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SR 301-004-02 (8) ~, . CA:RMM:rcgrave1 CIty CounCIl MeetIng 1-29-87 II-C JAM ;. Y '985 Santa MonIca. CalIfornIa :3 -o! - 00 t./ ---02-- STAFF REPORT TO: Mayor and CIty CounCIl FROM: CIty Attorney SUBJECT: Homeless In Santa MOPICS On December 4, 1984. the CIty Attorney released a Report to ~he CIty CounCIl on ~he Homeless In Santa MonIca. At Its meetIng on December 11, 1984, the CIty CounCIl scheduled a publIC hearIng on the homeless for January 1985, and among other directed the City Attorney to prepare a actIons, resolutIon urgIng the adoptIon of state legIslatIon to address problems of homeless, to contInue legal the men tall y III research on the faIlure of t~e County of Los Angeles to meet IS oblIgatIons toward the homeless population, and to report to the CIty CounCil to address on ordInance alternatIves concerns about people sleepIng In automobIles In reSIdentIal neIghborhoods. Subsequent to the release of the City Attorney's report on the homeless, conSIderable local and natIonal attentIon has been Over the holIday focused on the plIght of the homeless. season a tent.: cIty was erected In central Los Angeles to prOVIde shelter for the homeless. temporary emergency CongressIonal the homeless were held hearIngs on In Los Angeles Fa llowlng on the same day tent cIty was erected. 1 II-C JAN 2 9 1985 I .... .. closure of the tent CIty, the CIty of Los Angeles establIshed and funded a temporary emergency shelter for 138 people. The shelter located on land donated by the CIty was bUIlt WIth donated labor and materIals from constructIon unIon members. The recent cold weather strIkIng many parts of the country has also focused attentIon on the homeless. The cold weather has caused the deaths of homeless people In CItIes such as MInneapolIS and Atlanta. Homeles5ness IS a natIonal problem reqUIrIng federal and state legIslatIon and fundIng to deal WIth It 1n a systematIC and comprehenSIve manner. IndIVIdual CItIes lIke Santa MonIca Carma t elImInate the root causes of homelessness or alleVIate Its most serIOUS consequences. AccordIngly, thIS Staff Report addresses speCIfIC areas where CIty actIon may be successful In addreSSIng speCIfIC problems of the homeless. ThIS Staff Report 15 dIVided Into four parts: I. Recommendation to Adopt ResolutIon UrgIng State LegislatIon to Address the Problems of the Menta lly III Home less (Page 4). II. AnalYSIS of the FaIlure of the County of Los Angeles to comply WIth the Lanterman-PetrIs- Short Act (Page 6). I I 1. AnalYSIS of the FaIlure of the County of Los Angeles to Meet Its Mandatory Legal Du t Y t 0 PrOVIde Shelter for the Homeless (Page 31). 2 . ~ ... " I IJ. Analysls Automobiles 49) . of Restrlctions In Residential IJ. Recommendatlons (Page 54). 3 on Sleeplng Nelghborhoods In l Page 1 ~ 1. RECOMMENDATION TO ADOPT RESOLUTION URGIHG STATE LEGISLATION TO ADDRESS PROBLEMS OF THE MENTALLY ILL HOMELESS. In the Report to the City Council on the Homeless In Santa Monica, the CI ty Attorney extensively discussed the structure and function of the State Mental Health System and Its Impact on homelessness. The City Attorney recommended to the Council that It should seek enactment and support legislation deSigned to alleViate the plight of the homeless mentally 111. The accompanYing resolution (AppendiX 1) Identifies three areas where legislation on the state level IS the only practical means of addreSSing the problem of the homeless me n t a I I Y I I I . 1. Mandatory OutDatlent Programs. Under eXisting law, Involuntary CIVil co mm I t me n t procedures essentially permit Institutionalization or release. Institutionalization In county or state mental hospitals 15 ~ot always an appropriate or necessary option In dealing With a mentally disordered IndiVidual. Alternatively, there are gravely disabled persons who are unWilling or Incapable of utiliZing voluntary assistance or treatment and therefore are In need of some form of superVISion and treatment. Presently, there are 20 states which have adopted mandatory outpatIent programs and faCIlIties as a creative and practical alternative for dealing With IndiViduals who refuse to follow prescribed treatment plans and take prescribed medicatIons. 4 2. Mandatory Pre-DIscharge Placement DeterminatIons. Many Individuals are released from county and 5tate mental health faCIlItIes WIthout any determinatIon being made of l.vhe t he r they can survI....'B Independently outSIde an Institution WIthout some care and superVISion. A placement determination should be made In additIon to determining whether a person IS no longer commItable. Mandatory outpatient treatment facIllt les could be utilized as an InterIm placement optIon Independent lIVing. until the person IS capable of 3 . CommItment Procedures for "Gravelv Disabled" IndiViduals. LegIslative action IS needed to prOVIde tIghter "gravely dIsabled." Courts ha"Je standards for tt,e term 5truggled for many years to develop practical gUIdelInes for determIning when a person as a result of a mental disorder IS unable to prOVide for- their baSIC per-sonal needs for food, clothIng, employed homeless or- shelter. However, varYing standards are being In actual practice, resulting In "gravely disabled" IndiViduals finding refuge on the street rather than appropriate mental health InstItutions. The essentIal elements which legislation In these three ar-eas should address are set forth In the resolution. ? ~ II. ANALYSIS OF THE FAILURE OF THE COUNTY OF LOS ANGELES TO COMPLY WITH THE LANTERMAN-PETRIS- SHORT ACT. A. Issue. Some part of the general homeless populat1on 15 comprlsed of the chron1cally mentally 111.1/ The fact that a person 15 homeless and mentally d1sordered does not s1gnlfy that they are subJect to 1nvoluntary comm1tment under CalIfornIa's Lanterman-PetrIs-Short Act ("LPS Act"). t1any stand 1n need of treatment, wh1ch 1S not be1ng prov1ded by eX1stlng commun1ty mental health programs. They are, however, able to prov1de for the1r bas1c personal needs. The focal p01nt of th1s memorandum 15 on the subgroup of the mentally dIsordered who are unable to meet theIr baSIC needs for food, cloth1ng, or shelter due to thelr mental lllness Even 1n those 1nstances where aSs1stance 15 ava11able from fam1ly or fr1ends, these homeless lndIvIduals are by the very nature of thelr mental d1sorder either unw111lng or unable to voluntarlly accept aSSistance or t rea t me r, t . IndiViduals who "as a result of a mental disorder, are unable to prOVIde for their baSiC personal needs for fOOd, clothing, or- shelterll are determIned to be lIgravely d1sabled." We 1 f . 8. Inst. Code Sect10n S008(h)(1). A gravely dlsabled 1/ A Task Force Repor-t of the Amer-lcan Psych1atrlc Assoc1atlon, The Homeless Mentally Ill, WashIngton, D.C. (1984); The Homelessness Problem, SClentlflc AmerIcan, Vol. 21::'1, No. I, p. 40 (July, 1984). 6 "T person may for theIr own protectIon be InvoluntarIly commItted for emergency and long term care. The CIty Attorney belIeves that the Los Angeles County Department of Mental Health has adopted and applIed a InconSIstent deCISions. wIth that reqUired by statute 15 clearly and court restrIctive defInItIon of "gravely dI5abled" which dIsordered homeless IndIVIduals measure} chronIcally mentally are denIed admISSIon and As a cost saVIng treatment at county and state mental health faCIlItIes and are left to roam the streets and alleY5 of Santa MonIca and other CItIes} related unable to prOVIde to shelter, food, for theIr baSIC personal needs clothIng, medIcal,and dental serVIces. Due to the County's contInued faIlure to comply WIth a mandatory statutory duty to admIt and treat IndIVIduals who clearly meet the statutory defInItIon of "gravely disabled" In approprIate mental health faCIlItIes} the CIty of Santa MonIca and numerous conSIderable publIC and prIvate agenCIes resources In a frustratIng} have expended wa s t e f u 1 , and Inadequate attempt to deal WIth what 15 essentIally a faIlure State to prOVIde acceSSIble psychIatrIC of the County and Interyentlon and treatment faCIlItIes. In addItIon, even assuming the county complIes WIth Its mandatory duty to adm It and treat "gravely disabled" IndIVIduals, thiS WIll not In Itself be a panacea for redUCIng ReleaSIng gravely problem disabled of menta lly III home lessness. other mentally disordered the underlYlng or 7 t IndIVIduals back onto the streets wIthout adequate placement, superVISIon, and treatment WIll predIctably begIn a cycle leadIng once agaIn to homelessness, WIth attendant onset or exacerbatIon of mental Illness. B. General LPS Act Involuntary AdmISSIon and Treatment CrIterIa. The Inlt lEd confInement and evaluatIon o f a me n tally dIsordered person 15 generally accomplIshed pursuant to the prOVISIons of Welfare & InstItutIons Code SectIon ~150. Under the LPS Ac t , Involuntary detentIon or commItment may be result of a mental ordered only where an IndIVIdual as a dIsorder 15 a danger gravely dIsabled. The to others, to hImself or herself, or prOVISIons of the LPS Act careFully dIstIngUIsh dangerous dIsabled." "between persons who are SUICIdal, ImmInently to others, and persons I;.!ho are gravely Estate of Chambers, 71 Cal. App. 3d 277, 284, 139 Ca I. Rp t r . 3? 7, 362 (1977). In order to fu lly comprehend the lega 1 Issues Invo lved, a brIef overVIew of the CIVIl commItment process as It relates to gravely dIsabled IndIVIduals 15 necessary. C. Emergency Short-Term AdmISSIon and ConfInement of IIGravel~J DIsabled" Persons. InitIal cU5tody, conflnement, and evaluatIon of a person who 15 allegedly "gravely dIsabled" may be made for a perIod of 72 hours upon applIcatIon of a peace officer or other 8 " deSIgnated mental health professlonals. In a faCIlIty desIgnated by the county State Department of Mental Health. SectIons 5150 and ?1?1. ConfInement must be and approved by the Welf. & Inst. Code ThIS threshold evaluatIon by deslgnated mental health crItIcal stage. DependIng on the profesSlonals IS a assessment and evaluatIon methods beIng utIlIzed, an IndiVldual may be released after the flrst screening lntervlew as not being gravely dIsabled. In short, initIal custody does not always result in conClnement In a mental health facil1ty, even for a 72 hour period. At thIS stage, there is no Judlclal or adminIstrative reVIew to determlne whether the lndlvidual InItlally taken lnto custody is In fact gravely Thus, county mental health profeSSionals (In some disabled. Instances admlsslons are determined by a psychlatrlc nurse) vested wlth the power and authorIty to admIt or deny admissIon to an individual alleged to be gravely dlsabled, may exerCise such authorIty unfettered by meaningful reVIew. UntIl the present tlme, advocacy on behalf of patIents as well as JudICIal and adminlstratIve reVIew has been JustIfIably commItment focused on the questIon of whether Involuntary was lnItlally proper and whether 1 t should contInue. However, the questIon arI5e5 as to whether In a perIod of espeCIally prolonged constraInts upon governmental In the mental health area, there IS spendIng, In fact a strong dlSlncentlve on the part of the County to admIt 9 ~ IndIVIduals even though they clearly meet applIcable admIssIon crIterIa, and desperately need mental health serVIces. If, as a result of an evaluatIon conducted durIng the InItIal 72 hour confInement, an IndIvIdual 15 determIned to be gravely dIsabled, they may be confIned for an addItIonal 14 day perIod. However, un lIke the InItIal admISSIon determInatIon, the 14 day confInement IS condItIoned upon a formal certIfIcatIon of necessity by a psychologI5t or phYSICIan treatment voluntarIl,;!. coupled wIth a fInding unable or unwIllIng to & Inst. Code SectIons that the and by another professIonal gravely dIsabled person 15 accept Welf. 5200-5252. DurIng the 14 day confInement phase, gravely dIsabled IndIVIduals may InItIate or have InItIated on theIr behalf JudICIal reVIew by habeas corpus. Welf. & lnst. Code SectIons '52'54-5254.1. I f no JudICIal rev I ew 15 sought, an admInIstratIve hearIng denomInated as a "certifIcatIon review hearIng" must be held WithIn whether seven days of the lrl1tIal detentIon to determIne there 15 probable cause to contInue Involuntary commItment. Welf. & lnst. Code SectIons 5254-5257. 10 D. Lona Term Commitment of Gravely Disabled Persons. In the event the condition of a gravely disabled person and treatment beyond 17 days the superior warrants confinement court may authorize a temporary conservatorship for a maximum period of 30 days. Welf. & Inst. Code Sections 5350.1 and 5352.1. The superior court may authorize the 30 day temporary conservatorship based upon either an affidaVit of deSignated mental speCIal health profeSSionals or a comprehenSive conservatorship Investigator. Welf. & report by a Inst. Code Sections '7352 and 5352.1. Temporary conservatorshlps expire Within 30 days unless the superior court automatically conducts a hearing to determine whether the proposed conservatee IS Hgravely dlsabled.ll Welf. &0 Inst. Code Section 5352.1. If a long term conservatorship (beyond 30 days but less than a year) IS deemed necessary a court or Jury tria I on the Issue of lIgrave disability" IS reqUired. Welf. &. Inst. Code Section 5350Cd). Extended conservatorshlps are viewed as a last resort In that their establishment 15 expressly conditioned upon a determination that there are no other SUitable 5354. treatment alternatives. Welf. & Inst. Code Section If potential conservatees elect t 0 have a Jury determIne whether they are "gravely dIsabled" the tlndlng must be unanimous and beyond a reasonable doubt. Conservatorship of Roulet, 23 Cal. 3d 219, 225-226, 590 P.2d 1, 152 Cal. Rptr. 11 42'3 0979 ). Once a Jury or court determInes an indiVidual IS "gravely dlsabled" [Tlhe court IS authorlzed to appOInt a conservator and to determine the scope of hIS powers (Sectlons ~350) 5357) and must hold a hearing to determIne the approprIate placement of the The conservatee. (Sectlon ?3?8.) conservatee has the rlght to the least restrictive placement sUltable for hIS Circumstances. as deslgnated by the court. ([bid.) A conservatorshlp 50 establlshed automatIcally termInates one year after It IS created and can be reestablished only by commenCIng new conservatorship proceedings In the superIor cou r t . (Section ?361. ) Estate of Early, 35 Cal. 3d 244, 248, 673 P.2d 209, 211, 197 eal. Rptr. 539, 541 (1983). E. "Gravely Dlsabled" as Defined in Welfare & InstItutIons Code Section 5008(H)(1) is Not Unconstitutionally vague and Overbroad. Since the LPS Act became operative in July of 1969, the term "gravely disabled" as deflned In Section 5008 has been subject to conSiderable attention due to allegations that it 12 IS Inherently ambIguouS. See Estate of ;Early, 35 Cal. 3d 244, P.2d 209, 197 Cal. Rptr. 539 (983); Doe v. Galllnot, 057 1017 (9th Cu'. 1981); Burford, The "Cuckoo's Nest" 673 F.2d Reassessed: Involuntary CommItments In CalIfornIa After Suzuki v. Yuan and Doe v. Ga III no t , 22 Santa Clara L. Rev. 807 (1982). However, federal and state courts have upheld the SectIon 5008 defInition of f1gravely dlsabledfl agaInst challenges that It IS unconstitutionally vague and overbroad. Doe v. Galllnot, 657 F.2d 1017 (9th elr. 1981); Estate of Chambers, 71 Cal. App. 3d 277, 139 Cal. Rptr. 357 (1977). In affiXing a workIng deflnlt lanaI standard of "grave 1).-' dIsabled" the court In Chambers stated: The term 15 suffICIently precise to exclude unusual or nonconformist lifestyles. It connotes an Inability or refusal on the part of the proposed conservatee to care for baSIC personal needs of food, clothing and shelter. Estate of Chambers} 71 Cal. App. 3d 277, 284, 139 Cal. Rptr. 357, 362 (1977). Wh I 1 e the term "gravely dIsabled" IS not suffICiently ambIguous to necessItate or require ItS Inva lIdat Ion In a constItutIonal sense, the Inherent diffIculty of applYIng It as a standard for Involuntary commItment has reqUIred conSIderable aSSIstance from the courts In InterpretatIon. 13 Recent lItIgatIon InvolvIng ambIguItIes related to whom and under what CIrcumstances a person WIll be deemed to be "gravely dIsabled" has focused on the suffICIency of eVIdence requ1red for InItIal comm1tment, extended treatment by way of ImposItIon of short term and long term conservatorsh1ps, and procedural due process protectIons to be afforded to Ind1V1duals 5ubJected to Involuntary CIVIl commItment. F. Due Process ReqUIreS a ConSIstent ADPlIcat10n of The Statutorv DefInItIon of "Gravely DIsabled" at All Stages of the LPS ProQess. The characterIzatIon of a person as IIgravely dIsabledll 15 not, and should not, vary WIth the stage when the determInatIon 15 made, or whether a law enforcement offIcIal, mental health personnel, court, or Jury 15 makIng the determInatIon. In other words, a conSIstent applIcatIon of of the 5 tat u tor y de fIn I t Ion 0 f "g rave I y d us a b 1 e d " I 5 r e qUI red a t each stage or step from InItIal custody, evaluatIon, admISSIon, confInement, to ImpOSItIon of eIther a temporary or long term conservatorshIp. There 15 no reported court deCISIon In CalIfornIa whIch permIts app lIed a fleXIble defInItIon of "gravely dIsabled" to be In order to eIther restrIct admISSIons or to release patlent~ prematurely as a cost savlng measure. Under the LPg Act, lIwho" ma..... make a determInatIon of whether a person 15 gravely dIsabled lS dependent on the stage at whIch the evaluatIon occurs. However, at every stage from 14 admISSIon to Imposltlon of a conservatorshIp, the LPS Act reqUIres a consistent applIcatIon of the defInItIon of "gravely dIsabled" as "[a] condItIon In WhIch a person, as a result baSIC of a mental dIsorder, 15 unable to prOVIde for hIS personal needs for food, clothIng or shelter " Welf. 8. Inst. Code Section 5008(h)(U. G. "Gravely DIsabled" DIsordered Homeless JudICIal Interpret~tlon of Encompasses Many Mentally IndIVIduals. The defInItIon of the phrase "gravely dIsabled" Involves a conslderatlon of whether the person can prOVIde food, shelter or clothIng WIth or WIthout and responSIble famIly members, partIes. the aSSIstance of WIllIng frIends, or other thlr-d The most troublesome Issue for mental hea 1 t h profeSSIonals, admInIstratIve hearIng offIcers, and the courts Involves the suffICIency of eVIdence necessary to determIne whether a person 15 presently "gravely dIsabled." In the case of Estate of Early, 35 eaL 3d 244, 673 P.2d 209, 197 Cal. Rptr. of the ?39 (1983), the CalIfornIa Supreme Court resolved many ambIgUItIes r e 1 ate d to .....Jh a t factual and eVIdentIary conSIderatIons are necessary to determIne whether an IndIVidual 15 gravely dIsabled. In the summer of 1981, Mr. Early reSIded In hIS SIster's backyard. The Court descrIbed hIS general behaVIor and the response of local mental health offICIals as follows: 15 He frequently wandered about town In a dirty, disheveled and odoriferous condition. He was seen b)-I the coordinator of the county mental health department In an effort to arrange for shelter and by the staff of SIskiYou General Hospital for treatment of Infections caused by hiS dirty and urine-soaked clothing. On September 1~, 1981, appellant Was admitted to the hospital and a conservatorship referral was made. The psychiatrists who examined [appellant] soncurred In a diagnOSIs of schizophrenia and [concluded] that hiS Incontinence was due to hiS mental condition. [appellant] There was agreement that was not capable of caring for hiS medical or mental problems himself, particularly as he refused voluntary treatment With psychotropIc medication. Estate of Early, 3~ Cal. 3d 244, 249, 673 P.2d 209, 211, 197 CO'll. Rptr. 539,1541 (1983), A Jury found Mr. Early "gravely du:.abledll and an order was entered establishing a conservatorship. AppOinted counsel for Mr. Early appealed. The Issue on appeal which the Court 16 focused on related to the trIal court's denIal of proposed Jury InstructIons by appellant's counsel as to whether "appellant could meet hIs needs for food, clothIng and shelter WIt h the ass 1St an ceo f fa mIl y and f r I end;5" and two J u r y Inst ruct lone lid 1 rect Ing the Jury to fInd [appe llant] was not gravely dIsabled If he was able to prOVIde for hIS baSIC personal needs WIth the aSSIstance of WIllIng and responsIble famIly or frIends." The reason the court focused on thIS Issue was the eXIstIng Spilt among the Courts of Appea 1 as to whether aSSIstance avaIlable from famIly and frIends In the form of food, clothIng and shelter must be conSIdered In determInIng whether a person IS "gravely dIsabled." l;ompare Conservatorshlp of Buchanan, 78 Ca I. Ap P . 3d 281, 144 Cal. Rptr. 241 (1978); tholdlng whether IndIVIdual hI mse I for herself IS able to prOVIde for baSIC needs WIthout conSIderIng thIrd party aSSIstance), WIth ConservatorshID of D~VIS, 124 Ca 1. App. 3d 313, 177 of WIlson, ea I. Rp t r . 137 Ca 1. App. 369 (1981), and ConservatorshIp 3d 132, 186 Ca I . Rp t r . 748 (1982) (b 0 t h h old 1 n 9 1 tIS err 0 r ton 0 tal low a J u r y to conSIder the avaIlabIlIty of aSSIstance from responSIble famIly, frIends and others In determInIng whether an IndIVIdual IS truly unable to care for themselves and thus gravely dIsabled). The Court ln Early ~dopted the OavIs and WIlson test whIch reqUIres that: 17 the defInltlon of the phras.e "gravely dIs.abled" as. a condItlon In whlch the person 15 "unable to provlde for hls baSIC personal needs for food, clothlng, or shelter 5008, subd. (h)(l)) was " (SectIon Intended to encompass a consIderatIon of whether the person could provIde these baSIC needs wIth or wlthout the aSsIstance of wIllIng and responsIble membe rs. . f r ll:lnds , or other f am I 1 Y thIrd partIes.. Estate of Early, 35 Cal. 3d 244, 254, 673 P.2d 209,215, 197 Cal. Rptr. 539, 54? (983), As a result of the trIal courts fa Ilure to a llow the requested Jury lnstructlons on avallablllty of thIrd party asslstar.ce} the court reversed and remanded for a retrIal of the " g I' a ve d 1 50 a b I lIt y" I 50 50 U e . Wh 1 1 e the Court dId not reach the Issue of whether In Its Vlew Mr. Ea I' l~,... 'Alae. In fact "gravely dIsabled!" It to concluded Its deCISIon WIth a cautIonary response appellant's contentIon that he was not gravely dIsabled If he voluntarlly accepted treatment. The court observed that "[alppellant consls.tently refus.ed treatment for hIS mental dIsorder. That he allowed hospItal staff to bathe hIm and treat hls wounds. does not mean he voluntarIly accepted t I' eat me n tIn the 5 ens e I n ten de d . JI Es.tate of Earl~, 35 Cal. 3d 18 244, 2'5'5-256 . (1983). 673 P.2d 21)9} 216} 197 Cal. Rptr. 539, '546 H. Many "Grave ly OIsab led" Home les5 ~nd IVIdua 15 As A Result of theIr Mental DIsorder Are Unwll1Ino or Unable to Accept ASSIstance Even When It 15 Available. A realIstIC determInatIon of whether a person 15 "gravely dIsabled" Involves more than an assessment of avaIlabIlIty of shelter, food, and clothIng. In essence, It 15 a two part test. FIrst, 15 the person capable of SurVIVIng on theIr own or WIth the help of WIllIng and responSIble thIrd partIes) "Such thIrd partIes Include relatIves, frIends, communIty agenCIes, and board and care faCIlItIes." Estate of DaVIS, 124 Cal. App. 3d 313,320,177 Cal. Rptr. 369,373 (1981). Second} assumIng avaIlabIlIty of thIrd party aSSIstance for baSIC needs, 15 the person by the nature of theIr mental dIsorder unWIllIng or Incapable of utIlIZIng the avaIlable aSSIstance) AvaIlabIlIty 15 meanIngless If utIlIzatIon IS foreclosed by mental dIsease. A crItIcal factor In all LPS Act "grave ly d Is-ab led" determInatIons 15 the questIon of whether the person IS unable or unWIllIng to accept treatment voluntarIly. Estate of DaVIS} 124 Cal. App. 3d 313, 327, 177 Cal. Rptr. 369, 377 (1981). In Estate of Chambers, 71 Cal. App. 3d 277, 139 Cal. Rptr. 3?7 (1977), the appellate court affIrmed the trIal court's order appOIntIng a co~servator for Mr. Chambers who 19 was unable to also demonstrated and superViSIon. In Mitchell v. Count~.... of Los Angeles. 