BILL ANALYSIS Ó
SENATE COMMITTEE ON HUMAN SERVICES
Senator McGuire, Chair
2015 - 2016 Regular
Bill No: AB 741
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|Author: |Williams |
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|Version: |May 25, 2016 |Hearing |June 14, 2016 |
| | |Date: | |
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|Urgency: |No |Fiscal: |Yes |
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|Consultant|Mareva Brown |
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Subject: Mental health: community care facilities
SUMMARY
This bill expands the definition of a social rehabilitation
facility to include a residential facility that provides
services in a group setting to children and adolescents
recovering from mental illness or in a mental health crisis. The
bill also expands the definition of a short-term residential
treatment center to include a children's crisis residential
center, as defined. The bill would require the California
Department of Health Care Services (DHCS), in consultation with
specified stakeholders, to establish Medi-Cal rates for
children's crisis residential services.
ABSTRACT
Existing law:
1) Establishes a system of juvenile dependency for children
who are or are at risk of being physically, sexually or
emotionally abused, being neglected or being exploited to
ensure their safety, protection and physical and emotional
well-being. (WIC 300, et seq.)
2) Requires the state, through the California Department of
Social Services (CDSS) and county welfare departments, to
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establish and support a public system of child welfare
services to protect and promote the welfare of children.
(WIC 10600 and 16500)
3) Establishes California's Medicaid program, Medi-Cal,
though which eligible low-income individuals receive health
care and mental health services, including foster youth,
eligible recipients of the Adoption Assistance Program, and
Kin-Gap. Under Medi-Cal, establishes the federal Early and
Periodic Screening, Diagnosis and Treatment (EPSDT) program
to provide comprehensive and preventive health services
including specialty mental health services to Medi-Cal
beneficiaries under the age of 21. (WIC 14000 et seq., 42
USC Section 1396 et seq and 42 CFR 435.145.)
4) Requires county mental health departments to provide
children served by county social services and probation
departments, who meet the definition of medical necessity,
with mental health screening, assessment, participation in
multidisciplinary placement teams and specialty mental
health treatment. (WIC 5867.5)
5) Establishes a system of licensure and oversight for
community care facilities, including short term residential
treatment programs, designed to provide rehabilitation and
therapy for youth in foster care or other systems, as
specified. (HSC 1502)
6) Defines a "Social rehabilitation facility" to mean any
residential facility that provides social rehabilitation
services for no longer than 18 months in a group setting to
adults recovering from mental illness who temporarily need
assistance, guidance, or counseling. Requires program
components shall be subject to specified standards. (HSC
1502(a)(7)
7) Defines a "short-term residential treatment center" to
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mean a CDSS-licensed residential facility to provide
short-term, specialized, and intensive treatment, and
24-hour care and supervision to children. The care and
supervision provided by a short-term residential treatment
center shall be nonmedical, except as otherwise permitted by
law. (HSC 1502 (a)(18))
8) Requires a short term residential treatment center to have
all of the following, as of January 1, 2017:
a. National accreditation from an entity
identified by CDSS, as specified.
b. A mental health certification, as defined,
which shall be in good standing.
c. A current written plan of operation, as
specified, which must include a statement of purposes
and goals, plan for supervision, evaluation and
training of staff, a program statement that includes a
description of the program's ability to meet differing
needs of children, a core services description, and
other requirements.
d. A qualified administrator, as specified, and
staff training to include specific topics of
information relevant to the population of children
served. (HSC 1562.01)
This bill:
1) Makes a series of Legislative findings and declarations,
including:
a. There is an urgent need to provide more crisis
care alternatives to hospitals for children and youth
experiencing mental health crises.
b. The problems are especially acute for children
and youth who may have to wait for days for a hospital
bed and who may be transported, without a parent, to
the nearest facility hundreds of miles away.
c. In 2012, the California Hospital Association
reported that two-thirds of the people taken to a
hospital for a psychiatric emergency did not meet the
criteria for that level of care, but the care they
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needed was not available.
