 constitute elements of the
    sexually violent predator determination that the State must prove to secure a jury finding that a
    person is a sexually violent predator.
    The Legislature specifically defined the relevant term—“sexually violent
    predator”— as a “repeat sexually violent offender” who “suffers from a behavioral abnormality
    that makes the person likely to engage in a predatory act of sexual violence.” Id. § 841.003(a).
    The Legislature also specifically defined “behavioral abnormality” and “predatory act,” and
    neither of these definitions references the language used in the legislative findings in section
    841.001. Nor do the definitions refer to the inappropriateness of traditional mental illness
    treatment modalities as an element of the definitions.        See id. § 841.002(2), (5) (defining
    “behavioral abnormality” and “predatory act,” respectively). The Act does not include any
    reference to a small, extremely dangerous group of people who are not amenable to traditional
    mental illness treatment in its definitions of “sexually violent predator,” “behavioral abnormality,”
    or “predatory act.” Whether Delacruz is a member of the group mentioned in the Legislature’s
    statutory findings is not an element of the sexually violent predator determination that the State
    13
    was required to prove. See In re Commitment of Williams, 
    539 S.W.3d 429
    , 438 (Tex. App.—
    Houston [1st Dist.] 2017, no pet.) (holding that “[t]he Act plainly provides the elements for a
    sexually violent predator determination” in sections 841.062(a), 841.003(a), and 841.002, not in
    section 841.001). The absence of evidence related to the Legislative findings does not render
    legally insufficient the evidence supporting the jury’s finding that Delacruz is a sexually violent
    predator. Viewing the evidence in the light most favorable to the verdict, we conclude that a
    rational juror could have found beyond a reasonable doubt that Delacruz suffers from a
    behavioral abnormality that makes him likely to engage in a predatory act of sexual violence See
    Stuteville, 463 S.W.3d at 551-52. We therefore hold that the State presented legally sufficient
    evidence that Delacruz was likely to reoffend and commit a predatory act of sexual violence. See
    Tex. Health & Safety Code § 841.003(a). We overrule Delacruz’s second issue.
    In his third issue on appeal, Delacruz asserts that the evidence was factually
    insufficient to support the jury’s finding that he is a sexually violent predator. First, Delacruz
    asserts that the evidence showed that Delacruz committed a sex offense as a juvenile at age 15
    and did not commit another until he was in his mid-twenties.           Delacruz argues that this
    demonstrates “persistence after punishment” on one occasion as opposed to multiple occasions.
    There is no requirement, however, that “persistence after punishment” occur more than once
    for a forensic psychologist to consider it a risk factor for reoffending. Moreover, Delacruz
    omits that there was evidence that after committing the sex offense at age 15—indecency with
    a child by contact involving his nine-year-old niece—Delacruz’s probation was revoked after
    he committed an assault with a deadly weapon in a manner that Dr. Thorne testified was
    sexually deviant.
    14
    Delacruz also argues that the evidence did not demonstrate that he had “a history
    of multiple sexual offenses over an extended period of time” or a pattern of “well-ingrained”
    offending behavior. Again, there is no requirement that this evidence exist in order to support a
    forensic psychologist’s conclusion that a person is likely to reoffend. The statute requires only
    proof of two prior convictions and that a sentence have been imposed in at least one of them.
    See id.; In re Joiner, No. 05-18-01001-CV, 
    2019 WL 4126602
    , at *9 (Tex. App.—Dallas
    Aug. 30, 2019, pet. denied) (mem. op.) (“To find the evidence factually insufficient because he
    did not have more than two sexual-assault convictions would constitute adding an element to
    the sexually violent predator statute, which courts may not do.”). Dr. Thorne and Dr. Gaines
    explained the bases for their conclusions that Delacruz was likely to reoffend, including, but not
    limited to, his history of committing violent crimes against numerous victims. Dr. Gaines
    testified that she considered Delacruz’s sexual deviance to be a pattern of repeated pervasive acts
    based on his having fondled his eight- and nine-year-old nieces ten times over a two-year period.
    Delacruz also argues that he was not diagnosed as a psychopath, that he was
    serving the sentence imposed on him for his sex offense convictions, and that he was currently
    doing well in a nine-month treatment program at TDCJ. This is an accurate characterization of
    some of the evidence presented at trial. However, having reviewed all the evidence presented at
    trial, we conclude that the jury was rationally justified in making the sexually violent predator
    determination beyond a reasonable doubt, and we cannot conclude that “the risk of an injustice
    remains too great to allow the verdict to stand.” See Stuteville, 463 S.W.3d at 551-52. We
    therefore hold that the State presented factually sufficient evidence that Delacruz was likely to
    15
    reoffend and commit a predatory act of sexual violence. See Tex. Health & Safety Code
    § 841.003(a). We overrule Delacruz’s third issue.2
    In his first issue, Delacruz complains of the trial court’s exclusion of testimony
    and evidence that he maintains was related to the legislative findings contained in section
    841.001 of the Act. We review the trial court’s exclusion of evidence under the abuse of
    discretion standard. Caffe Ribs, Inc. v. State, 
    487 S.W.3d 137
    , 142 (Tex. 2016). A trial court
    abuses its discretion when it acts without regard for any guiding rules. 
