Title
HEARING - Consider recommendations regarding a report on options on the Assisted Outpatient Treatment Services (Laura’s Law), as follows: (EST. TIME: 1 HR. 30 MIN.)
a) Receive and file a report with further analysis of options and feasibility of implementing Assisted Outpatient Treatment for the parameters set forth in the Welfare and Institutions Code Sections 5345-5349.5 (AB 1421/Laura’s Law);
b) Provide staff with conceptual direction about one of the following options, or provide other direction, subject to annual appropriations, and direct staff to return at a later date, as follows:
Option 1:
Targeted service expansion: Expand targeted services to address the needs of individuals who are High Users of Multiple Systems (HUMS), including those who would potentially benefit from AB 1421; adding 15 Assertive Community Treatment (ACT) slots, 45 or more intensive outreach/case management, 20 or more beds safe and stable housing; No adoption of AB 1421/ Requested General Fund Cost annually $700,000.00 and a total program cost of $850,000.00 with estimated Medi-Cal revenue; or
Option 2:
Robust service expansion: Broad service expansion to address the needs of high risk or hard to reach HUMS clients: System Expansion; adding 30 ACT slots, 90 or more regional intensive outreach/case management, 40 or more beds safe and stable housing; No adoption of AB 1421/Requested General Fund Cost annually $1,375,000.00 and a total program cost $1,675,000.00 with estimated Medi-Cal revenue; or
Option 3:
AB1421 Pilot Project Implementation: Adoption of AB1421/Requested General Fund Cost annually $606,888.00 and a total program cost of $755,496.00 with estimated Medi-Cal revenue (estimate about 10 persons served); or
Option 4:
Full AB 1421 implementation: Adoption of AB1421; Requested General Fund Cost annually $2,047,692.00 and a total program cost $2,384,387.00 with estimated Medi-Cal revenue (estimate about 75 persons evaluated and 38 served); or
Option 5:
No Service Expansion: No adoption of AB 1421; No additional annual cost.
c) Determine that the above actions are exempt from the environmental review per California Environmental Quality Act (CEQA) Guideline Section 15378 (b)(5), since they are government administrative activities that do not involve a commitment to a specific project that may result in a potentially significant effect on the environment.
COUNTY EXECUTIVE OFFICER’S RECOMMENDATION: POLICY