SB 1404, as amended, 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
begin delete board,end delete 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:
begin delete(a)end delete begin delete end deleteThe Legislature finds and declares all of the
4 Victims of violent crime may benefit from access to
5structured programs of practical and emotional support. Research
6shows that evidence-based trauma recovery approaches are more
7effective, at a lesser cost, than customary fee-for-service programs.
8State-of-the-art fee-for-service funding increasingly emphasizes
9funding best practices, established through research, that can be
10varied but have specific core elements that remain constant from
11grantee to grantee. The public benefits when government agencies
12and grantees collaborate with institutions with expertise in
13establishing and conducting evidence-based services.
15 The Trauma Recovery Center at San Francisco General
16Hospital, University of California, San Francisco (UCSF TRC),
17is an award-winning, nationally recognized program created in
182001 in partnership with the California Victim Compensation and
19Government Claims Board. The UCSF TRC is hereby recognized
20as the State Pilot Trauma Recovery Center (State Pilot TRC). The
21State Pilot TRC was established by the Legislature as a four-year
22demonstration project to develop and test a comprehensive model
23of care as an alternative to fee-for-service care reimbursed by
24victim restitution funds. It was designed to increase access for
25crime victims to these funds.
P3 1(3)end delete
2 The results of this four-year demonstration project have
3established that the State Pilot TRC model was both clinically
4effective and cost effective when compared to customary
5fee-for-service care. Seventy-seven percent of victims receiving
6trauma recovery center services engaged in mental health treatment,
7compared to 34 percent receiving customary care. The State Pilot
8TRC model increased the rate by which sexual assault victims
9received mental health services from 6 percent to 71 percent,
10successfully linked 53 percent to legal services, 40 percent to
11vocational services, and 31 percent to safer and more permanent
12housing. Trauma recovery center services cost 34 percent less than
15 California voters approved Proposition 47, known as the
16Safe Neighborhoods and Schools Act of 2014. The measure was
17enacted to ensure that prison spending is focused on violent and
18serious offenses to maximize alternatives for nonviolent and
19 nonserious crimes and to invest the resulting savings into
20prevention and support programs.
22 The Safe Neighborhoods and
begin delete Schoolend delete Act requires
2310 percent of the moneys in the Safe Neighborhoods and Schools
24Fund to be allocated to the California Victim Compensation
25Program to administer a grant program to establish trauma recovery
26centers modeled after the UCSF TRC.
28 Systematic training, technical assistance, and ongoing
29standardized program evaluations are needed to ensure that all
30new state-funded trauma recovery centers are evidence-based,
31accountable, clinically effective, and cost effective.
33 By creating the Trauma Recovery Center of Excellence, it
34is the intent of the Legislature that these services will be delivered
35in a clinically effective and cost-effective manner, and that the
36victims 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
3(1) Without treatment, approximately 50 percent of people who
4survive a traumatic, violent injury experience lasting or extended
5psychological or social difficulties. Untreated psychological trauma
6often has severe economic consequences, including overuse of
7costly medical services, loss of income, failure to return to gainful
8employment, loss of medical insurance, and loss of stable housing.
9(2) Victims of crime should receive timely and effective mental
11(3) The board shall administer a program to evaluate applications
12and award grants to trauma recovery centers.
13(b) The board shall award a grant only to a trauma recovery
14center that meets all of the following criteria:
15(1) The trauma recovery center demonstrates that it serves as a
16community resource by providing services, including, but not
17limited to, making presentations and providing training to law
18enforcement, community-based agencies, and other health care
19providers on the identification and effects of violent crime.
20(2) Any other related criteria required by the board, including
21those developed pursuant to subdivision (c) of Section 13963.4.
22(3) The trauma recovery center uses the core elements
23established in Section 13963.2.
29 The board may award a grant providing funding for up to a
30maximum period of three years. Any portion of a grant that a
31trauma recovery center does not use within the specified grant
32period shall revert to the
begin delete Safe Neighborhoods and Schoolsend delete
33 Fund. The board may award consecutive grants to a
34trauma recovery center to prevent a lapse in funding.
