DBHDS TDO Exception Report Summary

The attached tables display statewide data from the TDO exception reports submitted by CSBs.

The left side of each table displays the following data:

○ the numbers of crisis evaluations CSBs conducted each month
○ the numbers of executed (not issued) temporary detention orders (TDOs) resulting from those
evaluations,
○ the percent of evaluations those TDOs represent,
○ the total numbers of reportable events associated with those TDOs, and
○ the percent TDOs those reportable events represent.

The center part of each table displays the following data about reportable events (defined in table
footnotes) involving loss of custody events:
○ the total numbers of reportable events involving loss of custody,
○ the numbers of those events with an emergency custody order (ECO),
○ the numbers of those events without an ECO,
○ the numbers of those events with an TDO executed subsequently,
○ the numbers of those events in which the individual subsequently became engaged in outpatient
services, and
○ the numbers of those events in which the individual did not become engaged in services.

The right side of each table displays the following data about other reportable events that do not
involve a loss of custody:
○ the numbers of events involving medical treatment, and
○ the numbers of other events (defined in the table footnotes).

The Totals row reflects the relationship of the various types of reportable events. For example, in
the FY 2015 table, the 61 total reportable events included 36 events that involved a loss of custody,
17 medical treatment events, and 8 other events. The total 36 events that involved a loss of custody
included 12 with ECOs and 24 without ECOs and 23 with subsequent TDOs, 2 engaged in
outpatient services, and 11 never engaged.

Page 1 of 17
 DBHDS TDO Exception Report Summary
FY 2015 Total Crisis Evaluations, Executed TDOs, Reportable Event1 Details
1
Month: and Reportable Events Loss of Custody Events Medical
Other4
7/01/2014- Crisis % Total Total % Total Total Events w/No TDO Engaged in Never Treatment
TDOs Events
6/30/2015 Evals Evals Events TDOs Events w/ECO ECO2 Executed OP Services Engaged Events
July 6,161 2,054 33.3% 0 0.00% 0 0 0 0 0 0 0 0
August 6,333 2,106 33.3% 2 0.09% 2 1 1 1 1 0 0 0
September 6,704 2,185 32.6% 5 0.23% 1 0 1 1 0 0 1 3
October 6,899 2,093 30.3% 8 0.38% 7 5 2 3 1 3 1 0
November 6,600 1,854 28.1% 7 0.38% 4 1 3 2 0 2 3 0
December 7,238 1,962 27.1% 3 0.15% 2 0 2 1 0 1 1 0
January 7,237 2,042 28.2% 7 0.34% 3 1 2 3 0 0 4 0
February 6,091 1,758 28.9% 4 0.23% 3 0 3 2 0 1 0 1
March 7,295 2,208 30.3% 9 0.41% 5 1 4 3 0 2 1 3
April 7,930 2,181 27.5% 6 0.28% 3 0 3 2 0 1 2 1
3
May 7,567 2,219 29.3% 4 0.18% 2 0 2 1 0 1 2 0
June 7,646 2,227 29.1% 6 0.27% 4 3 1 4 0 0 2 0
Totals 83,701 24,889 29.7% 61 0.25% 36 12 24 23 2 11 17 8
1
Reportable event is defined as the activity that made the event reportable to DBHDS, that is additional medical treatment warranted or loss of custody of
the individual. All of these events had an ultimate outcome at the conclusion of the event.
2
In some of the events, an ECO was obtained after the CSB began the evaluation but prior to obtaining a TDO and are reflected as “No ECO” in this table.
3
Denotes at least one individual was released from the medical hospital without CSB knowledge.
4
Other is defined as any event not directly related to medical treatment or loss of custody; for example, fax machines not operating, hospital transferred the
individual without notifying the CSB, delays with admission to state hospitals, delays with access to the magistrate, late notification of ECO to the CSB,
TDO expired in hospital emergency department with no hearing, or individual died during transport.

