California Mental Health Crisis: Newsom's CARE Court Under Fire (2026)

Newsom's Mental Health Court Threat: A Closer Look at California's CARE Court Initiative

California Governor Gavin Newsom has taken a firm stance on the implementation of his CARE Court program, threatening to withhold funding from counties that are not meeting his expectations. This bold move comes as a response to the slow adoption of the program, which aims to address the mental health crisis on the streets of California. But is this approach the right way to tackle the issue?

The CARE Court Initiative

CARE Court, launched in 2023, is a groundbreaking program that utilizes the court system to provide mental health treatment to individuals in dire need. It was designed to help those suffering from severe mental illness who have exhausted other treatment options and are often living on the streets. The program's success relies on the active participation of counties across the state.

Performance and Challenges

However, a recent investigation by CalMatters revealed that CARE Court has fallen short of its initial goals. As of January, only 893 treatment agreements had been approved, despite the state receiving 3,817 petitions for care. This means that many Californians who could benefit from the program have yet to receive the necessary support. The program also faces challenges in getting people off the streets and into suitable housing.

Counties in the Spotlight

Newsom's administration has identified 10 counties as underperforming: Los Angeles, Orange, San Francisco, Santa Clara, San Bernardino, Kern, Riverside, Yolo, Monterey, and Fresno. These counties are being called out for their lack of progress in implementing CARE Court. In contrast, other counties like Alameda, Humboldt, Santa Barbara, Tuolumne, Marin, Napa, Merced, Sutter, San Mateo, and Imperial have been praised for their effective use of the program.

A Complex Evaluation

The administration's evaluation of success is based on the number of CARE Court petitions received per capita. Counties with the highest number of petitions are dubbed 'CARE champions,' while those with the lowest are placed in the 'CARE ICU.' However, this metric alone may not provide a comprehensive view of the program's success. Other factors, such as the number of agreements reached, dismissed petitions, and graduations from the program, should also be considered.

Addressing Shortcomings

Newsom has promised to provide extra support to counties on the 'CARE ICU' list through the state's CARE Improvement and Coordination Unit. This support may include technical assistance and training. San Francisco, for instance, welcomes this assistance to strengthen its CARE Court program, recognizing the importance of addressing the mental health crisis on its streets.

Looking Ahead

As the CARE Court initiative continues to evolve, it is crucial to ensure that all counties are given the necessary resources and support to succeed. The administration's focus on funding for programs supporting CARE Court participants is a step in the right direction. However, a comprehensive evaluation system that considers multiple factors is essential to truly understand the program's impact and make informed decisions for the future.

California Mental Health Crisis: Newsom's CARE Court Under Fire (2026)

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