{"id":41563,"date":"2024-11-20T17:14:32","date_gmt":"2024-11-21T01:14:32","guid":{"rendered":"https:\/\/wp.sbcounty.gov\/dbh\/?page_id=41563"},"modified":"2025-11-26T17:20:39","modified_gmt":"2025-11-27T01:20:39","slug":"sb-43","status":"publish","type":"page","link":"https:\/\/wp.sbcounty.gov\/dbh\/sb-43\/","title":{"rendered":"Senate Bill 43"},"content":{"rendered":"\n<div data-isd-block-id='isd-slider-block_256e9d51a5cca737bf0e98f90baa653a' class=\"\">\n\t\t\t<div class=\"hero-slider slider-wrapper\">\n\t\t\t<div id=\"slider-isd-slider-block_256e9d51a5cca737bf0e98f90baa653a\" class=\"carousel slide slider-carousel slide half\" data-bs-ride=\"true\">\n\t\t\t\t<div class=\"carousel-inner slides-1\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"carousel-item active desk-center-center mobi-center-center half\" data-background=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Assisted-Outpatient-Treatment-13.png\"  style=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"hs-slide-wrapper has-content has-overlay\">\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"hs-content-wrapper left-align\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"slide-container  dark-background  rounded-corners\">\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"slide-content text-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"slide-heading\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h1 class=\"section-heading\">Senate Bill 43<\/h1>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"slide-subheading below\">Learn more about SB 43 here and the expansion of &quot;grave disability.&quot;<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\n\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-black-color has-text-color has-link-color wp-elements-86771a1e23e19aa2b3a28a2718302bdf\"><strong>What is Senate Bill 43?<\/strong><\/h2>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-1c658b1f48f4d7bca14dd064fd9a0f41\">Senate Bill (SB) 43 was recently signed by the Governor and expands the definition of Grave Disability. Grave Disability is one of the criteria used to place people with disabilities on involuntary holds. <br \/><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-black-color has-text-color has-link-color wp-elements-2d7f507ef2403f96f4f3fb812cb4771d\"><strong>Overview<\/strong><\/h2>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-bafb56a3e316fb15d62cd235b3d06aef\">Senate Bill (SB) 43 updates the Lanterman-Petris-Short (LPS) Act \u2013 a California law governing involuntary detention, treatment, and conservatorship of people with behavioral health conditions. This new statute updates California\u2019s civil detention and conservatorship laws for the first time in more than 50 years by establishing new diagnostic criteria and by broadening the definition of \u201cgrave disability.\u201d The criteria by which people may be civilly detained under the LPS Act includes:<\/p>\n\n\n\n<ul class=\"wp-block-list has-black-color has-text-color has-link-color wp-elements-abbc2482628d6df0b48b0c0ca0d00dd1\">\n<li>Danger to self,<\/li>\n\n\n\n<li>Danger to others, or<\/li>\n\n\n\n<li>Grave disability.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-3b9db765eb14c12058eeb19fc59038b0\">Existing law,&nbsp;for purposes of involuntary commitment, defines \u201cgravely disabled\u201d as either a condition in which a person, as a result of a mental health disorder, is unable to provide for their basic personal needs for food, clothing, or shelter.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-52cecc7d5a83635249468c8ddeaca839\">New law&nbsp;as indicated by bold text, SB 43 expands the definition \u201cgravely disabled\u201d to include:<\/p>\n\n\n\n<ul class=\"wp-block-list has-black-color has-text-color has-link-color wp-elements-0b91ebc77968614f2e429bc0235f4718\">\n<li>people with a mental health disorder,&nbsp;<strong>a severe substance use disorder, or a co-occurring mental health disorder and a severe substance use disorder,<\/strong><\/li>\n\n\n\n<li>and,&nbsp;who are unable to provide for their basic needs for food, clothing, shelter, access to necessary medical care, or personal safety.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-9ac00cf961d1ea846fe5a532228b76c6\"><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-408f7561b46fd72fd4c030a1f7c16d98\"><strong>SB 43 Changes the Definition of Grave Disability in TWO ways<\/strong>:<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-b76215029217158584299f472b3186eb\">1. Adds&nbsp;<em>severe substance use disorder&nbsp;<\/em>as a reason someone could be placed on an involuntary hold.