[{"_1":2,"_99":-5,"_100":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6587274,"mediaKeyId","5663813-c189621953dc95cc2b322de64df1ea63","parentId",5663813,"title","County reports progress under jail health consent decree; calls for more staff as mental-health demand rises","audioSeconds",586,"startMs",6007000,"endMs",6593000,"viewUrl","/Search/View?dp=1&key=5663813-c189621953dc95cc2b322de64df1ea63&start=6007&end=6593","thumbnailUrl","https://assets.pipeline.soar.com/5663813-c189621953dc95cc2b322de64df1ea63/thumbnail_6007000.jpg","articleUrl","/articles/6587274/Sacramento-County/California/County-reports-progress-under-jail-health-consent-decree-calls-for-more-staff-as-mental-health-demand-rises","mediaUrl","https://secure.pipeline.soar.com/6587274-d06bf6c57849fb3071a2d7ce31108220/orig.mp4?Expires=1770830530&Signature=WudDq6-CC7cDNUtIMbgdkGOK6nwFCnYhWU3AhID83~581oDib3suXMyzQyEqXOz7sWLeEAFZTNy8MSwsm6rLjL99xtQ9h6IPr45dOnSnKdF2vc5gL-5rMoR7qoAeLPJCFfwEMja5B40vrgRJCvX56DcKzBtzjE3NHpBdexHSIQtJ8Gv0vuTmZMeuuQ2QV-8FamDVUBYzZu8D9EIm~F7dWL2H21Bk1ukWB4nBrwpDarfjbEHd0rTDrkEKNhjLGTtAoI19tDru57XFY8qtkVGSL3KOm721s8iUaqvOO5jgpVN1zex3QZl1kQEzXux0r4-LUY6m3ZDgTcZe9fcwceqlYg__&Key-Pair-Id=KUT5TJCACFTXG","author","Sacramento County","date","2025-08-22T18:41:12.167Z","article","Sacramento County health leaders gave a public workshop Aug. 19 outlining changes at county jails under the court-mandated consent decree and described significant recent progress and remaining gaps.

Tianna Hammock, health services administrator for Adult Correctional Health, told the board the county operates the fifth-largest jail population in California while the county itself is the eighth-largest. She described operational changes at intake, the addition of supervised intake rooms and 24/7 supervising nurses to reduce wait times and ensure privacy during medical screening.

Hammock said the jail has seen a sharp rise in the percentage of detainees who are on the mental-health caseload—from about 40% in 2015 to roughly 76% so far this year—and described how the health unit is expanding levels of care. \"We started the MAT induction unit in 2023,\" she said, referring to the county's medication-assisted-treatment program for opioid use disorder. Hammock added the county has established intensive and enhanced outpatient programs and a new critical-needs assessment program for people reporting suicidal ideation.

Chief medical staff described the medical constraints of a jail setting and explained why some inmates still require hospital send-outs. A county physician summarized the threshold: \"If you went out to an urgent care, what couldn't you get done in an urgent care? If you don't have medical monitoring similar to what you'd have in an ER setting, they would need to go out,\" he said.

Why it matters: Presenters said the jail health system has markedly expanded services in the past two years, including more on-site specialty clinics, improved withdrawal monitoring and new clinical spaces. But they cautioned that the largest challenge is capacity: staffing levels for nurses, clinicians and specialist providers must rise to meet higher volumes and acuity, and some care (for example, advanced diagnostics and IV-level care) remains off-site and requires deputies to escort inmates to hospitals.

County officials outlined next steps that include expanding psychiatric acute units and intensive outpatient beds, strengthening telemedicine to reduce non-emergency hospital transports, pursuing national correctional-health accreditation, and continuing efforts to recruit clinical staff. Officials also noted a need to align jail care with state programs such as CalAIM so Medi-Cal can help cover pre-release care and discharge medications.

Ending: Supervisors praised staff for operational improvements and asked for follow-up details on staffing needs, telemedicine expansion and the cost implications of keeping more services in-house. No formal board action was required; the workshop was presented for information and planning.

