CA SB1045

Establishes a new conservatorship procedure for Los Angeles County, San Diego County, and San Francisco from 2018 until January 1, 2024, for persons with serious mental illness and substance use disorders evidenced by eight or more detentions for evaluation and treatment in the preceding 12 months.

Requires counties to demonstrate availability of supportive community housing, mental health services, substance use disorder treatment, psychiatric services, and other wraparound services before implementing the program.

Mandates that conservatorships under this chapter automatically terminate after one year unless the conservator petitions for reappointment, and prohibits establishment if another conservatorship or guardianship already exists.

Requires the behavioral health director to have previously attempted to obtain assisted outpatient treatment (Laura's Law) and demonstrate it was insufficient before a conservatorship can be established.

Requires each participating county to establish a working group to evaluate the program's effectiveness, with preliminary reports due by January 1, 2021, and final reports due by January 1, 2023.