WHITESBURG — (TNS) Former Letcher County Sheriff Shawn “Mickey” Stines was still in active psychosis days after a shooting that killed a district judge, according to a jail’s medical intake form.

On Sept. 23, four days after Stines shot and killed Judge Kevin Mullins, a medical staff member at the Leslie County Detention Center noted Stines was still in an active state of psychosis.

Psychosis is defined as an episode when a person has difficulty distinguishing what is real from what is not, according to the National Institute of Mental Health .

“Upon evaluation of Mr. Stines, it appears that he is still in an active state of psychosis,” the form reads. “He appears disoriented and is only aware of things jail staff tell him. He has no recollection of the recent past.”

Stines, 44, is

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