114 Cal. App.3d 170 Cal. Rptr. 779 (1981), Mr. Mltchell was unable to provIde for hIS basIc personal needs and had an InabilIty to voluntarily accept treatment 606, provIde hImself wIth food, clothIng or shelter and was unwIllIng or unable to take prescrIbed medicatIon voluntarIly. The order appoIntlng a publIc guardIan was upheld. The focal pOInt of the inquIry In assessIng whether a nondangerou5 person is gravely dIsabled 15 whether the person 15 capable of surVIVIng safely In freedom. CapabIlIty IS IntImately Ilnl<ed to voluntarlness. A determInatIon of t~e ex 1 S ten ceo f " 9 rave d I sa b I lIt y" 1 S to bed e t e r m I n e d not I n a vacuum, "but In the context of SUItable alternatIves, upon a conSIderatIon of the WIllingness and capabIlity of the proposed conservatee to voluntarIly accept treatment " Estate of DaVIS, 124 Cal. App. 3d 313, 325, 177 Cal. Rptr. 369, 376 (1981) . IndIViduals, who as a result of a mental dIsorder are Incapable of or un~Jlllln9 to accept or prOVide for baSIC and crItIcal needs of shelter, food, and clothIng reqUIre the InterventIon of the state SInce they are not capable of ensurIng their own surVIval or safety, even WIth the help of famIly or friends. "States are vested WIth the hIstorIC parens patrIae power, IncludIng the duty to protect persons under legal dl5abIlItles to act for themsel<....es." O'Connor v. Donaldson, 422 U.S. 563) 583 (1975); see also Mormon Church v. 20 UnIted StC',l~es, 136 U.S. 1,56-58 (890); HawaII v. Standard 011, 405 U.s. 251, 257 (1972). Many chronically and seriously mentally disordered IndiViduals who are gravely disabled cannot acknowledge their Illness and refuse to cooperate wIth private or publiC agencies, friends, or families who attempt to give aid or treatment. Katz, The RIght to Treatment - An ~nchantln9 Le9al FictIon?, 36 U. Chl. L. Rev. 75'5, 768-769 (1969); LeVine, Homelessness: Its ImplIcatIons for Mental Health Policv and Practice, PsychosoCial RehabilItation Journal, Vol. VIII, No. 1, P. 12 (July, 1984); A Task ASSOCIation, The Force Report of the American PsychiatriC Washington, Homeless Menta lly I 11 , they D.C. (1984). Because of their condition, "are unable to function In society and will suffer real harm to themselves unless prOVided With care In a sheltered envI ronmen t . " 0 I Conno r v. Oona 1 dson, 422 U. S. 563, 584 (1975); see e.g., Lake v. Cameron, 364 F. 2d 657, 663-64 (D.C. Cir. 19b6)(dlssenting opinion). I. Los Angeles County Has A Mandatory Duty to Admit, Treat, and Make Appropriate Placements for Indigent Persons Statutorily Defined as "Gravely Dusabled.lI It has become standard practice for mental health profeSSionals staffIng county mental hea 1 t h faCIlities to regularly refuse admiSSion to indIViduals who are clearly "gravely disabled" as that term is defined In the LPS Act and 21 Interpreted 17008, subd. The by numerous courts. (h)(l). WeIf. & Inst. Code Section County utilizes two policies or procedures to deny admISSion to "gravely dIsabled" 1ndIvIduals. Under the fIrst procedure the county acknowledges that an IndIvIdual taken Into custody by a peace offIcer pursuant to Welfare and Institut10ns Code SectIon 15150 IS "gravely dIsabled," or a on of County beds. denies danger to se~f or others. Howeve r , the admlSSIon based an asserted shortage (See AppendIX II.) The second POlICY relates to SItuatIons where there are beds ava1lable but there 1S a fa1lure of mental health profess1onals employed by the County to adhere to the statutory def1n1t1on of "gravely dIsabled" In determln1ng whether an Indlv1dual shall be hour evaluat10n and treatment. 1nvoluntarlly admItted for 72 The underlYIng reaSOn for both be1ng ut1llzed by the County and hospital resources. admISSIons poliCIes 1S an alleged lack of currently fund1ng Howeve r , for reasons dIscussed here1nafter, the County has a mandatory legal duty to admIt, evaluate, and treat Ind1gent persons who meet the stotutory def1nlt1on of "gravely d1sabled." In th1s regard, or excuse lnablllty are 1nadequate legal for faIlure to comply WIth such a pleas of Just I f 1eat Ion duty. f1nanCIal 22 J. Under the LPS Act DesIgnated Mental Health OffICIals Have the ExclUSIve Authorlty to lnvolutarlly CommIt a Person for Emergency 72 Hour EvaluatIon and Treatment. Pursuant to Welfare and Instltutlons Code Section ?l?O, law enforcement officers may upon probable cause take Into custody a person they deem to be a danger to self or others or transported e'v'aluat Ion. to a The lndlvldual deSignated mental In custody may then be health faCIlity For "gravely dlsabled.1I As a matter of law, peace offlcero do "not ha",;e the authority to make the f1nal determ1natlon of d1agnosIng that a person 15. or 1S not, aff llcted WI th menta I 11lness. It Johnson v. County of Los Angeles, 143 Cal. App. 3d 298, 316, 191 Cal. Rptr. 704, 717 (1983). Upon arrival at a des1gnated mental health faCIlIty the deCISIon to evaluate and to admIt (confine) or rele-3se 1S excluslvely and properly made by a phYS1C1an or other mental health profeSSIonal stafFIng the faCIlIty. Th us, the majOrIty of IndlV1duals vested or empowered to make the deCiSion to admIt are all employees of the County and subject to the dlrect10n snd control of the County WIth respect to admISSIon polICIes and practIces. 23 K. County Mental Health ProfessIonals Have No DIscretIon to Refuse AdmIssIon to "Gravelv DIsable" Persons. An Ind 1'-ildua 1 who as a result of a mental dIsorder IS "gravely dIsabled" 15 entItled to prompt evaluatIon end treatmelit under the LPS Act. The LegIslature has clearly expressed an Intent to: prOVIde treatment prompt evaluatIon and of persons WIth serIOUs mental dIsorders [T]o protect mentally dIsordered person5 from crImInal acts. Welf. & I n 5 t. Co d e SectIon SOOllaJ & (g). WI th respect to receIpt of serVIces " [m]entally dI50rdered person5 shall receIve serVIces" pursuant to the LP5 Act. Welf. & Inst. Code SectIon ?002 (emphaSIS added). SectIon IS of the Welfare and InstItutIons Code prOVIdes that "(s]hall 15 mandatory and 'may' IS' per m I S S I ve' WIt h respect to InterpretIng and applYIng prOVISIons of the Code." In makIng InItIal evaluatIons of persons alleged to be "gravely dIsabled" County menta! health profeSSIonals must apply the statutory defInItIon as Interpreted by the courts. The LegIslature by speCIfIcally defInIng "gravely dIsabled" In Welfare and InstItutIons Code SectIon S008(h)(1) has manlfested d1scretIon a legIslatIve Intent to lImIt of mental health profeSSIonals or gUIde the evaluatIng In persons alleged to be gravely dIsabled. In contrast, the 24 Leglslature has not specifically deflned the terms tldanger to s elf 0 rot her 5 Jilt her e for e Ma n 1 f est 1 n g a n In ten t t 0 a I low broad dlscret10n by mental health profess1onals In evaluat1ng and determ1nlng wh1ch persons should be 1nvoluntar1ly confined for "dangerousness." Further support for the argument that the County cannot I1m1t admiSSions of "gravely disabled" 1ndlgents can be found by compar1ng procedures W 1 t h the the Section ?150 1nvoluntary comm1tment lnvoluntary custody, evaluatlon, and treatment prov1s1ons for persons who due to Inebr1atlon are determined to be gravely disabled or a danger to themselves or others. Welf. & Inst. Code Sectlons 7170-5176. Wlth respect to persons "gravely d1sabled" due to prOVIded that alcoholism, the establishment Legislature has of detoxlflcatla~ InebrIation speclflcally and chronlc facll1tles 15 optlonal wlth each county. d1sabled The custody and conflnement optlons for gravely effect lnebrlates under Sectlon 5170 only have In those countIes where the Soard of Supervlsors by facllltles. Welf. & Inst. resolutlon has establlshed such Code Sectlon 5176. The Leglslature has expressly granted the County author 1 t>, to deSignate whlch faclIlty or facllltles are to be utlllzed for 72 hour lnvoluntary evaluatlDn and detoxlflcatlon as well as the maXlmum number of patIents to be served by the faclllty at anyone tlme. We 1 f. & Inst. Code Sectlon 5176. There 15 no reqUirement that the County establlsh a faC111ty to accomodate a I I gravely dIsabled lnebrlates and chronlc 2~ alcohollcs present In the County. Johnson v. Munlcloal Court, 70 Cal. App. 3d 761,764, 139 Cal. Rptr. 1.,2, 1':54 (1977), The court held that delegating the determlnatlon of maxImum capacIty llmltatlons to respective countles would Insure that operat Ion of the faclllt les wou Id not be "beyond the funding capablllty of the county or state." Johnson v. MunlCloal Court, 70 Cal. App. 3d 761, 764, 139 Ca l. Rp t r . 1':52, 1154 County (1977), However, WI th respect to Section 51':50 deslgnated facllltle<s there are no Similar statutory prOVISIons which permit the County to establish or determine maXLmum capacLty allocations. The Legislature has made a careful dlstlnctlon between limitations on the baSIS of budgetary "grave dlsablllty" resulting from chroniC alcoholism In which the county has the services and "grave opt Ion of disability" establishing and determining attributable to a mental disorder where the county IS mandated to prOVide treatment. "Mentally disordered persons shall receive services pursuant to thiS part. Persons ImpaIred by chronIC alcoholism may receive services pursuant to thiS part " We If. & [n 5 t . Code Section ':5002 (emphaSIS added). Further support for Imposing a mandatory duty upon the County to prOVide for "gravely disabled" homeless IndiViduals may be found In Welfare and InstItutIons Code Section 17000. Many "gravely disabled" homeless persons are both mentally III and lndlgent. Welfare and Instltutlons Code Section 17000 reqUires all counties H"J the state to prOVIde medIcal 26 assIstance to IndIgent persons. County of San DIego v. VIlorIa, Chane\) (1962); 276 ea 1. App. 2d 350,80 Cal. Rptr. 869 (1969); 209 Cal. App. 2d 101, 25 Cal. Rptr. 603 County v. FrIsbIe, 19 Cal. 2d 634. 122 615 Ops. Cal. f.1tt'y Gen. 11 (1982). The v. Sp r-ague , Los Angeles P.2d 506 (1942), courts have made no dIstInctIon between mental health serVIces and other types of medIcal care In asseSSIng the mandatory duty A Imposed by Welfare and InstItutIons Code SectIon 17000. SIgnIfIcant number of "gravely dIsabled" persons are IndIgent and homeless by the very nature of theIr mental condItIon, and, therefore, fall WIthIn the purVIew of Welfare and InstItutIons Code SectIon 17000 whIch prOVIdes: Every county and every CIty and county sha 11 relIeve and support all IndIgent persons, Incompetent. and those poor, IncapaCItated by age, lawfu lly dIsease, or aCCIdent, reSIdent thereIn, when such persons are not supported and re Ileved by theIr relatIves or frIends, by theIr own means, or by state hospItals or state or prIvate InstItutIons. As dIscussed preVIously, Coun t)., mental hes I t h profeSSIonals are legally oblIgated to apply the statutory defInItIon of lIgravely dIsabled" and If In applYIng thIS defInItIon a person IS deemed to be gravely disabled as well as Indigent, Welfare and InstItutIons Code SectIons 17000 and 27 5150 are both applIcable and requIre that the IndIvIdual be admItted. The mandatory duty Imposed upon countIes by SectIon 17000 may not be evaded by pleas of fInancIal constraInts. " I tIS C 1 ear t hat 5 e C t Ion 170 0 0 I mp os e d up 0 nth e . co un t y . a mandatory duty to relIeve and support Its IndIgents, and the excuse that It cannot afford to do so 15 unavaIlIng." Boehm v County of Merced, ____ Cal. App. 3d (1985), CIty and County of San FrancIsco v. SUDerlor Court, 57 Cal. App. 3d 44, 47, 128 Cal. Rptr. 712, 714 \1976). The mandatory duty of a county to provIde assIstance and care may be triggered by Indlgency alone. We 1 f. &. In 5 t . Code SectIon 17000. Where Indlgency and homelessness are not only coupled WIth, the duty of but are the dIrect result of, mental Illness, the count).' to Intervene IS compellIng and unquestIonable. In thI5 SItuatIon, the burden on taxpayers should be consIdered, but the courts have consIstently held that "theIr burdens were not SO grievous as to permIt lndlgents, In the mIdst of plenty, to go hungry, cold and naked, WIthout fault. " CIty & County of San FranCISCO v. SuperIor Court} 57 Ca I . App. 3d 44, 47} 128 Ca 1. Rptr. 712, 714-117 (976).; SBE! also County of Los Angeles v. Pavne} 8 Cal. 2d ?63} 573, 66 P.2d 6138,663 (1937).; Mooney v. PIckett, 4 Cal. 3d 669, 676 n.7} 483 P.2d 1231, 1235 n.7, 94 Cal. Rptr. 279, 283 n.7 (1971). To allow the County to Indigent gravely dIsabled arbItrarily refuse admISSIon to IndIViduals WIthout follOWIng applIcable statutory and JudICial gUldellnes and defInItIons 28 15 clearly at odds wIth procedures and overall the Involuntary emergency commItment purposes of both the LPS Act and Welfare and InstItutIons Code SectIon 17000. FundIng for emergency InpatIent mental health servIces IS a function of admISSIon rates and patIent populatIon. The use of arbitrary and ad hoc admISSIon polICIes In County mental patIent health faCIlItIes permIts the County to manIpulate census fIgures So as to JustIfy reductIons In faCIlItIes and servIces to chronIcally mentally III persons. Wh I I e PsychIatrIC Los Angeles County U.S.C. MedIcal Center's HospItal has closed four wards In the last three years as a cost savIng measure, scores of IIgravely dIsabled" men and women roam the streets of Santa Monica and ather CItIes, unable to prOVIde for theIr baSIC needs of shelter, food, and clothIng. InterventIon by the County on behalf of these sufferIng IndIVIduals IS mandated by statute, case law, and most Importantly, by the moral oblIgatIon and commItment of the state acting on behalf of all Citizens, to protect persons who due to mental disabilitIes are Incapable of protectIng themselves. We ha')e no doubt that when statutes affectIng the well-being - perhaps the very surVIval - of CItIzens of thIS state are belng Violated WIth ImpunIty by the County, an agent of the state, the courts, as fInal 29 Interpreters of law, must Cl ty the Intervene to enforce complIance. & County of San FranCISCO v. SuperIor Co u r t , 1:5 7 Ca 1 . Rp t r . added). Cal. Hpp. 3d 44, 50, 128 712, 716 (1976)lemphas15 . 30 III. ANALYSIS OF THE FAILURE OF THE COUNTY OF LOS ANGELES TO MEET ITS MANDATORY LEGAL DUTY TO PROVIDE SHELTER FOR THE HOMELESS. A. IS5ue. It 15 Important to recognIze that needed reforms In the mental health system WIll only partIally address the homeless problem by aSSIstIng that segment of the homeless populatIon WIth serIOUS mental Illness. The homeless populatIon also Includes unemployed persons and persons unable to fInd affordable lOW-Income hOUSIng. The faIlure of the County of Los Angeles to prOVIde temporary shelter makes I t more dIffIcult for these IndIVIduals to reenter the economIC maInstream and stabIlIze theIr lIves. WIthIn the last eIghteen months, polICIes, programs, and procedures adopted by Los Angeles County to prOVIde temporary emergency shelter to Indlgents have engendered numerous laWSUIts. In each case, the County has eIther settled the case by agreelng to change Its challenged polICIes or a court has ordered the County to Implement new procedures to conform to statutory reqUIrements. Elsenhelm v. Board of SuperVIsors of the Countv of Los Angeles, No. C 479473 (Supr. Ct. Cal.J flIed December 20, 1983) , eha I I enged the general applIcatIon procedures and Ident If lcat Ion reqUIrements utIlIzed by the County to determIne elIgIbIlity for temporary emergency shelter. As a result of the laWsuIt. the County has reVIsed Its applIcation and IdentIfIcatIon polICIes enablIng homeless persons to have qUIcker access to emergency shelters. 31 In Ross v. Board of SupervIsors of the County of Los Angeles, No. C ?01603 lSupr. Ct. Ca I ., f I 1 ad Ju I y 10, 1984), the County's practIce of Issuing checks or warrants to homeless persons In the amount of $8.00 per night for emergency shelter In lieu of actual shelter was challenged as Inadequate to secure emergency shelter. In response to the laWSUit, the County Increased the warrant amount to $16.00. Paru~ v. Board of Supervisors of the County of Los Angeles, No. C 1723361 (Supr. Ct. Cal., filed November 20, 1984) challenged the County's practice of utilIzIng SkId Row hotels whIch were In 'v'l 0 I a t Ion 0 f the County PublIC Health Code and had been condemned by the CIty Department of BUIlding and Safety to house the homeless. One day after the SUit was fIled, the County agreed to settle by not IssuIng vouchers to homeless persons to four hotels until they met applicable health and safety standards. The county's general relIef polICIes and procedures have also been subject to recent Inquiry and resultant crItICIsm by the Los Angeles County Grand Jury. (See Append IX r I I. ) A Vital Issue not yet addressed In any laWSUit agaInst the County and whIch directly affects both the homeless and the CIty of Santa Monica Involves the County's faIlure to adequately prOVIde tempora~y emergency shelter faCilities In the Westslde a~ea of the County. Los Angeles County currently has a poliCY of contracting WIth hotels located almost exclUSively In the Skid Row area of central Los Angeles to for elIgible homeless prOVide temporary emergency shelter . 32 IndIVIduals. However, due to theIr locatIon and condItIon, these faCIlItIes pose a substantIal of physIcal assault, rapes, muggIngs rIsk of harm In the form and dIsease to homeless men and women sent to them for emergency shelter. Rather than place themselves In a sItuatIon whIch clearly poses a substantIal r usk to theIr lIves, numerous homeless IndIVIduals, espeCIally SIngle women, the elderly, mentally III persons, forego SkId Row and phYSIcally and hotels and Instead are forced to see k :5 he 1 t e r 1 n "ve h 1 C 1 e s (abandoned and theIr own), brIdges and freeway overpasses, parkIng structures, alleys, park benches, all nlght maVIe theatres, dumpsters and trashbIns, and cardboard boxes." Robertson, Ropers & Boyer, Emergency Shelter for the Homeless In Los Anaeles County, BasIc Shelter Research ProJect, U.C.L.A. School of PublIC Health (1984). As a dIrect result of the County's polICY of prOVIdIng temporary emergency shelter almost exclUSIvely In SkId Row hotels, Influx the CIty of Santa MonIca has experIenced a contInual of homeless IndIVIduals who have no meanIngful shelter optIons and sleep In CIty parks, beaches, and vehIcles located In the CIty, thus engenderIng expendItures of publIC resources In the form of Increased law enforcement actIVIty, as well as prOVIdIng funds for food and shelter for homeless IndIVIduals. 33 B. Los Angeles County Effectlvely Denles [ndlgent Homeless Resldents Necessary Emergency Shelter by Locatlng the MajOrlty of Avallable Rooms In Skld Row Hotels. L OverVlew of the I,..os Anaeles Countv Temporary Emergency Shelter Program. Los Angeles IS unlque among major cltles In the Unlted States In that 1t does not prov1de emergency shelter In publlcly County Funded dormltory type faC111tles. Instead, has opted to provlde emergency shelter as part of the Its General Re 1 1 e f ("GR" ) program. Under the GR program, the County uses e1ther the "voucher" system or the "check/warrant" system to provlde Indlv1duals. temporary emergency shelter to quallfled 2. The "Voucher" $ystem. accept Angeles. ApprOXimately slxty-nlne Skld Row hotels have agreed to homeless persons referred to them by the County of Los These faCllltles have been denomlnated "voucher hot e 1 s . II ("DPSS") AIl Coun t y offlces keep a Department of Pub il c Soclal Servlces 115 t of these "voucher hotels" whlch 15 utilized by el1g1b1l1ty workers In asslstlng homeless persons flnd shelter. A quallfled homeless appllcant selects a hotel from the app roved 11 st. The ellglb1llty worker must then telephone the hotel and conflrm that a vacancy eXlsts. If a vacancy eXlsts a "hous Ing voucher" 15 1ssued wh 1ch 15 prsented to the hotel 34 by the appl1cant upon arrlval. Shelter 1S prov1ded from one to seven days. There eXlsts no contract between the vendor hotels and the County. The hotels have agreed to accept a voucher In lIeu of lmmed1ate cash paymen t . When the vouchers are subm1tted to DPSS by hotel owners they receIve deferred p.;:syments} rangIng between e1ght and SIxteen dollars per day. There 15 ObVIouslv no f1nancIal IncentIve .. for the county to enter Into voucher agreements WIth hotels and motels who are located outslde of the Skld Row area, Slnce thls would Involve payment of rates at the maXImum voucher cetllng le~)el of $16.00. Skid Row voucher hotels generally charge rates between $8.00 and $10.00 and thus represent slgnlflcant cost saVIngs for the county. There are no vendor hotel rooms speCIfIcally allocated for use by DPSS. The number of vendor hotel rooms avaIlable for GR applIcants varIes from day to day. Vacancy rates In these hotels are generally hIgher In warm weather and lower In cold and raIny weather. A telllng statIstIC 15 that as of December, 1984} there were 7}200 rooms avaIlable In voucher hotels, however} only 1,400 were beIng utilIzed. As WIll be dIscussed hereInafter} there 15 ample and JustIfIable reasons why ?,800 rooms are vacant In SkId Row hotels whIle parks, doorways, beaches} and automobIles prOVide shelter for thousands of homeless Indn:lduals. The DIckenSIan condltlons and locatIon of SkId 35 Row voucher hotels operate to exclude those most In need of protectIve shelter and General RelIef. 3. The "Warrant/Check" System. In the e....'ent there IS a lack of ....'acancles avaIlable for GR reCIpIents at voucher hotels} the County WIll lssue an emergency check or warrant In the amount of $16.00 to elIgIble lndlgent homeless persons. It IS then the responsIbIlity of the homeless person to cash their check, and locate a hotel or motel whIch wlII prOVIde a night's shelter for $16.00 or less. Howeve r , warrants or checks are rarely Issued Slnce vacanCIes always eXIst In Skld Row voucher hotels. By deSIgn and ImplementatIon, vacanCIes In voucher hotels eXist not due to lack of need but because of locatlon and condItIons. C. Quallf1ed Homeless Indlgents are EffectIvely ForeclQsed from Ut Illzlng AvaIlable "GR" :)oucher Hotel FaCIlItIes Out of Fear for theIr Personal S.;:sfety and Well Belng. By located utIlIZIng voucher hotels, a majOrIty County has eIther of WhICh are by deSIgn or 1 r, Sk I d Row, the neglIgence created and perpetuated an emergency shelter systen, whIch effectively precludes meanIngful and substantial access and use by thousands of elIgIble homeless IndIVIduals. 80th by day and nIght the streets and alleys of SkId Row echo WIth the sounds of IndIscrImInate VIolence. The elderly and mentally disordered are constantly assaulted and robbed of theIr meager posseSSIons. SIngle women are subJect to 36 constant harra5sment and physlcal abuse. Rapes are prevalent. A large number of voucher hotels on the approved DPSS lIst are located fringes. e 1 the r In the heart of SkId Row or on Its ImmedIate The old and the young, SIngle women, and the are sent to these hotels on a dally baSIS. mentally dIsordered The exper1enced and Wise among the homeless SImply do not apply for GR SInce they know where they wlll be sent. They prefer the unknown dangers of sleepIng In parks, doorways, and alleys to the known vlolence whlch awaIts them In many SkId Row voucher hotels. The unInItIated and naIve, many of whom have recently become homeless, qUIckly learn that sleepIng outSIde and faCing the elements are preferable to the constant threat of phySical vlolence SkId Row voucher hotels. As a general rule, SkId Row voucher hotels lack securlty Inherent In OccupYIng lack the safety of their guests. prIvate tOIlet facIlltles A ma Jar 1 t Y 0 f personnel to ensure these hotels In each room, neceSSItatIng use of common tOIlets and showers located on each floor. A great number of assaults and beatIngs occur to hotel guests Slnce there as they go to and from these bathroom faCIlItIes. IS an acknow 1 edged 1 ack lIttle safety behInd a open by IndIVIduals of securIty, many IndIViduals fInd locked door whIch IS frequently kIcked Intent on robbery or assault. Slnce the maXlmum monthly GR grant IS presently $228.00 these same hotels serve as short term emergency shelter and also as the only affordable "long term" houslng for lnd1vlduals on General RelIef. 