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STATE BEST PRACTICES FOR CRISIS INTERVENTION

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TEAMS

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2017 GENERAL SESSION

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STATE OF UTAH

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Chief Sponsor: Brian S. King

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Senate Sponsor: ____________

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8     LONG TITLE
9     General Description:
10          This bill addresses crisis intervention teams on a regional and statewide basis.
11     Highlighted Provisions:
12          This bill:
13          ▸     enacts the Crisis Intervention Team Utah Program Act, including:
14               •     defining terms;
15               •     providing for regional crisis intervention team programs;
16               •     establishing the Crisis Intervention Team Utah Program Advisory Council;
17               •     providing for certification of peace officers; and
18               •     outlining division duties; and
19          ▸     makes technical and conforming amendments.
20     Money Appropriated in this Bill:
21          None
22     Other Special Clauses:
23          None
24     Utah Code Sections Affected:
25     AMENDS:
26          17-43-301, as last amended by Laws of Utah 2016, Chapter 113
27     ENACTS:

28          62A-15-1201, Utah Code Annotated 1953
29          62A-15-1202, Utah Code Annotated 1953
30          62A-15-1203, Utah Code Annotated 1953
31          62A-15-1204, Utah Code Annotated 1953
32          62A-15-1205, Utah Code Annotated 1953
33          62A-15-1206, Utah Code Annotated 1953
34     

35     Be it enacted by the Legislature of the state of Utah:
36          Section 1. Section 17-43-301 is amended to read:
37          17-43-301. Local mental health authorities -- Responsibilities.
38          (1) (a) (i) In [each] a county operating under a county executive-council form of
39     government under Section 17-52-504, the county legislative body is the local mental health
40     authority, provided however that any contract for plan services shall be administered by the
41     county executive.
42          (ii) In [each] a county operating under a council-manager form of government under
43     Section 17-52-505, the county manager is the local mental health authority.
44          (iii) In [each] a county other than a county described in Subsection (1)(a)(i) or (ii), the
45     county legislative body is the local mental health authority.
46          (b) Within legislative appropriations and county matching funds required by this
47     section, under the direction of the division, [each] a local mental health authority shall:
48          (i) provide mental health services to persons within the county; and
49          (ii) cooperate with efforts of the Division of Substance Abuse and Mental Health to
50     promote integrated programs that address an individual's substance abuse, mental health, and
51     physical healthcare needs, as described in Section 62A-15-103.
52          (c) Within legislative appropriations and county matching funds required by this
53     section, [each] a local mental health authority shall cooperate with the efforts of the
54     Department of Human Services to promote a system of care, as defined in Section 62A-1-104,
55     for minors with or at risk for complex emotional and behavioral needs, as described in Section
56     62A-1-111.
57          (d) A local mental health authority for a mental health catchment area shall comply
58     with Title 62A, Chapter 15, Part 12, Crisis Intervention Team Utah Program Act.

59          (2) (a) By executing an interlocal agreement under Title 11, Chapter 13, Interlocal
60     Cooperation Act, two or more counties may join to:
61          (i) provide mental health prevention and treatment services; or
62          (ii) create a united local health department that combines substance abuse treatment
63     services, mental health services, and local health department services in accordance with
64     Subsection (3).
65          (b) The legislative bodies of counties joining to provide services may establish
66     acceptable ways of apportioning the cost of mental health services.
67          (c) [Each] An agreement for joint mental health services shall:
68          (i) (A) designate the treasurer of one of the participating counties or another person as
69     the treasurer for the combined mental health authorities and as the custodian of money
70     available for the joint services; and
71          (B) provide that the designated treasurer, or other disbursing officer authorized by the
72     treasurer, may make payments from the money available for the joint services upon audit of the
73     appropriate auditing officer or officers representing the participating counties;
74          (ii) provide for the appointment of an independent auditor or a county auditor of one of
75     the participating counties as the designated auditing officer for the combined mental health
76     authorities;
77          (iii) (A) provide for the appointment of the county or district attorney of one of the
78     participating counties as the designated legal officer for the combined mental health
79     authorities; and
80          (B) authorize the designated legal officer to request and receive the assistance of the
81     county or district attorneys of the other participating counties in defending or prosecuting
82     actions within their counties relating to the combined mental health authorities; and
83          (iv) provide for the adoption of management, clinical, financial, procurement,
84     personnel, and administrative policies as already established by one of the participating
85     counties or as approved by the legislative body of each participating county or interlocal board.
86          (d) An agreement for joint mental health services may provide for:
87          (i) joint operation of services and facilities or for operation of services and facilities
88     under contract by one participating local mental health authority for other participating local
89     mental health authorities; and

