Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Zej Zog thiab Crisis
Community and Crisis Care Programs Branch (CCCPB), within the Medi-Cal Behavioral Health Policy Division (MCBH-PD), administers a wide variety of innovative behavioral health initiatives designed to support California’s most vulnerable populations and enhance the behavioral health continuum of care. CCCPB oversees State and Federal funded efforts such as the Community Assistance, Recovery, and Empowerment (CARE) Act, the Recovery Incentives Program, the Medi-Cal Mobile Crisis Services Benefit and the 988 Suicide and Crisis Lifeline.
Kev Pabcuam Hauv Zej Zog Kev Kho Mob
Community Assistance, Recovery, and Empowerment (CARE) Act
Senate Bill (SB) 1338 (Umberg, Tshooj 319, Txoj Cai ntawm 2022) tau tsim Txoj Cai Pabcuam Hauv Zej Zog, Rov Qab Los, thiab Kev Txhawb Txoj Cai (CARE), uas muab kev pabcuam kev noj qab haus huv hauv zej zog thiab txhawb nqa rau cov neeg California uas nyob nrog tus mob schizophrenia spectrum lossis lwm yam kev puas siab puas ntsws uas ua tau raws li kev noj qab haus huv thiab kev nyab xeeb. Nws yog ib txoj kev hauv tsev hais plaub tshiab uas qee cov tib neeg, xws li cov neeg hauv tsev neeg, cov neeg teb thawj zaug, thiab cov neeg muab kev pab, tuaj yeem ua ntawv thov mus rau lub tsev hais plaub kom tsim tau daim ntawv cog lus CARE los yog lub tsev hais plaub txiav txim CARE txoj kev npaj. Daim ntawv cog lus CARE lossis CARE txoj kev npaj yuav suav nrog kev kho mob, kev pab vaj tse, thiab lwm yam kev pabcuam. Txoj Cai CARE yog npaj los ua ib qho kev cuam tshuam rau cov tib neeg uas muaj kev puas tsuaj loj los tiv thaiv kom tsis txhob mus pw hauv tsev kho mob hlwb, raug kaw, thiab Lanterman-Petris-Short Mental Health Conservatorships. Txoj Kev CARE yuav muab kev nqis tes ua ntej, kev txhawb nqa, thiab kev lav phib xaub rau ob qho tib si CARE cov neeg siv khoom, thiab tsoomfwv hauv nroog lub luag haujlwm los muab kev pabcuam kev noj qab haus huv rau cov tib neeg no. DHCS tau cog lus nrog Kev Tswj Xyuas Kev Noj Qab Haus Huv (HMA) los muab kev cob qhia thiab kev pab cuam, kev txhawb nqa kev siv, thiab kev sau cov ntaub ntawv thiab kev tshaj tawm rau CARE Act Resource Center, uas muab kev cob qhia, kev pab tswv yim, thiab cov peev txheej rau lub nroog cov koom haum saib xyuas kev noj qab haus huv, kws tshaj lij, cov neeg pab dawb, thiab lwm tus neeg muaj feem cuam tshuam los txhawb kev ua raws li Txoj Cai CARE. Lub Chaw Pabcuam yuav txuas ntxiv hloov kho nrog cov ntaub ntawv tshiab thiab cov ntaub ntawv qhia kev kawm.
Yog xav paub ntxiv txog CARE Act, thov mus saib peb lub vev xaib CARE ACT .
Kev Pab Kho Mob Sab Nraud (AOT).
Assembly Bill (AB) 1421 (Thomson, Chapter 1017, Statutes of 2002) established the Assisted Outpatient Treatment (AOT) Demonstration Project Act of 2002 in Welfare and Institutions (W&I) Code Sections 5345 – 5349.5, known as Laura’s Law. The legislation established an option for counties to utilize courts, probation, and mental health systems to address the needs of individuals unable to participate in community mental health treatment programs without supervision. AOT provides court-ordered community treatment for individuals with a history of hospitalization and contact with law enforcement.