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-1f496e6e04dff95d5b8bfca9e60bf6cf\">2. Adds <em>inability to provide for one\u2019s&nbsp;personal safety&nbsp;or&nbsp;necessary medical care&nbsp;<\/em>as reasons that a person could be placed <\/p>\n\n\n\n<h2 class=\"wp-block-heading has-black-color has-text-color has-link-color wp-elements-6159238e16e65b7a2d8cb53954081944\"><strong>Grave Disability Definitions<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-black-color has-text-color has-link-color has-fixed-layout\"><thead><tr><th class=\"has-text-align-center\" data-align=\"center\">Old Definition<\/th><th class=\"has-text-align-center\" data-align=\"center\">New Definition (Under SB 43)<\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\">A condition in which a person, as a result of a mental health disorder, is unable to provide for his or her basic personal needs for food, clothing, or shelter.<\/td><td class=\"has-text-align-center\" data-align=\"center\">A condition in which a person, as a result of a mental health disorder,&nbsp;a severe substance use disorder, or a co-occurring mental health disorder and a severe substance use disorder, is unable to provide for their basic personal needs for food, clothing, shelter,&nbsp;personal safety, or necessary medical care.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" width=\"1024\" height=\"341\" src=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Heading-4-1024x341.png\" alt=\"\" class=\"wp-image-64377\" srcset=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Heading-4-1024x341.png 1024w, https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Heading-4-300x100.png 300w, https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Heading-4-150x50.png 150w, https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Heading-4-1536x512.png 1536w, https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Heading-4.png 1800w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-f9394970b067dfcd40556e2d5f5c448a\"><strong>SB 43 also makes the following changes:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list has-black-color has-text-color has-link-color wp-elements-5cd288f51a7231316e25c915c4bd23bb\">\n<li>Expands the array of testimony that can be submitted into conservatorship proceedings without requiring in-person cross examination.<\/li>\n\n\n\n<li>Requires counties consider less restrictive alternatives in conducting conservatorship investigation.<\/li>\n\n\n\n<li>Expands State reporting requirements.<\/li>\n<\/ul>\n\n\n\t<div id=\"isd-call-to-action-block_474c36c2339b42fe195b5e507cf0162d\" class=\"position-relative isd-call-to-action horizontal-layout has-background has-border-radius dark-call-to-action has-primary-background-color has-image no-constraint has-link link-left default-image-order no-bottom-margin\">\n\t\t\t\t\t\t\t<div class=\"ctnr-image \">\n\t\t\t\t\t<div class=\"image-wrapper\">\n\t\t\t\t\t\t<img decoding=\"async\" width=\"612\" height=\"408\" src=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Grave-Diability-Observations.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Grave-Diability-Observations.png 612w, https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Grave-Diability-Observations-300x200.png 300w, https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Grave-Diability-Observations-150x100.png 150w\" sizes=\"(max-width: 612px) 100vw, 612px\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"content-wrapper\">\n\t\t\t\t\t\t\t\t\t<div class=\"ctnr-content\">\n\t\t\t\t\t\t<div class=\"cta-heading has-white-color heading-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"cta-heading-text\">\n\t\t\t\t\t\t\t\tSB 43 Overview Training &#8211; San Bernardino County \t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"content  has-white-color\" style=\"text-align: left\">\n\t\t\t\t\t\t\t\t<p>Watch this 45-minute training video for information about Senate Bill 43. Update: SB 43 to be implemented in San Bernardino County on April 1, 2025.