Amended in Assembly March 8, 2016

California Legislature—2015–16 Regular Session

Assembly BillNo. 1644


Introduced by Assembly Member Bonta

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(Principal coauthor: Assembly Member Achadjian)

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(Coauthor: Assembly Member McCarty)

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(Coauthor: Senator Beall)

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January 11, 2016


An act to amendbegin delete Section 4372end deletebegin insert Sections 4370, 4371, 4372, and 4380end insert of, and to add and repeal Chapter 4 (commencing with Section 4391) of Part 4 of Division 4 of, the Welfare and Institutions Code, relating to mental health.

LEGISLATIVE COUNSEL’S DIGEST

AB 1644, as amended, Bonta. School-based early mental health intervention and prevention services.

Existing law, thebegin delete School-basedend deletebegin insert School-Basedend insert Early Mental Health Intervention and Prevention Services for Children Act ofbegin delete 1991,end deletebegin insert 1991 (1991 act),end insert authorizes the Director of Health Care Services, in consultation with the Superintendent of Public Instruction, to provide matching grants to local educational agencies to pay the state share of the costs of providing school-based early mental health intervention and prevention services to eligible pupils at schoolsites of eligible pupils, subject to the availability of funding each year. Existing law defines “eligible pupil” for this purpose as a pupil who attends a publicly funded elementary school and who is in kindergarten or grades 1 to 3, inclusive. Existing law also defines “local educational agency” as a school district or county office of education or a state special school.

This bill wouldbegin insert rename the 1991 act the Healing from Early Adversity to Level the Impact (HEAL) of Trauma in Schools Act or the HEAL Trauma in Schools Act. The bill wouldend insert expand the definition of an eligible pupil to include a pupil who attends a preschool program at a publicly funded elementary school and a pupil who is in transitional kindergarten, thereby extending the application of the act to those persons. The bill would also include charter schools in the definition of local educational agency, thereby extending the application of the act to those entities. The bill would require the State Public Health Officer, in consultation with the Superintendent of Publicbegin delete Schools andend deletebegin insert Schools,end insert the Director of Health Care Services,begin insert and the Attorney Generalend insert to establish a 4-year pilot program, the School-Based Early Mental Health Intervention and Prevention Services Support Program, to provide outreach, free regional training, and technical assistance for local educational agencies in providing mental health services at schoolsites. The bill would require the State Department of Public Health to submit specified reports after 2 and 4 years.begin insert The bill would make the implementation of the pilot program contingent upon an appropriation in the annual budget act.end insert The bill would repeal these provisions as of January 1, 2022.

Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.

The people of the State of California do enact as follows:

P2    1

SECTION 1.  

The Legislature finds and declares all of the
2following:

3(a) California’s communities and systems are currently facing
4challenges to prevent and address the far-reaching impacts of
5childhood adversity, such as Adverse Childhood Experiences
6(ACEs) and childhood trauma, which can result in negative
7educational, health, social, and economic outcomes for children,
8youth, families, and communities across the state.

begin delete

9(b) ACEs are traumatic experiences that can have a profound
10impact on a child’s developing brain and body and lasting impacts
11on a person’s health and livelihood across their lifetime. ACEs
12include physical, emotional, and sexual abuse; physical and
13emotional neglect; and household dysfunction, such as substance
14abuse by a household member; and witnessing domestic violence.
15Other traumatic experiences can include placement instability for
P3    1foster youth, homelessness, and witnessing violence against family
2and community members.

3(c)

end delete

4begin insert(end insertbegin insertb)end insert In California, 61.7 percent of adults have experienced at
5least one ACE and 16.7 percent have experienced four or more
6ACEs. Compared to an individual who has not experienced an
7ACE, an individual with four or more ACEs is more likely to
8experience chronic disease and engage in negative health behaviors.
9For example, based on results of the California Behavioral Risk
10Factor Surveillance Survey, a person in California with four or
11more ACEs is 1.6 times as likely to have diabetes, 1.9 times as
12likely to have cancer, 2.4 times as likely to suffer from chronic
13obstructive pulmonary disease, 2.9 times as likely to smoke, 4.2
14times as likely to be diagnosed with Alzheimer’s disease or
15dementia, 5.1 times as likely to suffer from depression, 7.4 times
16as likely to be an alcoholic, and 12.2 times as likely to attempt
17suicide. Individuals are similarly impacted by ACEs, regardless
18of race and ethnicity.