","mediaType","Video","parentTitle","Board of Supervisors - 8/19/2025","oneSentenceSummary","County officials reported to the Board of Supervisors Aug. 19 that jail health services have expanded clinical capacity and training under the local court consent decree, but officials warned the system still needs more clinical staffing and specialized capacity to meet sharply rising mental-health demand among inmates.","taxTitle","Sacramento County, California","taxId",2889,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6587279,"Board adopts Welcome Homes policies as oversight panel flags gaps in child-protection investigations",893,1323000,2216000,"/Search/View?dp=1&key=5663813-c189621953dc95cc2b322de64df1ea63&start=1323&end=2216","https://assets.pipeline.soar.com/5663813-c189621953dc95cc2b322de64df1ea63/thumbnail_1323000.jpg","/articles/6587279/Sacramento-County/California/Board-adopts-Welcome-Homes-policies-as-oversight-panel-flags-gaps-in-child-protection-investigations","https://secure.pipeline.soar.com/6587279-a6af74e0f2627625cb80704bed63c6e3/orig.mp4?Expires=1770830530&Signature=go6OEg6FWPPwG7TUjf9rxlOPAsrltfcqnpGOHvCfnoiwYtS5ZRID47m2-FRA~FMDKsL~FoatSatGQ3zMO9HFikU9TVg6h7m5h5QJ~yIyarfFN0m4pp0fDuh2FlpQKUmj5z~tbgWJ8WXvT581-M6yMBkoujYIaZ5URuX6rc-795a2pkXEw4ErdataS~q1qX0xtFgEAEBIq3oMjTlx~o1jTEvPCxRPE6JND6wOqP9~bGpc0MyWtWEHNrDAo3SpveE1h8FOG-6XJXMTVfw7bV9OUSu5xK9YltiK1XY-yHASCgQ9Dc9F4YG~f9MNIoObL1dJrokkQH-QFqTi2~BrwEv3jg__&Key-Pair-Id=KUT5TJCACFTXG","The Sacramento County Board of Supervisors voted unanimously Aug. 19 to receive the Welcome Homes fourth-quarter report and approve two policies governing county-run emergency youth facilities, after a departmental briefing and public comment.

The action, moved by Vice Chair Patrick Hume and adopted by the board, accepted the Sacramento County Department of Child, Family and Adult Services' (DCFAS) quarterly summary and approved an Emergency Intervention Plan and an Unauthorized Absence Intervention Plan for the county's Welcome Homes.

Why it matters: The board action came as the Child Protective Systems Oversight Committee delivered its 2024 annual report, drawing on the county's new electronic suspected-child-abuse-report system (eSCAR) to show a large volume of reports and a mismatch between reports and law-enforcement investigations. Committee members and the district attorney's office told supervisors that the data show many suspected abuse reports are not receiving criminal investigations and urged continued funding for the eSCAR system and more detective and prosecutor capacity.

The oversight committee said eSCAR gave officials a clearer view of where reports were going and how jurisdictions triage them. Assistant Chief Deputy Chris Orr of the District Attorney's Office, who co-chairs the oversight committee, described the system as “a blessing and a curse,” saying it produces usable data but also reveals gaps in investigative capacity. The committee recommended local agencies ensure children who may have been seriously harmed are actually interviewed and that caseloads per investigator and prosecutor be reduced to recommended levels.

Shelby Boston, DCFAS director of child, family and adult services, presented the Welcome Homes report and said the quarter featured continued staff training, policy work and a small capacity increase after the county absorbed beds when a contracted provider closed. Boston told the board the county's long-term target is 75 beds across licensed placements to better serve highly acute youth and reduce out‑of‑county placements.

Public comment at the meeting included sharply worded remarks from social workers and union representatives who said recent labor actions and contract proposals have damaged morale. Sarah Singleton, who identified herself as a social worker and vice chair of a bargaining unit, criticized a county labor move she called \"an underhanded and manipulative tactic,\" and publicly said, \"Shame on you, Shelby Boston.\" United Public Employees Executive Director Ted Samara said county-run welcome homes need higher security and more facility investment, calling the current situation \"a liability in waiting.\" Samara also urged investments that would remove children from ad hoc settings and place them where more services and security are available.

What the board did: The motion on the Welcome Homes item called for receiving the quarter‑4 report and approving the two named policies. The board passed the motion unanimously with the members present.

On the oversight report, supervisors asked why the rate of \"no investigation conducted\" varied so widely across jurisdictions; oversight witnesses and the DA's office said differences in definitions and resource levels explain part of the variance, but that even accounting for those differences the volume of uninvestigated suspected-abuse reports is a concern. Committee members told the board that the eSCAR grant that funded the system had expired and urged the county to continue funding the platform; the DA's office said it has absorbed current eSCAR costs and estimated an ongoing cost around $100,000 for the software contract but warned the larger expense is adding investigative and prosecutorial staff to handle the cases identified.

Ending: The oversight panel and county staff both signaled continued work ahead. The committee asked the board to monitor progress, and DCFAS said it would continue policy, training and placement-capacity work. Supervisors emphasized they want clearer, regularly updated performance data and said they will review budget and staffing implications as part of the county's regular budget process.

