Quick Answer: Mental health diversion is a California pretrial program that may allow an eligible person with a qualifying mental health disorder to receive treatment instead of continuing through the traditional criminal court process. Under California Penal Code 1001.36, the court considers factors such as the person’s qualifying mental health diagnosis, whether the disorder significantly contributed to the alleged offense, whether the symptoms are likely to respond to treatment, public safety, and the person’s willingness to participate in treatment. If the person successfully completes diversion, the charges may be dismissed.
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What Is Mental Health Diversion and How Does It Work?
Mental health diversion is a legal process that may pause criminal proceedings so an eligible person can participate in mental health treatment. In California, this process is governed by Penal Code 1001.36.
The main idea is that some people involved in the criminal justice system may be better served by treatment when a qualifying mental health disorder played a significant role in the alleged offense. This is known as pretrial diversion for mental health because it can happen before the case reaches trial.
Mental health diversion is also a pre-plea process. That means a person does not have to plead guilty or admit the offense to participate, although the timing and strategy should always be discussed with a criminal defense attorney.
The process often involves a defense request, mental health documentation, a proposed treatment plan, and a court hearing. The judge may consider clinical reports, medical records, arrest reports, the nature of the alleged offense, the person’s history, the treatment proposal, and whether community-based care can be managed safely.
Who May Qualify Under Penal Code 1001.36?
A person may qualify for mental health diversion under California Penal Code 1001.36 if the court finds that several legal requirements are met.
What Is SB 1223?
SB 1223 (California Senate Bill 1223) is a state law that took effect on January 1, 2023, and updated California’s mental health diversion statute. One of its most significant changes created a presumption that a qualifying mental health disorder was a significant factor in the alleged offense unless there is clear and convincing evidence that it was not. This reduced the defendant’s burden of demonstrating the connection between the mental health condition and the alleged offense.
To qualify for mental health diversion, a person generally needs:
- A qualifying DSM-5 mental disorder.
- A qualified mental health expert’s opinion that the symptoms are likely to respond to treatment.
- Agreement to participate in treatment and waive speedy-trial rights while diversion is pending.
- A court finding that treatment is likely to reduce the risk of future criminal behavior.
- A court finding that the individual does not pose an unreasonable risk to public safety if treated in the community.
Clinical evidence matters: The court may consider mental health evaluations, treatment history, medical records, arrest reports, and other relevant evidence.
Treatment fit matters: The proposed treatment plan should be realistic, appropriate, and structured enough to meet the person’s clinical needs.
What Charges and Diagnoses May Be Excluded From Mental Health Diversion?
Some charges are excluded from mental health diversion, and the list can change as California law changes. Certain charges make a person ineligible, including murder, voluntary manslaughter, rape, lewd acts on a child under 14, and offenses that require sex offender registration. Eligibility is also limited by diagnosis. The law excludes a person diagnosed solely with antisocial personality disorder, borderline personality disorder, or pedophilia, even when other requirements are met.
This is one reason legal guidance is essential. A family may know that a loved one has a serious mental health condition, but the court must still evaluate the charge, the diagnosis, the evidence, and the person’s suitability for treatment in the community.
Families should avoid assuming that mental illness automatically creates eligibility. They should also avoid assuming that the case is hopeless. The right attorney and qualified mental health professionals can help clarify whether diversion may be an option.
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What Does a Mental Health Diversion Treatment Plan Include?
A mental health diversion treatment plan explains how the person will receive care and what kind of structure will support compliance. The exact plan depends on the diagnosis, symptoms, risk level, treatment history, and court requirements.
A plan may include therapy, psychiatry, medication management, substance use treatment when needed, case management, housing support, or more intensive care. The court may also require progress reports to confirm that the person is participating.
A strong treatment plan should be realistic. If someone has unstable housing, missed treatment, medication inconsistency, or difficulty following through, the plan should address those barriers rather than assuming they will resolve on their own.
How Long Does Mental Health Diversion Last?
The length of mental health diversion depends on the charge and the treatment plan. Under current California rules, shaped by SB 1223, diversion may last up to 2 years for a felony and up to 1 year for a misdemeanor.
