CARE Court

Overview

  • Senate Bill (SB) 1338 (Chapter 319, Statutes of 2022) established the Community Assistance, Recovery, and Empowerment (CARE) Act, that represents a crucial step forward in ensuring that individuals facing severe mental health challenges (schizophrenia spectrum and other psychotic disorders) in California receive the care they so desperately need. Too often, these vulnerable individuals find themselves without access to the necessary treatment.
  • CARE takes a proactive approach by intervening earlier, seeking to divert individuals from more restrictive conservatorships or incarceration. It establishes a vital connection between those in crisis and a court-ordered CARE plan or agreement that can span up to 12 months, with potential extensions for an additional year.
  • Recognizing the pressing need for support and accountability, CARE steps in not only to help those with severe untreated mental illnesses but also to assist local governments in their duty to provide behavioral health services. The CARE process operates through California’s civil courts, enabling earlier intervention and offering much-needed support and accountability.
  • Moreover, CARE ensures that individuals receive clinically appropriate community-based services.

Where we are in the process

  • All counties have begun implementation of the CARE Act (as of December 1, 2024)
  • SB 27 passed and went into effect January 1, 2026. Read more about the updates here.

Filing a Petition

Filing as a Family Member or Roomate

Step-by-Step: Filing as a Family Member or Roommate

  • Step 1 – Understand the Basics: Read the Family Resource Guide to learn how the CARE Act works and if it is the right fit for your family member or roommate.
  • Step 2 – Consider Eligibility: Based on what you have seen and know about the person, consider if they might be eligible. Do they have an eligible diagnosis and meet a few other criteria? A judge will make the final decision, but you should be able to provide enough information to support that the person may qualify.
  • Step 3 – Complete the Forms: Download and fill out these specific documents:
    • CARE-050-INFO Guide: A simple instruction sheet to help you fill out the forms.
    • CARE-100 Petition: The main document submitted to the court to help a judge determine eligibility. In addition to information on completing the CARE-100, this resource includes information on how to fill out the form.
    • CARE-101 Mental Health Declaration: You fill out the top section, and a licensed behavioral professional (such as a doctor or clinical social worker) should complete the clinical section.
    • Instead of the CARE-101 declaration, you can provide evidence that the person has had at least two intensive treatments (W&I Code § 5250), one within the last 60 days. Evidence could include hospital discharge papers or a signed declaration from someone with direct knowledge of the hospitalizations. If you have personal knowledge of the treatments, you may include that information directly on the CARE-100 petition form or through a declaration attached to the petition.
  • Step 4 – Get Help with Filing: You don’t have to do this alone.

County behavioral health agencies may submit petitions for individuals they believe may be eligible. They can also work with community and system partners to let them know that CARE is an option. County behavioral health is required to respond to referrals from specific courts and facilities, and may choose to accept informal referrals from other sources such as community partners and family members.

Who are System Partners? System partners include hospital directors, licensed behavioral health professionals, public guardians or conservators, adult protective services, tribal court judges, homeless outreach workers, Indian Health Services programs, and first responders with repeated interactions with the individual.

Digital Resource Binders
Anosignosia Overview

Resource Center

CARE Act Resource Center – Health Management Associates (HMA) has developed a resource center that provides training, technical assistance and resources to county behavioral health agencies, counsel, volunteer supporters, and other stakeholders to support the implementation of the CARE Act.

Resource library – This library is intended to support a wide variety of stakeholders with information and resources for the seamless implementation of the CARE Act. The information is provided by the Department of Health Care Services (DHCS), HMA, and other partners. Additionally, the library contains content from other external sources.

Training Materials – HMA offers trainings and open forum discussions on prioritized topics. All CARE Act trainings conducted as part of this effort are recorded and materials are available for review.

Find Your Self-Help Center – Find your local California Court Self-Help Center to get answers to questions and receive direct support with completing and filing a petition. Self-Help Centers can provide legal information and resources in-person, over the phone, or online to people without a lawyer.

Recorded Monthly Informational Sessions (2026)

September 2026: Petitions and Pathways Beyond CARE

Recorded Trainings

What is CARE Act?

For those who do not qualify for CARE

For alternative resources for your loved one, find your local NAMI Affiliate will be able to provide you with further information on referral services and resources.

CARE Act Family Experience Survey

Our State wants to hear from family members! This is a great opportunity to share your experience with CARE Act.

As we support our families, we may have found that CARE was a vital part in that support, either a care plan, or alternative resources and services offered to our loved one. We may be in the process still, or we may have had some challenges that we want to share.

 Take the survey here: CARE Act Family Experience Survey

Send NAMI CA a quote!

If you would like to send in a quote to NAMI CA about your experience with care petitioning, supporting a loved one, care plans, etc. We would like to share some data to show what the successes have been and also if there have been any challenges. Please email careact@namica.org

CARE Act Program Celebrates First Graduate in San Diego County!

Article Read [HERE]

Questions?

Contact: careact@namica.org

NAMI CA Office Closure

NAMI California will be closed
December 22–January 2.
We will return on January 5.

NAMI HelpLine is available M-F 10 a.m. – 10 p.m., ET.
Connect by phone 800-950-6264 or text “Helpline” to 62640, or chat.

In a crisis, call or text 988.

Thank you for your understanding.