Housing and Homelessness Committee
December 15, 2025

12/8/2025
1 RiversideCA.gov
1 Housing and Human Services

WORKSHOP ON RESPONSE TO

HOMELESSNESS
Housing and Homelessness Committee
December 15, 2025
RiversideCA.gov
2 INTRODUCTION
• Homelessness remains one of the most
pressing social challenges
• Drive by shifts in economic conditions,
housing availability, and public health
impacts
• Understanding these trends is key to
developing effective solutions
12/8/2025
2 RiversideCA.gov
3 WORKSHOP PURPOSE
• Provide an overview of homelessness trends and
root causes
• Highlight current programs and strategies
• Discuss successes, gaps, and opportunities
• Preview upcoming initiatives
• Build a shared vision for next steps
RiversideCA.gov
4 NATIONAL AND CALIFORNIA TRENDS
• Homelessness has increased nationwide over the past
decade
• Driven by housing affordability challenges and
unemployment
• Affects communities of all sizes
• California has the largest homeless population in the U.S.

12/8/2025
3 RiversideCA.gov
5 RIVERSIDE TRENDS
• Significant increase in homelessness starting in 2016 to 2020
• 2025 data show stabilization for the first time in
several years
• Indicates potential impact of targeted programs
and services
RiversideCA.gov
6 HOMELESS POINT-IN-TIME COUNT

PER CAPITAL

HOMELESS
POPULATION (per
100,000
residents)
% OF UNSHELTERED

HOMELESS

UNSHELTERED

HOMELESSPOPULATIONCITY
1930.19%614318,858Riverside (2025)
176.50.19%601340,512Anaheim (2024)
358.30.28%871310,539Santa Ana (2024)
751.60.75%2,451325,976Stockton (2024)
• Conducted every two years
• Counts unsheltered individuals on one night in January 12/8/2025
4 RiversideCA.gov
7 PRIMARY CAUSES OF HOMELESSNESS

1. Lack of affordable housing

2. Rising rent prices

3. Employment-related causes

4. Mental health and substance abuse

5. Domestic Violence
RiversideCA.gov
8 INFLOWS INTO HOMELESSNESS
Influenced by external systems

1. Robert Presley Detention Center (RPDC)

2. Mental health and substance-use facilities on
County Farm Road

3. Franklin Behavioral Health Facility

4. Countywide outreach expansion
12/8/2025
5 RiversideCA.gov
9 COUNTY FARM ROAD
• 320 mental health and/or
substance abuse beds,
including 180 that are
locked down facilities
• 27 chairs at urgent care
and sobering center
• 24 Permanent Supportive
Housing units
RiversideCA.gov
10 WHAT WE ARE DOING
• Power to regulate – City of Grant Pass, Oregon V.

Johnson
• Public Safety and Engagement Team (PSET)
FY 2024/2025
Expenditures
FY 2024/2025
Budgeted
FY 2023/2024
Expenditures
FY 2023/2024
BudgetedCategory
$2,962,697.86$5,087,383.00$2,955,447.62$ 5,937,122.00Personnel $2,069,582.25$3,284,414.00$2,045,878,97$ 4,095,336.00Non-Personnel $ 0.00$ 0.00$1,156,271.37$ 1,354,874.00Capital Purchases $ 0.00$ 0.00$ 17,400.00$ 0.00Charges from Others $5,032,280.11$9,110,067.00$6,174,998.96$11,387,332.00Total 12/8/2025
6 RiversideCA.gov11

