Most People Seriously Injured, Killed by San José Police are Mentally Ill or Intoxicated
Q&A: New Investigation Finds Most People Injured, Killed by San José Police are Mentally Ill or Intoxicated
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She is a classically trained violinist and proud alum of the first symphony orchestra at Burning Man.","avatar":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twitter":"adembosky","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["author"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"April Dembosky | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/adembosky"},"ecruzguevarra":{"type":"authors","id":"8654","meta":{"index":"authors_1591205172","id":"8654","found":true},"name":"Ericka Cruz Guevarra","firstName":"Ericka","lastName":"Cruz Guevarra","slug":"ecruzguevarra","email":"ecruzguevarra@kqed.org","display_author_email":true,"staff_mastheads":["news"],"title":"Producer, The Bay Podcast","bio":"Ericka Cruz Guevarra is host of \u003ca href=\"https://www.kqed.org/podcasts/thebay\">\u003cem>The Bay\u003c/em>\u003c/a> podcast at KQED. Before host, she was the show’s producer. Her work in that capacity includes a three-part reported series on policing in Vallejo, which won a 2020 excellence in journalism award from the Society of Professional Journalists. Ericka has worked as a breaking news reporter at Oregon Public Broadcasting, helped produce the Code Switch podcast, and was KQED’s inaugural Raul Ramirez Diversity Fund intern. She’s also an alumna of NPR’s Next Generation Radio program. Send her an email if you have strong feelings about whether Fairfield and Suisun City are the Bay.","avatar":"https://secure.gravatar.com/avatar/25e5ab8d3d53fad2dcc7bb2b5c506b1a?s=600&d=blank&r=g","twitter":"NotoriousECG","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["subscriber"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["subscriber"]},{"site":"stateofhealth","roles":["subscriber"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["subscriber"]}],"headData":{"title":"Ericka Cruz Guevarra | KQED","description":"Producer, The Bay Podcast","ogImgSrc":"https://secure.gravatar.com/avatar/25e5ab8d3d53fad2dcc7bb2b5c506b1a?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/25e5ab8d3d53fad2dcc7bb2b5c506b1a?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/ecruzguevarra"},"amontecillo":{"type":"authors","id":"11649","meta":{"index":"authors_1591205172","id":"11649","found":true},"name":"Alan Montecillo","firstName":"Alan","lastName":"Montecillo","slug":"amontecillo","email":"amontecillo@kqed.org","display_author_email":false,"staff_mastheads":["news"],"title":"KQED Contributor","bio":"Alan Montecillo is editor of \u003cem>\u003ca href=\"http://kqed.org/thebay\">The Bay\u003c/a>, \u003c/em>a local news and storytelling podcast from KQED. He's worked as a senior talk show producer for WILL in Champaign-Urbana, Illinois, and was the founding producer and editor of \u003cem>Racist Sandwich\u003c/em>, a podcast about food, race, class, and gender. He is a Filipino-American from Hong Kong and a graduate of Reed College in Portland, Oregon.","avatar":"https://secure.gravatar.com/avatar/d5e4e7a76481969ccba76f4e2b5ccabc?s=600&d=blank&r=g","twitter":"alanmontecillo","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"","roles":["editor"]},{"site":"news","roles":["editor"]}],"headData":{"title":"Alan Montecillo | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/d5e4e7a76481969ccba76f4e2b5ccabc?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/d5e4e7a76481969ccba76f4e2b5ccabc?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/amontecillo"},"mesquinca":{"type":"authors","id":"11802","meta":{"index":"authors_1591205172","id":"11802","found":true},"name":"Maria Esquinca","firstName":"Maria","lastName":"Esquinca","slug":"mesquinca","email":"mesquinca@kqed.org","display_author_email":false,"staff_mastheads":[],"title":"Producer, The Bay","bio":"María Esquinca is a producer of The Bay. Before that, she was a New York Women’s Foundation IGNITE Fellow at Latino USA. She worked at Radio Bilingue where she covered the San Joaquin Valley. Maria has interned at WLRN, News 21, The New York Times Student Journalism Institute and at Crain’s Detroit Business as a Dow Jones News Fund Business Reporting Intern. She is an MFA graduate from the University of Miami. In 2017, she graduated from the Walter Cronkite School of Journalism and Mass Communication with a Master of Mass Communication. A fronteriza, she was born in Ciudad Juárez, Chihuahua, Mexico and grew up in El Paso, Texas.","avatar":"https://secure.gravatar.com/avatar/77cedba18aae91da775038ba06dcd8d0?s=600&d=blank&r=g","twitter":"@m_esquinca","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]}],"headData":{"title":"Maria Esquinca | KQED","description":"Producer, The Bay","ogImgSrc":"https://secure.gravatar.com/avatar/77cedba18aae91da775038ba06dcd8d0?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/77cedba18aae91da775038ba06dcd8d0?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/mesquinca"},"apelit":{"type":"authors","id":"11812","meta":{"index":"authors_1591205172","id":"11812","found":true},"name":"Attila Pelit","firstName":"Attila","lastName":"Pelit","slug":"apelit","email":"apelit@kqed.org","display_author_email":false,"staff_mastheads":[],"title":"KQED Contributor","bio":null,"avatar":"https://secure.gravatar.com/avatar/9b7b8a9e595d58a1f4d853f8608ae584?s=600&d=mm&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"elections","roles":["editor"]},{"site":"liveblog","roles":["editor"]}],"headData":{"title":"Attila Pelit | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/9b7b8a9e595d58a1f4d853f8608ae584?s=600&d=mm&r=g","twImgSrc":"https://secure.gravatar.com/avatar/9b7b8a9e595d58a1f4d853f8608ae584?s=600&d=mm&r=g"},"isLoading":false,"link":"/author/apelit"},"rvasquez":{"type":"authors","id":"11860","meta":{"index":"authors_1591205172","id":"11860","found":true},"name":"Rachael Vasquez","firstName":"Rachael","lastName":"Vasquez","slug":"rvasquez","email":"rvasquez@KQED.org","display_author_email":false,"staff_mastheads":["news"],"title":"KQED Contributor","bio":"Rachael Vasquez is a weekend host and editor at KQED. She’s worked in public radio for years, most recently at Wisconsin Public Radio in Madison, Wis. where she woke up very early as a producer for the network’s statewide \"Morning Edition\" broadcast, later serving as a producer for the stations’s afternoon talk show \"Central Time,\" and going on to report on business and economics during the coronavirus pandemic. In addition to hearing her anchor the afternoon newscasts every weekend at KQED, you can find her working with a number of different teams including the weekday newsroom and \"Forum.\" Rachael is an East Bay native who loves watching old movies and cooking her abuelita’s recipes.","avatar":"https://secure.gravatar.com/avatar/a1defdae97cbdde04c13baacacd7c94a?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]}],"headData":{"title":"Rachael Vasquez | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/a1defdae97cbdde04c13baacacd7c94a?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/a1defdae97cbdde04c13baacacd7c94a?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/rvasquez"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11964307":{"type":"posts","id":"news_11964307","meta":{"index":"posts_1591205157","site":"news","id":"11964307","score":null,"sort":[1697191222000]},"guestAuthors":[],"slug":"most-people-injured-killed-by-san-jose-police-are-mentally-ill-or-intoxicated","title":"Most People Seriously Injured, Killed by San José Police are Mentally Ill or Intoxicated","publishDate":1697191222,"format":"audio","headTitle":"Most People Seriously Injured, Killed by San José Police are Mentally Ill or Intoxicated | KQED","labelTerm":{},"content":"\u003cp>\u003ca href=\"#episode-transcript\">\u003ci>\u003cspan style=\"font-weight: 400\">View the full episode transcript.\u003c/span>\u003c/i>\u003c/a>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">A \u003c/span>\u003ca href=\"https://www.mercurynews.com/2023/10/08/when-san-jose-police-confront-people-in-mental-health-crisis-why-do-they-end-up-hurting-them-so-often/\">\u003cspan style=\"font-weight: 400\">new investigation\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> from the Bay Area News Group, KQED, and the California Reporting Project finds that the vast majority of people seriously injured or killed by San José police are either mentally ill or intoxicated. KQED’s Rachael Vasquez spoke with one of the reporters, Robert Salonga, about how that trend has only continued, if not slightly worsened, with crisis intervention training.\u003c/span>\u003c/p>\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC9065930635&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Links:\u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003ca href=\"https://www.mercurynews.com/2023/10/08/when-san-jose-police-confront-people-in-mental-health-crisis-why-do-they-end-up-hurting-them-so-often/\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">Losing control: When San Jose police confront people in mental health crisis, why do they end up hurting them so often?\u003c/span>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong> I’m Ericka Cruz Guevarra, and welcome to the Bay. Local news to keep you rooted. For years, we’ve been hearing a lot of talk about training police officers to do a better job at de-escalating difficult situations and preventing more civilians from getting hurt or even killed by the police. The San Jose Police Department has been seen as a leader on this. Since 2017, all officers have undergone what’s known as crisis intervention training. But an investigation from the Bay Area News Group, KQED, and the California Reporting Project highlights the limits of that training. Today, KQED’s Rachael Vasquez speaks with Robert Solanga of the Bay Area News Group about the investigation and its findings. Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Rachael Vasquez: \u003c/strong>Well, Robert, you and your team reviewed thousands of pages of police records for this story. What’s the most important takeaway in your mind?\u003c/p>\n\u003cp>\u003cstrong>Robert Solanga: \u003c/strong>The most important takeaway is the limit to which so-called crisis intervention training had an effect on the rates of people with mental illness or psychiatric emergencies, suffering serious use of force at the hands of San Jose police. There was a demarcation line in 2017 when the department instituted it department wide. And what we can tell from before and from after is that the numbers of people were being seriously injured who are mentally ill, have a psychiatric crisis or are intoxicated to the point where they exhibit similar behavior did not change significantly. So it definitely calls into question how effective this training is and bolsters a lot of movements and programs all over the country about finding an alternative to police when it comes to responding to these kinds of emergencies.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>One example highlighted in the investigation involves the violent arrest of William Wallace in May of 2021. Wallace was stopped by Officer Barron Kim for jaywalking with his bike across an empty street near downtown San Jose. Officer Kim ordered Wallace to stop, but Wallace walked away erratically instead, according to police records and body camera footage. Officer Kim grabs Wallace, who responds with threats, pushes his bike at the officer and reportedly throws a punch. Officer Kim chased Wallace and beat him with his hands and a baton, leaving Wallace with a broken nose. According to the investigation, Officer Kim suspected. Wallace says, quote, Bizarre behavior stemmed from mental illness or intoxication. But as Robert tells Rachel, this example raises questions about why the officer confronted someone he thought was mentally impaired in the first place.\u003c/p>\n\u003cp>\u003cstrong>Robert Solanga: \u003c/strong>At no point did it seem like Mr. Wallace was posing any kind of imminent physical threat. His offense seemed more that he was not complying with the officer and eventually got physical and between both sides, and it resulted in a broken nose for Mr. Wallace for, again, an underlying offense initially of jaywalking.\u003c/p>\n\u003cp>\u003cstrong>Rachael Vasquez: \u003c/strong>Robert, what do San Jose police have to say about your findings?\u003c/p>\n\u003cp>\u003cstrong>Robert Solanga: \u003c/strong>The general response from San Jose police has been to point out that the data we looked at, which covers strictly serious injury and death, are a small fraction of the psychiatric emergency calls and calls of that type that they encounter overall. So what they’re arguing is that this is a small slice of outcomes that typically and peacefully. They also state that the number of calls that involve someone in psychiatric emergency or with an apparent mental illness has more than doubled over the last few years. And so generally their point is the number of times they have to deal with this scenario has skyrocketed. And so that’s generally what what their responses.\u003c/p>\n\u003cp>\u003cstrong>Rachael Vasquez: \u003c/strong>That said, if training hasn’t worked so far, what can police do to make these interactions less violent and in some cases less deadly?\u003c/p>\n\u003cp>\u003cstrong>Robert Solanga: \u003c/strong>I think one of the main takeaways we got from doing all of this data review is there are a lot of scenarios in which the underlying offense for a police contact is relatively minor, such as jaywalking, for instance. And so the question that arises out of this. Absent more effective training or a new alternative to responding to these kinds of cases, because right now police are often our primary people to turn to for any kind of 911 call or nuisance call or anything along those lines. I think there ought to be a review and some introspection about when they can let things go and when they should it. And when we’ve brought that question and posed that question to police. They generally agree and say their officers have full discretion on whether to walk away. But we know that the reality is it’s not that easy and it’s not that simple.\u003c/p>\n\u003cp>\u003cstrong>Rachael Vasquez: \u003c/strong>And in fairness, I would guess that walking away from a situation would be pretty counterintuitive to police.\u003c/p>\n\u003cp>\u003cstrong>Robert Solanga: \u003c/strong>It’s a very difficult thing to consider because when people call 911, they call police. They expect police to solve the problem. They expect them to respond and do something about it. And if police officers exercised that discretion of the offense that we’re being called in for is not worth the potential escalation of violence, then they also have to be accountable to the public and residents and again, people who expect something to be done when they call for help.\u003c/p>\n\u003cp>\u003cstrong>Rachael Vasquez: \u003c/strong>Well, I know you’ve talked to families whose loved ones have been killed by police in these kinds of interactions. What do they tell you about what they want to see change?\u003c/p>\n\u003cp>\u003cstrong>Robert Solanga: \u003c/strong>The families of victims want to see more recognition of mental illness in psychiatric emergencies in the moments they understand that this isn’t black and white, it’s very gray. There’s a combination of both a psychiatric emergency and some danger to the officers or to the public, but they don’t believe that should necessarily equal what they call a death sentence just for calling. That’s the broadest take away is this idea of taking time, exercising patience, keeping distance when being up close to someone isn’t absolutely necessary. It’s along the lines of wanting to make sure that serious use of force and lethal force are really used as a last resort.\u003c/p>\n\u003cp>\u003cstrong>Rachael Vasquez: \u003c/strong>All right, Robert, thank you so much.\u003c/p>\n\u003cp>\u003cstrong>Robert Solanga: \u003c/strong>Thank you.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was the Bay Area news groups. Robert Solanga speaking with KQED’s Rachael Vasquez, KQED’s Lisa Pickoff-White and Mercury News reporter Harriet Rowan also investigated this story with reporters from the California newsroom. Berkeley journalism’s investigative reporting program. and Stanford University. We’ll leave you a full link to the investigation in our show notes.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>This conversation was cut down and edited by senior editor Alan Montecillo. It was produced by Azul Dahlstrom-Eckman and scored by producer Maria Esquinca. Music courtesy of the audio network. Shout out as well to the rest of the podcast leadership team. That’s Jen Chien, our director of podcasts. Katie Sprenger, our podcast operations manager. We get audience engagement support from Cesar Saldana, and Holly Kiernan is our chief content officer. The Bay is a production of member-supported KQED. I’m Ericka Cruz Guevarra. Thanks for listening. Talk to you next week.\u003c/p>\n\n","blocks":[],"excerpt":"The vast majority of people seriously injured or killed by San José police are either mentally ill or intoxicated.","status":"publish","parent":0,"modified":1700689033,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":1388},"headData":{"title":"Most People Seriously Injured, Killed by San José Police are Mentally Ill or Intoxicated | KQED","description":"The vast majority of people seriously injured or killed by San José police are either mentally ill or intoxicated.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Most People Seriously Injured, Killed by San José Police are Mentally Ill or Intoxicated","datePublished":"2023-10-13T10:00:22.000Z","dateModified":"2023-11-22T21:37:13.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"source":"The Bay ","sourceUrl":"https://www.kqed.org/podcasts/thebay","audioUrl":"https://www.podtrac.com/pts/redirect.mp3/chrt.fm/track/G6C7C3/traffic.megaphone.fm/KQINC9065930635.mp3?updated=1697149902","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11964307/most-people-injured-killed-by-san-jose-police-are-mentally-ill-or-intoxicated","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"#episode-transcript\">\u003ci>\u003cspan style=\"font-weight: 400\">View the full episode transcript.\u003c/span>\u003c/i>\u003c/a>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">A \u003c/span>\u003ca href=\"https://www.mercurynews.com/2023/10/08/when-san-jose-police-confront-people-in-mental-health-crisis-why-do-they-end-up-hurting-them-so-often/\">\u003cspan style=\"font-weight: 400\">new investigation\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> from the Bay Area News Group, KQED, and the California Reporting Project finds that the vast majority of people seriously injured or killed by San José police are either mentally ill or intoxicated. KQED’s Rachael Vasquez spoke with one of the reporters, Robert Salonga, about how that trend has only continued, if not slightly worsened, with crisis intervention training.\u003c/span>\u003c/p>\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC9065930635&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Links:\u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003ca href=\"https://www.mercurynews.com/2023/10/08/when-san-jose-police-confront-people-in-mental-health-crisis-why-do-they-end-up-hurting-them-so-often/\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">Losing control: When San Jose police confront people in mental health crisis, why do they end up hurting them so often?\u003c/span>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong> I’m Ericka Cruz Guevarra, and welcome to the Bay. Local news to keep you rooted. For years, we’ve been hearing a lot of talk about training police officers to do a better job at de-escalating difficult situations and preventing more civilians from getting hurt or even killed by the police. The San Jose Police Department has been seen as a leader on this. Since 2017, all officers have undergone what’s known as crisis intervention training. But an investigation from the Bay Area News Group, KQED, and the California Reporting Project highlights the limits of that training. Today, KQED’s Rachael Vasquez speaks with Robert Solanga of the Bay Area News Group about the investigation and its findings. Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Rachael Vasquez: \u003c/strong>Well, Robert, you and your team reviewed thousands of pages of police records for this story. What’s the most important takeaway in your mind?\u003c/p>\n\u003cp>\u003cstrong>Robert Solanga: \u003c/strong>The most important takeaway is the limit to which so-called crisis intervention training had an effect on the rates of people with mental illness or psychiatric emergencies, suffering serious use of force at the hands of San Jose police. There was a demarcation line in 2017 when the department instituted it department wide. And what we can tell from before and from after is that the numbers of people were being seriously injured who are mentally ill, have a psychiatric crisis or are intoxicated to the point where they exhibit similar behavior did not change significantly. So it definitely calls into question how effective this training is and bolsters a lot of movements and programs all over the country about finding an alternative to police when it comes to responding to these kinds of emergencies.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>One example highlighted in the investigation involves the violent arrest of William Wallace in May of 2021. Wallace was stopped by Officer Barron Kim for jaywalking with his bike across an empty street near downtown San Jose. Officer Kim ordered Wallace to stop, but Wallace walked away erratically instead, according to police records and body camera footage. Officer Kim grabs Wallace, who responds with threats, pushes his bike at the officer and reportedly throws a punch. Officer Kim chased Wallace and beat him with his hands and a baton, leaving Wallace with a broken nose. According to the investigation, Officer Kim suspected. Wallace says, quote, Bizarre behavior stemmed from mental illness or intoxication. But as Robert tells Rachel, this example raises questions about why the officer confronted someone he thought was mentally impaired in the first place.\u003c/p>\n\u003cp>\u003cstrong>Robert Solanga: \u003c/strong>At no point did it seem like Mr. Wallace was posing any kind of imminent physical threat. His offense seemed more that he was not complying with the officer and eventually got physical and between both sides, and it resulted in a broken nose for Mr. Wallace for, again, an underlying offense initially of jaywalking.\u003c/p>\n\u003cp>\u003cstrong>Rachael Vasquez: \u003c/strong>Robert, what do San Jose police have to say about your findings?\u003c/p>\n\u003cp>\u003cstrong>Robert Solanga: \u003c/strong>The general response from San Jose police has been to point out that the data we looked at, which covers strictly serious injury and death, are a small fraction of the psychiatric emergency calls and calls of that type that they encounter overall. So what they’re arguing is that this is a small slice of outcomes that typically and peacefully. They also state that the number of calls that involve someone in psychiatric emergency or with an apparent mental illness has more than doubled over the last few years. And so generally their point is the number of times they have to deal with this scenario has skyrocketed. And so that’s generally what what their responses.