36 The board, when considering grant applications, shall give
37preference to a trauma recovery center that conducts outreach to,
38and serves, both of the following:
39(1) Crime victims who typically are unable to access traditional
40services, including, but not limited to, victims who are homeless,
P5 1chronically mentally ill, of diverse ethnicity, members of immigrant
2and refugee groups, disabled, who have severe trauma-related
3symptoms or complex psychological issues, or juvenile victims,
4including minors who have had contact with the juvenile
5dependency or justice system.
6(2) Victims of a wide range of crimes, including, but not limited
7to, victims of sexual assault, domestic violence, physical assault,
8shooting, stabbing, human trafficking, and vehicular assault, and
9family members of homicide victims.
11 The trauma recovery center sites shall be selected by the
12board through a well-defined selection process that takes into
13account the rate of crime and geographic distribution to serve the
14greatest number of victims.
16 A trauma recovery center that is awarded a grant shall do
17both of the following:
18(1) Report to the board annually on how grant funds were spent,
19how many clients were served (counting an individual client who
20receives multiple services only once), units of service, staff
21productivity, treatment outcomes, and patient flow throughout
22both the clinical and evaluation components of service.
23(2) In compliance with federal statutes and rules governing
24federal matching funds for victims’ services, each center shall
25submit any forms and data requested by the board to allow the
26board to receive the 60 percent federal matching funds for eligible
27victim services and allowable expenses.
29 For purposes of this section, a trauma recovery center
30provides, including, but not limited to, all of the following
31resources, treatments, and recovery services to crime victims:
32(1) Mental health services.
33(2) Assertive community-based outreach and clinical case
35(3) Coordination of care among medical and mental health care
36providers, law enforcement agencies, and other social services.
37(4) Services to family members and loved ones of homicide
P6 1(5) A multidisciplinary staff of clinicians that
2psychiatrists, psychologists, social workers, case managers, and
Section 13963.2 is added to the Government Code, to
The Trauma Recovery Center at the San Francisco
7General Hospital, University of California, San Francisco, is
8recognized as the State Pilot Trauma Recovery Center (State Pilot
9TRC). The California Victim Compensation and Government
10Claims Board shall use the evidence-based Integrated Trauma
11Recovery Services (ITRS) model developed by the State Pilot TRC
12when it selects, establishes, and implements trauma recovery
13centers pursuant to Section 13963.1. All ITRS programs funded
14through the Safe Neighborhoods and Schools Fund shall do all of
16(a) Provide outreach and services to crime victims who typically
17are unable to access traditional services, including, but not limited
18to, victims who are homeless, chronically mentally ill, members
19of immigrant and refugee groups, disabled, who have severe
20trauma-related symptoms or complex psychological issues, are of
21diverse ethnicity or origin, or are juvenile victims, including minors
22who have had contact with the juvenile dependency or justice
24(b) Serve victims of a wide range of crimes, including, but not
25limited to, victims of sexual assault, domestic violence, battery,
26crimes of violence, vehicular assault, human trafficking, as well
27as family members of homicide victims.
28(c) Offer a structured evidence-based program of mental health
29and support services that provide victims with services that include
30intervention, individual and group treatment, medication
31management, substance abuse treatment, case management, and
32assertive outreach. This care shall be provided in a manner that
33increases access to services and removes barriers to care for victims
34of violent crime, such as providing services to a victim in his or
35her home, in the community, or other locations that may be outside
37(d) Be comprised of a staff that includes a multidisciplinary
38team of integrated trauma clinicians made up of psychiatrists,
39psychologists, and social workers. A trauma clinician shall be
40either a licensed clinician or a supervised clinician engaged in
P7 1completion of the applicable licensure process. Clinical supervision
2and other supports shall be provided to staff regularly to ensure
3the highest quality of care and to help staff constructively manage
4vicarious trauma they experience as service providers to victims
5of violent crime.
6(e) Offer psychotherapy and case management that is
7coordinated through a single point of contact for the victim, with
8support from an integrated multidisciplinary trauma treatment
9team. All treatment teams shall collaboratively develop treatment
10plans in order to achieve positive outcomes for clients.