d. The type of care that is needed includes
crisis residential treatment for children.
e. This level of care is part of the full
continuum of care considered medically necessary for
many children with serious emotional disturbances.
f. In 2013, the Legislature enacted the
Investment in Mental Health Wellness Act (Senate Bill
82, Chapter 34 of the Statutes of 2013) to provide
one-time funding to counties to expand the
availability of mental health crisis care services,
including short-term crisis residential treatment
services. However, there is currently no state
licensing category for short-term crisis residential
programs for children. As a result, counties wanting
to expand local capacity to meet the needs of children
and youth for crisis residential treatment services
were ineligible for this competitive grant program.
g. Federal Medicaid provisions allow for federal
matching funds for mental health services delivered to
Medi-Cal beneficiaries under 21 years of age in
psychiatric residential treatment facilities,
including short-term crisis residential treatment
programs. However, because there is currently no state
licensing category for crisis residential treatment
programs for children, California is unable to benefit
from these otherwise available federal financial
resources.
h. In most communities, inpatient crisis
treatment is completely unavailable for children and
youth, even though it may be medically necessary.
i. Crisis residential care is an essential level
of care for the treatment of children and youth with
serious emotional disturbances in a mental health
crisis, and it often serves as an alternative to
hospitalization.
j. It is imperative that public health care
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coverage include these services as a covered benefit.
2) Expands the existing definition of a social
rehabilitation facility from serving only adults to serving
children and adolescents.
3) Further expands the existing definition of a social
rehabilitation facility to permit treatment of individuals
experiencing a mental health crisis, rather than solely
those recovering from mental illness.
4) Adds to the definition of "short-term residential
treatment center" that it includes a children's crisis
residential center.
5) Requires that organizations providing children's
residential treatment services shall be certified to
provide specialty mental health services under Medi-Cal and
the EPSDT Program.
6) Adds a new section, WIC 1502.1, which requires CDSS to
establish regulations for short-term residential treatment
centers that are designated as children's crisis
residential centers, and requires, at a minimum, the
regulations include:
a. Crisis residential centers be used only for
diversion from admittance to a psychiatric
hospitalization.
b. The length of stay will be limited to 10
consecutive days.
c. Therapeutic programming shall be provided
seven days a week, including weekends and holidays,
with sufficient professional and paraprofessional
staff to maintain an appropriate treatment setting and
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services, based on individual children's needs.
d. The program shall be staffed with sufficient
personnel to accept and admit children, at a minimum,
from 7 a.m. to 11 p.m., seven days a week, 365 days
per year. The program shall be sufficiently staffed to
discharge children, as appropriate, seven days a week,
365 days per year.
e. Facilities shall be limited to fewer than 16
beds, with at least 50 percent of those beds in
single-occupancy rooms.
f. Further requires that facilities include ample
physical space for working with individuals who
provide natural supports to each child and for
integrating family members into the day-to-day care of
the youth.
g. Requires the center collaborate with each
child's mental health team, child and family team, and
other paid and natural supports within 24 hours of
intake and throughout the course of care and treatment
as appropriate.
7) Adds a new section, WIC 1502.2, which requires that
DHCS, in conjunction with various named and unnamed
stakeholders, establish Medi-Cal rates as needed that are
sufficient to reimburse the costs for children's crisis
residential services in excess of any specialty mental
health services that would have been otherwise authorized,
provided, and invoiced for each eligible Medi-Cal
beneficiary receiving children's crisis residential
services.
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8) Requires that crisis residential services programs
treating foster children shall receive payment for board
and care equivalent to the rate paid for short-term
residential treatment centers.
9) Establishes that nothing shall prevent a county from
providing payment in excess of the short-term residential
treatment center rate in order to meet the needs of
individual children.
FISCAL IMPACT
An analysis by the Assembly Appropriations Committee identified
costs of $200,000 GF to CDSS to modify regulations governing
licensure to define program standards specific to children, as
well as potential ongoing costs to license additional
facilities. Licensure fees would cover some licensure costs;
however, any workload cost in excess of license would be GF
costs.