\u003c/p>\n\u003cp>\u003cstrong>Rachael Vasquez: \u003c/strong>That said, if training hasn’t worked so far, what can police do to make these interactions less violent and in some cases less deadly?\u003c/p>\n\u003cp>\u003cstrong>Robert Solanga: \u003c/strong>I think one of the main takeaways we got from doing all of this data review is there are a lot of scenarios in which the underlying offense for a police contact is relatively minor, such as jaywalking, for instance. And so the question that arises out of this. Absent more effective training or a new alternative to responding to these kinds of cases, because right now police are often our primary people to turn to for any kind of 911 call or nuisance call or anything along those lines. I think there ought to be a review and some introspection about when they can let things go and when they should it. And when we’ve brought that question and posed that question to police. They generally agree and say their officers have full discretion on whether to walk away. But we know that the reality is it’s not that easy and it’s not that simple.\u003c/p>\n\u003cp>\u003cstrong>Rachael Vasquez: \u003c/strong>And in fairness, I would guess that walking away from a situation would be pretty counterintuitive to police.\u003c/p>\n\u003cp>\u003cstrong>Robert Solanga: \u003c/strong>It’s a very difficult thing to consider because when people call 911, they call police. They expect police to solve the problem. They expect them to respond and do something about it. And if police officers exercised that discretion of the offense that we’re being called in for is not worth the potential escalation of violence, then they also have to be accountable to the public and residents and again, people who expect something to be done when they call for help.\u003c/p>\n\u003cp>\u003cstrong>Rachael Vasquez: \u003c/strong>Well, I know you’ve talked to families whose loved ones have been killed by police in these kinds of interactions. What do they tell you about what they want to see change?\u003c/p>\n\u003cp>\u003cstrong>Robert Solanga: \u003c/strong>The families of victims want to see more recognition of mental illness in psychiatric emergencies in the moments they understand that this isn’t black and white, it’s very gray. There’s a combination of both a psychiatric emergency and some danger to the officers or to the public, but they don’t believe that should necessarily equal what they call a death sentence just for calling. That’s the broadest take away is this idea of taking time, exercising patience, keeping distance when being up close to someone isn’t absolutely necessary. It’s along the lines of wanting to make sure that serious use of force and lethal force are really used as a last resort.\u003c/p>\n\u003cp>\u003cstrong>Rachael Vasquez: \u003c/strong>All right, Robert, thank you so much.\u003c/p>\n\u003cp>\u003cstrong>Robert Solanga: \u003c/strong>Thank you.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was the Bay Area news groups. Robert Solanga speaking with KQED’s Rachael Vasquez, KQED’s Lisa Pickoff-White and Mercury News reporter Harriet Rowan also investigated this story with reporters from the California newsroom. Berkeley journalism’s investigative reporting program. and Stanford University. We’ll leave you a full link to the investigation in our show notes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>This conversation was cut down and edited by senior editor Alan Montecillo. It was produced by Azul Dahlstrom-Eckman and scored by producer Maria Esquinca. Music courtesy of the audio network. Shout out as well to the rest of the podcast leadership team. That’s Jen Chien, our director of podcasts. Katie Sprenger, our podcast operations manager. We get audience engagement support from Cesar Saldana, and Holly Kiernan is our chief content officer. The Bay is a production of member-supported KQED. I’m Ericka Cruz Guevarra. Thanks for listening. Talk to you next week.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11964307/most-people-injured-killed-by-san-jose-police-are-mentally-ill-or-intoxicated","authors":["8654","11860","11649","11802"],"programs":["news_28779"],"categories":["news_8","news_33520"],"tags":["news_17983","news_667","news_22598"],"featImg":"news_11928169","label":"source_news_11964307"},"news_11963782":{"type":"posts","id":"news_11963782","meta":{"index":"posts_1591205157","site":"news","id":"11963782","score":null,"sort":[1696777202000]},"guestAuthors":[],"slug":"qa-new-investigation-finds-most-people-injured-killed-by-san-jose-police-are-mentally-ill-or-intoxicated","title":"Q&A: New Investigation Finds Most People Injured, Killed by San José Police are Mentally Ill or Intoxicated","publishDate":1696777202,"format":"standard","headTitle":"Q&A: New Investigation Finds Most People Injured, Killed by San José Police are Mentally Ill or Intoxicated | KQED","labelTerm":{"site":"news"},"content":"\u003cp>A \u003ca href=\"https://www.mercurynews.com/2023/10/08/when-san-jose-police-confront-people-in-mental-health-crisis-why-do-they-end-up-hurting-them-so-often/\">new investigation\u003c/a> from the Bay Area News Group, KQED, and the California Reporting Project finds that the vast majority of people seriously injured or killed by San José police are either mentally ill or intoxicated.\u003c/p>\n\u003cp>Journalists reviewed eight years of police records and found that, even with crisis intervention training, the trend has continued — and, in recent years, slightly worsened.\u003c/p>\n\u003cp>Robert Salonga covers criminal justice and public safety for the Bay Area News Group. He spoke to KQED’s Rachael Vasquez about the investigation.\u003c/p>\n\u003cp>\u003cem>This interview has been edited for brevity and clarity.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Rachael Vazquez: You and your reporting team reviewed thousands of pages of police records for this story. What’s the most important takeaway in your mind?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Robert Salonga:\u003c/strong> The most important takeaway is the limit to which so-called crisis intervention training had an effect on the rates of people with mental illness or psychiatric emergencies suffering serious use of force at the hands of San José police. There was a demarcation line in 2017 when the San Jose Police Department instituted it department-wide. And what we can tell from before and from after is that the numbers of people being seriously injured who are mentally ill, have a psychiatric crisis or are intoxicated to the point where they exhibit similar behavior, did not change significantly. So it definitely calls into question how effective this training is and bolsters a lot of movements and programs all over the country about finding an alternative to police when it comes to responding to these kinds of emergencies.\u003c/p>\n\u003cp>\u003cstrong>One story that I think shed some light on what these interactions can be like is the arrest of William Wallace in 2021. Can you tell us what happened there? \u003c/strong>\u003c/p>\n\u003cp>Well, in the case of William Wallace, he was a man who was near downtown San José. He was walking with his bike and he was stopped by a police officer for walking on the street. And so the official offense for which he was contacted was jaywalking. Mr. Wallace refused to stop for the officer, and it escalated from there. At no point did it seem like Mr. Wallace was posing any kind of imminent physical threat. His offense seemed more that he was not complying with the officer and it eventually got physical between both sides, and it resulted in a broken nose for Mr. Wallace for, again, an underlying offense initially of jaywalking.\u003c/p>\n\u003cp>\u003cstrong>What do San José police have to say about your findings? \u003c/strong>\u003c/p>\n\u003cp>The general response from San José police has been to point out that the data we looked at, which covers strictly serious injury and death, are a small fraction of the psychiatric emergency calls and calls of that type that they encounter overall. So what they’re arguing generally is that this is a small slice of outcomes that typically end peacefully. They also state that the number of calls that involve someone in psychiatric emergency or with an apparent mental illness has more than doubled over the last few years. And so generally their point is the number of times they have to deal with this scenario has skyrocketed.[aside label=\"Related Stories\" postID=\"news_11945256,news_11945438,news_11958522\"]\u003c/p>\n\u003cp>\u003cstrong>If training hasn’t worked so far, what can police do to make these interactions less violent and, in some cases, less deadly? \u003c/strong>\u003c/p>\n\u003cp>I think one of the main takeaways we got from doing all of this data review is there are a lot of scenarios in which the underlying offense for a police contact is relatively minor. So I think there ought to be a review and some introspection about when they can let things go and when they shouldn’t. And when we’ve brought that question and posed that question to police, they generally agree and say their officers have full discretion on whether to walk away. But we know that the reality is it’s not that easy and it’s not that simple.\u003c/p>\n\u003cp>\u003cstrong>And in fairness, I would guess that walking away from a situation would be pretty counterintuitive to police. \u003c/strong>\u003c/p>\n\u003cp>It’s a very difficult thing to consider because when people call 9-1-1, they call police. They expect police to solve the problem and do something about it. And if police officers exercised that discretion and deemed what they were called in for to not be worth a potential escalation of violence, that would be the ideal. But then they also have to be accountable to the public and residents and people who expect something to be done when they call for help.\u003c/p>\n\u003cp>\u003cstrong>Well, I know you’ve talked to families whose loved ones have been killed by police in these kinds of interactions. What do they want to see change? \u003c/strong>\u003c/p>\n\u003cp>The families of victims want to see more recognition of mental illness and psychiatric emergencies in the moments that they understand that this isn’t black and white. It’s very gray. There’s a combination of both a psychiatric emergency and some danger to the officers or to the public. But they don’t believe that should necessarily equal what they call a death sentence just for calling. So that’s the broadest takeaway — this idea of taking time, exercising patience, and keeping distance when being up close to someone who might have a weapon isn’t absolutely necessary. So it’s along the lines of wanting to make sure that serious use of force and lethal force are really used as a last resort.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Journalist Robert Salonga discusses an investigation by the Bay Area News Group, KQED and the California Reporting Project that found that the vast majority of people seriously injured or killed by the SJPD are either mentally ill or intoxicated.","status":"publish","parent":0,"modified":1696796795,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":951},"headData":{"title":"Q&A: New Investigation Finds Most People Injured, Killed by San José Police are Mentally Ill or Intoxicated | KQED","description":"Journalist Robert Salonga discusses an investigation by the Bay Area News Group, KQED and the California Reporting Project that found that the vast majority of people seriously injured or killed by the SJPD are either mentally ill or intoxicated.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Q&A: New Investigation Finds Most People Injured, Killed by San José Police are Mentally Ill or Intoxicated","datePublished":"2023-10-08T15:00:02.000Z","dateModified":"2023-10-08T20:26:35.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"audioUrl":"https://ww2.kqed.org/app/uploads/sites/10/2023/10/SJPD_2way_EXTENDED.mp3","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11963782/qa-new-investigation-finds-most-people-injured-killed-by-san-jose-police-are-mentally-ill-or-intoxicated","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A \u003ca href=\"https://www.mercurynews.com/2023/10/08/when-san-jose-police-confront-people-in-mental-health-crisis-why-do-they-end-up-hurting-them-so-often/\">new investigation\u003c/a> from the Bay Area News Group, KQED, and the California Reporting Project finds that the vast majority of people seriously injured or killed by San José police are either mentally ill or intoxicated.\u003c/p>\n\u003cp>Journalists reviewed eight years of police records and found that, even with crisis intervention training, the trend has continued — and, in recent years, slightly worsened.\u003c/p>\n\u003cp>Robert Salonga covers criminal justice and public safety for the Bay Area News Group. He spoke to KQED’s Rachael Vasquez about the investigation.\u003c/p>\n\u003cp>\u003cem>This interview has been edited for brevity and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Rachael Vazquez: You and your reporting team reviewed thousands of pages of police records for this story. What’s the most important takeaway in your mind?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Robert Salonga:\u003c/strong> The most important takeaway is the limit to which so-called crisis intervention training had an effect on the rates of people with mental illness or psychiatric emergencies suffering serious use of force at the hands of San José police. There was a demarcation line in 2017 when the San Jose Police Department instituted it department-wide. And what we can tell from before and from after is that the numbers of people being seriously injured who are mentally ill, have a psychiatric crisis or are intoxicated to the point where they exhibit similar behavior, did not change significantly. So it definitely calls into question how effective this training is and bolsters a lot of movements and programs all over the country about finding an alternative to police when it comes to responding to these kinds of emergencies.\u003c/p>\n\u003cp>\u003cstrong>One story that I think shed some light on what these interactions can be like is the arrest of William Wallace in 2021. Can you tell us what happened there? \u003c/strong>\u003c/p>\n\u003cp>Well, in the case of William Wallace, he was a man who was near downtown San José. He was walking with his bike and he was stopped by a police officer for walking on the street. And so the official offense for which he was contacted was jaywalking. Mr. Wallace refused to stop for the officer, and it escalated from there. At no point did it seem like Mr. Wallace was posing any kind of imminent physical threat. His offense seemed more that he was not complying with the officer and it eventually got physical between both sides, and it resulted in a broken nose for Mr. Wallace for, again, an underlying offense initially of jaywalking.\u003c/p>\n\u003cp>\u003cstrong>What do San José police have to say about your findings? \u003c/strong>\u003c/p>\n\u003cp>The general response from San José police has been to point out that the data we looked at, which covers strictly serious injury and death, are a small fraction of the psychiatric emergency calls and calls of that type that they encounter overall. So what they’re arguing generally is that this is a small slice of outcomes that typically end peacefully. They also state that the number of calls that involve someone in psychiatric emergency or with an apparent mental illness has more than doubled over the last few years. And so generally their point is the number of times they have to deal with this scenario has skyrocketed.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11945256,news_11945438,news_11958522"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>If training hasn’t worked so far, what can police do to make these interactions less violent and, in some cases, less deadly? \u003c/strong>\u003c/p>\n\u003cp>I think one of the main takeaways we got from doing all of this data review is there are a lot of scenarios in which the underlying offense for a police contact is relatively minor. So I think there ought to be a review and some introspection about when they can let things go and when they shouldn’t. And when we’ve brought that question and posed that question to police, they generally agree and say their officers have full discretion on whether to walk away. But we know that the reality is it’s not that easy and it’s not that simple.\u003c/p>\n\u003cp>\u003cstrong>And in fairness, I would guess that walking away from a situation would be pretty counterintuitive to police. \u003c/strong>\u003c/p>\n\u003cp>It’s a very difficult thing to consider because when people call 9-1-1, they call police. They expect police to solve the problem and do something about it. And if police officers exercised that discretion and deemed what they were called in for to not be worth a potential escalation of violence, that would be the ideal. But then they also have to be accountable to the public and residents and people who expect something to be done when they call for help.\u003c/p>\n\u003cp>\u003cstrong>Well, I know you’ve talked to families whose loved ones have been killed by police in these kinds of interactions. What do they want to see change? \u003c/strong>\u003c/p>\n\u003cp>The families of victims want to see more recognition of mental illness and psychiatric emergencies in the moments that they understand that this isn’t black and white. It’s very gray. There’s a combination of both a psychiatric emergency and some danger to the officers or to the public. But they don’t believe that should necessarily equal what they call a death sentence just for calling. So that’s the broadest takeaway — this idea of taking time, exercising patience, and keeping distance when being up close to someone who might have a weapon isn’t absolutely necessary. So it’s along the lines of wanting to make sure that serious use of force and lethal force are really used as a last resort.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11963782/qa-new-investigation-finds-most-people-injured-killed-by-san-jose-police-are-mentally-ill-or-intoxicated","authors":["11860"],"categories":["news_6188","news_8"],"tags":["news_31969","news_17983","news_116","news_18541","news_667"],"featImg":"news_11963790","label":"news"},"news_11963122":{"type":"posts","id":"news_11963122","meta":{"index":"posts_1591205157","site":"news","id":"11963122","score":null,"sort":[1696278307000]},"guestAuthors":[],"slug":"californias-care-court-program-starts-amid-concerns-over-effectiveness","title":"California's 'CARE Court' Program Starts Amid Concerns Over Effectiveness","publishDate":1696278307,"format":"standard","headTitle":"California’s ‘CARE Court’ Program Starts Amid Concerns Over Effectiveness | KQED","labelTerm":{"site":"news"},"content":"\u003cp>An alternative mental health court program designed to fast-track people with untreated schizophrenia and other psychotic disorders into housing and medical care — potentially without their consent — kicked off in seven California counties, including San Francisco, on Monday.\u003c/p>\n\u003cp>Democratic Gov. Gavin Newsom created the new civil court process, \u003ca href=\"https://www.kqed.org/news/tag/care-court\">called CARE Court,\u003c/a> as part of a massive push to address the homelessness crisis in California. Lawmakers approved it despite \u003ca href=\"https://apnews.com/article/health-california-legislature-san-francisco-gavin-newsom-245e23bf1c02ea4b900649c6c54ba139\">deep misgivings over\u003c/a> insufficient housing and services, saying they needed to try something new to help those suffering in public from apparent psychotic breaks.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"San Francisco Superior Court Judge Michael Begert\"]‘It’s hopefully going to help some people who need some help, and it is probably not going to make a huge dent in what you observe in the community.’[/pullquote]Families of people diagnosed with severe mental illness rejoiced because the new law allows them to petition the court for treatment for their loved ones. Residents dismayed by the estimated 171,000 people experiencing homelessness in California cheered at the possibility of getting them help and off the streets.\u003c/p>\n\u003cp>Critics blasted the new program as ineffective and punitive, given that it could coerce people into treatment.\u003c/p>\n\u003cp>But as petitions roll in Monday, it’s not clear who the program might help nor how effective it will be. That’s because the eligibility criteria is narrow and limited largely to people with \u003ca href=\"https://www.courts.ca.gov/documents/CARE-Act-Eligibility-Criteria.pdf\">untreated schizophrenia and related disorders (PDF)\u003c/a>. Severe depression, bipolar disorder and addiction by itself do not qualify.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s hopefully going to help some people who need some help, and it is probably not going to make a huge dent in what you observe in the community,” said San Francisco Superior Court Judge Michael Begert, who will supervise the court.\u003c/p>\n\u003cp>Here are things to know about the new system:\u003c/p>\n\u003ch2>What is ‘CARE Court’ and who is eligible?\u003c/h2>\n\u003cp>Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, said in a news briefing last week that the program is aimed at catching people before their condition worsens.\u003c/p>\n\u003cp>Family members and first responders are among those who can now file a petition on behalf of an adult they believe “is unlikely to survive safely” without supervision and whose condition is rapidly deteriorating. They also can file if an adult needs services and support to prevent relapse or deterioration that would likely result in “grave disability or serious harm” to themselves or others.\u003c/p>\n\u003cp>[aside postID=\"news_11959302,news_11955211,news_11958561\" label=\"Related Stories\"]To be eligible, the person needs a diagnosis on the \u003ca href=\"https://www.courts.ca.gov/documents/CARE-Act-Eligibility-Criteria.pdf\">schizophrenia spectrum or other qualifying disorders (PDF)\u003c/a>. People with severe depression or bipolar disorder do not qualify. A person does not have to be homeless to be eligible.\u003c/p>\n\u003cp>A special civil court in each county will review each petition with the county behavioral health agency evaluating eligibility. The individual will be appointed a lawyer and a support person of their choice.\u003c/p>\n\u003cp>If the court determines the individual meets eligibility criteria, they will be asked to work with the county on a voluntary plan that includes housing, medication, counseling and other social services. The agreement would be in effect for up to a year with the possibility of extending it for another year.\u003c/p>\n\u003cp>If all parties cannot agree to a voluntary plan, the statute says the court will order they work on a plan.\u003c/p>\n\u003ch2>What happens if the person does not want to participate?\u003c/h2>\n\u003cp>Civil rights advocates have raised fears that the new process will result in vulnerable people being forced into treatment.\u003c/p>\n\u003cp>A person who does not successfully complete a plan could be subject to conservatorship and involuntary treatment, said Tal Klement, a deputy public defender in San Francisco who is among critics of the new process.