PSET PERFORMANCE OUTCOMES
RiversideCA.gov12
CONTRACTED ENCAMPMENT CLEANUP•Riverside County Flood ControlFebruary 27, 2024, executed contractContract value: $225,000Clean-up occurs after 72-hour tagging periodContract term ends on June 30, 2027•State of California Department of TransportationAugust 27, 2025, executed contractContract value: $400,000Clean-up occurs after 48-hour tagging periodContract term ends on June 30, 2027 12/8/2025
7 RiversideCA.gov
13 RIVERSIDE ACCESS CENTER
• Located at 2880 Hulen Place
• Serves as central hub connecting individuals and families experiencing homelessness with essential resources and
supportive services
RiversideCA.gov
14 SATURATION DAY STATS | AUGUST 2025
WARDS 5 & 6
Pending
Shelter
Placements
1 Motel Stays
1 TRIP Home
Pending
VISPDATs
Completed
30 Accepted
services
70 Engagements
(willing to engage)
35 Encounters
(not willing to
engage)
Total
Outreach
105
12/8/2025
8 RiversideCA.gov15
SATURATION DAY STATS | SEPTEMBER 2025WARDS 1 & 2
4Shelter Placements0Motel Stays
1TRIP HOME
0VISPDATs Completed58 Accepted services
51 Engagements(willing to engage)
38Encounters(not willing to engage)
Total Outreach89
RiversideCA.gov16
SATURATION DAY STATS | NOVEMBER 2025WARD 1
0Shelter Placements0Motel Stays
0TRIP Home
15VISPDATs Completed42 Accepted services
69 Engagements(willing to engage)
42Encounters(not willing to engage)
Total Outreach113
12/8/2025
9 RiversideCA.gov
17 SHELTERS
City Funded
BedsNo. of BedsPopulation ServedShelter
2323Unsheltered transitional-aged
youth and adults
Bridge Housing (non-
congregate shelter)
025 and 6 cribsUnsheltered familiesFamily Promise
050Unsheltered, medically
vulnerable homeless adults
Illumination Foundation
(recuperative care shelter)
TAY: 8
Adults: 60
90Unhoused adults and
transitional-aged youthPath of Life Emergency Shelter
046Unsheltered families with
childrenPath of Life Family Shelter
012Homeless and runaway youth
ages 12 -17
Operation Safe House
Emergency Shelter
012Homeless youth ages 18-24Operation Safe House Main Stay Shelter
RiversideCA.gov
18 RENTAL ASSISTANCE PROGRAMS (RAP)
• Landlord Incentive Program: $600 upon lease
signing
• RAP: Program participants are pulled from the
Coordinated Entry System (CES)
• Senior RAPs
 Mobile Home Park Homeowners RA
 Senior RA: Program participants are pulled
from the CES
 Supplemental RAP
12/8/2025
10 RiversideCA.gov
19 OTHER HOUSING ASSISTANCE PROGRAMS
• Homeless Prevention
• Permanent Supportive Housing Program
Status UpdateNo. of UnitsPSH Development
Fully leased. Case Management provided
by the City of Riverside.10Mulberry Village
Fully leased. Case management provided
by Riverside University Health Systems –
Behavioral Health and VA Loma Linda. PSH
units covenanted by RUHS-BH and CalVet.
46 Oasis Senior Apartments (No Place Like
Home and State of California –
Veterans Housing and Homelessness
Prevention)
Fully leased. Case Management provided
by RUHS-BH.49St. Michael’s (No Place Like Home
funded)
Fully leased. Case Management provided
by the City.10Mulberry Village
Under construction23Sunrise at Bogart
Fully leased. Case Management provided
by RUSH-BH. PSH units covenanted by
RUHS-BH.
39Vista de La Sierra (No Place Like Home
funded)
RiversideCA.gov
20 AFFORDABLE HOUSING
• 503 affordable housing units in the pipeline for
development, including 169 permanent supportive housing units
• Updates are provided at each Housing and Homelessness Committee meeting
12/8/2025
11 RiversideCA.gov
21 COORDINATED ENTRY SYSTEM (CES)
As of November 20, 2025, 312 individuals are in the CES Community Queue waiting for a housing referral.

No. of
IndividualsAge Group
4262+
5355-61
3050-54
15925-49
2818-24
RiversideCA.gov
22 COLLABORATION EFFORTS
• Memorandum of Understanding with Riverside County for a Coordinated Response to Homelessness
• Mayor’s Initiative to Ending Youth Homelessness
• Forum on Homelessness Faith Summit
• Non-profit Collaborative
12/8/2025
12 RiversideCA.gov
23 RIVERSIDE POLICE DEPARTMENT (RPD) & CITY

