BILL ANALYSIS                                                                                                                                                                                                    







                          SENATE COMMITTEE ON Public Safety
                             Senator John Vasconcellos, Chair   A
                                1999-2000 Regular Session       B

                                                                2
                                                                2
                                                                2
          AB 2228 (Aroner)                                      8
          As Amended May 26, 2000
          Hearing date:  June 20, 2000
          Uncodified Law
          AA:br


                                   JUVENILE JUSTICE  :  

                     JUVENILE PROBATION ASSESSMENT PILOT PROJECT  


                                       HISTORY

          Source:  Chief Probation Officers of California

          Prior Legislation: None

          Support: AFSCME; Commonweal Juvenile Justice Program; California  
                   Healthcare Association; L.A. County Probation Officers  
                   Union

          Opposition:None known

          Assembly Floor Vote:  Ayes  58 - Noes  19



                                         KEY ISSUE
           
          SHOULD THE "JUVENILE PROBATION ASSESSMENT PILOT PROJECT" BE  
          ESTABLISHED, AS SPECIFIED?





                                                                     (More)






                                                           AB 2228 (Aroner)
                                                                     Page 2



                                       PURPOSE
          
          The purpose of this bill is to establish the Juvenile Probation  
          Assessment Pilot Project, as specified.
          
           Current law  generally requires county probation departments to  
          provide care and supervision to delinquent children who are or  
          may become wards of the juvenile court.  (Welfare and  
          Institutions Code  730 et seq.)

           This bill  would establish the "Juvenile Probation Assessment  
          Pilot Project," with the following characteristics:

           Administration; 3 Counties, 3 Years
           
           The pilot would be administered by the State Department of  
            Mental Health ("DMH").
           The pilot would be conducted in three counties for three  
            years.
           DMH would be required to establish minimum standards, funding  
            schedules, procedures for the collection of data, and  
            procedures for the review and approval of local plans, as  
            specified.
           DMH would be required to develop a funding schedule that  
            includes "a set rate allocated to counties for screening and  
            for assessing minors identified in this section, and an  
            allocation for staff training and administration."
           DMH would be required to "integrate information obtained from  
            the pilot project and make it available to the statewide chief  
            probation officers organization" upon the pilot's completion,  
            as specified.

           Eligibility

            To be eligible for this program, county probation departments  
            would be required to comply with guidelines set out by DMH,  
            and to develop a local plan for assessing the service needs of  
            delinquent minors in the county who have been arrested or  
            cited for criminal charges, as specified.




                                                                     (More)






                                                           AB 2228 (Aroner)
                                                                     Page 3



           Local plans would be required to provide all of the following:

            (1)  uniform screening and needs assessment instruments and  
          protocols, as specified;
            (2)  identified timing for screenings and referrals, as  
          specified;
            (3)  a county probation assessment team, with enumerated  
          minimum and multi-disciplinary representation requirements;
            (4)  referral protocols for screened minors who need  
          additional assessments, as specified;
            (5)  staff for screening and assessment, and minimum  
          requirements for the prior education and training of those staff  
          members, as specified.

           Screening and Assessment Instruments and Protocols; Technical  
          DMH Assistance
           
           DMH would be required to develop minimum screening and  
            assessment instruments and protocols to be used by pilot  
            counties in consultation with the pilot counties and other  
            expert individuals or organizations, as specified.

           DMH would be required to provide technical assistance to the  
            pilot counties, including training.

           Data Collection and Sharing
           
           This bill would authorize county probation departments  
            involved in this pilot project to release information to DMH  
            regarding minors involved in the program for purposes of  
            oversight and evaluation.

           County probation departments involved in the pilot would be  
            required to use data collected through the screening and  
            assessment process to identify service needs of juveniles in  
            the county, and work in collaboration with the assessment team  
            to develop a plan for developing an appropriate continuum of  
            treatment services.  Participating counties would be required  
            to identify existing local, state, federal, and private  




                                                                     (More)






                                                           AB 2228 (Aroner)
                                                                     Page 4


            resources that may be used to fund these services.

