Santa Clara County Tackles Mental Health: A Journey of Compassion and Challenge

Santa Clara County Tackles Mental Health: In a unanimous decision, the Santa Clara County Board of Supervisors is diving into the complex and expensive process of implementing new conservatorship rules for individuals grappling with severe mental illness and substance use disorders.

The move comes as the county grapples with a potential $158 million deficit for the 2024-25 fiscal year. The challenge arises from changes to Senate Bill 43, signed into law by Gov. Gavin Newsom in October, which expands the definition of “gravely disabled” under the existing Lanterman Petris Short (LPS) conservatorship.

The law, effective from January 1, requires counties to redefine “gravely disabled” and implement changes by January 2026. The amended definition includes the inability to manage medical care and personal safety, now covering individuals with substance use disorders.

However, the implementation process is not without hurdles. Deputy County Executive Ky Le highlighted the lack of state funding for SB 43, placing the burden on Santa Clara County’s general fund. County Executive James Williams noted the potential for cuts to other departments and programs to meet the increased demands on the behavioral health department.

Public guardians must now prove medical records are from a health practitioner, and behavioral health and LPS facilities face heightened reporting requirements. The law also mandates considering CARE Court and Assisted Outpatient Treatment options before resorting to conservatorship.

As the county navigates this mental health reform, transparency and quarterly updates have been requested by the public. Supervisor Susan Ellenberg emphasized the significance of this decision as a crucial step in the ongoing process of mental health reform, acknowledging the challenges ahead.

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Our Reader’s Queries

What is Laura’s law in Santa Clara County?

Santa Clara County’s AOT program, also referred to as Laura’s Law, offers a crucial solution for individuals with severe mental illness who are at risk. This program provides temporary court-ordered outpatient care, ensuring that those in need receive the necessary treatment and support. By offering this service, Santa Clara County is taking a proactive approach to mental health care, helping to prevent crises and improve the overall well-being of its residents. The AOT program is a vital resource for those struggling with mental illness, and it serves as a beacon of hope for those seeking help.

When should you walk away from someone with mental illness?

When a relationship starts to take a toll on your emotional well-being or mental health, it’s important to take a step back and evaluate the situation. If you find yourself constantly drained or dealing with toxic behavior that doesn’t improve, it may be time to consider ending the relationship. Remember, your own well-being should always come first.

How do you help a mentally ill person who doesn t want help?

If someone refuses your help, it’s important to be patient and understanding. You can offer emotional support and reassurance to let them know you’re there for them. It’s also helpful to inform them of resources available to them when they’re ready, such as our pages on talking to a GP and what to expect during an appointment. Remember to respect their decision and continue to offer support in a non-intrusive way.

What to do with a mentally ill family member who refuses treatment?

When someone declines mental health treatment, it’s crucial to actively listen, express your worries, and inquire about how you can assist. In the event of a mental health crisis, it’s critical to act quickly by contacting 911 or your local crisis response team.

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