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19(d) The State of California has long recognized the mental health
20needs of California’s children and the value of addressing these
21needs by supporting the provision of evidence-based mental health
22services in publicly funded preschools and elementary schools, as
23evidenced by the creation in 1981 of the Primary Prevention
24Project, now named the Primary Intervention Program, and the
25creation in 1991 of the School-based Early Mental Health
26Intervention and Prevention Services for Children Program, known
27as the Early Mental Health Initiative (EMHI).

end delete
begin delete

28(e)

end delete

29begin insert(end insertbegin insertc)end insert From the 1992-93 fiscal year to the 2011-12 fiscal year,
30inclusive, the State Department of Mental Health awarded funds
31each year in matching grants to local educational agencies to fund
32prevention and early intervention programs, including the Primary
33Intervention Program, for students experiencing mild to moderate
34school adjustment difficulty through thebegin delete EMHI.end deletebegin insert School-based
35Early Mental Health Intervention and Prevention Services for
36Children Program of 1991, known as the Early Mental Health
37Initiative (EMHI).end insert
In the 2011-12 fiscal year, the EMHI received
38$15 million in state funds.

begin delete

39(f)

end delete

P4    1begin insert(end insertbegin insertd)end insert School adjustment difficulties that can impede learning,
2such as anxiety, withdrawal, and aggressive behaviors, are common
3symptoms of chronic or traumatic stress resulting from exposure
4to ACEs and childhood trauma.

begin delete

5(g)

end delete

6begin insert(e)end insert Authorizing legislation specified that the EMHI would be
7deemed successful if at least 75 percent of the children who
8complete the program show an improvement in at least one of the
9following four areas: learning behaviors, attendance, school
10adjustment, and school-related competencies.

begin delete

11(h)

end delete

12begin insert(f)end insert The EMHI succeeded in meeting these legislative
13requirements. According to thebegin delete 2010-2011end deletebegin insert 2010-end insertbegin insert11end insert Early Mental
14Health Initiative Statewide Evaluation Report, of the 15,823
15students located in 424 elementary schools across 66 school
16districts participating in EMHI-funded services during the 2010-11
17school year, 79 percent exhibited positive social competence and
18school adjustment behaviors more frequently after completing
19services. Furthermore, the magnitude of the improvements was
20exceptional in comparison to evaluations of other programs,
21especially given the short-term and cost-effective nature of the
22intervention, and improvements were evident across all
23demographic subgroups.

begin delete

24(i)

end delete

25begin insert(g)end insert Thebegin delete 2010-2011end deletebegin insert 2010-end insertbegin insert11end insert Early Mental Health Initiative
26Statewide Evaluation Report described an unmet demand for
27EMHI-funded services at participating schoolsites, as only 37
28percent of the students that scored in the appropriate school
29adjustment difficulty range were served with EMHI-funded services
30due to program capacity and funding constraints. Based on
31demographic considerations, similar demand would be expected
32at schools that did not receive EMHI grants.

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33(j)

end delete

34begin insert(h)end insert The Governor’s realignment for the 2011-12 fiscal year
35renamed the State Department of Mental Health as the State
36Department of State Hospitals and limited that department’s
37mission. The Budget Act of 2012 disbursed Proposition 98 funds,
38which had been used to fund the EMHI, directly to local
39educational agencies in order to provide local schools with
P5    1enhanced flexibility to manage their finances and give greater
2control of local decisions.

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3(k) It is in the interest of California’s children, families, schools,
4and communities that the State of California support local decisions
5to provide funding for evidence-based services to address the
6mental health needs of children who have been exposed to
7childhood adversity in publicly funded preschools and elementary
8schools.