HOMELESSNESS RESPONSE
• RPD leads key quality-of-life efforts
• Focus on community concerns, safety, and livability
• Activities include patrols (increased in high-impact areas), engagements (business owners and residents), enforcement of unlawful behavioral (trespassing, illegal camping,
disorder), encampment support (coordination with PSET) and rapid crisis response to crisis-related calls
• Ensures safety around infrastructure, parks, libraries, transit corridors, and commercial areas
RiversideCA.gov
24 RECENT RPD APPROACHES
• On July 7, 2025, started expansion of overtime
deployment for the Magnolia Corridor and Downtown
Entertainment District hotspots
 6 officers + 1 sergeant deployed nightly
 Proactive focus on livability, disorder, safety, and
community engagement
• Redeployment Wildlands PSET to Urban
 One PSET team currently dedicated to wildland areas
 Another team dedicated to Caltrans sites
 Teams can be redeployed based on need
12/8/2025
13 RiversideCA.gov
25 RECENT RPD APPROACHES
• Narcotics operations targeting drug-impacted areas
 April 2024 Operation – Magnolia Corridor
• 44 drug dealers identified
• 104 arrests
 November 2024 Operation – Magnolia Corridor
• 30 dealers identified
• 93 arrests, 4 firearms recovered
• 1.2 lbs of methamphetamine seized
• Continues citywide drug-related enforcement
RiversideCA.gov
26 MOTELS WITH EXCESSIVE POLICE CALLS
• City issued Extraordinary Police Response Bills (EPRBs) issued to recover costs of excessive police responses
• City Attorney filed:

1. Judgement lien complaints to recoup costs, if
needed

2. Drug/nuisance abatement complaints to address
ongoing criminal activity
• Five highest-impact motels currently under litigation 12/8/2025
14 RiversideCA.gov27
MOTELS WITH EXCESSIVE POLICE CALLS2024 CY EPRBs2023 Calendar Year (CY) EPRBsMotel $48,513.67$24,814.70Days Inn$ 9,394.03$22,949.39Econo Lodge$25,466.32$25,702.73Motel 6$79,594.42$12,198.34Palm Inn$50,541.31$14,098.21Riverside Inn$213,509.75$99,763.37Total RiversideCA.gov28
DEPLOYING OUTREACH ALONG MAGNOLIA CORRIDOR•Data shows highest encampment concentrations in Ward 5 – 7 Indiana/Van BurenIndiana/La SierraMagnolia/La SierraJackson/Magnolia•Deploy Multidisciplinary Outreach teams •Focus on trust-building, assessment, service connections, housing referrals, crisis intervention 12/8/2025
15 RiversideCA.gov29
MENTAL HEALTH INITIATIVES OVERVIEW•Comprehensive approach to behavioral health and substance use•Focus areas:Crisis interventionTreatment accessHousing and wellness programs•Focus areas:•Goal: reduce incarceration and hospitalization, support long-term recovery RiversideCA.gov30
MOBILE CRISIS RESPONSE TEAM•Field-based teams: clinicians, behavioral specialists, peer support•Collaborate with law enforcement & emergency departments•Divert individuals in crisis to appropriate care•Reduce hospitalizations & reduce time officers spend on behavioral crises•Serve individuals of all ages 12/8/2025
16 RiversideCA.gov31
PROPOSITION 36 – KEY ISSUES•Treatment instead of incarceration for non-violent drug offenses•Current challenges1. Low treatment completion rates2. Insufficient funding over time3. Lack of wraparound supportive services4. Limited consequences for non-compliance5. High-risk populations with complex needs•DHCS funding expected, allocation methodology TBDOverview of Senate Bill 43 (SB43) &Implementation Plan for Jan 1, 2026Senate Bill (SB) 43:Legal Changes to Involuntary Hold Criteria for Grave Disability & ConservatorshipAdapted from SB43 Presentation by Los Angeles County Department of Public Health 12/8/2025
17 RiversideCA.gov33
Presentation Outline
Overview1)Overview of Lanterman-Petris-Short (LPS) Act2)Overview of Senate Bill 43 (SB43)3)Involuntary SUD Treatment Considerations4)Summary of SB43 Implementation in Riverside County (includingidentifying key persons to help and support implementation rollout) RiversideCA.gov34
Overview of the LPS Act
12/8/2025
18 RiversideCA.gov
35 Overview of Lanterman-Petris-Short (LPS) Act
• Understanding Senate Bill (SB) 43 first requires an understanding of the Lanterman-Petris-Short (LPS) Act:
– The LPS Act was first enacted in 1967; prior to the LPS Act, there was concerns about excessive long-term psychiatric institutions with consumer’s due process and widespread cases of abuse and patients’ rights.
– The LPS Act established due process to prevent the widespread inappropriate and excessive use of involuntary psychiatric hospitalizations. • The LPS Act includes:
– Welfare and Institute Code (WIC 5150 et al.) California law that stipulates involuntary detainment for psychiatric care; gives Counties authority to train, authorize and monitor appropriate professionals who can place people on a 5150 involuntary hold; gives specifications about LPS Designated Facilities, including safeguards and staffing requirements, which are approved by Department of HealthCare Services (DHCS), to provide locked inpatient psychiatric care for persons placed on a 5150 involuntary hold.

