Some of the most dangerous and insane criminals could be coming to our side of the state. The move is one of several possible changes to come after Phillip Paul's escape in September. Paul, a convicted killer, walked away from the Spokane County Fair - a trip organized by Eastern State Hospital. His escape put the entire state on high alert for three days until he was caught. Now, residents, police, and state leaders want big changes.

"Are you surprised he's been let out so many times?" I ask Spokane County Sheriff's Detective Roger Knight on the phone.

"I was dumb-founded and absolutely astonished," he says.

Knight was furious when Phillip Paul, the man who murdered a woman, buried her body, and even attacked Knight several years ago was let out again and again.

"We were very, very fortunate no one was killed," he says.

"This is a big change at Eastern State Hospital," says Richard Kellogg, who is the Mental Health Services Director for the Department of Social & Health Services. The department created a review panel after Paul ditched a field trip in September and disappeared for three days. The panel released their first recommendations on Thursday.

"This report is rebalancing and reprioritizing and the top concern is public safety," he says.

Here are some of the new rules: -Only low-risk patients can go on field trips. -A patient must have a valid court release. Paul's was in the process of being revoked. -The activity must be part of their treatment plan. -And the staff must call 911 immediately if a patient is missing. In Paul's latest case, they waited more than 2 hours to do so.

"I think it was utterly insane that they let him go on a field trip," said one Spokane resident.

In September, Eastern State Hospital staff took Paul and more than 30 patients on a trip to the Spokane County Fair. When he was finally caught, Paul said he never planned to hurt anyone - he just wanted to get out.

"I guess I want freedom and it eats at me so bad sometimes," said Paul not long after in a phone interview.

This fall the state finally admitted something had to change.

"This should not have happened I can't make excuses for it," said DSHS Secretary Susan Dreyfus shortly after Paul was caught. "And I am so sorry."

"It's put you, me and everybody else in the community at great risk," warned Det. Knight.

Kellogg says they are considering several other recommendations, but he has yet to convince Knight and others, it will be enough to keep the public safe.

"They obviously need to make some changes," says Knight, "because what they've done in the past, it's not working."

Kellogg says hospital management really dropped to ball here by not communicating with or training its staff well.

After Paul's latest stunt, Eastern State Hospital CEO Hal Wilson resigned. The spot is still empty. DSHS will spend another month reviewing the rest of the recommendations. The Department of Corrections is also doing their own security review.

One of the recommendations is moving all of the patients from Eastern to Western State Hospital, but Kellogg says, at this point, that is a low priority. The panel made that recommendation because some feel Eastern is just not secure enough to hold dangerous patients. That's why the DOC is doing that security review.