FY 2015 Total Number of Crisis Evaluations and Executed TDOs Executed

10,000
8,000
6,000
4,000
2,000
0
14-Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May 15-Jun
Number of Crisis Evaluations Temporary Detention Orders Executed

Page 2 of 17
 DBHDS TDO Exception Report Summary
FY 2016 Total Crisis Evaluations, Executed TDOs, Reportable Event1 Details
1
Month: and Reportable Events Loss of Custody Events Medical
Other4
7/01/2015- Crisis % Total Total % Total Total Events w/No TDO Engaged in Never Treatment
TDOs Events
6/30/2016 Evals Evals Events TDOs Events w/ECO ECO2 Executed OP Services Engaged Events
July 7,524 2,147 28.5% 4 0.19% 3 2 1 1 0 2 0 1
August 7,651 2,205 28.8% 8 0.36% 5 2 3 4 0 1 2 1
September 7,843 2,208 28.2% 5 0.23% 3 1 2 1 0 2 2 0
October 7,722 2,100 27.2% 7 0.33% 4 2 2 2 0 2 3 0
November 7,540 1,989 26.4% 5 0.25% 2 0 2 1 0 1 2 1
December 7,564 2,001 26.5% 4 0.20% 3 2 1 2 0 1 0 1
January 8,123 2,010 24.7% 8 0.40% 5 1 4 3 1 1 2 1
February 7,929 1,999 25.2% 5 0.25% 1 0 1 1 0 0 2 2
March 8,728 2,271 26.0% 8 0.35% 4 0 4 1 1 2 2 3
April 8,672 2,229 25.7% 7 0.31% 7 2 5 2 0 1 1 3
May 8,586 2,352 27.3% 2 0.08% 2 1 1 1 0 1 0 0
June 8,159 2,287 28.0% 5 0.22% 5 1 4 1 3 1 0 0
3
Totals 96,041 25,798 26.8% 68 0.26% 44 14 30 20 5 15 16 13
1
Reportable event is defined as the activity that made the event reportable to DBHDS, that is additional medical treatment warranted or loss of custody of
the individual. All of these events had an ultimate outcome at the conclusion of the event.
2
In some of the events, an ECO was obtained after the CSB began the evaluation but prior to obtaining a TDO and are reflected as “No ECO” in this table.
3
Denotes at least one individual was released from the medical hospital without CSB knowledge.
4
Other is defined as any event not directly related to medical treatment or loss of custody; for example, fax machines not operating, hospital transferred the
individual without notifying the CSB, delays with admission to state hospitals, delays with access to the magistrate, late notification of ECO to the CSB,
TDO expired in hospital emergency department with no hearing, magistrate denied TDO petition, placed in jail, or individual died during transport.

FY 2016 Statewide Number of Crisis Evaluations and Executed TDOs

10,000
8,000
6,000
4,000
2,000
0
15-Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May 16-Jun
Number of Crisis Evaluations Temporary Detention Orders Executed

Page 3 of 17
 DBHDS TDO Exception Report Summary
FY 2017 Total ECOs, Crisis Evaluations, Reportable Event1 Details
1
Month: Executed TDOs and Reportable Events Loss of Custody Events Medical
Other4
7/01/2016- Crisis % Total Total % Total Total Events w/No TDO Engaged in Never Treatment
ECOs TDOs Events
6/30/2017 Evals Evals Events TDOs Events w/ECO ECO2 Executed OP Services Engaged Events
July 1,745 7,441 2,103 28.3% 6 .28% 6 3 0 1 2 0 1 2
August 1,964 8,169 2,314 28.3% 7 .30% 7 1 2 1 1 1 2 2
September 1,824 7,890 2,127 27.0% 3 .14% 3 0 1 0 0 1 2 0
October 1,731 7,800 2,051 26.3% 4 .20% 4 0 2 1 0 1 1 1
November 1,647 7423 2,049 27.6% 8 .39% 8 0 3 0 0 3 2 3
December 1,718 7,484 2,185 29.2% 2 .09% 2 0 0 0 0 0 1 1
January 1,781 8,041 2,201 27.4% 4 .18% 4 1 0 1 0 0 1 2
February 1,547 7,165 1,959 27.3% 4 .20% 4 1 2 1 1 1 1 0
March 1,801 8,133 2,265 27.8% 6 .26% 6 1 2 1 1 1 0 3
April 1,715 7,815 2,130 27.3% 5 .23% 5 3 2 1 1 3 0 0
May 1,926 8,364 2,295 27.4% 5 .22% 5 1 2 0 1 2 2 0
June 1,862 7,757 2,173 28.0% 2 .09% 2 0 2 2 0 0 0 0
Totals 21,261 93,482 25,852 27.7% 56 .22% 56 11 18 9 7 13 13 14
1
Reportable event is defined as the activity that made the event reportable to DBHDS, that is additional medical treatment warranted or loss of custody of
the individual. All of these events had an ultimate outcome at the conclusion of the event.
2
In some of the events, an ECO was obtained after the CSB began the evaluation but prior to obtaining a TDO and are reflected as “No ECO” in this table.
3
Denotes at least one individual was released from the medical hospital without CSB knowledge.
4
Other is defined as any event not directly related to medical treatment or loss of custody; for example, fax machines not operating, hospital transferred the
individual without notifying the CSB, delays with admission to state hospitals, delays with access to the magistrate, individual died by suicide before ECO
executed, late notification of ECO to the CSB, TDO expired in hospital emergency department with no hearing, magistrate denied TDO petition, placed in
jail, individual died during transport, or TDO never executed due to change in knowledge of situation.

