{"id":470833,"date":"2026-09-21T13:22:17","date_gmt":"2026-09-21T13:22:17","guid":{"rendered":"https:\/\/www.newsbeep.com\/us-ca\/470833\/"},"modified":"2026-09-21T13:22:17","modified_gmt":"2026-09-21T13:22:17","slug":"why-californias-mental-health-system-failed-one-woman","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us-ca\/470833\/","title":{"rendered":"Why California\u2019s mental health system failed one woman"},"content":{"rendered":"\n<p>This column is the first of five detailing a promising college student\u2019s descent into homelessness, and how government services have only exacerbated her downfall. It also is part of \u201cThe Poverty Line,\u201d \u200ba series examining how safety-net systems are faring amid California\u2019s rising affordability and mental-health crises.<\/p>\n<p>Califia Carlisle\u2019s life once resembled the 2017 movie \u201c<a href=\"https:\/\/www.imdb.com\/title\/tt4925292\/\" rel=\"Follow nofollow noopener\" target=\"_blank\">Lady Bird,\u201d<\/a> which featured a precocious Sacramento girl who attends St. Francis High School before moving onto college.<\/p>\n<p>Carlisle attended Sacramento State and was within months of graduation before her boyfriend turned her onto OxyContin. That led to heroin.<\/p>\n<p>For the last 10 years, Carlisle has lived among Sacramento\u2019s homeless population. She camps somewhere near the university she once attended, usually around the Home Depot on Folsom Boulevard. By all outward appearances, she is addicted to stimulants, having lost many of her upper teeth. A typical conversation with her is disorganized, a symptom of her battle with schizophrenia.<\/p>\n<p>                                          <img decoding=\"async\" class=\"responsive-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/us-ca\/wp-content\/uploads\/2026\/09\/0107_RCB_20260728_Cali encampment.jpg\"   width=\"1200\" height=\"800\" title=\"0107_RCB_20260728_Cali encampment.jpg\" alt=\"Califia Carlisle, 32, holds a sign that says \u201cHomeless, Hungry, Anything helps!\u201d as she balances in July on a slender median between traffic at the intersection of Howe Avenue and Folsom Boulevard in Sacramento.\"\/>                                                                                    Califia Carlisle, 32, holds a sign that says \u201cHomeless, Hungry, Anything helps!\u201d as she balances in July on a slender median between traffic at the intersection of Howe Avenue and Folsom Boulevard in Sacramento.                                                                                            REN\u00c9E C. BYER                                                                            rbyer@sacbee.com                                                                                        <\/p>\n<p>Her current boyfriend said she can make hundreds of dollars a week asking for money with a simple sign on a busy boulevard median. \u201cShe helps everybody out here,\u201d he said. Everyone, that is, except herself.<\/p>\n<p>Carlisle exemplifies how and why California is failing on homelessness. Her loving father, 68-year-old Christopher Carlisle, has tried every conceivable social service and judicial process to get his daughter off the streets before she dies a premature death. But neither the law nor the judicial system has compelled the care Califia Carlisle needs. She has repeatedly returned to the streets after brief stints in jail or treatment, neither of which has reversed her downward spiral.<\/p>\n<p>\u201cI hold out hope, but I personally hold out less hope with each passing month,\u201d he said.<\/p>\n<p>                                          <img decoding=\"async\" class=\"responsive-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/us-ca\/wp-content\/uploads\/2026\/09\/0337_RCB_20260722_Carlyle adoption.jpg\"   width=\"1200\" height=\"800\" title=\"0337_RCB_20260722_Carlyle adoption.jpg\" alt=\"Photographs of Califia Carlisle, a St. Francis High School graduate, are displayed in the Sacramento home of her father Christopher Carlisle. Christopher said he believes his daughter, who was diagnosed with schizophrenia, uses drugs to self-medicate while living on the streets.\"\/>                                                                                    Photographs of Califia Carlisle, a St. Francis High School graduate, are displayed in the Sacramento home of her father Christopher Carlisle. Christopher said he believes his daughter, who was diagnosed with schizophrenia, uses drugs to self-medicate while living on the streets.                                                                                            REN\u00c9E C. BYER                                                                            rbyer@sacbee.com                                                                                                                                  <img decoding=\"async\" class=\"responsive-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/us-ca\/wp-content\/uploads\/2026\/09\/0373_RCB_20260728_Cali encampment.jpg\"   width=\"1200\" height=\"800\" title=\"0373_RCB_20260728_Cali encampment.jpg\" alt=\"Justin Hartung, 39, carries clothing and other belongings as his girlfriend, Califia Carlisle, counts money collected from drivers at Howe Avenue and Folsom Boulevard in Sacramento in July.