SACRAMENTO, Calif. (AP) 鈥 An alternative mental health court to compel treatment for people with severe mental illness has received more than 100 petitions since launching in seven California counties in October, state officials said Friday.
The state believes between 7,000 and 12,000 people statewide will eventually be eligible for 鈥淐ARE Court,鈥 which launched on a limited basis before Los Angeles County became the latest and largest county to start the program on Friday.
鈥淭his is exactly where we want to be,鈥 said Dr. Mark Ghaly, secretary of the California Health and Human Services Agency.
Ghaly told reporters he's optimistic about the early results and that the number of referrals reflects the small population eligible until now. Only those who are at least 18 years old and have schizophrenia or a related disorder would qualify. Severe depression, bipolar disorder and addiction by itself do not qualify.
鈥淲e鈥檙e in good shape. We鈥檙e providing the time to our local partners to create the ability to manage the referrals to make sure that they鈥檙e doing all they can,鈥 Ghaly said at a news briefing Friday. 鈥淚n many ways, we see the snowball, if you will, building up little by little.鈥
The , created by Democratic Gov. Gavin Newsom, is part of a massive push to address the homelessness crisis in California. It empowers family members and first responders to file a petition on behalf of an adult they believe 鈥渋s unlikely to survive safely鈥 without supervision and whose condition is rapidly deteriorating. They also can file if an adult needs services and support to prevent relapse or deterioration that would likely result in 鈥済rave disability or serious harm鈥 to themselves or others.
A special civil court in each county reviews each petition to determine eligibility before asking the individual to participate in a voluntary plan that includes housing, medication, counseling and other social services. If all parties cannot agree to a voluntary plan, the statute says the court will order they work on a plan. Among the ongoing petitions, some have entered the court process and are working on creating their care plans, while other referrals are still being reviewed, Ghaly said. Some cases have also been dismissed, .
Lawmakers hoped the program could get people with severe mental illnesses, many of whom are homeless, the help they need and off the streets. California is home to more than 171,000 homeless people 鈥 about . But critics worried the program will be ineffective and punitive because it could coerce people into treatment.
The administration didn't give specific data on the number of petitions submitted in each county. San Francisco, Orange, San Diego, Riverside, Stanislaus, Tuolumne and Glenn counties launched the court Oct. 1, with Los Angeles County beginning its program Friday. The rest of the state has until December 2024 to establish mental health courts.
Counties are trying different approaches to implementation. San Diego County is integrating CARE Court with its conservatorship system to help divert people off of conservatorships, while Orange County is moving the mental health court away from the typical courtrooms and into community spaces, Ghaly said.
鈥淚鈥檓 pretty pleased with the level of engagement, the level of partnership, the level of, you know, belief and optimism that鈥檚 growing in our counties,鈥 he said.
Representatives from Disability Rights California, a nonprofit that sued the state arguing the program would violate due process and equal protection rights under the state constitution, said CARE Court could result in unintended consequences.
鈥淲hile officials express optimism, the rushed implementation may overlook critical aspects of community engagement and careful consideration,鈥 said community organizer Vanessa Ramos said.
Newsom in October to expand the definition of 鈥済ravely disabled鈥 to include people who are unable to provide themselves basic needs such as food and shelter due to an untreated mental illness or unhealthy drugs and alcohol use, which makes it easier for authorities to compel treatment.
Newsom is also pushing a plan to reform the state鈥檚 mental health system. Newsom鈥檚 proposal, which would for mental and behavioral health programs and borrow $6.3 billion to pay for 10,000 new mental health treatment beds, will go before voters next March.