37 What must be kept in mind IS that GR applIcants from the entIre terrItorIal area of lo~ Angeles County are referred to SkId Row voucher hotels. If a homeless person applIes for emergency shelter In an outlYIng County Department of PubliC SOCIal Servlces DIstrict OffIce they are o~ly elIgible for a maXlmum of 7 days shelter. However, If they agree to accept shelter In a SkId Row voucher hotel, they are automatIcally el1gIble for 14 days of emergency shelter. Homeless Indlvlduals are essentIally penalIzed by beIng deprlved of 7 days of shelter If they attempt to secure or utlllze ~helters outslde the Skid Row area. (See Emergency HOUSIng DeCiSIon Form, AppendiX IV.) A person who applIes at the DPSS off1ce In West Los Angeles has only a mInIscule chance of recelvlng rooms In the three voucher hotels located on the Westslde. On any gIven day on the Westslde, there are only a maXimum of SIX rooms avaIlable 1n hotels/motels whlch have agreed to accept County vouchers In lIeu of ImmedIate cash payment. In thIS SItuatIon, homeless IndIViduals have essentlally two optlons. First, they are referred to a hotel located In the central C 1 t Y they SkId Row area. If they have no transportatIon transportatIon are provlded Wit h bus tokens for from Santa MonIca to downtown Los Angeles. Second, an IndIVidual may reasonably and JustIfiably opt not to go to SkId Row tor a genUIne fear for theIr personal safety or the safety of spouses. In thIS Instance, the IndiVIduals may attempt to secure a bed at private sector shelters If avaIlable, or sleep In vehicles, parks, beaches, or any other 38 locatIon which affords a degree of safety from physIcal harm and exposure to the elements. D. Los Angeles County Has A Mandatory Statutory Duty to PrOVIde Temporary Shelter WhICh IS not In V1olatIon of ApplIcable HOUSIng Codes and IS not Located In an Area Rampant WIth CrIme and VIolence. Indlgency reflects a condItIon whereby an IndIVIdual essentIal food, clothIng, hOUSIng lacks the means to obtaIn and medIcal care. WI th respect to a county's oblIgatIon to aId and aSSIst Indlgents and other segments of the populatIon unable to prOVIde for the baSIC essentIals necessary for surVIval, prOVIdes: Welfare and Instltutlons Code SectIon 17000 Every county and every CIty and county shall relIeve and support all Incompetent, poor, IndIgent persons, and those IncapaCItated dIsease, reSIdent or accldent) by age, lawfully thereIn, when such persons are not supported and re lleved by tr.elr relatIves or frIends, by theIr own means, or by state hospItals or other state or prlvate lnstltutlons. SectIon 17000 Imposes a mandatory duty upon the County and "extends to every person comlng WIthin the terms of the statute dependent upon publIC assistance for the neceSSItIes 39 of Ide." Moonev v. PIckett, 4 Cal. 3d 669,677,483 P.2d 1231, 1237, 94 Cel. Rptr. 279, 28? (1971), Emergency shelter and housing 15 clearly a baslc neceSSIty of lIfe. SInce Welfare and InstItutIons Code SectIon 17000 relates to a publIC aSSIstance scheme or program, WhICh IS of statewIde scope and effect, It to effect the stated objects of Code SectIon 11000; see Rosas v. "sha II be lIbera lly const rued the program.1I Welf. &0 Inst, Mont9omer~, 10 Cal. App. 3d 77, 89, 88 Cal. Rptr. 907, 914 (970), In fulfIllIng Its mandatory duty under Welfare and Inst Itut Ions Code, See t Ion 17000, a county has broad dIscretIon "to determIne ellglbllty for, the type and amount of, and condltlons to be attached to 1ndlgent rellef." County of Los Angeles v. Department of SOCIal Welfare, 41 Cal. 2d 44?} have 458, 260 P.2d 41, 43 repeatedly attempted (19'53). Many countIes, however, to exerCIse complete I oca I dIscretIon In admInIsterIng general aSSlstance programs whlch are patently In confllct wlth the objects and purposes of Welfare and InstItutIons Code SectIon 17000. ThIS dIscretIon, however, can be exerCIsed boundarIes. ASSIstance only wIthln fIxed In admInIsterIng General rellef the county acts as an agent of the state. When a statute confers upon a state agency the authorIty to adopt regulatlons to lmplement, Interpret, make speCIfIC or 40 otherWIse carry out Its prOVISIons, the agency's regulatIons must be conSIstent, not In confllct wIth the statute, and reasonably necessary to effectuate Its purpose. Mooney v. PIckett, 4 Cal. 3d 069, 679, 483 P.2d 1231, 1237, 94 Cal. Rptr. 279,28':) (1971) . In Mooney, the CalifornIa Supreme Court struck down a County of San Mateo regulatIon whIch denIed non-emergency General ASSIstance to employable SIngle men. The Court oplned that when unemployment IS hIgh or on t he I nc rease, "many reSIdents employable of these countIes who are mentally and phYSIcally fact unable to obtaIn fInd themselves In employment " .li!....... at 4 Cal. 3d 669, 675, 483 P.2d 1231, 1233, 94 Cal. Rptr. 279, 282 (1971). In 1976, San FranCISCO County maIntaIned a General ASSIstance program whIch prOVIded a flat monthly monetary grant of $83.00 for men and $88.00 for women. These amounts were found to be far below all recognIzed Indlces of mInImum poverty standards. (TJhe fIXIng of a level of aId so far below what IS necessary to surVIve to persons who have no other means by whIch to II ve 1S arbItrary and caprICIOUS and not conSIstent WIth the Ojbect5 and purposes of the law 41 relatIng to publIc aSSIstance programs set forth In sectIon 10000. CIty & County of San FranCISCO v. SuperIor Court, 57 Cal. App. 3d 44, 49, 128 Cal. Rptr. 712, 716 l1976). Welfare and InstItutIons Code SectIon 17000 15 part of a comprehenSIve scheme of publIC SOCIal serVIces. SectIon 17000 15 set forth In part 5 of Dlvlslon 9 of the Welfare and Instltut10ns Code. Sectlon 10000, whIch appl1es to all services under dIVISIon 9, states the fundamental legIslatIon: protectIon, purpose of "to pro'vIde th us for care, and aSSIstance to the people of the state In need thereof, and to promote the welfare and happIness of all of the people of the state by prOVIdIng approprIate aId and serVices to all of Its needy and distressed. Mooney v. PIckett, 4 Cal. 3d 669, 672, 483 P.2d 1231, 1232, 94 Cal. Rptr. 279,280 (1971). In order to Clrcumvent thelr mandatory duty to relieve and support Indlgents, countIes have plead eIther lack of fInanCial resources or have establIshed General ASSIstance programs which are underfunded or purposefully des1gned to exclude eligIble applicants as a cost saVIng measure. 42 Bernhardt v. Alameda Countv Board of SuperVIsors, 58 Cal. App. 3d 806, 130 Cal. Rptr. lSQ (1976); CIty and County of San FranCISCO v. Superlor Court, 57 Cal. App. 3d 44,128 Cal. Rptr. 712 (1976). Los Angeles County's emergency shelter and hOUSIng program appears to have been conceived, and certaInly has been Implemented, In a manner whIch operates to exclude IndIVIduals who are elIgIble and In desperate need of shelter. By creatIng an emergency shelter system WhICh prImarIly utIlIzes rooms In dIlapIdated, dangerous, vermin lnfested SkId Row hotels located In one of the hIghest crIme areas of the CI ty, the County has VIrtually guaranteed that large numbers of homeless IndIVIduals WIll be denIed aSSIstance In the form of emergency shelter. The nature and locatIon of SkId Row hotels effectIvely forecloses meanIngful use. More Importantly, In applYIng for General RelIef In Los Angeles County. emergency shelter IS usually the flrst and most VItal step In the process. Many homeless IndIVIduals are effectIvely deterred from applYIng for General RelIef at all SInce they know applIcatIon and contInued receIpt of benefIts are condItIoned upon theIr belng true effect of aSSIgned to a SkId Row the County's emergency voucher hote 1. The shelter program not only forecloses access to emergency shelter, but also deters and prevents IndIgent homeless IndlVlduals from applYlng for, and receIVIng, General RelIef. It IS ObVIOUS that the emergency shelter program currently utIlIzed by Los Angeles County IS de lIterate ly deSIgned to save the County money Slnce In actual operatlon. 43 1 t effectIvely prevents and deters qualIfIed homeless for necessary emergency shelter. IndIVIduals And WIthout from applYIng shelter and a resIdence address, an IndIVIdual does not qualIfy for General RelIef at all. What on Its face appears to be a denlal of shelter, operates In fact to also deny all aSSIstance to qualIfIed IndIVIduals In the form of General RelIef. The mandatory duty lmposed upon countles by Welfare and InstItutIons Code SectIon 17000 may not be evaded by pleas of fInanCIal constrcllnts. " It IS clear that sectIon 17000 Imposes upon the . county . a mandatory duty to relIeve and support Its lnd1gents, and the excuse that It cannot afford to do 50 15 unava Illng." Boehm v. County of Merced, FranCISco v. tal. App. 3d ____ (1985); CIty and County of San SuperIor Court, 57 Cal. App. 3d 44,47, 128 Cal. Rptr. 712,714 (1976). If countIes are permItted to restrIct, manIpulate, or deter establIshment of or effectIve utIlIzatIon of General ASSIstance programs by eIther Inadequate budgetary allocatlons or ellgIblIty standards and faCIlitIes purposefully deSIgned to foreclose use bv statutorIly qualIfIed lndlgents, the duty Imposed by SectIon 17000 would for all Intents and purposes become dIscretIonary, rather than mandatol"'Y. Boehm v. County of Merced, ____ Cal. App. 3d (1985). In County of Los AnQeles v. Payne, 8 tal. 2d 563, 66 P.2d 6~8 (1937), the Los Angeles county audltor refused to Issue warrants under an emergency resolutIon authorIZIng $1 44 m tl 11 on dollars for re lIe f of the poor offICIals had and lndlgent. The court held that county no authority or dlscretlon to Withhold the funds Since they were mandatory expenditures reqUired by law. [Tlhe Sltuatlon In the county of Los Angeles WhICh the Increased expendItures are deSigned to remedy 15 of a most preSSing character, and one from whIch ImmedIate rs lIef 15 reqUired If human lIfe 15 to be sustaIned and the health of a large number of persons IS to be preserved. Los Angeles County v. Payne, 8 ea I . 2d 563,568, 66 P.2d 658,663 (1937), The ultImate finanCIal burden of aidIng and aSSistIng lndlgents falls on taxpayers. While the magnItude of thlS burden mer1ts conSIderatIon, courts have consIstently held that WIth respect to the County's mandatory duty under Welfare and InstItutions Code SectIon 17000, "theIr burdens were not so grIevous as to permIt IndIgents In the mIdst of plenty, to go hungry, cold and naked, WIthout fault." Cltv &. Countv of San FranCISCO v. SuperIor Court, 57 Cal. App. 3d 44, 47, 128 Cal. Rptr. 712,714-715 (1976). In San Franclsco v. CollIns, 216 Cal. 187, 13 P.2d 912 (1932), the Supreme Court of CalIfornIa holdIng that a county had a mandatory duty to support Its poor, also considered how It could ralse the funds WIth whIch to do 50. In 1932, at the 41] helght of the DepreSSIon, 40,000-60,000 familIes stood In need of county prOVIded a~sistence. "The grave and Immediate neceSSIty of some salutary measures to care for persons made indIgent as establIshed a result of the current economIC depreSSion 15 by the allegatIons of the petltion. The extraordlnary number of people In need 15 a ma t t e r 0 f 5 U c h common knowledge that we may take JudICIal notlce of It." City 188, and County of San FranCISCO v. CollIns, 216 Cal. 187, 13 P.2d 912. 913 (1932). It was estImated by CIty and county oftlClals that $6,7000,000 would the Indigent SIck property taxes be reqUired In flscal year 1932-33 to aId and poor of the county. An Increase 1n conSIdered and reJected that because the was tax InCrease reqUIred would cause WIdespread default among taxpayers clty and muniCIpal Issue to thereby JeopardizIng the fInanCial stabilIty of the county as a whole. In lIeu of lncreasIng taxes, officals adopted an ordInance callIng for a bond raIse the necessary revenue. The ordInance was delIvered to the county registrar of voters who refused to place It on the ballot claIming It was unlawful. The Supreme Court Issued a wrIt of mandate dlrectlng the regIstrar of voters to place the bond measure on the ballot, holdIng that It was empowered to Issue bonds to raIse revenues In order to comply WIth Its mandatory duty to aId and aSSIst Indlgents. Collins 15 of vltal Importance because It stands for the propOSItIon that whatever the source, be it taxatIon or bonds, 46 a county must raIse the funds necessary for It to comply wlth Its mandatory duty under Welfare and InstItutIons Code SectIon 17000. Las Angeles County had adopted and contInues to malntaln a General Relief Program whlch both In theory and appl1catlon IS clearly contrary to the statutory Intent and purposes of both Welfare and InstItutIons Code Sectlons 10000 and 17000. Eltglble lndlVlduals must have a reSIdence to qualtfy for General RelIef. Homeless IndIVIduals seekIng both shelter and aSSIstance for food and clothIng are prOVIded WIth shelter In a SkId Row voucher hotel. If they refuse or declIne shelter In these faCIlItIes, whIch from all avaIlable eVIdence as to theIr location and condItIon any reasonable person would be JustIfIed In dOIng, they fall to qual1fy for General RelIef at all. It 15 a Catch-22 system deSIgned solely to save the County money and whlch forces countless elIgIble and qualIfIed lndIvlduals to go not only wlthout shelter, but other baSIC necessltles of 11 f e as we I I . In short, the County's aSSIstance program 15 go to SkId Row or go WIthout. Admlnlstrat1ve standards and InterpretatIons must be rejected when contrary to statutory Intent. PaCIfIC Legal Found. v. CalifornIa Unemployment In.surance Appeals Board, 29 Cal. 3d 101, 111, 624 P.2d 244, 248, 172 Cal. Rptr. 194, 198 (1981). "AdmInIstratIve regulations that alter or amend the statute or enlarge or ImpaIr ItS scope are VOId and courts not only may} but 1 t 15 their oblIgatIon to strike down such 47 regu I a t Ions. II Moone~,) v. PI cke t t, 4 Ca I. 3d 669, 681, 483 P. 2d 1231, 1239, 94 Cal. Rptr. 279, 287 (1971). It 1S not the contentIon of the CIty Attorney that the County of Los Angeles IS under a mandatory duty to establlsh and maIntaIn emergency shelters or hOUSIng In Santa MonIca or any other partIcular munlClpallty or unlncorporated area of the County. However, It 15 our contentIon that Welfare and Instltutlons Code SectIons 10000 and 17000 obllgate the County to establIsh and maintaIn an emergency shelter and hOUSIng program WhICh by Its very nature and location does not operate IndIVIduals receIVIng both and deterrent to quallfled shelter and General RelIef as a slgnlflcant dISIncentIve aSSIstance. To meet ltS obllgatlon, the County should provlde hOUSIng whlch meets all applIcable health, safety, and hOUSIng codes, has adequate stafflng to eneure the personal safety of occupants, and fInally be located In an area whIch does not subject men and women to the spectre of runnIng a constant gauntlet of VIolence and brutalIty as the price for emergency shelter whlch they are statutorily entltled to, and whIch the County 15 under a mandatory duty to prOVIde. 48 IV. ANALYSIS OF R~STRICTIONS ON AUTOMOBILES IN RESIDENTIAL AREAS. SLEEP I t~G IN A. Issue. The purpose of Part IIJ of thIS Staff Report IS to examIne legal authority and POlICY ImplIcatIons related to a propo~ed ordInance whIch would prohIbIt or restrlct occupIed vehIcles from beIng parked overn1ght In resIdent1al areas. B. LeQal AuthorIty. The VehIcle Code expressly delegates to CItIes the author I ty to regulate parkIng on streets and In munICIpal parkIng lots WIthIn Its JurIsdIctIon. VehIcle Code SectIons 22507 and 22519. NotWIthstandIng the general power of a CIty tor e g u I ate par kIn g, 1 t 1:5 a fun d a me n tal p r I n c I pie t hat "[ r] he streets of a CIty belong to the people of the state, and every CItIzen of the state has a rIght to the use thereof, subject to leglslatlve control II Ex parte DanIels, 183 Cal. 636, 639, 192 P. 4~2, 444 (1920); see also, Rumford v. CIty of Berkele).!, 3 1 Ca I . 3d 545. 049, 64? P.2d 124, 126, 183 Cal. Rptr. 73, 75 (1982), The mere fact that one's property adjOInS a publIC street confers no speCIal rlght~ upon the property owner. Generally, the owner or OCCUpIer of property adjacent to, or ad]Olnlng a CIty street has no greater property rIghts In the street In front of theIr reSIdence than any other member of the publIC. 49 Ops. Cal. Att 'y Gen. 81 (1967). 49 Cltles may only enact or enforce parklng or traff1c ordInances WhICh are expressly authorIzed by the Vehlcle Code and consIstent I.<Jlth Its prOVISIons. "The VehIcle Code contaIns 1ts own preemptIon rule." County of Los Angeles v. 189, 612 P.2d 24, 26, 16? CI ty Ca 1. of Alhambra, 27 Cal. 3d 18'-+, Rptr. 440,442 (1980). Pursuant to speCIfIC provlsIon5 of the Vehlcle Code a city may "prohlblt or restrIct the parklng or standing of vehicles on certaIn streets. durIng all or certaln hours of the day." VehIcle Code Sect Ion 22'?07. In enact lng parkIng ordInances under SectlDn 22507, a CIty may utlllze a preferentIal parkIng system on deSIgnated streets for the use of resldents and their guests. 8y utIllzlng permlts Issued by the CIty and postIng adequate SIgns, reSIdents and guests may be exempted from parkIng restrIct10ns Imposed by ordInance. VehIcle Code Sectlon 22507. CIties may also speCIfIcally prohIbIt or restrIct the parklng of standIng vehlcles on deSIgnated city streets between the hours of 2 a.m. and 6 8.m. VehIcle Code SectIon 22507.5. PermIts may be Issued exemptIng "handIcapped persons and resldents of hlgh-densIty, multIple-famIly dwellIng areas or SImIlar arees lacklng adequate off-street parkIng faCllltles." VehIcle Code SectIon 22507.5. Whtle SectIons 22507 and 22507.5 dIstIngUIsh between commercl.;:sl and other vehIcles, there 15 no dIstInctIon between occupIed or unoccupIed vehIcles. Both are subJect to munICIpal parklng prohlbltlons or restrIctIons. 50 As a general rule, a vlolatlon of a parklng ordInance constItutes an InfractIon. Uehlcle Code SectIon 40000.1. If a vehIcle 15 unattended <:It the tIme a parkIng ordInance VIolatIon 15 comm1tted, the regIstered owne r 1 s presumed to have comm1tted the Ylolatlon 1 f statutory wrItten notIce reqUIrements are followed. VehIcle Code Section 41102(a). C. RegulatIon of Sleeplng or Occupancy In Automob1les. The CIty CounCIl could ObVIously address the concern of people sleepIng In reSIdentIal neIghborhoods by prohIb1t1ng the parkIng of all vehIcles durIng speCIfIed hours or by InstItutIon of preferentIal parkIng zones. Ho INe ve r, 1 tIS assumed that the CIty CounCIl, thIS area, prefers legIslatlon If It deslres leglslat lon In more spec1fIcally dlrected at the problem of persons sleepIng In auto~oblles In reSIdentIal areas. Any ordInance dIrected at "sleepIng" 15 lIkely to have # enforcement problems. If "sleepIng" In parked vehIcles rather than merely parkIng 15 the focal p01nt of any ordInances, be establIshed. two essentIol elements must Wh 1 I e the SIngle element of parkIng In VIolatIon of posted hours 1S subject to easy proof, the "sleepIng" element may prove exceedIngly dIffIcult. ObVIously, the lndlvIdual must actually be observed "sleeplng.1I In vehIcles WhICh are beIng ut11lzed as a temporary or permanent reSIdence and have portlons not readIly acceSSIble to VIew such as campers, vans, 51 and trucks wIth shells, proof sleeping may be Imposslble. If, rather than fOCUSIng that an IndiVIdual IS actually on parkIng and sleeplng, the ordInance Focuses or, pa rk I ng and 1I0ccupancy" of vehicles on deSignated resldentlal streets, there are st1LI problems With determIning WhICh types of occupancy should be restricted. Occupied vehicles are frequently parked 1n resldentlal areas for a varIety of reasons and tIme perlods. At what pOInt In t 111'8 after parking does contInued occupancy of the vehIcle constitute a VIolatIon' Is the occupancy tIme frame ten IndIVIduals occupylng a parked mInutes 01' an hour or more? Are to or lIstenIng to musIc for a deemed In VIolatIon of the car and who are talklng, neckIng susta1ned ordlnance) t Ime perlod be In the opInIon of the CIty Attorney, the proper focus of an occupancy ordinance IS on the amount of tIme a vehicle IS occupied and not who IS OccupYIng a vehIcle or the speCIfiC purpose the vehicle IS belng occupIed. PolIce ofFlcers are 1n a poor pOSItIon to make determInatIons other than tIme of occupancy. There are essent1ally two prImary competIng Interests whlch must be carefully conSIdered and weIghed In determinIng whether an ordlnance restrlctlng or prohIbIting overnight occupIed vehIcle parkIng should be adopted, and If adopted, Its speCifIC prOVISIons. That segment of the homeless commun1ty who use theIr vehIcles as theIr prImary means of shelter utilIze reSIdentIal streets because reSidentIal areas 52 are essentIally safer and provIde less rIsk of phYSIcal harm, harassment} and theft than oarklng In commerCial streets and lots, WIth hIgh pedestrIan and vehIcular traffIC. ReS1dents In areas where occupIed '..'eh lC les are parked for prolonged related to whether or perlods also have legltlmate concerns not the IndIVIduals are harmless or surveYIng the neIghborhood for crIminal actIVIty. In strIkIng a balance between these two lnterests, the Clty CounCIl follOWIng: mIght conSIder an ordInance such as the No vehIcle occupIed by any person for more than 30 minutes between the hours of 12:00 a.m. and 15:00 a.m. shall be parked R-2-R, on any street In the R-1} P-2, R-3} or R-4 ReSIdentIal DIstrIcts after any occupant of such vehIcle has been ordered by a peace offIcer to move such vehIcle from such street. An ordInance of tl-ns nature has the advantage of partlcularlzed responSIveness to CItIzen complaInts. As an a I ternat Ive, or In addItIon, to conSIderIng the adoptIon of an ordInance WhlCh restrIcts occupIed vehIcles areas, the problem might be frDm beIng parked In reszdentzal alleVIated by prOVIdIng a superVIsed parkIng area near restroom faClllt1es for IndIVIduals USing theIr vehIcles for shelter. 53 V. RECOMMENDATIONS. It IS re~pectfully recommended that the Clty Counc11: 1. Adopt the accompanYIng resolutIon urglng the State LegIslature to enact legIslatIon establlshlng mandatory Qutpatlent programs and faCllltles. 2. Take such actlon as the CIty Councll deems approprIate to address the f"n lure of the County of Los Angeles to comply wlth Lanterman-Petrls-Short Act admlSSlon standards for "gravely dIsabled" IndIVIduals. 3. Take such actIon as the CIty Councll deems approprlate to address the faIlure of the County of Los Angeles to comply With its mandatory legal duty to prOVide shelter for the homeless. 4. Take such actIon as the City CounCIl deems approprIate WIth respect to restrIctIons on parking occupIed vehlcles In resldentlal nelghborhoods. PREPARED BY: Robert M. Myers, City Attorney Raymond F. CorreIa, Deputy Clty Attorney S4 APPENDIX I CA Rr1M: rC~ot res City Council MeetIng 1-29-8~ Santa Manica, Callfornla RESOLUTION NUMBER 6969(CCS) (CIty Councll SerIes) A RESOLUTION OF THE CITY COUNCIL OF THE CfTY OF SANTA MONICA URGING THE STATE LEGISLATURE TO ENACT LEGISLATION RELATING TO THE MENTALLY ILL HOMELESS i.J~EPE~'3 , currerlt prOVISIons of the La~terman-Petrls~ Shorr: Act relatIng to CIVll CO 10m 1 t rr.e r. t o~ the mentally cIsorder""d 3nd graveiy jlsabled are lnadequate for deellng Wit r tre c.....; r 0 n I C a 1 I y me n tal I y 1 1 I who either refu5~ Qr are reluctant to ~e~K treatment; and WHEREAS, lndlVlduals are released Into the community from state ~Gspltais and county mental health facllltles who are Incapable of surVival In the communIty Independently or WIth The ~elp of famIly or frlend~; and WHEREri5. current prOVISionS of the lanter-man-Petrls- Short ~ct Co not reqUIre a mandatory pre-dIscharge ceter-mlnar Ion to be made on the Issue of whether an IndiVIdual IS cap3b:e of survlvlng Independently outSIde an Instltutlon ~lthcwt so~e care and superVISIon; ~nd uJHEREAS, rnan).' of the homeless people wandering the streets Of Sa~ta Monica and other c1tles throughout the state and crowol~g emergency shelters or gOIng Without shelter are 1 chrOr"'lcaLly menta lly I 1 1 and are 1 n desperate need of ap~~Dprlate treatment arC shelter and whE~E"-4S, InstItutionalIzation In state mental hospitals I :s net always an appropriate or necessary optlon In deallng wIth chr,:;nlcally mel1tally III homeless l"'ldIVlduals; and WHEREAS, some homeless mentally 1 1 I IndlVlduals are "G.-.avely DIsabled" and due to the nature of their mental dl5orde~ are unWillIng or Incapable of utIlizing voluntary a55~staf"1Ce or treatment In those Instances when 1 t IS avaIlable; and WHEREAS, courts of thiS state are currently WIthout the opt Ion of InitIally commIttIng mentally dlsabled or mentally disordered IndiVIduals or plaCing IndIVIduals dIscharged from state hosplta~s and county menta! health faClllt les Into mandatory outpatient treatment programs; and WHERE'-6 ) there ar-e Inadequate rumbers and types of ccmnunlty me~ta! ~ealth faCilItIes SUItable for Implementation of a ~andatory outpatient treatment program; and WHERE~S. CIty streets and emergency shelters have become alternative l'1S~ 1 tut lons to house large numbers of mentally , , 1 1 i per50~5 wno are no longer beIng served by the county and state mental health treatment sY5tem; and WHE2EAS, approxImately 20 states currently permIt a court to order mandatory outpatIent treatment In place of hOspltallzatlon for patlent~ In the CIVIl commItment proces5, 2 NOW, THEQEFORE, THE CITY COUNCIL OF THE CI1Y OF SANTA MONICA DOES RESOLVE AS FOLLOWS: SECT ION 1. The CIty CouncIl of the CIty of Santa MonIca Su~DOits the enactment of legl~latlon by the Callforr'lCl LegIslature to establIsh a statewlde ~ystem of court ordered mandatory out-patIent treatment, p~e-dlscharge hearlngs ~rom state ard county ment~l health InstItutIons, stanc!ard'5 far "gravely disabled" to el"sure and tIghter conslstent 5tatew~ce applIcatIon. These programs should Include and enco~pass the followIng ele~ents: (a) A fundIng mechanIsm that a II ows fo r the slmultanecus prOViSIon of mental health and shelter serVIces WIt h for varled lengths of stay and Intensltles of Interventlon the I-Iorr>e less chronlcally mentally 1 1 1 . These would Include: 1 EaSIly acceSSible dormItory type emergency shelte"'s. 2. Structured brlef atay rC51dences. 