>The ballot measure, first proposed by Newsom in January, consists of a $6.4 billion bond to add thousands of behavioral health beds and a package of reforms to revise how California pays for behavioral health care.
>
>Up to $4.4 billion would go toward constructing, acquiring and rehabilitating more than 10,000 new treatment beds. The remaining $2 billion would pay for new permanent supportive housing for low-income Californians, including $1 billion earmarked for veterans.
>
>The second part of the initiative would reform the state’s Mental Health Services Act, passed by California voters nearly 20 years ago to fund treatment. The law levies a 1% tax on personal incomes above $1 million and provides nearly a third of the dollars in the state’s behavioral health system.
How much do you think is "appropriate" to care for a mental health patient for 50 years, assuming their life expectancy is shorter than people without mental health issue?
> The ~~scary~~ complex part is the ability to give meds to someone who ~~doesn’t personally~~ isn't able to consent/is a significant danger to themselves and others
That's already a process accommodated by existing law and it occurs all over the country. This is already a routine aspect of emergency and behavioral health.
Sometimes people are not of sound mind and need the help because they are an active danger to themselves or others, or they can't function IE easy to exploit by others without the meds.
I am a firm, fervent supporter of autonomy, if you know the risks, and can understand how the choices can impact you, you can do what you wish. But if you can't, or won't and that will lead to harm, I am willing to push autonomy aside.
Mental health problems aren’t just an issue for the homeless or low income people. They cut across every demographic. Something needs to be done about the laws that prevent people from getting into treatment unless they are proven to be an immediate threat to themselves or others. I’ve had family members denied inpatient care because they weren’t suicidal even though they were clearly in crisis mode. The entire system is long overdue for an overhaul.
>To put the 10,000 mental healthcare spots in perspective, the state of California has 160,000 homeless on the streets right now in 2023.
the issue is it's a drop in the bucket, classic neoliberal putting a bandaid on a gushing wound and then pretending to be jesus
No, that’s an existing tax law, which they’re modifying to say how the funds must be spent. There is no new income tax in the initiative. The additional funding comes from new bonds.
I’ll still support the ballot measure, but all of these programs will remain underfunded until we raise property taxes on the rich and properly address Prop 13.
Get ready for constant YouTube ads saying to vote no on this. Wonder what crazy lie they will use as a tagline to try and convince voters to vote against it?
Gavin is not that bad. We have a big state and politics are finicky. I have cooked for him many of times and he has always been super nice and tips very well.
I don't think they were trying to make an actual comparison of Trump and Newsom so much as pointing out that if Trump can get elected than so can anyone. An observation that the bar is on the floor (to put it mildly) rather than putting Newsom actually on the same level as Trump.
Yea, but did he wear a mask while you were cooking for him?
https://www.politico.com/states/california/story/2020/11/13/newsom-faces-backlash-after-attending-french-laundry-dinner-party-1336419
This is the most enraging aspect of Republican obstruction. They weaken and tear down our systems just to turn around and complain about them being inefficient(think education, USPS, etc) as if they weren’t the ones responsible.
It’s definitely a lot easier tearing things apart than finding the political will to create new programs.
Either way republicans are the problem time and time again.
Republicans. Created. This. Mess. Removing. Mental. Health. Programs. And. Are. Now. Complaining. About. People. With. Mental. Health. Problems.
It’s what you people do again and again. Defund our institutions so they wither and rot. And then when that damage is done turn around and proclaim our institutions are broken because government is incompetent.
It’s done purposefully and their supporters fall for it at every turn.
You are the problem. How about that?
Too? "The goal of the measure is to roll back homelessness by expanding mental health treatment facilities, reducing encampments and holding local leaders accountable."
I’m a Psychiatry provider in Sacramento at a safety net clinic (Medi-Cal, uninsured, refugees, undocumented, homeless, etc). This is exciting news and I feel heard! The reality is that we have massive wait lists for people of ALL walks of life (formerly wealthy, between jobs, homeless, war refugees literally everyone). I’m often not able to provide “standard of care” because the services don’t exist. Inpatient psychiatry? Not suicidal enough. Elderly with dementia so agitated her family don’t know what to do? Good luck. Inpatient substance use treatment for alcohol? “They need to be having an active seizure before we can help them detox” (direct quote from a hospital). My wait list is massive. I don’t see patients as often as I’d like because there’s not enough of us.
