The Brief

The number of people in Los Angeles County who participated in the first year of a program aimed at providing court-led treatment plans for people who live with serious mental illness remains far below initial state projections, according to data from county mental health authorities.

Known as CARE Court, the new program was promised as an innovative approach to bringing thousands of Californians living with untreated serious mental illness under the care of mental health professionals.

But numbers from the Los Angeles County Department of Mental Health show the county received about 16% of the petitions it was projected to get during the first six months of the program. From December of last year through mid-November, 308 petitions were filed in L.A. Superior Court, authorities said.

The petition numbers from Orange and Riverside counties are similarly low compared to estimates of how many people in those areas are potentially eligible for CARE Court.

“It’s been very frustrating to watch the slow pace of petitions by anyone other than family members,” Lisa Dailey, executive director of the Treatment Advocacy Center, a group that advocates for policies that benefit people living with serious mental illness, told LAist. Still, Dailey has hope for the program and thinks it deserves more effort.

Some critics see the paltry engagement as indicative of a failed policy. But supporters say the program needs more time and effort from county behavioral health departments.

Gov. Gavin Newsom, who championed the new approach, said he’s proud to see “early achievements,” including some 1,400 people throughout the state who were connected to CARE Courts or county services directly.

In March 2022, Governor Newsom spoke with local mental health service providers and officials about CARE Court. The discussion was held at a facility in South L.A. that’s a temporary home to about 30 people who are getting treatment for mental health or substance use struggles.

(

Robert Garrova / LAist

)

State officials estimated before the program’s launch that it could help between 7,000 -12,000 Californians a year.

Slow progress 

CARE Court allows family members, behavioral health workers, first responders and others to ask a court — by way of a petition — to step in with a voluntary care plan for someone living with serious mental illness, like schizophrenia. If the plan fails, the person could be hospitalized or referred to a conservatorship.

Between Dec. 1, 2023 and Nov. 20, there were 308 petitions filed in Los Angeles County, far below the roughly 1,900 state officials projected for the first six months of the program. Of those, 28 participants signed on to agreements and four moved forward to the stage in which they were expected to receive a CARE Plan, ordered by the Superior Court.

Some experts say that progress has been slow, particularly in a county where thousands of people living with serious mental illness sleep on the streets every night.

The 2024 Point-In-Time count found that 24% of unhoused people over the age of 18 self-reported that they live with a serious mental illness, according to the Los Angeles Homelessness Services Authority, which conducts the annual count.

Martin Jones, a program manager with the L.A. County Department of Mental Health, said there are about 70 county staffers working on CARE Court. He said working with human beings — gaining their trust and establishing a rapport — takes time and that just physically getting someone to court can take multiple staffers.

“I think that we’ve seen a lot of success from individuals who we’ve been told if CARE had not intervened this person would have died on the streets,” Jones said. “How do you really calculate the value of those kinds of stories? And I believe that it’s incalculable.”

Jones said he expected the first wave of L.A. County CARE Court graduations to happen early next year.

‘A very narrow niche’

For Alex V. Barnard, author of the book Conservatorship: Inside California’s System of Coercion and Care for Mental Illness, the lackluster CARE Court numbers were all too predictable.

“It was clear from the beginning that this was a program that would be very hard to access, and would serve a very narrow niche,” Barnard wrote in an email to LAist.

Eligibility criteria for CARE Court state that a participant must be diagnosed with a psychotic spectrum disorder, like schizophrenia. Bipolar disorder is not included. The criteria also say that the participant can’t be in ongoing treatment.

Barnard said he predicts that CARE Court will remain a small piece of the mental health treatment landscape, overshadowed by what was known as Senate Bill 43, a new state law that expands the criteria for involuntary treatment.

The measure, signed by Newsom in October 2023, changed state law to allow people living with a serious mental illness or severe substance use disorder who are unable to provide for their personal safety or medical care to be deemed “gravely disabled” and held against their will.

Barnard also questions whether the multi-million dollar investment in CARE Court might have been better spent on beds and services, which the county is severely lacking.