           Evaluation
           
           This bill would require that the pilot "be evaluated  
            independently to judge the effectiveness of the screening and  
            assessment protocol and processes used to implement the  
            programs, including whether the assessments and screenings  
            provide adequate background data on the minor and the minor's  
            family unit, improve achievement of case plan goals, are  
            judged useful to counties and services providers, and can be  
            applied with ease."

           Funding
           
           As currently drafted, this bill would provide that its  
            implementation shall be contingent on an appropriation in the  
            annual Budget Act.<1>

           Findings and Declarations
           
          This bill contains legislative findings and declarations  
          concerning state national data pertaining to mentally ill  
          youthful offenders, as discussed below.

                                      COMMENTS

          1.  Stated Need for This Bill
           
          The author states:

                 Between one-third and two-thirds of youth in the  
                 juvenile delinquency system suffer from mental  
                 health problems, according to various estimates.  
                 In addition, a significant proportion of these  
                 youth have substance abuse problems.  California  
                 currently has no structured procedure for the  
                 assessment of youth when they enter the  


                 --------------------
          <1>  The 2000-2001 Budget did not appropriate funding for the  
          purposes of this bill.



                                                                     (More)






                                                           AB 2228 (Aroner)
                                                                     Page 5


                 delinquency system in order to identify mental  
                 health, health, or substance abuse problems, or  
                 educational needs.  Services to address youth's  
                 problems in these areas are often not provided  
                 until a crisis point is reached.  Early assessment  
                 and identification of youth's problems will enable  
                 county probation departments to identify the  
                 services that will directly address the reasons  
                 youth are in the delinquency system in the first  
                 place.

          2.  Background:  Mentally Ill Juvenile Offenders
           
          No studies comprehensively document the level of mental health  
          services needs among California's juvenile offenders.  However,  
          the following data provides some information outlining the scope  
          of the need.

          The quarterly juvenile detention surveys conducted by the Board  
          of Corrections provide some sense of the number of detained  
          juveniles requiring mental health services:<2>

           Average Daily Populations of Minors Detained in County Juvenile  
                                   Halls and Camps
            Receiving Psychotropic Medications or Requiring Mental Health  
                                      Services 
                                        1999

           ----------------------------------------------------------- 
          |           | 1st       |2nd        |3rd        |4th        |
          |           |Quarter    |Quarter    |Quarter    |Quarter    |
          |-----------+-----------+-----------+-----------+-----------|
          |Receiving  |           |           |           |           |
          |Psychotropi|  1,018.1  |   1,029   |  1,396.1  |1,054.6    |
          |c Drugs    |           |           |           |           |
          |while in   |           |           |           |           |
          ---------------------------
          <2>  A total of approximately 12,000-14,000 juveniles are  
          detained monthly in California juvenile halls and camps.





                                                                     (More)






                                                           AB 2228 (Aroner)
                                                                     Page 6


          |Detention  |           |           |           |           |
          |-----------+-----------+-----------+-----------+-----------|
          |Identified |           |           |           |           |
          |as Needing |  1,321.7  |   1,532.6 |  1,619.3  |  1,552.4  |
          |Mental-Heal|           |           |           |           |
          |th         |           |           |           |           |
          |Services   |           |           |           |           |
           ----------------------------------------------------------- 

          In 1998, the federal Office of Juvenile Justice and Delinquency  
          Prevention issued a report on mental health disorders among  
          juvenile offenders.  OJJDP concludes that dealing with long-term  
          mental health problems in juvenile offenders is crucial:

                 Although the prevalence of mental health and  
                 substance abuse disorders among youth in the  
                 juvenile justice system is largely unknown, recent  
                 research suggests that these problems are  
                 significantly greater for juvenile delinquents  
                 than for other youth.  It has been estimated that  
                 each year, of the youth who come in contact with  
                 the juvenile justice system, 150,000 meet the  
                 diagnostic criteria for at least one mental  
                 disorder, 225,000 suffer from a diagnosable  
                 alcohol abuse or dependence disorder, and 95,000  
                 may suffer from a diagnosable substance abuse or  
                 dependence disorder (Cocozza, 1992).

