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The California Department of Mental Health (DMH) currently operates five state hospitals that provide inpatient psychiatric care to nearly five thousand individuals committed to the hospitals civilly or in connection with criminal proceedings.  Two facilities are located in southern California (Metropolitan State Hospital in Los Angeles County and Patton State Hospital in San Bernardino County), one facility near the central coast (Atascadero State Hospital) and one in northern California (Napa State Hospital).  A fifth facility, Coalinga State Hospital in the central valley, opened its doors in September 2005. Please use the links below for additional information about each state hospital:

State Hospitals
Hospitals Hospitals
Department of State Hospitals - Atascadero Department of State Hospitals - Napa
Department of State Hospitals - Coalinga Department of State Hospitals - Patton
Department of State Hospitals - Metropolitan  

On May 2, 2006, the United States Department of Justice (USDOJ) and the State of California reached a settlement concerning civil rights violations at four California State Hospitals: Metropolitan State Hospital, Napa State Hospital, Patton State Hospital; and Atascadero State Hospital.  The extensive reforms required by the five-year Consent Judgment will ensure that individuals in the hospitals are adequately protected from harm and provided adequate services to support their recovery and mental health.

The USDOJ conducted its investigation pursuant to the Civil Rights of Institutionalized Persons Act of 1980 (CRIPA).  This statute allows the federal government to identify and root out systemic irregularities such as those identified in this case, rather than focus on individual civil rights violations.  The State is now addressing and correcting the agreed upon violations identified by the USDOJ.

The Consent Judgment, which is operationalized as the Enhancement Plan at the state hospitals, contains requirements for bi-annual reviews of progress towards compliance be conducted at each of the four impacted hospitals. (Coalinga State Hospital was not open at the time of the initial investigations so is not a party to the Judgment.)  These reviews are conducted by a court appointed monitor and a team of clinical experts.


Atascadero, Napa, Patton, and Metropolitan State Hospital continue to note improvements during each review completed by the Court Monitor and his team of experts.  Each hospital has adopted the Recovery Model; the belief that individuals with a mental illness can recover and lead meaningful lives, and put in place the structures to support this model of treatment and service delivery.

The DMH is committed to the implementation of the Enhancement Plan within the specified time frames and continues diligent efforts to achieve this goal. 

If you have accessibility issues with this report, hardcopies are available. Please email Ameera Kidane or call (916) 651-3926


CRIPA Compliance Reports
Reports Site Visit Date
Atascadero State Hospital April 18-22, 2011 PDF Icon
October 18-22, 2010 PDF Icon
April 19-23, 2010 PDF Icon
October 19-23, 2009
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April 20-24, 2009 PDF Icon
October 20-24, 2008 PDF Icon
April 21-25, 2008 PDF Icon
October 15-19 2007 PDF Icon
April 23-27, 2007 PDF Icon
November 13-17, 2006 PDF Icon
Metropolitan State Hospital August 29, 2011- September 2, 2011 PDF Icon
March 7-11,2011PDF Icon
August 30-September 3, 2010 PDF Icon
March 8-12, 2010 PDF Icon
August 31 - September 4, 2009 PDF Icon
March 9-13, 2009 PDF Icon
September 8-12, 2008 PDF Icon
March 10-14, 2008
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August 27-31, 2007 PDF Icon
March 19-23 2007 PDF Icon
September 18-22, 2006 PDF Icon
Napa State Hospital July 25-29, 2011 PDF Icon
January 24-28,2011 PDF Icon
July 19-23, 2010
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Jan 25-29, 2010 PDF Icon
July 20-24, 2009
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January 26-30, 2009 PDF Icon
July 21-25,2008 PDF Icon
Jan 28 - Feb 1, 2008 PDF Icon
July 23-27, 2007 PDF Icon
Jan 29 - Feb 2, 2007 PDF Icon
July 24-28, 2006 PDF Icon
Patton State Hospital June 6-10, 2011 PDF Icon
December 6-10, 2010
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June 7-11, 2010 PDF Icon
December 7-11, 2009 PDF Icon
June 8-12, 2009 PDF Icon
December 8-12, 2008 PDF Icon
June 9-13, 2008 PDF Icon
November 26-30, 2007PDF Icon
June 4-8, 2007 PDF Icon
December 4-8, 2006
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Key Indicators
Reports Site Visit Date
Atascadero State Hospital February 2011 PDF Icon
August 2010 PDF Icon
February 2010 PDF Icon
August 2009 PDF Icon
February 2009 PDF Icon
September 2008 PDF Icon
April 2008 PDF Icon
September 2007 PDF Icon
April 2007 PDF Icon
November 2006PDF Icon

Metropolitan State Hospital July 2011 PDF Icon
January 2011
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July 2010 PDF Icon
January 2010 PDF Icon
July 2009 PDF Icon
January 2009 PDF Icon
September 2008 PDF Icon
March 2008
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August 2007 PDF Icon
February 2007 PDF Icon
September 2006PDF Icon
Napa State Hospital May 2011 PDF Icon
November 2010
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May 2010 PDF Icon
December 2009
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July 2009
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December 2008
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July 2008 PDF Icon
January 2008PDF Icon
July 2007 PDF Icon
December 2006 PDF Icon
July 2006 PDF Icon
Patton State Hospital April 2011 PDF Icon
October 2010 PDF Icon
April 2010 PDF Icon
December 2009 PDF Icon
April 2009 PDF Icon
November 2008 PDF Icon
June 2008 PDF Icon
November 2007 PDF Icon
May 2007 PDF Icon
November 2006 PDF Icon