“It's really not clear why you need a court to get mental health departments to provide mental health care to individuals with mental health challenges, though, versus fixing issues around financing and prioritization within that system,” he said.

‘A policy failure’ 

Eve Garrow, senior policy analyst with the American Civil Liberties Union of Southern California, said funding directed towards CARE Court should instead be going to community-based care. The low participation numbers are evidence to her that the effort is not working.

“I think by any measure, I would say the CARE Act to date is a policy failure,” Garrow said. “It’s used precious resources — public funds — to fund a court system that is not even being used.”

In 2022, 40 groups — including JusticeLA, Disability Rights California and ACLU California Action — signed a letter saying the program would strip “people with mental health disabilities of their right to make their own decisions about their lives.”

Garrow said she believed CARE Court was the wrong response to a very real problem: “Which is people with serious mental health disabilities -- many of whom are unhoused -- living without access to the care and services they need,” she said.

In her experience, Garrow said, most people who are offered quality mental health care will accept it voluntarily.

More time 

Still, other mental health policy watchers are sticking by CARE Court, even if its initial expansion has been sluggish.

Dr. Susan Partovi, a family physician who does street outreach with the L.A. Centers for Alcohol and Drug Abuse, said the low participation may be partly because the Department of Mental Health needs to make more people aware of CARE Court and who it might help.

“I think they really need to be advertising this on a regular basis, because it’s hard to remember,” Partovi said, adding that the underwhelming numbers were a reminder for her that she could be filing more petitions.

According to the L.A. County Department of Mental Health, just 10 petitions came from provider networks.

Dailey, with the Treatment Advocacy Center, said county efforts have been partly to blame for what she sees as “unfortunate” numbers in the program’s first year. Jones, with the Department of Mental Health, said the county was now making a push to train more first responders on how to file petitions and when they might be appropriate. Only 22 of L.A. County’s 308 petitions were filed by the county Department of Mental Health.

The overwhelming majority came from family members.

“If there was no need for it, you wouldn’t see this initial rush from family members to try to get people into care,” Dailey said.

A local NBC news helicopter crashed in a Los Angeles neighborhood on Tuesday and burst into flames, killing at least three people while reporters were covering the nearby crash of an SUV and a city bus, officials said.

Colleen Williams, an NBC4 Los Angeles anchor, confirmed during a live broadcast that the station’s chopper went down just before 7 p.m.

“We are going to take a couple of minutes to think about that, process it,” she said, her voice shaking with emotion. Moments later their coverage abruptly cut off.

The helicopter crashed near a storage building in the neighborhood of Chatsworth in the San Fernando Valley, as news crews were covering the bus crash that left at least two people dead and six others injured, according the Los Angeles Fire Department.

At least one person killed in the helicopter crash was outside in the parking lot next to the commercial building, Capt. Branden Silverman, a spokesperson for the Los Angeles Fire Department, said during a news conference. It was unclear if the other two who were killed were on the ground or inside the aircraft.

One person was taken to the hospital, but their condition was not known.

“We’re trying to determine how many patients were inside the helicopter,” said Silverman, who described the helicopter as “pretty well destroyed” and adding that officials would be sorting through the rubble to see how many victims were on board.

At least four cars and two storage containers on the ground burned after the helicopter caught fire, which was quickly put out, according to officials. More than 50 firefighters responded to the helicopter crash, according to the fire department.

About two hours before the crash, an SUV slammed into the middle of a city bus, killing at least two people and injuring six others. Photos and videos online showed half of the SUV lodged into the side of an MTA bus.

NBCLA has confirmed the helicopter was NewsChopper4, which is operated by Angel City Air. The outlet said several TV news helicopters were reporting on the bush crash before the news chopper went down about a mile and a half from the bus collision.

Gov. Gavin Newsom thanked the emergency crews responding to both crashes and said in a post on X that “our hearts are with the victims and families.”

The National Transportation Safety Board and the Federal Aviation Administration said it will be investigating the cause of the helicopter crash and would be sending one of its investigators on Wednesday.

