BILL ANALYSIS Ó SENATE HUMAN SERVICES COMMITTEE Senator Carol Liu, Chair BILL NO: SB 1127 S AUTHOR: Torres and Pavley B VERSION: April 7, 2014 HEARING DATE: April 22, 2014 1 FISCAL: Yes 1 2 CONSULTANT: Mareva Brown 7 SUBJECT Emergency services: individuals with developmental disabilities and cognitive impairments SUMMARY This bill would add individuals who are developmentally disabled or cognitively impaired to the list of people who may be the subject of a Silver Alert. ABSTRACT Existing law : 1) Establishes Emergency Alert System, which has been nicknamed the "Amber Alert" system, which may be activated if a law enforcement agency receives a report that an abduction has occurred or that a child has been taken by anyone, including a custodial parent or guardian, and the victim is in imminent danger of serious bodily injury or death, and there is information available that, if disseminated to the general public, could assist in the safe recovery of the victim, as specified. (GOV 8594) Continued--- STAFF ANALYSIS OF SENATE BILL 1127 (Torres) PageB 2) Establishes a "blue alert" system, designed to issue and coordinate alerts if a law enforcement officer has been killed or seriously injured by a suspect who has fled the scene and poses an imminent threat to public safety, as specified. (GOV 8594.5) 3) Establishes a "Silver Alert" notification system, operated by the California Highway Patrol to issue and coordinate alerts when a person aged 65 or older is missing, as specified. (GOV 8594.10) 4) Encourages radio, television, and cable and satellite systems to cooperate with disseminating the information contained in a Silver Alert. (GOV 8594.10 (b)(2)) 5) Requires the California Highway Patrol to assist the investigating law enforcement agency by issuing a be-on-the-lookout (BOLO) alert, an Emergency Digital Information Service message, or an electronic flyer. (GOV 8594.10 (b)(3)) 6) Defines a developmental disability as a disability that originates before an individual attains 18 years of age; continues, or can be expected to continue, indefinitely; and constitutes a substantial disability for that individual. This term includes disabling conditions found to be closely related to intellectual disability or to require treatment similar to that required for individuals with an intellectual disability, but shall not include other handicapping conditions that are solely physical in nature. (WIC 4512) 7) Defines a cognitive impairment as the loss or deterioration of intellectual capacity characterized by impairments in short- or long-term memory, language, concentration and attention, orientation to people, place, or time, visual-spatial abilities or executive functions, or both, including, but not limited to, judgment, reasoning, or the ability to inhibit behaviors that interfere with social, occupational, or everyday functioning due to conditions, including, but not limited to, mild cognitive impairment, Alzheimer's disease or other STAFF ANALYSIS OF SENATE BILL 1127 (Torres) PageC form of dementia, or brain injury. (WIC 14522.4 (a) (11)) This bill : 1) Adds to the list of individuals who may be the subject of a Silver Alert anyone who is developmentally disabled, or cognitively impaired, as defined in existing statute. FISCAL IMPACT This bill has not been analyzed by a fiscal committee. BACKGROUND AND DISCUSSION Purpose of the bill : The author states that adding individuals with developmental disabilities and cognitive impairments to those eligible for the state's Silver Alert system fills a critical gap in existing alert systems. According to the author, many children and adults with autism and other developmental disabilities wander from home as a factor of their disability. Many other adults are diagnosed with cognitive impairments such as Alzheimer's Disease. If those individuals wander from home and are lost they cannot be the subject of existing alerts if they do not fall within the parameters of those systems - a child must be abducted and an adult must be older than 65 and have disappeared under suspicious or unexplained circumstances. The author cites specific cases of individuals who have wandered and been found dead and argues that the death toll for wandering children with developmental disabilities or individuals with cognitive impairments is reducible. She states that it makes sense to use the existing alert systems to help coordinate communication when it is needed to search for these individuals. Emergency alert system: Amber Alert STAFF ANALYSIS OF SENATE BILL 1127 (Torres) PageD The nation's first Amber alert was established in 1996, and named after the after 9-year-old Amber Hagerman who was kidnapped and brutally murdered while riding her bicycle in Arlington, Texas, that same year. It was intended to help inform local residents to search for a child who was abducted nearby. Amber is an acronym for America's Missing: Broadcast Emergency Response.<1> The alerts were initially issued over broadcasting channels designed to alert residents of dangerous weather events, but since then they have grown to include highway billboard signs, text messages and other notification methods. Although the federal government does not have direct control over the system, several federal agencies have urged states to implement it. The US Department of Justice created an Amber Alert page, and issued guidance to states to establish criteria before issuing an alert, including that the victim be at risk of serious bodily injury or death, a sufficient description to be informative and that law enforcement must confirm there was an abduction, among others.