Programs Flashcards
Court Liaison Program
Problem solving collabo betw. DMH and LA Cty. superior court
1370.01 PC Program. (MIST)
Penal Code 1370: collabo with Jail Mental Health Program to expedite stabilization of OUT OF CUSTODY MIST for tx. and restoration of competency.
Measure J
- November 3, 2020, the voters of Los Angeles County approved Measure J
- November 10, 2020, the Los Angeles County Board of Supervisors adopted the Measure J Revenue Allocation Process motion and directed the Chief Executive Officer (CEO) to establish a 17-member Measure J Reimagine LA Advisory Committee (Advisory Committee).
- mandates that 10% of unrestricted funds be directed to Direct community investment and ATI- 3 years to work up to the 10% threshold.
- The work of the Advisory Committee culminates in funding recommendations to the CEO based on the following categories:
Community-based restorative justice programs
Pre-trial non-custody services and treatment
Community-based health services
Non-custodial diversion and reentry programs
Youth development and education
Workforce development
Small business development for minority owned businesses
Rental assistance and housing supportive services
Capital funding (housing)
CODC
Co-Occurring Disorders Court:
- out of CCB court- IS A CCC court, so probation-driven
- Eddie and Eufel work this court.
- dedicated court for individuals facing co-occurring disorders. The Co-Occurring Disorders Court (CODC) program is designed as an alternative for eligible adults to county jail with a purpose of reducing recidivism and reintegrating individuals back into the community (i.e. eliminate homelessness).
Project 180 only provider for CODC?
- formed in 2007 and designed to help the downtown Los Angeles Skid Row population,
- here are approximately sixty people in the program at any one time, which lasts twelve to fifteen months.
- The primary target population for the program is non-violent felony drug offenders who have
both a severe, chronic substance abuse disorder and serious, persistent mental illness, and are
homeless or at risk for homelessness and have had frequent contacts with the criminal justice
system.
Participants that have repeatedly failed in Proposition 36 programs or Drug Court due to their
underlying mental illness - Every person accepted for the program begins with a three-month residential stay at a Los Angeles County-owned and operated Antelope Valley Rehabilitation Center in Acton, out east of Santa Clarita and south of Lancaster. Following this, the program participant will move into a Department of Mental Health (DMH) Full Service Partnership (FSP) provider that provides further mental health treatment.
- Participants who complete the whole program will go through an informal graduation ceremony in Department 42. They can then ask the judge for early termination of probation and expungement of the conviction under Penal Code § 1203.4.
Project 180
Agency providing lots of diversion services: MIST, AB 109, CODC
Olive Vista Bx. Health Center
SNF; IMD for forensically mentally ill patients;
Olive Vista Behavioral Health Center:
located in Pomona run by DHS
Social Model Recovery Systems - Omni Center
Omni Center in El Monte offers inpatient treatment for men with alcohol and/or substance addiction. The program includes dual diagnosis treatment, family support, 12-step meetings, individual counseling and more. Social Model Recovery Systems - Omni Center is located at El Monte, California.
Residential recovery program in El Monte provides a structured living environment in an atmosphere of recovery. Each day begins with morning meditation and reflection. Residents attend daily groups, participate in recreational and social activities, and receive individual counseling. In the evening, residents may attend on-site or outside Twelve Step meetings (nightly Twelve Step fellowship meetings are held at the Amstone Hall, just a step away from the Center).
10 beds
have inpatient and 12-step
group and individual
CON REP
Conditional Release Program–
CONREP - DHSs Conditional Release Program - is a statewide system of community based services which treats patients with the following commitment types: Not Guilty by Reason of Insanity, Incompetent to Stand Trial, Mentally Disordered Offenders, and some parolees who have been released to outpatient status.
Most patients in the CONREP program have gotten there after a lengthy stay in a state hospital. Once psychiatric symptoms have been stabilized and the patients are considered no longer to be a danger, the state hospital medical director recommends eligible inpatients to the courts for outpatient treatment under CONREP.
Individuals must agree to follow a treatment plan designed by the outpatient supervisor and approved by the committing court. The court-approved treatment plan includes provisions for involuntary outpatient services.
In order to protect the public, individuals who do not comply with treatment may be returned to a state hospital.
CONREP patients receive an intensive regimen of treatment and supervision that includes individual and group contact with clinical staff, random drug screenings, home visits, substance abuse screenings and psychological assessments. The Department has performance standards for these services which set minimum treatment and supervision levels for patients in the program. Each patient is evaluated and assessed while they are in the state hospital, upon entry into the community, and throughout their CONREP treatment.