90          (ii) allocation of appointments of members of the mental health advisory council
91     between or among participating counties.
92          (3) A county governing body may elect to combine the local mental health authority
93     with the local substance abuse authority created in Part 2, Local Substance Abuse Authorities,
94     and the local health department created in Title 26A, Chapter 1, Part 1, Local Health
95     Department Act, to create a united local health department under Section 26A-1-105.5. A local
96     mental health authority that joins with a united local health department shall comply with this
97     part.
98          (4) (a) [Each] A local mental health authority is accountable to the department, the
99     Department of Health, and the state with regard to the use of state and federal funds received
100     from those departments for mental health services, regardless of whether the services are
101     provided by a private contract provider.
102          (b) [Each] A local mental health authority shall comply, and require compliance by its
103     contract provider, with all directives issued by the department and the Department of Health
104     regarding the use and expenditure of state and federal funds received from those departments
105     for the purpose of providing mental health programs and services. The department and
106     Department of Health shall ensure that those directives are not duplicative or conflicting, and
107     shall consult and coordinate with local mental health authorities with regard to programs and
108     services.
109          (5) (a) [Each] A local mental health authority shall:
110          (i) review and evaluate mental health needs and services, including mental health needs
111     and services for persons incarcerated in a county jail or other county correctional facility;
112          (ii) as provided in Subsection (5)(b), annually prepare and submit to the division a plan
113     approved by the county legislative body for mental health funding and service delivery, either
114     directly by the local mental health authority or by contract;
115          (iii) establish and maintain, either directly or by contract, programs licensed under Title
116     62A, Chapter 2, Licensure of Programs and Facilities;
117          (iv) appoint, directly or by contract, a full-time or part-time director for mental health
118     programs and prescribe the director's duties;
119          (v) provide input and comment on new and revised rules established by the division;
120          (vi) establish and require contract providers to establish administrative, clinical,

121     personnel, financial, procurement, and management policies regarding mental health services
122     and facilities, in accordance with the rules of the division, and state and federal law;
123          (vii) establish mechanisms allowing for direct citizen input;
124          (viii) annually contract with the division to provide mental health programs and
125     services in accordance with the provisions of Title 62A, Chapter 15, Substance Abuse and
126     Mental Health Act;
127          (ix) comply with all applicable state and federal statutes, policies, audit requirements,
128     contract requirements, and any directives resulting from those audits and contract requirements;
129          (x) provide funding equal to at least 20% of the state funds that it receives to fund
130     services described in the plan;
131          (xi) comply with the requirements and procedures of Title 11, Chapter 13, Interlocal
132     Cooperation Act, Title 17B, Chapter 1, Part 6, Fiscal Procedures for Local Districts, and Title
133     51, Chapter 2a, Accounting Reports from Political Subdivisions, Interlocal Organizations, and
134     Other Local Entities Act; and
135          (xii) take and retain physical custody of minors committed to the physical custody of
136     local mental health authorities by a judicial proceeding under Title 62A, Chapter 15, Part 7,
137     Commitment of Persons Under Age 18 to Division of Substance Abuse and Mental Health.
138          (b) [Each] A plan under Subsection (5)(a)(ii) shall include services for adults, youth,
139     and children, which shall include:
140          (i) inpatient care and services;
141          (ii) residential care and services;
142          (iii) outpatient care and services;
143          (iv) 24-hour crisis care and services;
144          (v) psychotropic medication management;
145          (vi) psychosocial rehabilitation, including vocational training and skills development;
146          (vii) case management;
147          (viii) community supports, including in-home services, housing, family support
148     services, and respite services;
149          (ix) consultation and education services, including case consultation, collaboration
150     with other county service agencies, public education, and public information; and
151          (x) services to persons incarcerated in a county jail or other county correctional facility.

