BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1113
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          ASSEMBLY THIRD READING
          AB 1113 (Bonnie Lowenthal)
          As Introduced February 27, 2009
          Majority vote 

           BUSINESS & PROFESSIONS      8-0 APPROPRIATIONS      14-0        
           
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          |Ayes:|Hayashi, Emmerson,        |Ayes:|De Leon, Nielsen,         |
          |     |Conway, Hernandez,        |     |Ammiano,                  |
          |     |Niello, John A. Perez,    |     |Charles Calderon,         |
          |     |Price, Smyth              |     |Krekorian, Duvall,        |
          |     |                          |     |Fuentes, Harkey, Miller,  |
          |     |                          |     |John A. Perez, Price,     |
          |     |                          |     |Skinner,                  |
          |     |                          |     |Audra Strickland,         |
          |     |                          |     |Torlakson                 |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Allows a person to gain qualifying experience for  
          licensure as a marriage and family therapist (MFT) in a state  
          correctional facility.

           EXISTING LAW  requires any person employed or under contract to  
          provide mental health diagnostic or treatment or other mental  
          health services in the state correctional system to be a  
          physician and surgeon, psychologist, or other health  
          professional, licensed to practice in this state, except as  
          specified.  This licensure requirement may be waived in order  
          for a person to gain qualifying experience for licensure as a  
          psychologist or clinical social worker in this state.

          FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, no direct fiscal impact to CDCR to continue oversight  
          of clinical training in prisons.  Under current law,  
          psychologists and clinical social workers are authorized,  
          subject to CDCR approval, to gain qualifying experience in CDCR  
          facilities.  This bill adds MFT students to the professions for  
          whom CDCR may choose to waive current law requirements to allow  
          for training.

           COMMENTS  :  According to the author's office, "The California  
          Department of Corrections and Rehabilitation (CDCR) is currently  








                                                                  AB 1113
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          suffering from a severe shortage of mental health clinician  
          applicants to fill its vacancies in mental health programs  
          throughout the state.  If these positions cannot be filled, the  
          mental health needs of the persons incarcerated will not be met,  
          which will deter rehabilitation and likely lead to repeated  
          offenses when their periods of incarceration have been  
          completed.  Marriage and family therapists currently provide  
          mental health services in state facilities, and this is  
          explicitly authorized in Health and Safety Code Section 1277.   
          Unfortunately, while Penal Code Section 5068.5 allows  
          psychologist and clinical social worker interns to gain  
          qualifying experience in the correctional system, the law  
          currently does not allow MFT interns to gain such qualifying  
          experience.  AB 2652 (Anderson) of 2008 would have amended  
          Section 5068.5 to provide specifically for a waiver of the  
          licensure requirement for MFT interns in correctional  
          facilities.  AB 2652 was an identical bill that died in the  
          Assembly Appropriations Committee.  

          "CDCR recognizes the nearly identical training and  
          qualifications of MFTs and Clinical Social Workers and would  
          like to be able to use MFTs to help address the current shortage  
          of mental health professionals serving in the correctional  
          system.  It is important to note that it would not compel CDCR  
          to use any particular discipline.  The bill merely provides for  
          greater choice among a greater array of possible mental health  
          professionals."

          CDCR has employed social workers for decades within various  
          program areas.  In the development of the Mental Health Services  
          Delivery System in the mid 1990s, the number of social workers  
          (among other mental health clinicians) employed within CDCR was  
          increased due to the recognition of the significant percentage  
          of seriously mentally ill inmates within the prison system. 

          With the burgeoning inmate population increasing the number of  
          mentally ill inmates in the system, the mental health program  
          has proportionately increased its clinical position numbers as  
          well.  Concurrently, CDCR is under court order to improve  
          services to its mentally ill inmates. Part of the order requires  
          CDCR to decrease its clinicians' vacancy rate.  Due to several  
          factors, including insufficient pay, poor working conditions and  
          lack of appropriate candidates, the vacancy rate for these  
          clinical slots is high.








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          Currently, the CDCR does not have any employment classifications  
          that include MFTs.  The CDCR has proposed the establishment of a  
          new class, Mental Health Therapist, Correctional Facility for  
          which an MFT licensee would qualify.  This proposal is currently  
          pending before the California State Personnel Board. 

           
          Analysis Prepared by  :    Whitney Clark / B. & P. / (916)  
          319-3301 


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