FY2017 Statewide Number of Emergency Custody Orders, Crisis Evaluations and Executed TDOs
10000
8000
6000
4000
2000
0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May 17-Jun
Number of Emergency Custody Orders Temporary Detention Orders Executed Number of Crisis Evaluations

Page 4 of 17
 DBHDS TDO Exception Report Summary
FY 2018 Total ECOs, Crisis Evaluations, Reportable Event1 Details
1
Month: Executed TDOs and Reportable Events Loss of Custody Events Medical
Other4
7/01/2017- Crisis % Total Total % Total Total Events w/No TDO Engaged in Never Treatment
ECOs TDOs Events
6/30/2018 Evals Evals Events TDOs Events w/ECO ECO2 Executed OP Services Engaged Events
July 1,834 7,291 2,219 30.4% 2 .09% 2 1 1 2 0 0 0 0
August 1,959 7,808 2,297 29.4% 3 .13% 3 0 0 0 0 0 1 2
September 1,933 7,766 2,254 29.0% 6 .27% 6 0 3 1 1 1 2 1
October 1,895 8,290 2,167 26.1% 2 .09% 2 1 0 0 1 0 0 1
November 1,716 7,467 1,988 26.6% 4 .20% 4 0 3 1 0 2 1 0
December 1,761 6,929 2,028 29.3% 1 .05% 1 0 0 0 0 0 1 0
January 1817 7452 1999 26.8% 2 .10% 2 1 0 0 0 1 1 0
February 1894 7500 2061 27.5% 1 .05% 1 0 0 0 1 0 0 0
March 1899 7793 2136 27.4% 4 .19% 4 0 1 1 0 0 2 1
April 1883 7772 2164 27.8% 2 .09% 2 0 0 1 1 0 0 0
May 2138 8295 2250 27.1% 5 .22% 4 2 2 3 1 0 1 0
June 1987 7355 2116 28.8% 6 .28% 3 2 1 2 0 1 1 2
Totals 22716 91718 25679 28.0% 38 .15% 34 7 11 11 5 5 10 7
1
Reportable event is defined as the activity that made the event reportable to DBHDS, that is additional medical treatment warranted or loss of custody of
the individual. All of these events had an ultimate outcome at the conclusion of the event.
2
In some of the events, an ECO was obtained after the CSB began the evaluation but prior to obtaining a TDO and are reflected as “No ECO” in this table.
3
Denotes at least one individual was released from the medical hospital without CSB knowledge.
4
Other is defined as any event not directly related to medical treatment or loss of custody; for example, fax machines not operating, hospital transferred the
individual without notifying the CSB, delays with admission to state hospitals, delays with access to the magistrate, individual died by suicide before ECO
executed, late notification of ECO to the CSB, TDO expired in hospital emergency department with no hearing, magistrate denied TDO petition, placed in
jail, individual died during transport, or TDO never executed due to change in knowledge of situation, TDO issued to wrong accepting facility.