152          (6) Before disbursing any public funds, [each] a local mental health authority shall
153     require that each entity that receives any public funds from a local mental health authority
154     agrees in writing that:
155          (a) the entity's financial records and other records relevant to the entity's performance
156     of the services provided to the mental health authority shall be subject to examination by:
157          (i) the division;
158          (ii) the local mental health authority director;
159          (iii) (A) the county treasurer and county or district attorney; or
160          (B) if two or more counties jointly provide mental health services under an agreement
161     under Subsection (2), the designated treasurer and the designated legal officer;
162          (iv) the county legislative body; and
163          (v) in a county with a county executive that is separate from the county legislative
164     body, the county executive;
165          (b) the county auditor may examine and audit the entity's financial and other records
166     relevant to the entity's performance of the services provided to the local mental health
167     authority; and
168          (c) the entity will comply with the provisions of Subsection (4)(b).
169          (7) A local mental health authority may receive property, grants, gifts, supplies,
170     materials, contributions, and any benefit derived therefrom, for mental health services. If those
171     gifts are conditioned upon their use for a specified service or program, they shall be so used.
172          (8) (a) As used in this section, "public funds" means the same as that term is defined in
173     Section 17-43-303.
174          (b) Public funds received for the provision of services pursuant to the local mental
175     health plan may not be used for any other purpose except those authorized in the contract
176     between the local mental health authority and the provider for the provision of plan services.
177          Section 2. Section 62A-15-1201 is enacted to read:
178     
Part 12. Crisis Intervention Team Utah Program Act

179          62A-15-1201. Title.
180          This part is known as the "Crisis Intervention Team Utah Program Act."
181          Section 3. Section 62A-15-1202 is enacted to read:
182          62A-15-1202. Definitions.

183          As used in this part:
184          (1) "Advisory council" means the Crisis Intervention Team Utah Program Advisory
185     Council created under Section 62A-15-1204.
186          (2) "Crisis intervention team coordinator" means an individual identified by the local
187     mental health authority or a law enforcement agency of that mental health authority's
188     jurisdiction who has the responsibility of a regional crisis intervention team program or
189     specialized crisis intervention team program in accordance with Section 62A-15-1203.
190          (3) "Crisis intervention team officer" means a certified peace officer of a law
191     enforcement agency in the state who is certified as a crisis intervention team officer under
192     Section 62A-15-1205.
193          (4) "Mental health catchment area" means the same as that term is defined in Section
194     62A-15-611.
195          (5) "Peace officer" means an officer certified in accordance with Title 53, Chapter 13,
196     Peace Officer Classifications.
197          (6) "Regional crisis intervention team program" means a program:
198          (a) in a geographical area of the state that is one of the state mental health catchment
199     areas;
200          (b) that consists of a partnership between a law enforcement agency within the mental
201     health catchment area, the mental health catchment area's mental health authority, and
202     advocacy organizations; and
203          (c) that acts in accordance with Subsection 62A-15-1203(2).
204          (7) "Specialized crisis intervention program" means a program that is focused on a
205     particular circumstance such as corrections or youth.
206          (8) "Statewide program" means a single statewide crisis intervention team program
207     consisting of regional crisis intervention team programs.
208          Section 4. Section 62A-15-1203 is enacted to read:
209          62A-15-1203. Regional crisis intervention team programs.
210          (1) The mental health authority for a mental health catchment area, in partnership with
211     a law enforcement agency of that mental health catchment area, and the statewide crisis
212     intervention team program administration shall create a regional crisis intervention team
213     program for the mental health catchment area. The mental health authority and law