\"\/>                                                                                    Justin Hartung, 39, carries clothing and other belongings as his girlfriend, Califia Carlisle, counts money collected from drivers at Howe Avenue and Folsom Boulevard in Sacramento in July.                                                                                            REN\u00c9E C. BYER                                                                            rbyer@sacbee.com                                                                                        <\/p>\n<p>Now 32, Califia Carlisle remains ill and adrift because that\u2019s precisely what California\u2019s mental-health non-system is designed to do.<\/p>\n<p>More than a half-century ago, a Los Angeles assemblymember named Frank Lanterman <a href=\"https:\/\/www.dds.ca.gov\/transparency\/laws-regulations\/lanterman-act-and-related-laws\/\" rel=\"Follow nofollow noopener\" target=\"_blank\">began to reform<\/a> a horribly flawed way of holding thousands of mentally ill Californians indefinitely in large institutions. In legislation signed by then-Gov. Ronald Reagan in 1969, California was supposed to transition away from these mental health prisons into community-based care for finite periods of time, with temporary care only compelled through court-ordered conservatorships.<\/p>\n<p>Now, decades later, the compassionate, robust safety net envisioned by Lanterman and his counterpart, Nicholas Petris, has not materialized. Instead, California relies on an inadequate patchwork of publicly and privately funded mental health treatment programs. Publicly funded efforts focus largely on people who seek care, including the 11 walk-in clinics in Sacramento County.<\/p>\n<p>The conservatorship process envisioned by Lanterman to compel care for those Californians who truly need it, such as Califia, does exist. Yet counties, law enforcement and hospitals are letting uncounted thousands languish on the streets, never getting treatment for addiction, mental illness or both.<\/p>\n<p>                                          <img decoding=\"async\" class=\"responsive-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/us-ca\/wp-content\/uploads\/2026\/09\/0008_RCB_20251020_CALI ADOPTION.jpg\"   width=\"1200\" height=\"800\" title=\"0008_RCB_20251020_CALI ADOPTION.jpg\" alt=\"Califia Carlisle holds a handmade sign in October while asking for money at the intersection of Power Inn Road and Howe Avenue in Sacramento. Her boyfriend, Justin Hartung, said she wakes up early every morning, puts on her makeup and goes out to what she calls \u201cher job.\u201d\"\/>                                                                                    Califia Carlisle holds a handmade sign in October while asking for money at the intersection of Power Inn Road and Howe Avenue in Sacramento. Her boyfriend, Justin Hartung, said she wakes up early every morning, puts on her makeup and goes out to what she calls \u201cher job.\u201d                                                                                            REN\u00c9E C. BYER                                                                            rbyer@sacbee.com                                                                                        <\/p>\n<p>\u201cThis is the dirty secret,\u201d said Darrell Steinberg, a former state legislator and Sacramento mayor who has spent his political career trying to improve the state\u2019s mental health system.<\/p>\n<p>\u201cThe people who are the sickest of the sick are often least likely to get the help that they need,\u201d Steinberg said. \u201cWhy? Because they\u2019re the hardest to serve, and they\u2019re the most expensive to serve. So the system has an incentive, a perverse incentive, to enroll others.\u201d<\/p>\n<p>Califia\u2019s father enrolled her into drug treatment while she was still at Sacramento State, but her head and heart never embraced sobriety. Her mother, Veronica, formerly a geography and economics teacher at River City High School in West Sacramento, died last year.<\/p>\n<p>\u201cWe found out that we had the same drug of choice,\u201d said Jenna Mozdy, also a Sac State student who was in treatment in 2014. They even used heroin together during rehab. \u201cNeither of us,\u201d Mozdy said, \u201cwanted to be clean.\u201d Mozdy got clean and is now a certified drug counselor in Santa Rosa.<\/p>\n<p>                                          <img decoding=\"async\" class=\"responsive-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/us-ca\/wp-content\/uploads\/2026\/09\/0308_RCB_20260815_Jenna.jpg\"   width=\"1200\" height=\"800\" title=\"0308_RCB_20260815_Jenna.jpg\" alt=\"Jenna Mozdy, 38, pauses to consider where else to look for her friend Califia Carlisle after searching abandoned buildings along Kiefer Boulevard in Sacramento County in August. Mozdy and Carlisle did drugs together at Sacramento State, but Mozdy escaped addiction and is now a drug counselor.