\u003c/p>\n\u003cp>But the statute also allows the court to dismiss the proceedings if the individual declines to participate or to follow the agreement. Judge Begert, in San Francisco, said he cannot compel someone to engage; the best he can do is start building a relationship with the person.\u003c/p>\n\u003cp>Veronica Kelley, Orange County behavioral health director, said the county’s judges understand building rapport with eligible candidates takes time and have agreed to grant her team extra time to reach voluntary agreements, despite the statute’s deadlines.\u003c/p>\n\u003ch2>Are there enough homes, treatment beds and support?\u003c/h2>\n\u003cp>The state has allocated money for emergency shelters — but critics say there is a constant shortage of case managers, appropriate in-patient treatment facilities and supportive housing.\u003c/p>\n\u003cp>San Francisco officials said in a statement that about 10% of more than 2,500 beds are open for new people. The treatment beds range from detox to step-down care for people leaving long-term care.\u003c/p>\n\u003cp>Opponents of the program say the state should have invested in more housing and existing services rather than establishing a new court system.\u003c/p>\n\u003cp>“The issue is not that these resources are available and people aren’t using them,” said Samuel Jain, senior policy attorney at Disability Rights California. “It’s that these voluntary community-based services are under-resourced and not accessible.”\u003c/p>\n\u003ch2>What happens if the person is not eligible for care?\u003c/h2>\n\u003cp>The National Alliance on Mental Illness in California, a grassroots organization supporting people with a mental illness and their families, pushed for the new mental health program. Some family members have long wanted a way to order their loved ones into treatment, the organization said.\u003c/p>\n\u003cp>Jessica Cruz, the group’s CEO, encourages people not to give up if their family member does not qualify because other resources may be available.\u003c/p>\n\u003cp>“For us, it is just really about making sure that our loved ones have the best life that they could possibly have,” she said. “Living on the streets and dying on the streets is not the way for anybody to live.”\u003c/p>\n\u003ch2>Which counties are accepting petitions?\u003c/h2>\n\u003cp>San Francisco, Orange, San Diego, Riverside, Stanislaus, Tuolumne and Glenn counties launched the new program Monday. Los Angeles County will begin its program Dec. 1.\u003c/p>\n\u003cp>The state estimates roughly 1,800 to 3,100 people could be eligible in the first seven counties. Los Angeles could bump up estimates to 3,600 to 6,200, although uptake could take time.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The rest of the state has until December 2024 to establish mental health courts.\u003c/p>\n\n","blocks":[],"excerpt":"A program designed to help people with untreated schizophrenia to access housing and medical care launched Monday in San Francisco and 6 other California counties. But it's not clear how effective it will be.","status":"publish","parent":0,"modified":1696359691,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":29,"wordCount":1077},"headData":{"title":"California's 'CARE Court' Program Starts Amid Concerns Over Effectiveness | KQED","description":"A program designed to help people with untreated schizophrenia to access housing and medical care launched Monday in San Francisco and 6 other California counties. But it's not clear how effective it will be.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California's 'CARE Court' Program Starts Amid Concerns Over Effectiveness","datePublished":"2023-10-02T20:25:07.000Z","dateModified":"2023-10-03T19:01:31.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"nprByline":"Janie Har\u003cbr>The Associated Press","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11963122/californias-care-court-program-starts-amid-concerns-over-effectiveness","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>An alternative mental health court program designed to fast-track people with untreated schizophrenia and other psychotic disorders into housing and medical care — potentially without their consent — kicked off in seven California counties, including San Francisco, on Monday.\u003c/p>\n\u003cp>Democratic Gov. Gavin Newsom created the new civil court process, \u003ca href=\"https://www.kqed.org/news/tag/care-court\">called CARE Court,\u003c/a> as part of a massive push to address the homelessness crisis in California. Lawmakers approved it despite \u003ca href=\"https://apnews.com/article/health-california-legislature-san-francisco-gavin-newsom-245e23bf1c02ea4b900649c6c54ba139\">deep misgivings over\u003c/a> insufficient housing and services, saying they needed to try something new to help those suffering in public from apparent psychotic breaks.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘It’s hopefully going to help some people who need some help, and it is probably not going to make a huge dent in what you observe in the community.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"San Francisco Superior Court Judge Michael Begert","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Families of people diagnosed with severe mental illness rejoiced because the new law allows them to petition the court for treatment for their loved ones. Residents dismayed by the estimated 171,000 people experiencing homelessness in California cheered at the possibility of getting them help and off the streets.\u003c/p>\n\u003cp>Critics blasted the new program as ineffective and punitive, given that it could coerce people into treatment.\u003c/p>\n\u003cp>But as petitions roll in Monday, it’s not clear who the program might help nor how effective it will be. That’s because the eligibility criteria is narrow and limited largely to people with \u003ca href=\"https://www.courts.ca.gov/documents/CARE-Act-Eligibility-Criteria.pdf\">untreated schizophrenia and related disorders (PDF)\u003c/a>. Severe depression, bipolar disorder and addiction by itself do not qualify.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s hopefully going to help some people who need some help, and it is probably not going to make a huge dent in what you observe in the community,” said San Francisco Superior Court Judge Michael Begert, who will supervise the court.\u003c/p>\n\u003cp>Here are things to know about the new system:\u003c/p>\n\u003ch2>What is ‘CARE Court’ and who is eligible?\u003c/h2>\n\u003cp>Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, said in a news briefing last week that the program is aimed at catching people before their condition worsens.\u003c/p>\n\u003cp>Family members and first responders are among those who can now file a petition on behalf of an adult they believe “is unlikely to survive safely” without supervision and whose condition is rapidly deteriorating. They also can file if an adult needs services and support to prevent relapse or deterioration that would likely result in “grave disability or serious harm” to themselves or others.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11959302,news_11955211,news_11958561","label":"Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>To be eligible, the person needs a diagnosis on the \u003ca href=\"https://www.courts.ca.gov/documents/CARE-Act-Eligibility-Criteria.pdf\">schizophrenia spectrum or other qualifying disorders (PDF)\u003c/a>. People with severe depression or bipolar disorder do not qualify. A person does not have to be homeless to be eligible.\u003c/p>\n\u003cp>A special civil court in each county will review each petition with the county behavioral health agency evaluating eligibility. The individual will be appointed a lawyer and a support person of their choice.\u003c/p>\n\u003cp>If the court determines the individual meets eligibility criteria, they will be asked to work with the county on a voluntary plan that includes housing, medication, counseling and other social services. The agreement would be in effect for up to a year with the possibility of extending it for another year.\u003c/p>\n\u003cp>If all parties cannot agree to a voluntary plan, the statute says the court will order they work on a plan.\u003c/p>\n\u003ch2>What happens if the person does not want to participate?\u003c/h2>\n\u003cp>Civil rights advocates have raised fears that the new process will result in vulnerable people being forced into treatment.\u003c/p>\n\u003cp>A person who does not successfully complete a plan could be subject to conservatorship and involuntary treatment, said Tal Klement, a deputy public defender in San Francisco who is among critics of the new process.\u003c/p>\n\u003cp>But the statute also allows the court to dismiss the proceedings if the individual declines to participate or to follow the agreement. Judge Begert, in San Francisco, said he cannot compel someone to engage; the best he can do is start building a relationship with the person.\u003c/p>\n\u003cp>Veronica Kelley, Orange County behavioral health director, said the county’s judges understand building rapport with eligible candidates takes time and have agreed to grant her team extra time to reach voluntary agreements, despite the statute’s deadlines.\u003c/p>\n\u003ch2>Are there enough homes, treatment beds and support?\u003c/h2>\n\u003cp>The state has allocated money for emergency shelters — but critics say there is a constant shortage of case managers, appropriate in-patient treatment facilities and supportive housing.\u003c/p>\n\u003cp>San Francisco officials said in a statement that about 10% of more than 2,500 beds are open for new people. The treatment beds range from detox to step-down care for people leaving long-term care.\u003c/p>\n\u003cp>Opponents of the program say the state should have invested in more housing and existing services rather than establishing a new court system.\u003c/p>\n\u003cp>“The issue is not that these resources are available and people aren’t using them,” said Samuel Jain, senior policy attorney at Disability Rights California. “It’s that these voluntary community-based services are under-resourced and not accessible.”\u003c/p>\n\u003ch2>What happens if the person is not eligible for care?\u003c/h2>\n\u003cp>The National Alliance on Mental Illness in California, a grassroots organization supporting people with a mental illness and their families, pushed for the new mental health program. Some family members have long wanted a way to order their loved ones into treatment, the organization said.\u003c/p>\n\u003cp>Jessica Cruz, the group’s CEO, encourages people not to give up if their family member does not qualify because other resources may be available.\u003c/p>\n\u003cp>“For us, it is just really about making sure that our loved ones have the best life that they could possibly have,” she said. “Living on the streets and dying on the streets is not the way for anybody to live.”\u003c/p>\n\u003ch2>Which counties are accepting petitions?\u003c/h2>\n\u003cp>San Francisco, Orange, San Diego, Riverside, Stanislaus, Tuolumne and Glenn counties launched the new program Monday. Los Angeles County will begin its program Dec. 1.\u003c/p>\n\u003cp>The state estimates roughly 1,800 to 3,100 people could be eligible in the first seven counties. Los Angeles could bump up estimates to 3,600 to 6,200, although uptake could take time.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The rest of the state has until December 2024 to establish mental health courts.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11963122/californias-care-court-program-starts-amid-concerns-over-effectiveness","authors":["byline_news_11963122"],"categories":["news_457","news_6266","news_8","news_356"],"tags":["news_31336","news_16","news_1775","news_33281","news_33280","news_17983"],"featImg":"news_11952219","label":"news"},"news_11955844":{"type":"posts","id":"news_11955844","meta":{"index":"posts_1591205157","site":"news","id":"11955844","score":null,"sort":[1689628193000]},"guestAuthors":[],"slug":"newsom-mental-health-plan-strips-700-million-in-services","title":"Newsom’s Mental Health Plan Could Strip Over $700 Million in Services","publishDate":1689628193,"format":"standard","headTitle":"Newsom’s Mental Health Plan Could Strip Over $700 Million in Services | KQED","labelTerm":{},"content":"\u003cp>A \u003ca href=\"https://www.kqed.org/news/11954314/3-big-takeaways-from-californias-311-billion-budget-deal\">major proposal from Gov. Gavin Newsom\u003c/a> to overhaul the state’s behavioral and mental health system is likely to take nearly $720 million away from services provided by county governments annually, according to a \u003ca href=\"https://lao.ca.gov/Publications/Report/4782\">new analysis\u003c/a> from the Legislative Analyst’s Office.\u003c/p>\n\u003cp>Although that money would be reallocated within the system, in part to \u003ca href=\"https://calmatters.org/health/mental-health/2023/06/mental-health-funding-2/\">house homeless individuals with severe mental illness\u003c/a> and addiction disorders, the report authors note that Newsom and key legislators supporting the proposal have neither provided a complete justification for the changes nor have they published an analysis on how the changes may “negatively impact current services.”\u003c/p>\n\u003cp>“Consequently, as the Legislature considers the proposal, we recommend asking the administration certain questions to assess whether the proposal is warranted,” the report states.\u003c/p>\n\u003cp>Newsom wants the Legislature to put his proposal before voters next year in tandem with a $4.68 billion bond measure to add psychiatric treatment beds. It would change how the state allocates money under the Mental Health Services Act, which levies a 1% tax on income above $1 million to fund behavioral health services.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Homelessness has become one of the most \u003ca href=\"https://calmatters.org/housing/homelessness/2023/04/california-homeless-spending-audit/\">high-profile challenges plaguing California\u003c/a>, increasing 32% in the past four years. Newsom, who promised to reduce homelessness, announced his intent during his \u003ca href=\"https://calmatters.org/politics/2023/03/gavin-newsom-legacy-tour/\">State of the State tour\u003c/a> to divert nearly one-third of the state’s Mental Health Services Act money to help address homelessness.\u003c/p>\n\u003cp>Since that time, \u003ca href=\"https://calmatters.org/health/2023/04/mental-health-funding/\">local behavioral health providers and county officials\u003c/a> have criticized the proposal because of its potential to cut services and pit mental health programs against homeless services. The state has spent more than $20 billion on \u003ca href=\"https://calmatters.org/housing/homelessness/2023/04/california-homeless-spending-audit/\">housing and homelessness since 2018\u003c/a>.\u003c/p>\n\u003cp>Supporters, meanwhile, say reprioritizing how the money is spent is long overdue in light of the growing needs of the state’s homeless population as well as the addition of new funding sources for mental health programs.\u003c/p>\n\u003cp>In a statement, Newsom’s Deputy Communications Director Brandon Richards said “upsetting the status quo” was necessary in light of California’s changing health care needs.\u003c/p>\n\u003ch2>Mental health needs among California homeless\u003c/h2>\n\u003cp>A recent study from UC San Francisco found that two-thirds of \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\">homeless individuals experience mental health conditions\u003c/a>, although income loss is the driving force behind the state’s homelessness crisis.\u003c/p>\n\u003cp>“What’s more upsetting is watching people continue to suffer on the streets with ineffective interventions and inability to access much-needed treatment,” Richards said. “A California behavioral health system of care that is more focused, more transparent, and more accountable for results is what all Californians deserve and what this historic reform aims to achieve.”\u003c/p>\n\u003cp>Roughly one-third of the county mental health infrastructure in the state is supported by the Mental Health Services Act, which was approved by voters in 2004 as a ballot initiative. Substantial changes to the act, like the ones Newsom proposed, require voter approval. Last year the tax generated about $3.8 billion.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Brandon Richards, deputy communications director, Gov. Gavin Newsom\"]‘What’s more upsetting, is watching people continue to suffer on the streets with ineffective interventions and inability to access much-needed treatment.’[/pullquote]\u003c/p>\n\u003cp>Critics of Newsom’s proposal say the new analysis bolsters their argument that the changes will result in significant cuts to current programs, particularly those that \u003ca href=\"https://calmatters.org/health/mental-health/2023/06/mental-health-funding-2/\">support children\u003c/a>.\u003c/p>\n\u003cp>Newsom’s office has so far “danced around” how much money would be cut, said Adrienne Shilton, a lobbyist for the California Alliance of Children and Family Services, which represents behavioral health providers in every county. The report is the first to quantify how the proposal would impact programs statewide.\u003c/p>\n\u003cp>“We’re seeing in real dollars what the impact would be,” Shilton said.\u003c/p>\n\u003cp>The analysis estimates spending on current programs would be reduced from $1.34 billion to $621 million under the plan.\u003c/p>\n\u003ch2>Housing money in Gavin Newsom’s plan\u003c/h2>\n\u003cp>The report identified several key changes and unanswered questions for the Legislature to consider in \u003ca href=\"https://lao.ca.gov/Publications/Series/3\">Newsom’s plan\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Reduced flexibility: \u003c/strong>Counties would have less flexibility to determine how money is spent. Based on current expenditures, counties would be required to increase spending on housing by $493 million and on “full-service partnerships” by $121 million. “Full-service partnerships” include intensive wraparound services like case management, housing and employment support as well as clinical care.\u003c/li>\n\u003cli>\u003cstrong>Program cuts likely: \u003c/strong>To meet spending targets and caps, counties would likely need to reduce spending on current programs including “outpatient services, crisis response, prevention services, and outreach.”\u003c/li>\n\u003cli>\u003cstrong>Less independent oversight: \u003c/strong>The proposed restructuring moves much of the program implementation and oversight authority to the Department of Health Care Services. The change “significantly limits” the independent oversight of the current Mental Health Services Oversight and Accountability Commission.[aside label='More on Mental Health Care' tag='mental-health']Sacramento Mayor Darrell Steinberg, who helped author the original law and has been a key supporter of the changes, said the law was always meant to prioritize “the plight of people living with serious mental illness on our streets.”\u003c/li>\n\u003c/ul>\n\u003cp>“It’s appropriate, in fact, it’s necessary to set priority status,” Steinberg said.\u003c/p>\n\u003cp>Steinberg and Newsom’s office also contend that the state has invested heavily in the mental health safety net in other ways, including changes to the Medi-Cal system and a $4.4 billion one-time infusion into the \u003ca href=\"https://calmatters.org/health/2022/03/california-children-mental-health-crisis/\">Children and Youth Behavioral Health Initiative\u003c/a>.\u003c/p>\n\u003cp>“It’s no longer a funding source that stands alone,” Steinberg said. “[Now], the opportunity is to weave all these pieces together so that everyone has access to care, and nobody is left out or left behind.”\u003c/p>\n\u003cp>Still, advocates say it is premature to assume those investments have had a positive impact and that many have not yet been implemented. In an opposition letter, Lishaun Francis, senior director for behavioral health at Children Now said the state “has yet to demonstrate that it has delivered” on its promises and that the proposal deprioritizes children and youth.[pullquote size=\"medium\" align=\"right\" citation=\"Sacramento Mayor Darrell Steinberg\"]‘The opportunity is to weave all these pieces together so that everyone has access to care — and nobody is left out or left behind.’[/pullquote]Advocates also say those funding sources, particularly Medi-Cal, won’t reimburse for the non-clinical programs like classroom interventions and family resource centers that have historically been supported by the Mental Health Services Act. Medi-Cal is the state’s health insurance program for extremely low-income Californians.\u003c/p>\n\u003cp>“Families need flexibility,” said Christine Stoner-Mertz, chief executive officer of the California Alliance of Child and Family Services. “We need community-designed practices, and we haven’t been successful in doing that with just Medi-Cal.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Gov. Gavin Newsom wants to direct more funds from California's millionaire’s tax toward housing. Some county-run mental health programs could lose out.","status":"publish","parent":0,"modified":1689628275,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":1188},"headData":{"title":"Newsom’s Mental Health Plan Could Strip Over $700 Million in Services | KQED","description":"Gov. Gavin Newsom wants to direct more funds from California's millionaire’s tax toward housing. Some county-run mental health programs could lose out.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Newsom’s Mental Health Plan Could Strip Over $700 Million in Services","datePublished":"2023-07-17T21:09:53.000Z","dateModified":"2023-07-17T21:11:15.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"source":"CalMatters","sourceUrl":"https://calmatters.org/","nprByline":"\u003ca href=\"https://calmatters.org/author/kristen-hwang/\">Kristen Hwang\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11955844/newsom-mental-health-plan-strips-700-million-in-services","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A \u003ca href=\"https://www.kqed.org/news/11954314/3-big-takeaways-from-californias-311-billion-budget-deal\">major proposal from Gov. Gavin Newsom\u003c/a> to overhaul the state’s behavioral and mental health system is likely to take nearly $720 million away from services provided by county governments annually, according to a \u003ca href=\"https://lao.ca.gov/Publications/Report/4782\">new analysis\u003c/a> from the Legislative Analyst’s Office.\u003c/p>\n\u003cp>Although that money would be reallocated within the system, in part to \u003ca href=\"https://calmatters.org/health/mental-health/2023/06/mental-health-funding-2/\">house homeless individuals with severe mental illness\u003c/a> and addiction disorders, the report authors note that Newsom and key legislators supporting the proposal have neither provided a complete justification for the changes nor have they published an analysis on how the changes may “negatively impact current services.”\u003c/p>\n\u003cp>“Consequently, as the Legislature considers the proposal, we recommend asking the administration certain questions to assess whether the proposal is warranted,” the report states.