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ARIZONA STATE SENATE

Fifty-Sixth Legislature, Second Regular Session

 

FACT SHEET FOR S.B. 1678

 

secure state mental health facilities

Purpose

Requires secure behavioral health residential facilities (SBHRFs) to keep civilly placed patients in separate SBHRFs from persons committed to SBHRFs as dangerous and incompetent to stand trial in a criminal proceeding.

Background

Beginning January 1, 2024, if a factfinder finds that a defendant is dangerous and should be involuntarily committed to treatment, the court must dismiss the charges against the defendant without prejudice and commit the defendant to a secure state mental health facility (Laws 2022, Ch.352; A.R.S. § 13-4521). A court may approve a patient, who is unwilling or unable to accept voluntary treatment, for placement in a SBHRF if it finds by clear and convincing evidence that a proposed patient, as a result of mental disorder, is a danger to self or others or has a persistent, acute or grave disability and is in need of treatment (A.R.S. §§ 36-540 and 36-550.09).

A secure state mental health facility is a SBHRF that is licensed by the Department of Health Services to provide secure 24 hour on-site supportive treatment and supervision by staff with behavioral health training for persons who have been determined to be seriously mentally ill, chronically resistant to treatment for a mental disorder and who are placed in the SBHRF pursuant to court order (A.R.S. §§ 13-4501 and 36-425.06).

There is no anticipated fiscal impact to the state General Fund associated with this legislation.

Provisions

1.   Prohibits SBHRFs that provide services to patients civilly placed in the SBHRF by court order from providing services to any other individuals.

2.   Prohibits SBHRFs that provide services to persons committed to the SBHRF by a court order finding the person dangerous and incompetent to stand trial from providing services to any other individuals.

3.   Requires AHCCCS to submit separate reports, by September 1 of each year, to the Governor, Legislature and the Arizona Supreme Court that include the number of available beds for persons:

a)   civilly placed in SBHRFs by court order; and

b)   committed to SBHRFs by court order finding the person dangerous and incompetent to stand trial.

4.   Includes the Arizona State Hospital in the definition of secure state mental health facility.

5.   Makes technical and conforming changes.

6.   Becomes effective on the general effective date.

Prepared by Senate Research

February 9, 2024

MM/KS/cs