By: McReynolds H.B. No. 4451 A BILL TO BE ENTITLED AN ACT relating to provision of continuity of care services for youth with mental illness or mental retardation who are paroled or discharged from the Texas Youth Commission. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 61.077, Human Resources Code, is amended by adding subsection (g) to read as follows: (a) The commission shall accept a child committed to the commission who is mentally ill or mentally retarded. (b) Unless a child is committed to the commission under a determinate sentence under Section 54.04(d)(3), 54.04(m), or 54.05(f), Family Code, the commission shall discharge a child who is mentally ill or mentally retarded from its custody if: (1) the child has completed the minimum length of stay for the child's committing offense; and (2) the commission determines that the child is unable to progress in the commission's rehabilitation programs because of the child's mental illness or mental retardation. (c) If a child who is discharged from the commission under Subsection (b) as a result of mental illness is not receiving court-ordered mental health services, the child's discharge is effective on the earlier of: (1) the date the court enters an order regarding an application for mental health services filed under Section 61.0772(b); or (2) the 30th day after the date the application is filed. (d) If a child who is discharged from the commission under Subsection (b) as a result of mental illness is receiving court- ordered mental health services, the child's discharge from the commission is effective immediately. If the child is receiving mental health services outside the child's home county, the commission shall notify the mental health authority located in that county of the discharge not later than the 30th day after the date that the child's discharge is effective. (e) If a child who is discharged from the commission under Subsection (b) as a result of mental retardation is not receiving mental retardation services, the child's discharge is effective on the earlier of: (1) the date the court enters an order regarding an application for mental retardation services filed under Section 61.0772(c); or (2) the 30th day after the date that the application is filed. (f) If a child who is discharged from the commission under Subsection (b) as a result of mental retardation is receiving mental retardation services, the child's discharge from the commission is effective immediately. (g) If a child with mental illness or mental retardation is discharged from the commission under Subsections (b)-(f), the child is eligible to receive continuity of care services from the Texas Correctional Office on Offenders with Medical or Mental Impairments. SECTION 2. Section 61.0772, Human Resources Code, is amended by adding Subsection (d) to read as follows: (a) The commission shall establish a system that identifies children in the commission's custody who are mentally ill or mentally retarded. (b) Before a child who is identified as mentally ill is discharged from the commission's custody under Section 61.077(b), a commission psychiatrist shall examine the child. The commission shall refer a child requiring outpatient psychiatric treatment to the appropriate mental health authority. For a child requiring inpatient psychiatric treatment, the commission shall file a sworn application for court-ordered mental health services, as provided in Subchapter C, Chapter 574, Health and Safety Code, if: (1) the child is not receiving court-ordered mental health services; and (2) the psychiatrist who examined the child determines that the child is mentally ill and the child meets at least one of the criteria listed in Section 574.034, Health and Safety Code. (c) Before a child who is identified as mentally retarded under Chapter 593, Health and Safety Code, is discharged from the commission's custody under Section 61.077(b), the commission shall refer the child for mental retardation services if the child is not receiving mental retardation services. (d) Before a child with mental illness or mental retardation is discharged from the commission, the commission shall refer the child to the Texas Correctional Office on Offenders with Medical or Mental Impairments for continuity of care services. SECTION 3. Section 614.019, Health & Safety Code, is amended by adding Subsections (b) and (c) to read as follows: Sec. 614.019. PROGRAMS FOR JUVENILES. (a) The office, in cooperation with the Texas Commission on Alcohol and Drug Abuse, the Texas Department of Mental Health and Mental Retardation, the Department of Protective and Regulatory Services, the Texas Juvenile Probation Commission, the Texas Youth Commission, and the Texas Education Agency, may establish and maintain programs, building on existing successful efforts in communities, to address prevention, intervention, and continuity of care for juveniles with mental health and substance abuse disorders. (b) A child with mental illness, who is receiving continuity of care services during his or her parole from the Texas Youth Commission and is not eligible to receive services from a local mental health authority at the age of 17 or older because he or she does not meet the criteria for adult services under Section 533.0352(a), Health and Safety Code, may continue to receive continuity of care services until the child completes his or her parole with the Texas Youth Commission. (c) A child with mental illness or mental retardation, who is discharged from the Texas Youth Commission under Section 61.077, Human Resources Code, may receive continuity of care services for a minimum of 90 days after discharge from the Texas Youth Commission and thereafter until the child has demonstrated sufficient stability to successfully transition to mental health or mental retardation services provided by a local mental health and mental retardation center. SECTION 4. This Act takes effect September 1, 2009.