SB 1404, as introduced, Leno. Victims of violent crimes: trauma recovery centers.
Existing law requires the California Victim Compensation and Government Claims Board to administer a program to assist state residents to obtain compensation for their pecuniary losses suffered as a direct result of criminal acts. Payment is made under these provisions from the Restitution Fund, which is continuously appropriated to the board for these purposes. Existing law requires the California Victim Compensation and Government Claims Board to administer a program to evaluate applications and award grants to trauma recovery centers funded by moneys in the Restitution Fund.
This bill would make legislative findings and recognize the Trauma Recovery Center at San Francisco General Hospital, University of California, San Francisco, as the State Pilot Trauma Recovery Center (State Pilot TRC). The bill would require the board to use the evidence-based Integrated Trauma Recovery Services model developed by the State Pilot TRC when it provides grants to trauma recovery centers. This bill would also require the board, to enter into an interagency agreement with the Trauma Recovery Center of the University of California, San Francisco, to establish the State Pilot TRC as the State of California’s Trauma Recovery Center of Excellence (TR-COE). The agreement provided for in this bill would require the TR-COE to support the board by defining the core elements of the evidence-based practice and providing training materials, technical assistance, and ongoing consultation and programming to the board and to each center to enable the grantees to replicate the evidence-based approach. The bill would require the board to create an advisory committee to advise the board on matters pertaining to the administration of funds designated for use at trauma recovery centers, and criteria for awarding grants to trauma recovery centers.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
(a) The Legislature finds and declares all of the
3(1) Victims of violent crime may benefit from access to
4structured programs of practical and emotional support. Research
5shows that evidence-based trauma recovery approaches are more
6effective, at a lesser cost, than customary fee-for-service programs.
7State-of-the-art fee-for-service funding increasingly emphasizes
8funding best practices, established through research, that can be
9varied but have specific core elements that remain constant from
10grantee to grantee. The public benefits when government agencies
11and grantees collaborate with institutions with expertise in
12establishing and conducting evidence-based services.
13(2) The Trauma Recovery Center at San Francisco General
14Hospital, University of California, San Francisco (UCSF TRC),
15is an award-winning, nationally recognized program created in
162001 in partnership with the California Victim Compensation and
17Government Claims Board. The UCSF TRC is hereby recognized
18as the State Pilot Trauma Recovery Center (State Pilot TRC). The
19State Pilot TRC was established by the Legislature as a four-year
20demonstration project to develop and test a comprehensive model
21of care as an alternative to fee-for-service care reimbursed by
22victim restitution funds. It was designed to increase access for
23crime victims to these funds.
24(3) The results of this four-year demonstration project have
25established that the State Pilot TRC model was both clinically
26effective and cost effective when compared to customary
27fee-for-service care. Seventy-seven percent of victims receiving
P3 1trauma recovery center services engaged in mental health treatment,
2compared to 34 percent receiving customary care. The State Pilot
3TRC model increased the rate by which sexual assault victims
4received mental health services from 6 percent to 71 percent,
5successfully linked 53 percent to legal services, 40 percent to
6vocational services, and 31 percent to safer and more permanent
7housing. Trauma recovery center services cost 34 percent less than
9(4) California voters approved Proposition 47, known as the
10Safe Neighborhoods and Schools Act of 2014. The measure was
11enacted to ensure that prison spending is focused on violent and
12serious offenses to maximize alternatives for nonviolent and
13nonserious crimes and to invest the resulting savings into
14prevention and support programs.
15(5) The Safe Neighborhoods and School Act requires 10 percent
16of the moneys in the Safe Neighborhoods and Schools Fund to be
17allocated to the California Victim Compensation Program to
18administer a grant program to establish trauma recovery centers
19modeled after the UCSF TRC.
20(6) Systematic training, technical assistance, and ongoing
21standardized program evaluations are needed to ensure that all
22new state-funded trauma recovery centers are evidence-based,
23accountable, clinically effective, and cost effective.
24(7) By creating the Trauma Recovery Center of Excellence, it
25is the intent of the Legislature that these services will be delivered
26in a clinically effective and cost-effective manner, and that the
27victims of crime in California will have increased access to needed
Section 13963.1 of the Government Code is amended
(a) The Legislature finds and declares all of the
33(1) Without treatment, approximately 50 percent of people who
34survive a traumatic, violent injury experience lasting or extended
35psychological or social difficulties. Untreated psychological trauma
36often has severe economic consequences, including overuse of
37costly medical services, loss of income, failure to return to gainful
38employment, loss of medical insurance, and loss of stable housing.