3 I~termedlate stay hOUSing wlth both shared and pr.vate rooms. 4 Aoequate and aFfordable permanent houslng. (b ~ ir.e !:neiter and treatment needs of tf;e h~meless chr"onlcally cne r' tally 1 1 1 pop '..J i a t 1 0,' be speclflcally lncluded 1 n courty p~arrlng serv:ce prIoritIes under the Short-Doyle Act 3 (c ) lJutreach assessment a.,d evaluation serVI,:es designed tc contact ~omeless me n t a I 1 Y 111 persons In the places w~~re they tend to congregate (d) ~edlcal care must be made available since homeless ~e~tally disordered IndIVIduals ~uffer an extraordlnarlly hlgh rate of medical and hyglene prablems. (e) A5s1gn~ent of a case manager responsIble tor each pat lent ar'd :..J 1 t h authority to deSignate and Implement mandatory treatme'lt and service plans. Case managers ~U5t ~alntalr ero~gh contact With patIents to recognize eVidence of lr'creased SOCial adaptation or clinical exacerbation, and to gUIde patients to the services approprIate at any time. ( f': : t1entai hea 1 t h staff speclflcally selected and trained to wor~ With the ch~onlcally mentally 111 homeless. (g ) A mandatory determinatIon be made prior to an;,.J IndIVidual being dIscharged from a state mental hospital or cou~tv me....tal health faclllty as to whether the Indlvldual IS capable of surVIval 1n the community Independently or WIth the r.elp of family or friends. (h) If an Individual 15 found Incapable of surViving Indepondent Ly In the communIty, the court may utilize the oPt lon of placement 1n an appropr1ate mandatory out-patIent as the IndIVIdual IS found to be orogram Lint: 1 such time capable 0;' Independerlt liVIng. ':';:::CT I Oi~ 2. The City CounCIl of the City of Santa MonIca Cd lIs uP-:"l'I local City governments and the County OC Los 8ngeles t~ or;ng before the Governor and State Legislature the 4 press 1 '--'g reed ~or a mandatory outpatIent program In order to realIst lcall'), co~prehen51vely, and 5ystematlcally respond to t~e problem of r~e chronIcally mentally 111 a~d especIally the hcrr;eless chronlcaliy mentally Ill. '3ECT : QN 3 The Clty Clerk shall certIfy to the adoptlon of trls ~esolutlon, and thenceforth and thereafter the same shall be In ~~ll force and effect APPROVED AS TO ~ORM: ~~.~~ ROBERT M MYERS -- CIty Attorney ? Ado~ted a~C approved thIS 29th day of January, 1985. / I A /IAA V V:J" \ I hereby certIfy t~at the foregol~g ResolutIon No. 6969(CC3) was duly adopted by the CIty CouncIl of the CIty of Sa~ta MonIca at a Uleetlng thereof held Or'l January 29, 1985 by the followl"'lg C0UI1Cll vote: 4.yes: Cout1cllmembers: Conn, EpsteIn, Katz, Zane and Mayor Pro Tempore Je!'1nI~gs Noes: Cou'1cIlmembers: NOr'le i\.bstal'1' Cou"lcllmembers: None ~bsent: Cou:>cllmembers: Edwards and Mayor Reed ATTEST: ~11 ~~ CIty Clerk VOTE' AffIr~atlve- Negatlve' Abstaln' A b s e nt- ..E'.c-7 C<' /-!f.,.J s: /" vCec_"f PROOf' YC:':!=~ ~;,;r:-H A;(OTHER PERSOS BEFORE ANVTHIKG DISTRi3UTIO~- ORIGI~Ai ~o be signed, sealed and BEFORE DISTRIBUTIO~ CHECK CO~TE~T OF ALL / CJ i Ci ,c !Ie' / df f)/c- /1 - '{! - I . , ,/V6 S;-47~ ~, .:7/ J- DISTRIBUTIO~ OF RESOLUTI0~ # Councll ~eetlng Da!e ~genda Item ~ l\' as 1 t amended? FOR CITYCfERK'S ACTIO?\" ORDIN~\lCE if Introduced- Adopted- P.JJ.iAYS Pu13LISH AOOPIED ORDINANCES * *Cro5s O'J.t l\ttorney I s approval ~ ~EWSPAPER PUBLICATION (Date' flIed In Vault. J ) Department origlnatlng st2ff report ( ~anage~ent Ser~l~es Lynne 3arrette 0rdlnances only Agency mentIoned In document or staff report SubJect rlle (agenda packet) Counter flle Others' ;hrport Parklng Auth. Aud:;toruTJ1 Personnel BUlldlIlg De;;t PlannIng En1."1 ron. Serv Pollce (en- forcement?) FlJ~ance PurchaSIng Flre Recr,lFarks General Serv . . LltJrar:v- Transportation Treasurer ~tanager SE~D Fnu~ COPIES or AL~ ORDINANCES TO: COD~D SYSTE~S, Atin Pete~ Mac(earLe 120 ~~aIn "<~;:r<.:"et AV0~. ~ew Jersey_Oi7li I I I SEND FOUR COPIES OF AT.! ORnT~A~rp~ to: PRESIDING JUDGE SA~TA MOKICA ~UNICIPAL COURT i 72 S ~1AI\ STREET SA~TA ~ONICA, CA 90401 ~ ". (certifIedQ) 1 1 . *Check Code SectlOns before sendmg. TOTAL COPIES ~L APPENDIX II .. ' DEPARTMENT OF HEALTH SERVICES . COUNTY OF LOS ANGELES · HARBOR.UCLA MEDICAL C5I"TEij (213) 533- 2101 WILLIAM H SWANSON. M D MEDICAL DIRECTOR November 28, 1984 EDWARD J FOLEY HOSPITAL ADMINISTRATOR James F. Keane ChIef of PolIce [1 tv of Santa r10mca Departme~t of PolIce 1685 MaIn Street Santa MonIca, CalIfornIa 90401 Dear ChIef Keane: Los Angeles County Harbor-UCLA MedIcal Center provIdes psychIatrIc evaluatIon serVIces 7 days per week. 24 hours per day. ThIs IS not precluded by the fact that It IS frequently very dIffIcult to fInd beds for patIents requIrIng hospItalIzatIon. From tIme to tIme our volu~e of patIents awaItIng hospItalIzatIon far exceeds our physIcal capacIty and abIlIty to adequately hold addItIonal patIents. and we may ask that you delay as long as possIble before presentIng the patIent at our faCIlIty. However, we want to always work closely wIth the polIce, keep you Informed of the sItuatIon and the reason for any delay In acceptIng the patIent. I apprecIate your takIng the tIme to brIng your concerns to my attentlon and I have shared your letter wIth the ChaIrman, Department of PsychIatry. We hope that such occurrences can be kept to a mlnlmum but that you can also understand the problems that we sometImes face In deallng wIth the patIent populatIon. If I can be of further aSsIstance, please do not hesItate to contact me. SIncerely, ~;p Admlnlstrator ~ .... '"" .... ""' EJF: T Af'.1: mz -.; -- .. , o \0 :'? .... --:~ ~"r. - c:x;) -c- 1000 WEST CARSON STREET. TORRANCE. CALIFORNIA 90509 % APPENDIX III c ( ) L ~ I Y 0 F L () S ,\ '\. ( 11 - I J - S ~ J98~8S (~R\'D ILRY , ~ .. c ~ C I" ~ t . A. L L -;:: ,_ ...) ~ F;.; II C. t. G les A> ri[~ C.r...:...-"r- L.---'02 !:- -I. ~;3 JonU21-y ]5, 1985 ~orOJ~~}e =C21d of S~pelvIsors ~~3 P?]} of ~~mln'st]atlon ";(:0 i~Lst Tl--rJe Stlcet ~ c s ].. ;-. 9 E ] C" s, C a j 1 f 01 n j a 9 (: 0 ] 2 C<:-pt] co;,.con: 'jr.e Soclal Selvices CO~tlTlttee of the J.cs :'-,sc]cs CC'unty GJc],d ,~t ' ! Y 1) J ~ e 1 \. 1 L"'" <.? d a r 'n I n J. s t rat c r sa" d c-' P I 0 1 l~ C, S 0 f tho see c' \) n t y CCf2'lt,:-,,-c.n'Ls \}'lch provl<5e selVlccs {or the Lcr,c:>)l'ss. Ve viSlted CCLrly facl]ltlcs as well as prlv2lely fc~~C'd s~clters. ~~~bels C'f tLe Cl"I':,:t'Lce 2colted Sl"'vc-ral j"eetlJlgs of the COUl1t}-\,'~de 'Task FOlce on the ~cre]c~~. St~alC'S ~ere r?de of e~t('-rsive lcports on t'~e GJjjf'i,c:,cn of ih? plc,bJr-iT'. Our fll~(:2] gs il.dIcate the f 0] ] c y':;' "g : J,es ;".nsC']cs COl:"ly ):( alS ",n t:--';21r shC!le of the bu::.opn of a naijo'-,al p'obJern. T)CC-1(? 21e [IUD 35, to 50,000 hc;i1el(>~s l.lVlng tb1 Cl'~J-ic,ut J.es ~J CjC>] es CC'.;l1ly. TIns hc:s cc".e r.~)out pllr.arlly U' ~ 0 L 9 h (1) c e j J1 S i 1 t u i .1 CT cd 1 Z a t Jon - - n a 'l1 0:- y J. de d ll'T, p:1 n 9 0 f l- U ,- G 1 pes 0 f i >. 0 U 5 c jl C 5 0 f ,;-, <2 r. tal 1 y 1] 1 c'" tot. }-, est r e e t s ; ( 2 ) ]'-'Co-".';520 \Jr:. r:::Tpl 0) '":Ient crJd under Ec;-,?lo~ J-.<::nt -- nany ne\,'ly U,-'(~',~)]cj.c:>d, sIngle parent L",mllJC2S and ~'Gur'ser men and ,'orren \\110 h2::ve \-'c'l~.ed all theIr lIves end are po....' u:lable to fInd jobs the so-calJed displaced ]T']f3ole class~ (3) lalge pCrT,bers of ~ unig1 ""Its and 1 efusees locc.t2ng .1n Los ;'"seles County; (.q "G:rcihourod Therr.py" -- tbe lest of tl~e r,ctlon gi"')JJg the llc,-,elc.ss a olJc-\:ey tlc},et to J,os ;"rgclcs, j.=;]dng this County the rC:-Ilosll0:q: of a patJo)~al plobJeoiTI apd U~e Capitol of the homelcss. \;h J j e ..... e a p p } cud the 5 p] end.1 d v 0 ] un tee ran d p r (1 f e s S .1 0 n ale f f (n t s to dale, far too little is being done to resolve the plight of t '!-Je h0iO,e] e ss. J.] 1 t he l~ent a 1 Rea 1 th Reg ions in Los Ange 1 es County are funded only to approximately 20% of the level recom- r'C'JJopd in tr.e Califol-nia IJccel for Care of the nentally Ill. Thcse given priority for service are the severely and chronically disturbed patients -- the rest, for the most part, are on their o.,.,,'n. l~lfare offices in the Central area are a o.1sgrace. They are over-croV'ded and unGer-staffed. People needing aid generally ~ait as much as a full day and even ]o0ger to be interviewed. J~entally disturbed and e~otionally distraught applicants are ur-able to f111 out the COmplex and repetitive forms. A mistake I' ..It I :: I' 'C.] :' l~ ] e Be a r d 0 f Sup e 1 v J .., 01 S 2 .1"'il;,~lY ] 5, ] 9~S or an inflaction leads to timc-co~su~ing corll?ctions, possJble denial of benef1ts or a 50-day penalty, and lcturn to the stlcets. The ],O,lC? 1 ess are e> posed to viol ence c: nd (:,,01 i oni'll problems \ 'hi ch oft0n lead to involve~ent with drugs 2nd alcohol, further ~sgJ2\al1-g the ploblem. The bome]ess ale ~ubject to selious rr-JysJcal 1]][";(>5S due to poor hysiene apd L~ck of S.1nltary r",cJ1J1Jes. 'ihJS lc?r.s to potentJal cc,-.s"crdcable c11sp<se r 1 ct. 1 t.-'-'- S ~ U C l-) a s t t' !J.:' 1 C u J 0 S j S,C Y S Eo n t e r y a r; d e \ en the p r. c- U ..'ie' n i c [elm of bvbonic pJague. ThJS 1S a ~eritable pc~der keg. Thc-re J S a scarci ty of lo.....-cost housing, e\.en for lc.....-incor.le ir'CIVJduals \~'ho are otherwise ",ble to care for thel;-:sel\'cs. It reS bc-en alleged that the Department of Public Soclal Selvices hes FJaccd the homl?less in dIlapidated, rat-Jnfested Sh1d Rev.' hC\~Slr>g. !,'ost gO'vE'J1'rents, JJlcJuding Lcs .z.,~'gples County, use the "Calcutta J:ethoa", "hich is to igl'Cle the plobJe;n untIl the C<-~\)lt t2J...rs ?:ction, then o.;.:::'q~ as s]Cv.' cf1d fcr:b]c a ;-(-':o20'1se as l"C':cc,Jb]e, ?-po '" 1-] en t r, e ] 2 \. Y e r s S 0 Z" \ c y, d lOp t l-- e r.=:]]. It -:':-i-.(2;) s U'at in ros l,;-'S('}cs Cou1JLy t 1]e cbJl?ctive J S to t~]~lrate flom publJC assistance as rrany people as possJbJe for 25 Jrpg as pcsslbJe, thus koepipg dc~n County costs and ploVJdlPg ~s )ltt]e ~ervice as pOSSIble to t~ose most in need. '[lpJe J5 no quick flX, but tllcre 1S no ITt.ystery about the nature of a ;~iore c:pplOprJate solution. Esst?ntJal1y it \,ould call for CoJ q:JPg out the 2bo1ted plans of the ]963 ConJ.lunlly ]':ental )1("aJth ley.; by prOVJdIr1g a spectrum of housing options and related };ealth care Ci!ld socJal serVlces for the mentally .111. The nc"'ly unerrployed could rel-j2bllitate t~(:mselves ~ith sene assistance and ,-rr.plcj.r;,ent 1..1-,at pays F2ges high Enough to plovloe for their basic nccecs. T}le cC' -"un1 ty 1:1<:,nt a 1 hea 1 th mO\'E-if,ent fa 1] ed prima r lly becau se the FGdelal and State governments did not allocate the money needed t-o fulfIll 1ts plomises. The ne\_'ly unE-Irployed are the victims of lack of jobs and eco~omic policies and mar.age~ent decisions over ~hjch they have no control. This situation is a national problem a~d a national disgrace. In su,,~ary, the problem of the homeless in Los Angeles County has strained local resources to the breaking point, e~posed a growing, vulnerable population to social and economic problems bEyond local government's ability to solve, and e~posed all of the citizens of Los Angeles County to a serious potential health problem. f Fc ,'('J "bJ (? FC?l d of Sl:P(:l \'1 ~,()rS 3 ,1,-;'\'rlY ] C, I ) <:1'5 Th:?l cfore, the Los l<ngeles County Grelld Jury ~l gl2s the Los ArgeJes County Board of 5uperviscns to j;--L'Oiedlolely }CgllPst that l~e Govprror of this Slate take the foJ]o~ing steps: 1. J~sue a Governor's Frocl2~atlon declarIng Lcs pngp]es County a di525ler arpa, and 2 . F (" Sue s t t 11 a t tl-; e F 1 Eo 51 d ('- n t 0 f t Y e l~ nit e d States lss~e a maJor dIsasler dpcl~ralion for Los !s.geJes Cour,ty. J'hJS process, If CLlpletc-d, \~'IJl Ja}~e f0cc-ral :Ur~~s ,n'olLobJe to ~ddlCS5 the ffiultiple pr0bJe~s of the hc~eless 2S fCSCllbcd hereIn. Very truly }CUlS, Q:<,../ .{Jel!...} ;iL- G_ orla Deh"ll t I rorC::~2n JS c: F'?:ch S',12erv] sor Ch J EO' f .~ G ;;-, I n 1 sir a 11 \" e 0 f f 1 C e r :'''ch i or-Con 1. ro] I (>r DIrector, Depar~ment of publIC SocIal SerVIces ~ctlrg DJreclor, DepaltTent of ~ental Health DJ yco-elor, Eca] 1 h DeF?: 1 t 'f,e nt APPENDIX IV .MGmS . t e ----- -~~-~~-~~~ P_l!U."fC SCCIAL SE1tvr(-~~ ~ .PR" GamtAJ.. FJ;1.TEF APPLICAl'lI' &mGEra iD1S1lC !)FrTSTnN -Case Nu:ber 1 I , DLiUict s;-..."'~. I r Applicant". s ~ , ?art I - Emergency Ho$iog Avail~hle (AT J. GR. Dis l.J.l.cts) [J Fzn,::rgenc:y lhusiIli Available l~ and Address of Facility) AppliCBn~ s Ikcision [J I underst.and that: I can be issued up to 7 days emergency hous~ (up to 14 days if I applied at the Civic Center or Echo Park disu.i.ct offices) plus rourrl trip tra..'1Sportati.cn funds (if the ~'tgeo:y rocsire bcility is mre. tl't.an a ~e av.~y from this rH ,c::tri.ct office). I agree to accept this e:nergency housing vacancy . [] I do not want to accept this ~ency housing. I understand that this I"FBT'1S I will not receive emergency hous~ at trlis t:im,!.. Part II - No fm~rgalCy Housirrg Availahle in Dist:rict Office Area (CAltlying Distticts Only) [] There is no e:aergency hou..c;ing available in this rli$trict office area. 'Il'-.e Eligibility Wo::ker can try to find ~rgency hous~ in another dist.:.ict offire area, W'hiCl."1 incl~p-s t...~ cenrral Los Argeles City area. You can be issue:i up to 7 days ~e-rger:.cy hous~ (up to 14 days if you applied at the Civic Center or Echo Pari< district offices) rIus :u.n::i i:~l.p tra."'lsportat::inn funds (if the emergency OO.lSi...Jg facilit'j is iiiQ~ tT..&n a mile a"..ay from tiIis district office) . ~p licant' s Decision_ [J I want the Eligibility Worker to try to find 1odg~ in anot1::er area. [J I dv not \<.a.'1t lcxiging in anotr.er area. I ~erst&"ld that this :,/,~.c:lns I ",.-ill not receive PmPt'geocy lodging at this time. Signacure of ApplicCi.ac Dei te Signature of EligibiliL-y Wor:~r Date . ........ - .. r ~e !I ~.=====_=sa:=~====UD_________~~~______~_~~~=.~==.__~_____"'======:==~====== = FeR Q)um USE CliLY Applicant: [J Has Idenf:{ n.cation. [] Does not ha."1:! identification. [] Applicant d:cla:-€d that he/she did Dot WR..I1t General Relief e:nergency lodg~ but would not fill out thi.s fot:m.. [J Applicant refused to sign this fom. [] Emer-ge1CY hous~ was found tr.l on - (District Staff Persons N.:>"';P & Tide) -- (u,-',,:e) lit"' "f'O 1. -1 ~ . ~..... JV-c / Il -II-F/ , //70 3c!--oOL/-02-!' ~ . . . PEPOP"" . TO THr. cr TY comTr L 0F 'I'nr; CI Tl:~ O~ SARTA ~fmiICA OX T:IF H0'1ELCSS I ~ SN~T.n ~~ON"ICA . BY ROBERT ~'. r1J.TRS, CI":Y F_""':'ORr~E'Y Dr CEr~ BER 11) P4 . . . . .. . r EPC'.:_'-' TO THr' CI IT C01j~TI L ('IF ':'~lE CI T'! OF SNJTA ~fmaCA ON ':'~F HCt'El..,CSf3 It, Sl1l'JT?-. ~fO~ICA - BY 8.CBf:RT~' t'!l:TnS, CITY l>'T'~O'RUFY Dr-cn'PER 1'J R4 ... - . -- ... . . TABLE OF CONTENTS ,Page II. I. INTRODUCTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ..1 THE HOMELESS . . . . .4 I I 1. IV. v VI A. Why and How Many. . . . . . . . . . .4 B. PsychologIcal and PhYSIological Consequences of Homelessness . .8 VAGR~NCY ~ND DISORDERLY CONDUCT. . . . . . . . . . . . .. 15 ~ HIstorIcal OvervIew .15 B Vagrancy .. 16 C The DemIse of Vagrancy and the RIse of DIsorderly Conduct.... ...... .19 D CalIfornla's DIsorderly Conduct Statute... 22 THE PUBLIC INEBRIATE: THE IMPACT OF DECRIMINALIZ~TION . . . . . . . . . .. 30 A HIstorIcal OvervIew . . .30 B PublIc InebrIatIon as DIsorderly Conduct....... 31 c Sundance and Beyond......... .35 D De Facto Decrlmlnallzatlon and PotentIal JudICIal DecrImInalIzatIon . . . . .. 37 E. The PublIc Inebr1ate Problem In Santa MonIca ................ .40 PROSECUTION POLICIES. 43 HISTORY AND DEVELOPMENT OF MENTAL HEALTH SERVICES IN CALIFOR~IA ........ 46 A Common Law..... . . .46 B CalIfornIa .... .. .47 c The DeclIne of CustodIal HospItalIzatIon for the Mentally Ill.......... . 49 D. The Advent of Communlty Based Mental Hea 1 th Dell very Systems.......... . . . . . . . . . . . . . . .52 ~ E The Lanterman-petr 1 s-Short Act................ .54 F LPS Act Custody and Commltment Problems........ .57 G The Short-Doyle Act and Community Mental Health Programs and Facilities .................61 H. Dlstrlbutlon of Short-Doyle Community Mental Health Funds 1n Santa Monica............ .64 I. LPS Act Placement and Treatment Alternatives... .......... VII. . . . . . . .68 APPENDICES CONCLUSION AND RECOMMENDATIONS 77 AppendIX I: AppendIX II: Append 1 X II I : AppendlX IV: AppendlX V: AppendiX VI: AppendIX VII: .- - Art1cle, Santa Monlca Even1ng Outlook (November 22, 1984) Bassuk, The Homelessness Problem, SClentifIc AmerIcan, Vol. 251, No.1, p. 40 (July, 1984) Map Show1ng LocatIon of Homeless Shelters and Domestic VIolence Shelters In Los Angeles County (1983-84) DeclaratIons of Homeless Persons 1n Los Angeles County CIty of Santa MonIca Arrests for PublIC Drunkeness, 1960-1983 Federal Bureau of InvestIgat1on, UnIform CrIme Reports C1ty Attorney Prosecution Pollcles W1th Respect to Alcoholic PublIC Inebriates, Homeless, and IndIgents (November 26, 1984) Appendlx VIII: Prosecutlon Summary (January 1, 1984 - November 15, 1984) AppendiX IX: 1983-84 Short-Doyle Commun1ty Mental Health FundIng Allocat1ons for Coastal Mental Health Region and Santa Monlca West Mental Health DIstrlct - - i1 AppendlX X: Summary and Recommendations of the American psychlatrlc Association on The Homeless Mentally III (1984) ~ll Human creatures. we care INTRODUCTION belngs are highly social We depend, far more than to acknowledge, on the acceptance of others and on their perceptions of us To a large extent, precisely who we are IS reflected In the attitudes and reactions other people exhibit toward us. Inclusion In the Institutions and the fabrIc of our society IS Integral to our sense of substance, slgnlflcance, well-being, self-worth To be Ignored, cast out, or excommunicated IS, In some very real way, to cease to be. I am not acknowledged, therefore, I do not eXist No experience was more powerful or more Immediately destructive than the exclusion and the InvIsibility homelessness. Homelessness that accompany Hombs & Snyder, In America: A Forced M~rch to Nowhere 117 (1982). It IS an uncontroverted fact that homelessness is both a national problem and a natlonal disgrace The ranks of the homeless are primarily comprised of the old, SIck, unemployed, physically disabled, mentally dIsabled, displaced, and 1 dIsenfranchIsed. However, It would be both naIve and deceptlve to portray the ent1re homeless population as harmless. There is a dlstlnct minorIty sub-group among the "new" homeless lnhabltlng the streets who are young, able-bodIed, and Jobless. Observers note that these lndlVIduals prey on the older, defenseless homeless populatIon and frequently engage In antlsoclal and crimInal behavIor. It IS towards thIS crImInal element among the homeless that law enforcement resources and energy should be focused. Recent arrests 1n PalIsades Park of IndIVIduals claImIng to be tranSIents on felony narcotICS charges reflects a pollcy deSIgned to deter crl~lnal conduct rather than punIsh status alone (See AppendIX I An analYSIS of avaIlable statlstlcal data strongly sUfports the conclUSlon that the problem of the homeless, publIC lnebrIate, and IndIgent In Santa MonIca IS not of recent orIgIn nor attrIbutable to any change In munICIpal law .- - enforcement or prosecutorlal POlICY. Currently, Los Angeles County has the largest populatlon of homeless people In the UnIted States Santa MonIca due to . Its locatIon, clImate, accesSlblllty, beaches and numerous public parks, has contInually attracted a sIgnIfIcant number of homeless IndIVIduals The sltuatlon In Santa MonIca 15 - - exacerbated by the County's fallure to prOVIde adequate shelter faCllltles and the lack of communIty mental health faCllltles responslve to the needs of the mentally dIsordered . homeless. 2 . . . In addItIon to publIC and socIal POlICY consideratIons, the problem of homelessness In AmerIca IS Imbued wIth strong moral and ethIcal consIderatIons. While great in number, the homeless are polItically powerless They lack both fInanCIal resources and meaningful access to governmental agenCIes WhIch are essentIal to redress abuse and neglect. Moreover, homeless persons are denied access to the vote In almost all areas of the UnIted States SInce they generally lack a mailIng address or other proof of reSIdence to qualIfy them to regIster to vote LOlterers, wanderers, the homeless, Indlgents and publlC InebrIates have a long and palnful hlstory of engenderIng hostIlIty wherever they may be. However, court deCIS10ns have properly set clear restraInts upon courts, law enforcement agenCIes and communItIes as to how they may respond to those who are perceIved as SOCIal and economIC undeslrables . . . . . The subJected condItIon conduct tIme IS long past when an to arrest and Incarceration IndIVIdual may for a status be or rather than for engagIng In crImInal acts or The law Will not sanctIon munlclpalltles WhICh . attempt to banlsh the poor from thelr enVIrons. They cannot InItIate "clean up the CIty" campaIgns In whIch undeSIrables are rounded up and herded to JaIl Only the commISSIon of speclflc crImInal acts wlll Justlfy arrest and IncarceratIon of any CItIzen whether poor or rIch. PublIC outrage and hysterla should never be a SubstItute for the rule of law . . 3 . . II. TH~ HOMELESS. A Why and How Many . It IS more than dIsquIetIng to walk the streets of Santa Monrca, and other cItIes across the country, and see the large and ever-IncreasIng populatIon of homeless/destitute people. . What are the soclal forces behInd the appearance of so many people on the street? How does one reconcIle thIS large and hIghly vlslble populatIon WIth assurances from our natlonal . leaders that we have entered Into an era of unprecedented prosperIty' (H]omelessness appears to be a . SOClo-economlC condltlon WhICh may be less the manlfestatlon of Indlvldual shortcomIngs of homeless IndIVIduals, . and more the result of a troubled economy WhICh IS characterIzed by structural unemployment, delndus- . trIallzatlon, and the lack of low-lncome houslng.~1 . . . 1/ Ropers & Robertson, The IDner-Clty Homeless_of tos Angeles: An EmpIrIcal Assessment 33 (1984). 4 . . Recent studles on the causes of homelessness in AmerIca IndIcate there are presently more AmerIcans who are homeless . than at any tIme SInce the Great DepressIon.~/ The authors CIte large scale governmental reductIons in benefit programs IncludIng the SocIal SecurIty DIsabllIty Insurance Program, . and the change In natIonal polley for dealIng WIth the mentally Ill, as prlmary factors In exacerbatIng the problem of homelessness. . A. shortage of low Income or affordable housIng IS another SIgnIfIcant cause of homelessness. The largest source of hOUSIng for lndlvlduals on subSIstence level fIxed Incomes . IS SIngle room occupancy hotels and apartments. Houslng of th1s type, whlle never abundant, IS rapIdly beIng elImInated In numerous cltles.dl There 15 a dIrect correlatIon between . the dl~lnlshlng avallablllty of low-cost hOUSIng for SIngle poor people and homelessness The declIne In the number of low-cost SIngle-roam-occupancy hotels and roomIng houses In . urban areas In the last decade IS conSIdered by experts to be a factor contrIbutIng to homelessness among SIngle . . ~/ UnIted States Department of Houslng and Urban Development. A. Report to the Secretary on the Homeless and Emergency Shelters, WashIngton, DC, OffIce of Pollcy Development and Research (1984); Bassuk, The Homelessness Problem, SCIentlflc AmerIcan, Vol. 251, No 1, p. 40 (July 19841 contaIned in AppendIX II; Robertson, Ropers & Boyer, Emergency Shelter For The Homeless in Los Angeles County, U.C L.A. School of PublIC Health, BaSIC Shelter Research ProJect (1984) . d/ InstJtute for Soclal Welfare Research, ~rIvate LIDes/P~bllC Places: Homeless Adults on the Streets of New York CIty 31-32 (1981) 5 . . 1ndiv1duals..!/ Ret1rees rece1ving monthly socIal secur1ty retirement benef1ts, and the physIcally and mentally d1sabled, . fInd 1t d1fflcult to locate and remaIn in hous1ng with1n theIr avaIlable means. The fact that indiVIduals have Income does not assure them shelter. There are no indIcators Wh1Ch . demonstrate that the varlOUS soclal forces responsIble for homelessness wlll chapge 1n the near future. Lo~ Angeles County has the largest homeless populatIon . 