DHCS txhua xyoo yuav tsum tau sau cov ntaub ntawv tshwm sim los ntawm cov nroog uas tau siv AOT qhov kev pab cuam thiab tsim ib tsab ntawv ceeb toom rau Pawg Neeg Saib Xyuas Kev Cai Lij Choj hais txog kev ua tau zoo ntawm AOT cov kev pab cuam nyob rau lossis ua ntej lub Tsib Hlis 1. Raws li W&I Code Tshooj 5348, qhov kev ua tau zoo ntawm AOT cov kev pab cuam raug soj ntsuam los ntawm kev txiav txim seb cov neeg koom nrog cov kev pab cuam no tswj vaj tse thiab kev sib cuag nrog kev kho mob hauv zos, thiab kev txo qis hauv zej zog. qhov twg uas raug kaw raug txo los yog zam.
Yog xav paub ntxiv txog qhov kev pab cuam AOT, thov mus saib peb lub vev xaib AOT .
Patients’ Rights
W&I Code Tshooj 5325 tiv thaiv cov cai ntawm Californians tau txais nyob rau hauv Lanterman-Petris Short Act (LPS) uas tau txais kev kho mob hauv cov chaw kho mob hlwb uas muaj ntawv tso cai, suav nrog cov neeg raug kev kho mob tsis txaus ntseeg. DHCS yuav tsum tau ua kom ntseeg tau tias cov kev cai lij choj ntawm kev puas siab puas ntsws, cov cai, thiab cov cai rau cov cai ntawm cov neeg tau txais kev pab kho mob puas hlwb raug soj ntsuam hauv cov chaw kho mob puas hlwb raws li tau teev tseg hauv Tshooj 1250 ntawm Txoj Cai Kev Noj Qab Haus Huv thiab Kev Nyab Xeeb
DHCS hauv kev koom tes nrog Lub Tsev Haujlwm Saib Xyuas Tsev Kho Mob Hauv Xeev (DSH) los ntawm kev cog lus sib koom ua ke yuav tsum nkag mus rau daim ntawv cog lus ntau xyoo nrog lub koom haum tsis muaj txiaj ntsig. Lub Disabilities Rights of California (DRC) yog ib lub koom haum tsis muaj txiaj ntsig uas tam sim no muab kev pab cuam, kev cob qhia thiab kev daws teeb meem tsis txaus siab rau tag nrho tsib caug yim lub nroog.
As specified in W&I Code Section 5324, upon admission to a facility each patient, involuntarily detained for evaluation or treatment under provisions of this part, or as a voluntary patient for psychiatric evaluation or treatment to a health facility, as defined in Section 1250 of the Health and Safety Code, in which psychiatric evaluation or treatment is offered, shall immediately be given a copy of a State Department of Health Care Services prepared patients’ rights handbook.
For more information on Patients’ Rights or to submit an order request, please visit our Office of Patients’ Rights webpage.
Crisis Care Section
Qhov Kev Pab Cuam Rov Qab Los
As part of the CalAIM demonstration, California became the first state in the nation to receive federal approval to cover contingency management (CM) services for substance use disorders (SUD) as part of the Medicaid program. California’s program that offers the CM benefit is called the Recovery Incentives Program. CM is an evidence-based treatment that provides motivational incentives to treat individuals living with stimulant use disorder and support their path to recovery. It recognizes and reinforces individual positive behavioral change, as evidenced by urinary drug tests that are negative for stimulants. CM is the only treatment that has demonstrated robust outcomes for individuals living with stimulant use disorder, including reduction or cessation of drug use and longer retention in treatment.
DHCS will pilot Medi-Cal coverage of CM in DMC-ODS counties that opt in to cover the service starting in 2023. DHCS’ primary goal for the pilot is to determine how to scale a proven treatment for stimulant use disorder in a large, complex state, supporting DHCS’ broader policy goals to:
- Hais txog qhov tsis tu ncua thiab hloov SUD teeb meem hauv California los ntawm kev ua raws li cov pov thawj kev kho mob thiab kev coj ua; thiab
- Txhim kho kev noj qab haus huv thiab kev noj qab haus huv ntawm Medi-Cal cov tswv cuab nyob nrog kev siv tshuaj tiv thaiv kab mob, raws li ntsuas los ntawm kev txo qis lossis kev tso tseg ntawm kev siv tshuaj thiab kev kho mob ntev dua.
Yog xav paub ntxiv txog qhov Kev Pabcuam Rov Qab Los, thov mus saib ntawm DHCS Recovery Incentives Program lub vev xaib.