    Id.
     Delacruz first
    complains that the trial court improperly sustained the State’s objection when counsel for
    Delacruz asked Dr. Gaines if she agreed that “[the Act] is targeting those who are not amenable
    to traditional [mental illness treatment modalities].” See Tex. Health & Safety Code § 841.001.
    The trial court’s ruling on this objection was not an abuse of discretion. As previously discussed,
    the legislative findings in section 841.001 do not add to the elements of the sexually violent
    predator determination. Thus, Dr. Gaines’s understanding of what language is contained in
    section 841.001 is not relevant to the issue before the jury—whether Delacruz is a sexually
    violent predator under the relevant provisions of the Act. See Tex. R. Evid. 401 (evidence is
    relevant if it has any tendency to make fact of consequence in determining action more or less
    probable than it would be without it), 402 (relevant evidence is generally admissible). In his
    brief, Delacruz speculates that the court’s ruling deprived him of an opportunity to elicit
    testimony that would discredit Dr. Gaines’s opinion that the treatment programs Delacruz could
    participate in at TDCJ would be inadequate to sufficiently reduce his likelihood to reoffend. The
    2
    Because we conclude that the evidence is legally and factually sufficient in the present
    case, we need not address the State’s argument that factual sufficiency review should be
    abandoned in civil commitment cases where the State’s burden of proof is beyond a reasonable
    doubt. See Brooks v. State, 
    323 S.W.3d 893
    , 894-95 (Tex. Crim. App. 2010) (abandoning factual
    sufficiency review in criminal cases where State’s burden of proof is beyond reasonable doubt).
    16
    trial court’s ruling sustaining the State’s objection to Delacruz’s question about Dr. Gaines’s
    understanding of section 841.001 did not, however, foreclose Delacruz from questioning
    Dr. Gaines about why she believed that the treatment Delacruz received at TDCJ would not
    sufficiently reduce his likelihood to reoffend. Delacruz did not question Dr. Gaines about that
    topic.3 The trial court did not abuse its discretion in sustaining the State’s objection.
    Delacruz’s second complaint is that the trial court sustained the State’s objection
    to a question posed to Delacruz about whether the State had filed its petition to civilly commit
    him before he had begun any mental illness treatment program. The State objected on relevance
    grounds.   Delacruz argues that the answer to this question was relevant because it would
    demonstrate that Delacruz had not refused to participate in a treatment program and that,
    by sustaining the objection, the trial court prevented Delacruz from “clearing up probable
    misconceptions about his treatment opportunities” and showing that his failure to have
    completed treatment by the time of trial was not his fault. To support this argument, Delacruz
    points out that during deliberations, the jury sent a note asking how long treatment has been
    available to Delacruz and whether it was available for his entire sentence. We see no correlation
    between the timing of the State’s filing the petition and Delacruz’s treatment opportunities nor
    do we perceive how the timing of filing the petition is relevant to the sexually violent predator
    determination. Moreover, by sustaining this objection the trial court did not foreclose Delacruz’s
    counsel from asking him the particulars of his treatment while incarcerated, including what
    3
    Delacruz also failed to make an offer of proof that would inform this Court of the
    substance of Dr. Gaines’s testimony on this topic so as to show error requiring reversal. See Tex.
    R. Evid. 103(a); Melendez v. Exxon Corp., 
    998 S.W.2d 266
    , 278 (Tex. App.—Houston [14th
    Dist.] 1999, no pet.) (“If the trial court sustains an objection and rules the evidence inadmissible,
    an appellant must preserve error by making a record, through a bill of exceptions, of the precise
    evidence the party desires admitted.”).
    17
    opportunities he had and when treatment was first available to him. Counsel did not ask those
    questions and did not make an offer of proof that would inform this Court of the testimony that
    the question would have elicited. We conclude that the trial court did not abuse its discretion by
    sustaining either of the State’s objections. We overrule Delacruz’s first appellate issue.
    CONCLUSION
    Having overruled each of Delacruz’s three appellate issues, we affirm the trial
    court’s judgment and order of commitment.
    __________________________________________
    Chari L. Kelly, Justice
    Before Justices Goodwin, Baker, and Kelly
    Affirmed
    Filed: December 16, 2020
    18