BILL ANALYSIS                                                                                                                                                                                                    �



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          Date of Hearing:   April 30, 2013

                       ASSEMBLY COMMITTEE ON VETERANS AFFAIRS
                                Al Muratsuchi, Chair
                   ACR 36 (Atkins) - As Introduced:  March 18, 2013
           
          SUBJECT  :   Veterans: treatment courts and treatment review  
          calendars

           SUMMARY  :   Encourages the California Superior Courts to consider  
          establishing veterans treatment courts or review calendars.   
          Specifically,  this resolution  :  

          Makes the following legislative findings:

          1)Historically, the State of California has honored the noble  
            sacrifices that members of the Armed Forces have made to  
            protect our freedoms by providing veterans and members of the  
            Armed Forces certain benefits and rehabilitative services; 

          2)California has the largest United States veteran population in  
            the nation, comprised of approximately 2 million armed  
            services veterans, which is 12.3 percent of the nationwide  
            veteran population of nearly 25 million veterans; 

          3)There are approximately 180,000 Operation Enduring Freedom/  
            Operation Iraqi Freedom (OEF/OIF) theatre veterans in  
            California and 30,000 veterans are returning to California  
            each year; 

          4)Studies have shown that combat services may exact a tremendous  
            psychological toll on members of the Armed Forces who are  
            faced with the constant threat of death or injury over an  
            extended period of time; 

          5)Researchers have shown that a significant number of the  
            1,600,000 members of the Armed Forces who have served in Iraq  
            or Afghanistan have, or will suffer from, as a result of their  
            military service, mental health injuries, such as  
            post-traumatic stress disorder, traumatic brain injury,  
            depression, anxiety, and acute stress; 

          6)Some studies have shown that as much as 20 percent of the  
            United States veterans who served in Iraq and Afghanistan are  
            returning home with signs of post-traumatic stress disorder or  








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            other mental illnesses. Traumatic brain injury often  
            accompanies post-traumatic stress disorder; 

          7)Both physical and mental combat-related injuries often lead to  
            the use of drugs and alcohol to cope with such injuries, which  
            often leads to encounters with the criminal justice system  
            that would not have otherwise occurred without the  
            combat-related injury; 

          8)The vast majority of returning members of the Armed Forces do  
            not have contact with the criminal justice system, and most  
            veterans and members of the military are well-adjusted,  
            contributing members of society, but psychiatrists and law  
            enforcement officials agree that combat-related injuries have  
            led to instances of these service members becoming involved  
            with the criminal justice system; 

          9)Recently, 12 percent of OIF/OEF veterans surveyed reported  
            criminal justice involvement beyond a minor traffic violation.  
            However, only 3 percent of veterans reported having both  
            knowledge of and access to veterans treatment courts, veterans  
            treatment review calendars, or diversion programs from prison  
            available pursuant to Section 1170.9 of the Penal Code; 

          10)A goal of veterans treatment courts and veterans treatment  
            review calendars is to reduce further criminal behavior. This  
            is done to keep troubled veterans out of prison, if they have  
            service-related mental health problems and they allege that  
            the criminal behavior resulted from these problems; 

          11)It is the purpose of veterans treatment courts and veterans  
            treatment review calendars in California to enhance public  
            safety by providing a judicially supervised regimen of  
            treatment intervention to serve involved veterans with unique  
            mental health conditions and other problems stemming from  
            military service; and

          12)As a grateful state, we must continue to honor the military  
            service of our men and women by attempting to provide them  
            with an alternative to incarceration when feasible, permitting  
            them instead to access proper treatment for mental health and  
            substance abuse problems resulting from military service.

          13)States that the Assembly and Senate concur that the  
            legislature is not seeking to impart mandates that would  








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            stifle innovation, but instead intends to promote a framework  
            within which the superior court in each county has the  
            flexibility to develop a constructive model that works best  
            locally to achieve positive outcomes.

          14)Declares that the legislature encourages all superior courts  
            to consider establishing veterans treatment courts or veterans  
            treatment review calendars within their jurisdictions to  
            assist troubled veterans who have service-related mental  
            health issues to turn their lives around by identifying them,  
            assessing their needs, connecting them with needed services,  
            and managing their care.

           EXISTING LAW  : 

          1)Provides that in the case of any person convicted of a  
            criminal offense who would otherwise be sentenced to county  
            jail or state prison and who alleges that he or she committed  
            the offense as a result of post-traumatic stress disorder  
            (PTSD), substance abuse, or psychological problems stemming  
            from service in a combat theater in the United States  
            military, the court shall, prior to sentencing, hold a hearing  
            to determine whether the defendant was a member of the  
            military forces of the United States who served in combat and  
            shall assess whether the defendant suffers from PTSD,  
            substance abuse, or psychological problems as a result of that  
            service.  [Penal Code Section 1170.9(a).] 

          2)States that if the court concludes that a defendant convicted  
            of a criminal offense was a member of the military forces of  
            the United States suffering from PTSD, substance abuse, or  
            psychological problems stemming from service in a combat  
            theater and if the defendant is otherwise eligible for  
            probation and the court places the defendant on probation, the  
            court may order the defendant into a local; state; federal; or  
            private, non-profit treatment program for a period not to  
            exceed that which the defendant would have served in state  
            prison or county jail, provided the defendant agrees to  
            participate in the program and the court determines that an  
            appropriate treatment program exists.  [Penal Code Section  
            1170.9(b).] 

