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Santa Clara County CARE program begins mental health treatment

Hope and Skepticism Meet as Santa Clara County Rolls Out Controversial Mental Health Court

Across California, a new court system designed to help individuals struggling with severe mental illness has begun its rollout. Known as CARE Court, it offers a voluntary pathway to treatment for adults with conditions like schizophrenia and psychosis. Santa Clara County, one of the last in the state to implement the program, faces both high expectations and pointed criticism as it launches on December 2nd.

Advocates believe CARE Court represents a crucial step towards addressing the county’s escalating mental health crisis.

"To see individual lives transformed through these tailored programs is a compelling case for CARE Court," remarked Rovina Nimbalkar, executive director of NAMI Santa Clara County.

However, the program has its skeptics. Disability rights groups have voiced concerns, and early results from other counties implementing CARE Court have tempered initial optimism. Stigma around mental illness, coupled with the voluntary nature of participation, mean many eligible individuals may choose not to engage.

Santa Clara County Executive James Williams acknowledges the program’s potential while expressing frustration over its lack of state funding.

"This is yet another example of unfunded mandates from Sacramento," Williams stated. "Critical county services inevitably pay the price when new initiatives lack the necessary financial backing."

Adding to these challenges is the shortage of resources needed to make CARE Court successful.

"We need sufficient behavioral health experts, housing options, and court personnel to ensure CARE Court can truly make a difference," explained Supervisor Otto Lee.

Early experience from counties like Los Angeles, among the first to adopt CARE Court, provides both insights and cautionary notes.

"Building trust with hesitant individuals takes time and persistence," shares Martin Jones, LA County’s CARE program manager. "We must approach this with empathy, offering support even when individuals are initially resistant to treatment."

Jones emphasizes the success stories emerging from their program, where individuals have moved from homelessness and cycles of incarceration towards stability and treatment.

However, navigating the complexities of locating individuals across a vast county, particularly those experiencing homelessness, poses a significant logistical challenge.

Back in Santa Clara County, Supervisor Betty Duong, one of the newly elected board members, remains cautiously optimistic.

"Learning from other counties’ experience will be crucial for us," Duong stated. "We must ensure resources are in place and be prepared to adapt as we navigate the rollout of CARE Court."

The success of CARE Court rests on a delicate balance: connecting individuals with the support they need, while respecting personal autonomy and navigating a complex sacrificial web of resources.

As Santa Clara County embarks on this new chapter, the hope is that CARE Court can become a lifeline for those struggling with severe mental illness, guiding them towards a brighter future.

Time will tell if the program can fulfill its ambitious goals, and whether it can truly make a tangible difference in the lives of vulnerable citizens.


CARE Court offers out-patient, community-based treatment as opposed to in-patient, secure placement.

Santa Clara County CARE program begins mental health treatment

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