STAND. COM. REP. NO. 1343

 

Honolulu, Hawaii

, 2019

 

RE: S.B. No. 1051

S.D. 1

H.D. 1

 

 

 

 

Honorable Scott K. Saiki

Speaker, House of Representatives

Thirtieth State Legislature

Regular Session of 2019

State of Hawaii

 

Sir:

 

Your Committees on Human Services & Homelessness and Health, to which was referred S.B. No. 1051, S.D. 1, entitled:

 

"A BILL FOR AN ACT RELATING TO HOMELESS INDIVIDUALS WITH SEVERE MENTAL ILLNESS,"

 

beg leave to report as follows:

 

The purpose of this measure is to require the Department of Human Services to establish a task force to determine specific implementation requirements to establish a pilot program to provide shelter and mental health treatment for homeless individuals with severe mental illness or severe co-occurring mental illness and substance use disorders who are subject to court-ordered guardianship.

 

The Governor's Coordinator on Homelessness, Department of Human Services, Department of Health, Hawaii Substance Abuse Coalition, Catholic Charities Hawaii, Partners in Care, Hawaii Health & Harm Reduction Center, HOPE Services Hawaii, Institute for Human Services, ALEA Bridge, and several individuals supported this measure. The Maui Police Department provided comments.

 


Your Committees have amended this measure by:

 

(1) Requiring the Director of Human Services and Director of Health to serve as co-chairs on the task force; and

 

(2) Including homeless individuals with severe mental illness or severe co-occurring mental illness and substance use disorders who are subject to assisted community treatment orders as participants of the future pilot program.

 

Your Committees are mindful of existing task forces and reports being conducted that look into facilities for non-forensic patients and assist individuals with mental illnesses, such as in H.B. 786 H.D. 1 (2019), that would require a report by the Department of Health on improving and expediting mental health evaluations of specific defendants to the Legislature.

 

Your Committees note that the Department of Human Services requests a general fund appropriation for fiscal year 2020-2021 of $600,000 to implement a targeted demonstration of a 5- to 8-bed pilot shelter program for homeless individuals with severe mental illness, including the hiring of staff. The Department of Human Services also requested technical assistance from the National Council for Behavioral Health to address the needs identified by this measure and received a proposal for a scope of work to begin June 1, 2019, through July 31, 2022, which includes the following services:

 

(1) Environmental Scan and Needs Analysis: $24,000;

 

(2) Five Planning and Assessment Calls for Kick-Off Site Visit, Steering Committee Formation, and other Onsite Visits: $ 4,500;

 

(3) Four Days Onsite Kick-Off Site Visit and Steering Committee Convening: $36,000;

 

(4) Twelve Days Onsite Visits over the Period of the Contract, inclusive of training in Evidence-Based Practices such as Motivational Interviewing: $91,200;

 

(5) Thirty Coaching Calls to Support Implementation Efforts: $27,000;

 

(6) Six Webinars on a Topic of Clients Choice Based on Recommendations: $12,000; and

 

(7) Policy, Procedures, Workflows, Care Pathways and Other Resource Development: $24,000.

 

As affirmed by the records of votes of the members of your Committees on Human Services & Homelessness and Health that are attached to this report, your Committees are in accord with the intent and purpose of S.B. No. 1051, S.D. 1, as amended herein, and recommend that it pass Second Reading in the form attached hereto as S.B. No. 1051, S.D. 1, H.D. 1, and be referred to your Committee on Judiciary.

 

 

Respectfully submitted on behalf of the members of the Committees on Human Services & Homelessness and Health,

 

 

____________________________

JOHN M. MIZUNO, Chair

 

______________________________

JOY A. SAN BUENAVENTURA, Chair