BILL ANALYSIS                                                                                                                                                                                                    







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

                                                                1
                                                                7
                                                                6
          SB 1769 (Chesbro)                                     9
          As Amended April 13, 2000 
          Hearing date:  April 25, 2000
          Penal Code
          MK:mc


                               MENTAL HEALTH COURTS  

                                    HISTORY


          Source:  Author

          Prior Legislation:  SB 1485 (Rosenthal) - Chapter 501,  
          Stats. 1998

          Support: Peace Officers Research Association of California

          Opposition:None known



                                         KEY ISSUE
           
          SHOULD COUNTIES BE ALLOWED TO RECEIVE FUNDING FOR MENTAL HEALTH  
          COURTS THROUGH AN EXISTING GRANT PROGRAM FOR PROGRAMS FOR MENTALLY  
          ILL INMATES?

          SHOULD THE LAW SET FORTH THE BASIC REQUIREMENTS AND GOALS OF A  
          MENTAL HEALTH COURT, WHICH RECEIVES FUNDING AS PART OF A GRANT UNDER  
          THE MENTALLY ILL OFFENDER CRIME REDUCTION PROGRAM?





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                                                     SB 1769 (Chesbro)
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                                    PURPOSE
          
          The purpose of this bill is to allow counties to receive  
          funding for mental health courts through and existing grant  
          program for programs for mentally ill inmates and to  
          establish basic requirements for such a court in order for  
          it to be eligible for such a grant.
          
           Existing law  provides that the Board of Corrections shall  
          administer and award mentally ill offender crime reduction  
          grants on a competitive basis to counties that expand or  
          establish a continuum of swift, certain, and graduated  
          responses to reduce crime and criminal justice costs  
          related to mentally ill offenders.  (Penal Code  6045)

           Existing law  provides that to be eligible for a grant each  
          county shall develop a comprehensive plan for providing  
          cost-effective continuum of graduated responses including  
          prevention, intervention, and incarceration for mentally  
          ill offenders.  (Penal Code  6045.2)

           This bill  provides that a component of the comprehensive  
          mental health plan described above may be the development  
          and implementation of a mental health court.

           This bill  provides that the objectives of the mental health  
          court shall be:

           increased cooperation between the criminal justice system  
            and mental health systems;
           faster case processing time;
           improved access to necessary services and support;
           improved well-being for offenders with mental illness;
           reduced recidivism.

           This bill  provides that the mental health court shall  
          provide for a single point of contact where a defendant with  
          a mental disability may receive court-ordered treatment and  
          support services in connection with a diversion from  
          prosecution, a sentencing alternative, or a term of  




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          probation.

           This bill  provides that defendants may be referred to the  
          mental health court by a number of sources including but  
          not limited to the police, attorneys, family members,  
          probation officers, the district attorney, the public  
          defender, jail personnel, or another court.

           Existing law  provides that the Board of Corrections, in  
          consultation with the State Department of Mental Health and  
          the State Department of Alcohol and Drug Programs shall  
          award grants that provide funding for four years to  
          supplement funding for existing programs.  The funding  
          shall not be used to facilitate the early release of  
          prisoners or alternatives to incarceration.  (Penal Code   
          6045.4)

          Existing law  provides that the Board of Corrections in  
          consultation with the State Department of Mental Health and  
          the State Department of Alcohol and Drug Programs to  
          establish minimum standards, funding schedules and  
          procedures for awarding grants. (Penal Code  6045.6)

           This bill  provides that preference for the above grants  
          shall be given to crime reduction grant proposals that  
          establish or implement a mental health court as described  
          in this bill.


                                    COMMENTS


          1.   Need for the Bill  

          According to the author:

              Research tells us that California spends in excess  
              of $315 million on persons with mental illness who  
              are repeatedly placed in county jails for  
              violations of the law, often quite minor.  SB 1769  




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              seeks to reduce these costs by encouraging counties  
              to develop a specialized mental health court which  
              would identify appropriate mentally ill offenders,  
              place them into appropriate community-based  
              programs, and monitor their compliance with their  
              treatment program.  Studies show that mentally ill  
              persons who have treatment and stability do not  
              commit crimes.

              According to national figures, an estimated 7.2% of  
              inmates were reported to suffer from serious mental  
              illness according to a joint report of the National  
              Alliance for the Mentally Ill and the Public  
              Citizen's Health Research Group.  Nearly one-third  
              of the jails surveyed had seriously mentally ill  
              individuals in custody without filing criminal  
              charges against them.  Most others held inmates on  
              lesser charges such as disorderly conduct,  
              trespassing, and drunkenness.  Once mentally ill  
              persons are jailed, their psychiatric and medical  
              consequences worsen.  More than 20% of jails have  
              no access to mental health services of any kind,  
              and the vast majority provides little or no  
              training to corrections officers in treating the  
              mentally ill.  Despite even the best intentions of  
              prison officials, inmates with mental illness are  
              often abused by other inmates, are exposed to  
              deadly diseases, or commit suicide (according to a  
              report in the  American Bar Association Journal  ,  
              "Special Treatment," June 1998).

