BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   SB 851|
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                                 THIRD READING


          Bill No:  SB 851
          Author:   Steinberg (D), et al
          Amended:  6/4/07
          Vote:     21

           
           SENATE HEALTH COMMITTEE  :  7-3, 4/11/07
          AYES:  Kuehl, Alquist, Cedillo, Maldonado, Ridley-Thomas,  
            Steinberg, Yee
          NOES:  Aanestad, Cox, Wyland
          NO VOTE RECORDED:  Negrete McLeod

           SENATE PUBLIC SAFETY COMMITTEE  :  4-1, 4/24/07
          AYES:  Romero, Cedillo, Margett, Ridley-Thomas
          NOES:  Cogdill

           SENATE APPROPRIATIONS COMMITTEE  :  10-6, 5/31/07
          AYES:  Torlakson, Cedillo, Corbett, Florez, Kuehl, Oropeza,  
            Ridley-Thomas, Simitian, Steinberg, Yee
          NOES:  Cox, Aanestad, Ashburn, Dutton, Runner, Wyland
          NO VOTE RECORDED:  Battin


           SUBJECT  :    Mentally ill offenders

           SOURCE  :     California Council of Community Mental Health  
          Agencies


           DIGEST  :    This bill enacts the Corrections Mental Health  
          Act of 2007, a comprehensive system of care for individuals  
          with serious mental illness who are involved in the state's  
          criminal justice system.
                                                           CONTINUED





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           ANALYSIS  :    Under existing law, the Council on Mentally  
          Ill Offenders in the Department of Corrections and  
          Rehabilitation (CDCR) investigates and promotes  
          cost-effective approaches for long-term needs of adults and  
          juveniles with mental disorders who are likely to become  
          offenders, or who have a history of offending, by  
          considering strategies to improve service coordination  
          among state and local mental health, criminal justice and  
          juvenile justice programs, as specified.  Existing law also  
          establishes a procedure whereby, if, in the opinion of the  
          Director of the CDCR, the rehabilitation of any mentally  
          ill, mentally deficient, or insane person confined in a  
          state prison may be expedited by treatment at any of the  
          state hospitals, the person may be evaluated to determine  
          if he or she would benefit from care and treatment in a  
          state hospital.

          Existing law requires, as a condition of parole, that a  
          prisoner with a treatable severe mental disorder which was  
          one of the causes of, or was an aggravating factor in, the  
          commission of the crime for which they are incarcerated, be  
          treated by the DMH, as specified.

          In addition, the Adult and Older Adult Mental Health System  
          of Care Act provides for the establishment of service  
          standards to ensure that persons with serious mental  
          illness are identified, and that services are provided to  
          assist them to reach their potential as productive  
          citizens.  Plans for services include, but are not limited  
          to, outreach to families, coordination and access to  
          medication, psychiatric and psychological services,  
          substance abuse services, supportive housing assistance  
          vocational rehabilitation and veterans' services. 

          This bill:

          1.Statutorily authorizes mental health courts, operating as  
            a "preguilty plea" or "deferred entry of judgment"  
            program, as specified.

          2.Requires CDCR to create a pilot program to provide  
            comprehensive mental health and supportive services to  
            100 parolees with a serious mental illness in each of  







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            three separate parole regions, as specified.

          3.Requires CDCR in consultation with the State Department  
            of Mental Health to establish service standards that  
            ensure that prisoners with a serious mental illness, as  
            defined, are identified, and services are provided to  
            assist them to be able, upon release, to live  
            independently, work, and reach their potential as  
            productive citizens, as specified.

          4.Requires that services be available to parolees with  
            serious mental illnesses, as specified. 

          5.Requires that funding be provided at sufficient levels to  
            ensure that each facility and parolee center can provide  
            each eligible parolee, as specified, with certain  
            enumerated services.

          6.Requires CDCR to establish an advisory committee  
            regarding the development of the identification of  
            specific performance measures for evaluating the  
            effectiveness of programs established by the bill, as  
            specified.

          7.Authorizes CDCR to contract with counties or private  
            providers for the provision of any of the services  
            described in the bill's provisions concerning parolees,  
            as specified.

          8.Revises current law requiring DMH to establish service  
            standards that ensure that members of the target  
            population are identified and provided services, as  
            specified, to add individuals successfully completing  
            parole and mental health courts to these provisions and  
            to add police, sheriffs and judges among recipients who  
            may receive outreach services, as specified. 

          9.Adds, as a third funding priority for adult systems of  
            care programs the following:

             A.   Maintaining funding for the existing programs that  
               meet adult system of care contract goals.

             B.   Finding for counties with a high incidence of  







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               persons who are severely mentally ill and homeless or  
               at risk of homelessness, those who are discharged from  
               a jail or have successfully completed parole.   

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  Yes

          According to the Senate Appropriations Committee:

                          Fiscal Impact (in thousands)

           Major Provisions                2007-08     2008-09     2009-10     
            Fund  
          Mental health courts, Unknown, potentially significant  
          costs   Various*
               diversion to services,
               parole services, reports,
               training, mandate

          CDCR:  comprehensive                     Unknown, major  
          costs                                            General
               parolee mental health
               services  

          DMH:  oversight of Unknown, potentially significant costs    
           General
               services

          *General, Trial Court Trust Fund (TCTF), Mental Health  
          Services Act (MHSA), Mentally Ill Offender Crime Reduction  
          (MIOCR) grant, Substance Abuse and Mental Health Services  
          Administration (SAMHSA) grant, and local funds.

           SUPPORT  :   (Verified  6/5/07)

          California Council of Community Mental Health Agencies  
          (source) 
          California Catholic Conference 
          California Medical Association
          California Opioid Maintenance Providers 
          California Psychiatric Association
          California Public Defenders Association
          Crestwood Behavioral Health
          Drug Policy Alliance Network







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          Mental Health Association in California 
          Mental Health Association in San Diego County
          Mental Health Association in Santa Barbara County
          Peace Officers Research Association of California
          Sylmar Health and Rehabilitation Center


           ARGUMENTS IN SUPPORT  :    According to the author's office,

          "The purpose of this bill is to enact numerous provisions  
          concerning how the courts and the state correctional system  
          should handle people who have serious mental illnesses,  
          including the following: (1) expressly and statutorily  
          authorize courts to implement "Mental Health Courts" for  
          persons suffering from mental illnesses with  
          locally-established case eligibility criteria, as  
          specified, (2) require CDCR to identify inmates about to  
          parole, and parolees, who are seriously mentally ill, as  
          specified, (3) require DCDR to create a pilot program to  
          provide comprehensive mental health and supportive services  
          to 300 parolees with a serious mental illness, as  
          specified, (4) authorize CDCR to contract with a Mental  
          Health Court as a "referral court" for parolees who are in  
          violation of parole, as specified, (5) require CDCR, in  
          consultation DMH, to "establish service standards that  
          ensure that prisoners with a serious mental disorder are  
          identified and receive services," (6) create an advisory  
          committee, as specified, and (7) enact specified funding  
          provisions."


          CTW:nl  6/5/07   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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