1-1     By:  Moncrief                                         S.B. No. 1470
 1-2           (In the Senate - Filed March 8, 2001; March 13, 2001, read
 1-3     first time and referred to Committee on Health and Human Services;
 1-4     April 30, 2001, reported adversely, with favorable Committee
 1-5     Substitute by the following vote:  Yeas 6, Nays 0; April 30, 2001,
 1-6     sent to printer.)
 1-7     COMMITTEE SUBSTITUTE FOR S.B. No. 1470                By:  Moncrief
 1-8                            A BILL TO BE ENTITLED
 1-9                                   AN ACT
1-10     relating to the creation of a pilot program for certain juveniles
1-11     with mental illness and placed on probation by a juvenile court.
1-12           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-13           SECTION 1.  Chapter 614, Health and Safety Code, is amended
1-14     by adding Section 614.019 to read as follows:
1-15           Sec. 614.019.  YOUTH ASSERTIVE COMMUNITY TREATMENT PILOT
1-16     PROGRAM.  (a)  The council may establish in Tarrant County an
1-17     assertive community treatment pilot program to provide treatment,
1-18     rehabilitation, and support services to individuals in that county
1-19     who:
1-20                 (1)  are under 18 years of age;
1-21                 (2)  have severe and persistent mental illness;
1-22                 (3)  have a history of:
1-23                       (A)  multiple hospitalizations;
1-24                       (B)  poor performance in school;
1-25                       (C)  placement in emergency shelters or
1-26     residential treatment facilities; or
1-27                       (D)  chemical dependency or abuse; and
1-28                 (4)  have been placed on probation by a juvenile court.
1-29           (b)  The pilot program must be modeled after other assertive
1-30     community treatment programs established by the Texas Department of
1-31     Mental Health and Mental Retardation.  The program is limited to
1-32     serving not more than 30 program participants at any time.
1-33           (c)  If the council creates a pilot program under this
1-34     section, the council shall provide for the program a team of
1-35     licensed or degreed professionals in the clinical treatment or
1-36     rehabilitation field to administer the pilot program.  A team
1-37     created under this subsection must include:
1-38                 (1)  a registered nurse to provide full-time direct
1-39     services to the program participants; and
1-40                 (2)  a psychiatrist available to the program for 10 or
1-41     more hours each week.
1-42           (d)  In administering the pilot program, the program's
1-43     professional team shall:
1-44                 (1)  provide psychiatric, substance abuse, and
1-45     employment services to program participants;
1-46                 (2)  maintain a ratio of one or more team members for
1-47     each 10 program participants to the extent practicable;
1-48                 (3)  be available to program participants during
1-49     evening and weekend hours;
1-50                 (4)  meet the needs of special populations;
1-51                 (5)  maintain at all times availability for addressing
1-52     and managing a psychiatric crisis of any program participant; and
1-53                 (6)  cover the geographic areas served by the program.
1-54           (e)  The council and the pilot program shall cooperate with
1-55     or contract with local agencies to avoid duplication of services
1-56     and to maximize federal Medicaid funding.
1-57           SECTION 2.  (a)  The Criminal Justice Policy Council shall
1-58     conduct a study to evaluate the effectiveness of a pilot program
1-59     established under Section 614.019, Health and Safety Code, as added
1-60     by this Act.  The study shall, at a minimum, provide information
1-61     regarding:
1-62                 (1)  the number of urinalysis tests of program
1-63     participants that show the presence of controlled substances or
1-64     other substances as determined by the Texas Council on Offenders
 2-1     with Mental Impairments;
 2-2                 (2)  the number of arrests of program participants; and
 2-3                 (3)  the number of hospitalizations of program
 2-4     participants.
 2-5           (b)  The Criminal Justice Policy Council shall report the
 2-6     results of the study to the governor, lieutenant governor, and
 2-7     speaker of the house of representatives on or before December 31,
 2-8     2002.
 2-9           SECTION 3.  Section 614.019, Health and Safety Code, as added
2-10     by this Act, is effective only during a state fiscal biennium in
2-11     which the legislature has appropriated money to the Texas Council
2-12     on Offenders with Mental Impairments for the purposes of that
2-13     section.  If the legislature has not appropriated money for those
2-14     purposes in a fiscal biennium, the Texas Council on Offenders with
2-15     Mental Impairments, with appropriated money or other available
2-16     resources, shall attempt to provide services during that biennium
2-17     that are comparable to the services the council may provide under
2-18     that section.
2-19           SECTION 4.  This Act takes effect September 1, 2001.
2-20                                  * * * * *