SAN FRANCISCO: California has initiated a groundbreaking program named “CARE Court,” aimed at swiftly assisting individuals suffering from untreated schizophrenia and related psychotic disorders in accessing housing and medical care, even potentially without their consent. The program began its implementation across seven counties, including San Francisco, on Monday.
Governor Gavin Newsom, a Democrat, introduced the CARE Court as part of a comprehensive effort to combat the homelessness crisis gripping California. Despite concerns about inadequate housing and services, lawmakers approved the program, citing the necessity of exploring innovative approaches to aid those grappling with evident psychotic breaks in public.
Families of individuals diagnosed with severe mental illness welcomed the new law, as it empowers them to petition the court for treatment on behalf of their loved ones. Additionally, residents troubled by the staggering 171,000 homeless individuals in California expressed hope for providing assistance and getting them off the streets.
However, critics have raised concerns about the program’s efficacy and potential coercion of individuals into treatment. As petitions started pouring in on Monday, it remains unclear whom the program might benefit and how effective it will prove. The eligibility criteria are relatively narrow, primarily encompassing individuals with untreated schizophrenia and related disorders, excluding severe depression, bipolar disorder, and addiction as standalone qualifiers.
San Francisco Superior Court Judge Michael Begert, overseeing the court, acknowledged the program’s potential to aid some individuals but expressed reservations about its overall impact on the community.
Key Aspects of the CARE Court Program:
- Early Intervention: Dr. Mark Ghaly, the secretary of the California Health and Human Services Agency, emphasized the program’s objective of identifying and assisting individuals before their condition worsens.
- Petitioners and Eligibility: Family members and first responders can now petition the court on behalf of an adult they believe is rapidly deteriorating and requires supervision to ensure their safety. Eligible individuals must have a diagnosis on the schizophrenia spectrum or other qualifying disorders. Severe depression or bipolar disorder alone does not meet the eligibility criteria, and homelessness is not a prerequisite.
- Court Review and Evaluation: Each county will have a specialized civil court to review petitions, with the county behavioural health agency evaluating eligibility. The petitioner will be appointed a lawyer and a support person of their choice.
- Voluntary Plan: If deemed eligible, the individual will collaborate with the county to develop a voluntary plan encompassing housing, medication, counseling, and social services. The agreement remains in effect for up to a year, extendable for another year if necessary.
The CARE Court program represents a significant step forward in addressing California’s mental health crisis and homelessness issue. However, ongoing evaluation and adjustments will be crucial to ensure its effectiveness and fairness in aiding those in need.