\"\/>                                                                                    Jenna Mozdy, 38, pauses to consider where else to look for her friend Califia Carlisle after searching abandoned buildings along Kiefer Boulevard in Sacramento County in August. Mozdy and Carlisle did drugs together at Sacramento State, but Mozdy escaped addiction and is now a drug counselor.                                                                                            REN\u00c9E C. BYER                                                                            rbyer@sacbee.com                                                                                        <\/p>\n<p>Califia \u201cended up dropping out of school because of the drugs,\u201d said Mozdy. \u201cWhen Califia wasn\u2019t doing well, it was apparent very quickly.\u201d<\/p>\n<p>On-and-off treatment efforts continued for another two years, with Califia living with one friend or another. Her options for sleeping on couches dwindled. By 2016, she was on the streets.<\/p>\n<p>                                          <img decoding=\"async\" class=\"responsive-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/us-ca\/wp-content\/uploads\/2026\/09\/0326_RCB_20260728_Cali encampment.jpg\"   width=\"1200\" height=\"800\" title=\"0326_RCB_20260728_Cali encampment.jpg\" alt=\"Califia Carlisle and her boyfriend, Justin Hartung kiss as she takes a break from asking motorists for money at the intersection of Howe Avenue and Folsom Boulevard in Sacramento in July. Hartung says \u201cit\u2019s a hard life\u201d living on the street and stays close to Carlisle to protect her.\"\/>                                                                                    Califia Carlisle and her boyfriend, Justin Hartung kiss as she takes a break from asking motorists for money at the intersection of Howe Avenue and Folsom Boulevard in Sacramento in July. Hartung says \u201cit\u2019s a hard life\u201d living on the street and stays close to Carlisle to protect her.                                                                                            REN\u00c9E C. BYER                                                                            rbyer@sacbee.com                                                                                        <\/p>\n<p>Christopher Carlisle kept trying to save her. On Feb. 16, 2017, he filed a petition in Sacramento County Probate Court. There, judges can compel care by appointing a conservator.<\/p>\n<p>A psychologist who had evaluated Califia during a brief stint in jail declared that she lacked the capacity to give informed consent. The psychologist noted signs of severe panic, delusions, uncontrollable or intrusive thoughts. \u201cI am recommending upon discharge from the Sacramento County Jail that she be placed in a drug treatment facility as soon as possible.\u201d<\/p>\n<p>That did not happen. Instead, she was released to the streets.<\/p>\n<p>An investigator assigned to the probate court needed to interview Califia to determine whether the state should compel drug treatment. Califia wouldn\u2019t cooperate. The investigator wrote that she was \u201cunable to interview\u201d Califia. So the court dropped the inquiry altogether.<\/p>\n<p>A year later, Califia was again placed on a temporary, involuntary psychiatric hold. Under the 59-year-old <a href=\"https:\/\/www.disabilityrightsca.org\/publications\/understanding-the-lanterman-petris-short-lps-act\" rel=\"Follow nofollow noopener\" target=\"_blank\">Lanterman-Petris-Short Act,<\/a> authorities may detain someone for evaluation and treatment for 72 hours. According to documents provided by her father, the treatment facility sought a conservatorship referral through the Sacramento County Public Guardian. Yet again, the system released Califia to the streets.<\/p>\n<p>                                          <img decoding=\"async\" class=\"responsive-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/us-ca\/wp-content\/uploads\/2026\/09\/0314_RCB_20260115_Cali and dad.jpg\"   width=\"1200\" height=\"800\" title=\"0314_RCB_20260115_Cali and dad.jpg\" alt=\"As tears stream down Califia Carlisle\u2019s face, her father Christopher Carlisle assures her that he is not upset after she walked out of dentist appointment in Sacramento in January. Christopher has tried to help his daughter get medical care and housing, but unless she decides she wants help, there is little he can legally do, he said.\"\/>                                                                                    As tears stream down Califia Carlisle\u2019s face, her father Christopher Carlisle assures her that he is not upset after she walked out of dentist appointment in Sacramento in January. Christopher has tried to help his daughter get medical care and housing, but unless she decides she wants help, there is little he can legally do, he said.                                                                                            