BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2034
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          CONCURRENCE IN SENATE AMENDMENTS
          AB 2034 (Steinberg)
          As Amended August 25, 2000
          2/3 vote.  Urgency
           
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          |ASSEMBLY:  |69-7 |(May 31, 2000)  |SENATE: |33-2 |(August 28,    |
          |           |     |                |        |     |2000)          |
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           Original Committee Reference:    HEALTH  
           
          SUMMARY  :  Deems counties funded in 2000-2001 for mental health  
          outreach services to be eligible for continuation funding if  
          they have successfully demonstrated the cost-effectiveness of  
          their programs.  Deems other counties, and cities with  
          independent public mental health programs, to be eligible for  
          funding to establish outreach services.  Adds youth under age 25  
          and families living with a severely mentally ill adult to the  
          target population for these services.  Specifically,  this bill  :   


          1)Adds youth under age 25, and families with a severely mentally  
            ill adult living with them, to the population targeted in  
            outreach programs to homeless mentally ill persons.

          2)Includes provision of psychiatric services that are integrated  
            with other services and for psychiatric collaboration in  
            overall service planning.

          3)Requires the Department of Social Services, a service provider  
            to transition youth, the United Advocates for Children of  
            California, and the California Mental Health Advocates for  
            Children and Youth to be represented on the existing advisory  
            board to the Director of the Department of Mental Health for  
            the purpose of providing advice regarding criteria for grant  
            awards to counties.

          4)Adds to the criteria for grant awards, a description of  
            efforts to maximize use of other state, federal and local  
            funds, and a description of efforts to obtain charitable  
            funds.

          5)Permits, in any year in which funds are appropriated for this  
            purpose through the annual Budget Act, additional funding to  








                                                                  AB 2034
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            be made available for other counties that do not have an  
            integrated services program but meet adult system of care  
            criteria.  

          6)Requires grants to counties to be used to expand existing  
            integrated service programs that meet the adult system of care  
            criteria to provide new services.

          7)Requires each county to identify, as the Department of Mental  
            Health (DMH) may require, the amount of funding required for  
            housing market conditions, the estimated number of people who  
            will be eligible for income from Social Security, and types of  
            housing and support services that will be required.

          8)Requires DMH to conduct a literature review of mental health  
            public education programs, as specified, and requires DMH to  
            make recommendations to the Legislature as to whether such a  
            program should be implemented in California.

          9)Declares the provisions of this bill to be an urgency measure.

           The Senate amendments  :

          ) Add cities with independent public mental health programs to  
            the provisions of this bill that apply to counties.

          2)Clarify that many requirements and program expansions provided  
            for in this bill are contingent upon funding being provided in  
            the annual Budget Act.

          3)Remove requirements for a review of research on mental health  
            education program.

           EXISTING LAW  :

          1)Requires counties to relieve and support incompetent, indigent  
            persons, and those incapacitated by age or disease.   
            Establishes a target population for county mental health  
            services that includes severely mentally ill adults and  
            children with emotional disturbances. 

          2)Requires DMH to establish service standards for mental health  
            services provided through demonstration projects to serve the  
            mentally ill.









                                                                  AB 2034
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           AS PASSED BY THE ASSEMBLY  , this bill deemed counties to be  
          eligible for continuation funding for mental health outreach if  
          they successfully demonstrated the cost-effectiveness of their  
          programs.  Deemed other counties to be eligible for funding to  
          establish outreach services if a county demonstrates that it can  
          provide comprehensive services, as specified. 

           FISCAL EFFECT  :  Implementation of programs in this bill is  
          contingent upon the Budget Act. 

           COMMENTS  :  The author is proposing this bill to continue and  
          expand upon the successful community mental health programs  
          established under AB 34 (Steinberg), Chapter 617, Statutes of  
          1999.  Through county programs in Sacramento, Los Angeles and  
          Stanislaus counties, as of February 1, 2000, more than 900  
          severely mentally ill people have received services and are on  
          their way to stabilization. 
           
           Chapter 617 provides funding for mental health outreach  
          demonstration projects in Los Angeles ($4.8 million), Stanislaus  
          ($2.8 million) and Sacramento ($1.9 million) counties.  In  
          Sacramento County, outreach teams go to parks, levees and other  
          places to find homeless persons to whom they can offer services.  
           Sacramento County has enrolled 196 people in mental health  
          services as a result of this program.  In Stanislaus, 88 people  
          are being served by programs funded through Chapter 617.   
          According to the author, Stanislaus is working to serve adults  
          who are periodically homeless, and young adults who are  
          transitioning from foster care and the juvenile justice system.   
          Los Angeles County is serving 790 people through programs funded  
          with Chapter 617 demonstration dollars.
           

          Analysis Prepared by  :  Ann Blackwood / HEALTH / (916) 319-2097
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          0006792