CONREP patients demonstrate significant improvements in employment, social support and independence after one year in the program.
AB 109
REFERRED TO AS “REALIGNMENT”
In April 2011, the California Legislature and Governor Brown passed sweeping public safety legislation (AB 109) that effectively shifted responsibility for certain populations of offenders from the state to the counties. Assembly Bill 109 establishes the California Public Safety Realignment Act of 2011 which allows for current non-violent, non-serious, and non-sex offenders, who after they are released from California State prison, are to be supervised at the local County level. Instead of reporting to state parole officers, these offenders are to report to local county probation officers.
AB 109 is fashioned to meet the U.S. Supreme Court Order to reduce the prison population of the State’s 33 prisons. Noteworthy is the fact that no inmates currently in state prison will be transferred to county jails or released early. The law, effective October 1, 2011 also mandates that individuals sentenced to non‐serious, non‐violent or non‐sex offenses will serve their sentences in county jails instead of state prison.
The Post-Release Community Supervision Act of 2011 requires the County’s post-Release supervision strategy be consistent with Evidence-Based Practices (EBP) to reduce recidivism (Penal Code 3450). As a result, the Probation Department implemented and continues to strengthen its program model to be consistent with EBP research.
LA CADA
L.A. CADA offers both intensive outpatient (IOP) and outpatient (OP) treatment services for adults with substance use or co-occurring disorders, ages 18 and over, in English and in Spanish, from two locations: Santa Fe Springs and Downtown Los Angeles. The level of care and length of treatment varies – dependent upon the unique needs and challenges of the client, the referral source, the funding source and the client’s progress in treatment. Clients are screened in accordance with the accepted ASAM Criteria, and assessments and intakes can be scheduled within 24 hours of contacting us.
L.A. CADA utilizes evidence based curriculum (Living in Balance, Seeking Safety, Breaking Barriers, Helping Men Recover, Helping Women Recover, Project Fatherhood and Staying Sober) in various psycho-educational group counseling sessions offered during the day and in evenings. Clients also receive individual counseling sessions, individualized treatment planning, including case management, and all services are coordinated with like-minded community health partners.
AB 1810
Pre-trial Diversion:
• establish a procedure of diversion for defendants with mental disorders through which the court would be authorized to grant pretrial diversion, for a period no longer than 2 years
* must have axis I d/o and NOT axis II and Pedophilia- must have recent dx. from clinician
• misdemeanor or felony
• condition eligibility on a court finding that the defendant’s mental disorder played a significant role in the commission of the charged offense.
• authorize a referral for mental health treatment to be made to a county mental health agency, existing collaborative courts, or assisted outpatient treatment only if that entity has agreed to accept responsibility for the treatment
• requires the court, after notice to the defendant, defense counsel, and the prosecution, to hold a hearing to determine whether the criminal proceedings should be reinstated, whether the treatment program should be modified, or whether the defendant should be conserved and referred to the conservatorship investigator, if the defendant is charged with, or is engaged in, certain criminal offenses, if the defendant is performing unsatisfactorily in diversion, or if the defendant is gravely disabled
• If the defendant has performed satisfactorily in diversion, the bill would require the court to dismiss the defendant’s criminal charges, with a record filed with the Department of Justice indicating the disposition of the case diverted, and the arrest deemed never to have occurred
SB 1338
CARE COURT:
Community Assistance Recovery and Empowerment
his bill would enact the Community Assistance, Recovery, and Empowerment (CARE) Act, which would authorize specified people persons to petition a civil court to create a voluntary CARE agreement or a court-ordered CARE plan and implement services, to be provided by county behavioral health agencies, to provide behavioral health care, including stabilization medication, and housing support housing, and other enumerated services to adults who are suffering from schizophrenia spectrum and psychotic disorders and who lack medical decision-making capacity. meet other specified criteria.
The bill would authorize the CARE plan to be extended once, for up to one year year, and prescribes the requirement for the graduation plan that is required upon leaving the CARE program.
require the court to appoint counsel and a CARE supporter for the respondent, unless the respondent has their own or chooses not to have a CARE supporter.
CARE Supporter program, which would make available a trained CARE supporter to each respondent. respondent, who can accept, decline, or choose their own voluntary, unpaid CARE supporter. The bill would require optional training to be made available for volunteer CARE supporters
This bill, for misdemeanor defendants who have a misdemeanor defendant who has been determined to be incompetent to stand trial, would authorize the court to refer the defendant to the CARE program.
