Petition To Begin Care Act Proceedings By Licensed Behavioral Health Professionals Only {CARE-102}

CARE-102 - PETITION TO BEGIN CARE ACT PROCEEDINGS BY LICENSED BEHAVIORAL HEALTH PROFESSIONAL ONLY. This form is used in the State of California by licensed behavioral health professionals to initiate proceedings under the CARE (Community Assistance, Recovery, and Empowerment) Act for individuals who may meet specific clinical criteria. The petitioner must be a licensed professional—such as a physician, psychologist, social worker, marriage and family therapist, or professional clinical counselor—who has recently treated or supervised the treatment of the respondent. The form collects details about the professional's interactions with the respondent, including their mental health status, diagnosis (such as schizophrenia or other psychotic disorders), and reasons why the respondent may benefit from a structured CARE plan. The petitioner must outline the respondent’s inability to safely function independently, need for services, lack of voluntary treatment participation, and potential benefits from the CARE program. The form allows the petitioner to provide detailed clinical observations and supporting facts, specify any relevant court referrals, and include optional information such as language needs, disability accommodations, tribal affiliation, or legal conservatorships. Form Adopted for Alternative Mandatory Use Instead of Form CARE-100 Judicial Council of California. Welfare and Institutions Code, §§ 5972–5975, 5977–5977.4, 5978. www.FormsWorkflow.com