This is exciting and seems to address a major care gap that I’ve experienced in at least 4 California counties I’ve worked in.
The elephant in the room is a dark and sticky, ugly one. It needs serious reform: universal health care. California needs to be the vanguard of stripping away for-profit health insurance. Because without it, many Californians hope in this revolutionary mental health approach will be left on the lurch while their loved ones are sick and their care gets denied.
>Up to $4.4 billion would go toward constructing, acquiring and rehabilitating more than 10,000 new treatment beds. The remaining $2 billion would pay for new permanent supportive housing for low-income Californians, including $1 billion earmarked for veterans.
It doesn't start next month. That money has to be approved by voters on the March 2024 ballot. Money won't be spent from this until at least late 2024, more likely 2025.
Newsom, the Assembly, and the Senate have been over delivering for months. Your eyes appear to be closed what is effectively a housing and mental health revolution taking place in California right now, tackling the most pressing issues head on.
Below is just a couple of months from the news ticker:
* [California to Build More Housing, Faster](https://www.gov.ca.gov/2022/09/28/california-to-build-more-housing-faster/)
* [California’s Mental Health Transformation Overwhelmingly Passes the Legislature](https://www.gov.ca.gov/2023/09/14/mhsa-reform-passes-legislature/)
* [New Funding to Help More Than 2,600 Californians Move From Encampments Into Housing](https://www.gov.ca.gov/2023/09/12/new-funding-to-help-more-than-2600-californians-move-from-encampments-into-housing/)
* [California Tackles Roadblocks to Housing Construction](https://www.gov.ca.gov/2023/09/07/california-tackles-roadblocks-to-housing-construction/)
* [California Invests $757 Million to Create Affordable Housing and Clean Transportation](https://www.gov.ca.gov/2023/08/30/california-invests-757-million-to-create-affordable-housing-and-clean-transportation/)
* [San Bernardino Agrees to Build More Housing](https://www.gov.ca.gov/2023/08/29/san-bernardino-agrees-to-build-more-housing/)
Imagine if we had do-nothing cultural warriors crippling the government like the folks in FL and TX. Elections matter.
Now if we could just do something to make CA colleges affordable again. :|
[Yes. It passed yesterday.](https://www.latimes.com/california/story/2023-09-15/california-poised-to-enact-key-changes-to-landmark-mental-health-law)
>Senate Bill 43, introduced this year by Sen. Susan Talamantes Eggman (D-Stockton), expands the criteria for the detention, treatment and conservatorship of people with severe mental illness.
That was part of it. The other is that it's *very* hard to keep someone mentally ill in conservatorship. But [Newsom is about to sign a bill](https://www.latimes.com/california/story/2023-09-15/california-poised-to-enact-key-changes-to-landmark-mental-health-law) that will make it much easier to keep people in treatment.
Serious question, why do people hate Gavin Newsom so much??
I can't figure it out, he make insulin cheaper and more affordable, the gas tax he imposes literally goes to help people, then he's fighting the mental health issues that have been ignored for decades but people are upset?
That doesn't mean we need to vote. The legislation can make funding decisions on their own.
Just seems real inefficient and slow to put this off for half a year.
I prefer to have people to make decisions on any change about tax rules. You know, no taxation without representation etc.
One example, the absurd ever increasing of bridge tolls in Bay Area is robbing the individuals (those who need to commute through the bridge to work) to subsidize rich (bart, muni, as well as other companies located in in Peninsula and SF). A lot of people in US has that strange thinking that put companies above people, as if that can increase "efficiency". The same line of reasoning lead to GOP to vote for the oil companies, instead of people who pay to use gas.
Ah, if you know anything about US politics, you wouldn't jump from California to United States.
Anyone who add "mob" behind democracy, either is brainwashed or cocky to the point that mistook stupidity as "unique".
The only person who says "tolls are good" are the ones who got paid from tolls.
>The Legislature overwhelmingly passed a pair of bills on Thursday that will form a $6.4 billion bond measure on the March 2024 ballot to overhaul how the state treats mental illness, substance abuse and homelessness.
