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File #: 18-634    Version: 1 Name:
Type: Resolution Status: Passed
File created: 6/26/2018 Departments: HEALTH
On agenda: 8/7/2018 Final action: 8/7/2018
Title: Adopt a resolution accepting the update on the progress of implementing Laura's Law Assisted Outpatient Treatment.
Attachments: 1. 20180807_r_Laura's Law
Special Notice / Hearing: None__
Vote Required: Majority

To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, Health System
David Young, Director, Behavioral Health and Recovery Services
Subject: Status Report on Laura's Law Assisted Outpatient Treatment Implementation in San Mateo County

Adopt a resolution accepting the update on the progress of implementing Laura's Law Assisted Outpatient Treatment.

In 2002, the California Legislature adopted Assembly Bill 1421, commonly known as Laura's Law. On June 16, 2015, the San Mateo County Board of Supervisors voted unanimously to enact AB 1421 by establishing an Assisted Outpatient Treatment (AOT) program. The approved budget for this program was $3,766,973 through June 2018.

AOT is intended to address the mental health care needs of individuals who do not meet the requirements for "grave disability" in order to establish a conservatorship, or the "danger to self or others" requirement for involuntary confinement, but whose mental status appears to be nonetheless serious and deteriorating. By enacting AB 1421, the criteria to involuntarily detain an individual for a psychiatric evaluation for up to 72 hours is expanded. If an eligible individual does not accept services voluntarily, the court may order individuals to 180 days of AOT. The court, however, cannot force any individual to take medications or to participate in treatment; ultimately an individual can choose not to engage in treatment without any legal consequences.

The AOT team staffing, as approved by your Board, consists of a Clinical Services Manager, a Psychiatric Social Worker, a Mental Health Counselor, a Peer Support Worker, a Deputy Public Guardian and a Psychologist. The BHRS AOT Team has been fully staffed since August 2016. The treatment is provided by Caminar's Full Service Partnership (FSP), consisting of up to 50 slots. The first client was enrolle...

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