BILL ANALYSIS Ó AB 1006 Page 1 Date of Hearing: May 20, 2015 ASSEMBLY COMMITTEE ON APPROPRIATIONS Jimmy Gomez, Chair AB 1006 (Levine) - As Amended April 21, 2015 ----------------------------------------------------------------- |Policy |Public Safety |Vote:|5 - 2 | |Committee: | | | | | | | | | | | | | | |-------------+-------------------------------+-----+-------------| | | | | | | | | | | | | | | | |-------------+-------------------------------+-----+-------------| | | | | | | | | | | | | | | | ----------------------------------------------------------------- Urgency: No State Mandated Local Program: YesReimbursable: No SUMMARY: This bill allows the defendant or the prosecutor to submit evidence that the defendant suffers from a diagnosable mental illness that was a substantial factor that contributed to the AB 1006 Page 2 defendant's criminal conduct, when a defendant has pled guilty or no contest to, or has been convicted of, an offense that will result in a sentence to state prison or county jail. The court may use that evidence to order the defendant to serve part of his or her sentence in a residential mental health treatment facility, order the defendant placed in a mental health program in the state prison or county jail, or order the detention facility to prepare a post release mental health treatment plan. Allows the defendant, prosecutor, or the Department of Corrections and Rehabilitation (CDCR) or county jail authority, as applicable, to at any time, petition the court for permission to remove the defendant from a mental health program within the state prison or county jail authority. FISCAL EFFECT: 1)Potential ongoing annual costs in excess of $1.5 million (GF) to the trial courts for the additional evidentiary hearings that may be requested. Even if a small percentage of the 40,000-plus felons committed to state prison or the 25,000-plus felons and misdemeanants committed to county jail are impacted, the numbers are significant. Also, the assumption is the prosecutor will probably object to a number of requests. 2)CDCR costs will be several million dollars (GF). This bill could result in a significant increase in inmates designated for mental health programs. This bill would also result in the need for additional legal staff for CDCR to petition the removal of inmates from the mental health program. In addition, it should be noted that any inmate with a mental health condition in CDCR is part of a current class action lawsuit that is a significant cost driver in the CDCR budget. 3)Significant nonreimbursable state mandated costs in the millions to counties to provide additional mental health AB 1006 Page 3 services to current inmates in county jails. 4)Moderate costs to the Department of Justice (DOJ) in those cases where the DOJ represents the State of California. COMMENTS: 1.Purpose. According to the author, "Jails and prisons have become California's de facto mental health facilities, with those who are mentally ill being far more likely to be incarcerated than to be in a psychiatric hospital. Incarcerating those with mental illness does not make sense from an outcomes or a fiscal stand point. Studies have found that individuals who participate in mental health courts reoffend one third of the time than those who do not and that participant's show significant improvement in quality of life." 2)Background. In 2009, the Division of Correctional Health Care Services for the CDCR estimated that 23 percent of California's prison inmates have a serious mental illness. According to the Berkeley Center for Criminal Justice, an estimated "40 to 70 percent of youth in the California juvenile justice system have some mental health disorder or illness," with 15 to 25 percent considered severely mentally ill. Based on these numbers, youth in California's juvenile justice system are two to four times more likely to be in need of mental health care than California youth generally. The Bureau of Justice Statistics reported in 2006 that 74 percent of mentally ill state prisoners and 76 percent of mentally ill local jail inmates also met the criteria for substance dependence or abuse indicating a larger issue with co-occurring disorders among mentally ill offenders CDCR data shows higher rates of recidivism in inmates identified with mental health issues when compared to those AB 1006 Page 4 without. Upon release, inmates exhibiting mental health problems are assigned one of two mental health services designations: Enhanced Outpatient Program (EOP) or Correctional Clinical Case Management System (CCCMS). Inmates with severe mental illness expected to experience difficulty transitioning out of corrections are designated as EOP and receive treatment at a level similar to day treatment services in the community, while inmates receiving CCCMS services are housed within the general population and participate on an outpatient basis. In the 2012 CDCR Outcome Evaluation Report, 76.7 percent of first-release inmates with an EOP designation recidivated after three years, compared to lower rates found in CCCMS designees (70.6 percent) and those without a designation (62 percent). 3)Argument in Support: According to David Mills (Chairman) and Michael Romano(Director), of the Stanford Law School Three Strikes and Justice Advocacy Project, "The Mental Health Justice Act (AB 1006) is the embodiment of the first reform proposed in our report. The bill is critically important because it will-for the first time-empower Superior Court Judges discretionary authority to order psychiatric treatment for criminal offenders who commit crimes as a result of mental illness. The bill does not require courts to do anything and protects public safety by forbidding judges from departing from traditional sentencing if doing so would endanger the public. Involving the courts in the identification and treatment of mentally ill offenders is a crucial step in addressing the massive problem of mental ill offenders in the justice system. We believe the measure will also save tax dollars and reduce recidivism by providing earlier interruption in the cycle of mental illness and incarceration. "According to a recent report from the national Sheriff's Association and Treatment Advocacy Center, ten times as many mentally ill people are in prison and jail in the United States than there are in mental health treatment facilities. AB 1006 Page 5 In California, 45% of the state's prison population is estimated to be mentally ill. In the last fifteen years the number of mentally ill people in prison has almost doubled. Analysis Prepared by:Pedro R. Reyes / APPR. / (916) 319-2081