                 Research has also demonstrated that juvenile  
                 delinquents tend to have both mental health  
                 disorders and substance abuse problems, and a high  
                 percentage of them also have conduct disorders.   
                 Finally, research and experience demonstrate that  
                 the services available in the juvenile justice  
                 system to alleviate these problems are entirely  
                 inadequate.  (Mental Health Disorders and  
                 Substance Abuse Problems Among Juveniles  
                 (Bilchik); OJJDP Fact Sheet #82)

          The National Mental Health Association has compiled the  




                                                                     (More)






                                                           AB 2228 (Aroner)
                                                                     Page 7


          following summary of prevalence findings concerning mental  
          disorders among children in the juvenile justice system:

           Based on data obtained from site visits to a nationally  
            representative sample of 95 public and private juvenile  
            facilities, researchers found that 73% of the children  
            in these facilities reported mental health problems  
            during screening (Abt Associates, 1994).  In addition,  
            57% of youth reported that they have previously  
            received treatment for mental health problems.

           In Maryland, data obtained from a representative,  
            random sample of youth from all 15 juvenile facilities  
            indicated that 57% have a history of mental illness;  
            53% have at least one current mental disorder diagnosis  
            (based on structured diagnostic interviews) (Shelton,  
            1998).

           In Virginia, a census of 17 secure detention homes  
            revealed that 8% to 10% of the youth need immediate  
            mental health treatment (e.g. medication or inpatient  
            treatment) for depression, anxiety, or psychotic  
            symptoms.  The clinicians conducting this study  
            estimated that 77% of the youth would meet diagnostic  
            criteria for a mental disorder.  Finally, 55% of the  
            youth in these detention homes had previously received  
            treatment for mental health problems (Policy Design  
            Team, 1994).

           Research conducted in Georgia using a random sample of  
            youth admitted to the Regional Youth Detention Centers  
            indicated that 61% of these youth had mental disorders,  
            including substance abuse disorders (based on  
            structured diagnostic interviews) (Marsteller et al.,  
            1997).









                                                                     (More)






                                                           AB 2228 (Aroner)
                                                                     Page 8



           Among a random sample of youth from South Carolina  
            Department of Juvenile Justice facilities, 72% met full  
            criteria for at least one mental disorder diagnosis  
            (Atkins et al., in press).

           Researchers in Canada (Toronto) used a structured  
            diagnostic interview to evaluate adolescents in two  
            secure facilities and found that 63% had two or more  
            mental disorders, with an additional 22% meeting  
            diagnostic criteria for one mental disorder (Ulzen &  
            Hamilton, 1998).  (NMHA @ www.nmha.org/children/  
            justjuv/prevalence.cfm)<3>

          NMHA concludes:

                 Although estimates of the percentage of youth with  
                 mental disorders in the juvenile justice system  
                 vary from study to study, a consistent picture is  
                 beginning to emerge.  Despite differences in  
                 methodology and instrumentation, researchers from  
                 across the country are documenting high rates of  
                 mental disorder, including substance abuse  
                 disorders and multiple co-occurring diagnoses,  
                 among children incarcerated in juvenile  
                 facilities.  (Id.)

          3.  Related Legislation
           
          This Committee passed (5-0) SB 2062 (Perata), which would  
          establish competitive grants for mentally ill juvenile offender  
          treatment.  This Committee also has before it AB 2104  
          (Strom-Martin), which would establish demonstration regional  
          facilities for severely emotionally disturbed juvenile  
          offenders.

          ---------------------------
          <3>  This data also derives in part from the findings and  
          declarations in this bill, and from Assembly Member Aroner's  
          December 15, 1999 hearing, "Improving the Continuum of Services  
          for Juveniles with Serious Mental Health Problems."










                                                           AB 2228 (Aroner)
                                                                     Page 9




                                   ***************