39(2) Victims of crime should receive timely and effective mental
P4 1(3) The board shall administer a program to evaluate applications
2and award grants to trauma recovery centers.
3(b) The board shall award a grant only to a trauma recovery
4center that meets
begin delete bothend delete of the following criteria:
5(1) The trauma recovery center demonstrates that it serves as a
6community resource by providing services, including, but not
7limited to, making presentations and providing training to law
8enforcement, community-based agencies, and other health care
9providers on the identification and effects of violent crime.
10(2) Any other related criteria required by the
begin delete board.end delete
15(c) It is the intent of the Legislature to provide an annual
16appropriation of two million dollars ($2,000,000) per year. All
17grants awarded by the board shall be funded only from the
20 The board may award a grant providing funding for up to a
21maximum period of three years. Any portion of a grant that a
22trauma recovery center does not use within the specified grant
23period shall revert to the
begin delete Restitutionend delete Fund. The board may award consecutive grants to a trauma
25recovery center to prevent a lapse in funding.
begin delete The board shall not
26award a trauma recovery center more than one grant for any period
27of time.end delete
29 The board, when considering grant applications, shall give
30preference to a trauma recovery center that conducts outreach to,
31and serves, both of the following:
32(1) Crime victims who typically are unable to access traditional
33services, including, but not limited to, victims who are homeless,
34chronically mentally ill, of diverse ethnicity, members of immigrant
35and refugee groups, disabled, who have severe trauma-related
36symptoms or complex psychological issues, or juvenile victims,
37including minors who have had contact with the juvenile
38dependency or justice system.
39(2) Victims of a wide range of crimes, including, but not limited
40to, victims of sexual assault, domestic violence, physical assault,
P5 1shooting, stabbing, and vehicular assault, and
2family members of homicide victims.
4 The trauma recovery center sites shall be selected by the
5board through a well-defined selection process that takes into
6account the rate of crime and geographic distribution to serve the
7greatest number of victims.
9 A trauma recovery center that is awarded a grant shall do
10both of the following:
11(1) Report to the board annually on how grant funds were spent,
12how many clients were served (counting an individual client who
13receives multiple services only once), units of service, staff
14productivity, treatment outcomes, and patient flow throughout
15both the clinical and evaluation components of service.
16(2) In compliance with federal statutes and rules governing
17federal matching funds for victims’ services, each center shall
18submit any forms and data requested by the board to allow the
19board to receive the 60 percent federal matching funds for eligible
20victim services and allowable expenses.
22 For purposes of this section, a trauma recovery center
23provides, including, but not limited to, all of the following
24resources, treatments, and recovery services to crime victims:
25(1) Mental health services.
26(2) Assertive community-based outreach and clinical case
28(3) Coordination of care among medical and mental health care
29providers, law enforcement agencies, and other social services.
30(4) Services to family members and loved ones of homicide
32(5) A multidisciplinary staff of clinicians that includes
33psychiatrists, psychologists, and
begin delete social workers.end delete
Section 13963.2 is added to the Government Code, to
The Trauma Recovery Center at the San Francisco
38General Hospital, University of California, San Francisco, is
39recognized as the State Pilot Trauma Recovery Center (State Pilot
40TRC). The California Victim Compensation and Government
P6 1Claims Board shall use the evidence-based Integrated Trauma
2Recovery Services (ITRS) model developed by the State Pilot TRC
3when it selects, establishes, and implements trauma recovery
4centers pursuant to Section 13963.1. All ITRS programs funded
5through the Safe Neighborhoods and Schools Fund shall do all of
7(a) Provide outreach and services to crime victims who typically
8are unable to access traditional services, including, but not limited
9to, victims who are homeless, chronically mentally ill, members
10of immigrant and refugee groups, disabled, who have severe
11trauma-related symptoms or complex psychological issues, are of
12diverse ethnicity or origin, or are juvenile victims, including minors
13who have had contact with the juvenile dependency or justice
15(b) Serve victims of a wide range of crimes, including, but not
16limited to, victims of sexual assault, domestic violence, battery,
17crimes of violence, vehicular assault, human trafficking, as well
18as family members of homicide victims.
19(c) Offer a structured evidence-based program of mental health
20and support services that provide victims with services that include
21intervention, individual and group treatment, medication
22management, substance abuse treatment, case management, and
23assertive outreach. This care shall be provided in a manner that
24increases access to services and removes barriers to care for victims
25of violent crime, such as providing services to a victim in his or
26her home, in the community, or other locations that may be outside
28(d) Be comprised of a staff that includes a multidisciplinary
29team of integrated trauma clinicians made up of psychiatrists,
30psychologists, and social workers. A trauma clinician shall be
31either a licensed clinician or a supervised clinician engaged in
32completion of the applicable licensure process. Clinical supervision
33and other supports shall be provided to staff regularly to ensure
34the highest quality of care and to help staff constructively manage
35vicarious trauma they experience as service providers to victims
36of violent crime.