9(l) In addressing these needs, priority should be given to
10children, youth, and communities that experience childhood
11adversity, more severely and profoundly, including those that
12experience socioeconomic disadvantage and historical and
13contemporary injustices, vulnerable communities, communities
14of color, and culturally, linguistically, and geographically isolated
15communities.

16(m)

end delete

17begin insert(i)end insert Multitiered systems and supports, which integrate mental
18health, special education, and school climate interventions, have
19been developed as a model framework within which to implement
20these services. Pilot programs in the Counties of San Bernardino
21and Alameda are demonstrating that implementing these services
22as part of a multitiered system is cost effective because the cost
23of the services is more than fully offset by the reduction in the
24need for high-cost, nonpublic school placements.

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25(n)

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26begin insert(j)end insert The evidence-based, cost-effective services provided by the
27EMHI support the “Triple Aim” of better health, better care, and
28lower costs. By helping children early on, evidence-based,
29cost-effective services also support the recommendations of the
30Let’s Get Healthy California Task Force, which used the “Triple
31Aim” as its foundation and articulated Healthy Beginnings: Laying
32the Foundation for a Healthy Life, as a goal that includes reducing
33childhood trauma, improving early learning, and improving mental
34health and well-being as priorities.

begin delete

35(o)

end delete

36begin insert(k)end insert Providing early mental health service for children exposed
37to childhood adversity, such as ACEs and childhood trauma,
38additionally furthers the goal of the California Defending
39Childhood State Policy Initiative, which is to more effectively
40align, integrate, and mobilize multisectoral resources to equitably
P6    1prevent, identify, and heal the impacts of violence and trauma on
2children and youth.

3begin insert

begin insertSEC. 2.end insert  

end insert

begin insertSection 4370 of the end insertbegin insertWelfare and Institutions Codeend insertbegin insert is
4amended to read:end insert

5

4370.  

Thisbegin delete partend deletebegin insert articleend insert shall be known and may be cited as the
6begin delete School-based Early Mental Health Intervention and Prevention
7Services for Children Act of 1991.end delete
begin insert Healing from Early Adversity
8to Level the Impactend insert
begin insert (HEAL)end insertbegin insert of Trauma in Schools Act or the HEAL
9Trauma in Schools Act.end insert

10begin insert

begin insertSEC. 3.end insert  

end insert

begin insertSection 4371 of the end insertbegin insertWelfare and Institutions Codeend insertbegin insert is
11amended to read:end insert

12

4371.  

The Legislature finds and declares all of the following:

13(a) Each year in California over 65,000 teenagers become
14adolescent mothers and 230 teenagers commit suicide. Each year
15more than 20 percent of California’s teenagers drop out of high
16school.

17(b) Thirty percent of California’s elementary school pupils
18experience school adjustment problems, many of which are evident
19the first four years of school, that is, kindergarten and grades 1 to
203, inclusive.

21(c) Problems that our children experience, whether in school or
22at home, that remain undetected and untreated grow and manifest
23themselves in all areas of their later lives.

24(d) There is a clear relationship between early adjustment
25problems and later adolescent problems, including, but not limited
26to, poor school attendance, low achievement, delinquency, drug
27abuse, and high school dropout rates. In many cases, signs of these
28problems can be detected in the early grades.

29(e) It is in California’s best interest, both in economic and human
30terms, to identify and treat the minor difficulties that our children
31are experiencing before those difficulties become major barriers
32to later success. It is far more humane and cost-effective to make
33a small investment in early mental health intervention and
34prevention services now and avoid larger costs, including, but not
35limited to, foster care, group home placement, intensive special
36education services, mental health treatment, or probation supervised
37care.

38(f) Programs like the Primary Intervention Program and the San
39Diego Unified Counseling Program for Children have proven very
40effective in helping children adjust to the school environment and
P7    1learn more effective coping skills that in turn result in better school
2achievement, increased attendance, and increased self-esteem.