\u003c/p>\n\u003cp>Newsom wants the Legislature to put his proposal before voters next year in tandem with a $4.68 billion bond measure to add psychiatric treatment beds. It would change how the state allocates money under the Mental Health Services Act, which levies a 1% tax on income above $1 million to fund behavioral health services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Homelessness has become one of the most \u003ca href=\"https://calmatters.org/housing/homelessness/2023/04/california-homeless-spending-audit/\">high-profile challenges plaguing California\u003c/a>, increasing 32% in the past four years. Newsom, who promised to reduce homelessness, announced his intent during his \u003ca href=\"https://calmatters.org/politics/2023/03/gavin-newsom-legacy-tour/\">State of the State tour\u003c/a> to divert nearly one-third of the state’s Mental Health Services Act money to help address homelessness.\u003c/p>\n\u003cp>Since that time, \u003ca href=\"https://calmatters.org/health/2023/04/mental-health-funding/\">local behavioral health providers and county officials\u003c/a> have criticized the proposal because of its potential to cut services and pit mental health programs against homeless services. The state has spent more than $20 billion on \u003ca href=\"https://calmatters.org/housing/homelessness/2023/04/california-homeless-spending-audit/\">housing and homelessness since 2018\u003c/a>.\u003c/p>\n\u003cp>Supporters, meanwhile, say reprioritizing how the money is spent is long overdue in light of the growing needs of the state’s homeless population as well as the addition of new funding sources for mental health programs.\u003c/p>\n\u003cp>In a statement, Newsom’s Deputy Communications Director Brandon Richards said “upsetting the status quo” was necessary in light of California’s changing health care needs.\u003c/p>\n\u003ch2>Mental health needs among California homeless\u003c/h2>\n\u003cp>A recent study from UC San Francisco found that two-thirds of \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\">homeless individuals experience mental health conditions\u003c/a>, although income loss is the driving force behind the state’s homelessness crisis.\u003c/p>\n\u003cp>“What’s more upsetting is watching people continue to suffer on the streets with ineffective interventions and inability to access much-needed treatment,” Richards said. “A California behavioral health system of care that is more focused, more transparent, and more accountable for results is what all Californians deserve and what this historic reform aims to achieve.”\u003c/p>\n\u003cp>Roughly one-third of the county mental health infrastructure in the state is supported by the Mental Health Services Act, which was approved by voters in 2004 as a ballot initiative. Substantial changes to the act, like the ones Newsom proposed, require voter approval. Last year the tax generated about $3.8 billion.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘What’s more upsetting, is watching people continue to suffer on the streets with ineffective interventions and inability to access much-needed treatment.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Brandon Richards, deputy communications director, Gov. Gavin Newsom","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Critics of Newsom’s proposal say the new analysis bolsters their argument that the changes will result in significant cuts to current programs, particularly those that \u003ca href=\"https://calmatters.org/health/mental-health/2023/06/mental-health-funding-2/\">support children\u003c/a>.\u003c/p>\n\u003cp>Newsom’s office has so far “danced around” how much money would be cut, said Adrienne Shilton, a lobbyist for the California Alliance of Children and Family Services, which represents behavioral health providers in every county. The report is the first to quantify how the proposal would impact programs statewide.\u003c/p>\n\u003cp>“We’re seeing in real dollars what the impact would be,” Shilton said.\u003c/p>\n\u003cp>The analysis estimates spending on current programs would be reduced from $1.34 billion to $621 million under the plan.\u003c/p>\n\u003ch2>Housing money in Gavin Newsom’s plan\u003c/h2>\n\u003cp>The report identified several key changes and unanswered questions for the Legislature to consider in \u003ca href=\"https://lao.ca.gov/Publications/Series/3\">Newsom’s plan\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Reduced flexibility: \u003c/strong>Counties would have less flexibility to determine how money is spent. Based on current expenditures, counties would be required to increase spending on housing by $493 million and on “full-service partnerships” by $121 million. “Full-service partnerships” include intensive wraparound services like case management, housing and employment support as well as clinical care.\u003c/li>\n\u003cli>\u003cstrong>Program cuts likely: \u003c/strong>To meet spending targets and caps, counties would likely need to reduce spending on current programs including “outpatient services, crisis response, prevention services, and outreach.”\u003c/li>\n\u003cli>\u003cstrong>Less independent oversight: \u003c/strong>The proposed restructuring moves much of the program implementation and oversight authority to the Department of Health Care Services. The change “significantly limits” the independent oversight of the current Mental Health Services Oversight and Accountability Commission.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"More on Mental Health Care ","tag":"mental-health"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Sacramento Mayor Darrell Steinberg, who helped author the original law and has been a key supporter of the changes, said the law was always meant to prioritize “the plight of people living with serious mental illness on our streets.”\u003c/li>\n\u003c/ul>\n\u003cp>“It’s appropriate, in fact, it’s necessary to set priority status,” Steinberg said.\u003c/p>\n\u003cp>Steinberg and Newsom’s office also contend that the state has invested heavily in the mental health safety net in other ways, including changes to the Medi-Cal system and a $4.4 billion one-time infusion into the \u003ca href=\"https://calmatters.org/health/2022/03/california-children-mental-health-crisis/\">Children and Youth Behavioral Health Initiative\u003c/a>.\u003c/p>\n\u003cp>“It’s no longer a funding source that stands alone,” Steinberg said. “[Now], the opportunity is to weave all these pieces together so that everyone has access to care, and nobody is left out or left behind.”\u003c/p>\n\u003cp>Still, advocates say it is premature to assume those investments have had a positive impact and that many have not yet been implemented. In an opposition letter, Lishaun Francis, senior director for behavioral health at Children Now said the state “has yet to demonstrate that it has delivered” on its promises and that the proposal deprioritizes children and youth.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘The opportunity is to weave all these pieces together so that everyone has access to care — and nobody is left out or left behind.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Sacramento Mayor Darrell Steinberg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Advocates also say those funding sources, particularly Medi-Cal, won’t reimburse for the non-clinical programs like classroom interventions and family resource centers that have historically been supported by the Mental Health Services Act. Medi-Cal is the state’s health insurance program for extremely low-income Californians.\u003c/p>\n\u003cp>“Families need flexibility,” said Christine Stoner-Mertz, chief executive officer of the California Alliance of Child and Family Services. “We need community-designed practices, and we haven’t been successful in doing that with just Medi-Cal.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11955844/newsom-mental-health-plan-strips-700-million-in-services","authors":["byline_news_11955844"],"categories":["news_457","news_8"],"tags":["news_18538","news_596","news_16","news_30728","news_1775","news_2109","news_31651","news_31538","news_17983"],"affiliates":["news_18481"],"featImg":"news_11955872","label":"source_news_11955844"},"news_11954909":{"type":"posts","id":"news_11954909","meta":{"index":"posts_1591205157","site":"news","id":"11954909","score":null,"sort":[1688411182000]},"guestAuthors":[],"slug":"this-california-city-made-a-huge-impact-on-homelessness-then-money-ran-out","title":"This California City Made a Huge Impact on Homelessness. Then Money Ran Out","publishDate":1688411182,"format":"standard","headTitle":"This California City Made a Huge Impact on Homelessness. Then Money Ran Out | KQED","labelTerm":{},"content":"\u003cp>A new homeless outreach program pairing a social worker with a police officer in Grass Valley, a small town in the Sierra Nevada foothills, seemed to be working.\u003c/p>\n\u003cp>The state-funded effort sent the team to homeless encampments, where they helped build trust among vulnerable people and persuaded them to accept help, according to the nonprofit Hospitality House, which ran the program.\u003c/p>\n\u003cp>It blew past its goal of engaging 90 people in three years, instead meeting with more than 200. It even helped move some people directly into housing, including an 80-year-old veteran.\u003c/p>\n\u003cp>But when the three-year grant paying for that outreach ended in June, there was no money to replace it. So the program came to a screeching halt, to the disappointment of all involved.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It is a profound loss to not be able to do this,” said Nancy Baglietto, executive director of Hospitality House.\u003c/p>\n\u003cp>That loss embodies the worst fears of homeless service providers across California, as they struggle to piece together new funding sources after their state grants expire.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Carolyn Coleman, executive director and CEO, League of California Cities\"]‘It really defies logic that the state budget once again fails to include funding to match the scale of the crisis we are experiencing.’[/pullquote]\u003c/p>\n\u003cp>Many had hoped that Gov. Gavin Newsom and legislative leaders would change that dynamic in the state budget deal they announced last week by committing ongoing funds for homelessness that nonprofits, cities and counties could rely on year after year.\u003c/p>\n\u003cp>It didn’t happen.\u003c/p>\n\u003cp>Instead, Newsom and lawmakers settled on another round of one-time funding.\u003c/p>\n\u003cp>“It really defies logic that the state budget once again fails to include funding to match the scale of the crisis we are experiencing,” said Carolyn Coleman, executive director and CEO of the League of California Cities, which \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/04/california-homeless-cities/\">pressed Newsom’s administration for a guaranteed $3 billion a year in homelessness funding\u003c/a>.\u003c/p>\n\u003ch2>‘Unprecedented’ homelessness funding under Newsom\u003c/h2>\n\u003cp>As California grapples with how to provide for its massive population of more than 170,000 unhoused residents, Newsom has stepped up homelessness funding to unprecedented levels. He’s funneled nearly $21 billion into housing and homelessness since the 2018–19 fiscal year.\u003c/p>\n\u003cp>This year, for the third year in a row, the state budget allocates $1 billion to the Homeless Housing, Assistance and Prevention fund, which local officials can use for housing, outreach at encampments, emergency shelters and more.\u003c/p>\n\u003cp>But the vast majority of Newsom’s homelessness spending has been in one-time grants, which providers say makes it difficult to fund the kind of long-term programs that could make a noticeable dent in the crisis.\u003c/p>\n\u003cfigure id=\"attachment_11954915\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11954915 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/CalMattersUnhousedLA02.jpg\" alt=\"There are tents, belongings scattered and stacked, RVs in the background, a random shopping cart, and more. Many blue tarps cover the tops of the encampment area.\" width=\"1200\" height=\"800\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/CalMattersUnhousedLA02.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/CalMattersUnhousedLA02-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/CalMattersUnhousedLA02-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/CalMattersUnhousedLA02-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">An encampment in Los Angeles, on June 20, 2023. \u003ccite>(Julie A Hotz/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California would need to spend \u003ca href=\"https://www.mercurynews.com/2022/12/20/what-will-it-cost-to-end-homelessness-in-california-8-billion-a-year-for-12-years/\">$8.1 billion a year for a dozen years\u003c/a> to eliminate homelessness in the state, according to \u003ca href=\"https://calneeds.csh.org/\">a report by the Corporation for Supportive Housing and the California Housing Partnership\u003c/a>, two nonprofit advocacy groups.\u003c/p>\n\u003cp>The governor’s office defended this approach to funding homelessness, pointing out that the state has provided an “unprecedented” $15.3 billion for the issue since he took office at the start of 2019.[aside postID=news_11949327 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/05/RS58533_080_KQED_WoodStreetOaklandCalTrans_09082022-1020x680.jpg']The governor has also \u003ca href=\"https://www.gov.ca.gov/2023/03/19/governor-newsom-proposes-modernization-of-californias-behavioral-health-system-and-more-mental-health-housing/#:~:text=Amend%20the%20Mental%20Health%20Services,people%20with%20substance%20use%20disorders.\">proposed a 2024 ballot measure to amend the Mental Health Services Act\u003c/a> that would provide $1 billion a year for housing for people with mental illnesses and substance abuse disorders. That amendment would require voter approval to take effect.\u003c/p>\n\u003cp>“This budget provides not just funding to address homelessness — it builds in the accountability needed to ensure that tax dollars are being maximized to produce real results,” Daniel Lopez, Newsom’s deputy communications director, said in an emailed statement. “Ultimately, the challenge of homelessness and housing must be met not only with dollars, but it also requires strong accountability coupled with financial resources to make lasting progress for our state.”\u003c/p>\n\u003cp>To be eligible for homelessness funding under this budget, cities and counties must submit homeless action plans — in coordination with other jurisdictions in their region — that detail the progress they’ve made.\u003c/p>\n\u003ch2>Short-term homeless services\u003c/h2>\n\u003cp>There was some momentum this year to move away from one-time spending on homelessness. More than two dozen state legislators \u003ca href=\"https://www.calcities.org/docs/default-source/advocacy/ad-67-2023-24-budget-request-housing-and-homelessness.pdf?sfvrsn=4fbcd4a9_3/AD-67-2023-24-Budget-Request-Housing-and-Homel\">signed a letter in May supporting the League of California Cities’ demand (PDF)\u003c/a> for $3 billion a year. A coalition led by the California State Association of Counties also called for ongoing funds and drafted bill language it urged legislators to adopt.\u003c/p>\n\u003cp>But that proved to be a tough ask with Newsom’s office projecting a $30 billion-plus budget deficit.\u003c/p>\n\u003cp>For years, city and county leaders, legislators and homelessness nonprofits have been clamoring for a source of ongoing funding to tackle the homelessness crisis. \u003ca href=\"https://calmatters.org/legislator-tracker/luz-rivas-1974/\">Assemblymember Luz Rivas, a Democrat from Arleta\u003c/a>, pushed a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB71\">bill in 2021\u003c/a> that would have established ongoing homelessness funding by \u003ca href=\"https://www.mercurynews.com/2021/01/13/new-bill-would-fight-homelessness-by-raising-californias-corporate-tax-rates/\">raising taxes on large businesses\u003c/a>, but the bill died without making it out of the Assembly. Last year, California voters rejected a \u003ca href=\"https://www.mercurynews.com/2022/01/31/could-betting-on-sports-games-help-solve-californias-homelessness-crisis/\">ballot measure to legalize sports betting\u003c/a>, which would have directed fees and taxes from those wages into a fund for homelessness.\u003c/p>\n\u003cp>Baglietto, of Hospitality House, says that type of permanent funding could have helped save her organization’s Grass Valley outreach program.[pullquote size=\"medium\" align=\"right\" citation=\"Nancy Baglietto, executive director, Hospitality House\"]‘We don’t know each year where the funding is going to come from. It’s kind of a nail-biting scenario.’[/pullquote]Hospitality House and the Grass Valley Police Department received $575,000 in 2020 through a state violence intervention program. The city put the money toward homeless outreach as a way to prevent unhoused people from experiencing violence in encampments, and also to reduce confrontations between police and unhoused people. By the time the grant ran out this year, Grass Valley’s crime rate had improved and the city was no longer eligible for the money, Baglietto said.\u003c/p>\n\u003cp>It wasn’t the first time the nonprofit was forced to scramble because of unreliable state funding. Hospitality House’s 65-bed homeless shelter was once largely funded by state grants. Several years ago, the state changed how that money was allocated — focusing on permanent housing instead of shelter — and Hospitality House’s portion dried up. So the nonprofit cobbled together funding from a dozen different sources to fill the hole left by the state money, Baglietto said.\u003c/p>\n\u003cp>Now, Hospitality House keeps its shelter open through money from \u003ca href=\"https://calmatters.org/health/2022/02/california-medi-cal-reform/\">CalAIM, Newsom’s recent Medi-Cal expansion\u003c/a>. The nonprofit still has a “massive” gap, which it is temporarily filling with federal COVID funds designed to help businesses retain employees. That money runs out next year.\u003c/p>\n\u003cp>“We don’t know each year where the funding is going to come from,” Baglietto said. “It’s kind of a nail-biting scenario.”\u003c/p>\n\u003ch2>‘Havoc’ for California nonprofits\u003c/h2>\n\u003cp>Union Station Homeless Services, which coordinates programs throughout the San Gabriel Valley in Los Angeles County, faces the same issues, said CEO Anne Miskey. Every budget cycle, her team has to spend two or three months piecing together their financing as the funding they get from the state changes or ends. Sometimes, the parameters for a state grant shift and clients Union Station has been working with for years suddenly are no longer eligible.[aside label='More on California’s Unhoused Community' tag='homelessness']“This is just creating havoc in our sector,” Miskey said. “And this is why people are leaving. It’s not the clients. It’s not the work. It’s this piece.”\u003c/p>\n\u003cp>The new state budget has some new language around homelessness funding. It requires that anyone applying for a grant be part of a regional plan that lays out the specific roles and responsibilities of each participant.\u003c/p>\n\u003cp>That was something the \u003ca href=\"https://www.counties.org/sites/main/files/file-attachments/at_home_-_accountability_details_-_final_5-19-23.pdf?1684533540\">California State Association of Counties pushed for (PDF)\u003c/a>, arguing that currently cities, counties and other groups too often fight over who should be building shelters, offering mental health help or providing other homeless services.\u003c/p>\n\u003cp>The budget also promises that it is the Legislature’s “intent” to provide additional the same funding in the 2024-25 fiscal year.\u003c/p>\n\u003cp>That’s not enough, said Graham Knaus, CEO of the California State Association of Counties.\u003c/p>\n\u003cp>“Counties cannot budget based on legislative intent,” he said. “Nobody can. We certainly can’t make multi-year commitments based upon intent where there’s no clarity about what’s going to happen next year.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Gov. Gavin Newsom poured 'unprecedented' money into homelessness, but providers say one-time grants do not allow for long-term solutions to the state's biggest crisis.","status":"publish","parent":0,"modified":1688414050,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":1502},"headData":{"title":"This California City Made a Huge Impact on Homelessness. Then Money Ran Out | KQED","description":"Gov. Gavin Newsom poured 'unprecedented' money into homelessness, but providers say one-time grants do not allow for long-term solutions to the state's biggest crisis.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"This California City Made a Huge Impact on Homelessness. Then Money Ran Out","datePublished":"2023-07-03T19:06:22.000Z","dateModified":"2023-07-03T19:54:10.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"source":"CalMatters","sourceUrl":"https://calmatters.org/","nprByline":"\u003ca href=\"https://calmatters.org/author/marisa-kendall/\">Marisa Kendall\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11954909/this-california-city-made-a-huge-impact-on-homelessness-then-money-ran-out","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A new homeless outreach program pairing a social worker with a police officer in Grass Valley, a small town in the Sierra Nevada foothills, seemed to be working.\u003c/p>\n\u003cp>The state-funded effort sent the team to homeless encampments, where they helped build trust among vulnerable people and persuaded them to accept help, according to the nonprofit Hospitality House, which ran the program.\u003c/p>\n\u003cp>It blew past its goal of engaging 90 people in three years, instead meeting with more than 200. It even helped move some people directly into housing, including an 80-year-old veteran.\u003c/p>\n\u003cp>But when the three-year grant paying for that outreach ended in June, there was no money to replace it. So the program came to a screeching halt, to the disappointment of all involved.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It is a profound loss to not be able to do this,” said Nancy Baglietto, executive director of Hospitality House.\u003c/p>\n\u003cp>That loss embodies the worst fears of homeless service providers across California, as they struggle to piece together new funding sources after their state grants expire.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘It really defies logic that the state budget once again fails to include funding to match the scale of the crisis we are experiencing.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Carolyn Coleman, executive director and CEO, League of California Cities","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many had hoped that Gov. Gavin Newsom and legislative leaders would change that dynamic in the state budget deal they announced last week by committing ongoing funds for homelessness that nonprofits, cities and counties could rely on year after year.\u003c/p>\n\u003cp>It didn’t happen.\u003c/p>\n\u003cp>Instead, Newsom and lawmakers settled on another round of one-time funding.\u003c/p>\n\u003cp>“It really defies logic that the state budget once again fails to include funding to match the scale of the crisis we are experiencing,” said Carolyn Coleman, executive director and CEO of the League of California Cities, which \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/04/california-homeless-cities/\">pressed Newsom’s administration for a guaranteed $3 billion a year in homelessness funding\u003c/a>.