It is important to note that the bill has been substantially
amended since the Appropriations Committee analysis.
BACKGROUND AND DISCUSSION
Purpose of the bill:
According to the author, this bill creates a needed licensing
category to ensure that counties and their community-based
providers can develop crisis residential programs for youth. The
intent is to ensure children and youth have access to crisis
residential treatment programs as an alternative to inpatient
placement. The author notes coverage for such services is
already required through Medi-Cal EPSDT and Specialty Mental
Health Services (SMHS) program standards and requirements, but
there is an access barrier because statute limits crisis
residential facilities to serving adults.
Child welfare
California's child welfare system was designed to protect
children at risk of child abuse and neglect or exploitation by
providing intensive services to families to allow children to
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remain in their homes, or by arranging temporary or permanent
placement of the child in the safest and least restrictive
environment possible. Approximately 62,000 children were in the
custody of the child welfare system as of October 2015,
according to the state's child welfare case management system.
About 45,000 children were placed in out-of-home situations in
2016, according to data released by CDSS with the governor's
budget.
Continuum of Care Reform Efforts
After a three-year stakeholder effort, CDSS last year unveiled a
reform effort intended to reduce the reliance on group care, so
that children in foster care are raised primarily in family-like
environments. A cornerstone of this effort is the elimination of
the category of foster care group homes, effective January 1,
2017, and the creation of a category of short term residential
treatment centers (STRTCs) which provide brief, intensive,
mental health interventions to youth and adolescents who qualify
for that level of care.
Mental Illness
Approximately 20 percent of youth between the ages of 13 and 18,
and 13 percent of younger youth experience severe mental
disorders in a given year, according to statistics compiled by
the National Alliance on Mental Illness (NAMI).<1> About 7 in 10
youth in juvenile justice systems have at least one mental
health condition and 20 percent are living with serious mental
illness. NAMI reports that almost half of children aged 8 to 15
who were diagnosed with a mental illness received no mental
health services in the previous year.
Foster youth experience a heightened rate of mental illness,
compared to peers, according to various studies. Specifically,
an American Psychological Association report<2> noted that
nearly half (47.9%) of youth in foster care were determined to
have clinically significant emotional or behavioral problems,
and more than half of children entering foster care exhibited
behavioral or social competency problems that warranted mental
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<1> Mental Illness Facts and Numbers, 2013
<2>
https://www.apa.org/pi/families/resources/newsletter/2012/01/wint
er.pdf
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health services. In addition to the high rate of mental health
problems, children under age seven who enter foster care show
high rates of developmental problems, the report found.
Capacity issues
California has few crisis diversion programs for adolescents and
few options in a mental health crisis aside from emergency
hospitalization. According to a 2015 paper published by six
mental health advocacy organizations, the lack of crisis options
for children and teens results in untreated mental health issues
which worsen over time. The paper, "Kids in Crisis: California's
Failure to Provide Appropriate services for Youth Experiencing a
Mental Health Crisis," described California's system as
inconsistent statewide with many families turning to local
hospital emergency rooms for help. The document, which was
published by a workgroup led by the California Council of
Community Mental Health Agencies, advocated for the creation of
community-based crisis facilities for children and youth. "The
emergency room should be the last resort for a child in crisis,
yet in our current system, this is where children are first
being identified," the report noted.
"For children's crisis services, the state has observed a
decrease in the availability of inpatient psychiatric hospital
beds, all while still lacking a comprehensive community-based
solution to meet the mental health needs of children within our
communities," the report noted. "While there are existing crisis
service programs in California, the availability of these
programs are limited in the type of services that are available
and vary significantly from one county to another county. For
example, a handful of counties may operate children's mobile
crisis teams, but there are no crisis stabilization units or
beds within their region. Therefore, inpatient hospitalization
is the only option for a youth experiencing a crisis in many
areas of the state, and in many instances it is "the least
effective measure," according to the report.