RiversideCA.gov
36 Prior to Sept 2024: Historically, this has been Riverside County’s Involuntary Holds Flowchart (Civil Commitment)
• WIC 5150 involuntary hold
– Up to 72-hrs for evaluation and treatment
– Based on probable cause that someone is a danger to self, danger to others, or gravely disabled* (the definition of grave disability [GD] is what has changed under SB 43) • WIC 5250 involuntary hold
– Up to 14-days; 5250’s are a continuation of the initial 5150 – Continues to be danger to self or others, or gravely disabled – Unwilling or unable to accept voluntary treatment
– After such, hold options: WIC 5300 (DTO only) up to 180 days or WIC 5260 (2nd 14-day cert for suicidal persons) • Temporary Conservatorship
– Up to 30-days
– Person remains both gravely disabled and unwilling or incapable of accepting treatment voluntarily • “Permanent” LPS Conservatorship
– Up to 1-yr (renewable)
– Beyond a reasonable doubt that person remains both gravely disabled and unwilling or incapable of accepting treatment voluntarily 12/8/2025
19 RiversideCA.gov
37 Overview of Lanterman-Petris-Short (LPS) Act (cont.) The Lanterman-Petris-Short (LPS) Act encompasses Welfare and Institutions Code 5000-5550 regarding the Detention of Mentally Disordered Persons for Evaluation and Treatment. The LPS Act specifically addresses involuntary detention as follows:

WIC 5150/5151/5152: 72-hour hold
WIC 5250: 14-day holds
WIC 5260: second 14-day hold for d angerousness to self WIC 5270.15: 30-day hold for gravely disabled persons (as alternate to conservatorship) WIC 5300: 180-day hold for imminent dangerousness to others WIC 5352.1: temporary conservatorship
WIC 5350: permanent conservatorship
While most of these holds were instituted as a requirement of the LPS act, it was left to each individual county to determine whether to authorize WIC 5270.15. In prior years, counties that have elected to authorize and utilize WIC 5270.15 are as follows: Los Angeles, Orange County , San Diego, Santa Barbara, Sacramento,
Placer, San Joaquin, Contra Costa, Merced, Yolo, Shasta, and Tulare County.

Riverside County Board of Supervisors approved Riverside County enacting WIC 5270.15 (30 day hold) as an involuntary detention treatment option on September 17, 2024.