“CARE agreement” means a settlement agreement entered into through the initial engagement period in the CARE court process that does not include court orders.
“CARE plan” means an individualized, clinically appropriate range of behavioral health related services and supports provided by a county behavioral health agency, including, but not limited to, clinical care, consisting of behavioral health care, stabilization medications, and a housing plan, housing, and enumerated services,
“CARE supporter” means an adult, designated pursuant to Chapter 4 (commencing with Section 5980), who assists the person who is the subject of the petition, which may include supporting the person to understand, make, communicate, implement, or act on their own life decisions during the CARE court process.
“Graduation plan” means a CARE plan that is developed by the person who is the subject of the petition, with assistance from a CARE supporter, as needed, and the person’s treatment team. The graduation plan shall include a strategy to support a successful transition out of court jurisdiction and may include a psychiatric advance directive.
“Psychiatric advance directive” means a legal document document, executed on a voluntary basis by a person who has the capacity to make medical decisions, that allows a person with mental illness to protect their autonomy and ability to self-direct care by documenting their preferences for treatment in advance of a mental health crisis.
CARE COURT PROCESS
Referral
Individual with untreated schizophrenia spectrum or other psychotic disorder who lacks medical decision-making capacity may be referred to the court by a family member, behavioral health provider, first responder, or other approved party to provide care and prevent institutionalization.
Clinical Evaluation
The civil court orders a clinical evaluation and appoints public defender and Supporter. Court reviews the clinical evaluation and, if the individual meets the criteria, the court orders the development of a Care Plan.
Care Plan
Care Plan is developed by county behavioral health, participant and Supporter including behavioral health treatment, stabilization medication, and a housing plan. Court reviews and adopts the Care Plan with both the individual and county behavioral health as party to the court order for up to 12 months.
Support
County behavioral health care team, with participant, and Supporter, begin treatment and regularly review and update Care Plan, as needed, as well as a Mental Health Advance Directive for any future crises. Court provides accountability with status hearings, for up to a second 12 months, as needed.
Success
Successful completion and graduation by the Court. Participant remains eligible for ongoing treatment, supportive services, and housing in the community to support long term recovery. Mental Health Advance Directive in place for any future crises.
Care Court Criteria
(a) 18+
(b) Dx. of schizophrenia spectrum or other psychotic disorder,
(c) The person is not clinically stabilized in on-going treatment with the county behavioral health agency. agency or other treatment provider.
(d) The person currently lacks medical decision-making capacity.
(d) At least one of the following is true:
(1) The person’s impaired insight or judgment presents a risk to their health and safety.
(2) The person is in need of services and supports in order to prevent a relapse or deterioration that would be likely to result in grave disability or serious harm to the person or others, as defined in Section 5150.
(e) Participation in CARE court would be the least restrictive alternative necessary to ensure the person’s recovery and stability.
(f) It is likely that the person will benefit from CARE court.
Who can refer for Care Court?
(a) A person 18 years of age or older with whom the respondent resides.
(b) A spouse, parent, adult sibling, or adult child of child, or grandparent or other adult who stands in loco parentis to the respondent.
(c) The director of a hospital, or their designee, in which the respondent is hospitalized, including hospitalization pursuant to Section 5150 or 5250.
(d) The director of a public or charitable organization, agency, or home, or their designee, currently or previously providing behavioral health services to the respondent or in whose institution the respondent resides.
(e) A qualified licensed behavioral health professional, or their designee, who is, or has been, either supervising the treatment of, or treating the respondent for a mental illness.
(f) A first responder, including a peace officer, firefighter, paramedic, emergency medical technician, mobile crisis response worker, or homeless outreach worker. worker, who has had repeated interactions with the respondent in the form of multiple arrests, multiple detentions and transportation pursuant to Section 5150, multiple attempts to engage the respondent in voluntary treatment, or other repeated efforts to aid the respondent in obtaining professional assistance.
(g) The public guardian or public conservator, or their designee, of the county in which the respondent is present or reasonably believed to be present.
(h) The director of a county behavioral health agency, or their designee, of the county in which the respondent is present or reasonably believed to be present.
(i) The director of a California Indian health services program, California tribal behavioral health department, or their designee.
(j) The judge of a tribal court that is located in California, or their designee.
(k) A prosecuting attorney, pursuant to subdivision (b) of Section 5978.
(l) The respondent.
