ផ្ទះ ច្បាប់ស្តីពីជំនួយ ការស្តារឡើងវិញ និងការពង្រឹងសមត្ថភាពសហគមន៍​​ 

ច្បាប់ស្តីពីជំនួយសហគមន៍ ការស្តារឡើងវិញ និងការពង្រឹងអំណាច​​ 

ទិដ្ឋភាពទូទៅ​​ 

Senate Bill (SB) 1338 (Umberg, Chapter 319, Statutes of 2022) established the Community Assistance, Recovery, and Empowerment (CARE) Act, which provides community-based behavioral health services and supports to Californians living with schizophrenia spectrum, other psychotic disorders, or bipolar I disorder with psychotic features who meet health and safety criteria. It is a new civil court process where certain people, such as family members, first responders, and providers, may file a petition to the court to create a voluntary CARE agreement or a court-ordered CARE plan. A CARE agreement or CARE plan may include treatment, housing resources, and other services. The CARE Act is intended to serve as an upstream intervention for individuals experiencing severe impairment to prevent avoidable psychiatric hospitalizations, incarcerations, and Lanterman-Petris-Short (LPS) Mental Health Conservatorships. The CARE Process will provide earlier action, support, and accountability for both CARE clients, and the local governments responsible for providing behavioral health services to these individuals.​​  

ច្បាប់ថែទាំត្រូវបានអនុវត្តជាពីរក្រុម។ ក្រុមខ្ញុំបានចាប់ផ្តើមនៅខែតុលា 1, 2023 ហើយរួមបញ្ចូលស្រុកចំនួនប្រាំពីរ៖ Glenn, Orange, Riverside, San Diego, Stanislaus និង Tuolumne និងទីក្រុង និងខោនធីនៃសាន់ហ្វ្រាន់ស៊ីស្កូ។ ខោនធី Los Angeles ស្ថិតនៅក្នុង Cohort II ប៉ុន្តែត្រូវបានជ្រើសរើសឱ្យអនុវត្តនៅដើមខែធ្នូ ថ្ងៃទី 1, 2023 ។ ស្រុក Cohort II ដែលនៅសេសសល់ត្រូវបានតម្រូវឱ្យអនុវត្តនៅ ឬមុនខែធ្នូ 1, 2024 ។​​ 

ច្បាប់​​ 

On July 10, 2023, Assembly Bill (AB) 102 (Ting, Chapter 102, Statutes of 2023) was signed into law. AB 102 requires the Department of Health Care Services, in consultation with the Judicial Council of California, to provide an early implementation report on key data for each trial court implementing the CARE Act. The report must include: (1) the number of petitions submitted, (2) the number of petitions dismissed, (3) the number of CARE Act participants, and (4) the number of court hearings held during October 1, 2023, through June 30, 2024. The early implementation report will be submitted to the Joint Legislative Budget Committee and the Budget Committees of each house of the Legislature by December 1, 2024.​​   

Additionally, AB 102 requires the Legal Services Trust Fund Commission (LSTFC) at the State Bar of California to collect outcome data from each county’s public defender office, qualified legal services projects (QLSP), and support centers. The State Bar of California shall annually provide to the Judicial Council a report that includes funding allocations, annual expenditures, and program outcomes by service area and service provider to be included in DHCS’ annual CARE report.​​   

On September 30, 2023, Senate Bill (SB) 35 (Umberg, Chapter 283, Statutes of 2023) was signed into law. SB 35 clarifies requirements for the CARE process and makes technical changes that will allow the CARE Act to be implemented successfully. Additionally, the bill specifies the information, including protected health information, that must be shared between behavioral health agencies and providers. This information is necessary to support the determinations, conclusions, and recommendations for the written report submitted to the court to document the respondent’s eligibility for the CARE process.​​ 

On September 27, 2024, SB 42 (Umberg, Chapter 640, Statutes of 2024) was signed into law and contained an urgency clause that became effective immediately after signing. SB 42 creates an additional pathway of referring an individual from LPS designated facilities to the CARE Act process. This bill additionally amends the Welfare and Institutions Code regarding communication between courts, alternatives to conservatorship, technical changes to CARE procedures, as well as collaboration on system performance.​​   

On September 27, 2024, SB 1400 (Stern, Chapter 647, Statutes of 2024) was signed into law. SB 1400 amends provisions of the Penal Code related to misdemeanor incompetent to stand trial (MIST) referrals to CARE. The bill provides that if the defendant is accepted into CARE, the criminal charges shall be dismissed six months after the date of the referral to CARE, unless the defendant’s case has been referred back to the criminal court prior to the expiration of that time period. The bill additionally amends provisions of the Welfare and Institutions Code to expand the requirements for data reporting, including data related to inquiries and system referrals. This data shall be included in the annual report to examine the scope of impact and monitor the performance of CARE Act model implementation.​​ 