RiversideCA.gov
38 Updated Riverside County
Civil Commitment Flowchart
to reflect 5270.15
12/8/2025
20 RiversideCA.gov
39 RiversideCA.gov
40 Patient Autonomy Under Civil Commitment
• Powers of 5150s & 5250s
– law establishes involuntary detainment and commitment into inpatient psychiatric facilities for 72 hours (5150s) or up to an additional 14 days (5250s) – Medication decisions: Persons who are not on conservatorships retain the ability to make medication decisions EXCEPT in emergency situations or if their medication capacity is overruled through a Riese hearing (WIC 5332-5334)
• Powers of LPS Conservator (per Court Order)
– Placement decisions (may, but doesnot always imply a locked facility) – Medication decisions
– Other rights that can be removed
• Right to manage money
• Right to make medical treatment decisions
• Right to vote
• Right to enter into contracts
• Right to a driver’s license
• Right to own a firearm
12/8/2025
21 RiversideCA.gov
41 Types of LPS Facilities
• The following facilities are the only types allowable for LPS designation:
– General Acute Care Hospital
– Skilled Nursing Facilities
– Jail Inpatient Units
– Mental Health Urgent Cares*, which are also known as Crisis Stabilization Units (CSUs) – Outpatient psychiatric urgent care setting; persons can stay up to 23 hours and 59 min – Psychiatric Health Facility (PHF)*, which is an inpatient psychiatric facility; up to 16 locked beds – (Newly added due to SB43) Mental Health Rehabilitation Centers (MHRCs) * Existing SUD residential (ASAM 3.1, 3.3, or 3.5) and outpatient settings that could theoretically apply to become a Psychiatric Health Facility or Mental Health Urgent Care Center. Such SUD facilities would likely need to undergo significant physical modifications and staffing changes to be eligible to be designated an LPS facility, in addition to:
– LPS licensing/certification from DHCS; LPS designation process, which includes becoming Joint Commission accredited and a County contractor RiversideCA.gov
42 Overview of SB43
12/8/2025
22 RiversideCA.gov
43 Overview of Senate Bill SB43
• Signed into law by Governor Newsom in Oct 2023.
• Most significant reform to the LPS Act since it was enacted in 1967. • SB43 expands California’s LPS 5150 criteria for involuntary detention for grave disability and conservatorship by creating a new set of eligibility criteria that are based solely on a person’s mental health disorder or “severe” substance use disorder (SUD), if that disorder will result in someone being unable to provide for their basic needs of food, clothing, shelter,personal safety or necessary medical care.

Grave disability definition(prior to SB43): A condition in which a person, as a result of amental health disorder, is unable to provide for his or her basic personal needs for food, clothing, or shelter.
*NEW* grave disability definition under SB 43: A condition in which a person, as result of a mental health disorder,severe substance use disorder* or a co-occurring mental health disorder and severe substance use disorder, is at risk for serious harm or currently experiencing serious harm as a result of being unable to provide for their basic needs of food, clothing, shelter,personal safety* ornecessary medical care*.

RiversideCA.gov
44 SB 43 – Grave Disability
DefinitionTerms
A diagnosed substance-related disorder that meets the
diagnostic criteria of “severe” as defined in the most current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM).

Severe Substance Use
Disorder
The ability of one to survive safely in the community without involuntary detention or treatment.

Personal Safety
Care that a health care practitioner or law enforcement officer, while operating within the scope of their practice, determines to be necessary to prevent serious deterioration of an existing physical medical condition which, if left untreated, is likely to result in serious bodily injury or death.

Necessary Medical Care
12/8/2025
23 RiversideCA.gov
45 Examples of Personal Safety
The following are examples of behaviors that could allow a person to be detained and evaluated due to personal safety concerns due to mental disorder and/or severe substance use disorder . These examples must be significant and severe enough to potentially cause serious bodily injury or death:
• Placing oneself in harm’s way in traffic that risk their own life or those of others. • An individual incapable of defending themselves against ongoing victimization due to a lack of awareness of their vulnerability.
• Severe impaired judgement resulting in risky situations that threaten the person’s own life or those of others.
• Unhygienic/uninhabitable living conditions or behaviors which are so severe and significant to contribute to an unsafe physical environment.
• Repeated severe substance use that is medically life-threatening, for example, multiple near-fatal overdoses requiring medical intervention.

RiversideCA.gov
46 Examples of
Necessary Medical Care
The following are examples of behaviors that could allow a person to be detained and evaluated due to necessary medical care concerns due to mental disorder and/or severe substance use disorder . These examples must be significant and severe enough to potentially cause serious bodily injury or death:
• Signs of significant malnourishment (loss of weight or dehydration) which puts the individual’s life or long-term functioning at risk.
• Perceived cognitive and/or emotional impairment resulting in a lack of decision-making capacity to pursue medical treatment for life-threatening conditions in the moment including but not limited to:
 Inability to utilize medical care when needed and available.  Wound care and infection issues that are likely to lead to loss of limb or life if not treated.
 Untreated, life-threatening medical conditions (HIV, Diabetes, Cancer, liver/kidney disease).
12/8/2025
24 RiversideCA.gov
47 Involuntary SUD Treatment Considerations
RiversideCA.gov
48 Overview of Senate Bill (SB) 43
• SB43 allows adults to be placed on involuntary detention for grave disability (GD) due to “severe” substance use disorder (SUD).
– “Severe” SUD is defined as a diagnosed substance-related disorder that meets the diagnosis criteria of “severe” according to the most current version of Diagnostic and Statistical Manual of Mental Disorders (DSM-5). – According to DSM-5,a “severe” diagnosis is defined as when 6 or more of the 11 criteria are present.