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"ctnr-link\">\n\t\t\t\t\t<div class=\"single-link\">\n\t\t\t\t\t\t<a aria-label=\"SB 43 Overview Training - San Bernardino County\" href=\"https:\/\/youtu.be\/EIeC1X6M6Zk?si=ritH3kMslvvfFv08\" class=\"cta-link has-white-color stretched-link\" target=\"_blank\">\n\t\t\t\t\t\t\t\t<span class=\"cta-link-title\">Click here for the training video<\/span><span class=\"link-text-arrow\"><i class=\"fas fa-chevron-right\"><\/i><\/span>\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t<\/div>\n\t\n\n\n<div style=\"height:58px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-black-color has-text-color has-link-color wp-elements-ef351272b01ecd25e615f9cf8331df7f\"><strong>Definition of terms in SB 43<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-black-color has-text-color has-link-color has-fixed-layout\"><thead><tr><th class=\"has-text-align-left\" data-align=\"left\">Severe Substance Use Disorder<\/th><th class=\"has-text-align-left\" data-align=\"left\">Personal Safety<\/th><th class=\"has-text-align-left\" data-align=\"left\">Necessary Medical Care<\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-left\" data-align=\"left\">A diagnosed substance-related disorder that meets the diagnostic criteria of \u2018severe\u2019 as defined in the most current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The DSM defines \u201csevere\u201d as meeting 6 or more of the <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK565474\/table\/table-3\/\">11 criteria for the disorder.<\/a><\/td><td class=\"has-text-align-left\" data-align=\"left\">The ability of one to survive safely in the community without involuntary detention or treatment.<\/td><td class=\"has-text-align-left\" data-align=\"left\">Care that a licensed health care practitioner, while operating within the scope of their practice, determines to be necessary to prevent serious deterioration of an existing physical medical condition which, if left untreated, is likely to result in serious bodily injury.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" width=\"1024\" height=\"341\" src=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Heading-6-1024x341.png\" alt=\"\" class=\"wp-image-64404\" srcset=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Heading-6-1024x341.png 1024w, https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Heading-6-300x100.png 300w, https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Heading-6-150x50.png 150w, https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Heading-6-1536x512.png 1536w, https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Heading-6.png 1800w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading has-black-color has-text-color has-link-color wp-elements-eed6247ad03f5f98123cf3562107fa8d\"><strong>What is a 5150?<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list has-black-color has-text-color has-link-color wp-elements-128ed826015c628c46498c60fd073976\">\n<li>A 5150 is a Welfare and Institutions Code Section in state law that allows a person to be held involuntarily for 72 hours. <strong>A 5150 is not a criminal arrest.<\/strong><\/li>\n\n\n\n<li>Grave Disability is one of the criteria which can be used to place you on a 5150. The other criteria are danger to self and danger to others.&nbsp;<\/li>\n\n\n\n<li>A 5150 can be initiated by either a police officer or other peace officer or by a person approved by the county behavioral health department.&nbsp;<\/li>\n\n\n\n<li>Under a 5150, law enforcement, ambulance, or other authorized persons can detain the person and transport them to a facility for the purpose of mental health assessment and evaluation.&nbsp;<\/li>\n\n\n\n<li>5150s <strong>do not <\/strong>authorize involuntary medication or medical treatment.<\/li>\n\n\n\n<li>During this hold, the hospital will evaluate you to determine next steps. They do not need to keep you hospitalized for the full 72 hours if they believe you do not need to be there.<\/li>\n<\/ul>\n\n\n\n\n\n\n\n<h2 class=\"wp-block-heading has-black-color has-text-color has-link-color wp-elements-407774c37b2072c8d305b5ccecc5218e\"><strong>What happens after a 5150 hold?<\/strong><\/h2>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-caf69af26a84173c355a3f28d65d6d14\">After the 72 hours end, you can either be<\/p>\n\n\n\n<ul class=\"wp-block-list has-black-color has-text-color has-link-color wp-elements-284779e6eb39943760e47f204f2863a5\">\n<li>discharged from the 5150 hold and the hospital,<\/li>\n\n\n\n<li>admitted as a voluntary patient for continued treatment, or&nbsp;continue to be held involuntarily under a different type of hold.