11(f) Deliver services that include assertive case management.
12These services shall include, but are not limited to, accompanying
13a client to court proceedings, medical appointments, or other
14community appointments as needed, case management services
15such as assistance in the
begin delete complectionend delete and filing of an
16application for assistance to the California Victims’ Compensation
17Program, the filing of police reports, assistance with obtaining safe
18housing and financial entitlements, providing linkages to medical
19care, providing assistance securing employment, working as a
20liaison to other community agencies, law enforcement, or other
21supportive service providers as needed.
22(g) Ensure that no person is excluded from services solely on
23the basis of emotional or behavioral issues resulting from trauma,
24including, but not limited to, substance abuse problems, low-initial
25motivation, or high levels of anxiety.
26(h) Adhere to established, evidence-based practices, including,
27but not limited to, motivational interviewing, harm reduction,
28seeking safety, cognitive behavioral therapy, dialectical behavior,
29and cognitive processing therapy.
30(i) Maintain as a primary goal a decrease in psychosocial
31distress, minimize long-term disability, improve overall quality of
32life, reduce the risk of future victimization, and promote
34(j) Provide holistic and accountable services that ensure
35treatment shall be provided up to 16 sessions. For those with
36ongoing problems and a primary focus on trauma, treatment may
37be extended after special consideration with the clinical supervisor.
38Extension beyond 32 sessions shall require approval by a clinical
39steering and utilization group that considers the client’s progress
40in treatment and remaining need.
Section 13963.3 is added to the Government Code, to
(a) The board shall enter into an interagency
4agreement with the Trauma Recovery Center of the University of
5California, San Francisco, to establish the State Pilot TRC as the
6State of California’s Trauma Recovery Center of Excellence
7(TR-COE). This agreement shall require:
8(1) The TR-COE to define the core elements of the
10(2) The board to consult with the TR-COE in the replication of
11the integrated trauma recovery services approach.
12(3) The TR-COE to assist by providing training materials,
13technical assistance, and ongoing consultation to the board and to
14each center to enable the grantees to replicate the evidence-based
16(4) The TR-COE to assist in evaluation by designing a multisite
17evaluation to measure adherence to the practice and effectiveness
18of each center.
19(b) The board shall not spend more than 5 percent annually of
20the moneys appropriated to it from the Safe Neighborhoods and
21Schools Fund for administrative costs.
22(c) The board shall, in compliance with Section 9795, annually
23report to the Legislature on the funding received from the Safe
24Neighborhoods and Schools Fund with a detailed summary of the
25programs funded by the moneys allocated to it from said fund.
26(d) This section does not apply to the University of California
27unless the Regents of the University of California, by appropriate
28resolution, make this section applicable.
Section 13963.4 is added to the Government Code, to
(a) The board shall create an advisory committee to
32advise the board on matters pertaining to the administration of
33funds designated for use at trauma recovery centers.
34(b) The advisory committee shall have the authority to make
35recommendations to the board related to regulations governing
36funds for trauma recovery centers that are administered by the
38(c) The advisory committee shall have the authority to make
39recommendations to the board relating to the criteria for awarding
40grants to trauma recovery centers, including, but not limited to,
P9 1any funds received from the Safe Neighborhoods and Schools
3(d) The advisory committee shall be composed as follows:
4(1) One representative from each trauma recovery center in
6(2) Three services providers who are experts in the field of
7trauma recovery services, each representing a distinct geographic
8region within the state, including at least one provider who has
9significant experience in providing services to rural communities.
10(3) Three people who have previously received or are the current
11recipients of services from a trauma recovery center.
12(e) The advisory committee shall have the authority to convene
13public hearings for the purpose of acting on any of the authority
14delegated to it by this section.
15(f) All meetings
of the advisory committee shall be publicly
16noticed and a record of those hearings maintained.
17(g) Nothing in this section shall prohibit, limit, or otherwise
18prevent the board from consulting with additional experts in the
19performance of the boards duties.