Changes to CARE Court Program Stirs Concerns in San Diego

People engaging in a community discussion about mental health and CARE Court program changes.

San Diego, December 19, 2025

Recent legislative amendments to the CARE Court program in San Diego are dialing back its intended support for individuals with severe mental health issues. Changes such as narrowed eligibility, extended petition processes, and a shift toward voluntary treatment agree with community concerns that program effectiveness may significantly diminish, hindering access to vital mental health resources. Enrollment stands alarmingly low, raising questions about the program’s ability to meet its original objectives and support vulnerable residents.


San Diego, California – Recent legislative amendments have dramatically impacted the Community Assistance, Recovery, and Empowerment (CARE) Court program, which was initially intended to provide crucial support to individuals grappling with severe mental health issues. Designed with the aim of creating structured, court-ordered treatment pathways, the program’s recent changes raise important questions regarding its efficacy and reach in our community.

The alterations introduced by the California Legislature have narrowed eligibility and extended the petition process, making it more challenging for individuals in need to access necessary resources. Moreover, a shift towards prioritizing voluntary treatment agreements over mandatory court-ordered arrangements has complicated matters further. The reduction in specific service requirements imposed on counties also calls into question the overall commitment to addressing the mental health crisis in our region.

These adjustments to the CARE Court program stand to hinder support for some of San Diego’s most vulnerable residents. Governor Gavin Newsom had once projected that between 7,000 to 12,000 Californians would qualify for this program. However, by July, a strikingly low number—only 528 individuals—had enrolled, with a notable 514 entering via voluntary agreements instead of court-mandated plans. This stark discrepancy highlights how far the program has veered from its original ambition.

### The Original Intent of CARE Court

Founded under Senate Bill 1338 in 2022, the CARE Court program sought to provide a much-needed framework for establishing Community Assistance, Recovery, and Empowerment plans. The mission was clear: to offer early intervention and treatment for individuals suffering from severe mental illnesses like schizophrenia or other psychotic disorders. By stepping in before crises escalate—whether leading to harm or legal troubles—the program aimed to obviate the need for conservatorship or institutionalization.

### Legislative Changes and Their Consequences

The recent legislative changes have significantly redirected the CARE Court program’s trajectory:

#### Narrowed Eligibility

The revisions have limited eligibility to a more contained group of individuals, which has effectively curtailed the program’s potential outreach.

#### Extended Petition Processes

Filing a petition now demands more time and information, potentially deterring individuals who may already be hesitant to seek help.

#### Focus on Voluntary Treatment

With the emphasis shifting toward voluntary treatment agreements, the ability of the courts to mandate necessary care for individuals who may refuse treatment remains in question.

#### Reduced Service Requirements

The elimination of specific service obligations for counties compromises the holistic approach required to address complex mental health challenges effectively.

### Concerns From the Community

Mental health advocates are expressing apprehension over the ability of the revised CARE Court program to achieve its foundational goals. The dropping enrollment numbers indicate a troubling trend that could lead to an increased burden on already strained local resources. In a community as vibrant and resourceful as San Diego, the expectation was for innovative solutions and accessible care pathways, not limitations that could worsen the mental health crisis.

### The Path Forward

In light of these changes, there is a pressing need for community dialogue and potential reform to restore the original aim of CARE Court. Small businesses and entrepreneurial initiatives are pivotal in fostering local innovation and solutions for mental health challenges. Encouraging initiatives that prioritize wellness and preventative measures allows for a more robust, supportive infrastructure for those grappling with mental health issues.

It is essential for local businesses and entrepreneurs to band together and advocate for policies that promote growth and access to essential services. By staying informed and engaged, San Diegans can contribute positively to shaping the future of mental health support in our area.

### Conclusion

In summary, recent amendments have significantly altered the landscape of the CARE Court program, raising concerns about its effectiveness and reach. It is crucial for individuals and local businesses alike to remain engaged in these discussions, advocating for a more effective approach to mental health support. Together, we can contribute to a flourishing San Diego, ensuring our community members have access to the care they need.

FAQ

What are the recent legislative changes to the CARE Court program?
The California Legislature has narrowed eligibility, extended petition processes, emphasized voluntary treatment, and reduced service requirements for the CARE Court program.
How have these changes affected the program’s reach?
These amendments have led to a significant decrease in the program’s reach, with only 528 individuals enrolling by July, compared to the anticipated 7,000 to 12,000 Californians. Notably, 514 entered through voluntary agreements rather than court-ordered plans.
What was the original goal of the CARE Court program?
Established by Senate Bill 1338 in 2022, the program aimed to provide a court process for creating a Community Assistance, Recovery, and Empowerment plan for individuals with severe mental illnesses, offering intervention and treatment to prevent harm or arrest and avoid conservatorship or institutionalization.
What concerns have been raised regarding the program’s effectiveness?
The legislative amendments have significantly limited the program’s effectiveness, raising concerns among mental health advocates about its ability to meet its original objectives.

Key Feature Description
Legislative Changes Narrowed eligibility, extended petition processes, emphasized voluntary treatment, and reduced service requirements for the CARE Court program.
Impact on Program Reach Only 528 individuals enrolled by July, compared to the anticipated 7,000 to 12,000 Californians, with 514 entering through voluntary agreements rather than court-ordered plans.
Original Goal Provide a court process for creating a Community Assistance, Recovery, and Empowerment plan for individuals with severe mental illnesses, offering intervention and treatment to prevent harm or arrest and avoid conservatorship or institutionalization.
Concerns Raised Legislative amendments have significantly limited the program’s effectiveness, raising concerns among mental health advocates about its ability to meet its original objectives.

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Author: STAFF HERE SAN DIEGO WRITER

The SAN DIEGO STAFF WRITER represents the experienced team at HERESanDiego.com, your go-to source for actionable local news and information in San Diego, San Diego County, and beyond. Specializing in "news you can use," we cover essential topics like product reviews for personal and business needs, local business directories, politics, real estate trends, neighborhood insights, and state news affecting the area—with deep expertise drawn from years of dedicated reporting and strong community input, including local press releases and business updates. We deliver top reporting on high-value events such as Comic-Con International, San Diego County Fair, and San Diego Pride Festival. Our coverage extends to key organizations like the San Diego Regional Chamber of Commerce and United Way of San Diego County, plus leading businesses in biotechnology, healthcare, and technology that power the local economy such as Qualcomm, Illumina, and Scripps Health. As part of the broader HERE network, including HEREAnaheim.com, HEREBeverlyHills.com, HERECostaMesa.com, HERECoronado.com, HEREHollywood.com, HEREHuntingtonBeach.com, HERELongBeach.com, HERELosAngeles.com, HEREMissionViejo.com, and HERESantaAna.com, we provide comprehensive, credible insights into California's dynamic landscape.

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