\u003c/p>\n\u003ch2>‘Unprecedented’ homelessness funding under Newsom\u003c/h2>\n\u003cp>As California grapples with how to provide for its massive population of more than 170,000 unhoused residents, Newsom has stepped up homelessness funding to unprecedented levels. He’s funneled nearly $21 billion into housing and homelessness since the 2018–19 fiscal year.\u003c/p>\n\u003cp>This year, for the third year in a row, the state budget allocates $1 billion to the Homeless Housing, Assistance and Prevention fund, which local officials can use for housing, outreach at encampments, emergency shelters and more.\u003c/p>\n\u003cp>But the vast majority of Newsom’s homelessness spending has been in one-time grants, which providers say makes it difficult to fund the kind of long-term programs that could make a noticeable dent in the crisis.\u003c/p>\n\u003cfigure id=\"attachment_11954915\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11954915 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/CalMattersUnhousedLA02.jpg\" alt=\"There are tents, belongings scattered and stacked, RVs in the background, a random shopping cart, and more. Many blue tarps cover the tops of the encampment area.\" width=\"1200\" height=\"800\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/CalMattersUnhousedLA02.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/CalMattersUnhousedLA02-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/CalMattersUnhousedLA02-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/CalMattersUnhousedLA02-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">An encampment in Los Angeles, on June 20, 2023. \u003ccite>(Julie A Hotz/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California would need to spend \u003ca href=\"https://www.mercurynews.com/2022/12/20/what-will-it-cost-to-end-homelessness-in-california-8-billion-a-year-for-12-years/\">$8.1 billion a year for a dozen years\u003c/a> to eliminate homelessness in the state, according to \u003ca href=\"https://calneeds.csh.org/\">a report by the Corporation for Supportive Housing and the California Housing Partnership\u003c/a>, two nonprofit advocacy groups.\u003c/p>\n\u003cp>The governor’s office defended this approach to funding homelessness, pointing out that the state has provided an “unprecedented” $15.3 billion for the issue since he took office at the start of 2019.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11949327","hero":"https://ww2.kqed.org/app/uploads/sites/10/2023/05/RS58533_080_KQED_WoodStreetOaklandCalTrans_09082022-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The governor has also \u003ca href=\"https://www.gov.ca.gov/2023/03/19/governor-newsom-proposes-modernization-of-californias-behavioral-health-system-and-more-mental-health-housing/#:~:text=Amend%20the%20Mental%20Health%20Services,people%20with%20substance%20use%20disorders.\">proposed a 2024 ballot measure to amend the Mental Health Services Act\u003c/a> that would provide $1 billion a year for housing for people with mental illnesses and substance abuse disorders. That amendment would require voter approval to take effect.\u003c/p>\n\u003cp>“This budget provides not just funding to address homelessness — it builds in the accountability needed to ensure that tax dollars are being maximized to produce real results,” Daniel Lopez, Newsom’s deputy communications director, said in an emailed statement. “Ultimately, the challenge of homelessness and housing must be met not only with dollars, but it also requires strong accountability coupled with financial resources to make lasting progress for our state.”\u003c/p>\n\u003cp>To be eligible for homelessness funding under this budget, cities and counties must submit homeless action plans — in coordination with other jurisdictions in their region — that detail the progress they’ve made.\u003c/p>\n\u003ch2>Short-term homeless services\u003c/h2>\n\u003cp>There was some momentum this year to move away from one-time spending on homelessness. More than two dozen state legislators \u003ca href=\"https://www.calcities.org/docs/default-source/advocacy/ad-67-2023-24-budget-request-housing-and-homelessness.pdf?sfvrsn=4fbcd4a9_3/AD-67-2023-24-Budget-Request-Housing-and-Homel\">signed a letter in May supporting the League of California Cities’ demand (PDF)\u003c/a> for $3 billion a year. A coalition led by the California State Association of Counties also called for ongoing funds and drafted bill language it urged legislators to adopt.\u003c/p>\n\u003cp>But that proved to be a tough ask with Newsom’s office projecting a $30 billion-plus budget deficit.\u003c/p>\n\u003cp>For years, city and county leaders, legislators and homelessness nonprofits have been clamoring for a source of ongoing funding to tackle the homelessness crisis. \u003ca href=\"https://calmatters.org/legislator-tracker/luz-rivas-1974/\">Assemblymember Luz Rivas, a Democrat from Arleta\u003c/a>, pushed a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB71\">bill in 2021\u003c/a> that would have established ongoing homelessness funding by \u003ca href=\"https://www.mercurynews.com/2021/01/13/new-bill-would-fight-homelessness-by-raising-californias-corporate-tax-rates/\">raising taxes on large businesses\u003c/a>, but the bill died without making it out of the Assembly. Last year, California voters rejected a \u003ca href=\"https://www.mercurynews.com/2022/01/31/could-betting-on-sports-games-help-solve-californias-homelessness-crisis/\">ballot measure to legalize sports betting\u003c/a>, which would have directed fees and taxes from those wages into a fund for homelessness.\u003c/p>\n\u003cp>Baglietto, of Hospitality House, says that type of permanent funding could have helped save her organization’s Grass Valley outreach program.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We don’t know each year where the funding is going to come from. It’s kind of a nail-biting scenario.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Nancy Baglietto, executive director, Hospitality House","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Hospitality House and the Grass Valley Police Department received $575,000 in 2020 through a state violence intervention program. The city put the money toward homeless outreach as a way to prevent unhoused people from experiencing violence in encampments, and also to reduce confrontations between police and unhoused people. By the time the grant ran out this year, Grass Valley’s crime rate had improved and the city was no longer eligible for the money, Baglietto said.\u003c/p>\n\u003cp>It wasn’t the first time the nonprofit was forced to scramble because of unreliable state funding. Hospitality House’s 65-bed homeless shelter was once largely funded by state grants. Several years ago, the state changed how that money was allocated — focusing on permanent housing instead of shelter — and Hospitality House’s portion dried up. So the nonprofit cobbled together funding from a dozen different sources to fill the hole left by the state money, Baglietto said.\u003c/p>\n\u003cp>Now, Hospitality House keeps its shelter open through money from \u003ca href=\"https://calmatters.org/health/2022/02/california-medi-cal-reform/\">CalAIM, Newsom’s recent Medi-Cal expansion\u003c/a>. The nonprofit still has a “massive” gap, which it is temporarily filling with federal COVID funds designed to help businesses retain employees. That money runs out next year.\u003c/p>\n\u003cp>“We don’t know each year where the funding is going to come from,” Baglietto said. “It’s kind of a nail-biting scenario.”\u003c/p>\n\u003ch2>‘Havoc’ for California nonprofits\u003c/h2>\n\u003cp>Union Station Homeless Services, which coordinates programs throughout the San Gabriel Valley in Los Angeles County, faces the same issues, said CEO Anne Miskey. Every budget cycle, her team has to spend two or three months piecing together their financing as the funding they get from the state changes or ends. Sometimes, the parameters for a state grant shift and clients Union Station has been working with for years suddenly are no longer eligible.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"More on Californias Unhoused Community ","tag":"homelessness"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“This is just creating havoc in our sector,” Miskey said. “And this is why people are leaving. It’s not the clients. It’s not the work. It’s this piece.”\u003c/p>\n\u003cp>The new state budget has some new language around homelessness funding. It requires that anyone applying for a grant be part of a regional plan that lays out the specific roles and responsibilities of each participant.\u003c/p>\n\u003cp>That was something the \u003ca href=\"https://www.counties.org/sites/main/files/file-attachments/at_home_-_accountability_details_-_final_5-19-23.pdf?1684533540\">California State Association of Counties pushed for (PDF)\u003c/a>, arguing that currently cities, counties and other groups too often fight over who should be building shelters, offering mental health help or providing other homeless services.\u003c/p>\n\u003cp>The budget also promises that it is the Legislature’s “intent” to provide additional the same funding in the 2024-25 fiscal year.\u003c/p>\n\u003cp>That’s not enough, said Graham Knaus, CEO of the California State Association of Counties.\u003c/p>\n\u003cp>“Counties cannot budget based on legislative intent,” he said. “Nobody can. We certainly can’t make multi-year commitments based upon intent where there’s no clarity about what’s going to happen next year.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11954909/this-california-city-made-a-huge-impact-on-homelessness-then-money-ran-out","authors":["byline_news_11954909"],"categories":["news_31795","news_8"],"tags":["news_3921","news_24805","news_18538","news_25676","news_27626","news_16","news_20305","news_4020","news_32023","news_32277","news_4","news_2109","news_17983","news_30602","news_31793"],"affiliates":["news_18481"],"featImg":"news_11954914","label":"source_news_11954909"},"news_11952228":{"type":"posts","id":"news_11952228","meta":{"index":"posts_1591205157","site":"news","id":"11952228","score":null,"sort":[1686056444000]},"guestAuthors":[],"slug":"san-francisco-to-implement-newsoms-care-court-plan-to-treat-severe-mental-illness","title":"San Francisco to Implement Newsom's CARE Court Plan to Treat Severe Mental Illness","publishDate":1686056444,"format":"standard","headTitle":"San Francisco to Implement Newsom’s CARE Court Plan to Treat Severe Mental Illness | KQED","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>For the past few years, San Francisco’s international reputation as a vibrant and scenic destination for tourists and conventions has been overtaken by a drumbeat of stories focused on homelessness, an epidemic of fentanyl overdose deaths and people with severe and untreated psychoses living on the streets.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"San Francisco Mayor London Breed\"]‘There’s never enough money for anything. Period. But the fact is that can’t be an excuse for not trying.’[/pullquote]Now, San Francisco is poised to be among the first eight counties in California this year to implement CARE Court, a new approach to treating severe mental illness that Gov. Gavin Newsom calls a “paradigm shift,” but which supporters and opponents alike fear will fail to deliver on its sweeping promises.\u003c/p>\n\u003cp>Supporters of the program, like Mayor London Breed, said it’s time for the city to undergo a course correction.\u003c/p>\n\u003cfigure id=\"attachment_11952229\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11952229 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-800x533.jpg\" alt=\"A Black woman with shoulder-length black, curly hair and bright red lipstick, wearing a blue blazer and an ochre blouse, gestures as she speaks in front of a flag of California inside what appears to be a large room.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco Mayor London Breed speaks at a press event at City Hall on July 7, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’ve got to start having honest conversations about the fact that things are changing, and it is not OK to allow what’s happening on the street to happen on the streets,” she recently told KQED.\u003c/p>\n\u003cp>The new courts — CARE stands for Community Assistance, Recovery and Empowerment — will allow first responders, family members, clinicians and others to ask a judge to order treatment plans for people diagnosed with schizophrenia and other psychotic disorders. While not limited to people who are also experiencing homelessness, the program focuses on people who are not currently receiving mental health treatment. Every county in California will have to implement the new civil courts by 2024.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Participation is voluntary, but supporters hope the so-called “black robe effect” — where people ordered to do something by a judge feel compelled to do so — will increase compliance.\u003c/p>\n\u003cp>Opponents of the program, including the American Civil Liberties Union and Disability Rights California, have argued that people, particularly Black Californians, will be targeted to enter the program because Black residents are overrepresented in both the number of \u003ca href=\"https://files.hudexchange.info/reports/published/CoC_PopSub_State_CA_2020.pdf\">people experiencing homelessness (PDF)\u003c/a> and the number of \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274585/\">people diagnosed with psychotic disorders\u003c/a>.\u003c/p>\n\u003cp>Johnny Crawford, who works on a cleaning crew in San Francisco, said he shared those concerns.\u003c/p>\n\u003cp>“I have mental health issues and I’ve dealt with addiction,” he said. “I think trying to push somebody into doing something they don’t want to do, it’s not fair. It’s not right. I wouldn’t do it.”\u003c/p>\n\u003cp>Supervisor Rafael Mandelman said those \u003ca href=\"https://www.kqed.org/news/11944448/a-war-of-compassion-debate-over-forced-treatment-of-mental-illness-splits-california-liberals\">civil liberty concerns\u003c/a> were being trumped by a larger concern: how to get people who aren’t engaged in mental health services into treatment.\u003c/p>\n\u003cp>“There are certainly folks on the Board of Supervisors and there are certainly people in the broader ballot body politic who really don’t want to see any more coercion of people into care who are not voluntarily seeking it,” Mandelman said, adding, “There’s a larger group of people who want these problems solved and want to see people get care.”\u003c/p>\n\u003cp>[aside postID=\"news_11944448,news_11924117,news_11914873\" label=\"Related Posts\"]Supporters argue a treatment plan developed through CARE Court will be less restrictive than alternatives, such as state hospitalization or conservatorship.\u003c/p>\n\u003cp>To qualify, an individual must be 18 years or older, diagnosed with schizophrenia or another psychotic disorder, deemed likely to benefit from a supervised treatment plan and found to be at risk of harming themselves or others.\u003c/p>\n\u003cp>A recent analysis by the Benioff Homelessness and Housing Initiative at UCSF and the California Policy Lab found that, based on data from hospital emergency rooms and the criminal justice system, \u003ca href=\"https://www.capolicylab.org/news/new-analysis-estimates-766-people-may-be-eligible-for-referral-to-care-court-in-san-francisco-though-capacity-is-a-concern/\">upwards of 760 people in San Francisco might be eligible\u003c/a> for referral to CARE Court when the program begins in October. Some experts expect the number to be more than 1,000.\u003c/p>\n\u003cp>Ensuring counties have enough funding to run the new CARE Courts is a concern shared by critics and supporters alike. Among the agencies involved in implementing CARE Court will be the Superior Court, the Department of Public Health, the Human Services Agency, the Department of Homelessness and Supportive Housing, the City Attorney’s Office and the Public Defender’s Office.\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu said each participant will be required to go through five court hearings before a treatment plan is approved. But, he said, the state hasn’t allocated any additional funds for that.\u003c/p>\n\u003cp>“In addition to the work our office is going to do, there’s the work of, say, public defenders and other advocates, work of the court itself. And all of these actors are going to need additional resources,” Chiu said.\u003c/p>\n\u003cp>And, once someone has a treatment plan in place, San Francisco social worker Charlie Berman said, it isn’t clear whether the city’s existing facilities will be able to absorb new patients. For the past decade, Berman has worked on the streets of San Francisco with people suffering from severe mental illness — exactly the population CARE Court targets.\u003c/p>\n\u003cp>“I think CARE Court really isn’t going to do much of anything more than the existing programs we have, because those existing programs are already not really able to do their job as well as they should due to lack of capacity,” he said. “And that means so many people who are cycling in and out of the [psychiatric] emergency room aren’t getting inpatient services because half the people at S.F. General [Hospital] are awaiting placement.”\u003c/p>\n\u003cp>Supervisor Hillary Ronen is frustrated and worried that CARE Courts will simply shift attention and funding away from other programs aimed at helping the city’s unhoused population, including those with serious mental illness.\u003c/p>\n\u003cp>“It’s not the design of CARE Court that I have a problem with,” she said. “It’s the constant diversion of attention and strategies and the inability to just stick with one strategy and see it through.”\u003c/p>\n\u003cp>Ronen added, “Overall, the diversion from everything that we were already doing in San Francisco towards implementing CARE Court is a net negative for the city.”\u003c/p>\n\u003cp>Breed — who may ultimately be held accountable for the success or failure of the program — dismisses those concerns.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“There’s never enough money for anything. Period. But the fact is that can’t be an excuse for not trying,” she said. “People are sick and tired, and we have to clean up the streets.”\u003c/p>\n\n","blocks":[],"excerpt":"San Francisco is poised to be among the first eight counties in California this year to implement CARE Court, a new approach to treating severe mental illness.","status":"publish","parent":0,"modified":1686067204,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":1137},"headData":{"title":"San Francisco to Implement Newsom's CARE Court Plan to Treat Severe Mental Illness | KQED","description":"San Francisco is poised to be among the first eight counties in California this year to implement CARE Court, a new approach to treating severe mental illness.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Francisco to Implement Newsom's CARE Court Plan to Treat Severe Mental Illness","datePublished":"2023-06-06T13:00:44.000Z","dateModified":"2023-06-06T16:00:04.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/811e205c-b26e-404c-ba90-b01400eaa4f6/audio.mp3","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11952228/san-francisco-to-implement-newsoms-care-court-plan-to-treat-severe-mental-illness","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>For the past few years, San Francisco’s international reputation as a vibrant and scenic destination for tourists and conventions has been overtaken by a drumbeat of stories focused on homelessness, an epidemic of fentanyl overdose deaths and people with severe and untreated psychoses living on the streets.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘There’s never enough money for anything. Period. But the fact is that can’t be an excuse for not trying.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"San Francisco Mayor London Breed","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Now, San Francisco is poised to be among the first eight counties in California this year to implement CARE Court, a new approach to treating severe mental illness that Gov. Gavin Newsom calls a “paradigm shift,” but which supporters and opponents alike fear will fail to deliver on its sweeping promises.\u003c/p>\n\u003cp>Supporters of the program, like Mayor London Breed, said it’s time for the city to undergo a course correction.\u003c/p>\n\u003cfigure id=\"attachment_11952229\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11952229 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-800x533.jpg\" alt=\"A Black woman with shoulder-length black, curly hair and bright red lipstick, wearing a blue blazer and an ochre blouse, gestures as she speaks in front of a flag of California inside what appears to be a large room.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS57121_006_KQED_DABrookeJenkins_07072022-qut-KQED.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco Mayor London Breed speaks at a press event at City Hall on July 7, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’ve got to start having honest conversations about the fact that things are changing, and it is not OK to allow what’s happening on the street to happen on the streets,” she recently told KQED.\u003c/p>\n\u003cp>The new courts — CARE stands for Community Assistance, Recovery and Empowerment — will allow first responders, family members, clinicians and others to ask a judge to order treatment plans for people diagnosed with schizophrenia and other psychotic disorders. While not limited to people who are also experiencing homelessness, the program focuses on people who are not currently receiving mental health treatment. Every county in California will have to implement the new civil courts by 2024.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Participation is voluntary, but supporters hope the so-called “black robe effect” — where people ordered to do something by a judge feel compelled to do so — will increase compliance.\u003c/p>\n\u003cp>Opponents of the program, including the American Civil Liberties Union and Disability Rights California, have argued that people, particularly Black Californians, will be targeted to enter the program because Black residents are overrepresented in both the number of \u003ca href=\"https://files.hudexchange.info/reports/published/CoC_PopSub_State_CA_2020.pdf\">people experiencing homelessness (PDF)\u003c/a> and the number of \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274585/\">people diagnosed with psychotic disorders\u003c/a>.\u003c/p>\n\u003cp>Johnny Crawford, who works on a cleaning crew in San Francisco, said he shared those concerns.\u003c/p>\n\u003cp>“I have mental health issues and I’ve dealt with addiction,” he said. “I think trying to push somebody into doing something they don’t want to do, it’s not fair. It’s not right. I wouldn’t do it.”\u003c/p>\n\u003cp>Supervisor Rafael Mandelman said those \u003ca href=\"https://www.kqed.org/news/11944448/a-war-of-compassion-debate-over-forced-treatment-of-mental-illness-splits-california-liberals\">civil liberty concerns\u003c/a> were being trumped by a larger concern: how to get people who aren’t engaged in mental health services into treatment.