Newsom's Threat to Withhold Funding for Inadequate Mental Health Courts in California
Governor Gavin Newsom has taken a firm stance against California counties that have failed to effectively implement his groundbreaking mental health court program, CARE Court. Frustrated by the slow progress, Newsom threatened to withhold funding from counties that are not meeting the program's goals, citing 10 underperforming counties. This move has sparked debate and raised questions about the effectiveness and fairness of the program.
Newsom's criticism focuses on counties like Los Angeles, Orange, San Francisco, and others, which he believes are not adequately addressing the mental health crisis. He emphasized the need for immediate action, stating, 'I'm ready to redirect every penny to those counties that are making a tangible difference.'
However, not all counties are in the same position. Orange County, for instance, has been quick to defend its efforts, asserting that it is fully utilizing the CARE intervention. The OC Health Care Agency, leading mental health treatment in the county, stated, 'Orange County is making significant strides in providing effective treatment options.'
The CARE Court program, launched in 2023, aims to help Californians with severe mental illness who have not responded to traditional treatment methods. It was initially introduced in eight counties and later expanded statewide. The program's goal is to intervene in the lives of vulnerable individuals experiencing psychosis and homelessness, offering them the necessary support and treatment.
Despite the program's potential, a CalMatters investigation revealed that CARE Court has served fewer Californians than anticipated. Many families who relied on the program for their loved ones' well-being have expressed disappointment. The program also faces challenges in transitioning individuals from the streets to stable housing.
As of January, the state had received 3,817 petitions for CARE Court intervention. Judges have approved only 893 treatment agreements, and 32 individuals have been ordered into CARE plans due to their refusal or inability to agree to voluntary treatment. Newsom's administration initially estimated that 7,000 to 12,000 Californians would qualify for CARE Court.
Newsom's administration has identified counties like Alameda, Humboldt, and others as successful examples of CARE Court implementation. These counties have been dubbed 'CARE champions' based on the number of petitions received per capita. However, the evaluation method has been criticized for not considering other crucial factors, such as the number of successful treatment agreements, dismissed petitions, and graduations from the program.
San Diego County, for instance, has the highest number of graduations from CARE Court, yet it was not included in the 'CARE champion' list. This raises questions about the fairness and comprehensiveness of the evaluation criteria.
To support struggling counties, Newsom promised additional assistance through the CARE Improvement and Coordination Unit. The state is already providing technical support and training to some communities. However, the specifics of this support remain unclear.
The controversy surrounding CARE Court highlights the complex nature of addressing mental health issues in California. While some counties are making progress, others are falling behind, leading to potential funding consequences. The debate continues as to whether the evaluation methods are fair and whether additional support is sufficient to address the mental health crisis effectively.