<br \/><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading has-black-color has-text-color has-link-color wp-elements-b9e2ada532a11fc63e111fd7f30c05a3\"><strong>Where will people be held if SB 43 criteria is met?<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list has-black-color has-text-color has-link-color wp-elements-3637e24a558495e8bddaaa3623e7b642\">\n<li>SB 43 will not change where individuals are held for mental health treatment. However, SB 43 expands the definition of grave disability to include severe substance use disorder.<\/li>\n\n\n\n<li>There are&nbsp;currently no facilities for involuntary substance use disorder treatment in California.<br \/><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading has-black-color has-text-color has-link-color wp-elements-63b7bad8c8162a3e01fa7a8a1047d746\"><strong>Request a Virtual Training<\/strong><\/h2>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-82f75f847cdaf10e33b38fa065d4d28d\">The Department of Behavioral Health offers virtual 1-hour trainings to learn more about Senate Bill 43. When requesting a training, please choose one of the options below. <\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list has-black-color has-text-color has-link-color wp-elements-c71de3608a7c59e45b0babaaf8ad94bf\">\n<li>5150 LPS Designation Non-Certification Training (no test\/no certified hold writer status) <em>pre-recorded training available<\/em><\/li>\n\n\n\n<li>Grave Disability (Voluntary\/Involuntary) &amp; Behavioral Health Resources <em>pre-recorded training available<\/em><\/li>\n\n\n\n<li>AB 2275 (Non-Designated Facilities &#8211; Emergency Departments Only) <em>virtual only<\/em><\/li>\n<\/ol>\n\n\n\t<div id=\"isd-call-to-action-block_e288c96cc4cc6c478f20715be17b6be6\" class=\"position-relative isd-call-to-action horizontal-layout has-background has-border-radius dark-call-to-action has-primary-background-color no-image has-constraint has-link link-left default-image-order no-bottom-margin\">\n\t\t\t\t\t\t<div class=\"content-wrapper\">\n\t\t\t\t\t\t\t\t\t<div class=\"ctnr-content\">\n\t\t\t\t\t\t<div class=\"cta-heading has-white-color heading-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"cta-heading-text\">\n\t\t\t\t\t\t\t\tQuestions about SB 43?\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"content  has-white-color\" style=\"text-align: left\">\n\t\t\t\t\t\t\t\t<p>If you are interested in one of the trainings listed above (groups of 10 or more), please email dbh_pio@dbh.sbcounty.gov and list the training(s) name.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"ctnr-link\">\n\t\t\t\t\t<div class=\"single-link\">\n\t\t\t\t\t\t<a aria-label=\"Questions about SB 43?\" href=\"mailto:dbh_pio@dbh.sbcounty.gov\" class=\"cta-link has-white-color stretched-link\" target=\"_blank\">\n\t\t\t\t\t\t\t\t<span class=\"cta-link-title\">Contact Us<\/span><span class=\"link-text-arrow\"><i class=\"fas fa-chevron-right\"><\/i><\/span>\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t<\/div>\n\t\n\n\n<h2 class=\"wp-block-heading has-black-color has-text-color has-link-color wp-elements-f6c41a4b7e57c8315b80c87665917af8\"><strong>Community Resources<\/strong><\/h2>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-264bdc5f695f1bc2fe1a5df044eaba1b\"><strong><\/strong><strong>5150 Certification Training&nbsp;Registration Information<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-80ba780486276e50a820ddc948a7b116\">Registrants must meet the eligibility criteria within the&nbsp;Department of Behavioral Health (DBH)&nbsp;Authorization and Designation Pursuant to the Lanterman\u00ad-Petris-Short (LPS) Act Policy. The policy can be found in the DBH&nbsp;<a href=\"https:\/\/wp.sbcounty.gov\/dbh\/forms\/\">Standard Practice Manual<\/a>.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-9867e2e7a6d08dbc2b5dfa3c7a9d434f\"><strong>Trainings are virtual, see below for upcoming dates and times:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list has-black-color has-text-color has-link-color wp-elements-904d25f2042c97be90e87f5e7d9fdcf1\">\n<li style=\"font-style:normal;font-weight:600\">More Dates Coming Soon<\/li>\n<\/ul>\n\n\n<div id=\"isd-button-block_3be192f404f8defced78d56b70a5024a\" style=\"text-align: \">\n\t<div class=\"isd-button-block  btn-single\">\n\n\t\t\t<a class=\"isd-btn default has-primary-background-color has-white-color\" href=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSetbeI0ATQJh_uqHksrQCovvu0Yxmu5SbjhfkwPFyF9FdJcHQ\/viewform\" target=\"_blank\">\n\t\t\t5150 