          3)Obligates counties to provide mental health treatment services  
            to members of the military forces of the United States  
            suffering from PTSD, substance abuse, or psychological  








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            problems stemming from service in a combat theater only to the  
            extent that resources are available for that purpose.  If  
            mental health treatment services are ordered by the court, the  
            county mental health agency shall coordinate appropriate  
            referral of the defendant to the county veterans service  
            officer.  The county mental health agency shall not be  
            responsible for providing services outside its traditional  
            scope of services.  An order shall be made referring a  
            defendant to a county mental health agency only if that agency  
            has agreed to accept responsibility for the treatment of the  
            defendant.  [Penal Code Section 1170.9(c).]

           FISCAL EFFECT  :   None

           COMMENTS  :   According to the author:

            California has the largest veteran population of any state  
            with approximately 2 million veterans and 160,000 combat  
            veterans from Iraq & Afghanistan and 30,000 combat veterans  
            expected to return every year for the foreseeable future. As  
            many as 20 percent of these returning veterans have shown  
            signs of mental illness, and many often turn to drugs and  
            alcohol to cope with their injuries. Veterans with service  
            related mental health injuries may come into contact with the  
            criminal justice system as they turn to petty criminal  
            behavior to support a drug or alcohol addiction.

            Veterans Treatment Courts identify veterans who have struggled  
            with service related mental health injuries and connect them  
            to the services they need to help turn their lives around.  
            This resolution will memorialize the Legislature's position  
            that every veteran in California should have access to a  
            veteran treatment court.

          According to the Committee on Public Safety:
           
             Incarcerated Veterans  :  A study conducted by the University  
             of California, San Francisco and the San Francisco Veterans  
             Affairs Medical Center has shown that approximately one-third  
             of veterans returning from Iraq received one or more mental  
             health or psychosocial diagnoses.  [See Mental Illness  
             Appears Common among Veterans Returning from Iraq and  
             Afghanistan, Science Daily (Mar. 13, 2007)  
              (as of Mar. 23, 2009).]  Another study  








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             reported in the New England Journal of Medicine indicates  
             that the rate of PTSD among veterans of the wars in Iraq and  
             Afghanistan increased in a linear manner with increased  
             exposure to combat.  [See generally, Hoge, M.D., Combat Duty  
             in Iraq and Afghanistan, Mental Health Problems, and Barriers  
             to Care (2004) 351 N. Engl. J. Med., pp. 13-22.]  

             Three-quarters of veterans in state prisons reported past  
             drug use and one-quarter reported being on drugs at the time  
             of the offense for which they were incarcerated.  [Noonan &  
             Mumola, U.S. Dep't of Just., Veterans in State and Federal  
             Prison, 2004 (2007) p. 5.]  [See also Cot�, Military vet  
             charged with pharmacy holdups blames drug addiction, San  
             Francisco Chronicle (Sep. 3, 2007) (detailing the experience  
             of an Bosnia veteran who reports a prescription painkiller  
             addiction from a broken hip while in the military, and  
             post-traumatic stress disorder as a result of his combat  
             experience, and the substandard quality of military medical  
             care, which he says led to his arrest for the holdups of two  
             pharmacies).]   

             Providing meaningful mental health treatment has been shown  
             to significantly reduce recidivism rates, with studies  
             showing decreases of over 20%.  [Aos, Wash. State Inst. For  
             Pub. Pol'y, Evidence-Based Policy Options to Reduce Future  
             Prison Construction, Criminal Justice Costs, and Crime Rates  
             (2006).]  Likewise, studies have shown a reduction of more  
             than 6% in recidivism rates where meaningful chemical  
             dependency services are provided to prisoners.  (Id. at pp.  
             3, 19.)  Chemical dependency treatment has also been shown to  
             decrease, at least in the short term, the probability of  
             alcohol dependency by 15% and drug dependency by 22%.  (Id.  
             at p.4.)

          AB 201 of 2011 by Assemblymember Butler would have authorized  
          veteran treatment courts but establishment of such courts was  
          expressly voluntary. AB 201 said, in pertinent part:

               Penal Code section 1001.95. (a) Superior courts are hereby  
               authorized to develop and implement veterans courts.  
               Participation by a county shall be voluntary.

          Governor Brown vetoed AB 201 not on grounds that veteran  
          treatment courts were bad policy, but because the courts and the  
          state have been struggling with severe fiscal austerity.    








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          Although establishment of veteran treatment courts was expressly  
          voluntary he determined the bill would create a "clear  
          expectation?that our courts will establish a new program?" and  
          that in such an austere time it would be better not to place  
          expectations on the courts for new programs.

          This measure will memorialize legislative support for veterans  
          treatment courts and review calendars. It expressly encourages  
          but does not require any court system to establish a veteran  
          treatment court or review calendar.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          American Legion, Department of California
          AMVETS, Department of California
          California Association of County Veterans Service Officers
          California State Commanders Veterans Council
          VFW, Department of California
          Vietnam Veterans of America, California State Council

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    John Spangler / V. A. / (916) 319-3550