\u003c/p>\n\u003cp>“There are certainly folks on the Board of Supervisors and there are certainly people in the broader ballot body politic who really don’t want to see any more coercion of people into care who are not voluntarily seeking it,” Mandelman said, adding, “There’s a larger group of people who want these problems solved and want to see people get care.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11944448,news_11924117,news_11914873","label":"Related Posts "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Supporters argue a treatment plan developed through CARE Court will be less restrictive than alternatives, such as state hospitalization or conservatorship.\u003c/p>\n\u003cp>To qualify, an individual must be 18 years or older, diagnosed with schizophrenia or another psychotic disorder, deemed likely to benefit from a supervised treatment plan and found to be at risk of harming themselves or others.\u003c/p>\n\u003cp>A recent analysis by the Benioff Homelessness and Housing Initiative at UCSF and the California Policy Lab found that, based on data from hospital emergency rooms and the criminal justice system, \u003ca href=\"https://www.capolicylab.org/news/new-analysis-estimates-766-people-may-be-eligible-for-referral-to-care-court-in-san-francisco-though-capacity-is-a-concern/\">upwards of 760 people in San Francisco might be eligible\u003c/a> for referral to CARE Court when the program begins in October. Some experts expect the number to be more than 1,000.\u003c/p>\n\u003cp>Ensuring counties have enough funding to run the new CARE Courts is a concern shared by critics and supporters alike. Among the agencies involved in implementing CARE Court will be the Superior Court, the Department of Public Health, the Human Services Agency, the Department of Homelessness and Supportive Housing, the City Attorney’s Office and the Public Defender’s Office.\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu said each participant will be required to go through five court hearings before a treatment plan is approved. But, he said, the state hasn’t allocated any additional funds for that.\u003c/p>\n\u003cp>“In addition to the work our office is going to do, there’s the work of, say, public defenders and other advocates, work of the court itself. And all of these actors are going to need additional resources,” Chiu said.\u003c/p>\n\u003cp>And, once someone has a treatment plan in place, San Francisco social worker Charlie Berman said, it isn’t clear whether the city’s existing facilities will be able to absorb new patients. For the past decade, Berman has worked on the streets of San Francisco with people suffering from severe mental illness — exactly the population CARE Court targets.\u003c/p>\n\u003cp>“I think CARE Court really isn’t going to do much of anything more than the existing programs we have, because those existing programs are already not really able to do their job as well as they should due to lack of capacity,” he said. “And that means so many people who are cycling in and out of the [psychiatric] emergency room aren’t getting inpatient services because half the people at S.F. General [Hospital] are awaiting placement.”\u003c/p>\n\u003cp>Supervisor Hillary Ronen is frustrated and worried that CARE Courts will simply shift attention and funding away from other programs aimed at helping the city’s unhoused population, including those with serious mental illness.\u003c/p>\n\u003cp>“It’s not the design of CARE Court that I have a problem with,” she said. “It’s the constant diversion of attention and strategies and the inability to just stick with one strategy and see it through.”\u003c/p>\n\u003cp>Ronen added, “Overall, the diversion from everything that we were already doing in San Francisco towards implementing CARE Court is a net negative for the city.”\u003c/p>\n\u003cp>Breed — who may ultimately be held accountable for the success or failure of the program — dismisses those concerns.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“There’s never enough money for anything. Period. But the fact is that can’t be an excuse for not trying,” she said. “People are sick and tired, and we have to clean up the streets.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11952228/san-francisco-to-implement-newsoms-care-court-plan-to-treat-severe-mental-illness","authors":["255"],"programs":["news_72"],"categories":["news_6266","news_8"],"tags":["news_31336","news_16","news_4020","news_1775","news_6931","news_31538","news_17983","news_17968","news_30602"],"featImg":"news_11952219","label":"news_72"},"news_11945438":{"type":"posts","id":"news_11945438","meta":{"index":"posts_1591205157","site":"news","id":"11945438","score":null,"sort":[1680485414000]},"guestAuthors":[],"slug":"community-and-civil-rights-groups-hold-vigil-and-rally-over-recent-deaths-at-santa-rita-jail","title":"Community and Civil Rights Groups Hold Vigil and Rally Over Recent Deaths at Santa Rita Jail","publishDate":1680485414,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>Over 70 people from civil rights groups and families of those affected by mental illness and incarceration held a vigil and noise demonstration organized by the Care First Community Coalition on Saturday to grieve and protest a \u003ca href=\"https://www.ktvu.com/news/4th-person-to-die-at-santa-rita-jail-in-6-weeks\">spate of recent deaths at Santa Rita Jail\u003c/a>, Alameda County's main adult detention facility.[pullquote size=\"medium\" align=\"right\" citation=\"Dorsey Nunn, executive director, Legal Services for Prisoners with Children\"]'At a certain point there is something called compassion, and we are sorely missing it as a society, particularly when it comes to Black and brown folks.'[/pullquote]\u003c/p>\n\u003cp>The Dublin-based jail is not only one of the largest detention facilities in the United States, it is also \u003ca href=\"https://www.kqed.org/news/11918230/grand-jury-major-health-and-safety-violations-at-santa-rita-jail-require-urgent-attention\">one of the most notorious\u003c/a>, where major health and safety violations have been reported and where over 66 people have lost their lives since 2014. So far this year, there have been four deaths at Santa Rita Jail.\u003c/p>\n\u003cp>“All four of those people died needlessly within days of their intake,” said Joy George with \u003ca href=\"https://restoreoakland.org/\">Restore Oakland\u003c/a>, a community advocacy group. “They died after being evaluated … even though there were multiple red flags. They should have been diverted. They should have been elsewhere. They should not have been incarcerated at Santa Rita Jail.”\u003c/p>\n\u003cp>The facility was \u003ca href=\"https://oaklandside.org/2022/02/08/judge-places-santa-rita-jail-under-external-oversight-ending-mental-health-abuse-lawsuit/\">placed under federal supervision in 2022 for at least six years\u003c/a> to improve conditions for those experiencing mental illness. During the rally, protestors read the names of those who had died in the jail over the last nine years.\u003c/p>\n\u003cfigure id=\"attachment_11945442\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-scaled.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11945442 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-800x600.jpg\" alt=\"Large white signs, with names, birth and death dates painted in black, lay arranged on a cement walkway in neat rows.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-2048x1536.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Demonstrators lay 66 painted signs on the plaza in front of the jail, each bearing the name of a person who died in the jail over the last decade. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While some of the deaths have been attributed by jail officials to suspected fentanyl overdoses, protesters say the majority generally were caused by people not getting the care they needed (whether for mental illness or substance use disorder) in the facility.\u003c/p>\n\u003cfigure id=\"attachment_11945446\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-scaled.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11945446 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg\" alt=\"A Black man wearing black clothing and holding a microphone stands in front of several colored signs on a cement walkway outside.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-2048x1536.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dorsey Nunn, executive director of Legal Services for Prisoners With Children, speaks to a crowd of demonstrators in front of Santa Rita Jail. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“In the event that I'm out of control with a drug habit, should you take me to a drug program or should you take me to jail?” said Dorsey Nunn, executive director of the nonprofit \u003ca href=\"https://prisonerswithchildren.org/\">Legal Services for Prisoners With Children\u003c/a>. “At a certain point there is something called compassion, and we are sorely missing it as a society, particularly when it comes to Black and brown folks.”\u003c/p>\n\u003cp>Advocates with the Care First Community Coalition pushed for the \"Care First, Jails Last\" policy resolution that was adopted by Alameda County in 2021, which set goals for law enforcement agencies in the county to stop the practice of arresting and jailing people dealing with mental health and/or substance use issues. The resolution also called for creating a community-led process to establish behavioral/mental health care and social services. The coalition demanded that the Alameda County Board of Supervisors investigate jail deaths and provide over $50 million for mental health services that were promised but have yet to be implemented. A meeting with the board about budget presentations will be held on April 11.[aside postID=\"news_11918230,news_11854891,news_11853540\" label=\"Related Posts\"]“The last time my brother Donald Nelson was able to walk, it was walking into this facility … that was May 1st, 2020,” said Norma Nelson. She said her brother, Donald Nelson, died after he was fatally assaulted in a holding cell by another detainee just hours into custody. “Losing a loved one who needs medical and mental health care while in the hands of our social and criminal justice system cuts to the heart with a different kind of pain — it’s deep.”\u003c/p>\n\u003cp>Nelson added that the sheriff's department didn't acknowledge the murder publicly until a reporter months later reported it. Lt. Tya Modeste, public information officer for the Alameda County Sheriff’s Office, said she was aware that the jail's “reputation wasn’t great in the past” and that “people found out their family members passed away by hearing it on the news,” but she says they’ve been working hard under the new sheriff, Yesenia Sanchez, to turn that around.\u003c/p>\n\u003cp>“We welcome peaceful protests and understand that the community and families are frustrated,” said Modeste. “It's difficult to see someone lose their life … We're not just sitting back and watching people die in our custody.”\u003c/p>\n\u003cp>Modeste outlined various initiatives the Sheriff's Office has taken, including building a focus group and inviting community members to discussions with the executive staff and Sanchez about grievances; working with federal monitors and attorneys who represent the incarcerated population on federal oversight; working collectively with community-based partners; sending out press releases when someone dies in custody; and getting in touch with families.\u003c/p>\n\u003cfigure id=\"attachment_11945441\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-scaled.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11945441 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-800x600.jpg\" alt=\"A young woman with a dark, shaved head, wearing a sleeveless black tank top, black jeans, and black Adidas sneakers, holds a microphone with both hands as she stands in front of signs that are yellow, red and white. Several people stand off to the side looking in her direction.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-2048x1536.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kari Malkki, a healing justice intern at Restore Oakland, addresses the crowd of demonstrators on the plaza in front of Santa Rita Jail on April 1, 2023. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We're putting policies and practices in place so that we can make sure that when something like this happens, that we look at our policies, we look at our practices, we look at our services,\" said Modeste. \"We invite all the stakeholders to the table so that we're discussing this together and we're looking at ways to make sure we're providing better service for our incarcerated population. Sheriff Sanchez is committed to restoring public trust. She's committed to making sure that we're being absolutely transparent.”\u003c/p>\n\u003cp>Katy Polony, a family advocate who works with \u003ca href=\"https://acfasmi.org/\">Families Advocating for the Seriously Mentally Ill\u003c/a> (FASMI), says there's a need for more hospital beds, supportive housing, continuum of care and case management teams.\u003c/p>\n\u003cfigure id=\"attachment_11945443\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-scaled.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11945443 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-800x600.jpg\" alt=\"A large group of people sit and stand looking in the same direction, many wearing bright yellow, with a low, green hill and trees behind them.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-2048x1536.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A crowd of demonstrators, including faith leaders, community organizers, formerly incarcerated people and the families of people who died while at Santa Rita, listen quietly as Norma Nelson (not pictured) shares her experience of trying to get information from the Sheriff's Office about the death of her brother, Donald Nelson, in Santa Rita Jail in 2020. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Families are getting no support, no training, nothing. When their kids are cycling through the system, they're like, ‘What do I do? What am I doing?’” said Polony. “The most important thing with someone who has schizophrenia or another psychotic disease is to treat them right away. We need early intervention programs, which means a psychiatrist, a psychologist, a vocal rehab … We could do it, but we don't.”\u003c/p>\n\u003cp>Tiffany Monk says her brother who had schizophrenia, bipolar disorder and high blood pressure died in Santa Rita Jail, but that the lack of communication and cooperation from the authorities means she’s still not sure exactly what happened to him.\u003c/p>\n\u003cp>“I'm hoping [the new sheriff] makes a difference, that she takes her job seriously and holds these people accountable, because it's not right,\" said Monk. \"They're killing people and it's like nothing's happening.”\u003c/p>\n\u003cp>The average daily population at Santa Rita Jail fell to 2,108 in the fourth quarter of 2022, according to a survey by the \u003ca href=\"http://www.bscc.ca.gov/wp-content/uploads/Jail-Pop-Trends-Through-Q4-2022_3.20.23.pdf\">Board of State and Community Corrections (PDF)\u003c/a>, while on April 2, the Alameda County Sheriff’s Office reported a \u003ca href=\"https://content.govdelivery.com/bulletins/gd/ACSO-35285e4?wgt_ref=ACSO_WIDGET_2\">population of 1,778\u003c/a>.\u003c/p>\n\u003cp>The Care First Coalition has been calling for the reinvestment of funds from the jail into community-based mental health and substance use.\u003c/p>\n\u003cp>“The federal court decree requiring county investment in increased staffing of the jail is based on an estimate of 3,000 prisoners, which Santa Rita has not had since 2014,” said John Lindsay-Poland of American Friends Service Committee.\u003c/p>\n\u003cp>\u003cem>This story has been updated to include the latest average daily population figures for Santa Rita Jail, and a comment from John Lindsay-Poland of American Friends Service Committee.\u003c/em>\u003c/p>\n\u003cp>\u003cem>KQED’s Annelise Finney and Spencer Whitney contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"With four people having died within 6 weeks in 2023 alone, families and civil rights groups expressed grief and outrage over conditions at the notorious Dublin-based facility in Alameda County where protesters say more than 60 people lost their lives in the last 10 years.","status":"publish","parent":0,"modified":1680636382,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":1370},"headData":{"title":"Community and Civil Rights Groups Hold Vigil and Rally Over Recent Deaths at Santa Rita Jail | KQED","description":"With four people having died within 6 weeks in 2023 alone, families and civil rights groups expressed grief and outrage over conditions at the notorious Dublin-based facility in Alameda County where protesters say more than 60 people lost their lives in the last 10 years.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Community and Civil Rights Groups Hold Vigil and Rally Over Recent Deaths at Santa Rita Jail","datePublished":"2023-04-03T01:30:14.000Z","dateModified":"2023-04-04T19:26:22.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11945438/community-and-civil-rights-groups-hold-vigil-and-rally-over-recent-deaths-at-santa-rita-jail","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Over 70 people from civil rights groups and families of those affected by mental illness and incarceration held a vigil and noise demonstration organized by the Care First Community Coalition on Saturday to grieve and protest a \u003ca href=\"https://www.ktvu.com/news/4th-person-to-die-at-santa-rita-jail-in-6-weeks\">spate of recent deaths at Santa Rita Jail\u003c/a>, Alameda County's main adult detention facility.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'At a certain point there is something called compassion, and we are sorely missing it as a society, particularly when it comes to Black and brown folks.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Dorsey Nunn, executive director, Legal Services for Prisoners with Children","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Dublin-based jail is not only one of the largest detention facilities in the United States, it is also \u003ca href=\"https://www.kqed.org/news/11918230/grand-jury-major-health-and-safety-violations-at-santa-rita-jail-require-urgent-attention\">one of the most notorious\u003c/a>, where major health and safety violations have been reported and where over 66 people have lost their lives since 2014. So far this year, there have been four deaths at Santa Rita Jail.\u003c/p>\n\u003cp>“All four of those people died needlessly within days of their intake,” said Joy George with \u003ca href=\"https://restoreoakland.org/\">Restore Oakland\u003c/a>, a community advocacy group. “They died after being evaluated … even though there were multiple red flags. They should have been diverted. They should have been elsewhere. They should not have been incarcerated at Santa Rita Jail.”\u003c/p>\n\u003cp>The facility was \u003ca href=\"https://oaklandside.org/2022/02/08/judge-places-santa-rita-jail-under-external-oversight-ending-mental-health-abuse-lawsuit/\">placed under federal supervision in 2022 for at least six years\u003c/a> to improve conditions for those experiencing mental illness. During the rally, protestors read the names of those who had died in the jail over the last nine years.\u003c/p>\n\u003cfigure id=\"attachment_11945442\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-scaled.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11945442 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-800x600.jpg\" alt=\"Large white signs, with names, birth and death dates painted in black, lay arranged on a cement walkway in neat rows.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-2048x1536.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Demonstrators lay 66 painted signs on the plaza in front of the jail, each bearing the name of a person who died in the jail over the last decade. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While some of the deaths have been attributed by jail officials to suspected fentanyl overdoses, protesters say the majority generally were caused by people not getting the care they needed (whether for mental illness or substance use disorder) in the facility.\u003c/p>\n\u003cfigure id=\"attachment_11945446\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-scaled.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11945446 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg\" alt=\"A Black man wearing black clothing and holding a microphone stands in front of several colored signs on a cement walkway outside.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-2048x1536.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dorsey Nunn, executive director of Legal Services for Prisoners With Children, speaks to a crowd of demonstrators in front of Santa Rita Jail. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“In the event that I'm out of control with a drug habit, should you take me to a drug program or should you take me to jail?” said Dorsey Nunn, executive director of the nonprofit \u003ca href=\"https://prisonerswithchildren.org/\">Legal Services for Prisoners With Children\u003c/a>. “At a certain point there is something called compassion, and we are sorely missing it as a society, particularly when it comes to Black and brown folks.”\u003c/p>\n\u003cp>Advocates with the Care First Community Coalition pushed for the \"Care First, Jails Last\" policy resolution that was adopted by Alameda County in 2021, which set goals for law enforcement agencies in the county to stop the practice of arresting and jailing people dealing with mental health and/or substance use issues. The resolution also called for creating a community-led process to establish behavioral/mental health care and social services. The coalition demanded that the Alameda County Board of Supervisors investigate jail deaths and provide over $50 million for mental health services that were promised but have yet to be implemented. A meeting with the board about budget presentations will be held on April 11.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11918230,news_11854891,news_11853540","label":"Related Posts "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“The last time my brother Donald Nelson was able to walk, it was walking into this facility … that was May 1st, 2020,” said Norma Nelson. She said her brother, Donald Nelson, died after he was fatally assaulted in a holding cell by another detainee just hours into custody. “Losing a loved one who needs medical and mental health care while in the hands of our social and criminal justice system cuts to the heart with a different kind of pain — it’s deep.”\u003c/p>\n\u003cp>Nelson added that the sheriff's department didn't acknowledge the murder publicly until a reporter months later reported it. Lt. Tya Modeste, public information officer for the Alameda County Sheriff’s Office, said she was aware that the jail's “reputation wasn’t great in the past” and that “people found out their family members passed away by hearing it on the news,” but she says they’ve been working hard under the new sheriff, Yesenia Sanchez, to turn that around.\u003c/p>\n\u003cp>“We welcome peaceful protests and understand that the community and families are frustrated,” said Modeste. “It's difficult to see someone lose their life … We're not just sitting back and watching people die in our custody.”