REN\u00c9E C. BYER                                                                            rbyer@sacbee.com                                                                                        <\/p>\n<p>\u201cShe has not exhausted all community-based alternatives to conservatorship,\u201d concluded a deputy guardian for the <a href=\"https:\/\/dhs.saccounty.gov\/us\/en.html#gsc.tab=0\" rel=\"Follow nofollow noopener\" target=\"_blank\">Sacramento County Department of Health Services<\/a>. Califia told the guardian that she would participate in outpatient treatment. She did not.<\/p>\n<p>Court records show multiple instances of Carlisle briefly ending up in hearings before judges over the next year, mostly for drugs and paraphernalia and loitering. And then she all but vanished from the court files.<\/p>\n<p>\u201cShe got smarter at avoiding arrest,\u201d her father said. \u201cAnd she became less compliant. One of the aspects of schizophrenia, you don\u2019t think anything\u2019s wrong with you.\u201d<\/p>\n<p>                                          <img decoding=\"async\" class=\"responsive-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/us-ca\/wp-content\/uploads\/2026\/09\/1805_RCB_20260827_Carlisle.jpg\"   width=\"1200\" height=\"800\" title=\"1805_RCB_20260827_Carlisle.jpg\" alt=\"Christopher Carlisle sits at his desk at home in Sacramento in August. His daughter Califia Carlisle has schizophrenia, struggles with drug addiction and has been homelessness for the past 10 years. He wants laws changed so his daughter cannot refuse the treatment she needs.\"\/>                                                                                    Christopher Carlisle sits at his desk at home in Sacramento in August. His daughter Califia Carlisle has schizophrenia, struggles with drug addiction and has been homelessness for the past 10 years. He wants laws changed so his daughter cannot refuse the treatment she needs.                                                                                            REN\u00c9E C. BYER                                                                            rbyer@sacbee.com                                                                                        <\/p>\n<p>Sacramento County appears to be one of the few urban centers in California where homelessness is getting worse. In this year\u2019s <a href=\"https:\/\/www.sacramentostepsforward.org\/data-and-analytics\/2026-sacramento-point-in-time-count\/\" rel=\"Follow nofollow noopener\" target=\"_blank\">person-by-person count<\/a> of the county\u2019s homeless, 7,458 were found, up 13% since 2024. Whatever we\u2019re doing here isn\u2019t working.<\/p>\n<p>In the case of Califia Carlisle, no government agency or nonprofit organization is making any effort to end her homelessness, encourage treatment or offer shelter. What\u2019s so frustrating is how that\u2019s just fine by her.<\/p>\n<p>Christopher Carlisle, nonetheless, had one final hope. Gov. Gavin Newsom and the California Legislature developed a new judicial process for parents like him to petition on behalf of those in need. The new system was named <a href=\"https:\/\/www.saccourt.ca.gov\/self-help\/care-act-court\" rel=\"Follow nofollow noopener\" target=\"_blank\">CARE Court<\/a>. In Sacramento County, Carlisle was among the first to apply.<\/p>\n<p>        Related Stories from  Sacramento Bee<\/p>\n<p>                <a href=\"https:\/\/www.sacbee.com\/profile\/274591986\/\" rel=\"nofollow noopener\" target=\"_blank\"><br \/>\n                        <img decoding=\"async\" class=\"author-thumb\" src=\"https:\/\/www.newsbeep.com\/us-ca\/wp-content\/uploads\/2026\/09\/1789996937_668_SAC_xm_230523tomPhilp012505.jpeg\" width=\"400\" height=\"400\" alt=\"Profile Image of Tom Philp\" loading=\"lazy\"\/><br \/>\n                    <\/a><\/p>\n<p>            Tom Philp is a Pulitzer Prize-winning editorial writer and columnist who returned to The Sacramento Bee in 2023 after working in government for 16 years. Philp had previously written for The Bee from 1991 to 2007. He is a native Californian and a graduate of the Medill School of Journalism at Northwestern University.\n            <\/p>\n","protected":false},"excerpt":{"rendered":"This column is the first of five detailing a promising college student\u2019s descent into homelessness, and how government&hellip;\n","protected":false},"author":2,"featured_media":470834,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[7,9,8],"class_list":["post-470833","post","type-post","status-publish","format-standard","has-post-thumbnail","category-california","tag-california","tag-california-headlines","tag-california-news"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/posts\/470833","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/comments?post=470833"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/posts\/470833\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/media\/470834"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/media?parent=470833"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/categories?post=470833"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-ca\/wp-json\/wp\/v2\/tags?post=470833"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}