A study of California hospital emergency rooms, published by the
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California Hospital Association in 2012,<3> indicated children
and adolescents with a primary psychiatric diagnosis waited an
average 12.97 hours for psychiatric evaluation and placement -
nearly three hours longer than adults in the same situation.
Total length of stay for children and teens in crisis was
estimated to be in excess of 19 hours. "The extraordinary wait
times for patients with mental illness in the emergency
department, as well as the lack of resources available to
emergency departments for effectively treating and appropriately
placing these patients, indicate the existence of a mental
health system in California that prevents patients in acute need
of psychiatric treatment from getting it at the right time, in
the right place," the study concluded.
Related legislation:
AB 403 (Stone, Chapter 773, Statutes of 2015) codified the
continuum of care reform effort by eliminating group homes and
creating short term residential treatment centers, home-based
therapeutic efforts and other reforms.
AB 1997 (Stone, 2016) is the clean-up bill to AB 403, and will
include modifications to the licensure and certification of
STRTCs.
SB 1013 (Committee on Budget and Fiscal Review, Chapter 35,
Statutes of 2012) called for the department to establish a
working group to develop recommended revisions to the current
rate-setting system, resulting in the Continuum of Care Reform
effort.
SB 82 (Committee on Budget and Fiscal Review, Chapter 34,
Statutes of 2013) established the Investment in Mental Health
Wellness Act of 2013, which authorized the California Health
Facilities Financing Authority to administer a local grant
program to increase capacity for crisis support programs.
COMMENTS
In creating a new category of licensure within the Short Term
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<3> California Hospital Association, et al. "Impact of the
Mental Healthcare Delivery System on California
Emergency Departments," Western Journal of Emergency Medicine,
February 2012.
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Residential Treatment Centers, the author is establishing this
new category within a licensure category that has yet to be
implemented. While there is agreement that this type of facility
is needed, there is disagreement about the best path to
accomplish licensure. To address various concerns raised, the
author proposes the amendments on the mockup attached. These
amendments do the following:
1. Clarify in Legislative intent language the need for a
licensing category to serve adolescents with crisis mental
health needs.
2. Restore the definition of social rehabilitation
facilities to existing statute, as the amendments were
inadvertently maintained when the definition was moved to
the Short Term Residential Treatment Center (SRTRC)
3. Define crisis residential center in the context of an
STRTC licensing category.
4. Move the description of crisis residential facility to a
new subdivision of statute.
5. Add authority for CDSS to develop regulations and to
waive specific STRTC requirements that would be in conflict
with a crisis residential facility.
6. Clarifies admission requirements to a crisis residential
facility.
7. Permits emergency placement into a crisis residential
facility, pending placement approval.
AMEND AS FOLLOWS:
SECTION 1. The Legislature finds and declares all of the
following:
(a) There is an urgent need to provide more crisis care
alternatives to hospitals for children and youth experiencing
mental health crises.
(b) The problems are especially acute for children and youth who
may have to wait for days for a hospital bed and who may be
transported, without a parent, to the nearest facility hundreds
of miles away.
(c) In 2012, the California Hospital Association reported that
two-thirds of the people taken to a hospital for a psychiatric
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emergency did not meet the criteria for that level of care, but
the care they needed was not available.
(d) The type of care that is needed includes crisis residential
treatment for children.
(e) This level of care is part of the full continuum of care
considered medically necessary for many children with serious
emotional disturbances.
(f) In 2013, the Legislature enacted the Investment in Mental
Health Wellness Act (Senate Bill 82, Chapter 34 of the Statutes
of 2013) to provide one-time funding to counties to expand the
availability of mental health crisis care services, including
short-term crisis residential treatment services. However, there
is currently no state licensing category for short-term crisis
residential programs for children. As a result, counties wanting
to expand local capacity to meet the needs of children and youth
for crisis residential treatment services were ineligible for
this competitive grant program.
