July 14, 2023
Wellpath and the California Department of State Hospitals Work Together to Implement Early Access and Stabilization Services for Incarcerated Patients
By: craig
Wellpath and the California Department of State Hospitals Work Together to Implement Early Access and Stabilization Services for Incarcerated Patients

CONTACT: Craig Diamond // craig.diamond@wellpath.us

NASHVILLE, Tennessee – Wellpath recently announced a collaboration with the California Department of State Hospitals (DSH) intended to minimize delays for incarcerated patients awaiting competency restoration services. The program is called Early Access and Stabilization Services (EASS) and is designed to begin competency restoration for patients in participating California jails within a week of a court determination that the patient is Incompetent to Stand Trial (IST).

For those deemed incompetent to stand trial, criminal proceedings are postponed, and patients are held at detention facilities until competency treatment can be provided. Most patients will be placed on a waitlist for admission to a state hospital facility for restoration services. In California, a significant demand for these services has resulted in a months-long waiting period for individuals to receive restoration services. This delay is not only difficult for the patients but also challenging for facilities and the courts.

“We have observed that the national shortage of programs providing competency restoration services can result in long delays for the necessary care,” said Dr. Carin Kottraba, Wellpath Vice President of Mental Health Innovations. “Working collaboratively with DSH, we have increased the state’s capacity to provide competency restoration services, so patients can avoid long waits for meaningful access to the justice system,” she said.

The EASS program reaches patients at detention facilities, and requires only small adjustments in facility staffing, with funding provided by the State. The program includes weekly psychiatric appointments, daily nursing services, weekly counseling, and psychological assessments. If EASS participants fail to overcome barriers to competency, they are transferred to more intensive DSH restoration programs. A primary goal of the EASS program is to evaluate patients, stabilize them psychiatrically, and provide treatment with individualized medication therapy. Once stabilized, individuals can more quickly complete a competency restoration program.

“Very often, EASS provides patients with an accelerated path to participate effectively in their legal proceedings,” said Jennifer Diaz, Wellpath Regional Vice President of IST Operations in California. “Since beginning the EASS program, 18.1% of the patients referred for services have been restored to competency and are able to participate in the justice process.”

Wellpath currently provides EASS services in 20 California counties, adding one-to-two sites a week: Calaveras, Del Norte, Fresno, Humboldt, Imperial, Kings, Santa Barbara, Santa Cruz, Shasta, Sierra, Sonoma, Stanislaus, Lassen, Merced, Madera, Monterey, Napa, Nevada, Ventura, and Yuba. The goal is for the EASS to be available in up to 54 facilities by July 2023.


Wellpath is the premier provider of localized, high-quality, compassionate care to vulnerable patients in challenging clinical environments. Wellpath holds patients at the center of everything we do and promotes rigorous standards of care and innovation. With over 14,200 clinicians and professionals in 36 states across the U.S. and Australia, Wellpath provides medical and mental healthcare services for over 300,000 patients daily in nearly 600 facilities, including prisons, jails, state hospitals, forensic treatment, civil commitment centers, and community care centers. Learn more at wellpathcare.com.

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