HI HB593

Establishes an intensive mobile team pilot program within the Department of Health's adult mental health division to provide "street psychiatry" services to chronically homeless adults with serious brain disorders, including schizophrenia and schizoaffective disorder

Limits the pilot program to no more than 40 participants and requires after-hours availability for crisis response, emergency room visits, and coordination with law enforcement when participants are arrested

Requires the team to pursue assisted community treatment orders when appropriate, prioritize housing placements, initiate psychiatric medication treatment, and continue services even if participants are admitted to Hawaii State Hospital

Appropriates $1,300,000 for each of fiscal years 2025-2026 and 2026-2027 to fund 8.1 full-time equivalent positions, including a clinical supervisor, half-time psychiatrist, five social workers, half-time registered nurse, and support staff

Mandates reports to the legislature by 40 days before the 2026 and 2027 regular sessions tracking outcomes including arrests, hospitalizations, housing placements, and assisted community treatment orders; program dissolves June 30, 2028