(g) Federal Medicaid provisions allow for federal matching funds
for mental health services delivered to Medi-Cal beneficiaries
under 21 years of age in psychiatric residential treatment
facilities, including short-term crisis residential treatment
programs. However, because there is currently no state licensing
category for crisis residential treatment programs for children,
California is unable to benefit from these otherwise available
federal financial resources.
(h) (g) In most communities, inpatient crisis treatment is
completely unavailable for children and youth, even though it
may be medically necessary.
(i) (h) Crisis residential care is an essential level of care
for the treatment of children and youth with serious emotional
disturbances in a mental health crisis, and it often serves as
an alternative to hospitalization.
(j) It is imperative that public health care coverage include
these services as a covered benefit.
(j) It is imperative that California identify a licensing
category specifically for mental health crisis residential care
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that can be utilized for children and youth who are
beneficiaries of both public and private health care plans.
SEC. 2. Section 1502 of the Health and Safety Code is amended to
read:
1502. As used in this chapter:
(a) "Community care facility" means any facility, place, or
building that is maintained and operated to provide nonmedical
residential care, day treatment, adult day care, or foster
family agency services for children, adults, or children and
adults, including, but not limited to, the physically
handicapped, mentally impaired, incompetent persons, and abused
or neglected children, and includes the following:
(1) "Residential facility" means any family home, group care
facility, or similar facility determined by the director, for
24-hour nonmedical care of persons in need of personal services,
supervision, or assistance essential for sustaining the
activities of daily living or for the protection of the
individual.
?
(7) "Social rehabilitation facility" means any residential
facility that provides social rehabilitation services for no
longer than 18 months in a group setting to individuals,
including children, adolescents, and adults, to adults
recovering from mental illness or in a mental health crisis that
temporarily need assistance, guidance, or counseling. Program
components shall be subject to program standards pursuant to
Article 1 (commencing with Section 5670) of Chapter 2.5 of Part
2 of Division 5 of the Welfare and Institutions Code.
(8) "Community treatment facility" means any residential
facility that provides mental health treatment services to
children in a group setting and that has the capacity to provide
secure containment. Program components shall be subject to
program standards developed and enforced by the State Department
of Health Care Services pursuant to Section 4094 of the Welfare
and Institutions Code.
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(18) (A) "Short-term residential treatment center" means a
residential facility licensed by the department pursuant to
Section 1562.01 and operated by any public agency or private
organization that provides short-term, specialized, and
intensive treatment, and 24-hour care and supervision to
children. The care and supervision provided by a short-term
residential treatment center shall be nonmedical, except as
otherwise permitted by law. "Short-term residential treatment
center" includes a children's crisis residential center. may be
operated as a children's crisis residential center.
(B) "Crisis residential center" means a "short-term residential
treatment center" operated specifically to divert children
experiencing a mental health crisis from psychiatric
hospitalization.
(b) "Department" or "state department" means the State
Department of Social Services.
(c) "Director" means the Director of Social Services.
(d) Organizations providing children's residential treatment
services shall be certified to provide specialty mental health
services under Medi-Cal and the Early and Periodic Screening,
Diagnostic, and Treatment (EPSDT) Program.
( e) (d) Nothing in this section shall be construed to prohibit
or discourage placement of persons who have mental or physical
disabilities into any category of community care facility that
meets the needs of the individual placed, if the placement is
consistent with the licensing regulations of the department.
SEC. 3. Section 1502.1 1562.02 is added to the Health and
Safety Code, to read:
1502.1. 1562.02 The department shall establish regulations for
short-term residential treatment centers that are designated
operated as children's crisis residential centers.
(a) At a minimum, the regulations shall include all of the
following:
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(a) (1) The children's crisis residential center shall be used
only for diversion from admittance to a psychiatric
hospitalization.
(b) (2) Length of stay for a single admission to a children's
crisis center shall will be limited to 10 consecutive days. No
organization providing children's crisis residential services
shall admit a child for more than two consecutive 10-day lengths
of stay during any 12-month period. Before extending the length
of stay for a Medi-Cal beneficiary beyond 10 consecutive days,
an organization providing children's crisis residential services
shall obtain prior approval from the county mental health plan
authorizing such services.
