Bill Cosby's lawyer says the 81-year-old comedian is a poor candidate for prison because he's old, legally blind and dependent on others.
Seated in the courtroom were about a dozen women who'd accused Cosby of sexual assault, including the former model Janice Dickinson, who testified during the second trial that Cosby drugged and raped her in 1982 in a Lake Tahoe, California, hotel room.
"I do think you can draw a line between the Cosby case and where we are now", she said. She says she has nightmares to this day about being molested at age 17, "and I want them to go away, just like him".
The comedian first went to trial previous year, and the case ended in a mistrial after the jury failed to deliver a verdict. "Maybe this will send a message to other powerful perpetrators that they will be caught and punished".
Cosby was booked into Montgomery County Correctional Facility and will be transferred to SCI Phoenix, a state prison in Collegeville, according to Corrie Emerson, public affairs manager for Montgomery County.
"The thought of what happened to my daughter Andrea will always be with me forever like a dark cloud hanging over my head", he said.
Cosby is the first celebrity of the #MeToo era to go on trial, and the first to be convicted.
Constand's parents, Gianna and Andrew Constand, and her sister, Diane Parsons, also spoke in court, describing to O'Neill of the anguish and depression Andrea Constand endured after being assaulted by Cosby and having her character smeared by the comedian's lawyers over the course of two trials.
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Cosby also could address the court in an "allocution", Kate Delano, spokeswoman for the county prosecutor's office, said. In addition, O'Neill ruled that Cosby will be classified as a "sexually violent predator", a determination that requires lifetime registration, lifetime mandatory sex offender counseling with a treatment provider and notification to the community that a "sexually violent predator" lives in the area.
Milliken, also known the "Bubble Lady" for the bubble machine she totes around, is an ardent supporter of Cosby's accusers.
Defense attorneys challenged her assessment that he would reoffend, saying that his age and blindness made it unlikely. He was convicted in April of drugging and molesting a woman in 2004.
One protester outside the court in Norristown, Pennsylvania, pushed a Cosby mannequin on a trolley blowing bubbles, to protest the statute of limitations, which prevented many of his accusers from pressing charges.
Pennsylvania law defines a sexually violent predator as an offender with "a mental abnormality or personality disorder" that makes them likely to engage in repeat crimes.
Some 60 women accuse the former "Cosby Show" star of sexual assault, though Constand's case is the only one that went to trial.
Only after that will O'Neill impose his punishment, making Cosby the first celebrity sentenced for a sex crime since the 2017 downfall of Harvey Weinstein ushered in a USA watershed on sexual harassment. However, judges are allowed to issue sentences beyond those guidelines.
Cosby did not testify at either of his two trials.
Her tweet was: "Be wrathful, but do not sin; do not let the sun set while you are still angry; do not give the Devil an opportunity".