Agenda

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Consent-Health & Human Services # 25.

Board of Supervisors

Adult & Aging

Meeting Date:	11/22/2016
Brief Title: 30 Day Re-Certifications for Involuntary Mental Health Treatment
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Sandra Sigrist, Branch Director, Health and Human Services Agency, x8794
Supervisorial District Impact:

Subject

Adopt resolution formalizing the County’s existing practice of implementing 30-day re-certifications for additional involuntary mental health treatment as per Welfare and Institutions Code 5270. (No general fund impact) (Larsen)

Recommended Action

Adopt resolution formalizing the County’s existing practice of implementing 30-day re-certifications for additional involuntary mental health treatment as per Welfare and Institutions Code 5270.

Strategic Plan Goal(s)

Thriving Residents
Safe Communities

Reason for Recommended Action/Background

This agenda item requests that the Board of Supervisors adopt a resolution formalizing a procedure that is currently utilized by Yolo County’s psychiatric care providers when making determinations regarding a person’s length of stay in involuntary mental health treatment.

The California Lanterman-Petris-Short Act (Welfare and Institutions Code, Division 5, Part 1, Section 5000 et seq.) (“the Act”) provides procedures for the involuntary evaluation and treatment of persons who, as a result of mental disorder or chronic alcoholism, constitute a danger to themselves or others or are gravely disabled. The Act (Sections 5270.10- 5270.65) authorizes a county to apply a procedure whereby, upon completion of a 14-day period of involuntary intensive treatment, a person who remains gravely disabled as a result of a mental disorder and remains unwilling or unable to accept treatment voluntarily may be re-certified for an additional period of not more than 30 days of involuntary intensive treatment.

The purpose of this procedure is to limit the number of persons with a grave disability for whom conservatorship petitions are filed and who are placed under the extensive powers and authority of a temporary conservator. If the procedure outlined in Section 5270 of the Act is not utilized, placement of patients in involuntary treatment is limited to 14 days. If after 14 days a patient requires additional treatment but is unwilling to seek it, communities may choose to file conservatorship petitions on behalf of these individuals simply in order to obtain an additional period of involuntary treatment. By utilizing Section 5270 of the Act, psychiatric care providers are able to work towards stabilizing a patient in involuntary care for a total of 44 days without filing a petition for conservatorship.

Yolo County’s psychiatric care providers currently utilize this procedure when providing involuntary treatment, and staff recommends that the Board of Supervisors formally authorize the use of the procedure in Yolo County by adopting the attached resolution.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel
Sutter Davis Hospital
Woodland Memorial Hospital
Yolo County Health and Human Services Agency

Fiscal Impact

Fiscal Impact (Expenditure)
No Fiscal Impact
Total cost of recommended action:		$
Amount budgeted for expenditure:		$
Additional expenditure authority needed:		$
On-going commitment (annual cost):	$

Source of Funds for this Expenditure

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

There is no fiscal impact related to this resolution because the existing practice is already captured in the adopted budget.

Attachments
Att A. Resolution

Form Review

Inbox	Reviewed By	Date
County Counsel	Hope Welton	11/14/2016 12:31 PM
Form Started By: tdickinsonb		Started On: 11/04/2016 02:41 PM
Final Approval Date: 11/14/2016