3(g) To create the optimum learning environment for our children,
4schools, teachers, parents, public and private service providers,
5and community-based organizations must enter into locally
6appropriate cooperative agreements to ensure that all pupils will
7receive the benefits of school-based early mental health
8intervention and prevention services that are designed to meet their
9personal, social, and educational needs.

begin insert

10(h) ACEs are traumatic experiences that can have a profound
11impact on a child’s developing brain and body and lasting impacts
12on a person’s health and livelihood across their lifetime. ACEs
13include physical, emotional, and sexual abuse; physical and
14emotional neglect; other experiences, such as substance abuse by
15a household member and witnessing domestic violence. Other
16traumatic experiences can include placement instability for foster
17youth, homelessness, and witnessing violence against family and
18community members.

end insert
begin insert

19(i) The State of California has long recognized the mental health
20needs of California’s children and the value of addressing these
21needs by supporting the provision of evidence-based mental health
22services in publicly funded preschools and elementary schools, as
23evidenced by the creation in 1981 of the Primary Prevention
24Project, now named the Primary Intervention Program, and the
25creation in 1991 of the School-Based Early Mental Health
26Intervention and Prevention Services for Children Program, known
27as the Early Mental Health Initiative (EMHI).

end insert
begin insert

28(j) It is in the interest of California’s children, families, schools,
29and communities that the State of California support local
30decisions to provide funding for evidence-based services in publicly
31funded preschools and elementary schools to address the mental
32health needs of children who have been exposed to childhood
33adversity.

end insert
begin insert

34(k) In addressing these needs, priority should be given to
35children, youth, and communities that experience childhood
36adversity more severely and profoundly, including those that
37experience socioeconomic disadvantage and historical and
38contemporary injustices, vulnerable communities, communities of
39color, and culturally, linguistically, and geographically isolated
40communities.

end insert
P8    1

begin deleteSEC. 2.end delete
2begin insertSEC. 4.end insert  

Section 4372 of the Welfare and Institutions Code is
3amended to read:

4

4372.  

For the purposes of this part, the following definitions
5shall apply:

6(a) “Cooperating entity” means a federal, state, or local, public
7or private nonprofit agency providing school-based early mental
8health intervention and prevention services that agrees to offer
9services at a schoolsite through a program assisted under this part.

10(b) “Eligible pupil” means a pupil who attends a preschool
11program at a publicly funded elementary school, or who attends
12a publicly funded elementary school and who is in kindergarten,
13transitional kindergarten, or grades 1 to 3, inclusive.

14(c) “Local educational agency” means any school district or
15county office of education, state special school, or charter school.

16(d) “Department” means the State Department of Public Health.

17(e) “Director” means the State Public Health Officer.

18(f) “Supportive service” means a service that will enhance the
19mental health and social-emotional development of children.

20begin insert

begin insertSEC. 5.end insert  

end insert

begin insertSection 4380 of the end insertbegin insertWelfare and Institutions Codeend insertbegin insert is
21amended to read:end insert

22

4380.  

Subject to the availability of funding each year, the
23Legislature authorizes the director, in consultation with the
24Superintendent of Public Instruction, to award matching grants to
25local educational agencies to pay the state share of the costs of
26providing programs that provide school-based early mental health
27intervention and prevention services to eligible pupils at schoolsites
28of eligible pupils, as follows:

29(a) The director shall award matching grants pursuant to this
30chapter to local educational agencies throughout the state.

31(b) Matching grants awarded under this part shall be awarded
32for a period of not more than three years and no single schoolsite
33shall be awarded more than one grant, except for a schoolsite that
34received a grant prior to July 1, 1992.

35(c) The director shall pay to each local educational agency
36having an application approved pursuant to requirements in this
37part the state share of the cost of the activities described in the
38application.

39(d) Commencing July 1, 1993, the state share of matching grants
40shall be a maximum of 50 percent in each of the three years.