Medi-Cal Mobile Crisis Services
Cov kev pab cuam cuam tshuam hauv xov tooj yog ib qho kev cuam tshuam hauv zej zog tsim los muab kev txo qis thiab kev pab cuam rau cov tib neeg muaj teeb meem kev noj qab haus huv txhua qhov chaw lawv nyob, suav nrog hauv tsev, chaw ua haujlwm, tsev kawm ntawv, lossis hauv zej zog. Cov kev pabcuam cuam tshuam ntawm txawb yog muab los ntawm ntau pab pawg ntawm cov kws tshaj lij kev noj qab haus huv uas tau txais kev cob qhia hauv qhov chaw txwv tsawg kawg nkaus. Cov kev pab cuam cuam tshuam hauv xov tooj muaj xws li kev tshuaj ntsuam xyuas, kev ntsuam xyuas, kev ruaj ntseg, de-escalation, kev soj ntsuam, thiab kev sib koom tes nrog cov kev pab kho mob thiab lwm yam kev txhawb nqa. Cov kev pabcuam kev kub ntxhov hauv xov tooj yog tsim los muab kev daws teebmeem teebmeem hauv zej zog thiab txo qis kev koom tes nrog kev tswj hwm kev cai lij choj thiab kev siv lub chaw haujlwm xwm txheej ceev. Medi-Cal Mobile Crisis Services tau txais txiaj ntsig yuav ua kom cov tswvcuab Medi-Cal tau txais kev pabcuam kev pabcuam teebmeem 24 teev hauv ib hnub, 7 hnub hauv ib asthiv, 365 hnub hauv ib xyoos. Thaum Lub Kaum Ob Hlis 2022, DHCS tau tshaj tawm Daim Ntawv Ceeb Toom Txog Tus Cwj Pwm Kev Noj Qab Haus Huv (BHIN) 22-064 los muab kev taw qhia txog kev siv cov txiaj ntsig. Thaum Lub Rau Hli 2023, DHCS tau tshaj tawm BHIN 23-025 (superseding BHIN 22-064), muab cov kev taw qhia kho dua ntawm cov txiaj ntsig no.
DHCS tau koom tes nrog Cov Kws Pab Tswv Yim rau Tib Neeg Muaj Peev Xwm, Inc. (AHP) uas, koom tes nrog Center for Applied Research Solutions (CARS), muab kev cob qhia txog kev kub ntxhov hauv xov tooj thiab kev pab cuam tsis tu ncua. Yog xav paub ntxiv, thov xa email rau mobilecrisisinfo@cars-rp.org.
Yog xav paub ntxiv txog cov txiaj ntsig, thov mus saib peb lub vev xaib CalAIM Behavioral Health Initiative Mobile Crisis Services .
988 Kev tua tus kheej thiab kev kub ntxhov Lifeline
The National Suicide Hotline Designation Act of 2020 (NSHD) designated 9-8-8 as the new three-digit number for the national suicide prevention and mental health crisis hotline. As the nation’s most populous state, California experiences the largest number of calls to 988. In December 2024,[SA1] around 1 in 10 calls to the National Suicide Prevention Lifeline (NSPL) originated in California. To handle this volume, a network of 12 local California Lifeline Crisis Centers provide free and confidential emotional support to individual 988 contacts from all 58 counties who are in behavioral health crisis.
Crisis line staff and volunteers facilitate suicide prevention and behavioral health crisis line services 24 hours a day, 7 days a week, 365 days a year. The crisis line staff and volunteers provide an initial suicide risk screening and assessment consistent with NSPL guidelines, offer de-escalation, and provide clients with information and referrals to link the client to the appropriate community resources in the city or county of the client or person in crisis when known and available.
DHCS partners with Advocates for Human Potential, Inc. to ensure development, implementation, and on-going management of the 988 crisis hotline at all 12 California Lifeline Crisis Centers. This includes contract management and funding oversight, technical assistance, data analysis of key performance indicators, and monitoring for compliance and sustainability.
Yog xav paub ntxiv txog 988 Suicide thiab Crisis Lifeline, thov mus saib peb lub vev xaib 988 Suicide thiab Crisis Lifeline .
Cov ntaub ntawv tiv tauj
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Qhov Kev Pab Cuam Rov Qab Los |
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CARE Act |
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BH CalAIM |