\u003c/p>\n\u003cp>Modeste outlined various initiatives the Sheriff's Office has taken, including building a focus group and inviting community members to discussions with the executive staff and Sanchez about grievances; working with federal monitors and attorneys who represent the incarcerated population on federal oversight; working collectively with community-based partners; sending out press releases when someone dies in custody; and getting in touch with families.\u003c/p>\n\u003cfigure id=\"attachment_11945441\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-scaled.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11945441 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-800x600.jpg\" alt=\"A young woman with a dark, shaved head, wearing a sleeveless black tank top, black jeans, and black Adidas sneakers, holds a microphone with both hands as she stands in front of signs that are yellow, red and white. Several people stand off to the side looking in her direction.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-2048x1536.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kari Malkki, a healing justice intern at Restore Oakland, addresses the crowd of demonstrators on the plaza in front of Santa Rita Jail on April 1, 2023. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We're putting policies and practices in place so that we can make sure that when something like this happens, that we look at our policies, we look at our practices, we look at our services,\" said Modeste. \"We invite all the stakeholders to the table so that we're discussing this together and we're looking at ways to make sure we're providing better service for our incarcerated population. Sheriff Sanchez is committed to restoring public trust. She's committed to making sure that we're being absolutely transparent.”\u003c/p>\n\u003cp>Katy Polony, a family advocate who works with \u003ca href=\"https://acfasmi.org/\">Families Advocating for the Seriously Mentally Ill\u003c/a> (FASMI), says there's a need for more hospital beds, supportive housing, continuum of care and case management teams.\u003c/p>\n\u003cfigure id=\"attachment_11945443\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-scaled.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11945443 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-800x600.jpg\" alt=\"A large group of people sit and stand looking in the same direction, many wearing bright yellow, with a low, green hill and trees behind them.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-2048x1536.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A crowd of demonstrators, including faith leaders, community organizers, formerly incarcerated people and the families of people who died while at Santa Rita, listen quietly as Norma Nelson (not pictured) shares her experience of trying to get information from the Sheriff's Office about the death of her brother, Donald Nelson, in Santa Rita Jail in 2020. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Families are getting no support, no training, nothing. When their kids are cycling through the system, they're like, ‘What do I do? What am I doing?’” said Polony. “The most important thing with someone who has schizophrenia or another psychotic disease is to treat them right away. We need early intervention programs, which means a psychiatrist, a psychologist, a vocal rehab … We could do it, but we don't.”\u003c/p>\n\u003cp>Tiffany Monk says her brother who had schizophrenia, bipolar disorder and high blood pressure died in Santa Rita Jail, but that the lack of communication and cooperation from the authorities means she’s still not sure exactly what happened to him.\u003c/p>\n\u003cp>“I'm hoping [the new sheriff] makes a difference, that she takes her job seriously and holds these people accountable, because it's not right,\" said Monk. \"They're killing people and it's like nothing's happening.”\u003c/p>\n\u003cp>The average daily population at Santa Rita Jail fell to 2,108 in the fourth quarter of 2022, according to a survey by the \u003ca href=\"http://www.bscc.ca.gov/wp-content/uploads/Jail-Pop-Trends-Through-Q4-2022_3.20.23.pdf\">Board of State and Community Corrections (PDF)\u003c/a>, while on April 2, the Alameda County Sheriff’s Office reported a \u003ca href=\"https://content.govdelivery.com/bulletins/gd/ACSO-35285e4?wgt_ref=ACSO_WIDGET_2\">population of 1,778\u003c/a>.\u003c/p>\n\u003cp>The Care First Coalition has been calling for the reinvestment of funds from the jail into community-based mental health and substance use.\u003c/p>\n\u003cp>“The federal court decree requiring county investment in increased staffing of the jail is based on an estimate of 3,000 prisoners, which Santa Rita has not had since 2014,” said John Lindsay-Poland of American Friends Service Committee.\u003c/p>\n\u003cp>\u003cem>This story has been updated to include the latest average daily population figures for Santa Rita Jail, and a comment from John Lindsay-Poland of American Friends Service Committee.\u003c/em>\u003c/p>\n\u003cp>\u003cem>KQED’s Annelise Finney and Spencer Whitney contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11945438/community-and-civil-rights-groups-hold-vigil-and-rally-over-recent-deaths-at-santa-rita-jail","authors":["11812"],"categories":["news_8"],"tags":["news_32597","news_3112","news_2109","news_17983","news_21568","news_30006"],"featImg":"news_11945440","label":"news"},"news_11944448":{"type":"posts","id":"news_11944448","meta":{"index":"posts_1591205157","site":"news","id":"11944448","score":null,"sort":[1679914830000]},"guestAuthors":[],"slug":"a-war-of-compassion-debate-over-forced-treatment-of-mental-illness-splits-california-liberals","title":"A War of Compassion: Debate Over Forced Treatment of Mental Illness Splits California Liberals","publishDate":1679914830,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>Half a century after California policymakers \u003ca href=\"https://www.pbs.org/wgbh/pages/frontline/shows/asylums/special/excerpt.html\">shuttered\u003c/a> state psychiatric institutions, denouncing them as inhumane, today’s progressive leaders are now reconsidering involuntary commitments, saying not helping people who are seriously ill, and living in squalor on the streets, is inhumane.\u003c/p>\n\u003cp>The shift is pitting liberals against liberals over the very meaning of compassion. Disability rights advocates say the renewed push for forced treatment violates people’s civil rights, while Democratic leaders and doctors counter that doing nothing violates people’s right to medical care, particularly when the nature of their illness prevents them from recognizing they need help. [pullquote align='right' citation='State Sen. Scott Wiener']'It is neither progressive nor compassionate to just sit by and let people deteriorate, fall apart and ultimately die on our streets. That is the opposite of progressive.'[/pullquote]\u003c/p>\n\u003cp>“The status quo has forced too many of our loved ones to die with their rights on,” said Teresa Pasquini, an advocate whose son has schizophrenia and has spent the past 20 years being “failed, jailed, treated, and streeted” by what she calls a broken public health system.\u003c/p>\n\u003cp>\u003ca href=\"https://www.huduser.gov/portal/sites/default/files/pdf/2022-AHAR-Part-1.pdf\">Half of the country’s unsheltered (PDF)\u003c/a> people live in California, and though only a quarter of them have a serious mental illness, state lawmakers say they need more tools to get people into treatment, even if it’s against their will. One proposal aims to expand who qualifies for a yearlong conservatorship, or involuntary psychiatric hold, while a new system of \u003ca href=\"https://www.kqed.org/news/11924117/governors-care-court-plan-passes-assembly-clearing-way-to-become-law\">CARE Courts\u003c/a>, where judges issue treatment plans, are scheduled to roll out in eight counties this fall. [pullquote align='right' citation='Keris Myrick']'When people are told that they have to go to court to get what they should be getting voluntarily in the community, and then they get a care plan that subjugates them to services that still do not meet their cultural needs, that is not compassion.'[/pullquote]\u003c/p>\n\u003cp>To opponents, California is reverting to a draconian policy of locking people up just for being sick, but psychiatrists argue they are seeking a modest update to \u003ca href=\"https://www.lacourt.org/division/mentalhealth/MH0017.aspx\">a 56-year-old law\u003c/a>. Without more intervention options, they say, patients will continue to cycle into the emergency room and back to the street.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We are doctors who have to watch these people die,” said Dr. Emily Wood of the\u003ca href=\"https://www.calpsychiatrists.org/\"> California State Association of Psychiatrists\u003c/a>, a sponsor of the conservatorship bill,\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB43\"> SB 43\u003c/a>. “We have to talk to their families who know that they need that care, and we have to say we don’t have any legal basis to bring them into the hospital right now.”\u003c/p>\n\u003cp>Under current state law, a person can be held in the hospital involuntarily if they are a danger to themselves or others, or if they are unable to seek food, clothing or shelter as a result of mental illness or alcoholism. Doctors want to incorporate substance use disorder into the law and include in the criteria the inability to look out for one’s own safety and medical care. (Mental health conservatorship is separate from the \u003ca href=\"https://www.scscourt.org/self_help/probate/conservatorship/conservatorship_overview.shtml\">probate conservatorship\u003c/a> that Brittney Spears was held under.)\u003c/p>\n\u003cp>Dr. Wood, who practices in Los Angeles, gave two examples of people she and her colleagues tried to care for, but who slipped through the cracks under the current rules: a man didn't take his diabetes medication because he wasn't taking his schizophrenia medication and didn't understand the consequences of not managing either condition. He repeatedly ended up in the ER with dangerously high blood sugar, but no one could compel him to take either medication, because poorly managing one’s health is not a trigger for conservatorship.\u003c/p>\n\u003cp>Another man had a developmental disability that was never treated in childhood and developed an addiction to methamphetamine in his 20s. He’s now regularly found sleeping in a park and acting inappropriately in public. His family begged doctors to treat him, but they can’t because drug misuse is not a trigger for conservatorship.\u003c/p>\n\u003cp>To Dr. Wood, treating these people, even when they’re unable to consent, is the compassionate, moral thing to do.\u003c/p>\n\u003cp>\"It's essential that we respect all the rights of our patients, including the right to receive care from us,” she said.\u003c/p>\n\u003cp>But other advocates and people with mental illness see the issue very differently. Lawyers from the nonprofit \u003ca href=\"https://www.disabilityrightsca.org/\">Disability Rights California\u003c/a> say the expansion of conservatorship and the advance of CARE Courts are misguided, focused on depriving people of their liberty and privacy, instead of investing in better voluntary mental health services that maintain people's dignity and civil rights. The group filed a lawsuit to try \u003ca href=\"https://www.disabilityrightsca.org/press-release/disability-rights-advocates-file-petition-challenging-the-constitutional-validity-of\">to block the implementation\u003c/a> of CARE Courts.\u003c/p>\n\u003cp>They’re concerned that people of color, specifically Black residents who are overrepresented in the homeless population and \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274585/\" target=\"_blank\" rel=\"noopener\">overdiagnosed\u003c/a> with schizophrenia, will be disproportionately targeted by these more forceful measures.\u003c/p>\n\u003cp>“When people are told that they have to go to court to get what they should be getting voluntarily in the community, and then they get a care plan that subjugates them to services that still do not meet their cultural needs, that is not compassion,” said Keris Myrick, an advocate who has schizophrenia and has experienced homelessness.\u003c/p>\n\u003cp>Opponents’ other main objection is focused on capacity. Once people are compelled into treatment, where in the overextended, understaffed public mental health system are they supposed to go? Already, there aren’t enough psychiatric hospital beds or appropriate substance abuse centers or housing options for the people who need them, said Michelle Doty Cabrera, executive director of the \u003ca href=\"https://www.cbhda.org/\">California Behavioral Health Directors Association\u003c/a>.\u003c/p>\n\u003cp>“Expanding conservatorships doesn't solve for those structural issues around the lack of housing and the lack of funding for treatment services,” she said.\u003c/p>\n\u003cp>Cabrera’s group also questions the premise that forced treatment works. Especially when it comes to substance use disorder,\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/26790691/\"> research suggests\u003c/a> compulsory treatment is less effective and could even be harmful, elevating overdose risk. In Massachusetts, people who were involuntarily committed for drug treatment\u003ca href=\"https://www.mass.gov/service-details/chapter-55-overdose-report\"> were twice as likely to die\u003c/a> from an overdose as those who received treatment willingly.\u003c/p>\n\u003cp>More broadly, if the ultimate goal of forced treatment is reducing homelessness — and easing the moral heartbreak of witnessing ill people sleeping on the street or using drugs in the open — then lawmakers are writing the wrong prescription, some researchers say.\u003c/p>\n\u003cp>“The problem of homelessness is that people don't have housing,” said Dr. Margot Kushel, director of the UCSF’s\u003ca href=\"https://homelessness.ucsf.edu/\"> Benioff Homelessness and Housing Initiative\u003c/a>. “If you had all the treatment in the world and you didn't have the housing, we would still have this problem.”\u003c/p>\n\u003cp>She compares homelessness to a game of musical chairs, where the kid on crutches is the one left standing when the music stops. In California, there are \u003ca href=\"https://nlihc.org/gap\">24 units of affordable housing\u003c/a> for every 100 very low-income households, she said, and people with mental illness or substance use disorder are the ones who have the hardest time competing for those scarce spots. That’s why they’re overrepresented among the homeless population, she said, not because conservatorship laws aren’t strong enough.\u003c/p>\n\u003cp>“If you try to fix the problem of homelessness by tinkering with the health care system, we're not going to get anywhere,” Kushel said.\u003c/p>\n\u003cp>Supporters of involuntary commitments say both are needed: treatment and housing. The same lawmakers who are backing expanded conservatorship and CARE Courts are also backing efforts to increase the housing supply, including \u003ca href=\"https://www.gov.ca.gov/2023/03/19/governor-newsom-proposes-modernization-of-californias-behavioral-health-system-and-more-mental-health-housing/\">a $3 billion bond measure\u003c/a> for the construction of small, neighborhood-oriented residences for people with mental illness.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"They need housing, but they need additional support so that they can thrive,” said Sen. Scott Wiener. “It is neither progressive nor compassionate to just sit by and let people deteriorate, fall apart and ultimately die on our streets. That is the opposite of progressive.”\u003c/p>\n\n","blocks":[],"excerpt":"Is compelling people into treatment a violation of their civil rights? Or does doing nothing violate their right to medical care?","status":"publish","parent":0,"modified":1679933444,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":1347},"headData":{"title":"A War of Compassion: Debate Over Forced Treatment of Mental Illness Splits California Liberals | KQED","description":"Is compelling people into treatment a violation of their civil rights? Or does doing nothing violate their right to medical care?","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"A War of Compassion: Debate Over Forced Treatment of Mental Illness Splits California Liberals","datePublished":"2023-03-27T11:00:30.000Z","dateModified":"2023-03-27T16:10:44.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"source":"Mental Health","subhead":"Debate Over How to Care for People With Severe Mental Illness is Redefining What Is Compassionate, Humane, and Moral","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11944448/a-war-of-compassion-debate-over-forced-treatment-of-mental-illness-splits-california-liberals","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Half a century after California policymakers \u003ca href=\"https://www.pbs.org/wgbh/pages/frontline/shows/asylums/special/excerpt.html\">shuttered\u003c/a> state psychiatric institutions, denouncing them as inhumane, today’s progressive leaders are now reconsidering involuntary commitments, saying not helping people who are seriously ill, and living in squalor on the streets, is inhumane.\u003c/p>\n\u003cp>The shift is pitting liberals against liberals over the very meaning of compassion. Disability rights advocates say the renewed push for forced treatment violates people’s civil rights, while Democratic leaders and doctors counter that doing nothing violates people’s right to medical care, particularly when the nature of their illness prevents them from recognizing they need help. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'It is neither progressive nor compassionate to just sit by and let people deteriorate, fall apart and ultimately die on our streets. That is the opposite of progressive.'","name":"pullquote","attributes":{"named":{"align":"right","citation":"State Sen. Scott Wiener","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The status quo has forced too many of our loved ones to die with their rights on,” said Teresa Pasquini, an advocate whose son has schizophrenia and has spent the past 20 years being “failed, jailed, treated, and streeted” by what she calls a broken public health system.\u003c/p>\n\u003cp>\u003ca href=\"https://www.huduser.gov/portal/sites/default/files/pdf/2022-AHAR-Part-1.pdf\">Half of the country’s unsheltered (PDF)\u003c/a> people live in California, and though only a quarter of them have a serious mental illness, state lawmakers say they need more tools to get people into treatment, even if it’s against their will. One proposal aims to expand who qualifies for a yearlong conservatorship, or involuntary psychiatric hold, while a new system of \u003ca href=\"https://www.kqed.org/news/11924117/governors-care-court-plan-passes-assembly-clearing-way-to-become-law\">CARE Courts\u003c/a>, where judges issue treatment plans, are scheduled to roll out in eight counties this fall. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'When people are told that they have to go to court to get what they should be getting voluntarily in the community, and then they get a care plan that subjugates them to services that still do not meet their cultural needs, that is not compassion.'","name":"pullquote","attributes":{"named":{"align":"right","citation":"Keris Myrick","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>To opponents, California is reverting to a draconian policy of locking people up just for being sick, but psychiatrists argue they are seeking a modest update to \u003ca href=\"https://www.lacourt.org/division/mentalhealth/MH0017.aspx\">a 56-year-old law\u003c/a>. Without more intervention options, they say, patients will continue to cycle into the emergency room and back to the street.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We are doctors who have to watch these people die,” said Dr. Emily Wood of the\u003ca href=\"https://www.calpsychiatrists.org/\"> California State Association of Psychiatrists\u003c/a>, a sponsor of the conservatorship bill,\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB43\"> SB 43\u003c/a>. “We have to talk to their families who know that they need that care, and we have to say we don’t have any legal basis to bring them into the hospital right now.”\u003c/p>\n\u003cp>Under current state law, a person can be held in the hospital involuntarily if they are a danger to themselves or others, or if they are unable to seek food, clothing or shelter as a result of mental illness or alcoholism. Doctors want to incorporate substance use disorder into the law and include in the criteria the inability to look out for one’s own safety and medical care. (Mental health conservatorship is separate from the \u003ca href=\"https://www.scscourt.org/self_help/probate/conservatorship/conservatorship_overview.shtml\">probate conservatorship\u003c/a> that Brittney Spears was held under.)\u003c/p>\n\u003cp>Dr. Wood, who practices in Los Angeles, gave two examples of people she and her colleagues tried to care for, but who slipped through the cracks under the current rules: a man didn't take his diabetes medication because he wasn't taking his schizophrenia medication and didn't understand the consequences of not managing either condition. He repeatedly ended up in the ER with dangerously high blood sugar, but no one could compel him to take either medication, because poorly managing one’s health is not a trigger for conservatorship.\u003c/p>\n\u003cp>Another man had a developmental disability that was never treated in childhood and developed an addiction to methamphetamine in his 20s. He’s now regularly found sleeping in a park and acting inappropriately in public. His family begged doctors to treat him, but they can’t because drug misuse is not a trigger for conservatorship.\u003c/p>\n\u003cp>To Dr. Wood, treating these people, even when they’re unable to consent, is the compassionate, moral thing to do.\u003c/p>\n\u003cp>\"It's essential that we respect all the rights of our patients, including the right to receive care from us,” she said.\u003c/p>\n\u003cp>But other advocates and people with mental illness see the issue very differently. Lawyers from the nonprofit \u003ca href=\"https://www.disabilityrightsca.org/\">Disability Rights California\u003c/a> say the expansion of conservatorship and the advance of CARE Courts are misguided, focused on depriving people of their liberty and privacy, instead of investing in better voluntary mental health services that maintain people's dignity and civil rights. The group filed a lawsuit to try \u003ca href=\"https://www.disabilityrightsca.org/press-release/disability-rights-advocates-file-petition-challenging-the-constitutional-validity-of\">to block the implementation\u003c/a> of CARE Courts.\u003c/p>\n\u003cp>They’re concerned that people of color, specifically Black residents who are overrepresented in the homeless population and \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274585/\" target=\"_blank\" rel=\"noopener\">overdiagnosed\u003c/a> with schizophrenia, will be disproportionately targeted by these more forceful measures.\u003c/p>\n\u003cp>“When people are told that they have to go to court to get what they should be getting voluntarily in the community, and then they get a care plan that subjugates them to services that still do not meet their cultural needs, that is not compassion,” said Keris Myrick, an advocate who has schizophrenia and has experienced homelessness.