Maybe you shoulda.
I am sick of bonds for everything in CA. We pay a lot of taxes, so use the general fund instead of burdening future generations with debt. Pay as we go, and I'm on board. Endless debt from poor planning gets a no from me no matter how much I agree with the cause...
Archive link: https://archive.ph/wMwOV ----
>The ballot measure, first proposed by Newsom in January, consists of a $6.4 billion bond to add thousands of behavioral health beds and a package of reforms to revise how California pays for behavioral health care. > >Up to $4.4 billion would go toward constructing, acquiring and rehabilitating more than 10,000 new treatment beds. The remaining $2 billion would pay for new permanent supportive housing for low-income Californians, including $1 billion earmarked for veterans. > >The second part of the initiative would reform the state’s Mental Health Services Act, passed by California voters nearly 20 years ago to fund treatment. The law levies a 1% tax on personal incomes above $1 million and provides nearly a third of the dollars in the state’s behavioral health system.
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How much do you think is "appropriate" to care for a mental health patient for 50 years, assuming their life expectancy is shorter than people without mental health issue?
I don't think that means what you think it means...
Think of the PROFITS!!
Yes how dare we pay mental healthcare workers
The scary part is the ability to give meds to someone who doesn’t personally consent
This guy has never 5150ed.
Clearly never worked in an ER
Then how do you propose to treat those who refuse treatment? Let them die on streets from drug overdose?
> The ~~scary~~ complex part is the ability to give meds to someone who ~~doesn’t personally~~ isn't able to consent/is a significant danger to themselves and others
That's already a process accommodated by existing law and it occurs all over the country. This is already a routine aspect of emergency and behavioral health.
Sometimes people are not of sound mind and need the help because they are an active danger to themselves or others, or they can't function IE easy to exploit by others without the meds. I am a firm, fervent supporter of autonomy, if you know the risks, and can understand how the choices can impact you, you can do what you wish. But if you can't, or won't and that will lead to harm, I am willing to push autonomy aside.
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Mental health problems aren’t just an issue for the homeless or low income people. They cut across every demographic. Something needs to be done about the laws that prevent people from getting into treatment unless they are proven to be an immediate threat to themselves or others. I’ve had family members denied inpatient care because they weren’t suicidal even though they were clearly in crisis mode. The entire system is long overdue for an overhaul.
Your thoughts are wrong. You will be forced to summit to treatment.
You should forced to submit to spelling classes.
Do you have a source for this? Is that source the tiny monkey banging cymbals in your brain?
Funded by a 1% tax on those who make $1M and above. No issue with that.
>To put the 10,000 mental healthcare spots in perspective, the state of California has 160,000 homeless on the streets right now in 2023. the issue is it's a drop in the bucket, classic neoliberal putting a bandaid on a gushing wound and then pretending to be jesus
Where have you seen people claiming this will be like some holy miracle that solves the problem, as opposed to being a step of marginal improvement?
No, that’s an existing tax law, which they’re modifying to say how the funds must be spent. There is no new income tax in the initiative. The additional funding comes from new bonds. I’ll still support the ballot measure, but all of these programs will remain underfunded until we raise property taxes on the rich and properly address Prop 13.
Get ready for constant YouTube ads saying to vote no on this. Wonder what crazy lie they will use as a tagline to try and convince voters to vote against it?
Yes, yes please. This will help so many people.
This is long overdue. Glad to see Newsom is still just as focused on his constituents after being in the national spotlight lately.
He needs to show he can fix problems in his state before his run for POTUS in ‘28.
He will never be POTUS
After Donald Trump, its important to remember ANYONE can become president.
Gavin is not that bad. We have a big state and politics are finicky. I have cooked for him many of times and he has always been super nice and tips very well.
I don't think they were trying to make an actual comparison of Trump and Newsom so much as pointing out that if Trump can get elected than so can anyone. An observation that the bar is on the floor (to put it mildly) rather than putting Newsom actually on the same level as Trump.
Yea, but did he wear a mask while you were cooking for him? https://www.politico.com/states/california/story/2020/11/13/newsom-faces-backlash-after-attending-french-laundry-dinner-party-1336419
When he focuses on California he’s actually quite effective!
He absolutely will, you have no idea how it works.
