Failing: California's mental health system leaves many behind, CALmatters, August 8, 2019
Senator Moorlach presents SB 640 in Senate Health Committee, Wednesday, April 10th, 2019
SB 640 would clarify the definition of ‘gravely disabled’ to align it with the original intent of the LPS Act. If an individual, as a result of a mental health disorder, is incapable of making informed decisions about their own personal wellbeing, there should be better metrics to help those who are simply incapable of helping themselves. This is especially important when the absence of significant supervision and assistance puts the individual at risk of substantial bodily harm. This failure has converted our jails and prisons into makeshift mental institutions, and left a high number of seriously mentally ill homeless individuals with no means of treatment or care.
These definitional changes will expand treatment opportunities for our most vulnerable and help diminish the inhumane neglect they currently suffer.
In 1967, California addressed involuntary civil commitments when it passed the bipartisan Lanterman-Petris-Short (LPS) Act. The LPS Act was intended to end inappropriate, indefinite, and involuntary commitments. It also was to provide prompt evaluations and treatment, guarantee and protect public safety, safeguard individual rights through judicial review and establish conservatorship programs. In total LPS sought to encourage full use of current resources and to protect vulnerable individuals from criminal acts.
While the intentions of the LPS Act were to restore individual liberties, it resulted in a system that fails to properly address the most seriously mentally ill individuals in our society.
The current definition in the Welfare and Institutions Code 5008(h)(1) defines ‘gravely disabled’ as “a condition in which a person, as a result of a mental health disorder, is unable to provide for his or her basic needs of food, clothing and shelter.”
While this statute serves to protect individual liberties by setting a standard for establishing a conservatorship, it has created a system that, instead of helping the most seriously mentally ill, relegates them to the streets, jails and emergency rooms if they are marginally able to accept medical care on their own.
- ‘Gravely Disabled’ Homeless Forced Into Mental Health Care in More States, PEW Stateline, September 11, 2019
- ‘Not Humane’ Why Can’t State Help Mentally Ill Homeless?, Inside Sacramento, August 2019
- Why are more mentally ill people wandering SF streets? Report gives answers, San Francisco Chronicle, July 30, 2019
- My patient was homeless. I knew she was going to die, but my hands were tied, Los Angeles Times, May 5, 2019
- Housing alone won’t solve homelessness. Let’s rethink how we treat mentally ill, The Sacramento Bee, April 13, 2019
- All too often, California’s default mental institutions are now jails and prisons, CALmatters, February 4, 2019
- Ex-ER psychiatrist: More inpatient treatment needed in SF, San Francisco Chronicle, October 9, 2018
- The Homeless Who Don’t Want Help, The Washington Post, December 23, 1988
Jennifer Hodgkins, (916) 651-4037