1. Taking the substance in larger amounts or for
longer than you're meant to

2. Wanting to cut down or stop using the
substance but not managing to

3. Spending a lot of time getting, using, or
recovering from use of the substance

4. Cravings and urges to use the substance

5. Not managing to do what you should at work,
home, or school because of substance use

6. Continuing to use, even when it causes
problems in relationships

7. Giving up important social, occupational, or
recreational activities because of substance use

8. Using substances again and again, even when it
puts you in danger

9. Continuing to use, even when you know you
have a physical or psychological problem that
could have been caused or made worse by the
substance

10. Needing more of the substance to get the
effect you want (tolerance)

11. Development of withdrawal symptoms, which
can be relieved by taking more of the
substance
DSM-5 TR Criteria
for SUDs
Mild: 2-3 symptoms
Moderate: 4-5 symptoms
Severe: 6+ symptoms
12/8/2025
25 RiversideCA.gov
49 Implications of Senate Bill (SB) 43
• Implications of SB 43:
– SB43 requires that substance use disorder meets DSM-5 criteria for “severe” SUD diagnosis despite; this presents a challenge for non-clinicians such as law enforcement who are not trained nor able to make DSM-5 diagnoses.
– More 5150s overall, including for people with ”severe” SUD and expanded definition of GD (personal safety and necessary medical care); however, lacked facilities who specialize in SUD treatment. – Likely to result in more people on longer-term involuntary holds (5250s, conservatorships) – Persons placed on hold for GD due to necessary medical care issues- cannot force medical treatment without a Meredith hearing; judge decides if facility can provide involuntary routine medical treatment. • Potential Benefits
– More people receiving services they need if 5150s translate to meaningful SUD treatment and/or treatment for those who present with GD regarding personal safety and/or necessary medical care. • Potential Drawbacks
– Potential for Patient rights violations inappropriate 5150s where SUD severe criteria not met. – Further deterring people from disclosing substance use Widening treatment gaps – Constraints in LPS capacity Longer wait times for placements and further shortening admissions – LPS settings not familiar with SUD lack of specialty in SUD treatment; mixing SUD and MH consumers.

