The Brief

A highly anticipated — and controversial — new program, championed by Gov. Gavin Newsom, will begin in Los Angeles County on Dec. 1. It’s called CARE Court and will allow family members to ask a judge to step in with a treatment plan for loved ones living with severe and untreated mental illness.

The basics of CARE Court: People living with a serious and untreated mental illness, like schizophrenia, could be referred for a court-ordered, voluntary care plan that could last up to two years. The petition could be filed by people including county behavioral health workers, first responders or family members.

“I would have had my petition by the first day,” Mike Estrada said from his home in Berkeley.

A feeling that the process is ‘a constant slap in the face’ 

For years, Estrada struggled to get help for his mother, Josie Estrada, who lived with schizoaffective disorder. The experience exasperated him so much that in 2020 he produced a one-hour documentary on her story, Benevolent Neglect.

The film is sprinkled with grainy family footage and stills of Josie’s life in California’s Central Valley. Estrada points out that his mother was “adored by the family.”

The documentary also includes videos shot on Estrada’s cellphone during some of Josie’s more difficult moments.

“In 2007, my mom began experiencing hallucinations. During acute episodes, she’d hear people inside the house,” Estrada tells the camera.

Estrada said the voices would tell his mother not to take her psychiatric medications. For more than a year, Josie lived out of her car after her erratic behavior got her evicted from her apartment. Time and time again, Estrada would plead with first responders to hospitalize her.

Often the people who were supposed to help would be hamstrung by a lack of psychiatric beds and what Estrada sees as overly strict criteria for hospitalizing someone against their will.

“As a family it’s just a constant slap in the face. Constant disrespect. In the meantime, our loved one is suffering, deteriorating before our eyes,” Estrada said.

His mother died in 2019, but he’s hopeful CARE Court will give families like his more leverage to get help.

Gov. Gavin Newsom speaking in March 2022 with local mental health service providers and officials about CARE Court.

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Robert Garrova / LAist

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Officials report an ‘unprecedented demand’ 

There are concerns, however, about whether the county’s behavioral health care system will have enough staff to meet the need.

In June, L.A. County supervisors voted to expedite hiring for CARE Court.

“In order to meet a variety of our expectations, including CARE Court — we’re focused on setting up the court infrastructure — the point is the judge will have to have a place to send that individual,” Supervisor Holly Mitchell said during the board meeting.

“I think the supervisors were right to be concerned about what kind of infrastructure is in place,” Dr. Lisa Wong, director of the L.A. County Department of Mental Health, told LAist.

“We’ve been having this unprecedented demand for mental health services in our system, so we know that the system is stretched. And we know that with CARE Court, we’re going to be working with some really high acuity individuals,” Wong added.

Wong said hiring has improved this year, but it’s still a major stress point as the county works to bring thousands more behavioral health beds online. And, Wong points out, the initial petition is just the beginning.

“What happens when that person has to go into treatment and how do we keep them engaged?” she said.

Defense attorneys' role

Some of that help will come from the new Independent Defense Counsel Office, which is separate from but administered by the Public Defender’s Office.

A new panel of about 50 specially selected attorneys will work with an estimated 1,900 respondents within the first six months of CARE Court.

“It will not only be there to represent the client’s legal interests and protect their civil liberties, but also to serve as a facilitator and an encourager and a supporter throughout the treatment program,” said Marco Saenz, Independent Defense Counsel program director.

He said those lawyers might encourage respondents to follow through with treatment, but they’ll also work to hold the behavioral health system accountable in providing services.

But the success of CARE Court will ultimately hinge on the participant

“Under the statute, the respondent can walk away at any time,” Saenz told LAist. “It’s completely voluntary. How that will work, we will see.”

Coercion or voluntary? 

CARE Court may be voluntary, but civil liberties groups continue to warn about stripping of individual rights.

If the care plan fails, the person could be hospitalized or referred to a conservatorship. That could mean forced treatment down the line.