This is a developing story.

The Los Angeles region’s lead homelessness agency is effectively forfeiting the federal administrative roles it has held for decades, including applying for millions of dollars in funding for the region and leading the annual homeless count, the agency announced Tuesday.

The decision comes as the Los Angeles Homeless Services Authority faces mounting criticism from both the Trump administration and local leaders who accuse the agency of mismanaging homeless services.

It reverses a monthslong legal battle LAHSA had been waging with the federal government to continue in these duties.

The city of Los Angeles, L.A. County and other entities and organizations are now applying to take them over.

At a county meeting Tuesday, Supervisor Lindsey Horvath called it “a fundamental change that reflects the significant performance, contracting and financial concerns that have plagued LAHSA for too long.”

“ Officials avoiding accountability will no longer have LAHSA to hide behind, and the county and city must be accountable to each other and to our entire Los Angeles region,” Horvath continued.

LAHSA's decision

In June, the U.S. Department of Housing and Urban Development suspended LAHSA from conducting its federal duties, including applying for or receiving grants, putting $241 million in anticipated funding and LAHSA’s future in limbo.

LAHSA sued.

U.S. District Judge David O. Carter paused LAHSA’s suspension on Aug. 13, but also instructed a regional planning body known as the L.A. Continuum of Care Board to solicit applications from other entities to replace LAHSA in those key roles.

The Continuum of Care Board opened its application process online last week, inviting qualified organizations to take on one or more of LAHSA’s current administrative roles.

LAHSA’s governing commission voted unanimously Tuesday to not apply, effectively forfeiting the federal roles that comprise most of its remaining responsibilities.

The city of L.A. and L.A. County are both applying, according to LAHSA.

“With both the City and County preparing their own applications, competing against our founding partners would only fracture regional collaboration during an already complex time,” the LAHSA Commission and the agency's leadership said in a statement.

“This decision reflects the shared judgment of LAHSA’s Commission and executive leadership,” the statement continued.

Federal roles

LAHSA will forfeit the following federal homelessness roles:

1. Coordinating and submitting annual federal homeless assistance funding applications to HUD on behalf of the entire L.A. region — about $240 million in the coming year.

2. Planning, executing and reporting the region’s annual point-in-time homeless count.

3. Operating and administering a HUD-mandated database that tracks who's being served and whether they're moving into housing.

4. Managing and operating a HUD-mandated system to match unhoused people to available housing and services based on need.

How we got here

After Carter paused LAHSA’s suspension, the federal housing agency appealed the decision to the Ninth Circuit Court of Appeals. Last week, the appeals court issued a temporary stay on Carter's order.

LAHSA said that ruling created more uncertainty about whether the agency was eligible to apply for the federal roles it has held for the past three decades.

“Stepping aside now supports alignment with the direction the City and County are heading with their applications, and focuses public resources where they belong: on the people who depend on the rehousing system every day,” the LAHSA statement said.

LAHSA is a joint powers authority between the city and county, created three decades ago to manage the region’s response to homelessness.

City and county officials are collectively responsible for LAHSA, which has administered federal, state, county and city homelessness funding across the region.

Citing LAHSA’s management problems, L.A. County pulled more than $300 million annual homelessness funding from the agency starting this year, choosing instead to administer the funds through a new county homelessness department.

The city of L.A. is considering a similar move away from LAHSA. Mayor Karen Bass and her election rival Councilmember Nithya Raman both say the city needs its own independent homeless system.

In the current budget year, 73% of LAHSA’s nearly $500 million budget comes from the city of L.A., 20% from the federal government and 4% from L.A. County.

What’s next? 

LAHSA said it will continue to fulfill its ongoing federal responsibilities “until those duties transition to a new entity or entities.”

The agency has agreements with the city of L.A. to manage programs and contracts through June 30, 2027.

The county’s Department of Homeless Services and Housing is applying to take over all four of LAHSA’s federal responsibilities, according to county officials. The city of L.A. is currently applying for at least two of those roles, putting the city and county in competition with each other.

