A nationally recognized program serving children with severe
mental and emotional disabilities could become a casualty of
Sacramento's bruising budget battle.
The $35 million Children's System of Care program goes to 52
participating counties for care of the state's estimated
half-million children with severe disabilities, including 1,000 in
San Francisco alone.
"Some of these kids have been seriously abused physically and
sexually, sometimes resulting in serious post traumatic stress for
the kids," said Carolyn Novosel, director of children's services for
Alameda County. "There's a potential for these kids hitting the
doors of juvenile justice."
System of Care serves children who suffer from such debilitating
problems as autism, severe depression and eating and bipolar
disorders. It lets case workers pull together help from a variety of
agencies to make sure children and their families get counseling and
other services.
The goal is to keep these children in school and living at home
instead of placing them in expensive, potentially traumatic care
centers.
In May, Davis proposed balancing the state budget shortfall
through a mix of tax hikes and budget cuts, including System of
Care.
Its funding was restored in the Senate's budget proposal, but the
state's $100 billion spending plan is now stalled in the Assembly.
Davis spokesman Steve Maviglio said the governor supported the
Senate plan, but that the program's fate depended on Assembly
Republicans.
"The only thing from keeping this (program from continuing) are
the Assembly Republicans who want $5 billion more in cuts, and this
would certainly be on their list," said Maviglio.
Peter DiMarco, a spokesman for Assembly GOP leader Dave Cox of
Carmichael, said Republicans were not against any particular program
but believed the state had to bring its spending under control.
"The members in our caucus don't believe that raising taxes is
the way to solve the problems the state faces," said DiMarco.
Program supporters say if the cut goes through, more children
will fail in school, be hospitalized and engage in criminal
activity, and more families will be broken apart.
"If we eliminate all of the most effective mental health program
models, we are setting our state's mental health policies back
years," said Assemblywoman Helen Thomson, D-Davis, who wants funding
restored.
A San Francisco System of Care program provided intense training
from behavior specialists over several years to help Jessica
Gallegos, 11, who is autistic, control her fits and learn to speak,
said her mother, Teresa Gallegos.
Next school year, Jessica will be in a regular class at Martin
Luther King Jr. Middle School. Her mother now serves as a parent
advocate, guiding families through the city's youth and
mental-health bureaucracies.
"She was a head banger and had some emotional problems on top of
being autistic," recalled Gallegos. "Now when she grows up, she'll
be fairly independent."
Kim McComb of Concord said her family had been falling apart two
years ago when they began receiving System of Care services. She and
her husband were close to getting a divorce. Her 15-year-old son was
in a group home for treatment of bipolar disorder, and her
17-year-old boy was soon to go into supervised care to help him
handle anger.
But after nearly two years of counseling sessions and group
therapy classes, the boys are back home, and McComb's family is
stronger than it has ever been.
"His self-esteem has shot through the roof, and he's just totally
different, " McComb said of her 15-year-old son, Branden. "And
Mike's been home for a year. I'm positive they'd be in jail (now)
without the help we received."
Contra Costa County, which stands to lose about $1.3 million,
will be devastated if that money is taken away, county officials
said.
Chief Probation Officer Steve Bautista said it would almost
certainly result in more troubled youths being taken from their
homes and put in juvenile detention centers.
Sai-ling Chan-Sew, children's coordinator for San Francisco's
Department of Public Health Community Mental Health Services, said
$1 million in state funding fueled several different programs in the
city's schools, mental health,
juvenile probation and social services departments.
About 1,000 of the 5,000 children served annually by San
Francisco's mental health system are extreme cases requiring the
involvement of multiple agencies like juvenile services, education
and foster care.
"They're really the highest of the highest end in terms of
needs," said Chan-Sew. "This grant allows us to provide intensive
care."
Alameda County serves more than 200 kids a year ranging from 8 to
18 years old through its Destiny program. It would lose about $1.2
million in funding, said Novosel.
"There'll definitely be less of an opportunity for agencies to
intervene early with the child," said Novosel.
The System of Care concept began in California in the mid 1980s
and has been copied nationally.
A 2001 study by a collaborative of the University of California,
San Francisco and the state Department of Mental Health found
counties with system of care programs placed fewer youth in costly
restrictive centers than the state as a whole.
They also show a significant improvement in school achievement
and a drop in juveniles who get into legal trouble.
"Nobody knows if its going to be saved or not," said Rusty Selix,
executive director of the Mental Health Association in California, a
nonprofit child advocacy group.
e-mail Jason B. Johnson at
jbjohnson@sfchronicle.com.