CA SB1251

Expands conservatorship authority for serious mental illness and substance use disorders to any county or city and county, removing the restriction to Los Angeles, San Diego, and San Francisco counties.

Requires county board of supervisors approval through resolution or budget process, along with a finding that no existing mental health programs or conservatorships will be reduced as a result.

Mandates counties develop implementation plans in consultation with disability rights groups, housing providers, law enforcement, and health departments, and present findings to the board of supervisors after a public hearing.

Requires counties to demonstrate availability of specific services including supportive housing, public conservators, mental health counseling, substance use disorder services, psychiatric services, vocational rehabilitation, and family support before establishing conservatorships.

Maintains existing procedures for conservatorship establishment, requiring clear and convincing evidence that individuals meet criteria of serious mental illness and substance use disorder and that conservatorship is the least restrictive alternative needed for protection.