10000 FY2018 Statewide Number of Emergency Custody Orders, Crisis Evaluations and Executed TDOs
8000
6000
4000
2000
0
17-Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May 18-Jun
Number of Emergency Custody Orders Temporary Detention Orders Executed Number of Crisis Evaluations

Page 5 of 17
 DBHDS TDO Exception Report Summary
FY 2019 Total ECOs, Crisis Evaluations, Reportable Event1 Details
1
Month: Executed TDOs and Reportable Events Loss of Custody Events Medical
Other4
7/01/2018- Crisis % Total Total % Total Total Events w/No TDO Engaged in Never Treatment
ECOs TDOs Events
6/30/2019 Evals Evals Events TDOs Events w/ECO ECO2 Executed OP Services Engaged Events
July 1959 7222 2062 28.6% 4 0.19% 3 2 1 1 0 2 1 0
August 1966 7303 2216 30.3% 5 0.23% 1 1 0 0 0 1 1 3
September 1977 7499 2141 28.6% 7 0.31% 2 1 1 1 2 1 2 3
October 2070 7992 2186 27.4% 2 0.09% 1 0 1 1 0 0 0 1
November 1931 7116 2131 29.9% 6 0.27% 2 0 2 0 1 0 2 3
December 1772 6384 1920 30.1% 1 0.05% 1 0 1 0 1 0 0 0
January 1960 7558 2085 27.6% 3 0.14% 1 1 0 0 1 0 1 0
February 1875 7001 2069 29.6% 9 0.43% 5 2 3 3 2 0 3 1
March 2099 7459 2178 29.2% 12 0.55% 4 2 2 2 0 2 4 4
April 1960 7334 2061 28.1% 8 0.39% 4 0 4 0 2 2 3 1
May 2083 7693 2219 28.8% 10 0.45% 4 0 4 0 1 3 4 2
June 1854 6929 1937 28.0% 7 0.36% 4 2 2 3 1 0 2 1
Totals 23506 87490 25205 28.8% 74 0.30% 32 11 21 11 11 11 23 19
1
Reportable event is defined as the activity that made the event reportable to DBHDS, that is additional medical treatment warranted or loss of custody of
the individual. All of these events had an ultimate outcome at the conclusion of the event.
2
In some of the events, an ECO was obtained after the CSB began the evaluation but prior to obtaining a TDO and are reflected as “No ECO” in this table.
3
Denotes at least one individual was released from the medical hospital without CSB knowledge.
4
Other is defined as any event not directly related to medical treatment or loss of custody; for example, fax machines not operating, hospital transferred the
individual without notifying the CSB, delays with admission to state hospitals, delays with access to the magistrate, individual died by suicide before ECO
executed, late notification of ECO to the CSB, TDO expired in hospital emergency department with no hearing, magistrate denied TDO petition, placed in
jail, individual died during transport, or TDO never executed due to change in knowledge of situation, TDO issued to wrong accepting facility.

10000 FY2019 Statewide Number of Emergency Custody Orders, Crisis Evaluations and Executed TDOs
8000
6000
4000
2000
0
18-Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May 19-Jun
Number of Emergency Custody Orders Temporary Detention Orders Executed Number of Crisis Evaluations

Page 6 of 17
 DBHDS TDO Exception Report Summary
FY 2019
Total Executed TDOs and State Hospital TDO Admissions
Month:
7/01/2018- Executed TDOs State Hospital TDO Admissions
% Civil TDOs % Total TDOs
6/30/2019 Admitted to Admitted to
Civil Civil
Total Criminal Total Criminal State Hospital State Hospital
Minor Adult Older Adult Minor Adult Older Adult
July 2062 169 1589 239 65 533 43 362 52 76 22.88% 25.85%
August 2216 171 1807 183 55 584 54 423 39 68 23.88% 26.35%
September 2141 234 1695 179 33 628 94 448 44 42 26.70% 28.17%
October 2186 268 1710 153 55 552 91 386 19 56 22.21% 24.13%
November 2131 247 1667 177 40 452 86 292 24 50 18.76% 20.71%
December 1920 178 1528 170 44 388 67 229 30 62 17.38% 20.21%
January 2085 203 1639 182 61 528 78 340 40 70 22.63% 25.32%
February 2069 241 1537 231 60 612 97 418 35 62 27.38% 29.58%
March 2178 258 1687 168 65 595 114 376 37 68 24.94% 27.32%
April 2061 227 1604 170 60 623 102 411 39 71 27.59% 30.23%
May 2219 250 1738 169 62 631 129 386 45 71 25.96% 28.44%
June 1937 180 1541 148 68 523 59 360 28 76 23.92% 27.00%
Totals 25205 2626 19742 2169 668 6649 1014 4431 432 772 23.95% 26.38%

