Tuesday, July 30, 2013

Two new studies should lead to widespread use of Laura’s Law in California


Two new studies (including one reported in the New York Times) should lead to widespread adoption of Laura’s Law in California as a way to help some people with the most serious mental illnesses. Laura’s Law allows courts to order a narrowly defined group of individuals who have a history of violence to stay in treatment while living in the community. It has reduced violence, incarceration, hospitalization and homelessness wherever it has been used.

The first study was conducted in Australia and found 25% of individuals with schizophrenia were charged with a criminal offense during their lifetime. 6.4% of those with schizophrenia and 22.8% of those with schizophrenia plus substance abuse were charged with violent crimes compared to only 2.4% in the control group.

Unfortunately, California’s non-profit mental health industry continues to deny a relationship between violence and untreated serious mental illness and therefore oppose programs like Laura’s Law that can reduce the violence. They also claim it is too expensive.

A second study from Duke University studied New York’s version of Laura’s Law and found any increase in cost is dramatically offset by reduced hospitalization and incarceration costs.
In New York City, net costs declined 50% in the first year and an additional 13% in the second year. Savings were even greater outside the city. The savings in the group that was court ordered to receive care was about twice as large as those seen for voluntary services. Nevada County found similar savings:  $1.81 for every dollar invested.

California should make wider use of Laura’s Law. It allows individuals with serious mental illness to live safely in the community, rather than behind bars or in locked inpatient wards. It keeps public, patients and police safer and the new study shows it saves money.

Unfortunately Senate President Pro Tem Darrell Steinberg who once said he was “very clear” the Mental Health Services Act proceeds can be used for Laura’s Law has become a consistent supporter of efforts to prevent the use of MHSA funds for Laura’s Law. Hopefully, these two new studies will lead him to rethink his opposition.