P9    1(e) Commencing July 1, 1993, the local share of matching grants
2shall be at least 50 percent, from a combination of school district
3and cooperating entity funds.

4(f) The local share of the matching grant may be in cash or
5payment in-kind.

6(g) Priority shall be given to those applicants that demonstrate
7the following:

8(1) The local educational agency will serve the greatest number
9of eligible pupils from low-income families.

10(2) The local educational agency will provide a strong parental
11involvement component.

12(3) The local educational agency will provide supportive services
13with one or more cooperating entities.

14(4) The local educational agency will provide services at a low
15cost per child served in the project.

16(5) The local educational agency will provide programs and
17services that are based on adoption or modification, or both, of
18existing programs that have been shown to be effective. begin delete No more
19than 20 percent of the grants awarded by the director may be
20utilized for new models.end delete

21(6) The local educational agency will provide services to
22children who are in out-of-home placement or who are at risk of
23being in out-of-home placement.

begin insert

24(7) The local educational agency shall prioritize for receipt of
25services children who have been exposed to childhood trauma,
26including, but not limited to, foster youth, as defined in subdivision
27(b) of Section 42238.01 of the Education Code, and homeless
28children and youth, as defined in Section 11434a(2) of the federal
29McKinney-Vento Homeless Assistance Act (42 U.S.C. Sec. 11301
30et seq.).

end insert

31(h) Eligible supportive services may include the following:

32(1) Individual and group intervention and prevention services.

33(2) Parent involvement through conferences or training, or both.

34(3) Teacher and staff conferences and training related to meeting
35project goals.

36(4) Referral to outside resources when eligible pupils require
37additional services.

38(5) Use of paraprofessional staff, who are trained and supervised
39by credentialed school psychologists, school counselors, or school
40social workers, to meet with pupils on a short-term weekly basis,
P10   1in a one-on-one setting as in the primary intervention program
2established pursuant to Chapter 4 (commencing with Section 4343)
3of Part 3. A minimum of 80 percent of the grants awarded by the
4director shall include the basic components of the primary
5intervention program.

6(6) Any other service or activity that will improve the mental
7health of eligiblebegin delete pupils.end deletebegin insert pupils, particularly evidence-based
8interventions and promising practices intended to mitigate the
9consequences of childhood adversity and cultivate resilience and
10protective factorsend insert
begin insert.end insert

11Prior to participation by an eligible pupil in either individual or
12group services, consent of a parent or guardian shall be obtained.

13(i) Each local educational agency seeking a grant under this
14chapter shall submit an application to the director at the time, in
15a manner, and accompanied by any information the director may
16reasonably require.

17(j) Each matching grant application submitted shall include all
18of the following:

19(1) Documentation of need for the school-based early mental
20health intervention and prevention services.

21(2) A description of the school-based early mental health
22intervention and prevention services expected to be provided at
23the schoolsite.

24(3) A statement of program goals.

25(4) A list of cooperating entities that will participate in the
26provision of services. A letter from each cooperating entity
27confirming its participation in the provision of services shall be
28included with the list. At least one letter shall be from a cooperating
29entity confirming that it will agree to screen referrals of low-income
30children the program has determined may be in need of mental
31health treatment services and that, if the cooperating entity
32determines that the child is in need of those services and if the
33cooperating entity determines that according to its priority process
34the child is eligible to be served by it, the cooperating entity will
35agree to provide those mental health treatment services.

36(5) A detailed budget and budget narrative.

37(6) A description of the proposed plan for parent involvement
38in the program.

P11   1(7) A description of the population anticipated to be served,
2including number of pupils to be served and socioeconomic
3indicators of sites to receive funds.

4(8) A description of the matching funds from a combination of
5local education agencies and cooperating entities.

6(9) A plan describing how the proposed school-based early
7mental health intervention and prevention services program will
8be continued after the matching grant has expired.

9(10) Assurance that grants would supplement and not supplant
10existing local resources provided for early mental health
11intervention and prevention services.