LPS Designation Certification Virtual Training-Register Here\t\t\t\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n\n\n\n<div id=\"isd-button-block_bcf9b600e6c7b5d9742ea1edff2c5055\" style=\"text-align: \">\n\t<div class=\"isd-button-block  has-icon btn-multi btn-inline\">\n\n\t\t\t<a class=\"isd-btn default has-primary-background-color has-white-color icon-left\" href=\"https:\/\/youtu.be\/U_gvYkLnOUY\" target=\"_blank\">\n\t\t\tGrave Disability (Voluntary\/Involuntary) &amp; Behavioral Health Resources Pre-Recorded Training\t\t\t<i class=\"fa fa-play-circle icon-size\"><\/i>\t\t<\/a>\n\t\t\t\t\t\t<a class=\"isd-btn default has-primary-background-color has-white-color icon-left\" href=\"https:\/\/youtu.be\/fNCKkmfIw-E\" target=\"_self\">\n\t\t\t5150 LPS Designation Non-Certification Overview\t\t\t<i class=\"fa fa-play-circle icon-size\"><\/i>\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n<\/div>\n\n\n\n\n<h2 class=\"wp-block-heading has-black-color has-text-color has-link-color wp-elements-7555b0c7e0fc9cdb0ba70332a47b8abf\"><strong>Law Enforcement Resources<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe width=\"720\" height=\"405\" src=\"https:\/\/www.youtube.com\/embed\/tnAU5uCAicE?feature=oembed?loop=1&#038;showinfo=0&#038;enablejsapi=1&#038;rel=0&#038;modestbranding=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen title=\"Understanding SB43: Expanding Grave Disability in San Bernardino County\" title=\"\"><\/iframe>\n<\/div><\/figure>\n\n\n<div id=\"isd-button-block_17ed4c0aae8d9f83859a63b28605fd3b\" style=\"text-align: \">\n\t<div class=\"isd-button-block  btn-multi btn-inline\">\n\n\t\t\t<a class=\"isd-btn default has-primary-background-color has-white-color\" href=\"\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/CLP050-5150-5585-Assessment-Evaluation-Crisis-Form_Final-11.4.25-2.pdf\" target=\"_blank\">\n\t\t\tClick Here for the DBH 5150\/5585 Assessment\/Evaluation\/Crisis Intervention Form\t\t\t\t\t<\/a>\n\t\t\t\t\t\t<a class=\"isd-btn default has-primary-background-color has-white-color\" href=\"\/dbh\/wp-content\/uploads\/sites\/121\/2025\/03\/DBH-Grave-Disability-Field-Observation-V2.pdf\" target=\"_self\">\n\t\t\tClick Here to Download an Overview of Grave Disability Observations\t\t\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n<\/div>\n\n\n\n<div id=\"isd-button-block_dcef2b92c51e85964dab028f0fb1d6a4\" style=\"text-align: \">\n\t<div class=\"isd-button-block  btn-single\">\n\n\t\t\t<a class=\"isd-btn default has-primary-background-color has-white-color\" href=\"\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/5150-Email-Directory-11x8.5.pdf\" target=\"_blank\">\n\t\t\tClick Here for the DBH 5150 Email Directory\t\t\t\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n\n\n\n\n<h2 class=\"wp-block-heading has-black-color has-text-color has-link-color wp-elements-a9bf5af58887443e43fe06522f2cf575\"><strong><\/strong><strong><\/strong><strong>Emergency Department Resources<\/strong><\/h2>\n\n\n\n<p>To email copies of involuntary applications, please contact <a href=\"mailto:dbh-sbcountyed-leinvolapp@dbh.sbcounty.gov\">dbh-sbcountyed-leinvolapp@dbh.sbcounty.gov<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/leginfo.legislature.ca.gov\/faces\/billTextClient.xhtml?bill_id=202120220AB2275\">New Legislation \u2013 AB2275<\/a><br \/><a href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/03\/Revised-AB2275-Patients-Rights-FINAL-CCO-3-3-25.pdf\">AB2275 Patients\u2019 Rights<\/a><br \/><a href=\"https:\/\/wp.sbcounty.gov\/wp-content\/uploads\/sites\/121\/2023\/04\/AB2275%20QUESTIONS%20AND%20ANSWERS%20-%20FINAL%20-%204-5-23.pdf\">AB2275 Questions and Answers<\/a><br \/><a href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/03\/PR007_AB2275-Implementation-for-San-Bernardino-County_Final-2.28.25.pdf\">Letter to Non-LPS Hospitals<\/a><br \/><a href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/02\/PR006-Guidance-for-5150-Detainment-Non-LPS-Facilities-2.pdf\">Guidance for 5150 Detainment<\/a><br \/><a href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/02\/PR003-Notice-of-Patients-Entitlement-to-CRH-Final.pdf\">Notice of Patients Entitlement<\/a><br \/><a href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/02\/PR005-AB2275-Flow-Chart-Final-2.28.25.pdf\">AB2275 Flow Chart<\/a><br \/><a