1n the Unlted States. A Departmer.t of HousIng and Urban Development Report estImates the number of homeless In Los Angeles to be between 31,300 and 33,800.2/ In addItlon to lts . present SIze, the homeless populatIon 1n Los Angeles County lS 1ncreaslng rapldly.~/ In 1983, the homeless populatIon of Santa MonIca was estimated at between 750 - 1,000.2/ . As of November 8, 1984, the County Department of PublIC SOCIal SerVIces had contracts wlth only three hotels or motels located on the Westslde to prOVIde emergency shelter. These . hotels and motels have agreed to accept County lssued vouchers . ~/ Un1ted States Department of Houslng and Urban Development ~OIICY and Research On The Homeless, WashIngton, D.C., OffIce of POlICY Development and Research 0984}. . 2/ UnIted States Department of HOUSIng and Urban Development A Report to the Secretary on the Homeless and Emergency Shelters, Washlngton, D C., OffIce of POlICY Development and Research (1964) ~/ Robertson, Ropers & Boyer, Emergency Shelter For The Homeless In Los Angeles County, U.C.L.A. School of PublIC Health, BaSIC Shelter Research ProJect 6 (1984). . 2/ Westslde Shelter Coalltlon, Homeless on the W~stslde: A POSItIon Pape~ (1983) 6 . . as lmmedlate payment for provldlng shelter to the homeless. However, there is an average of only one or two vacanCles . avallable on a daily baSIS In each of these establlshments. Thus, on a dally baSIS, the County has a total of SIX rooms or beds located on the Westslde provIdlng emergency shelter for . the homeless. Once the avaIlable rooms on the WestsIde are fIlled, the homeless are generally referred to contract hotels In the central Clty area of Los Angeles Many of these are . located 1n or around the Skld Row areas. Bus tokens are prOVIded for transportatlon.~/ As of the Sprlng of 1984, there were only forty-eIght . shelters 1n Los Angeles County WhICh prOVIded beds for overnlghL accomodatlon. WhIle 2,417 people can be housed In these shelters, there are only 1906 beds. (See AppendIx III . for Map showlng locatIons of shelters In Los Angeles County) However, 259 of the 1906 total avaIlable beds are located 10 domestIC vlolence shelters.~/ There are only four shelters on . the Wests1de (IncludIng one domestlc VIolence shelter) WIth a total of 270 avaIlable beds for homeless people each n1ght. GIver the low number of avaIlable shelters and beds (33,800 . homeless persons v. only 1906 beds), homeless persons are forced to seek shelter In "veh1cles (abandoned or theIr own), . ~/ Telephone conversatIon With Mrs. Carraway of County Department of SOCIal SerVIces, D.P.S S. OffIce, 10961 West PICO Boulevard, November B, 19B4. . ~/ Robertson, Ropers & Boyer, ~mergency Shelter For The Homeless In Los Angeles County, BaSIC Shelter Research ProJect, U.C.L.A. School of PublIC Health (1984). 7 . . brldges park and freeway overpasses, benches, all nIght mOVIe parking structures, alleys, theatres, dumpsters and . trashbrns, and cardboard boxes."1Q/ To further exacerbate the sltuatlon, 27 shelters with 1337 beds refuse access to homeless Indlv1duals who are . mentally drugs. .1.1/ Ill, phYSIcally handIcapped or users of alcohol or ThIS leaves only 569 beds In the entIre county for a segmen~ of the homeless populat1on who are least able to surVIve on the streets On any gIven night, only 8.8\ of the In Los Angeles County are provIded wlth temporary . homeless shelter UI . B and PhYSIologIcal Consequences of . Psychologlcal Homelessness. W~O are the homeless? What effect does homelessness have on an IndlVldual from both a psychologIcal and . phYSiologIcal standpolnt? AppendIX IV contalns narratIves excerpted from . declaratIons of hornless men and women WhlCh were exhIb1ts 1n the cases of Ross v Board of Supervlsors of the County of Los Angeles, No C 501603 (Super Ct.Gal., flIed July 10, 1984), Elsenhelm v. Board of Supervlsors of the County of Los Angeles. No C 479453 (Super.Ct.Cal. j filed Dec. 20, 19B3). . lQ/ Id at 7 . ll/ Id. at 39. . gl IsL at 61 B . . Jon declared: . . . . . . . . . . Koteles, of these homeless individuals, one ApproXImately fIve weeks ago I arrIved In Los Angeles from Reno, Nevada. I decIded to leave Reno after lookIng for work there unsuccessfully for at least a month. Employment IS seasonal there' It's near ImposSIble to fInd work In the Winter months. Once the snow comes down over Donner Pass the tourIst buses stop arrIvIng from Sacramento and the caSInos and restaurants cut back to three or four day work weeks. I am thIrty-four years old I was an Infantryman In the VIetnam War and served In South VIetnam In 1968 I volunteered for that serVIce and durIng my duty earned a Vietnam SerVlce Medal WIth two Bronze SerVIce Stars, an Armed Forces ExpedItIonary Medal, and a Sharpshooter Badge WIth AutomatIc RIfle Bar. I have papers WIth me today to prove thIS and serve as I D I had no place to go. I walked the streets for two days and two 9 . nlghts trYIng to think what I should do . . stay myself On December 13, 1983, I came for the fIrst tIme to the Department of SocIal SerVIces. I'm trYIng to fInd a place to until I can flnd work and help I've been working and paYIng for eIghteen years and now I taxes . . . need a little help. After waItIng almost three and a half hours they called my name and I got In to talk to a screener Today IS Tuesday and she told me lt would be at least FrIday before I could get a hOUSIng voucher I don't know where I'm g01ng to stay at nIght untIl then The screener asked me where I lIve and I had nothIng to say. Chances are that I'll end up sleepIng on the beach for the next three nIghts. It IS cold and wet out there. I have no blankets and nowhere else I can thInk that's any better. AppendIx IV contaIns other representative examples of the eXperIences of homeless Indlvlduals In Los Angeles County . . . . . 10 . . These narratIves are sIgnIfIcant because In sImple and dIrect language the homeless themselves explaIn why and how they . became homeless and the effect It has had on them. TheIr self-portrayals operate to shatter entrenched conventIonal stereotypes regardIng the background of IndIVIduals who . comprISe the homeless populatIon As two recognIzed experts On the homeless questIon observed: SeeIng and understanding "why" . people are homeless explaIns a great deal about "who" IS homeless. PersonalIzed Into names and faces, . ravaged by tIme, anXIety, and the elements, old Images lose thelr credIbIlIty We can then begln to . glImpse IdentItIes and orIgIns We qUlckly learn that, In realIty, It IS th old, the SIck, the mentally 1 11 1 . the unemployed, the dIsabled, the dIsplaced, and the dIsenfranchIsed who populate our CIties' streets ld/ . Homeless IndlVlduals who frequently sleep outside where they are exposed to the elements, suffer a hIgh degree of phYSIcal Illness and, In some Instances, death. HypothermIa . IS the medIcal term for reduced core-body temperature. More cases of hypothermla are reported at Los Angeles County-U S.C. . ld/ Hombs & Snyder, HQmelessness In AmerIca: March to Nowhere 4 (1982) A Forced 11 . . Med1cal Center in Los Angeles County than at Bellevue Hospital 1n New York Clty. Both hospltals serve a SImIlar pop~latlon. . Of the 100-125 caSes of hypothermla seen in County-U.S C. Med1cal Center, 80 to 90 percent are from the ranks of the homeless. Exposure to temperatures of even 50 degrees . Farenhe1t, part1cularly for the elderly or In comblnatlon wlth exposure to dampness, can result In hypothermIa.14/ . [H]omeless patlents suffer from a ViH 1ety of med1cal condltlons and dIseases In a hlgher InCIdence than patlents In a normal population who have shelter. In partIcular, homeless . patIents suffer hypothermIa from aCCIdental exposure, have medlcal . consequences WhICh range from severe braIn damage, renal fallure, pneumonia, cardlac arrest and . ultlmately death The fact lS that hypothermIa severely affects all of the organ systems WhiCh can lead to . condltlons caus1ng death (DeclaratIon of Gary Rapaport, Speclallst In Emergency Med1clne, . Callfornla Hospltal, Los Angeles, . 14/ Declaratlon of Wllllam Clem, M D , author1ty on hypotherm1a 1n Los Angeles, exh1blt 1n E1s~nhelm v. ~oard of Supervisors of the County of Los Angeles, No. C 479453 (Super.Ct.Cal., flIed December 20, 1983). 12 . . Exhibit in Ross V. Board of SuperVisors of the Countv of ~os . Angeles, No. C 501603 (Super.Ct.Cal., filed July 10, 1984. Other common phYSlolog1cal consequences of homelessness . are resplratory disorders, dependent edema, status ulcers, and trauma sustaIned from assaults and robber1es. Even when homeless IndlVlduals f1nd temporary shelter 1n mlss1ons, . condItIons are such that many sleep upright on benches and chaIrs As a result, these 1nd1vlduals become suscept1ble to cellulltlS and lymphong1t1s, two severe t1ssue 1nfectIons, . Wh1Ch can eventually result 1n gangrene and poss1ble amput.atlon.l..a/ The psychologlcal and emot1onal repercuss10ns of . homelessness are as severe and deb1lItatlng as some of the phYS1ologlcal consequences. KeVIn Flynn, Ph.D, a clln1cal psychologIst who worked 1n the Los Angeles Skld Row area for . several years, and former DIrector of the Los Angeles Skid Row ProJect of the Los Angeles County Department of Mental Health, observed . [1]ndIVIduals WIthout shelter, partIcularly dur1ng the cold .season, suffer from high . levels of anx1ety, depreSS1on, . 12/ Declaration of Rosemary OcchIogrosso, R.N., Nurse Practltloner, Exh1bIt 1n Ross v. ~oard of Supervisors of the County of Los Angeles, No. C 501603 (Super.Ct.Cal , filed July 10, 1984) 13 . . wIthdrawal, tearfulness, hopelessness, disorIentation, reduced levels of . cognItIve functioning, hyperalertness, sleep dIsturbance, exhaustIon and psychophysIological dIsorders. . In general the lack of proper, reasonably safe shelter contrIbutes to the psychological deterIoratIon of . relatIvely normal IndIVIduals and exacerbates the mental dIsorders In those IndIVIduals wIth a hIstory of . psychIatrIc dIsturbance. ExhIbIt ln, Ross v. Board of SuperVIsors of the County of Los Angeles, No C 501603 . (Super.Ct.Cal., flIed July 10, 1984). A slgnlflcant percentage of homeless people have an astoundIngly hIgh "InCIdence of diagnosable mental Illness: . psychoses, chronlC alcoholIsm and character dIsorders "16/ . . . 12/ Bassuk, The Homelessness Problem, SCientifIC AmerIcan, Vol. 251, No 1, P 40 (July 1984). 14 . . I I 1. V~GRANCY AND DISORDERLY CONDUCT . EssentIally the notIon persists that an IndIvIdual lIvIng In a land in whIch the protectIon of CIVIl rIghts . IS a prImary obJective of government may stIll be punIshed as a crImInal by vIrtue of personal condItIon, or of . belongIng to a partIcular class.17/ HIstorical OverVIew A . A meanIngful and comprehenslve understandIng of the pervaSIve and seemIngly tImeless problem of vagrancy, homelessness, and public InebrIatIon IS ImpOSSIble wIthout an . hIstorIcal perspectIve. There are three prImary reasons for understandIng the hIstorIcal baSIS establIshIng and embelllshlng crimes of . status or personal condItIon. FIrst, hIstory helps to defIne the context and scope of the crImes beIng conSIdered Second, the ceurts "tend to rely on past practIce to JustIfy gIVIng . unique treatment to the constItutIonal and procedural problems WhICh arIse out of these crlmes."jJ~/ ThIrd, hIstory is crit1cal to arrIVIng at the underlYlng legislatIve purpose . ~/ Sherry, Vagrants, Rog~es, and Vagabonds - Old Concepts In Need of ReVISIon, 48 Cal. L Rev 557, 55B (1960) . il/ Lacey, Vagrancy and Other Cr,lmes of Personal Con d 1 t lon, 66 H a r v. L. Re v. 120 3, 1 204 (1 933 ) . 15 . . related to these statutory crimes, wlthout which evaluation of these statutes and thelr uses would be d1ff1cult. . In addltion, hlstorlcal perspective is essentIal to pIerce the w1despread 19norance and false assumpt10ns WhlCh members of the general pUblIc hold and voclferously articulate . as to the eXlstence, purpose and enforcement of "laws" to control socIal and economIC undeslrables. . B Vagrancy Modern day statutes related to vagrancy and dlsorderly conduct fInd theIr orIgIns 1n England as early as the . Fourteenth Century "DespIte the drastlc change 1n SOCIal and economIC condltlons that has Intervened, there 1S str1k1ng SlmIlarIty between the POlICY ObJectIves of modern vagrancy . law admi"'lstratIon and of the pre-El1zabethan Parl1aments."19/ The Statutes of Laborers In 1349-51 embodIed an anti-mIgratory POlICY engendered by the end of feudalIsm and . the maSSIve depopulatIon result1ng from the Black Death.lQ/ It became unlawful to refuse an offer of work and to flee from one county to another to aVOId work offers Persons were . prOhIbIted from glv1ng alms to able-bod1ed beggars who refused to work 21/ In 1414, a statute was enacted WhICh gave . ~/ Foote, Ypgrancy-Type Law and Its Admlnlstratlon, 104 U. PaL Re v. 603, 6 1 5 (1 956 ) . 1Q/ 25 Edw 3, c. 7 (1350-51) For a summary of these statutes, see 3 Stephen, History of the Criminal Law of England 203, 206 (1883). ll/ 23 Edw 3 J c. 7 (1349). 16 . . "Justices vagrants. of the peace the summary power to punish ."..f....f/ . The original statutes proved unworkable SInce decllnlng economic conditions continued to force Single men as well as families to continually roam the roads of England seeking employment. In the Sixteenth Century during the reign of ElIzabeth I, the orIgInal vagrancy laws were used as a criminal supplement to the Ellzabethan poor laws. These condItions changed the emphasIs of the anti-migratory poliCY from requIred work at a fixed abode to protection of the countryside against the financial burden, nUisance, and potential crlmlnallty of the vagrant . . . . class. The ban upon migration became . a preventatIve to help a parish, which had the responslblllty of providing relief for local needy reSidents, from being burdened wIth the annovance and economic liability of foreign oaupers and Idlers. Foote, Vagrancy-Type Law and Its AdmInIstration, 104 U Pa L Rev. 603, 615 (1956)(emphasls added) It was the ElIzabethan vagrancy laws, both In spirIt and language, which were brought to the UnIted States durIng colonIal times. "Paupers" and "vagabonds" were excepted from . . . .f.l/ 2 Hen. 5, C 4 (1414). 17 . . the prlvlleges and lmmunItles clause of the ArtIcles of ConfederatIon and from Its guarantee of "free Ingress and . egress to and from any other state."n/ ElIzabethan concepts of socIal control, manlfested In increasingly severe vagrancy laws, served as the basIs for almost every vagrancy statute . enacted In the UnIted States The orIgInal vagrancy law enacted In CalifornIa in 1855 was a dIrect descendant of the ElIzabethan models adopted In . the orlglna1 colonIal states.24/ CalIfornIa's origInal vagrancy statute, WIth very minor amendments, remaIned the law In thIs state for one hundred five (105) years untIl It was . repealed In 1960 and reFlaced WIth the modern Penal Code prOVIsIons dealIng With dIsorderly conduct People v. Weger, 251 Cal. App. 2d 584, 59 Cal.Rptr 661 (1967) . The orlglna1 vagrancy statutes operatIve In Callfornla and almost every other state rested upon one rIgld fundamental concept. They were deSIgned and enforced so as to cfImInallze . and punIsh status alone, I.e., kInds of persons such as the poor, homeless, unemployed, publIC inebriates, and other hIghly VISible elements of SOCIety whose Ilfestyle was deemed . Inapproprlate by the general publIC, polIce, and the courts. 23/ Foote, Vagrancy-Type Law and Its AdmInistratIon, 104 U Pa L Rev. 603, 616 (1956) . . ~/ The prototype for the 1872 verSIon (Cal Stat. 1855, ch 175, P 217, as amended by Cal. Stat. 1863, ch. 525, P 770) contalned an exceptIon for IndIans but lImIted It to "DIgger IndIans." It also contaIned a provlslon, Wisely dropped In 1872, that persons "commonly known as 'Greasers' or the Issue of SpanIsh and IndIan blood who are vagrants and who go armed may be punished" 18 . . For over a century, the crime of vagrancy was permitted to eXIst without the lndlspensable elements of a crlme. Act . plus Intent were not requIred to impose criminal sanctIons. IronIcally, England, the "mother" of vagrancy law, amended Its Vagrancy Act 1n 1824 so as to place "almost exclusive emphasIs . on conduct and did not purport to attach crmInallty to status alone. "12/ The long term vltallty of anachronIstic vagrancy . stat~tes With respect to theIr abIlIty to WIthstand both legal challenge and WIdespread crltlclsm by respected commentators speaks loudly as to thelr effIcacy as an lnstrument of social . control. The fact that these statutes were aberratIons WithIn the speclflc framework of crImInal law and general prlncIples of constItutional law did nothIng to deter theIr wldespread . pcpularlty wlth the general publiC and law enforcement agenC1es as an effectlve deVIce to control unpopular, SUSplClOUS, and unacceptable segments of our socIety . C. The DemIse of Vagrancy and th~ Rlse of Dlsorderly Conduct . DurIng the DepressIon, twenty-seven states enacted statutes des1gned to hInder or bar the entry of destltute mlgratory people lnto thelr respectlve Jurlsdlctlons.~/ In . ~/ Sherry, Vagrants~ Rogues~ and Vagabonds - Old Concepts ln Need of ReVISIon, 48 Cal. L Rev 557, 564 (1960) . 26/ Foote, Vagrancy-Type Law and Its AdmlnIstratlon, 104 U. P a. L Rev. 603, 616 (1956). 19 . . . Edwards v. CalifornIa, 314 U.S. 160 (1941), these "national" vagrancy laws were declared unconstItutIonal by the UnIted States Supreme Court as an InfrIngement on the right to travel. "Whatever may have been the notIon then prevaIlIng, we do not thInk that It WIll now be serIously contended that because a person IS wIthout employment and wIthout funds he constItutes a 'moral pestIlence' Poverty and ImmoralIty are not synonymous ,. 1..2-. at 163, n. 5 NotwIthstandIng thIs decIsIon, another thIrty-one (31) years would pass before the HIgh Court would elImInate munIclpal vagrancy laws which penalIzed status rather than conduct. . . . The Clty of JacksonvIlle cut from the same cloth FlorIda's vagrancy ordInance as the claSSIC ElIzabethan was . vagrancy statutes CrimInal penaltIes were Imposed upon a range of persons Including rogues and vagabonds, dIssolute persons who go about begglng, habItual loafers, and persons able to work but habltually lIVIng off theIr WIves and mInor chIldren. The UnIted States Supreme Court held the ordInance u~constltutlonal as beIng vOld for vagueness because It "falls to gIve a person of ordlnary IntellIgence faIr notIce that hIS contemplated conduct IS forbIdden by the statute and because It encourages arbItrary and erratIC arrests and convIctIons" Papachrlstou v. CIty of JacksonVIlle, 405 U 5 156, 161 (1972) In a unanImous deCISIon, the Court noted that the net of the vagrancy statutes fell upon "poor people, nonconformIsts, dIssenters, Idlers (who) may be required to . . . . 20 . - - comport themselves according to the lifestyle deemed appropriate by the Jacksonville polIce and the courts." Jd ... - at 170. In practlcal terms the Court forthrightly condemned vagrancy laws as a device utilized almost exclusively for . arbitrary and discriminatory law enforcement. It furnlshes a convenient tool for ,. ha rsh and dlscrlmlnatory . enforcement by local prosecuting offlclals, agalnst particular groups deemed to merit their . dlspleasure. It results 111 a regime In WhlCh the poor and the unpopular are perm1tted to stand on a . pUblIC sidewalk only at the whim of any police officer ,- Id at 170. The Court's opinion stressed that vagrancy laws were . Inlmlcal to the rule of law' Vagrancy laws of the Jack.sonvllle type teach that the . scales of JustIce are so tIpped even-handed administration of the law IS not possible The rule of law, . evenly applIed to minorIties as well as maJorities, to the poor as well as the rich IS the great mUCilage that . holds socIety together. ~ at 171. 21 . . . For those JurIsdIctIons which had contInued to hold fast to "status" type vagrancy statutes, the pa~achrlstou decIsIon mandated a change to statutes which defIned crimInalIty In terms of acts or conduct . D California's Dlsorderlv Conduct Statute Twelve years before the UnIted States Supreme Court decIded . unanImous Papachrlstou, the CalIfornIa Supreme deCiSion declared unconstItutIonal Court In a a sectIon of CalIfornIa's vagrancy statute, whIch categorIzed a common dlunk as a vagrant, on the grounds that It was vague, . uncertaIn, ~ewber~, and Incapable 53 Cal. 2d 766, of unIform enforcement. In re 350 P.2d 116, 3 Cal. Rptr 364 (1960) . The Newbern deCISIon was ObVIOUSly read In the state . LegIslature WhICh repealed the 106 year old vagrancy statute and replaced It WIth a dIsorderly conduct statute. 1961 Cal Stats ch 560 As rewrItten, Penal Code SectIon 647, "whIle retaIning much of the substance of the old, elther supplIes or further modlfles the specIfIC conduct elements of the . offenses, so that all IndIVIdual mIsdemeanors are now defIned In terms of acts Instead of status II 22 Cal. Jur 2d Section . 3057 (1975) Penal Code SectIon 647 now provIdes: . 22 . . . f "7. [DIIonIerly COIIdKt Every penotI who cxvnm,ts any rI the folJowma acts II JWlty 01 duorderly cooduct, . DUSdcmeanor (a) Who soltau anyone to cngqe m or who enpaes m lewd or dJssolute conduct m any pubbc p1k:e or in any place open to the pubhc or ~posed to pubbc YleW (b) Who sohcJts or wbo cnPles m any act of proaatubon As 11I<<I m tIm IUbdJV1SlOD, "promruQon" mc:ludes any lewd act bctweco perIOaI for money or other consIderanon (c) Who accosts other persons lD any pubbc place or lD any place opeD to the pubhc fer the purpose of beggIng or SOhC1tlDl alms (d) Who lolters In or about any tOOet open to the pubbc for the purpose of enpgml m or sohcltlllS any lewd or lasc1Vlous or any un]a",fu] act (e) Who 100ten or wanden upon the streets or from place Ie place WIthout apparent reason or busl1les.5 and who refuses to ldennfy himself and to account for hIs presence when requested by any peace oftice1' so to do, If the surroundmg CU'CUD1Stances are such as to mdIcate to a reasonable person that the pubbc safety de-rn-n<u sucl1 Identification (I) Who LS found m any pubhc place under the mftuenc:e of II1toXJc:at- inS hquor. any druS, toluene. any substance defined as . pouon m Scheclule 0 of Sechon 4160 of tbe BuslnC5S and ProfCSSJol's Code. or any combUJanon of any mtoXlcanng liquor, drug. toluene, or any such polSOn. In such a condInon that be 15 unable to eJ.erc15e care for hu own safety or the safety of others. or by reason of tus bemg under the mftuence of mtoXlcatmg liquor. any drug. toluene., any substance defined as a polSOn m Schedule 0 of Sectlon 4160 of the Busmess and Profe5$lons Code, or any combmanon of any IDtoXlC&tmg hquo:, drug. toluene., or any such poISOD. mterims WIth or obstr\lCtS or pre...ent5 tbe fiw use of any street, udcwalk., or other pubhc way un When . person baa VIOI.t"", IUbdtVlllOft (f) m thJs IoI!IctlOD. . peace IlIicer. If be 1$ reasonably MHc to do 10, shall r'1I~ the penon. or cause hnn to be plll~. an ClVLI protectt...e CUItOdy Sucb person shall be: taken to . facWt}, dcSIpated punuant 10 SectJon 5170 of the Welfare and Instnuuons Code, for the 72-bo'U' treatment and evalua. bon of mebnates A peace ofticer DJa) place . person an a\o'll protecu...e custody W'lth that kInd and degree of force wblcb would be 1a~1u.I were be el'c:ctlDg an arrest for I DUSdemc:anor WIthout . warrant No penon ....ho has been placed In C1vU protecnve custod)' IhalI thereafter be subject to any cnJD1J14.I prosecutl~'D or Juvaule coun proceedl1lg based on the facts 11\'111& me to .....ch placement 11us lubdlVlSJOn .....11 not apply to the folJowmg per'SODS (]) An}' person ..-ho IS under the m1Iucncc of any drug. or under the combmed mfluencc of mtoXlcatlng hquor and any drug (2) An) person who I peace oftice1' has probable cause to believe bas COIJ1I]1!tted an)' felon}. or wbo has C('Mmlned an)' 11"~emeanor an addItJon to lubdlVlSJon <0 of tlus sec:tlon (3) Any perwn who a ~~ officer ID load faith believes will attempt escape or will be WlJ"easonably cbfticuh for mecbc:&l penormel CO control (g) ""'ho lonen. pro~]s, or wanden upon the pnvate propeny of another, an the Il1ghmme. Wlthout vwble Of lawful bn..'nf'SS WIth the owner or oc:cupant thereof (h) Who, wlule lonmlli, prowhng. or wandcnng upon the pnvate property of another, an the DJghtume. peds m the door or WU1dow of any mbabned bwldmg or 1tJUctur't located thereon. WIthout VISlble or lawful bU$1JJCS5 WIth Lhe owner or occupant thereof (I) Who lodges m aD)' bwldm&. stnactu.re, veIuclc. or place., whether pubhc or pnvate, WIthout the pcnIUI&1OII of the owner or penon entItled to the posseIIlOO or HI control thereof ... . . . . . . . . r, ~ .:. ~. . . NotwIthstanding from status to the Legislature's laudable acts as the determInatIve attempt to factor In move . defInIng crImInalIty, key prOVIsIons of the dIsorderly conduct statute have not fared well in the courts. . 