(c) (3) Therapeutic programming shall be provided seven days a
week, including weekends and holidays, with sufficient
professional and paraprofessional staff to maintain an
appropriate treatment setting and services, based on individual
children's needs.
(d) (4) The program shall be staffed with sufficient personnel
to accept children 24 hours per day, seven days a week and to
admit children at a minimum, from 7 a.m. to 11 p.m., seven days
a week, 365 days per year. The program shall be sufficiently
staffed to discharge children, as appropriate, seven days a
week, 365 days per year.
(e) (5) Facilities shall be limited to fewer than 16 beds, with
at least 50 percent of those beds in single-occupancy rooms.
(f) (6) Facilities shall include ample physical space for
working with accommodating individuals who provide natural
supports to each child and for integrating family members into
the day-to-day care of the youth.
(g) (7) The center shall collaborate with each child's mental
health team, child and family team, and other paid formal and
natural supports within 24 hours of intake and throughout the
course of care and treatment as appropriate.
(b) The department shall have the authority to develop
regulations as needed and to waive such requirements as set
forth in Section 1562.01 that are in conflict with the purposes
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or best practices of operating a children's crisis residential
center.
ADD: SEC. 5. Section 11462.01 of the Welfare and Institutions
Code is amended to read:
11462.01. (a) A short-term residential treatment center, as
defined in subdivision (ad) of Section 11400 and paragraph (18)
of subdivision (a) of Section 1502 of the Health and Safety
Code, may have a program that is certified by the State
Department of Health Care Services or by a county mental health
plan to which the department has delegated certification
authority, pursuant to Section 4096.5, or a program that is not
certified, or both. A short-term residential treatment center,
except as specified in paragraph (d), shall accept for placement
children who meet all of the following criteria, subject to the
other requirements of subdivisions (b) and (c):
(1) The child does not require inpatient care in a licensed
health facility.
(2) The child has been assessed as requiring the level of
services provided in a short-term residential treatment center
in order to maintain the safety and well-being of the child or
others due to behaviors, including those resulting from traumas,
that render the child or those around the child unsafe or at
risk of harm, or that prevent the effective delivery of needed
services and supports provided in the child's own home or in
other family settings, such as with a relative, guardian, foster
family, resource family, or adoptive family.
(3) The child meets at least one of the following conditions:
(A) The child has been assessed as meeting the medical necessity
criteria for Medi-Cal specialty mental health Early and Periodic
Screening, Diagnosis, and Treatment Services, as the criteria
are described in Section 1830.210 of Title 9 of the California
Code of Regulations.
(B) The child has been assessed as seriously emotionally
disturbed, as described in subdivision (a) of Section 5600.3.
(C) The child has been assessed as requiring the level of
services provided in order to meet his or her behavioral or
therapeutic needs. In appropriate circumstances, this may
include any of the following:
(i) A commercially sexually exploited child.
(ii) A private voluntary placement, if the youth exhibits status
offender behavior, the parents or other relatives feel they
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cannot control the child's behavior, and short-term intervention
is needed to transition the child back into the home.
(iii) A juvenile sex offender.
(iv) A child who is affiliated with, or impacted by, a gang.
(b) A short-term residential treatment center program that is
certified by the State Department of Health Care Services, or by
a county mental health plan to which the department has
delegated certification authority, pursuant to Section 4096.5,
shall solely accept for placement, and provide access to mental
health services to, children who meet the criteria in paragraphs
(1) and (2) of subdivision (a), and meet the conditions of
subparagraph (A) or (B) of paragraph (3) of subdivision (a), or
both of those subparagraphs. Mental health services are provided
directly by the certified program.
