Health: Conservatorship Program (5700P)

Program Outcome Statement

Ensure physical / financial well-being of conservatees and estates.

Program Services

Public Guardian: Financial, Housing and/or Medical Decision Making for Conservatees

Overview

The Public Guardian (PG) program has decision-making authority to ensure the physical and financial well-being of approximately 700 residents who have been "conserved," i.e., deemed unable to care for themselves by the Superior Court due to mental illness, dementia, or chronic disease. In accordance with specific court orders, the PG makes financial, housing, and/or medical decisions for conservatees. The PG program is administered under the jurisdiction of the Superior Court and in partnership with Behavioral Health and Recovery Services, County Counsel, the Private Defender, the Court Investigator's Office, the Ombudsman Program, Golden Gate Regional Center, and family members. As Conservator, the PG has a legal responsibility to protect its vulnerable residents who require conservatorship and who do not have anyone appropriate to help them.

Percent of Cases with an Initial Inventory of Assets filed with the Court within 90 Days of Appointment Below Target

Annual County Cost per Conserved Client Exceeding Target

Percent of Conserved Clients who Receive at least One Face-to-Face Visit Every 90 Days per the Probate Local Rules Below Target

FY 2018-19 Mid-Year Story Behind Performance

Percent of Cases with an Initial Inventory of Assets Filed with the Court within 90 Days of Appointment

We did not meet this performance measure for the first six months for this fiscal year. High caseloads particularly in LPS conservatorship has negatively impacted our ability to timely file initial inventory assets within 90 days of appointment. We have begun monthly monitoring meetings for improvement.

Annual County Cost per Conserved Client

The annual county cost per conserved client is on track to meet target.


Percent of Conserved Clients who Receive at least One Face-to-Face Visit every 90 Days

The percent of conserved clients who receive at least one face-to-face visit every 90 days was 85 percent for the first 6 months of FY 2018-19. It has been challenging for our case workers who are increasingly having more clients residing out of county, which makes it more challenging to have frequent visits. In addition, staff turnover and difficulty recruiting case workers particularly in LPS conservatorship has negatively impacted our ability to meet the performance target. We will continue monitoring this performance measure.


Future Priorities

  • Maintain timely visits with conservatees.
  • Maintain accurate public benefit accounting of conservatees' estates.

Author: Gina Wilson, Chief Financial Officer, Health System     Contact Email: gwilson@smcgov.org     Last Updated: 01-20-2019