href=\"https:\/\/wp.sbcounty.gov\/wp-content\/uploads\/sites\/121\/2024\/07\/San%20Bernardino%20County%20Approved%20Hearing%20Officers%20-%20Revised%207.12.24.pdf\">Approved Hearing Officer List<\/a><\/p>\n\n\n<div id=\"isd-button-block_9b1441cd4665c3ba8fe1596c14c4153d\" style=\"text-align: \">\n\t<div class=\"isd-button-block  btn-single\">\n\n\t\t\t<a class=\"isd-btn default has-primary-background-color has-white-color\" href=\"\/dbh\/patientsrights\/\" target=\"_blank\">\n\t\t\tOffice of Patients&#039; Rights Page\t\t\t\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<h2 class=\"wp-block-heading has-black-color has-text-color has-link-color wp-elements-04958db902b5069bbb7ce73f658a243e\"><strong>Frequently Asked Questions<\/strong><\/h2>\n\n\n\n<details class=\"wp-block-details has-black-color has-text-color has-link-color wp-elements-61767daaa26e65a5554dd76cb73befe5 is-layout-flow wp-block-details-is-layout-flow\" style=\"font-style:normal;font-weight:700\"><summary>Expand All\/Collapse All<\/summary>\n<p style=\"font-style:normal;font-weight:400\"><\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-black-color has-text-color has-link-color wp-elements-3e2e40f440391c3d75f55f1a64f1591c is-layout-flow wp-block-details-is-layout-flow\" style=\"font-style:normal;font-weight:700\"><summary>What is the Lanterman-Short-Petris Act (LPS)?<\/summary>\n<p style=\"font-style:normal;font-weight:400\">The LPS Act is a California law signed in 1967 related to involuntary detention and conservatorship of people with behavioral health conditions. The LPS Act established a system of short-term holds as well as a path to temporary and \u201cpermanent\u201d conservatorships.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-black-color has-text-color has-link-color wp-elements-dd7e15d10d8517cee43c415216b9be8a is-layout-flow wp-block-details-is-layout-flow\" style=\"font-style:normal;font-weight:700\"><summary>What is conservatorship?<\/summary>\n<p style=\"font-style:normal;font-weight:400\">LPS Conservatorship is for the most severely impaired individuals and involves a court-appointed conservator who can make decisions related to treatment and placement for individuals when they are unable to care for themselves.<\/p>\n\n\n\n<ul style=\"font-style:normal;font-weight:400\" class=\"wp-block-list\">\n<li>People on a conservatorship receive case management and often reside in congregate care settings such as mental health rehabilitation centers, skilled nursing facilities, and board and care facilities.<\/li>\n\n\n\n<li>Conservatorship may last for up to one year and is evaluated for renewal annually.<\/li>\n<\/ul>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-black-color has-text-color has-link-color wp-elements-f43e6f43df1295eaab2fbcab402ef0d0 is-layout-flow wp-block-details-is-layout-flow\" style=\"font-style:normal;font-weight:700\"><summary>What is considered a &#8220;severe&#8221; substance use disorder under this new law?<\/summary>\n<p style=\"font-style:normal;font-weight:400\">Clinically, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) allows clinicians to specify how severe or how much of a problem a substance use disorder is. Out of eleven criteria outlined in the DSM-5-TR, a person would need to have six or more symptoms to indicate a \u201csevere\u201d substance use disorder.&nbsp;<\/p>\n\n\n\n<p style=\"font-style:normal;font-weight:400\">In practice under SB 43, a peace officer will need to determine in the field whether a person appears to have a severe substance use disorder and would qualify for an initial 5150 hold under the new expanded criteria.&nbsp;<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-black-color has-text-color has-link-color wp-elements-74faa3c47ad9ff028a8de881064f054c is-layout-flow wp-block-details-is-layout-flow\" style=\"font-style:normal;font-weight:700\"><summary>What happens if someone is placed on an LPS detention due to severe substance use disorder?<\/summary>\n<p style=\"font-style:normal;font-weight:400\">The person would be transported to an LPS-designated facility \u2013 likely an emergency room or hospital (or an alternative site designated as LPS by the County) \u2013 for evaluation and treatment for up to 72 hours. After the 72 hours expires, a few different things could happen:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li style=\"font-style:normal;font-weight:400\">The person could be released if the person does not continue with treatment; (e.g., they are no longer considered \u201cgravely disabled&#8221;);<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">The person is released from the hold and enters voluntary treatment; or<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">The person continues to receive treatment by being placed on a 5250 hold for up to 14 days.