","The Sacramento County Board of Supervisors voted unanimously Aug. 19 to receive the Welcome Homes fourth-quarter report and adopt two policies governing county-run emergency youth shelters, while the Child Protective Systems Oversight Committee presented a 2024 report using new eSCAR data to show many suspected child-abuse reports that lacked criminal investigation.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6587269,"Board approves RCHAP and HAP application; long debate on new regional homeless-and-housing governance model",856,2444000,3300000,"/Search/View?dp=1&key=5663813-c189621953dc95cc2b322de64df1ea63&start=2444&end=3300","https://assets.pipeline.soar.com/5663813-c189621953dc95cc2b322de64df1ea63/thumbnail_2444000.jpg","/articles/6587269/Sacramento-County/California/Board-approves-RCHAP-and-HAP-application-long-debate-on-new-regional-homeless-and-housing-governance-model","https://secure.pipeline.soar.com/6587269-215b94bfba0a05511998ac56d1fd79bd/orig.mp4?Expires=1770830530&Signature=hWxeKb6mNFysTL20u6uhiJKdr95N5JMQa1M2goFtC-f6nsK-9db3zd8V4VjbN5kPRpz~dzL2fNE9MGniGQd4odbABBjwaGum0iXGYshZUclWLpZBmh29xiy3wnEB-P7JHmQRlYP0DKc1RMTWTlXjEPdLgdCj3ZfCA4TN58gVUr3kZ1eIRYEvZQ4sVkPdQCo9Tp7yTS7GyaryvwrIiXCriicQ7romP~JkTrJxRwEUm7swCGDYHjdGcOSShYkgITxkcEuoX0UpsbPWG3hj6uIxVB1q8ep9FFQkyimBj7HfbHZQ71saTaTT47c9Ea1cqnJPr-P5MBPjeFe8ouLjiy74yw__&Key-Pair-Id=KUT5TJCACFTXG","The Sacramento County Board of Supervisors voted Aug. 19 to adopt an updated Regionally Coordinated Homelessness Action Plan and authorized staff to submit the county's application for $7,548,311 in HAP Round 6 funding from the California Department of Housing and Community Development.

The vote (item 52) was unanimous among members present. The adopted RCHAP updates the county's regional homelessness goals while preserving the eight solution areas previously adopted in 2024; it reorganizes implementation priorities into three strategic baskets: prevention, urgent response (outreach and shelter), and resolution (long-term housing solutions).

Why it matters: The state's HAP grants have been a major source of regional funding for homelessness programs. Sacramento has received a large multi‑round allocation historically (HAP rounds 1–5 totaled about $173 million for the region) but the county faces a reduced HAP 6 allocation. County staff told the board that, given the lower HAP 6 award and the need to preserve programs started with earlier rounds, staff recommends prioritizing interim housing operations for the county's local HAP share while continuing youth set‑asides and the administrative allowance.

Governance debate: After the HAP vote, county staff presented a detailed proposal for a new Sacramento Homeless and Housing Board (SHHB) to replace the existing, volunteer-led Continuum of Care (CoC) board structure and to absorb the informal 'Homeless Policy Council' of elected officials. The SHHB would be Brown Act–compliant, include elected officials (a proposed start point: two supervisors, two Sacramento City Council members and one representative from other cities), and seat at least one person with lived experience of homelessness. Staff proposed subcommittees drawn from a broader CoC membership and a formal strategic leadership group of agency executives to execute policy.

The proposal divided opinions at the meeting. Joseph Smith, chair of the COC, urged the board to avoid concentrating voting control among elected officials and to preserve broad community and provider representation, saying \"we should aim higher than the minimum.\" SSF chief Lisa Bates also cautioned that a board dominated by elected officials risks diminishing community voice and asked for clarity on what decision authority the new board would hold. Supporters among supervisors said the new structure would create clearer public accountability and allow elected officials across jurisdictions to adopt shared priorities and act on cross‑jurisdiction issues such as street management and shelter siting. Several supervisors said they favored starting with a smaller elected-led board with robust, representative subcommittees (Option A) rather than enlarging the voting body immediately.

Public input: Community members and service providers endorsed stronger regional coordination but urged safeguards to keep provider and lived‑experience voices central. The Continuum of Care's chair and others asked that any new governance charter ensure subcommittee input is meaningful and that the COC maintain the authority HUD requires.

Action taken: The Board approved the RCHAP and authorized staff to submit the HAP Round 6 application as requested; no formal vote was taken on the governance model during the meeting. Supervisors and staff agreed to pursue additional city-level consultations and to return with an MOU or formation document and implementation timeline, with the goal of convening an initial body in 2026 if jurisdictions agree to participate.

Ending: County staff will brief city councils in the coming weeks, continue stakeholder engagement and draft an implementation plan that includes a recommended MOU and committee charters for board review. The new governance proposal is likely to return to the board for formal consideration after city input and draft legal documents are prepared.

","The Sacramento County Board of Supervisors on Aug. 19 adopted an updated Regionally Coordinated Homelessness Action Plan and authorized submission of the county's HAP Round 6 application for $7,548,311, while supervisors and community leaders also debated a proposed new Sacramento Homeless and Housing Board to provide regional governance and greater elected-official oversight of homelessness programs.","actionData","errors"]

Article not found

County reports progress under jail health consent decree; calls for more staff as mental-health demand rises

Board adopts Welcome Homes policies as oversight panel flags gaps in child-protection investigations

Board approves RCHAP and HAP application; long debate on new regional homeless-and-housing governance model