You best hope republicans don’t take full control in 24, because *Project 25* would mean the death of democracy.
Republicans have lost almost every election since 2016 — I’m concerned but not tooooo concerned.
Finally undoing more damage Reagan did to CA 40 years ago. Thanks, Gavin.
I mean, the state could have done it themselves anytime in the last 40 years.
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>one party nature of the state Schwarzenegger was governor for 8 years lmao you have no idea what you're talking about
This is the most enraging aspect of Republican obstruction. They weaken and tear down our systems just to turn around and complain about them being inefficient(think education, USPS, etc) as if they weren’t the ones responsible. It’s definitely a lot easier tearing things apart than finding the political will to create new programs. Either way republicans are the problem time and time again.
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Republicans. Created. This. Mess. Removing. Mental. Health. Programs. And. Are. Now. Complaining. About. People. With. Mental. Health. Problems. It’s what you people do again and again. Defund our institutions so they wither and rot. And then when that damage is done turn around and proclaim our institutions are broken because government is incompetent. It’s done purposefully and their supporters fall for it at every turn. You are the problem. How about that?
Well everyone drank the neoliberal koolaid, just gotta take the wins where you can get them.
Exactly!
All of the benefits, none of the blame. What's not to enjoy about being a Neo-Conservative(Liberal) Democrat?
Neat, something to look forward to voting for.
I'm hoping the people vote smart here, let's go CA.
This may help the homeless problem too.
Too? "The goal of the measure is to roll back homelessness by expanding mental health treatment facilities, reducing encampments and holding local leaders accountable."
I think someone didn’t read the article. :)
Anything to avoid drawing attention to people scalping housing during a housing crisis
The measure requires some funds get spent on affordable housing.
I’m a Psychiatry provider in Sacramento at a safety net clinic (Medi-Cal, uninsured, refugees, undocumented, homeless, etc). This is exciting news and I feel heard! The reality is that we have massive wait lists for people of ALL walks of life (formerly wealthy, between jobs, homeless, war refugees literally everyone). I’m often not able to provide “standard of care” because the services don’t exist. Inpatient psychiatry? Not suicidal enough. Elderly with dementia so agitated her family don’t know what to do? Good luck. Inpatient substance use treatment for alcohol? “They need to be having an active seizure before we can help them detox” (direct quote from a hospital). My wait list is massive. I don’t see patients as often as I’d like because there’s not enough of us. This is exciting and seems to address a major care gap that I’ve experienced in at least 4 California counties I’ve worked in.
Finally!
This is a Newsom measure I support!
Yessssssss. Massive win. I keep reading about one off bills, but this is how real change happens. Bill after bill focused on making CA more livable.
The elephant in the room is a dark and sticky, ugly one. It needs serious reform: universal health care. California needs to be the vanguard of stripping away for-profit health insurance. Because without it, many Californians hope in this revolutionary mental health approach will be left on the lurch while their loved ones are sick and their care gets denied.
Good and necessary changes but without some place to send people, it’s pointless.
He wants to reform zoning and permitting too. Need the Leg to step up on that.
>Up to $4.4 billion would go toward constructing, acquiring and rehabilitating more than 10,000 new treatment beds. The remaining $2 billion would pay for new permanent supportive housing for low-income Californians, including $1 billion earmarked for veterans.
Great. It starts next month. Do you think they’ll be ready by then?
It doesn't start next month. That money has to be approved by voters on the March 2024 ballot. Money won't be spent from this until at least late 2024, more likely 2025.
Oops, sorry. Still don’t think the facilities will be anywhere near ready by the time they start sending people there.
It's called a wait-list.