Some 40 groups including JusticeLA, Disability Rights California and ACLU California Action signed a letter in 2022 opposing CARE Court. It reads, in part, that the plan is: “a system of coerced, court-ordered treatment that strips people with mental health disabilities of their right to make their own decisions about their lives.”

Mike Estrada would have been OK with conservatorship for his mother.

“I wanted her to have some chance of building her life back. And there was no way it was going to happen without her being stabilized,” Estrada said.

Mike and Josie Estrada.

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Courtest Mike Estrada

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There are also continued concerns about whether the public guardians’ offices throughout the state will be able to handle the potential increased conservatorship caseload. Public guardians' offices are responsible for guiding care for people who are deemed unable to do so themselves because of a serious mental illness.

“Everybody keeps saying, ‘We need facilities, we need facilities, there’s no room at the inn.’ And that’s true. If you talk to my members throughout the state, they are struggling to find placements,” said Tom Scott, executive director of the California State Association of Public Administrators, Public Guardians, Public Conservators.

What's next

As CARE Court continues to roll out across the state, Estrada wants families like his to be allowed input in the process. And he wants to see counties held accountable for making it work.

Some counties, including San Diego, San Francisco and Orange County have a head start on L.A., because their CARE Court efforts launched in October.

According to California Health and Human Services, as of early November, there were a total of 80 CARE Court petitions statewide.

Saenz said the case volume in some places outside of L.A. County has been lower than what was anticipated.

But as a nearly 30-year veteran public defender who has represented “innumerous” clients living with mental illness, Saenz said he’s holding out hope that CARE Court will be able to help a population that is not generally reached.

“It’s another tool in our toolbox, and to the extent that we’re participants in it ... we’re going to be there to be supportive in any way we can,” Saenz said.

“But time will tell.”

In the wake of the Eaton Fire, Altadena and Pasadena’s music community have really shown up to support fire survivors, especially fellow musicians who lost instruments and record collections.

That effort continues this weekend with a special donation concert at a Pasadena record store, with the aim of getting vinyl records back in the hands of survivors who lost their collections.

“You know, our name is Healing Force of the Universe, and I think that gives me a pretty clear direction… especially after the fires,” said Austin Manuel, founder of Pasadena record store, where Sunday’s show will be held.

The record donation effort is the brainchild of musician Brandon Jay, who founded the nonprofit Altadena Musicians after losing his home and almost all of his family’s instruments in the Eaton Fire. Through Altadena Musicians’s donation and registry platform, Jay said he and his partners have helped some 1,200 fire survivors get their music instruments back.

Brandon Jay.

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Robert Garrova

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LAist

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Now, that effort has fanned out to restoring vinyl record collections.

“All of that stuff evaporated for thousands of people,” Jay said. “Look at your own record collection and be like, ‘Wow, what if that whole thing disappeared?’”

You might know Jay from several bands over the years, including Lutefisk, a 1990s alt-rock band based in Los Angeles. He and his wife, Gwendolyn Sanford, composed music for TV shows, including Orange is the New Black and Weeds.

Jay plans to play some holiday tunes at Sunday's record donation show (which LAist is the media sponsor), along with fellow musician Daniel Brummel of Sanglorians. Brummel, who was also a founding member of Pasadena’s indie-rock sensation Ozma, said he was grateful to Jay for his fire recovery work and to Manuel for making Healing Force available for shows like this.

Brummel, who came close to losing his own home in the Eaton Fire, recalled a show he played at Healing Force back in March.

Ryen Slegr (left) and Daniel Brummel perform with their band, Ozma, on the 2014 Weezer Cruise.

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Even Keel Imagery

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“The trauma of the fires was still really fresh,” Brummel said. After playing a cover of Rufus Wainwright’s “Going to a Town,” that night — which includes the lyrics “I’m going to a town that has already been burnt down” — Brummel said his neighbors in the audience told him the rendition hit them hard. “It felt really powerful. And without that space, it just wouldn’t have occurred.”

Details

Healing Force of the Universe Record Donation Show
Featuring: Quasar (aka Brandon Jay), Sanglorians (Daniel Brummel) and The Acrylic.
Sunday, Dec. 14; 2 to 5 p.m.
1200 E. Walnut St., Pasadena
Tickets are $15 or you can donate 5 or more records at the door. More info here.

