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San Francisco outlines Care Court rollout and SB 43 changes, DPH reports case reviews but no guaranteed holds
Summary
DPH presented the city27s Care Court operations and local implementation of Senate Bill 43 on May 7, 2024, describing eligibility, processes and training. The department said it has fielded 75 Care Court consultation cases and been involved in 156 SB 43-related case reviews, but noted implementation is unfunded and timelines are lengthy.
Dr. Angelica Almeida, who leads implementation work for the Department of Public Health, told the Health Commission on May 7 that San Francisco launched Care Court in October 2023 and has set up systems to evaluate and file petitions in court for adults with schizophrenia-spectrum diagnoses who are not clinically engaged in treatment.
"Care Court allows for a broad range of petitioners," Almeida said, describing family members, first responders, treatment providers and county behavioral health as potential petitioners. She said the program is intended as an upstream intervention that may order individuals into treatment for up to 24 months when a judge finds the criteria met.
DPH described its operational approach: a consultation line screens potential cases, staff assemble evidence and petitions for the court, and DPH works to engage individuals in voluntary services when possible. "In total, since October, we've had 75 cases come through our Care Court consultation line," Almeida said.
Almeida emphasized that Care…
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