\u003c/p>\n\u003cp>Opponents’ other main objection is focused on capacity. Once people are compelled into treatment, where in the overextended, understaffed public mental health system are they supposed to go? Already, there aren’t enough psychiatric hospital beds or appropriate substance abuse centers or housing options for the people who need them, said Michelle Doty Cabrera, executive director of the \u003ca href=\"https://www.cbhda.org/\">California Behavioral Health Directors Association\u003c/a>.\u003c/p>\n\u003cp>“Expanding conservatorships doesn't solve for those structural issues around the lack of housing and the lack of funding for treatment services,” she said.\u003c/p>\n\u003cp>Cabrera’s group also questions the premise that forced treatment works. Especially when it comes to substance use disorder,\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/26790691/\"> research suggests\u003c/a> compulsory treatment is less effective and could even be harmful, elevating overdose risk. In Massachusetts, people who were involuntarily committed for drug treatment\u003ca href=\"https://www.mass.gov/service-details/chapter-55-overdose-report\"> were twice as likely to die\u003c/a> from an overdose as those who received treatment willingly.\u003c/p>\n\u003cp>More broadly, if the ultimate goal of forced treatment is reducing homelessness — and easing the moral heartbreak of witnessing ill people sleeping on the street or using drugs in the open — then lawmakers are writing the wrong prescription, some researchers say.\u003c/p>\n\u003cp>“The problem of homelessness is that people don't have housing,” said Dr. Margot Kushel, director of the UCSF’s\u003ca href=\"https://homelessness.ucsf.edu/\"> Benioff Homelessness and Housing Initiative\u003c/a>. “If you had all the treatment in the world and you didn't have the housing, we would still have this problem.”\u003c/p>\n\u003cp>She compares homelessness to a game of musical chairs, where the kid on crutches is the one left standing when the music stops. In California, there are \u003ca href=\"https://nlihc.org/gap\">24 units of affordable housing\u003c/a> for every 100 very low-income households, she said, and people with mental illness or substance use disorder are the ones who have the hardest time competing for those scarce spots. That’s why they’re overrepresented among the homeless population, she said, not because conservatorship laws aren’t strong enough.\u003c/p>\n\u003cp>“If you try to fix the problem of homelessness by tinkering with the health care system, we're not going to get anywhere,” Kushel said.\u003c/p>\n\u003cp>Supporters of involuntary commitments say both are needed: treatment and housing. The same lawmakers who are backing expanded conservatorship and CARE Courts are also backing efforts to increase the housing supply, including \u003ca href=\"https://www.gov.ca.gov/2023/03/19/governor-newsom-proposes-modernization-of-californias-behavioral-health-system-and-more-mental-health-housing/\">a $3 billion bond measure\u003c/a> for the construction of small, neighborhood-oriented residences for people with mental illness.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"They need housing, but they need additional support so that they can thrive,” said Sen. Scott Wiener. “It is neither progressive nor compassionate to just sit by and let people deteriorate, fall apart and ultimately die on our streets. That is the opposite of progressive.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11944448/a-war-of-compassion-debate-over-forced-treatment-of-mental-illness-splits-california-liberals","authors":["3205"],"categories":["news_457","news_8","news_356"],"tags":["news_31336","news_31340","news_27626","news_4020","news_32570","news_17983","news_32569","news_6720"],"featImg":"news_11944721","label":"source_news_11944448"},"news_11907038":{"type":"posts","id":"news_11907038","meta":{"index":"posts_1591205157","site":"news","id":"11907038","score":null,"sort":[1646308807000]},"guestAuthors":[],"slug":"schizophrenia-puts-people-at-high-risk-of-dying-from-covid-that-may-also-change-our-fundamental-understanding-of-the-brain-disease","title":"Schizophrenia Puts People at High Risk of Dying From COVID. That Finding May Also Change Our Fundamental Understanding of the Brain Disease","publishDate":1646308807,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>Most of the time, the voices in Keris Myrick’s head don’t bother her. They stay in the background or say nice things. But sometimes they get loud and mean — like when a deadly pandemic descends on the world and shuts down society as we know it.\u003c/p>\n\u003cp>“It's when things go really, really fast and they seem overwhelmingly disastrous. That’s when it happens,” says Myrick, who was diagnosed with schizophrenia 25 years ago. “I literally had a meltdown right here in my house. Just lost it.”\u003c/p>\n\u003cp>Like a lot of people, Myrick, who lives in Los Angeles, kept a large stash of toilet paper under her bathroom sink in the early days of the lockdown. But when one of the pipes started to leak and her precious TP got soaked, the mean voices emerged and attacked.[pullquote align=\"right\" size=\"medium\" citation=\"Katlyn Nemani, neuropsychiatrist, NYU School of Medicine\"]'This is a really rare opportunity to study the potential relationship between the immune system and psychiatric illness, by looking at the effects of a single virus at a single point in time.'[/pullquote]“Calling me stupid, and what kind of idiot puts their toilet paper under the sink?” Myrick remembers.\u003c/p>\n\u003cp>She was able to calm herself down and quiet the voices, and as the pandemic wore on, she kept them at bay by keeping busy: working for a foundation, hosting a podcast, and writing a children’s book. She was able to manage, but worried about others like her — about \u003cspan style=\"font-weight: 400\">3.2 million Americans have schizophrenia, often characterized by hallucinations, delusions and disorganized thinking that can interfere with a person’s ability to work or care for themselves.\u003c/span>\u003c/p>\n\u003cp>“People with schizophrenia were not actually deemed as ‘the priority vulnerable population’ to be served or to be addressed in the same way as people who had other chronic health conditions and who were over a certain age,” she says. “So we kind of got left out.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>This omission occurred even as new data published in the Journal of the American Medical Association showed that people with schizophrenia are\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/33502436/\"> nearly three times\u003c/a> more likely to die from COVID-19 than the general population, meaning their risk of death from the virus is greater than for people with diabetes, heart disease or any other condition aside from age.\u003c/p>\n\u003cp>“People's initial reaction to this was one of disbelief,” says Katlyn Nemani, a New York University School of Medicine neuropsychiatrist and the study’s lead author.\u003c/p>\n\u003cp>Some researchers initially questioned whether the disparate death rates could be explained by the often poor physical health of people with schizophrenia, or because they have trouble accessing health care. But Nemani’s study controlled for those factors: All the patients in the study were tested and treated, and they got care from the same doctors in the same health care system.\u003c/p>\n\u003cp>Then the other studies started rolling in from countries with universal health care systems — the U.K., Denmark, Israel, South Korea —\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/34313711/\"> all showing the same findings\u003c/a>: a nearly three times higher risk of death for people with schizophrenia. A\u003ca href=\"https://www.research.manchester.ac.uk/portal/en/publications/disparities-in-covid19-infection-hospitalisation-and-death-in-people-with-schizophrenia-bipolar-disorder-and-major-depressive-disorder-a-cohort-study-of-the-uk-biobank(41268f18-54ff-4db6-8f95-bb6cfce3b508).html\"> more recent study\u003c/a> from the U.K., published in December 2021, found the risk was five times greater.\u003c/p>\n\u003cp>“You have to wonder, is there something inherent to the disorder itself that's contributing to this?” Nemani asks.[aside label=\"Related Coverage\" tag=\"mental-illness\"]The data points to a problem with the immune system, Nemani says. The same immune dysfunction that’s causing severe COVID in people with schizophrenia could also be what’s driving their psychotic symptoms. This suggests that schizophrenia is not just a disorder of the brain, but a disease of the whole body, she says.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Although researchers have been studying this theory already, the data from the pandemic sheds light on it in a whole new way, opening doors for new discoveries. \u003c/span>\u003c/p>\n\u003cp>“This is a really rare opportunity to study the potential relationship between the immune system and psychiatric illness, by looking at the effects of a single virus at a single point in time,” Nemani says. “It could potentially lead to interventions that improve medical conditions that are associated with the disease, but also our understanding of the illness itself and what we should be doing to treat it.”\u003c/p>\n\u003cp>In the long term, it could lead to new immunological treatments that might work better than current antipsychotic drugs.\u003c/p>\n\u003cp>For now, advocates want the data about risk to be shared more widely, so more people can survive the pandemic. They want people with schizophrenia and their caretakers to know they should take extra precautions, and, earlier in the pandemic, they were hoping to get vaccine priority for the population.\u003c/p>\n\u003cp>“It’s been a challenge,” says Brandon Staglin, who has schizophrenia and is the president of \u003ca href=\"https://onemind.org/\">One Mind\u003c/a>, a mental health advocacy group based in Napa Valley.\u003c/p>\n\u003cp>When he and other advocates first saw Nemani’s data in early 2021, they started lobbying public health officials. They wanted the Centers for Disease Control and Prevention to add schizophrenia to its list of high-risk conditions for COVID, which was used to determine priority for distributing the vaccine, the same as it had done for cancer and diabetes.\u003c/p>\n\u003cp>But they heard crickets.\u003c/p>\n\u003cp>“It doesn't make any sense,” Staglin says. “Other conditions that are part of the list are much lower risk of dying, but clearly schizophrenia is a higher risk.”\u003c/p>\n\u003cfigure id=\"attachment_11907062\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Brandon-Onstage-at-Music-Festival-2017-copy.jpg\">\u003cimg class=\"size-full wp-image-11907062\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Brandon-Onstage-at-Music-Festival-2017-copy.jpg\" alt=\"A man plays guitar on stage with other musicians.\" width=\"800\" height=\"534\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Brandon-Onstage-at-Music-Festival-2017-copy.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Brandon-Onstage-at-Music-Festival-2017-copy-160x107.jpg 160w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Brandon Staglin plays a song he wrote about living with schizophrenia, in 2017, during an annual fundraiser for One Mind, the mental health advocacy group he helps run. \u003ccite>(Courtesy of Flying Pig Studio)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In several other countries, including England and Germany,\u003ca href=\"https://www.kcl.ac.uk/news/uk-only-one-of-four-european-countries-to-prioritise-severe-mental-illness-in-covid-vaccine-strategy\"> people with serious mental illness were prioritized\u003c/a> for vaccines from the very beginning of the rollout last February. In the U.S., though, it wasn’t until people were getting\u003ca href=\"https://www.nytimes.com/live/2021/10/28/world/covid-vaccine-boosters#cdc-mental-health-covid\"> boosters in October\u003c/a> that the CDC finally added schizophrenia to the list.\u003c/p>\n\u003cp>“We were happy when that happened, but we wish there had been faster action,” Staglin says.\u003c/p>\n\u003cp>It’s always like this with mental illness, says Keris Myrick.\u003c/p>\n\u003cp>“It's like we have to remind people,” she says. “It's just sort of, ‘Oh, yeah, oh right, I forgot about that.’”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>As scientists learn more about the link between COVID and schizophrenia, and as the potential for pandemic-related research grows, Myrick and Staglin both say mental health must be more than an afterthought.\u003c/p>\n\n","blocks":[],"excerpt":"Recent studies from around the world have found that people with schizophrenia are as much as five times more likely to die from COVID-19 than the general population. The findings also suggest schizophrenia is not just a disease of the brain, but potentially an autoimmune disease.","status":"publish","parent":0,"modified":1646342205,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":1122},"headData":{"title":"Schizophrenia Puts People at High Risk of Dying From COVID. That Finding May Also Change Our Fundamental Understanding of the Brain Disease | KQED","description":"Recent studies from around the world have found that people with schizophrenia are as much as five times more likely to die from COVID-19 than the general population. The findings also suggest schizophrenia is not just a disease of the brain, but potentially an autoimmune disease.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Schizophrenia Puts People at High Risk of Dying From COVID. That Finding May Also Change Our Fundamental Understanding of the Brain Disease","datePublished":"2022-03-03T12:00:07.000Z","dateModified":"2022-03-03T21:16:45.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11907038 https://ww2.kqed.org/news/?p=11907038","disqusUrl":"https://ww2.kqed.org/news/2022/03/03/schizophrenia-puts-people-at-high-risk-of-dying-from-covid-that-may-also-change-our-fundamental-understanding-of-the-brain-disease/","disqusTitle":"Schizophrenia Puts People at High Risk of Dying From COVID. That Finding May Also Change Our Fundamental Understanding of the Brain Disease","audioUrl":"https://omny.fm/shows/kqed-segmented-audio/schizophrenia-is-second-biggest-risk-factor-after.mp3","excludeFromSiteSearch":"Include","path":"/news/11907038/schizophrenia-puts-people-at-high-risk-of-dying-from-covid-that-may-also-change-our-fundamental-understanding-of-the-brain-disease","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Most of the time, the voices in Keris Myrick’s head don’t bother her. They stay in the background or say nice things. But sometimes they get loud and mean — like when a deadly pandemic descends on the world and shuts down society as we know it.\u003c/p>\n\u003cp>“It's when things go really, really fast and they seem overwhelmingly disastrous. That’s when it happens,” says Myrick, who was diagnosed with schizophrenia 25 years ago. “I literally had a meltdown right here in my house. Just lost it.”\u003c/p>\n\u003cp>Like a lot of people, Myrick, who lives in Los Angeles, kept a large stash of toilet paper under her bathroom sink in the early days of the lockdown. But when one of the pipes started to leak and her precious TP got soaked, the mean voices emerged and attacked.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'This is a really rare opportunity to study the potential relationship between the immune system and psychiatric illness, by looking at the effects of a single virus at a single point in time.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Katlyn Nemani, neuropsychiatrist, NYU School of Medicine","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“Calling me stupid, and what kind of idiot puts their toilet paper under the sink?” Myrick remembers.\u003c/p>\n\u003cp>She was able to calm herself down and quiet the voices, and as the pandemic wore on, she kept them at bay by keeping busy: working for a foundation, hosting a podcast, and writing a children’s book. She was able to manage, but worried about others like her — about \u003cspan style=\"font-weight: 400\">3.2 million Americans have schizophrenia, often characterized by hallucinations, delusions and disorganized thinking that can interfere with a person’s ability to work or care for themselves.\u003c/span>\u003c/p>\n\u003cp>“People with schizophrenia were not actually deemed as ‘the priority vulnerable population’ to be served or to be addressed in the same way as people who had other chronic health conditions and who were over a certain age,” she says. “So we kind of got left out.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This omission occurred even as new data published in the Journal of the American Medical Association showed that people with schizophrenia are\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/33502436/\"> nearly three times\u003c/a> more likely to die from COVID-19 than the general population, meaning their risk of death from the virus is greater than for people with diabetes, heart disease or any other condition aside from age.\u003c/p>\n\u003cp>“People's initial reaction to this was one of disbelief,” says Katlyn Nemani, a New York University School of Medicine neuropsychiatrist and the study’s lead author.\u003c/p>\n\u003cp>Some researchers initially questioned whether the disparate death rates could be explained by the often poor physical health of people with schizophrenia, or because they have trouble accessing health care. But Nemani’s study controlled for those factors: All the patients in the study were tested and treated, and they got care from the same doctors in the same health care system.\u003c/p>\n\u003cp>Then the other studies started rolling in from countries with universal health care systems — the U.K., Denmark, Israel, South Korea —\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/34313711/\"> all showing the same findings\u003c/a>: a nearly three times higher risk of death for people with schizophrenia. A\u003ca href=\"https://www.research.manchester.ac.uk/portal/en/publications/disparities-in-covid19-infection-hospitalisation-and-death-in-people-with-schizophrenia-bipolar-disorder-and-major-depressive-disorder-a-cohort-study-of-the-uk-biobank(41268f18-54ff-4db6-8f95-bb6cfce3b508).html\"> more recent study\u003c/a> from the U.K., published in December 2021, found the risk was five times greater.\u003c/p>\n\u003cp>“You have to wonder, is there something inherent to the disorder itself that's contributing to this?” Nemani asks.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Coverage ","tag":"mental-illness"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The data points to a problem with the immune system, Nemani says. The same immune dysfunction that’s causing severe COVID in people with schizophrenia could also be what’s driving their psychotic symptoms. This suggests that schizophrenia is not just a disorder of the brain, but a disease of the whole body, she says.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Although researchers have been studying this theory already, the data from the pandemic sheds light on it in a whole new way, opening doors for new discoveries. \u003c/span>\u003c/p>\n\u003cp>“This is a really rare opportunity to study the potential relationship between the immune system and psychiatric illness, by looking at the effects of a single virus at a single point in time,” Nemani says. “It could potentially lead to interventions that improve medical conditions that are associated with the disease, but also our understanding of the illness itself and what we should be doing to treat it.”\u003c/p>\n\u003cp>In the long term, it could lead to new immunological treatments that might work better than current antipsychotic drugs.\u003c/p>\n\u003cp>For now, advocates want the data about risk to be shared more widely, so more people can survive the pandemic. They want people with schizophrenia and their caretakers to know they should take extra precautions, and, earlier in the pandemic, they were hoping to get vaccine priority for the population.\u003c/p>\n\u003cp>“It’s been a challenge,” says Brandon Staglin, who has schizophrenia and is the president of \u003ca href=\"https://onemind.org/\">One Mind\u003c/a>, a mental health advocacy group based in Napa Valley.\u003c/p>\n\u003cp>When he and other advocates first saw Nemani’s data in early 2021, they started lobbying public health officials. They wanted the Centers for Disease Control and Prevention to add schizophrenia to its list of high-risk conditions for COVID, which was used to determine priority for distributing the vaccine, the same as it had done for cancer and diabetes.\u003c/p>\n\u003cp>But they heard crickets.\u003c/p>\n\u003cp>“It doesn't make any sense,” Staglin says. “Other conditions that are part of the list are much lower risk of dying, but clearly schizophrenia is a higher risk.”\u003c/p>\n\u003cfigure id=\"attachment_11907062\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Brandon-Onstage-at-Music-Festival-2017-copy.jpg\">\u003cimg class=\"size-full wp-image-11907062\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Brandon-Onstage-at-Music-Festival-2017-copy.jpg\" alt=\"A man plays guitar on stage with other musicians.\" width=\"800\" height=\"534\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Brandon-Onstage-at-Music-Festival-2017-copy.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Brandon-Onstage-at-Music-Festival-2017-copy-160x107.jpg 160w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Brandon Staglin plays a song he wrote about living with schizophrenia, in 2017, during an annual fundraiser for One Mind, the mental health advocacy group he helps run. \u003ccite>(Courtesy of Flying Pig Studio)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In several other countries, including England and Germany,\u003ca href=\"https://www.kcl.ac.uk/news/uk-only-one-of-four-european-countries-to-prioritise-severe-mental-illness-in-covid-vaccine-strategy\"> people with serious mental illness were prioritized\u003c/a> for vaccines from the very beginning of the rollout last February. In the U.S., though, it wasn’t until people were getting\u003ca href=\"https://www.nytimes.com/live/2021/10/28/world/covid-vaccine-boosters#cdc-mental-health-covid\"> boosters in October\u003c/a> that the CDC finally added schizophrenia to the list.\u003c/p>\n\u003cp>“We were happy when that happened, but we wish there had been faster action,” Staglin says.\u003c/p>\n\u003cp>It’s always like this with mental illness, says Keris Myrick.\u003c/p>\n\u003cp>“It's like we have to remind people,” she says. “It's just sort of, ‘Oh, yeah, oh right, I forgot about that.’”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As scientists learn more about the link between COVID and schizophrenia, and as the potential for pandemic-related research grows, Myrick and Staglin both say mental health must be more than an afterthought.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11907038/schizophrenia-puts-people-at-high-risk-of-dying-from-covid-that-may-also-change-our-fundamental-understanding-of-the-brain-disease","authors":["3205"],"categories":["news_457","news_8"],"tags":["news_27504","news_27626","news_18543","news_17983","news_6720"],"featImg":"news_11907046","label":"news"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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