<\/li>\n<\/ul>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-black-color has-text-color has-link-color wp-elements-c6f08d93c95405fd859dc281480b793f is-layout-flow wp-block-details-is-layout-flow\" style=\"font-style:normal;font-weight:700\"><summary>If a person is brought in intoxicated, does the clearance of their intoxication mean that they will be released?<\/summary>\n<p style=\"font-style:normal;font-weight:400\">Severe substance use disorder is a diagnosis made independent of intoxication. Someone brought in on a 5150 detainment suspected of severe substance use disorder may continue to be detained even after intoxication clears.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-black-color has-text-color has-link-color wp-elements-8acaea667889d853a06094d785096651 is-layout-flow wp-block-details-is-layout-flow\" style=\"font-style:normal;font-weight:700\"><summary>How does SB 43 intersect with the CARE Act program?<\/summary>\n<p style=\"font-style:normal;font-weight:400\">The&nbsp;<a href=\"https:\/\/wp.sbcounty.gov\/dbh\/careact\/\" data-type=\"page\" data-id=\"35543\">Community Assistance, Recovery, and Empowerment (CARE) Act <\/a>creates a new pathway to deliver mental health and substance use services to people who are diagnosed with schizophrenia or other psychotic disorders and are not engaged in treatment. The intention of the CARE Act is to connect people to voluntary treatment through a civil court process.<\/p>\n\n\n\n<p style=\"font-style:normal;font-weight:400\">With SB 43, the CARE Act will be considered as a less restrictive path to treatment for people who are referred for LPS conservatorship.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-black-color has-text-color has-link-color wp-elements-6709703a0e37ad91fc391906dc75aa70 is-layout-flow wp-block-details-is-layout-flow\" style=\"font-style:normal;font-weight:700\"><summary>What if my loved one needs treatment now?<\/summary>\n<p style=\"font-style:normal;font-weight:400\">Please contact the Screening Assessment and Referral Center (SARC) for a free, confidential assessment at (800) 968-2636. If a loved one is experiencing a psychiatric emergency, community-based mobile response teams are available in English and Spanish 24\/7 \u2013 Call (800) 398-0018 or text (909) 420-0560.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-black-color has-text-color has-link-color wp-elements-a3b4d301d429a528bf550b7b27f6ed00 is-layout-flow wp-block-details-is-layout-flow\" style=\"font-style:normal;font-weight:700\"><summary>What types of facilities can accept a person for assessment, evaluation, and crisis intervention or placement for evaluation and treatment (up to 72 hours, per W&amp;I Code \u00a7 5150) for grave disability due to a severe substance use disorder only?<\/summary>\n<p style=\"font-style:normal;font-weight:400\">Any facility that can provide assessment, evaluation, and crisis intervention, as these services are defined in W&amp;I Code \u00a7 5008 and \u00a7 5150.4, can accept a person on a 5150 hold for grave disability due to a severe substance use disorder only. Examples include, but are not limited to, emergency departments, certified crisis stabilization units, and hospital medical units. Facilities do not need to be designated by a county, or have the designation approved by DHCS, to provide assessment, evaluation, and crisis intervention services as described in this question.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-black-color has-text-color has-link-color wp-elements-423822b0f79c4f6d82d0bd0b1320a25a is-layout-flow wp-block-details-is-layout-flow\" style=\"font-style:normal;font-weight:700\"><summary>What types of facilities can admit a person for intensive treatment (up to 14 days, per W&amp;I Code \u00a7 5250, or for up to two additional 30-day periods per W&amp;I Code \u00a7 5270.15 and 5270.55) for grave disability due to a severe substance use disorder only?