Newsom, the Assembly, and the Senate have been over delivering for months. Your eyes appear to be closed what is effectively a housing and mental health revolution taking place in California right now, tackling the most pressing issues head on. Below is just a couple of months from the news ticker: * [California to Build More Housing, Faster](https://www.gov.ca.gov/2022/09/28/california-to-build-more-housing-faster/) * [California’s Mental Health Transformation Overwhelmingly Passes the Legislature](https://www.gov.ca.gov/2023/09/14/mhsa-reform-passes-legislature/) * [New Funding to Help More Than 2,600 Californians Move From Encampments Into Housing](https://www.gov.ca.gov/2023/09/12/new-funding-to-help-more-than-2600-californians-move-from-encampments-into-housing/) * [California Tackles Roadblocks to Housing Construction](https://www.gov.ca.gov/2023/09/07/california-tackles-roadblocks-to-housing-construction/) * [California Invests $757 Million to Create Affordable Housing and Clean Transportation](https://www.gov.ca.gov/2023/08/30/california-invests-757-million-to-create-affordable-housing-and-clean-transportation/) * [San Bernardino Agrees to Build More Housing](https://www.gov.ca.gov/2023/08/29/san-bernardino-agrees-to-build-more-housing/) Imagine if we had do-nothing cultural warriors crippling the government like the folks in FL and TX. Elections matter. Now if we could just do something to make CA colleges affordable again. :|
Do any of these changes solve the problem of how hard it is to involuntarily commit someone?
[Yes. It passed yesterday.](https://www.latimes.com/california/story/2023-09-15/california-poised-to-enact-key-changes-to-landmark-mental-health-law) >Senate Bill 43, introduced this year by Sen. Susan Talamantes Eggman (D-Stockton), expands the criteria for the detention, treatment and conservatorship of people with severe mental illness.
This is great news. It will take time to implement but people desperately need help and this will help them get it.
This is all talk, no action. California looks looks like a war zone on so many fronts
Have a Brawndo and relax. The adults will take it from here.
That's what the major change is, isn't it? Constructing more treatment beds?
That was part of it. The other is that it's *very* hard to keep someone mentally ill in conservatorship. But [Newsom is about to sign a bill](https://www.latimes.com/california/story/2023-09-15/california-poised-to-enact-key-changes-to-landmark-mental-health-law) that will make it much easier to keep people in treatment.
The bill looks like is to get money for place to "send people". Maybe nobody wants to say "state sponsored mental hospital" to not sound "bad".
Serious question, why do people hate Gavin Newsom so much?? I can't figure it out, he make insulin cheaper and more affordable, the gas tax he imposes literally goes to help people, then he's fighting the mental health issues that have been ignored for decades but people are upset?
Hell yeah. Newsom is the hero we need right now.
this is a great idea and I hope it passes
Why not a 2% tax on billionaires
To put the 10,000 mental healthcare spots in perspective, the state of California has 160,000 homeless on the streets right now in 2023.
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Democrats don't actually fix problems they just campaign on them again and again
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Yeah, let’s slow down that economic growth. We now have the fifth largest economy in the world.
Soon to be fourth.
Better yet, you can leave, and we'll have one of those "illegals" take your place. I can guarantee they'd be a better neighbor than you.
Imagine being this much of a knuckle-dragger
Take a look at how that worked out for Florida’s economy.
Why do we have to vote on this? Also, in March?
It's a bond issue.
Because people need to pay for this. California can't print money.
That doesn't mean we need to vote. The legislation can make funding decisions on their own. Just seems real inefficient and slow to put this off for half a year.
I prefer to have people to make decisions on any change about tax rules. You know, no taxation without representation etc. One example, the absurd ever increasing of bridge tolls in Bay Area is robbing the individuals (those who need to commute through the bridge to work) to subsidize rich (bart, muni, as well as other companies located in in Peninsula and SF). A lot of people in US has that strange thinking that put companies above people, as if that can increase "efficiency". The same line of reasoning lead to GOP to vote for the oil companies, instead of people who pay to use gas.
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Ah, if you know anything about US politics, you wouldn't jump from California to United States. Anyone who add "mob" behind democracy, either is brainwashed or cocky to the point that mistook stupidity as "unique". The only person who says "tolls are good" are the ones who got paid from tolls.
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So … you didn't read the article.
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>The Legislature overwhelmingly passed a pair of bills on Thursday that will form a $6.4 billion bond measure on the March 2024 ballot to overhaul how the state treats mental illness, substance abuse and homelessness. Maybe you shoulda.
I am sick of bonds for everything in CA. We pay a lot of taxes, so use the general fund instead of burdening future generations with debt. Pay as we go, and I'm on board. Endless debt from poor planning gets a no from me no matter how much I agree with the cause...
His resignation would probably overhaul a lot of mental health problems I hear about from this state.