Antelope Valley Press

Will 2024 become a state ‘year of mental health?’

- Thomas Elias Thomas D. Elias is a freelance political writer whose column appears in newspapers throughout California. Email him at tdelias@

Much is made continuall­y of this state’s poverty rate, now running above 13 percent. But most polls show voters rank homelessne­ss as even more of a problem, with about 70 percent in all recent public surveys naming that as California’s biggest problem.

Meanwhile, about 47 percent of homeless, say academic studies, suffer from some form of mental or emotional illness, from schizophre­nia to post traumatic stress disorder and dementia.

That’s why the first ballot propositio­n on the March 5 primary ballot could have far more effect on the state than even the US Senate race featuring prominent Democratic candidates Adam Schiff, Katie Porter and Barbara Lee, plus Republican Steve Garvey.

The upcoming Propositio­n marks the first time state voters have been asked to earmark serious bond funding for mental health treatment. It would create more than 11,000 treatment beds and other housing for persons with serious mental and emotional problems, reinforce the treatment they can now get in some counties through the new CARE court system and possibly chip away some of the homelessne­ss now so visible on streets and in parks all around California.

In the few counties already using it, the CARE court system is too new for its success to be evaluated. It allows those with severe mental illness to be held and treated, sometimes without their consent.

It’s true this creates limits on their freedom, but homelessne­ss often associated with or caused by mental illness has created limits on other people’s freedoms: Freedom to use sidewalks without fear or self-consciousn­ess, freedom to make use of public parks, freedom to park locked bicycles in front of homes, and much more.

Some numbers cited in the preambles to the $6.38 billion Prop. 1 provide evidence for all this: one out of every 20 adults in California now lives with serious mental illness; one in 13 California children of school age suffers serious emotional disturbanc­e, one in 10 California­ns has some sort of substance abuse disorder.

These numbers help explain the extent and growth of homelessne­ss, as each of those problems is a known factor in driving many families and individual­s away from their previous homes.

That makes Propositio­n 1 not merely a mental health propositio­n, but also a possible strong antidote to homelessne­ss.

How urgent is the need for something like this? The $217 million the Golden Gate Bridge district has just spent on adding steel netting to prevent suicides by jumping from the iconic bridge might be one indicator.

Another is the fact that California now houses about 150,000 mentally ill persons in its prisons at a cost of about $100,000 per person per year. This cost by itself tops what Prop. 1 would provide. So cutting the number of affected prisoners by even one-third would by itself make the ballot measure a superb investment.

It if improves mental health care in prisons, it would also save California the $50 million per year in fines it now faces for failing to follow a court order to fill mental health staffing vacancies.

The correction­al system explains its slow hiring by reminding critics that many prisons are in rural locations where recruiting highly-educated employees has always been more difficult than in large metropolit­an areas.

Perhaps the bond propositio­n’s biggest backer will be Gov. Gavin Newsom, who pushed hard both for CARE courts and to put Prop. 1 on the ballot. No governor since Ronald Reagan in the 1960s has taken greater interest in mental illness, and Newsom’s activity is almost directly opposite to Reagan’s.

It was Reagan who signed the Lanterman-Petris-Short Act of 1967, which closed many mental health facilities. Reagan promised to replace them with a system of treatment-based community-sited halfway houses, but that never materializ­ed and California’s mental health problems and associated factors like high prison population­s and homelessne­ss have steadily increased ever since.

The sheer volume of homeless in California — about 180,000 persons now sleep in public places every night across the state — has mandated a change in priorities.

Newsom and the Legislatur­e are responding with a path that might help. It’s an open question whether cashstrapp­ed voters will follow.

 ?? Commentary ??

Newspapers in English

Newspapers from United States