<2> California began the Amber Alert as a regional program in 1999 and it was adopted statewide in 2002 (AB 415, Runner). As of February 2014, there have been 219 activations in California, 255 recovered victims and 131 suspects arrested. Of the abductions, twice as many were parental abductions as stranger abductions. The California Highway Patrol is responsible for statewide coordination of the Amber Alert system. Blue Alert California expanded the alert system in 2010 to allow the CHP to initiate a quick response to coordinate alerts following an attack on a law enforcement officer if the officer was killed, suffered serious bodily injury or was assaulted with a deadly weapon and the suspect remains at large. Silver Alert In 2012, California established the Silver Alert program to ------------------------- <1> http://ojp.gov/newsroom/pdfs/amberchronology.pdf <2> http://www.amberalert.gov/guidelines.htm STAFF ANALYSIS OF SENATE BILL 1127 (Torres) PageE coordinate communication after the unexplained or suspicious disappearance of an elderly person. The system is intended to provide immediate attention to the public about the missing person, including photographs, descriptions and information about the last time and location they were seen. The program is coordinated by the California Highway Patrol, which will issue an alert only if the missing person is 65 years or older, the investigating agency has used all of its resources and determines that the missing person disappeared under suspicious or unexplained circumstances and the local law enforcement agency believes the person is in danger. The CHP also must determine that if the information was disseminated to the public, it could assist in the safe recovery of the missing person. According to the author, there have been 182 Silver Alert activations since the system was created, resulting in 166 successful recoveries of one or more adults. Developmental disability: A developmental disability refers to a severe and chronic disability that is attributable to a mental or physical impairment beginning before the age of 18. These disabilities include intellectual disability, cerebral palsy, epilepsy, autism and related disorders, and disabling conditions closely related to intellectual disability or requiring similar treatment. Intellectual Disability is characterized by significantly subaverage general intellectual functioning (i.e., an IQ of approximately 70 or below) with concurrent deficits or impairments in adaptive functioning. In California, approximately 265,000 individuals with developmental disabilities live in their communities. Cognitive impairment is defined as the loss or deterioration of intellectual capacity characterized by impairments in short- or long-term memory, language, concentration and attention, orientation to people, place, or time, visual-spatial abilities or executive functions, or both, including judgment, reasoning, or the ability to inhibit behaviors that interfere with social, occupational, or everyday functioning due to conditions, including, but not limited to, mild cognitive impairment, Alzheimer's STAFF ANALYSIS OF SENATE BILL 1127 (Torres) PageF disease or other form of dementia, or brain injury. Elopment risk: A study published in October 2012 in the journal Pediatrics found that roughly half, or 49 percent, of children with Autism Spectrum Disorder (ASD) attempt to elope from a safe environment. Researchers surveyed 1,367 families with children between the ages of 4 and 17 who had been diagnosed with ASD. Nearly half of the families reported that their child had attempted to elope at least once after age 4. Of those, 316 children were missing long enough to cause concern. Researchers noted that greater autism severity was associated with increased elopement risk and that children eloped most commonly from their home, a store, classroom or school. According to a 2009 report issued by the Congressional Research Service, "Alert Systems for Missing Adults in Eleven States: Background and Issues for Congress," there is growing concern about the dangers associated with adults with cognitive disorders who wander. Policymakers and advocates for the missing have identified persons with Alzheimer's disease and other forms of dementia as being particularly vulnerable to missing episodes. Increases in longevity among the older population and the aging of the baby boom generation have contributed to interest in establishing these systems. Wandering from home can be a frequent behavior that may pose a significant, sometimes life-threatening, danger to the wellbeing of those with Alzheimer's disease and other forms of dementia. According to the Alzheimer's Association, if not found within 24 hours, nearly 50% of those who wander risk serious illness or death. Illness or death may occur from exposure to the elements, lack of food or hydration for an extended period, and general inability of the individual to STAFF ANALYSIS OF SENATE BILL 1127 (Torres) PageG think, act, or communicate to gain assistance.<3> Related legislation: SB 1047 (Alquist), Chapter 651, Statutes of 2012, established California's Silver Alert System. SB 839 (Runner), Chapter 311, Statutes of 2010, established California's blue alert system. AB 415 (Runner), Chapter 517, Statutes of 2002, established California's Amber Alert system. POSITIONS Support: The Help Group (co-sponsor) Association of Regional Center Agencies Oppose: None received. -- END -- ------------------------- <3> http://research.policyarchive.org/18546.pdf