              In California, the total impact of the mentally ill  
              on the criminal justice and corrections system is  
              estimated to be $1.2 billion and $1.8 billion.  8%  
              to 20% of state prison inmates are seriously  
              mentally ill.  Between 7.2% and 15% of county  
              inmates have a serious mental illness.  It is  
              conservatively estimated that 10% of all arrestees  
              are seriously mentally ill (Pacific Research  
              Institute for Public Policy in "Corrections,  




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              Criminal Justice, and the Mentally Ill:  Some  
              Observations About Costs in California," September  
              1966).

              Very often, a person's untreated mental illness is  
              directly responsible for the behavior, which led to  
              his or her arrest.  Further, increasing demand for  
              jail and prison space typically leads to the early  
              release of many offenders with mental illness who  
              are returned to the community without services or  
              supports and are likely to re-offend.

          2.   Grant Program  

          Existing law provides that the Board of Corrections shall  
          administer and award mentally ill offender crime reduction  
          grants on a competitive basis to counties that expand or  
          establish a continuum of swift, certain, and graduated  
          responses to reduce crime and criminal justice costs  
          related to mentally ill offenders (Mentally Ill Offender  
          Crime Reduction Grant-MIOCRG).  Counties must submit local  
          plans created by a strategy committee which includes at a  
          minimum the local sheriff, the chief probation officer, the  
          county mental health director, a superior court judge, a  
          client of a mental health facility, and a provider of  
          mental health in the region.  The local plans are then  
          reviewed by the Board of Corrections in consultation with  
          the State Department of Mental Health and the State  
          Department of Alcohol and Drug Programs.

          According to the Board of Corrections Analysis of MIOCRG  
          Local Plans<1> in March 1999, the Board of Corrections  
          received a total of 44 Local Plans from 45 counties.  The  
          counties were fairly evenly divided between large, medium,  
          and small counties and are from throughout California.   
          MIOCRG currently supports demonstration projects in 15  
          counties.

          In reviewing the needs expressed by the Local Plans, the  



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          <1> Available on the internet at bdcorr.ca.gov 



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          Board of Corrections noted "a large number of Local Plans  
          recognized that in many cases successful reintegration will  
          not happen without involving the courts."  A number of  
          counties cited the need for specialized-court orders and  
          others also cited the need for a specialized court.







































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          This bill provides that a preference shall be given to  
          crime reduction grant proposals that establish or implement  
          a mental health court.







          3.   Mental Health Courts  

          This bill provides that a component of the Local Plan may  
          be the development and implementation of a mental health  
          court.  This bill provides that a mental health court shall  
          have the following objectives:

           increased cooperation between the criminal justice system  
            and mental health systems;
           faster case processing time;
           improved access to necessary services and support;
           improved well-being for offenders with mental illness;
           reduced recidivism.

          This bill provides that the mental health court will  
          provide for alternatives to incarceration including  
          diversion from prosecution, sentencing alternatives, or a  
          term of probation.  This would allow a judge to place a  
          defendant in treatment for his or her mental illness  
          instead of incarcerating the defendant.  However, existing  
          law provides that the grant funds may not be used "to  
          facilitate the early release of prisoners or alternatives  
          to incarceration."  (Penal Code  6045.5)  This bill will  
          be in contradiction with that existing provision, unless  
          that existing provision is removed.

          This bill provides that referral to the mental health court  
          can come from a variety of sources such as the police,  
          family, and attorneys.











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          This bill allows the local court to develop the criteria  
          for acceptance into, continuing participation in, and  
          graduation from a mental health court program. 

          It provides that the health court shall use existing staff,  
          but that the county mental health department shall provide  
          initial and ongoing training for the staff.

          SHOULD THE COMPREHENSIVE LOCAL PLANS ELIGIBLE FOR THE  
          MIOCRG PROGRAM BE PERMITTED TO INCLUDE MENTAL HEALTH  
          COURTS?

          SHOULD MENTAL HEALTH COURTS BE PERMITTED TO USE DIVERSION  
          AND THUS SHOULD THE EXISTING LAW BE CHANGED TO DELETE THE  
          PROHIBITION ON USING GRANT MONEY FOR ALTERNATIVES TO  
          INCARCERATION?

          SHOULD THE CRITERIA FOR PARTICIPATION IN A MENTAL HEALTH  
          COURT PROGRAM BE LEFT TO THE LOCAL JURISDICTION?


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