12(11) A description of an evaluation plan that includes
13quantitative and qualitative measures of school and pupil
14characteristics, and a comparison of children’s adjustment to
15school.

16(k) Matching grants awarded pursuant to this article may be
17used for salaries of staff responsible for implementing the
18school-based early mental health intervention and prevention
19services program, equipment and supplies, training, and insurance.

20(l) Salaries of administrative staff and other administrative costs
21associated with providing services shall be limited to 5 percent of
22the state share of assistance provided under this section.

23(m) No more than 10 percent of each matching grant awarded
24pursuant to this article may be used for matching grant evaluation.

25(n) No more than 10 percent of the moneys allocated to the
26director pursuant to this chapter may be utilized for program
27administration and evaluation.

28Program administration shall include both state staff and field
29staff who are familiar with and have successfully implemented
30school-based early mental health intervention and prevention
31services. Field staff may be contracted with by local school districts
32or community mental health programs. Field staff shall provide
33support in the timely and effective implementation of school-based
34early mental health intervention and prevention services. Reviews
35of each project shall be conducted at least once during the first
36 year of funding.

37(o) Subject to the approval of the director, at the end of the fiscal
38year, a school district may apply unexpended funds to the budget
39for the subsequent funding year.

P12   1(p) Contracts for the program and administration, or ancillary
2services in support of the program, shall be exempt from the
3requirements of the Public Contract Code and the State
4Administrative Manual, and from approval by the Department of
5General Services.

6

begin deleteSEC. 3.end delete
7begin insertSEC. 6.end insert  

Chapter 4 (commencing with Section 4391) is added
8to Part 4 of Division 4 of the Welfare and Institutions Code, to
9read:

10 

11Chapter  4. School-Based Early Mental Health
12Intervention and Prevention Services Support Program
13

 

14

4391.  

(a) Thebegin delete State Public Health Officerend deletebegin insert directorend insert shall
15establish a four-year pilot program, in consultation with the
16Superintendent of Publicbegin delete Instruction andend deletebegin insert Instruction,end insert the Director
17of Health Carebegin delete Services,end deletebegin insert Services, and the Attorney Generalend insert to
18encourage and support local decisions to provide funding for the
19eligible support services as provided in this section.

20(b) The department shall provide outreach to local educational
21agencies and county mental health agencies to inform individuals
22responsible for local funding decisions of the program established
23pursuant to this section.

24(c) The department shall provide free regional training on all
25of the following:

26(1) Eligible support services, which may include any or all of
27the following:

28(A) Individual and group intervention and prevention services.

29(B) Parent engagement through conference or training, or both.

30(C) Teacher and staff conferences and training related to meeting
31project goals.

32(D) Referral to outside resources when eligible pupils require
33additional services.

34(E) Use of paraprofessional staff, who are trained and supervised
35by credentialed school psychologists, school counselors, or school
36social workers, to meet with pupils on a short-term weekly basis,
37in a one-on-one setting as in the primary intervention program
38established pursuant to Chapter 4 (commencing with Section 4343)
39of Part 3.

P13   1(F) Any other service or activity that will improve the mental
2health of eligible pupils, particularly evidence-based interventions
3and promising practices intended to mitigate the consequences of
4childhood adversity and cultivate resilience and protective factors.

5(2) The potential for the eligible support services defined in this
6section to help fulfill state priorities described by the local control
7funding formula and local goals described by local control and
8accountability plans.

9(3) How educational, mental health, and other funds subject to
10local control can be used to finance the eligible support services
11defined in this section.

12(4) External resources available to support the eligible support
13services defined in this section, which may include workshops,
14training, conferences, and peer learning networks.

15(5) State resources available to support student mental health
16and resilience, and positive, trauma-informed learning
17environments, which may include any of the following:

18(A) Foundational aspects of learning, childhood social-emotional
19development, mental health and resilience, toxic stress, childhood
20trauma, and Adverse Childhood Experiences.

