Santa Clara Mental Health Challenge: Santa Clara County is fast-tracking the adoption of new conservatorship rules for individuals grappling with severe mental illness and substance use disorders. While the initiative is commendable, the path forward is complex and costly. The Board of Supervisors has unanimously endorsed a timeline for changes to Senate Bill 43, expanding the definition of “gravely disabled.” However, the absence of state funding places a fiscal burden on the county, facing a potential $158 million deficit in the 2024-25 fiscal year.
Deputy County Executive Ky Le acknowledged the significant financial demands, stating, “Significant assets will be needed to implement SB 43, and the state has not yet made additional resources available.” The law, effective from January 1, requires counties to fully implement changes by January 2026, presenting both a time constraint and financial challenge.
SB 43 broadens the definition of “gravely disabled” to include an inability to manage medical care and personal safety, impacting individuals with substance use disorders. The law mandates consideration of CARE Court and Assisted Outpatient Treatment before conservatorship and imposes stricter reporting requirements for behavioral health and LPS facilities.
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Involuntary placement in locked facilities for treatment is a key aspect of conservatorship. SB 43 extends this to individuals with substance use disorders, despite the absence of locked facilities for this population, who typically seek voluntary help. New facilities are imperative, but funds from the Mental Health Services Act can’t be applied to involuntary commitment programs.
County Executive James Williams highlights the potential passage of Prop. 1 as a source of infrastructure funds, yet limitations exist on the use of Mental Health Services Act funding for services, operations, or administrative costs.
SB 43 follows the CARE Act, creating a combined need for increased beds, new facilities, staff retraining, and policy implementation, necessitating a significant reallocation of funds and potential cuts to other programs. Public comments underscored the need for transparency and regular updates, acknowledging the intricate journey of mental health reform.
Supervisor Susan Ellenberg emphasizes the approval as a crucial step in mental health reform, acknowledging the ongoing work required for successful implementation.
Our Reader’s Queries
What is the Santa Clara Act program?
Our approach is rooted in the Assertive Community Treatment (ACT) model. We work collaboratively with you to pinpoint your objectives, determine the best starting point, and chart a course of action. Our aim is to help you identify your strengths, acknowledge past challenges, and break down your aspirations into manageable steps. With our guidance, you can achieve your goals and overcome any obstacles that may arise.
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.
Is a mental health challenge the same as a crisis?
When it comes to mental health, emergencies are typically reserved for life-threatening situations. However, crises can still be incredibly distressing, even if they don’t necessarily indicate an immediate risk of harm to oneself or others.
What is the pert team in santa clara county?
Santa Clara County’s Psychiatric Emergency Response Teams (PERT) are specialized units consisting of a licensed mental health clinician and a deputy or officer. These two-person teams work together to respond to 911 calls for service in designated law enforcement jurisdictions, regardless of the caller’s insurance status. PERT’s joint response ensures that individuals in crisis receive the appropriate care and support they need.