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SD.2

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	January 14, 2014

Contra

Costa

County

Subject:

Approval of an additional 30-day hold option for individuals that are gravely disabled as a result of a mental disorder per W&I Code 5270.10.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 01/14/2014

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Cynthia Belon, 957-5201
cc:	Erin McCarty C Rucker T Scott

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: January 14, 2014
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

1. Authorize the additional 30-day hold options for individuals that are gravely disabled as a result of a mental disorder per the application of Article 4.7 of Chapter 2 of Part 1 of the division 5 of the Welfare and Institutions Code (commencing with § 5270.10).
2. Find that any additional costs or reduction in costs incurred will be covered by the budget without reduction in service.

FISCAL IMPACT:

No net County cost. The potential impact could result in a cost savings to the County.

BACKGROUND:

When any person, as a result of a mental disorder, is a danger to self, others or gravely disabled, designated Contra Costa County authorities with probable cause may require that this person be placed in a facility designated by the County and approved by the Mental Health Licensing Bureau for 72-hour treatment and evaluation. If a person is detained for 72 hours, he or she may be certified for an additional 14 days of intensive treatment related to the mental disorder. In Contra Costa County, mental health professionals have no venue other than temporary conservatorship to continue treatment of a gravely disabled individual beyond the 14-day hold.

Contra Costa County is seeking to implement Section 5270 of the California Welfare & Institutions Code with the intent of reducing the number of conservatorship petitions filed for gravely disabled mentally ill consumers (California Welfare & Institutions Code 5270.10). The implementation will allow Contra Costa County Behavioral Health Services to increase the evaluation period of consumers by an additional 30 days (California Welfare & Institutions Code 5270.15) to allow additional time to stabilize some clients.

In order to implement the additional 30-day hold, the County Board of Supervisors, by resolution, must authorize the additional 30-day hold option. In keeping with the Legislature’s intent, the implementation of this hold option will reduce the number of conservatorships, reduce the costs associated with the conservatorship process and enable person to receive the appropriate level of treatment.

CLERK'S ADDENDUM

Speakers: Connie Steers; Douglas Dunn, resident of Antioch.