21(B) Inclusive multitiered systems of behavioral and academic
22supports, Schoolwide Positive Behavior Interventions and Supports,
23restorative justice or restorative practices, trauma-informed
24practices, social and emotional learning, and bullying prevention.

25(d) The department shall provide technical assistance to local
26educational agencies that provide or seek to provide eligible
27services defined in this section. Technical assistance shall include
28assistance in any of the following:

29(1) Designing programs.

30(2) Training program staff in intervention skills.

31(3) Conducting local evaluations.

begin insert

32(4) Coordination with county mental health agencies and
33professionals.

end insert
begin delete

34(4)

end delete

35begin insert(end insertbegin insert5)end insert Leveraging educational, mental health, and other funds that
36are subject to local control and assisting in budget development.

37(e) In providing outreach pursuant to subdivision (b), training
38pursuant to subdivision (c), and technical assistance pursuant to
39subdivision (d), the department shall select and support schoolsites
40as follows:

P14   1(1) begin insert(A)end insertbegin insertend insert During the firstbegin delete 18end deletebegin insert 12end insert months of the program, the
2 department shall support, strengthen, and expand the provision of
3eligible services at schoolsites that previously received funding
4pursuant to thebegin delete School-Based Early Mental Health Intervention
5and Prevention Services Matching Grant Programend delete
begin insert HEAL Trauma
6in Schools Actend insert
(Chapter 2 (commencing with Section 4380)) and
7have continued to provide eligible support services. In working
8with these selected schoolsites, the department shall develop
9methods and standards for providing services and practices to new
10 schoolsites.

begin insert

11(B) The department shall develop a process to identify
12schoolsites that demonstrate the willingness and capacity to
13participate in the program.

end insert

14(2) During the subsequentbegin delete 18end deletebegin insert 36end insert months of the program, the
15department shall select new schoolsites that are not providing
16eligible support services but that demonstrate the willingness and
17capacity to participate in the program. The department shall work
18with these schoolsites to deliver eligible support services.

19(3) In selecting schoolsites and providing support, the
20department shall prioritize the following:

21(A) Schoolsites in communities that have experienced high
22levels of childhood adversity, such as Adverse Childhood
23Experiences and childhood trauma.

24(B) Schoolsites that prioritize for receipt of services children
25who have been exposed to childhood trauma, including, but not
26limited to, foster youth, as defined in subdivision (b) of Section
2742238.01 of the Education Code, and homeless children and youth,
28as defined in Section 11434a(2) of the federal McKinney-Vento
29Homeless Assistance Act (42 U.S.C. Sec. 11301 et seq.)

30(C) Geographic diversity, program effectiveness, program
31efficiency, and long-term program sustainability.

32(f) The department shall submit, in compliance with Section
339795 of the Government Code, an interim report to the Legislature
34at the end of the second year of the pilot program that details the
35department’s work to support the schoolsites selected pursuant to
36paragraph (1) of subdivision (e) and includes an assessment of the
37demand and impact of funding for thebegin delete School-Based Early Mental
38Health Intervention and Prevention Services Matching Grant
39Programend delete
begin insert HEAL Trauma in Schools Actend insert established pursuant to
40Chapter 3 (commencing with Sectionbegin delete 4390).end deletebegin insert 4380).end insert The department
P15   1shall make the report available to the public and shall post the
2report onbegin delete theend delete its Internet Web site.

3(g) The department shall develop an evaluation plan to assess
4the impact of the pilot program. The department, in compliance
5with Section 9795 of the Government Code, shall submit a report
6to the Legislature at the end of the four-year period evaluating the
7impact of the pilot program and providing recommendations for
8further implementation. The department shall make the report
9available to the public and shall post the report on its Internet Web
10site.

begin insert
11

begin insert4392.end insert  

Implementation of this chapter is contingent upon an
12appropriation in the annual budget act.

end insert
13

begin delete4392.end delete
14begin insert4393.end insert  

This chapter shall remain in effect only until January 1,
152022, and as of that date is repealed, unless a later enacted statute,
16that is enacted before January 1, 2022, deletes or extends that date.



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