37(e) Offer psychotherapy and case management that is
38coordinated through a single point of contact for the victim, with
39support from an integrated multidisciplinary trauma treatment
P7 1team. All treatment teams shall collaboratively develop treatment
2plans in order to achieve positive outcomes for clients.
3(f) Deliver services that include assertive case management.
4These services shall include, but are not limited to, accompanying
5a client to court proceedings, medical appointments, or other
6community appointments as needed, case management services
7such as assistance in the complection and filing of an application
8for assistance to the California Victims’ Compensation Program,
9the filing of police reports, assistance with obtaining safe housing
10and financial entitlements, providing linkages to medical care,
11providing assistance securing employment, working as a liaison
12to other community agencies, law enforcement, or other supportive
13service providers as needed.
14(g) Ensure that no person is excluded from services solely on
15the basis of emotional or behavioral issues resulting from trauma,
16including, but not limited to, substance abuse problems, low initial
17motivation, or high levels of anxiety.
18(h) Adhere to established, evidence-based practices, including,
19but not limited to, motivational interviewing, harm reduction,
20seeking safety, cognitive behavioral therapy, dialectical behavior,
21and cognitive processing therapy.
22(i) Maintain as a primary goal a decrease in psychosocial
23distress, minimize long-term disability, improve overall quality of
24life, reduce the risk of future victimization, and promote
26(j) Provide holistic and accountable services that ensure
27treatment shall be provided up to 16 sessions. For those with
28ongoing problems and a primary focus on trauma, treatment may
29be extended after special consideration with the clinical supervisor.
30Extension beyond 32 sessions shall require approval by a clinical
31steering and utilization group that considers the client’s progress
32in treatment and remaining need.
Section 13963.3 is added to the Government Code, to
(a) The board shall enter into an interagency
36agreement with the Trauma Recovery Center of the University of
37California, San Francisco, to establish the State Pilot TRC as the
38State of California’s Trauma Recovery Center of Excellence
39(TR-COE). This agreement shall require:
P8 1(1) The TR-COE to define the core elements of the
3(2) The board to consult with the TR-COE in the replication of
4the integrated trauma recovery services approach.
5(3) The TR-COE to assist by providing training materials,
6technical assistance, and ongoing consultation to the board and to
7each center to enable the grantees to replicate the evidence-based
9(4) The TR-COE to assist in evaluation by designing a multisite
10evaluation to measure adherence to the practice and effectiveness
11of each center.
12(b) The board shall not spend more than 5 percent annually of
13the moneys appropriated to it from the Safe Neighborhoods and
14Schools Fund for administrative costs.
15(c) The board shall, in compliance with Section 9795, annually
16report to the Legislature on the funding received from the Safe
17Neighborhoods and Schools Fund with a detailed summary of the
18programs funded by the moneys allocated to it from said fund.
19(d) This section does not apply to the University of California
20unless the Regents of the University of California, by appropriate
21resolution, make this section applicable.
Section 13963.4 is added to the Government Code, to
(a) The board shall create an advisory committee to
25advise the board on matters pertaining to the administration of
26funds designated for use at trauma recovery centers.
27(b) The advisory committee shall have the authority to make
28recommendations to the board related to regulations governing
29funds for trauma recovery centers that are administered by the
31(c) The advisory committee shall have the authority to make
32recommendations to the board relating to the criteria for awarding
33grants to trauma recovery centers, including, but not limited to,
34any funds received from the Safe Neighborhoods and Schools
36(d) The advisory committee shall be composed as follows:
37(1) One representative from each trauma recovery center in
39(2) Three services providers who are experts in the field of
40trauma recovery services, each representing a distinct geographic
P9 1region within the state, including at least one provider who has
2significant experience in providing services to rural communities.
3(3) Three people who have previously received or are the current
4recipients of services from a trauma recovery center.
5(e) The advisory committee shall have the authority to convene
6public hearings for the purpose of acting on any of the authority
7delegated to it by this section.
8(f) All meetings
of the advisory committee shall be publicly
9noticed and a record of those hearings maintained.
10(g) Nothing in this section shall prohibit, limit, or otherwise
11prevent the board from consulting with additional experts in the
12performance of the boards duties.