A 35-member committee convened on Wednesday to address critical issues within North Carolina's mental health and criminal justice systems. Formed by Governor Josh Stein through an Executive Order earlier this year, the Crisis System of Care Advisory Committee met for its second session to propose policy changes aimed at addressing the so-called "revolving door" phenomenon, exemplified by the case of Zoe Welsh's alleged killer, Ryan Camacho.
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The committee, composed of lawmakers, law enforcement, advocates, health professionals, and legal experts, is focused on preventing individuals from repeatedly cycling between mental health facilities and the criminal justice system. Discussions highlighted the increasing trend of repeat offenders, though members noted that the specifics of this issue remain unclear.
During the four-hour meeting, the committee reviewed several proposed policy changes pertaining to involuntary commitment procedures and the accessibility of mental health crisis facilities. Per Executive Order 33, signed in February, and accompanying legislation, the committee aims to finalize its recommendations by December.
Kelly Crosbie, Assistant Secretary of Mental Health with the North Carolina Department of Health and Human Services (NCDHHS), emphasized a dual focus on reforming care processes and enhancing voluntary treatment options. She stated, "We want people in mental health crisis to get mental health treatment," highlighting plans for improving communication between magistrates and clinical providers and refining transportation protocols for those experiencing mental health crises.
Crosbie also indicated that some changes could be implemented without new laws or additional funding. However, several committee members voiced concerns that mental health facilities might risk resembling punitive environments rather than offering rehabilitative care. Cherene Caraco, CEO of the Promise Network, challenged the current understanding of mental health care in the U.S., stressing the need for genuine alternatives.
The final recommendations from the committee will be presented to the North Carolina General Assembly, which will decide on implementing these solutions and allocating necessary funding. A spokesperson for Governor Stein expressed eagerness to initiate this legislative process, asserting that timely and effective mental health care contributes to public safety. Governor Stein has already signed a budget that invests in behavioral health initiatives and law enforcement, aiming to bridge gaps between public safety and mental health services.