“Moving forward, another entity will be leading the [Continuum of Care], which I believe should be the county, given our ability to most effectively administer contracts for our region,” Horvath said Tuesday.

Other organizations have also expressed interest. Better Angels, a homelessness nonprofit led by former L.A. mayoral candidate Adam Miller, contacted the court seeking to apply.

Applicants looking to take over LAHSA’s federal roles have until Sept. 25 to submit applications, but had to communicate their intent to apply by Sept. 15.

The applicants selected by L.A.’s regional Continuum of Care Board will have to be reviewed by HUD and the federal court.

The Los Angeles Unified School District’s falling enrollment and budget challenges are fueling conversations planned for later this year about potential school closures and consolidation.

“Our goal is not simply to have fewer schools; our goal is to have stronger schools, schools that are better resourced, schools that offer more programs for our students,” Superintendent Andrés Chait said during a school board meeting Tuesday. The superintendent shared a similar message in a video sent to families Monday.

LAUSD is spending more money than it brings in and has relied on reserves to fill the gap in recent years. In Tuesday’s meeting, district leaders presented an updated snapshot of LAUSD’s finances that shows steeper enrollment declines and lower state revenue and reserves than projected early this summer.

“That deficit spending is only possible while we have reserves and the very significant challenge that we’re facing as a district is that those reserves are being depleted very quickly,” said Saman Bravo-Karimi, the district's chief financial officer. “They’re eventually going to go negative and we can’t have negative balances as a school district.”

How is enrollment changing? 

Almost 4% fewer students are attending LAUSD schools this academic year compared to last year, according to preliminary data — nearly a percentage point lower than expected.

Bravo-Karimi said that each 1% drop in enrollment is a loss of about $20 million a year for the next three years because California funds schools based on how many students show up to class each day.

Fewer students have attended LAUSD schools over the last two decades, in part because of falling birth rates and the region’s high cost of living, but those declines were steeper than anticipated in recent years.

Board member Kelly Gonez said the schools in East San Fernando Valley communities targeted by federal agents have double the enrollment declines of other campuses.

“That increase in enrollment decline last school year was not a coincidence,” Gonez said. “Something changed … that is the presence of a federal administration that is attacking our immigrant communities.”

How is LAUSD approaching school closures?

The district pulled a scheduled vote Monday night on a $960,000 contract with a school closure consultant.

The district planned to work with Alvarez and Marsal to develop a framework for possible school closures, mergers or reconfigurations.

The firm’s priorities, as described on their website, include “maximizing investment value in education” and reshaping how institutions operate.

Alvarez and Marsal are also associated with several controversial decisions, including closing more than a dozen campuses during an overhaul of St. Louis schools in 2003 and faltering when contracted to restructure New York City schools' bus routes in 2007.

Several members of the public and a leader in the district’s teachers union spoke out against the contract and any similar future consultants.

“It’s hard for us to seriously work with this district to fight for more state funding when you squander limited funds you have on contracts with vultures and privatizers like the Alvarez company,” said Julie Van Winkle, United Teachers Los Angeles vice president.

Chait said the decision to remove the contract from consideration was in response to messages from school, community and district stakeholders over the weekend.

“One of the core leadership principles that I’ve always really tried to live by is to listen to folks, especially when they disagree,” Chait said.

Chait said the district needs external support to convene community meetings and compile and analyze data.

“This is arguably the most complex, the most difficult endeavor we will ever take on,” Chait said of school consolidations. “It will reset the footprint of our district for years to come.”

Chait said the district will begin holding community conversations related to school closures in the next few weeks and will share more details during a Sept. 22 meeting.

How did LAUSD’s budget become so strained?

The district’s current $20.6 billion budget projects a $2 billion deficit.

LAUSD approved raises for teachers, principals and support staff earlier this year at the cost of an additional $1 billion this school year. LAUSD, like other districts in the state, also faces increased costs for employee health care, settlements for decades-old sexual assault claims and services for students with disabilities,

L.A. County education officials approved the district’s most recent budget Tuesday on the condition that LAUSD provide additional information about how it is implementing cuts this school year.