RiversideCA.gov
50 Senate Bill (SB) 43 & Minors
• SB43 not applicable to minors:
– SB 43 did not change the definition of “grave disability” as it applies tochildren and youth under the age of 18. –A separate statute (WIC 5585.25) governs the definition of “grave disability” for children and youth.
12/8/2025
26 RiversideCA.gov
51 Summary of SB43 Implementation
in Riverside County
RiversideCA.gov
52 Summary of SB43 Implementation
in Riverside County
• Given SB 43’s broad implications on both the specialty mental health and SUD system (capacity, workforce, training, etc.), Riverside County and most counties have a multi-year planning and rollout process.
• SB43 was effective Jan 1, 2024; however, the law allowed Counties to delay implementation until Jan 1, 2026 . The County Behavioral Health Directors Association (CBHDA) recommended that counties delay implementation to allow time to coordinate rollout. • CBHDA is also working with counties across the State to ensure a consistent standard to the application of this expanded grave disability definition as defined under SB43 as well setting up guidelines for involuntary holds due to SUD.
• January 1, 2026  Implementation date of SB43 in Riverside County 12/8/2025
27 RiversideCA.gov
53 Summary of SB43 Implementation
in Riverside County
• Key focuses of SB43 planning
– Client Flow , System Mapping and System Guidelines develop workflows, procedures, and infrastructure to assist with implementation of SB43 – LPS Designation and Training Need to train on new definition of grave disability and severe SUD diagnosis.
– T reatment and Care Planning establish facilities who specialize in SUD treatment (potential new locked facilities; no existing locked SUD facilities currently) – Court Processes/Adherence to Court Orders Determine how will impact conservatorship process with expanded GD criteria and SUD diagnosis; Meredith hearing – Community Education and Collaboration Robust stakeholder process – Staffing and Budgetary Likely staffing/fiscal increases – Managed Care Plan Coordination develop coordination process RiversideCA.gov
54 Implementation Rollout Plan for Riverside County
• Community Based Training
 SB43 Webpage: https://www.ruhealth.org/behavioral-health/sb-43  SB43 Intro Video: https://youtu.be/wVasgNaWazg?si=yVE_K489LRHWgbdF  SB43 Fact Sheet: https://www.ruhealth.org/sites/default/files/sb43/FactSheet.pdf  SB43 Audio Podcast: https://www.ruhealth.org/behavioral-health/sb-43 (near bottom of webpage)
 Board of Supervisors, Behavioral Health Commission, NAMI, townhalls, city meetings, etc. • Provider & Staff Training (includes new criteria, workflows & policies and procedures, updated facility forms)
 Provide training to staff as appropriate including ETS, ITF, PHF, and LPS designated facilities, SAPT providers, Hearing Officers, Public Guardian’s Office, Longterm Care, Detention staff & law enforcement, BH Staff, 5150 Committee, Hospital Association of Southern California (HASC), Crisis Providers & Contractors, Elderly Abuse Forensic Center (EAFC), 5150 Authorized staff, Patients Rights, etc.
12/8/2025
28 RiversideCA.gov
55 Implementation Rollout Plan for Riverside County
• Facility Types Riverside County will use for SB43 Holds: (existing facilities)
 Crisis Stabilization Unit (CSU) such as ETS or Indio CSU  Inpatient Treatment Facility (e.g. ITF, LPS designated facilities such as Pacific Grove, Corona Regional, Coachella Valley Behavioral Health in Indio)
 Psychiatric Health Facility (PHF in Indio)
Note: Senate Bill 1238 (SB 1238) also known as the Lanterman-Petris-Short Act: designated facilities bill, is a California bill focused on improving access to mental health and substance use disorder treatment. Specifically, it aims to address gaps in care for individuals with severe substance use disorders and those held under the Lanterman-Petris-Short (LPS) Act for involuntary treatment. SB1238 established regulations for Mental Health Rehabilitation Centers (MHRCs) to become LPS designated facilities to assist with SB43 involuntary holds. Other facilities include Chemical Dependency Recovery Hospitals, Psychiatric Residential Treatment Facilities. Although SB43 allows for these additional facilities to be licensed as LPS designated facilities, other regulations such as billing have not been updated yet, hence, Riverside County will only utilize the facility types listed in bullets above at this time.

RiversideCA.gov
56 Questions & Discussion
• Questions about SB 43?
• Discussion: What do you think about SB43?
– Benefits?
– Concerns?
• How do you see SB43 impacting the work that you and your organization do?
– Trainings needed to additional collaborative partners? – Workflow changes?
– Staffing Challenges?
12/8/2025
29 RiversideCA.gov
57 THE PLACE TRANSITIONAL HOUSING PROGRAM
• Council approved renovations and long-term lease
• Budget increased from $2.33 million to $5.05 million
• 33-unit transitional housing facility
• Currently under rehabilitation
• Anticipated completion: April 2026
RiversideCA.gov
58 EMERGENCY TREATMENT SERVICES EXPANSION
• RUHS-BH awarded $184 million Proposition 1 funding
• New behavioral wellness center in Moreno Valley
• Includes a 100-bed inpatient psychiatric facility
• Serves adults, adolescents, and children (12 and under) • Must be completed by 2029
12/8/2025
30 RiversideCA.gov
59 WELLNESS VILLAGE (MEAD VALLEY)
Completed in 2026
RiversideCA.gov
60 2025 CONTINUUM OF CARE NOFO
• Released November 13, 2025
• Major shift in national homelessness funding
• 450 CoCs now competing with stricter limits
• New guideline: maximum 30% of Annual Renewal
Demand may fund Permanent Supportive Housing
programs
12/8/2025
31 RiversideCA.gov
61 IMPACT ON RIVERSIDE COC
• Currently supports: 640 households, 887 individuals
• Funding caps impact PSH, RRH, and TH-RRH models
• Need to develop more project-based Permanent
Supportive Housing units
• Ensures long-term availability of supportive housing with case management
RiversideCA.gov
62 RECOMMENDATION
That the Housing and Homelessness Committee
receive and file an update on the City’s response to
homelessness and provide direction for any
improvements or changes to the current response
plan.