1. SubdiVISIon ( a ), "SOlicItIng or Enaaaina In . Lewd or Dlssolute COnduct In a PublIC Place." In 1979, the Callfornla Supreme Court recognlzed that Penal Code SectIon 647(aJ was a "lIneal desCendant of the archalc vag~ancy statutes which were deSIgnedly drafted to grant polIce and prosecutors a vague and standardless dlscretlon" Pryor v. Munlclpal Court for Los Angeles County, . . 25 Cal (1979). WIthout 3d 238: 248, 599 P.2d 636, 158 Cal. Rptr. 330, 33~ preCIse defInItIon the terms "lewd" and . "dIssolute" measure crImInalIty by communIty or even IndIVIdual notIons of what 15 dIstasteful behavIor. In order to aVOId declarIng thIS subd1vlslon unconstItutIonally vagueJ the California Supreme Court severely lImIted the scope of prohIbIted behaVIor WIthIn the purVIew of the subdIVISIon. (W]e construe that sectIon to prohIbIt only the Sollcltatlon or commISSIon of conduct In a publIC place or one open to the publIC or exposed to publIC VIew, whIch lnvolves the touchlng of the genltals, buttocks, or female breast, for purposes of sexual . . . 24 . . . arousal, g~atlflcatlon, annoyance o~ offense, by a person who knows or should know of the presence of persons who may be offended by the conduct. Jd. at 244, 599 P.2d at 249, 158 Cal. Rptr. at 332 (emphasIs added) . . 2 $,l,lbdlVlSIon (c), "Beqcllnq or SolIcItIng Alms" There appears to be a prevalent mIsconceptIon as to what conduct IS prohIbIted by Penal Code SectIon 647(c) ThiS SeetIor makes It a mIsdemeanor for one "[w)ho accosts other . persons for the In any publIC place or In any place open to the publlC purpose of beggIng or solIcitIng alms.n There IS a . wIde range of noncrlmlnal conduct WhICh IS permISSIble by an Indlvldual seek1ng assIstance It has never been a crImInal offense In thIS state even under the repealed vagrancy statute to seek aSsIstance when one IS In genUIne need "The statute makes It an offense for . a healthy beggar to SOlICIt alms as a bUSIness. For one to ask aSsIstance on one occaSIon does not make hlm a vagrant" . People v Denby, lOB Cal, 54, 40 P. 1051 (1895). Penal Code Section 647(c) IS not vIolated by a person merely receIVIng donatIons One "who merely SIts or stands by the waYSIde" IS nOL "accostIng" wIthIn the meanIng of thIS Sectlon glmer v MunICIpal Court for the Oakland-PIedmont . . JudICIal DIstrIct, 445,448 (1976J. 55 Cal. App. 3d 263, 267, 127 Cal. Rptr 25 . . . It IS the current POlICY of the Santa MonIca CIty Attorney's OffIce to only prosecute indIvIduals who request aSsIstance and who also use assaultlve or threatening conduct. It is dIffIcult to distInguIsh a homeless person request WhICh for flnanclal I S made in a assIstance by a . nonthreaten1ng manner from other situatIons where money 1S requested by IndIVIduals or organ1zatlons On a seasonal . baSIS) representatives of the Salvatlon Army sollclt or beg for alms Passengers at a1rports are frequently approached by members of sects and rel1glous groups for flnancIal aSSIstance PolIt1cal contrlbut1ons are sollclted from the publIC In a varIety of sltuat10ns . 3 SubdlvIS10n ( d) , "LoiterIng About A PublIC . TOIlet." Conduct pun1shable under thIS subdIVIsIon 1S not mere lOIterIng It must be l01terlng for a lewd and laSCIVIoUS . purpose However, In order to meet constItutIonal standards, the for "lewd standards applIed or dlssolute" by Pryor under subdIvlslon 647(a) must also be applled to "le\old or S.P.P , 115 Cal. App 3d Supp 12, same . laSCIVIOUS" people V 170 Cal Rptr. 478 (1980) . 4 SubdIVISIon (el t "LOiterIng and WanderHlo W1th Refusal to IdentIfy Oneself." By VIrtue of both state and federal court deCIsions thIS subdIvlslon has essentIally been negated In Its entlrety . 26 . . "[L]oIterIng and wanderIng upon the streets or from place to place wIthout apparent reason or busIness" wIthout addItional . conduct has never been punishable as a crime under thIs subd1V1sIon People v. Weger1 251 Cal. App. 2d 584, 59 Cal. Rptr. 6611 667 (1967). . The requIrement that lOIterers and wanderers ldentlfy themselves In cIrcumstances WhICh would Indlcate to a reasonable person that the publIC safety demands such . IdentIflcatlon was declared unconstitutIonal by the United States Supre~e Court Kolender v Lawson, 75 L Ed 2d 903, 911 (19&3) . .:; .,., . SubdiVISIons ( f ) and (f f) "PublIC InebrIatIon ,. . These sectIons are discussed In Part IV Infra. 6 5ubdlVlslons ( g) and ( h) I "NIqht-tlme . ProwlIng, PeepIng" These two subdiViSions punish speclflc nIghttIme actIVIty on prIvate property There have been no sIgnIficant . 11mltat.lons Imposed by the courts WIth regard to the conduct proscribed by these subdlV1Slons. . . 27 . . 7 . Subd I v 1 S 1 on (I), II Lodg I ng . II As well documented studIes IndIcate, there are only . suff1Clent emergency overn1ght shelters In Los Angeles County to house 10% of the est1mated 33,000 homeless indiVIduals currently 1n the County.Z2/ V1ewed fram anothe~ perspectIve, . on any gIven nIght 90% of the homeless indIvIduals In Los Angeles County are wlthout shelter TheIr only optIon 15 to choose shelter WhICh WIll prOVIde a measure of safety from . physIcal attack as well as protectlon from the elements. Such shelter takes the forms of vehIcles, doo~ways, freeway overpasses, parks, publlC beaches, and a varlety of other . locatIons necessary for surVIval In a recent Los Angeles County MunICIpal Court case, the court, after reVIeWIng the statIst1cal data on the large . number of homeless IndIVIduals In Los Angeles County and lack of emergency shelters, recognIzed "neceSSIty" as a defense to an alleged VIolatIon of a Los Angeles County ordInance . prohIbItIng sleeplng In vehIcles parked on publIC streets PeoDle v. BenJam1n, No 276842 (Munl Ct. Cal., deCIded June 8, 19841. . The defense of neceSSIty eXIsts as a part of CalIfornIa CrImInal law 1 WItkIn, Cal CrImes (19631 Defences, SectIon 248. People v. Lovercamp, 43 Cal. App. 3d B23, 11B Cal. Rptr . 110 (19743. A central element of the defense Involves the chOIce of alternatIves whereby a crImInal defendant acts to . 27/ Robertson, Ropers & Boyer, Emergency Shelter For The Ho~eles5 In Los Angeles County, BaSIC Shelter Research ProJect, U C L.A. School of PubllC Health (1984). 28 . . . avold a greater harm by engag1ng In an act proscrlb~d by law. The classlC example lS the theft of food to avoId starvat10n so long as no other alternat1ves were open to the defendant. G1ven the stat1st1cal d1sparlty between the number of homeless compared w1th avaIlable shelter facilItIes, It IS the oplnlon of the Santa MonIca CIty Attorney's OffIce that neceSSIty Will generally be recognIzed as a defense to a SIgnIfIcant number of alleged VIolatIons of thIS subdIVISIon. For the same reason, neceSSIty IS also a strong defense to alleged VIolatIons of SectIon 4202a of the Santa MonIca Munlclpal Code Wh1Ch prohIbIts sleepIng In parks. Sleep1ng In a putIle park 1S the only Viable optIon for shelter for a SIgnIfIcant number of homeless IndIVIduals. . . . . . . . . 29 . . IV. THE PUBLIC INEBRIATE: THE IMPACT OF DECRIMINALIZATION. . A. HIstorIcal OvervIew. At common law there was no recognIzed crImInal offense . for beIng a common drunk or publIC InebrIate. England by statute In 1879 made beIng a "habItual drunkard" a crIme (Habitual Drunkards Act of 1879, 42 & 43 Viet, c 19, Section . 3 ) In CalIfornIa SInce 1872, a common drunkard was deemed to be a vagrant and therefore a crlmlnal.28/ Along WIth other . SUbdIVISIons of the vagrancy statute, the common drunkard prOVISIon was repealed by the LegIslature In 1960 However, Just prIor to the LegIslature's actIon, the CalIfornia Supreme . Court declared the common drunkard prOVISIon unconstItutIonal as beIng VOId for vagueness In re Newbern, 53 Cal. 2d 786, 796, 350 P 2d 116, 123, 3 Cal. Rptr. 364, 371 (1960) . PrIor to the repeal of the Penal Code vagrancy statute In 1960, It IS noteworthy that prosecutIon fOf "common drunkard" was under Penal Code SectIon 647) subdIVISIon 11, . while prosecutIon for "IntOXIcation In publIC" was under a varIety of local ordinances . . 28/ "Every common drunkard IS a vagrant and IS punishable by a fIne not exceedIng fIve hundred dollars ($500) or by ImprIsonment In the county )all not exceedIng SIX months or both such fIne and ImprIsonment." Cal. Penal Code Sec. 647(11) (West 1872) (repealed 1960). 30 . . . B. PublIC InebrIation as Disorderly Conduct. The public vagrancy statute repealed by the Legislature In 1960 was replaced by current Penal Code Section 647. By enactIng Penal Code Section 647(f) 1n 1960, the state manlfested a clear Intent to preempt the fIeld. Thus, local muniCipalitIes have been prohIbited from prosecuting publlc Inebr1ates under local ord1nances for beIng Intoxlcated In publlC as they had been able to do under the repealed vagrancy statute. See People v Lopez, 59 Cal.2d 653, 381 P.2d 637, 30 Cal. Rptr. 813 (1960). Replaclng the vague "common drunkardP standard were multIple elements under SectIon 647(f) WhIch had to be satisfied before an Intoxicated IndIvidual could be said to . . . have commItted the crIme of disorderly conduct. These . elements are. ( 1 } under the Influence; (2) In a publlC . place; and (3) eIther In such a conditlon that he IS unable to exerCise care for hIS safety or the safety of others or by reason of hIS belng under the Influence interferes with or obstructs or prevents the free use of a publIC street, SIdewalk or other publIC way. . In 1971, the LegIslature added SectIon 647(ff) gIVing . police offIcers the optlon of plaCing persons who had VIolated SectIon 647(f) ln CIVIl protective custody and divertIng them to lIcensed detOXIfIcatIon faCIlItIes for treatment and evaluatIon for 72 hours. Before SectIon 647(ff) was adopted by the LegIslature, It underwent two SIgnIfIcant amendments. . 31 . . . As flrst introduced, It would have mandated removal of the publIC inebrlate from the penal system and requlred countIes to establish detoxlflcatIon facllltles to whlch the lnebrlates would have been dIverted . After strong Opposltlon from the . Callfornla Peace Offlcers AssOclatlon) as well as the Dlstrlct Attorneys' and Coun ty Counse 1 s I Assoc 1 at 1 ons , the bIll was amended to leave the crlmlnal . procedure Intact Even If the lnebrlates had commlted no other c r 1 me , nor posed any danger to the . safety of medIcal personnel, the bill still would have requlred lnebrlates 1n lts flnal lmmedlately to clvil faCIlItIes. The blll form had the strong . to be taken detoxlflcatlon flavor of compromlse. there was no Also, mandate nor . Slnce . approprlatlon to countles to establ1sh detoxlflcatlon facllltles, the law could seemIngly be exercised largely at the dIscretIon of the pollce and countIes. Stevens, DecrImlna11zatlon . and Bevond' PubllC Inebr1ty 1n Los 32 . . Angeles County, 3 WhIttIer L. Rev. 55, 69 (1981). . Thus, by 1973, law enforcement had three optIons In dealIng wlth the publIC InebrIate. FIrst, the inebrIate could be arrested, booked, and Jalled under Penal Code SectIon . 647(f) Second, If the qualIfIcatIons set forth ln Penal Code SectIon 647(ff) were met, the InebrIate could be taken Into CIVll Frotect1ve custody and transported to a lIcensed . detoxlflcatlon faCIlIty Reallstlcally, thIS has never been a vIable optIon due to eIther the nonexlstence of lIcensed aecoxlflcatlon centers In many areas, or where they do eXIst, . roow IS seldom avaIlable ThIrd, pursuant to Penal Code Sectlon 849(b)(2), the InebrIate could be taken to JaIl and released . Cal. 3d 943, 947-948, 123 Cal. See People v Longwlll, 14 Rptr 297, 299-300 (1975); (kIcked-out) when sober . Moss, Taklng the PublIC InebrIate Out of Callfornla's CrImInal JustIce System, 7 U C. DaVIS L Rev 539 (1974). By 1974, the magnItude of the publlC lnebrlate problem had reached such proportlons that the Callfornla Senate Select CommIttee on Law RelatIng to AlcoholIC Beverages Issued a four volume FInal Report follOWIng publlC hearlngs held ln 1973. Callfornla Senate Select Comm on Laws RelatIng to AlcohollC Beverages, FInal Report 43 (1974). . . Among concluded: Its recommendatlons and flndlngs, the Committee TestImony by varIOUS law . enforcement offiCIals IndIcates that 33 . . . as much as 40 percent of the time of local law enforcement offIcers IS spent In arrestingJ processlngJ and prosecutIng common drunks. There IS no eVIdence to Indicate that thIS practice serves any useful publIC purpose The CommIttee recommends that the crIme of common drunkeness be . . elImInated from the statutes. There . are ample provIsIons In the law for handlIng people under the Influence of alcohol If they commIt another crIme. . Id at 17. The CommIttee proposed that leglslatlon be Introduced ImpOSIng eXCIse taxes on alcoholIC beverages These taxes would be dIstrIbuted to cltles and countles for the exclUSIve purpose of establishIng and operatIng local alcoholIc treatment centers In thIS way, no burden would be placed on local taxpayers In 1975, Senate BIll 204 was Introduced Into the LegIslature whIch embodIed the CommIttee's alcohol eXCIse tax proposal almost In Its entIrety. At the same tIme Senate BIll 329 was lotroduced to repeal the publIC inebrIate statutes, to reqUIre each county to prOVIde ciVil detoxifIcation faCIlitIes, and to approprIate $20,050,000 for traInIng personnel and fundIng faCIlItIes. Stevens, Decrlmlnallzation . . . . 34 . . . and Bevond: PublIC Inebrltv ~n ~os Angele$ CQ~ntv, 3 WhIttIer L Rev. 55, 72 (1981). Even though these bIlls were opposed by the alcoholIc beverage Industry, they passed both houses of the Leg1slature. However, Governor Jerry Brown vetoed both bills, and the LegIslature was unable to overrIde the veto. Subsequent legIslatIve efforts 1n 1976 and 1980 to decrImInalIze publlC lnebrlatlon and fund local and reglonal alcohollc treatment facllltles faIled Cal 5.B 1382, 1975-1976 Reg Sessj Cal. S B 1745, 1979-1980 Reg Sess . . . C. Sundance and Beyond Glven the faIlure of the LegIslature to resolve the publIC Inebrlate problem by proposed decrlmlnallzatlon and fundIng of local treatment centers by alcohol eXCIse taxes, the contInued task of dealIng wlth the publlc InebrIate problem remalned with law enforcement agenCIes and the courts The crimInal Justlce system contInued to be used In a . . sporadIC, arbItrary, and lrratlonal manner to deal wIth the . publIC aspects of problem drlnklog. Notwlthstandlng knowledge on the part of the medIcal professlon, the courts, and the LegIslature "that Indlgent, chronIC alcoholICS are SIck, and since the eXIstIng facllltles for theIr care are Inadequate, and SInce they are dIrty and 'unsanltary' (publIC lnebrIates offend the publIC'S aesthetiC senSIbIlItIes), SOCIety WIll contInue to place them In JaIl, where they wlll be removed from publIC VIew." . . 35 . . . Stevens, DecrImInalIzatIon and Beyond: PVbllC Inebrlty In Los Angeles County, 3 WhIttIer L. Rev. 55, 79 (1981). This has, and contlnues to be, the standard practIce and POlICY utIlIzed by the maJorIty of law enforcement agenCIes throughout CalIfornia In 1975, Robert Sundance, a mIddle-aged, homeless, lodlgent, chronlc alcoholIC WIth a long arrest record for . publlC drunkeness, . alcohollCS, and a along WIth four other SImIlarly sItuated taxpayer, flIed a laWSUIt in Los Angeles SuperIor Court, Sundance v. MunICIpal Court, No CA 000257 The case Involved a wholesale constItutIonal attack on the . entIre crlmlnal JustIce system as It related to arrest, . prosecutIon and lncarceratlon of publlC InebrIates under Penal Code SectIons 647(f} and (ff) The trIal court granted the follOWIng relIef In the case" . (I)ndlvldual medIcal screenIng of each arrestee, monltorlng In holdIng tanks by a medIcally traIned person of those unconSClous Or in WIthdrawal, . nutrItIonal requIrements for arrestees, rest faCIlItIes for each . arrestee, lImItIng the tIme arrestees can be confIned In certaIn tanks and lImItIng the number of arrestees who can be confined In those tanks, . furnIshing blood alcohol tests to 36 . . . arrestees who request them, llmltat10ns on the use of B-wagons for transportatlon of arrestees, mlnimum 1n holdlng tanks of of requ1rements arrestees for conflnement . arralgnment the tIme preserved courts, requlrIng that at of arrest eVIdence be and wltnesses notedj . requIrlng that Indlvldual waIvers be taken upon a plea of gUIlty, requIrIng that notIce of probable cause detentIon hearIngs be communIcated to each person beIng arraIgned, requlrlng that the elements of the offense be commun1cated to each person beIng arraIgned and requlrIng that trIals for those who plead not gUIlty be set wIthln flve court days of arralgnment Sundance V MunIcIpal Courtj Ct. App. SlIp. OpInIon at 11-12 (1983). Sundance IS presently on appeal to the CalIfornIa Supreme Court. . . . . . D De Facto DecrlmInallzatIon and PotentIal JudIcial Decrlmlnallzatlon . Many law enforcement agencies have futIlIty of dealIng wIth publIC InebrIates recognIzed the In the crImInal 37 . . JustIce system In 1978, the Commander of the L.A.P D Central PolIce DIstrIct stated: . The days of crImInal sanctIons agaInst pUblIC drunkeness are lImIted. ThIS will eIther be done legIslatIvely . or by expanSIon of court codes. A polIce agency must antICIpate thIS trend and traln Its offIcers In the . proper use of other usually Included offenses. A workIng knowledge of other statutes wIll asslst offIcers . In dealIng WIth persons who even now wIll not be accepted by detOXIfIcatIon faCIlItIes ~/ . In 1977, the Los Angeles Pollce Department adopted SpeCIal Order 23 lnstltutlna a wIdespread appl1catlon of the release procedures set forth In Penal Code Sect10n 849[b)(2) . "UntIl adequate faCIlIties are avaIlable, thIS Department WIll necessarIly contInue to arrest and book publIC InebrIates but WIll not seek prosecutIon, absent eXIgent CIrcumstances U . SpeCIal Order 23, Los Angeles PolIce Department, Issued July B, 1977. The operatIve effect of SpeCIal Order 23 was to decrease . arrests by the Los Angeles PolIce Department for public Inebrlatlon/dlsorderly conduct dramatIcally. Arrests went . 22/ Stevens, pecrlmlnallzatlon and Bevond. Jnebrlty 1n Los Angeles County, 3 Whlttler L 117-118 (1981) PublIC Rev. 55, 38 . . . down more than 60\ and prosec~tlons were down 92\. The followIng table illustrates the reductIon 1n arrests for Penal Code SectIon 647(f) arrests 1n several Los Angeles Police Department D1v1s1ons, from 1975-1979. D1V1Slon \ +/- (1975-1979) -43.8 -63.7 -49.5 -63.5 -14.7 -31.2 . . Central Rampart Hollenbeck Hollywood Var. Nuys Northeast . (Table by P ParsonsJ OffIce of Alcohol Abuse and AlcoholIsm (Aug 1980) (prepared from LAPD Statlst1cal DIgest) . The publIC treatme~t socIal and economIC Impact of decreasIng arrests of InebrIates WIthout the alternatIve of prOVIdIng faCIlItIes 15 shocklng for both the publIC and the InebrIate. "AccordIng to one source, fIre department resc~e . . amb~lance responses In the SkId row area have 1ncreased 26% SInce the Sundance deCISion SpeCIfIc response categorIes worth notIng are the follOWIng: assault and fIghtIng Increased 50%, apparent IntOXIcatIon Increased 22\j inJury 1ncreased 31\" (F. Hunter, A Strateqy in HumanIstIc Urban ConservatIon VI, 1-2 (1979)funpubllshed manuscrIpt) on fIle at OffIce on Alcohol Abuse and AlcoholIsm.) . . 39 . . E. Th~ PublIC InebrIate Problem In Santa MonIca. The CIty of Santa Monica has consIstently been . claSSIfIed as a publIC InebrIate problem area. In 1978, Santa MonIca ranked fourth In a table of JurIsdIctIons reportIng the number of Penal Code SectIon 647(f) drunk In publIC arrests.dQ/ . PUBLIC INEBRIETY TROUBLE SPOTS TOP 15 HOT SPOTS Pollee Jurlsdlct)On Penal Code SectIon 647ft) Arrests-1978 \ +/- From 75-78 Data . Central ;LF\PDJ 17,687 -38 . Long Beach 7,165 +45 MacArthur Park (Rampart LAPD) 3,911 -18 2anta MonIca 2,019 +35 Hollenbeck (LAPD) 1,750 -26 . Pasadena 1,564 +108 Hollywood fLAPD) 1,562 -40 El Monte 1,446 +80 . Inglewood 1,420 +40 Van Nuys (LAPD'I 1,040 -8 . East L A (LASO Unlnc.) 1,037 -17 Northeast (LAPD) 972 -9 Glendale 909 +27 Redondo Beach 853 +180 . . 1Q/ (PublIC InebrIty In Los Angeles County, A Report to the Board of SuperVIsors fSept. 1980); PrelImInary 1980-81 Los Angeles County Alcohol Plan (1980); cIted In Stevens, DecrImIna11zatlon and Beyond. PublIC Inebrlty In Los Anqeles County, 3 WhIttIer L. Rev 55, 98 (1981).) 40 . . South Gate 773 +22 There are other crItIcal IndIcators WhlCh reflect the . severlty of publIC InebrIty problems throughout the County of Los Angeles. It is a problem WhICh contrary to popular bellef IS not, and cannot be, confIned to "Skld Row. "11/ . . County Health Alcohol- Services \, 647(f) Related Reglons Arrests Deaths \, Poverty % Popula. Central 56 1 25 3 35.9 16.9 Coastal 19.0 29.1 20.7 29.4 San Fernando & Antelope Valleys 8.5 16 0 14.0 21 7 San GabrIel B 3 15.7 15.6 21 8 Southeast 8.0 13 8 13.7 10.2 99 9 99 9 99.9 99 9 . . An analYSIS of Santa MonIca Pollce Department Annual Reports from 1960 through 1983 Indlcates that arrests of . publIC InebrIates decllned dramatIcally In the ten (10) year perlod between 1960 and 1970. (See Appendlx V.) SInce 1979, however, there has been a steady Increase In the number of . arrests for publIC drunkeness under Penal Code Sectlon 647(f). Arrests In 1983 represented a 46.5\ increase over the number of arrests 1n 1979. From 1979-1983, SectIon 647(f) arrests . lncreased on the average of 10\ per year. . ~/ Stevens, DecrImInalIzation and Beyond: Inebrlty In Los Angeles County, 3 WhIttIer L (1981). Public Rev. 55, 100 41 . . . Total ,!;i47 (f) Arrests 1979 1882 1980 1999 1981 2239 1982. 2473 1983 2758 \ +/- From Prev10us Year +6.2\ +12\ +10.4\ . +11 5\ Based on Federal Bureau of InvestIgation Un1form CrIme . Reports, Santa Mon1ca's arrest rate for public drunkeness 1n 1982. was over four (4) times the average arrest rate for CIties wlth Slmllar populat1ons. (See AppendlX VI, Table 3 ) . . . . . . 42 . V. PROSECUTION POLICIES The CrImInal Dlvlslon of the CIty Attorney's offIce plays an essentIal role in respondIng to the CIty'S local crIme problem. PolIcIes have been Implemented to ensure the VIgorous prosecutIon of serIOUS crImInal offenses and the reductIon of plea bargaInIng once a deCISIon to prosecute has been made. At the same tIme, the CIty Attorney has attempted to remove from the crImInal JustIce system matters that are more approprIately dealt WIth elsewhere In June of 1981, the Santa MonIca CIty Attorney's offIce InItIated a prosecutIon poliCY slmllar to SpecIal Order 23 utIlIzed by the Los Angeles PolIce Department. Pursuant to thls POlICY, publIC InebrIates remaln SUbJect to arrest, but are released after soberIng up as prOVIded In Penal Code SectIon B49(b)(2) However, prosecution wlll not be InItIated unless the arrest report Indlcates speCIfIc crImInal actIVIty In addItlon to publIC InebrIatIon ThIS POlICY was Implemented because no law enforcement purpose was served by commenclng crIminal prosecutIons CIty and county resources were beIng expended solely to obtaIn a sentence of credIt for tIme served. The POlICY adopted by the CIty Attorney's offIce related only to prosecutIons and not arrests. ~ThIS prosecutIon conVIctIon WIth a POlICY does not neceSSItate any change In the Police Department's arrest poliCIes concerning publIC InebrIates." Inter-Department Memorandum, Prosecution Policy Concernlnq PubliC InebrIates; June 29, 1981. 43 - - AddItIonally, in conJunctIon WIth the Santa MonIca PolIce Department, the CIty Attorney's office developed a - .. publIC inebrIate hshort form~ arrest report which replaced the tIme consumIng narratlve report format preVIously utIlIzed by the PolIce Department ThIS change slgnif1cantly expedIted . publIC InebrIate arrest and bookIng procedures. The publIC InebrIate prosecutIon POlICY adopted by the Santa MonIca City Attcrney's offIce In 1981 has had no . SignIfIcant lmpact on the number of arrests made for PUOllC inebrIation Arrests have actually increased SInce 1981. . Total Drunk Arrests 1977 2086 1978 2101 . 1979 1989 1980 2115 1981 2487 . 1982 2818 1983 3032 . 