នៅថ្ងៃទី 27 ខែកញ្ញា , 2024, SB 1323 (Menjivar, ជំពូក 646, លក្ខន្តិកៈឆ្នាំ 2024) ត្រូវបានចុះហត្ថលេខាជាច្បាប់។ SB 1323 ធ្វើវិសោធនកម្មបទប្បញ្ញត្តិនៃក្រមព្រហ្មទណ្ឌដែលទាក់ទងនឹងអសមត្ថភាពក្នុងការជំនុំជម្រះក្តី (IST) សម្រាប់ការវាយលុកបទឧក្រិដ្ឋដែលបានបញ្ជាក់ដើម្បីអនុញ្ញាតការបញ្ជូនទៅកាន់ដំណើរការនីតិវិធី CARE ។ ប្រសិនបើជនជាប់ចោទត្រូវបានទទួលយកទៅក្នុង CARE ការចោទប្រកាន់នឹងត្រូវច្រានចោលដោយយោងតាមក្រមព្រហ្មទណ្ឌមាត្រា 1385។​​ 

នៅថ្ងៃទី 10 ខែតុលា , 2025, SB 27 (Umberg, ជំពូក 528, លក្ខន្តិកៈឆ្នាំ 2025) ត្រូវបានចុះហត្ថលេខាជាច្បាប់។ SB 27 ធ្វើវិសោធនកម្មបទប្បញ្ញត្តិនៅក្នុងក្រមសុខុមាលភាព និងស្ថាប័ន ដើម្បីពង្រីកការវិនិច្ឆ័យដែលមានសិទ្ធិដើម្បីរួមបញ្ចូលបុគ្គលដែលរស់នៅជាមួយជំងឺបាយប៉ូឡា I ដែលមានលក្ខណៈពិសេសផ្លូវចិត្ត លើកលែងតែជំងឺវិកលចរិកដែលទាក់ទងនឹងការស្រវឹងបច្ចុប្បន្ន។ វិក័យប័ត្រនេះកំណត់ផងដែរនូវស្ថេរភាពគ្លីនិកក្នុងការព្យាបាលដែលកំពុងបន្ត។ ផ្តល់នូវផ្លូវផ្ទាល់បន្ថែមទៀតសម្រាប់ការបញ្ជូនពីការព្យាបាលអ្នកជំងឺក្រៅជំនួយ (AOT) ដំណើរការនីតិវិធីអភិរក្ស LPS និងតុលាការ IST ឧក្រិដ្ឋកម្ម និងមជ្ឈិម។ ផ្តល់ថាគិលានុបដ្ឋាយិកា និងជំនួយការគ្រូពេទ្យត្រូវបានចាត់ទុកថាជាអ្នកជំនាញសុខភាពអាកប្បកិរិយាដែលមានអាជ្ញាប័ណ្ណសម្រាប់តែគោលបំណងនៃការចុះហត្ថលេខាលើសេចក្តីប្រកាសសុខភាពផ្លូវចិត្តក្នុងការគាំទ្រញត្តិរបស់ CARE ។ អនុញ្ញាតឱ្យតុលាការធ្វើការសម្រេចចិត្តបឋមដោយមិនចាំបាច់បើកសវនាការ។ និងការកែប្រែបច្ចេកទេសផ្សេងទៀត។ លើសពីនេះទៀត SB 27 ធ្វើវិសោធនកម្មបទប្បញ្ញត្តិនៃក្រមព្រហ្មទណ្ឌ ដើម្បីផ្តល់សិទ្ធិដល់ភ្នាក់ងារសុខភាពអាកប្បកិរិយារបស់ខោនធី និងអ្នកផ្តល់សេវាវេជ្ជសាស្រ្តក្នុងពន្ធនាគារ ដើម្បីចែករំលែកកំណត់ត្រាវេជ្ជសាស្រ្តសម្ងាត់ និងព័ត៌មានពាក់ព័ន្ធផ្សេងទៀតជាមួយតុលាការក្នុងគោលបំណងកំណត់លទ្ធភាពនៃសិទ្ធិទទួលបានសេវា និងកម្មវិធីសុខភាពអាកប្បកិរិយា។​​  

To read the bills in full, please visit the California Legislative Information webpage.​​  

ការបណ្តុះបណ្តាល និងជំនួយបច្ចេកទេស​​ 

DHCS has contracted with Health Management Associates (HMA) to provide training and technical assistance, implementation support, and data collection and reporting for the CARE Act. HMA has developed the CARE Act Resource Center, which provides training, technical assistance and resources to county behavioral health agencies, counsel, volunteer supporters, and other stakeholders to support the implementation of the CARE Act. The Resource Center will continue to be updated with new information and training material.​​  

Join the HMA CARE Act email listserv to receive notification of trainings, technical assistance and other stakeholder engagement opportunities specific to the CARE Act implementation. For additional information, or to request training and technical assistance, please email info@CARE-Act.org.​​ 

ធនធាន DHCS​​ 

របាយការណ៍ និងបច្ចុប្បន្នភាពសំខាន់ៗ​​ 

ច្បាប់ស្តីពីការថែទាំនៅកន្លែងធ្វើការ វីដេអូ​​ 

សេចក្តីជូនដំណឹងព័ត៌មាន និងធនធាន​​ 

ធនធានបន្ថែម​​ 

ទាក់ទង​មក​ពួក​យើង:​​