(c) A short-term residential treatment center program that is
not certified pursuant to Section 4096.5 shall solely accept for
placement in that program a child who meets the criteria in
paragraphs (1) and (2) of subdivision (a), and meets the
conditions of subparagraph (A), (B), or (C) of paragraph (3) of
subdivision (a), or any combination of those subparagraphs. A
child who meets the conditions of subparagraphs (A) and (B) of
paragraph (3) of subdivision (a) may be accepted for placement,
if the interagency placement committee determines that a
short-term residential treatment facility that is not certified
has a program that meets the specific needs of the child and
there is a commonality of needs with the other children in the
short-term residential treatment center. In this situation, the
short-term residential treatment center shall do either of the
following:
(1) In the case of a child who is a Medi-Cal beneficiary,
arrange for the child to receive specialty mental health
services from the county mental health plan.
(2) In all other cases, arrange for the child to receive mental
health services.
(d) A short-term residential treatment center that is operating
as a "crisis residential center" as defined in Section 1562.02
of the Health and Safety Code, and subject to the other
requirements of subdivisions (b) and (c), may accept for
admission or placement any child, referred by a parent or
guardian, or by the representative of a public or private
entity, including but not limited to the county probation agency
or child welfare services agency with responsibility for the
placement of a child in foster care, which has the right to make
such decisions on behalf of a child who is in mental health
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crisis and, absent admission to a "crisis residential center,"
would otherwise require acceptance by the emergency department
of a general hospital, or admission into a psychiatric hospital
or the psychiatric inpatient unit of a general hospital.
?
11462.01. (j)(3)(A) Nothing in subdivisions (a) to (i),
inclusive, or this subdivision shall prevent an emergency
placement of a child or youth into a certified short-term
residential treatment center or foster family agency program
prior to the determination by the interagency placement
committee, but only if a licensed mental health professional,
as defined in subdivision (g) of Section 4096, has made a
written determination within 72 hours of the child's or youth's
placement, that the child or youth is seriously emotionally
disturbed, or has made a written determination within 24 hours
of the child's or youth's placement in a crisis residential
center that the child or youth is experiencing a mental health
crisis as defined in subdivision (d), and is in need of the care
and services provided by the certified short-term residential
treatment center, crisis residential center , or foster family
agency.
SEC. 5. SEC 6 No reimbursement is required by this act pursuant
to Section 6 of Article XIII B of the California Constitution
because the only costs that may be incurred by a local agency or
school district will be incurred because this act creates a new
crime or infraction, eliminates a crime or infraction, or
changes the penalty for a crime or infraction, within the
meaning of Section 17556 of the Government Code, or changes the
definition of a crime within the meaning of Section 6 of Article
XIII B of the California Constitution.
PRIOR VOTES
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|Assembly Floor: |77 - |
| |0 |
|-----------------------------------------------------------+-----|
|Assembly Appropriations Committee: |17 - |
| |0 |
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|Assembly Health Committee: |19 - |
| |0 |
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POSITIONS
Support:
California Alliance of Child and Family Services
(Co-Sponsor)
Aviva Family and Children's Services
California Chapter of the American College of Emergency
Physicians
California Coalition for Youth
California Health + Advocates
California Mental Health Advocates for Children and Youth
California Primary Care Association
California State PTA
California State University Channel Islands
Casa Pacifica Centers for Children and Families
Common Sense Kids Action
David & Margaret Youth and Family Services
Disability Rights California
Family Care Network, Inc.
Hathaway-Sycamores Child and Family Services
Hillsides
Junior Blind of America
Lincoln Child Center
NAMI California
National Association of Social Workers, California Chapter
National Council for Behavioral Health
Pacific Clinics
Redwood Community Services
Redwood Quality Management Company
Remi Vista, Inc.
Santa Barbara County Board of Supervisors
Seneca Family of Agencies
Sierra Sacramento Valley Medical Society
Stars Behavioral Health Group
Steinberg Institute
Trinity Youth Services
United Advocates for Children and Families
Young Minds Advocacy Project
Youth Homes, Inc.
AB 741 (Williams) PageT
of?
Youth In Mind
Oppose:
None.
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