The actual timeline can vary by case, county, and court order. Some people may need a less intensive plan, while others may need a longer period of structured care to show consistent progress. Since diversion laws and local procedures can change, anyone considering this option should verify the current rules with an attorney.
What Happens If Someone Completes or Struggles With Diversion?
If someone successfully completes the mental health diversion program, the court may dismiss the criminal charges. This can be a powerful outcome because it allows the person to move forward after engaging in treatment and meeting the court’s expectations.
Successful completion usually requires more than a single treatment. The person must comply with the plan, avoid new legal problems, and show enough stability for the court to close the case.
If someone does not follow the treatment plan, the court may terminate diversion and restart the criminal case. This can happen if the person stops participating, repeatedly violates court conditions, or is considered unsafe in the community. Struggling does not always mean the diversion ends immediately, but repeated noncompliance can lead to serious legal consequences.
How Can Families and Structured Support Help During Diversion?
Families can support someone going through mental health diversion by helping them stay connected to treatment without trying to manage the entire process alone. This may include encouraging follow-through, helping organize communication, and staying alert to early signs that symptoms are worsening.
At the same time, family support needs boundaries. Loved ones should not ignore unsafe behavior, cover up noncompliance, or take on responsibilities that require legal or clinical guidance.
Structured support can help during diversion by making treatment follow-through more realistic. A supportive living environment can reduce instability, create accountability, and help the person practice daily skills while staying connected to care. Case management can also reduce confusion by helping coordinate services, providers, and next steps.
Explore Structured Support With Experience Structured Living
Experience Structured Living helps individuals with mental health challenges build more stability through supportive housing, case management, medication support, life skills, and daily structure. For someone involved in a mental health diversion process, we do not provide legal advice or determine eligibility, but we can help individuals and families explore support options that may make treatment easier to follow and sustain.
FAQs About Mental Health Diversion
Do you have to plead guilty to get mental health diversion?
No, mental health diversion under Penal Code 1001.36 is a pre-plea process, meaning a person does not have to plead guilty or admit the offense to participate. It can be requested at different points before trial, and an attorney can advise on the right timing for a specific case.
How is mental health diversion different from drug or veteran diversion?
Mental health diversion under Penal Code 1001.36 is for qualifying DSM-5 mental disorders, while California has separate programs such as drug diversion under Penal Code 1000 and military or veterans diversion under Penal Code 1001.80. Each has its own eligibility rules, so an attorney can help identify which program fits a person's situation.
Does mental health diversion leave a mark on your record?
If diversion is successfully completed, the court dismisses the charges, helping a person avoid a conviction on the record for that case. The arrest record may still need separate steps to address, so it is worth asking an attorney what record relief applies after dismissal.
What happens if someone cannot afford the required treatment?
Cost is a common concern, and the type of treatment ordered can vary from outpatient to more intensive care depending on the plan. Some people use insurance, county mental health services, or sliding-scale providers, and an attorney or case manager can help build a treatment plan that the court will accept and that the person can realistically sustain.
Can Experience Structured Living help with mental health diversion?
Experience Structured Living does not provide legal advice or decide who qualifies for mental health diversion. We can support individuals and families with structured housing, case management, medication support, life skills, and daily accountability while treatment continues.

Dr. Melden earned his Doctorate in Osteopathic Medicine at Philadelphia College Osteopathic Medicine and went to USC Presbyterian Hospital for his residency in Family Medicine. He then completed his Psychiatric residency at the University of California, Irvine and went to UCSD Geropsychiatry pursuing a fellowship. Dr. Melden has over 14 years of experience as a clinician specializing in treating child and adolescent, adult and geriatric clients. He has devoted his life to psychiatry in a variety of different treatment settings including in- patient and out-patient environments. He specializes in the psychiatric evaluation, complementary therapy approaches, and medical management of individuals suffering from mental illness. Currently, he maintains a private practice with Crownview Medical Group in Coronado and Carlsbad, California where he is CEO/President.