1984 (J an 1 - Sept 30) 2002 On November 26, 19841 the Santa Monlca CIty Attorney Issued a memorandum clarIfYIng prosecutIon polIcies with . respect tc alcoholIC publIC InebrIates) the homeless, and lndlgents These polICIes were adopted 1n the context of specIf1c cons1deratIons reflectIng the magnItude of the . homelessness prOblem In Santa MonIca balanced with a need to protect the publIC from actual antl-sOClal conduct rather than 44 . prosecut1on based on an 1nd1v1dual's status. VII. ) (See Append1x The City Attorney's prosecut1on poliCies have not curtailed the Police Department 1n making arrests In add1tlon to publIC Inebr1ate arrests, the Police Department in 1984 has made 236 arrests for varlOUS offenses such as panhandlIng, trespass1ng and drInk1ng 1n publlc. In add1t1on, 2,217 c1tat1ons have been 1ssued for these and SIm1lar vlolat1ons. [As a general rule, vlolatlons 1nvolv1ng drlnk1ng 10 publlC, sleep1ng on the beach) ur1nat1ng and defecat1ng 1n publIC, result 1n cItatlons (Q-cltatlons) lssued In lleu of arrest These C1tatIons are not entered 1nto a computer system and were hand counted for the year 1984. Most. of the cltatlons are for dr1nkIng 1n publIc.) A table summar1z1ng prosecut1ons for mIscellaneous cr1mes generally attrlbuted to homeless Ind1V1duals 1S set forth 1n AppendIX VIII. (The totals do not reflect Q-cltatlons, for Wh1Ch records are not retaIned.) 45 - VI. HISTORY AND PEVELOPMENT OF MENTAL HEALTH SERVICES IN CALIFORNIA. -. -- When we approach the vagrant In the SpIrIt of charIty, we are merely advertiSIng ourselves In order to seduce hIm Into our Ideology; when we approach h1m ]Urldlcally we are trYing -. - to Justify ourselves by means of hiS annihilation. He shows us our weakness, and he shows us the utter -- egulvocatlon of our morality. We cannot In good faith say that he is because he IS Wicked; because we know -. -- only too well the ethIcal poverty of our own more successful practlce. Our safest bet IS to call hIm mad. Phlllp - O'Connor, BrItaIn In t~e Slxtles: Vagrancy, 1963 . Common Law. A In many respects, the hIstory and development of mental - - health serVIces eIther parallels or IS an outgrowth of CIVIl commItment poliCIes, practIces and procedures. At common law the VIolently Insane could be detaIned by .. - anyone Deutsch, The Mentally III In America 419 (2d ed. 1949) . The sovereIgn's police power could be Invoked to 46 - ~ prevent destructlve acts. Restralnt and subsequent commItment (or worse) were totally dependent on vlolent conduct. Allan & ~ ~ Parr1s, CIV1l CommItment of the Mentally Ill} 14 U C.L.A. L. Rev 822, 826-27 (1967) "In colonIal AmerIca thls frequently amounted to detent10n for publlC executlon. Both 1n England ~ ,.. and AmerIca, the mentally 111 who escaped thIS fate were cast Into what could only euphernlstlcally be called 'hosp1tals '" Deutsch, The Mentally III In Amerlca 420 (2d ed. 1949), cIted ~ ~ 10 Allan & ParrIs, CIVIl Comm1tment of the Mentally Ill, 14 U C L A L Rev. 822, 824 ( 1 9 6 7 ) CommItment to a hospItal, however, was generally fer an IndetermInate period. . B. ~allfornla Early development of CIVII commltment laws In CalIfornIa ~ ,.. paralleled those adopted In other jurlsdlctlons. In 1897 the state Leglslature adopted a comprehensIve InsanIty law deSIgned to completely reVIse the eX1stlng laws on the subject ~ .. of InsanIty In re Lambert, 134 Cal 626, 66 P. 851 (1901). The act was copIed from a New York comprehenSlve InsanIty law enacted 1n 1896. However, the Callforola LegIslature . negl~cted to 1nclude procedural safeguards WhICh were an Integral part of the New York statute Due to the faIlure to gIve notice to the Indlv1dual beIng commItted prIor to seIzure . and delIvery to a mental hospital, the California Supreme Court ln Lambert declared the ent1re law unconstItutIonal. The 1nvoluntary commitment laws enacted by the . Callfornla LegIslature subsequent to Lambert rectIfIed the 47 . - pre-commitment notIce defIcIency and provIded for Involuntary commItment of mentally 111 IndIVIduals who were e1ther - - presently dangerous or lIkely to become dangerous. Between 1901 and 1967 when the Lanterman-Petrls-Short Act was enacted, a person Involuntarily comm1tted was deprIved of numerous personal and CIVIl rIghts. In addItIon to 10s1ng the rIght to declIne medIcal or psychIatrIc treatment, the IndIVIdual was SUbJect to the follOWing: ( 1 ) automatlC revocatIon of profeSSIonal licenses for over twenty (20) profeSSlons IncludIng law, medlClne, account1ng, psychology, and nursIng; ( 2 ) dIscretIonary revocatIon of a drIver's . - lIcense by the Department of MotOr Vehicles, ( 3 ) loss of abIlIty to buy or sell property where a tItle search was reqUIred, ( 4 ) automatIC loss of publIC offIce If the .. lncumbent was InvoluntarIly commltted.~1 In 1947 another slgnlflcant development occurred WIth respect to "who" could be InvoluntarIly comml tted to a mental - hospItal In CalIfornIa. Prlor to 1947 only a mentally 111 IndIvldual who was eIther presently dangerous or l1kely to become dangerous could be lnvoluntarlly commltted. However, - - In 1947 the Leglslature saw fIt to expand the commltment crlterlon from "dangerousness" to self or others to encompass IndiVIduals who "are of such mental condltlon that they are In .- need of superVISIon, treatment, care or restraInt." Cal . 32/ Burke, The Need For Reform In The California ClVIl CommItment Procedure, 19 Stan L Rev 992 (1967). 48 - ~ Welf. & Inst. Code Section 5550(a)(West's 1947), repealed by 1968 Cal. Stats., c. 798, Sectlon 7, operatlve July 1, 1969 The addItIon of thIs "need of treatmentM standard was vague and was premIsed not on the state's police power concept to commlt InVOluntarIly to protect the publlc from vlolent and destructIve acts, but rather was an Invocatlon of the anCIent parens patrIae concept to protect and aSslst Indlv1duals 1n carl~C for themselves "Commltment for dangerousness to others serves the polIce power; commItment for dangerousness to self reveals the government as guardlan to those members of the co~~unlty unable to care for thelr lnterests" Note, ClVIl Commltment of the ~entally III TheorIes and Proced~res, 79 Harvard L Rev 1288, 1293 (1966). See Matter of Oakes, 8 Law Rep 122, 125 (Mass. 1845) - C The Decllne of Custodlal Hospltallzation for the Mentally Ill. It was not until the early 1960s that WIdespread on the economlC and human waste attention was focused . assoclated With the operatIon of the state mental hospItal system In CalIfornla In 1966, the state mental hospItals had twenty-five thousand patients Eighty-four percent (84%) of these patlents had been involuntarlly commItted. Burke, The Neec for Reform in the CalIfornia ClVll CommItment Proced~re, ... 19 Stan L. Rev. 992 (1967]. . Studles demonstrated that for many years state mental hospItals were beIng utlllzed as "warehouses" or "dumpIng 49 . . . grounds" for the unwanted and socIally undesirable rather than for isolating and treating mentally disordered persons A large number of aged persons wIth no symptoms other than senility were lnvoluntarily committed to state mental hospitals. In 1965, 20% of all involuntary commitments Involved persons over sixty-five (65) years of age. "A 1965 estimate stated that about 4,500 aged pat1ents were lmproperly placed 1n Callforn1a State Hosp1tals Of thls number) 80\ dled w1thln a year" Callfornla Assembly Interim Comm1ttee on Ways and Means) f.~nal Report on Health Care SerVices for the Aged (Aprll 1965)j Callforo1a Assembly Inter1m Commlttee on Ways and Means, A Summary Report on Health C~re SerVices for t~e Aged 17 (1964). Custody rather than treatment became the function and purpose of state mental hospItals . . . . [T]he community's assumpt10n . [lS] that the state hOspital is a proper dump for Its problem people For years the community has sent us people WIth little or no . mental illness, but With lImited . ablllty to compete ln the world We gIve these people no treatment - Just three squares, a plot 1n the dormitory and a chance to perform desultory labors euphemlstically referred to as "industrIal therapy" . So mental . 50 . . . hOspItals are beIng told to function as (a) boardIng nurserIes for unreconstruct I ble Peter Pans; (b) front porches for old people; and (c) pink and blue rIbboned paneled . InstItutIons for naughty folk. (Quote, Dr WIllIam Sheeley, former state mental hOspltal superintendant; . Burke, The Need for Reform In the . CalIfornIa CIVIl CommItment Procedure, 19 Stan. L. Rev 1002 [1967) The SItuatIon In CalIfornIa's mental hospItals had reached a critIcal state by 1965 ResIdent patIent populatIon was more than 1,000 beyond capaclty. 1965 State of CalIfornIa StatistIcal Abstract 146 (1966). Hospitals were understaffed; morale was low. More Importantly, costs were hIgh. EmpIrlcal studIes and data, both state and natIonWIde, concluded that . . state mental hospItals were lll-equIpped to perform theIr functIon and that hospItalIzatlon was not In many cases for purposes of effectIve treatment CalIfornIa Medlcal ASSOCIatIon, Observations and Comments therapeutIC essentIal . Based On A Survey of CalIfornIa State Mental FaCIlItIes, ( 196 5 ) . . 51 . . . D The Advent of Community Based Mental Health D~llvery Systems. In 1963, the Kennedy AdminIstratIon adopted a natIonal mental health program wh1ch called for the mentally III to be treated In the1r own commun1tles. The POlICY underlYIng thlS InauguratIon of a federal program favorIng communIty mental health centers was premlsed prImarIly upon effIcacy of treatment goals rather than budgetary conslderatlons related to cost reductIon Efforts were made to "focus communIty resources and provIde better communIty facllltles for all aspects of mental health care" so that "the center would make posslble a better understandIng of [the patIent's] needs, a more cordlal atmosphere for hlS recovery, and a contlnuum of treatment" Message From the PresIdent of the UnIted States Relatlve to Mental Illness and Mental Retardation, H R. Doc. No. 58, 88th Cong., 150 Sess. 3 (1963). The Communlty Mental Health Centers Act of 1963 (42 U S C. Sections 2681-96 (1964)) authorIzed slgniflcant a1d to states 1n 1965-1967 for constructIon and staffing of communIty mental health centers. CalIfornIa communIties for the most part faIled to utIlIze avaIlable federal funds to establIsh communlty treatment programs. It IS generally conceded that federal Clrcumventlon of state polltlcal power structures led to subsequent state dIsavowal of the new programs. Brown, PubllC Policy and the RIghts of Mental Patients, 6 MDLR 55, 56 (1982) . . . . . . . . 52 . . In 1957, SIX years Community M~ntal H~alth before the advent of the federal Centers Act, the Callfornla . LegIslature enacted the Short-Doyle Act WhICh was designed to provIde an Incentive to communItIes to establIsh local mental health treatment facIlItIes. Cal. Welf. & lnst. Code SectIon . 9000-58, repealed by 1967 Cal. Stats., Cal. Welf. & lnst. c. 1667, Sectlon 41 Code SectIon 5600 et (now contalned In . seq J. This early attempt to stimulate communIty mental health centers produced very few vIable operatIve local programs. Countles were reluctant to meet the twenty-flve percent matching fund reqUIrement, partIcularly Slnce they saw the eXlstlng commItment laws as effectIve for banIshIng undeSIrables from the local scene to state hospltals. Those Short-Doyle facIlItIes WhICh were establIshed were utIlI2ed by many countIes as a mechanIsm to facllltate placement In state hospItals Burke, The Need For Reform In The Callfornla C1V1I CommItment Procedur~1 19 Stan. L. Rev 992, 1003-04 (1967). In the late 19605, long standIng dlssatlsfactlon wIth eXIstlPg commItment procedures and state hOspItal condItIons preClpltated a maSSIve overhaul of the state's mental health system On January 1, 1967, Ronald Reagan became Governor of the State of Callfornia On March 14, 1967, hIS AdminIstration announced SIgnIfIcant reductIons 10 state hospItal personnel and budget allocatIons It was clear that Governor Reagan Intended to dIsmantle the state hospItal system and place . . . . . . 53 . - - increaslng reI lance on a system of prIvately operated communIty based facIIItles. Los Angeles TImes, March 15, .. - 1967, Sectlon 1 at I, col. 6; Los Angeles TImes, March 16, 1967, SectIon I, at I, col I. The result of the Reagan AdmInIstration's budget cuts . was to drastIcally reduce the census at vlrtually all state hospItals The drastIc reductlon In state hospItal In-patIent levels has been termed "the transfer of care." Brown, The . Transfer of Care: U.S. Mental Health POlICY SInce World War II, 9 Internatlonal Journal of Health SerVIces 645, 667 (1979) The effect of thIS POlICY was "to deInstltutlonallze . state hOspItal patIents Into the communIty by placlng them In unsatIsfactory nurSIng and boardIng homes, largely pald for by federal Med1cald and 55! funds, where theIr plIght WIll no . longer be a problem for state government ThIS undermInes a unIform POllCY and IS hIghly questIonable In terms of humane care " 19- at 56. ThIS was the sltuatlon In 1967 when the . LegIslature enacted the Lanterman-Petrls-Short Act E The Lanterman-Petrls-Short Act. . In 1967, the CalIfornIa LegIslature replaced eXlstlng CIVIl commltment procedures wlth a comprehensIve legIslatIve scheme denomlnated as the Lanterman-Petrls-Short Act . (hereInafter "LPg," Cal Wel f. & lost Code SectIon 5000 et seq. , Stats. 1967, c 1667, P 4074, SectIon 36, operatIve July 1,1969). There was a two year delay between enactment . and operatIve effect of LPS. ThlS reflects the magnItude of 54 . change 1n eX1st1ng law engendered by the LPg and was necessary In order for private and publ1C sector adJustments to ensure - that the law would become a workable realIty. The essent1al prov1s1ons of the LPS Act provided for. [A] new statutory scheme - - repeal1ng the Indeterm1nate commItment, removIng the legal dIsabIlIties prevIously lmposed upon . persons adJudlcated to be mentally 111 , and enactlng an e~t~nslve scheme for communIty-based serVIces, . emphasizIng voluntary treatment and prov1dlng for perIods of Involuntary observatIon and crlSlS treatment for . persons who are unable to care for themselves or whose condItIon makes them a danger to themselves or others. . Thorn v SuperIor Court, 1 Cal 3d 666, 668, 464 P.2d 56, 58, 83 Cal.Rptr. 600, 601 (1970) (emphaSIS . added) The extens1ve scheme of communIty based serVIces reqUIred organlzation and flnanclng. To accomplIsh thIS . slgniflcant modIf1catlons were made to the eXlstlng Short-Doyle Act. The second Short-Doyle Act was enacted concurrently WIth the LPS Act. (eal. Welt. & lnst. Code . SectIons 5600-5800 [West's 1984).) It was deslgned: 55 . . [T]o organIze and fInance communIty mental health serVIces for the . mentally dIsordered In every county through locally adminIstered and locally controlled communIty mental health programs. It 1S furthermore Intended to better utIlIze eXIstIng . resources at both the state and local . levels In order effectIveness of to improve the necessary mental health serVIces; to Integrate . state-operated and communIty mental health programs Into a unlfled mental health system; to ensure that all . mental health profeSSions be . approprIately represented and utIlIzed In such mental health programs; to prOVIde a means for partlc1patlon by local governments In the determlnatlon of the need for and the allocatlon of mental health resources; to establIsh a unIform ratio of local and state . government responsIbility for . finanCing mental health serVIces; and to prOVIde a means of allocatlng state mental health funds accordlng to . 56 . - - communlty needs. (Gal. Welf & lnst. Code SectIon 5600 (West's 1984) - .. The legIslatIve Intent of both LPS and Short-Doyle Acts was to completely change CalIfornIa's mental health system. Under both acts, many former questIonable practlces related to - - CIVIl commitments have been elImInated and communIty faCllltles establIshed HoweverJ there are stIll slgnlflcant questIons and problems WIth respect to standards under WhICh . an Indlvldual IS subJect to lnvoluntary custody and evaluatlon under the LPS Act as well as uncertaInty regardIng the nature, number} and functIon of communlty care faCIlItIes establlshed . under the second and receptly amended thIrd Short-Doyle Act F LPg Act Custody and Commltment Problems. . Whlle there are several ways for a mentally dlsordered person to become subJect to the custody/evaluatIon/commitment prOVISIons of the LPg Act, there are only two procedures WhICh . are germane to the scope of thlS report The InItIal confInement and evaluatIon of a mentally dIsordered person IS generally accomplIshed pursuant to the . prOVISIons of Welfare & InstItutIons Code Sectlon 5150. PolIce offIcers, staff members of an evaluatlon faCIlIty: and other deSIgnated professlonals may upon probable cause take . Into custody or authorize the taKIng lnto custody an IndIVIdual who as a result of a mental dlsorder 1S "a danger to others, or to hImself or herself, or [is] gravely . dlsabled " (Cal Welf. & Inst. Code SectIon 5150, (West's 57 . 1984).) Such an IndIVIdual IS subJect to Involuntary seventy-two (72) hour custody, treatment and evaluation. SImIlar provIsIons are applIcable to IndIVIduals who are gravely dlsabled or dangerous due to InebrIation. (Cal. Welf. & lnst Code SectIon 5170.) FollOWIng the InItIal 72 hour detentIon, an IndIVIdual can be "certlfled" for fourteen (14 ) addItIonal days of treatmer.t If: (1) The staff fInds that the person IS dangerous to hImself or to others, or IS gravely dIsabled. (2) The person has been adVIsed of but has not accepted voluntary treatment - - ( 3 ) The faCIlIty can prOVIde treatment. (Cal Welf. & lnst. Code SectIon . 5250 (West's 1984) BarrIng exerCIse of habeas cor~us reVIew, an IndIVIdual can be held for seventeen (17) days WIthout JUdICIal reVlew . If addItIonal confInement and treatment beyond the seventeen (17) day perIod IS IndIcated, JudICIal reVIeW IS generally reqUIred. SpeCIfIC commitment procedures, conservatorshlps, . and on-gOIng judIc1al reVlew are dependent on whether the mentally dIsordered person IS claSSIfIed as eIther dangerous to others or gravely dIsabled. (See Cal Welf. & lnst. Code . SectIons 5260-68,5352 (West's 1984).) 58 . QuestIons and problems related to the LPg Act commItment procedures center around the meanIng of terms such as: ~dangerous to others,~ "gravely dIsabled," and "dangerous to self." These statutory standards are clearly subjective and InvIte, permIt, and encourage arbItrary and dIscrimInatory enforcement of the law. Burford, The "Cuckoo's Nest" Reassessed. Involuntary CommItment In CalIfornia After SUZUkI v. Yuen and Dee v. Galllnot; 22 Santa Clara L. Rev. 807 (1982) A study of custody and commItment procedures under the LPS Act indIcated that the Act frequently penalIzed - -- IndIVIduals who demonstrated IdIosyncratIC behaVIor. The author found that nonstatutory VIolatIons of folkways . (wearlng blzarre dress, beIng tranSIent) haVIng a dIrty home, etc.) were common crIterIa for the lnltlal . commItment under a grave dlsabIlIty standard. Furthermore, these patterns of behaVIor were those most frequently . used as eVIdence of faIlure to prOVIde food, clothIng, or shelter at subsequent hageas corpus hearIngs. . ld. at 824, CItIng Warren, Involuntary Commltment for Mental DIsorder: The 1I.pplIcatlon of CalIfornIa's . 59 . Lanterman-Petris-Short Act, 11 Law & Soc'y Rev 629, 634 (Sept. 1977). However, both state and federal courts have upheld the LPS Act's "gravely dIsabled" commItment standard against challenges that It IS unconstitutionally vague and due process challenges to the InitIal Involuntary commitment scheme. Doe v. Galllnot, 486 F. Supp 983 (C.D. Cal. 1979), aff'd 657 F.2d 1017 (9th Clr 1981), Thorn v SuperIor Court, 1 Cal. 3d, 464 P 2d 56, 62 Cal. Rptr. 600 (1970); County of 5~n DIeqo v. Superior Court, 1 Cal.3d 677, 464 P 2d 63, 83 Cal. Rptr 607 l197D}. The UnIted States Court of Appeal for the NInth CIrCUIt In Doe dId hold, however, that Since there Was a hIgh degree of subJectiVIty Involved In InterpretIng the grave disability - - standard, a mandatory probable cause hearIng was reqUired for the gravely dIsabled prIor to the fourteen (14) day extensIon certIfIcation . The dIlemma faCing law enforcement and mental health profeSSIonals IS what actlon to take to protect or aSSIst IndIVIduals who may not warrant Involuntary commltment, but . whose psychologIcal condItIon requlres some sort of InterventIon SInce they are also unable to lIve outSIde of an InstItutIonal settIng In enactIng the LPS Act, the . LegIslature speclflcally Intended "[t]o protect mentally dIsordered persons and developmentally dlsabled persons from crImInal acts " (Welf & Inst. Code Section 5001(g).) . Mentally disordered persons who wander streets and parks 60 . wIthout medlcatlon, supervlsed treatment plans, and shelter are constantly exposed to abuse In the form of beatIngs] robbery, and general threats of IntimIdatIon and physIcal harm. It IS In thIS SItuatIon that the need for viable communIty mental health centers and communIty care faCilItIes for local crIsis Intervention and placement, short of commItment, is essentIal - G. The Short-Doyle Act and Commun~~y Mental Health Programs and FacIlltles. The Short-Doyle Act IS specIfIcally deSIgned to fund an - -- extenSIve scheme of communIty based mental health programs and faCIIIt1es. (Ca 1. W~lf. & Inst Code SectIon 5600 et seq.) In 1984, the Act was extensIvely amended by the Callfornla . LeoIslature (1984 Cal Stats, c. 1327. Pursuant to the Act, the Board of SuperVIsors of each county] or Boards of SuperVIsors of countIes actIng JOIntly, . are requIred to submIt an annual county mental health plan to the state DIrector of Mental Health (Cal. Welf & Inst. Code SectIon 5650 ) In developIng a mental health plan, each . county shall consider all of the follOWIng specIfIed prlorIty populatIons' (a) ChronIcally mentally III . ( b ) Mentally dIsturbed chIldren and adolescents. (c) Mentally III elderly Cd) Mentally III JaIl Inmates and mentally III wards of . JuvenIle detentIon faCIlItIes. 61 . (e) Underserved populatIons. (Cal. Welf. & lnst. Code SectIon 5651 1.) .- The Los Angeles County Department of Mental Health as establIshed by the County Board of SupervIsors IS responsIble for the admInIstratIon of the Short-Doyle Program for mental .- health. Thls Department operates both countYWIde and regIonal mental health programs Los Angeles County IS organIzed Into fIve health serVIce regIons theoretically deSIgned to admInIster a more decentralIzed delIvery of serVIces: Central, Coastal, San Fernando/Ar.telope Valley, San GabrIel Valley, and Southeast. - -- A SIgnIfIcant number of health serVIce regIonal boundarles correspond WIth the boundarIes of county superVIsorIal dIstricts. . Each health serVIce regIon IS also subdIVIded Into fIve mental health regIons Some mental health regIons are In turn subdlvIded Into mental health dIstrIcts. Each regIon IS . headed by a Deputy DIrector. The RegIonal Mental Health DIstrIct boundarIes are deSIgned for program plannIng purposes onlYi persons are not . lImIted to receIVIng care WIthin the health regIons or dIstrIcts of theIr reSIdence SerVIces are prOVIded In three baSIC ways: ( 1 ] through county operated faCIlItIes, (2] . through contracts WIth prIvate prOVIders, and (3) by referral of patIents to state hospItals, prIvate hospItals, State Offlce of Mental Health SOCIal SerVIces, and State Department . of SOCIal SerVIces. Ideally, patIents are to receIVe 62 . treatment wIthIn their own regIon, and, It 15 hoped, WIthin theIr Mental Health DistrIct. Regional Deputy Directors for Mental Health are responsible for the planning of mental health serVIces withIn their respective regIons Community partIcipation in the planning process IS faCilItated by various regIonal and distrIct lIaison commlttees. Servlce prOVIders are generally represented by the Interagency CoordInatIng Committee. The ... County Department of Mental Health Central offIce has the responSIbility for the fInal planning and funding allocation determIr.atIons for the mental health regions ... ... In determInIng the allocatIon of Short-Doyle communIty mental health funds, the County Central Office and regIonal planners are generally gUided by the California Model serVIce . target groups} Index of RelatIve Need, and statutory mandated programs and target groups. However, past practIce has shown that obJective . crlterIon 15 not the sole determInant of Short-Doyle fundlng allocatIons In 1977, a State Department of Health Report IndIcated there was a hIstory of political InterventIon In the . communIty mental health plannIng and allocation process to a degree that legItimate communIty needs were frequently Ignored (State Department of Health Report (July 261 1977); . copy available In the Santa Monica City Attorney's OffIce.