214     enforcement agency shall designate one or more individuals as crisis intervention team
215     coordinators.
216          (2) A regional crisis intervention team program shall:
217          (a) work in partnership with the statewide program and the statewide program's
218     administration;
219          (b) provide specialized training for peace officers that allows a peace officer to become
220     or remain certified as a crisis intervention team officer in accordance with Section
221     62A-15-1205;
222          (c) provide other de-escalation training for peace officers and other first responders;
223          (d) work with local communities in developing effective crisis response systems
224     throughout the mental health catchment area;
225          (e) advocate for behavioral health services; and
226          (f) be represented on the advisory council by the regional crisis intervention team's
227     coordinators.
228          Section 5. Section 62A-15-1204 is enacted to read:
229          62A-15-1204. Crisis Intervention Team Utah Program Advisory Council.
230          (1) There is created a Crisis Intervention Team Utah Program Advisory Council that
231     consists of:
232          (a) a representative of the statewide program's administration;
233          (b) crisis intervention team regional coordinators from each mental health catchment
234     area;
235          (c) the division's director or the director's designee; and
236          (d) representation from other partnered agencies or organizations.
237          (2) (a) A majority of the advisory council constitutes a quorum.
238          (b) The action of a majority of a quorum present is an action of the advisory council.
239          (c) The advisory council may designate a member of the advisory council to act as
240     chair for a term of one year.
241          (d) The advisory council shall determine who is a member of the advisory council
242     under Subsection (1)(d).
243          (3) A member may not receive compensation or benefits for the member's service, but
244     may receive per diem and travel expenses in accordance with:

245          (a) Section 63A-3-106;
246          (b) Section 63A-3-107; and
247          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
248     63A-3-107.
249          (4) The division shall staff the advisory council and maintain a current membership list
250     of the advisory council.
251          (5) Subject to approval by the division, the advisory council shall recommend:
252          (a) standards, curriculum, and training for the statewide program and regional crisis
253     intervention team programs; and
254          (b) the certification and recertification process for a peace officer to be a certified crisis
255     intervention team officer in accordance with Section 62A-15-1205.
256          Section 6. Section 62A-15-1205 is enacted to read:
257          62A-15-1205. Certification of peace officers.
258          (1) To be originally certified as a crisis intervention team officer, a peace officer shall:
259          (a) complete the training approved by the division in accordance with Section
260     62A-15-1206; and
261          (b) pass the required testing approved by the division in accordance with Section
262     62A-15-1206.
263          (2) To maintain certification, a crisis intervention team officer shall comply with
264     recertification requirements approved by the division in accordance with Section 62A-15-1206.
265          Section 7. Section 62A-15-1206 is enacted to read:
266          62A-15-1206. Division responsibilities for statewide program.
267          (1) The division shall support the continued development of the statewide program by:
268          (a) providing oversight of the statewide program through a contractual agreement,
269     made in accordance with Title 63G, Chapter 6a, Utah Procurement Code, with an entity that
270     will provide the statewide program's administration;
271          (b) approving by rule, made in accordance with Title 63G, Chapter 3, Utah
272     Administrative Rulemaking Act, standards, curriculum, and training for the statewide program;
273          (c) monitoring standards, curriculum, and training for the statewide program; and
274          (d) providing the procedure by rule, made in accordance with Title 63G, Chapter 3,
275     Utah Administrative Rulemaking Act, for certification and recertification of crisis intervention

276     team officers.
277          (2) In complying with Subsection (1), the division shall:
278          (a) implement the core elements of the best practices found nationally for crisis
279     intervention teams; and
280          (b) seek the collaboration of the Division of Peace Officer Standards and Training and
281     advocacy organizations.






Legislative Review Note
Office of Legislative Research and General Counsel