<\/summary>\n<p style=\"font-style:normal;font-weight:400\">The following facility types \u2013 after designation by counties and approval by DHCS \u2013 may admit people who are gravely disabled due to a severe substance use disorder only:<\/p>\n\n\n\n<ul style=\"font-style:normal;font-weight:400\" class=\"wp-block-list\">\n<li><strong>General acute care hospitals (GACHs) <\/strong>with distinct part units providing chemical dependency recovery services as a supplemental service (as defined<br \/>in HSC \u00a7 1250(a) and HSC \u00a7 1250.3(e)-(g));<\/li>\n\n\n\n<li><strong>Acute psychiatric hospitals (APHs)<\/strong> with distinct part units providing chemical dependency recovery services as a supplemental service (as defined in HSC \u00a7<br \/>1250(b) and HSC \u00a7 1250.3(e)-(g)); and<\/li>\n\n\n\n<li><strong>Certified crisis stabilization units (CSUs)<\/strong> in accordance with \u00a7 1840.338 and \u00a7 1840.348 of Title 9 of the California Code of Regulations. Hospitals can apply to provide chemical dependency recovery services as a supplemental service. Please visit the California Department of Public Health\u2019s facility licensing and certification page to learn more; questions may be directed to CABHospitals@cdph.ca.gov. To be approved by DHCS, county-designated facilities must meet the requirements set forth in \u00a7 821 of Title 9 of the California Code of Regulations. SB 43 did not change the facility designation requirements that exist in state law.<\/li>\n<\/ul>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-black-color has-text-color has-link-color wp-elements-eb010db234128e8b0cd4271c718b8116 is-layout-flow wp-block-details-is-layout-flow\" style=\"font-style:normal;font-weight:700\"><summary>What types of facilities can admit a person for treatment of a co-occurring mental health disorder and a severe substance use disorder?<\/summary>\n<p style=\"font-style:normal;font-weight:400\">The following facility types \u2013 after designation by counties and approval by DHCS \u2013 are allowed to treat people with co-occurring mental health disorder and severe substance use disorder:<\/p>\n\n\n\n<ul style=\"font-style:normal;font-weight:400\" class=\"wp-block-list\">\n<li><strong>Acute Psychiatric Hospitals<\/strong><\/li>\n\n\n\n<li><strong>General Acute Care Hospitals<\/strong><\/li>\n\n\n\n<li><strong>Skilled Nursing Facilities with Special Treatment Programs<\/strong><\/li>\n\n\n\n<li><strong>Certified Crisis Stabilization Units<\/strong><\/li>\n\n\n\n<li><strong>Psychiatric Health Facilities<\/strong><\/li>\n\n\n\n<li><strong>Mental Health Rehabilitation Centers<\/strong><\/li>\n<\/ul>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-black-color has-text-color has-link-color wp-elements-ca1fc78cdee378acd8b7472180260853 is-layout-flow wp-block-details-is-layout-flow\" style=\"font-style:normal;font-weight:700\"><summary>When will DHCS update advisement forms 1801, 1802, and 1808 and post them on its website?<\/summary>\n<p style=\"font-style:normal;font-weight:400\">DHCS has updated forms <a href=\"https:\/\/www.dhcs.ca.gov\/formsandpubs\/forms\/Documents\/DHCS-1801.pdf\">1801<\/a>, <a href=\"https:\/\/www.dhcs.ca.gov\/formsandpubs\/forms\/Documents\/DHCS-1802.pdf\">1802<\/a>, and <a href=\"https:\/\/www.dhcs.ca.gov\/formsandpubs\/forms\/Documents\/DHCS-1808.pdf\">1808<\/a> to incorporate changes made by SB. These optional forms are available on the DHCS Website under <a href=\"https:\/\/www.dhcs.ca.gov\/formsandpubs\/forms\/Pages\/Mental_Health-Forms.aspx\">Mental Health Certification Forms<\/a>.<\/p>\n<\/details>\n\n\n\n<div style=\"height:51px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Senate Bill 43 Learn more about SB 43 here and the expansion of &quot;grave disability.&quot; What is Senate Bill 43? Senate Bill (SB) 43 was recently signed by the Governor<span class=\"ellipsis\">&#8230;<\/span><\/p>\n","protected":false},"author":1677,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"fixed-width-title-template.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-41563","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages\/41563","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/users\/1677"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/comments?post=41563"}],"version-history":[{"count":183,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages\/41563\/revisions"}],"predecessor-version":[{"id":80428,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages\/41563\/revisions\/80428"}],"wp:attachment":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/media?parent=41563"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}