Topline:

The case: In September, the city settled a lawsuit brought forward by two brothers in their 70s who said they suffered serious injuries after an LAPD officer crashed into their car. Days before the $18 million settlement was reached, lawyers for the brothers said Feldstein Soto called an expert witness testifying for the plaintiffs and “attempted to ingratiate herself with him and asked him to make a contribution to her political campaign,” according to a sworn declaration to the court by the plaintiffs’ attorney, Robert Glassman.

The response: Feldstein Soto did not respond to an interview request. Her spokesperson said the settlement “had nothing to do” with the expert witness. Her campaign manager told LAist the city attorney had been making a routine fundraising call and did not know the person had a role in the case, nor that there were pending requests for her office to pay him fees.

What Jurado says: In a statement to LAist, Jurado said she wants to “make sure that the city’s legal leadership is guided by integrity and accountability, especially when their choices affect public trust, civic rights and the city’s limited resources."

What’s next: The motion needs to go through a few committees before reaching the full City Council. If it passes, the motion calls for the city attorney to “report to council in closed session within 45 days regarding the ethics breach violation and give updates to the City Council."

Every year in Santa Ana, Luis Cantabrana turns the front of his home into an elaborate altar in honor of La Virgen de Guadalupe that draws hundreds of visitors.

Along the front of the house, the multi-colored altar is filled with lights, flowers and a stained-glass tapestry behind a sculpture of the Lady of Guadalupe. Cantabrana’s roof also is lit up with the green, white and red lights that spell out “Virgen de Guadalupe” and a cross.

Visitors are welcomed with music and the smell of roses as they celebrate the saint, but this year’s gathering comes after a dark year for immigrant communities.

Luis Cantabrana stands in front of the stunning altar he built in front of his home in honor of La Virgen de Guadalupe. Every year, his display draws hundreds of visitors.

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Destiny Torres

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LAist

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Why do they celebrate? 

In 1513, the Virgin Mary appeared before St. Juan Diego between Dec. 9 and Dec. 12, asking him to build a church in her honor. Her image — a brown-skinned woman wearing a green veil with her hands together in prayer and an angel at her feet — miraculously appeared on his cloak.

To celebrate in Santa Ana, worshippers gathered late-night Wednesday and in the very early hours Dec. 12 to pray the rosary, sing hymns and celebrate the saint.

Cantabrana has hosted worshippers at his home for 27 years — 17 in Santa Ana.

The altar started out small, he said, and over the years, he added a fabric background, more lights and flowers (lots and lots of flowers).

“It started with me making a promise to la Virgen de Guadalupe that while I had life and a home to build an altar, that I would do it,” Cantabrana said. “Everything you see in photos and videos is pretty, but when you come and see it live, it's more than pretty. It's beautiful.”

The Santa Ana home's elaborate altar in honor of La Virgen de Guadalupe draws hundreds of visitors each year.

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Destiny Torres

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LAist

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Gathering in a time of turmoil 

Many also look to the Lady of Guadalupe for protection, especially at a time when federal enforcement has rattled immigrant communities.

“People don’t want to go to work, they don’t want to take their kids to school, but the love we have for our Virgen de Guadalupe,” Cantabrana said. “We see that la Virgen de Guadalupe has a lot of power, and so we know immigration [enforcement] won’t come here.”

Margarita Lopez of Garden Grove has been visiting the altar for three years with her husband. She’s been celebrating the Virgencita since she was a young girl. Honoring the saint is as important now as ever, she said.

“We ask, and she performs miracles,” Lopez said.

Claudia Tapia, a lifelong Santa Ana resident, said the Virgin Mary represents strength.

“Right now, with everything going on, a lot of our families [have] turned and prayed to the Virgen for strength during these times,” Tapia said. “She's a very strong symbol of Mexican culture, of unity, of faith and of resilience.”

See it for yourself

The shrine will stay up into the new year on the corner of Broadway and Camile Street.