However, L.A. County Superintendent Debra Duardo also called out the district's “unsustainable” use of reserves.

“The district’s fiscal status necessitates continued monitoring for both immediate and future corrective actions,” Duardo wrote in a letter to district leadership, referencing the July appointment of a fiscal expert to advise the district.

LAUSD’s board has approved a series of plans to reduce spending and increase revenue. For example, the district eliminated hundreds of jobs, primarily in its administrative offices, earlier this year.

The district’s most recent fiscal stabilization plan includes furlough days for all employees, the elimination of thousands of jobs and cuts to programs that help high-needs schools pay for counselors, tutors and other student supports.

Most of these cuts aren’t scheduled to go into effect until the 2027-28 and 2028-29 school years.

The leader of a congressional panel warned Tuesday he would use “every tool” to get Los Angeles Mayor Karen Bass to testify after she skipped a hearing that put L.A.’s homeless services system in the hot seat.

It came as multiple audits, reviews and court rulings have found L.A. has failed to ensure proper tracking of large-scale spending on homeless services — particularly through the joint city-county L.A. Homeless Services Authority, known as LAHSA. Much of the money is federal dollars authorized by Congress.

Bass had declined to testify at Tuesday’s hearing, saying she was unavailable and that it would be a “politically motivated” attack. Her public schedule showed she planned to attend a groundbreaking of a shopping and community center in the Pacific Palisades two hours after the hearing was set to start.

Rep. Tim Burchett, the Tennessee Republican who chairs the House Oversight Committee's DOGE subcommittee, said she won't get off that easily.

Bass "seems intent on evading accountability, but she knows we will not let her off the hook," Burchett said at the hearing. He added that he and the Oversight Committee’s chair would "use every tool at our disposal to secure her appearance if she does not cooperate.”

House committees and subcommittees can issue subpoenas to compel witnesses to testify or provide documents.

Just before the hearing got underway, Bass called it "the latest attack on Los Angeles by the Trump Administration and his allies in Congress.”

"I don't run LAHSA," she said, adding that she was the first mayor to sit on its board and that street homelessness has dropped since she took office. The latest official count for the city showed a 8% year to year jump in street homelessness.

Bass stepped off LAHSA’s governing commission last week, after LAist reported she had missed most of its meetings since she appointed herself to it in 2023. The mayor cited “time and all” as her reason for stepping down. She continues to appoint — and has the power to remove — half the commission’s members, including its current chair.

What happened at the hearing

Much of the hour-and-a-half hearing focused on Republican members’ criticism that Democrat-led cities distribute drug paraphernalia and don’t require unhoused people with addictions to get treatment as a condition of living in publicly funded housing.

Some proposals raised Tuesday would change how money reaches Los Angeles.

Burchett said he will introduce the Recovery First Housing Act, to require federally funded housing to offer substance abuse treatment. He has also introduced a bill restricting federal housing dollars to only support U.S. citizens.

LA's fights on a national stage

Burchett noted LAHSA’s audit committee chair, Justin Szlasa — who was proactive in rooting out wasteful spending — was demoted by Stephanie Graves, a Bass appointee who has declined to give her reason for doing so. The move was first reported by LAist.

Burchett also made claims that don’t hold up. He said 50,000 people are homeless in the city with "another 75,000" in the surrounding county. The latest official count found a total of 73,000 unhoused people across L.A. County — a figure that includes the city.

Burchett also said, “ LAHSA recently doled out funds to an L.A.-area nonprofit whose CEO had just been indicted for fraud.” LAist recently investigated LAHSA’s awarding of funds to that nonprofit, Abundant Blessings, and found no indication that LAHSA awarded it any funds after the fraud indictment. However, the review did find that long before the indictment, LAHSA kept awarding millions in contracts to the group even after it was flagged internally as high-risk for failing to do its job.

Burchett, however, was correct in saying “a court-ordered independent assessment of LAHSA's finances found alarming financial control weaknesses that leave the door open to rampant fraud.”