} Each year a portion of Short-Doyle community mental health funds are dlstrlbuted based upon the relative polItIcal . 63 . Influence of serV1ce provIders and serVIce populations rather than accordIng to an obJectIve index of need. H DIstributIon of Short-Doyle CommunIty Mental Health Funds 1n Santa MonIca. The C1ty of Santa Monica 1S located In the Coastal Mental Health RegIon. The Coastal RegIon IS further dIVIded Into four dIstrIcts Santa MonIca IS In the Santa MonIca West Mental Health DIstrIct Coastal RegIon Short-Doyle funds for 1983-84 totaled $13,545,899 Of thIS total, the Santa MonIca West Mental Health DIstrIct was allocated $3,812,698, wh1ch constitutes 30% of the total funds allocated to distrIct programs and 28% of the total funds allocated to the regIon. AppendiX IX ... contaIns a detaIled table of regIonal and dIstrlct Short-Doyle allocatIons. No Coastal RegIonal or Santa Mon1ca West Mental Health ... DIstr1ct Short-Doyle funds have been allocated or targeted for homeles~ mentally dIsordered IndIVIduals The CalifornIa Model for CalIfornia CommunIty Mental Health Programs, whIch .. ~ IS utIlIzed In conjUnctIon WIth the Index of relat1ve need to determIne Short-Doyle program fundIng prIorItIes, does not contaIn a speCIfIC program category for the homeless mentally dIsordered The CalifornIa LegIslature, 1n amendIng the Short-Doyle Act, faIled to Include programs and funds for the homeless ... ... mentally dIsordered It also elImInated entirely preVIOUS 64 .. state fundlng Incent1ves for the establ1shment of Innovat1ve, communIty based outpatIent treatment services, Wh1Ch were partIcularly sUIted for adaptatIon to the specifIC needs of the mentally dIsordered homeless populatIon. (Cal. Welf. & lnst. Code Section 5705.5, amended by 1984 Cal. Stats., c. 1327. In fIscal year 1984-B5) the state budget reflected the largest fundIng 1ncrease for local mental health programs 1n CalIfornIa's hIstory The State Department of Mental Health's budget was $702.5 mIllion, an 11\ Increase over the preVIOUS fIscal year The port1on of the budget des1gnated for communIty mental health programs was lncreased by 15\ or $471000,000 for a total of $364,000,000 33/ Notwlthstand1ng the Increase 1n state funding for communIty mental health programs, federal funds preVIously allocated directly to communIty mental health centers are now IndIrectly allocated In the form of block grants to count1es through the state. These 1ndIrect state block grant funds are SIgnIfIcantly lower than dIrect federal funds. As a result, several communIty mental health centers In Los Angeles County have reduced ~ ~ serVIces. Under eIther fundIng scheme, homeless mentally dIsordered IndIVIduals have been VIrtually Ignored WIth respect to development of programs deSigned to meet theIr ... baSIC need for shelter and treatment .. .. 33/ Office of the Governor, Press Release (September 25, 1984). 65 . ... WhIle the POlICY of deinstltutIonallzatlon has necessarIly engendered the need for communIty health programs and faCIlItIes, actual Implementation of the Short-Doyle Act has clearly faIled to resolve the placement problem related to IndIVIduals dIscharged from state mental hospItals but who are unable to care for themselves WIthout some level of aId or superv1slon There IS a growIng consensus that the POlICY of deInstltutIonallzatlon has been condemned as IrresponsIbly Implemented. (T]he next era of reform WIll need to acknowledge that responSIble communIty care must Include baSIC life supports (such as housIng, Income and food), mental health treatment (IncludIng, but not lImIted to, outreach, crISIS 1ntervent1on, medIcatIon, and supportIve therapy, and some degree of protection, supervIsIon, and advocacy). Lev1ne, Homelessness: Its ImplIcatIons for Mental Health PoliCY and PractIce, PsychosocIal Rehab1lItatIon Journal, Vol. VIII, No 1, P 12 (July, 1984). Shelter and follow up treatment IS espeCially diffIcult Slnce the nature of these lndIv1duals' partIcular mental Illnesses frequently manIfests Itself In a chronIC denIal of theIr true mental and phYSIcal deterIoratIon There IS also a 66 fear that contact wIth publlc agencies may lead to either Incarceration or further involuntary commltment The functIonal characterlstlcs of the chronically mentally 111 WhICh frequently lead to theIr Inabillty to secure or retaIn a reSIdence are (D]lfflculty WIth the tasks of dally lIVIng, recurrent problems In meetIng baSIC survlval needs, 1nabllIty to seek help and the from human SerVIce works, "actlng out" behaVIor epIsodes of that may tendency toward Interfere w1th the well-beIng of themselves and/or others Anyone of these characterlstIcs makes It dIffIcult for a chronIcally mentally 111 person to ga1n access to hOUSIng and/or employment; frequently, the chronIcally mentally 111 have more than one of these functIonal problems 1..9...- at 8-9 homeless Bassuk, comprIse a slgnIflcant percentage of the The Homelessness PrOblem, SClentlflc These 1ndlVlduals AMerIcan, Vol. 251, No.1, P 40 (July 1984). The American PsychlatrIc Assoclatlon has recently Issued a comprehenSIve report on the plIght of the homeless mentally III WhlCh analyses Its causes and makes speclflc recommendatIons for resolVIng thIS SOCIetal tragedy. (See AppendiX X.) 67 t. LPS Act Placement and Treatment AlternatIves. In CalIfornia during fIscal year 1982-83, 11,275 patIents were discharged from SIX state hospItals for the mentally dIsabled. 1983 CalIfornia StatIstIcal Abstract 77. Durlng 1981-82, 13,815 patlents were discharged. ApprOXimately 65-70\ of these dIscharged patIents were from the Los Angeles County serVIce area Thus, Los Angeles County has a critical problem With respect to provld1ng adequate numbers of mental health profeSSIonals as well as placement and treatment programs Wh1Ch WIll ensure an orderly tranSItIon from 1Dstltution to commun1ty support1ve care. There appear to be two prImary factors WhiCh lead to homelessness on the part of discharged mental pat1ents. FIrst, there is an acknowledged lack of community care - faCil1ties avaIlable for placement In the County. The second and more fundamental problem contr1butIng to homelessness among many discharged mental patIents IS that they refuse to comply WIth prescribed treatment programs and placement 1n eXIstIng communIty care faCllit1es. "A study of 500 arrested persons In need of psych1atrlc care found that all had hospItalIzation records, but 94 percent were not Involved in any outpatIent program 034/ There 1S a def1nIte need for some form of mandatory out-patIent programs and placements for both mentally dIsordered Indlv1duals dlscharged ~/ Whitmer, Fro~ HospItals to JaIls: The Fate of CalifornIa's Deinstitutlonallzed Mentally Ill, AmerIcan Journal of Orthopsychiatry, Vol 50, No.3, p. 738 (Dec 1980l 68 from state mental hospitals as well as a treatment option under the LPS CIVIl commItment procedures for lndlvlduals whose condItIon does not warrant InstItutIonalIzation. WhIle numerous dIscharged patIents are not committable under the LPS Act, the nature of theIr mental Illness renders them unable to care for themselves or lIve Indepedently outsIde an InstItutIon wIthout some level of aid or superVIsIon The LPg Act falls to dIrectly address thlS problem. For that segment ... of the homeless who are mentally dIsabled, therapeutIc and survIval Imperatlves are IntImately llnked. [T]here IS always an InteractIon between clInIcal and sOCIal problems. It IS rarely possIble to separate the two In any way that would be ... ... convenIent for the development of Independent medIcal and soclal servIces.~/ . ArtlflClally separatIng treatment from surVIval needs reflects a POlICY of dealIng WIth the mentally dIsordered ho~eless on a baSIS of neglectful expedIency . [I]t IS dlfflcult to delIver mental health serVIces to a homeless mentally III IndIVIdual who IS destItute and . phYSIcally Ill. A part of any mental health treatment program to a homeless . ~/ WIng & Olsen, CommunIty Care for the Mentally DIsabled, Oxford UnIverSIty Press, p 172 (1979). 69 . mentally III person must Include an attempt to help stablllze the immediate physIcal envlronment of the lndIVldual. Provldlng shelter} food} physlcal health care and protectIon from VIolence became a signIfIcant mental health treatment process. Farr, The Los Angeles Sk1d Row Mental Health ProJect, Los Angeles County Dept of Mental Health 14 (1983). A grOWIng number of courts and leglslatures have attempted to deal WIth the chron1cally mentally III who cannot be commltted as mentally dIsordered, but who are too SIck to be placed on the streets - The New Jersey Supreme Court In the case of In re Com~lt~ent of S L , 94 N J 128, 462 A.2d 1252 (1983), conSIdered the Issue of the legal status of patIents In state - .... mental hOspItals who had been dIscharged Slnce they were no longer dangerous to self, to others or to property However, these pat1ents were unable to surVIve Independently outSIde . the Instltutlon WIthout some care and superVIsion The court created a hybrId status of "discharged pendIng pI a cemen t ,. (DPPl whereby when a commItment reVIeW hearIng 1S - - held, the court" shall make a further lnqulry to determIne whether the IndIVIdual 15 . capable of leaVIng the lnstltutlon. 70 . If the court determInes that the IndlVldual IS not able to surVIve 1n the communIty Independently or wIth the help of famIly or fr1ends, the court shall dIrect that the IndIVIdual remaIn in the instItutIon, but ImmedIately schedule a placement reVIew hearIng to occur WIthIn 60 days (In re CommItment of S L et ~l , 94 N J 128, 462 A 2d 1252, 1258 (1983) If no approprIate placement IS found WIthIn 60 days, placement reVIew hearIngs would be held every SIX months. The commItment/placement court also has the optIon of exercISIng contInUIng JurIsdIctIon concernIng the care, superVISIon, placement or commItment of the IndIVIdual. In CalIfornIa, the only comprehensIve treatment and ... ... placement prOVISIon under the LPS Act deals WIth mentally dIsordered IndIvlduals who have actually carrIed out, or threatened, serIOUS and substantIal phYSIcal harm to another . rWelf. & Inst. Code SectJon 5300.) For persons commItted pursuant to SectIon 53001 there are prescribed placement, treatment, and supervlslon reqUIrements. (Welf & lnst. Code - - SectIon 5305.) However, these prOVISIons provIde no relIef to the maJorIty of dIscharged mentally dlsordered patIents who are not commIttable, but who cannot effectIvely safeguard . theIr own phYSIcal and economIC interests. 71 a The rationale for the New Jersey Supreme Court's deCIsIon rested on what it considered to be the responsIbilIty of the state under the parens patrIae authorIty. Although the state does not have the authority to cont1nue the legal commItment of the appellants, It IS not reqUired to cast them adrlft Into the communIty when the IndIVIduals are Incapable of surVIval on their own In a proper exerCIse of Its parens patrlae authorIty, It may therefore of neceSSity contInue the conflnement of such persons on a proVISlonal or cond1t1onal baS1S to protect thelr essent1al well-beIng, pendIng efforts to foster the placement of these IndlVlduals 1n proper supportIve - ... settIngs outSIde the InstItutIon. In re CommItment of S.L., 94 N.J. 128, 462 A 2d 1252, 1258 (1983) . The ArIzona LegIslature has taken an innovatIve approach In attemptIng to solve the dllemma of confInement versus leaVIng a mentally dIsabled person on the streets to wander ... WIthout a home or treatment alternative Section 36-540 of the Ar1zona Mental Health SerVices Act permIts mentally III patIents to be ordered Into mandatory outpatient programs as . an alternative to InstItutIonalIzatIon or no treatment at all. 72 . FollowIng a hearIng an lndIVldual can be ordered into an outpatient program for periods up to one (1) year. FaIlure to comply wIth mandatory outpatIent treatment may result In the person beIng commItted to an InstItutIon. In addItIon to ArIzonaj a number of other states have Implemented mandatory outpatient treatment programs. There IS a move toward statutory prOVISIon for compulsory outpatlent treatmentj about 20 states now permIt a court to order outpatIent treatment In place of hospltallzatlon for patIents In the CIVIl commItment process. OutpatIent commitment has been successful In the DIstrIct of ColumbIa, and reports are avaIlable on Its' use In North CarolIna Bu tIn general It IS an untapped potentIal - - for deal1ng WIth the chronIcally mentally III who are reluctant to seek treatment. AmerIcan PsychIatrIc ... ... ASSOCIatIon, The Homeless Mentally III 267 (1984) Of unquestIonable Importance In these legIslatIve - ..... schemes IS that mandatory outpatIent programs are unworkable unless faCIlItIes and VIable treatment programs eXIst. The approach utIlIzed by mental health profeSSIonals, the . legIslature, and courts should reflect a WIllIngness to 73 . utIlIze nontradItIonal treatment approaches In dealing ..nth the homeless mentally ill Our work has shown that traditIonal mental health treatment approaches usually are not affective ( SIC ) In reachIng out to or treating the homeless chronIcally mentally III Our InitIal thrust In the Los Angeles SkId Raw Mental Health ProJect was based on tradItIonal mental health treatment approaches and dId not prove effective. As the tradItlonal approaches were abandoned and new and unIque methods of outreach and aSsIstance Were developed, the program became IncreaSIngly successful. Farr, Th~ Los anqeles SkId Row Mental Health Pr9gram, Los Angeles County Dept of Mental Health 15 (19B3). Unless and untIl the CalIfornIa legIslature beglns to - - examIne alternatives to the present state mental hospItal commItment/dIscharge scheme under the LPg Act, mentally dIsabled IndIVIduals wlll contInue to swell the ranks of the homeless "AnalYSIS of the problem of homelessness (of the mentally dIsordered) shows the Inadequacies of a conventional 'serVIce' approach and suggests that 'therapeutIC' and ... evecyday 'surVIval' needs must be conSIdered simultaneously." 74 ... InstItute for Social Welfare Research, PrIvate LIves/PublIC Places: Homeless Adults on the Streets of New York CIty 5 (1981). What IS needed 1S continued protective InstItutlona11zatIon pendlng beneficIal communIty placement coupled wIth some form of mandatory outpatIent placement/treatment scheme such as the one beIng utIlIzed In Arlzona. However, before any legIslatIon IS drafted WhICh IS modeled after the New Jersey contInued protectIve InstItutIonalIzatIon plan or the ArIzona mandatory outpatIent treatment program) careful reVIew and conSIderatIon should be gIven to potentIal InfrIngement of patIents' CIVll rIghts It appears that contlnued protectlve Instltutlonallzation pendIng benefICIal communIty placement IS vIable only where there are - adequate numbers of communIty placement faCIlItIes and when placement reVlew hearIngs are scheduled at more frequent Intervals than every 60 days as eXIsts under the present New - Jersey plan. WIthout these protectIons many dIschargable mentally dIsordered patIents mIght otherWIse langUIsh for months In state mental hospItals . The Arlzona mandatory outpatlent program permlts lnvoluntary commItment WIthout prIor JUdICIal reVIew of a patIent who 1S determIned to be In non-compliance WIth the -. - terms of a mandatory outpatIent order. It would appear that before a patIent's status can be changed from outpatIent to Involuntary commItment to a psychIatrIC faCIlIty, some form of . 75 . judICIal or admInIstrative hearIng be held prIor to, or WIthIn a short period of tIme subsequent to, commltment ... ~ .. ~ . 76 ~ ~ VII. ~ONCLUSION AND RECOMMENDATIONS There may be a message In the 34 year-old ChIcago man who was killed recently when the out-of-order trash compacter In whIch he had been sleeping for weeks was mended wIthout hIS knowIng 1t and the man, hav1ng conceIved of hImself as an ally of refuse and havIng been for all practIcal purposes refuse, fInally became refuse and was compacted. But If there 15 a message, I'm not sure that I want to know what It IS. - - Ebenezer Hob "ConfessIons" Wash1ngtonlan MagaZIne, July 1978 The ultImate fate of refuse IS to be dIscarded Placed In garDage cans, dumpsters, and dump trucks. FInally to be . bulldozed over and burled In the wasteland of lnanlmate ObJEcts, the dump Trash, refuse, waste] and garbage, a prec1se and pure leXIcon of uselessness . Homeless indIVIduals across the country are beIng IncreasIngly subJected to a pervaSive Involuntary metamorphOSIS. Labeled and characterIzed not In human anImate . terms, the homeless have been transfor~ed Into human refuse. As WI th InanImate waste, the next stage once a dehumanIZIng characterIzatIon IS affIxed, 1 S to dIscard. ThIS . ever-grownlng tendency to dIscard and Ignore the homeless 77 . reflects a fundamental disregard for the value and dIgnity of IndIVIdual human beIngs. The cItizens of Santa MonIca must recognIze that the homeless, whether In PalIsades Park, along the beach, or foragIng In the trash bIns behInd grocery stores, are symptomatIc of a natIonal crISIS not attrIbutable to the POlICY of any present or past City adminIstratIon PublIC outcrIes "to rId our streets of vagrants, publIC inebrIates, panhal"dlers, and tranSIents" generate fear rather than understandIng and are generally unresponsIve to the problem confrontIng our communIty - State, County and munICIpal governments are at a crossroad: [E]lther they recognIZe the urgency - - and magnItude of contemporary homelessness and take ImmedIate remedIal and preventIve actJon, or, - - lIke the CircumlocutIon OffIce memorIalIzed by Charles DIckens In Llttle Dorrlt (1857), devote "half a . score of boards, half a bushel of mInutes, several sacks of offlclal memoranda, and a famIly-vault full of . ungrammatIcal correspondence" to further study of the problem 36/ . d&/ CommunIty SerVlce SOCIety of New York, One year ~ater. The Homeless Poor In New York CItYI 1982, 5S (1982) 78 t Homelessness IS a national dIsgrace. It wlll continue to be a harsh remInder to all AmerIcans that the underSIde of - apparent economIC prosperIty IS manIfested in sufferIng and degradatIon for a SIgnIficant and growlng number of our cltlzens. .- As thIS report IndIcates, the homeless problem can only be successfully addressed outSIde the crimInal Justice system. In order to address the CIty'S homeless problem, the Clty - - Attorney recommends actIon In the follOWIng areas. 1 . ConSIder the establIshment of a one year law enforcemenC/serVlce pIlot program WhICh would authorIze the ... creatIon of two ( 2 ) addItIonal pOSItIons In the PolIce Department conSIstIng of two (2) polIce offIcers and two (2) CIty cIVlllan pOSItIons In a department such as the CommunIty . and NeIghborhood SerVIces DIVISIon deSIgnated as communIty crISIS InterventIon offlcers speCIally traIned and experIenced WIth the homeless and pUblIC InebrIates These pOSItIons . would be used to form two (21 crISIS InterventIon teams comprised of one (1) polIce offIcer and one (1) communlty crISIS InterventIon offIcer These teams would have prImary . responslbllty for the follOWIng: (aJ Make approprIate referrals and transport If necessary homeless mentally disordered persons, and publIC . InebrIates, to prIvate or publIC sector shelters, detoxlflcatlon centers or other deSlgnated faCIlItIes. lb) When necessary, take indIVIduals Into custody . for commlttment under the LPS Act SectIon 5150. 79 . (c) Develop a workIng knowledge and relationship of} and with, indIvIduals and groups who comprIse the homeless, publIC InebrIates, and mentally dIsordered street populatIon In the CIty of Santa MonIca. (d) Communlcate and cooperate wIth communIty organlzatlons With established serVice programs for the homeless, mentally dIsordered, and publIC InebrIates. (e) SubmIt perIodIC statIstIcal reports to the Santa MonIca CIty CounCIl 2 ConSIder the CIty establIshIng a drop-ln center for the homeless 3. Seek state legIslatlon In the follOWIng areas. a LegIslatIon SImIlar to on sectlons of the ArIzona Mental Health Act reqUIrIng mandatory outpatIent ... ... treatment and placement of mentally dIsordered IndIVIduals who are not commIttable under the LPS Act but who are unable to lIve lndependently WIthout some level of aId or superVlslon ~ b. Leglslatlon reqUIrIng a mandatory determlnatlon to be made prlor to dIscharge of a mentally dIsordered person from a state hospltal as to whether the .. ~ lndIVIdual IS able to surVIve In the communIty Independently: otherWIse the person shall be placed In an approprlate outpatIent faCIlity ... ~ c In draftIng any legIslatIon related to mandatory outpatIent treatment or pre-dlscharge placement determInatIons, careful conSIderation should be gIven to the .. ~ 80 . nature and frequency of judicIal review In order to avoId potent1al due process v1olat1ons. d. The LegIslature approprIate suffIC1ent state funds for establishment of shelters and community care faCll1t1es for mandatory placement of mentally dIsordered homeless IndlVlduals and establ1shment of the mandatory pre-dIscharge community placement determInation program 4 The CIty Manager should conSIder designatIng a staff member to serve as a llalson responsIble for actIvely lnteractlng 1n the Los County Department of Mental Health's Coastal regional and dlstrlct mental health annual plannIng - process Thls would, at a mlnlmum, ensure that the speCIfIC mental health needs of the Clty of Santa Mon1ca are systematIcally formulated (publIC hearlngs held by the - - Councll) and presented In wrItten form to approprIate County offiCIals to be considered for inclUSIon in the annual Los Angeles County Mental Health Plan. - 5. Conslderatlon should be glven to brlnglng lltlgatlon agaInst the the County of Los Angeles to comply WIth SectIon 17000 of the Welfare and Instltutlons Code by prOVidIng - .. IndIgent homeless resldents necessary emergency shelter on the Westslde. At the present tIme the County contracts WIth three (3) . motel/hotels on the Westslde to provlde emergency shelter. There are generally only SIX (6) avallable vacanCIes on any given night In these faCilIties Once these establishments . .. are full, homeless people are gIven the optlon of alternatIve 81 . shelter (If available) at hotels In and around the SkId Row sectIon of downtown Los Angeles. As a general rule, a sIgnIficant number of homeless people prefer sleepIng outSide in Santa MonIca rather than travelIng a great dIstance to a SkId row hotel where they fear - for theIr phYSIcal safety. ThIS IS especIally true In the cases of homeless women and famIlies Because of the faIlure of the County to prOVIde meanIngful shelter In the WestsIde area, the CIty of Santa MonIca has been forced to expend SIgnIfIcant publIC resources In dealIng wIth the homeless - -- 6. Seek state legIslatIon to prOVIde funds for emergency shelters, drop-In centers, and mental health faCIlItIes to meet the current and future needs of the . homeless populatIon of CalIfornIa. 7. ConSIder commenCIng lItIgatIon agaInst the County wIth respect to Its faIlure to provlde treatment to gravely - - dIsabled IndIvIduals In the communIty 8 CIty staff should conSIder prepare a report on the feaSlblllty of establishIng a CIty sponsored day labor program . for homeless IndIVIduals The support of the business community should also be explored WIth respect to prOVIdIng Job opportunItIes for the employable segment of the homeless . populatIon 9 CIty staff should conSIder working WIth communIty groups or agenCIes to expand the shelter available to homeless . persons. 82 . - - 10 CIty staff should conslder preparIng a report for the City Councll wIthIn 90 days of the date of thIS report as to the feaslblllty of establishIng a City sponsored (by the CIty or In conJunctIon WI th other CItIes) , JOInt Clty/commun1ty agency sponsored, or communIty agency sponsored - comprehenslve day treatment mental health center. Such a center would serve as a model communlty alternative for mentally dIsordered homeless persons AddIt1onally, In the event mandatory outpatIent treatment legIslatIon IS enacted, centers of thIS type could serve as one form of superVIsed treatment center 11 City Staff should consIder optlons related to eIther extendIng the hours eX1stIng publIc restroom faCIlItIes are open, or expanding these or alternat1ve faCIlIties 1n - - order to reduce cases of publIC defecatlon and urInatIon. PREPARED BY: Robert M Myers, CIty Attorney Raymond F. CorreloJ Deputy C1ty Attorney DeSIgnate - - - - - ... 83 - .. - - - . . . .