Page 7 of 17
 DBHDS TDO Exception Report Summary

Fiscal Year 2020

FY 2020 Total ECOs, Crisis Evaluations, Reportable Event1 Details
1
Month: Executed TDOs and Reportable Events Loss of Custody Events Medical
Other4
7/01/2019- Crisis % Total Total % Total Total Events w/No TDO Engaged in Never Treatment
ECOs TDOs Events
6/30/2020 Evals Evals Events TDOs Events w/ECO ECO2 Executed OP Services Engaged Events
July 1963 6927 2042 29.5% 13 0.64% 5 0 5 1 0 4 2 6
August 2166 7100 2196 30.9% 9 0.41% 4 1 3 3 0 1 5 0
September 2047 7131 2179 30.6% 12 0.55% 4 0 4 3 1 0 3 5
October 1989 7426 2062 27.8% 20 0.97% 5 1 4 1 1 3 5 10
November 1754 6432 1833 28.5% 11 0.60% 5 1 4 2 0 3 1 5
December 1852 6301 1868 29.6% 15 0.80% 4 1 3 1 0 3 3 8
January 1956 6764 1954 28.9% 14 0.72% 6 3 3 2 0 4 5 3
February 1816 6590 1907 28.9% 18 0.94% 10 3 7 2 2 6 6 2
March 1800 5582 1831 32.8% 1 0.05% 0 0 0 0 0 0 0 1
April 1714 4360 1757 40.3% 9 0.51% 2 1 1 1 0 1 5 2
May 1827 4805 1873 39.0% 12 0.64% 3 1 2 1 0 2 5 4
June 1917 5387 2010 37.3% 10 0.50% 3 0 3 0 1 2 1 6
Totals 22801 74805 23512 31.4% 144 0.61% 51 12 39 17 5 29 40 52
1
Reportable event is defined as the activity that made the event reportable to DBHDS, that is additional medical treatment warranted or loss of custody of
the individual. All of these events had an ultimate outcome at the conclusion of the event.
2
In some of the events, an ECO was obtained after the CSB began the evaluation but prior to obtaining a TDO and are reflected as “No ECO” in this table.
3
Denotes at least one individual was released from the medical hospital without CSB knowledge.
4
Other is defined as any event not directly related to medical treatment or loss of custody; for example, fax machines not operating, delays with admission to
state hospitals, delays with access to the magistrate, late notification of ECO to the CSB, TDO expired in hospital emergency department with no hearing,
magistrate denied TDO petition, arrested and placed in jail

FY2020 Statewide Number of Emergency Custody Orders, Crisis Evaluations and Executed TDOs
8000
6000
4000
2000
0
19-Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May 20-Jun
Number of Emergency Custody Orders Temporary Detention Orders Executed Number of Crisis Evaluations
Page 8 of 17
 DBHDS TDO Exception Report Summary

FY2020 State Hospital Total Admissions and Civil TDO Admissions

800
700
600
500
400
300
200
100
0
19-Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May 20-Jun

CivilTDOs TotalAdmission

FY 2020
Total Executed TDOs and State Hospital TDO Admissions
Month:
7/01/2019- Executed TDOs State Hospital TDO Admissions % Civil TDOs
6/30/2020 Admitted to
Civil Civil
Total Criminal Total Criminal State Hospital
Minor Adult Older Adult Minor Adult Older Adult
July 2042 160 1686 196 74 428 59 314 55 76 21.0%
August 2196 190 1814 192 52 473 53 378 42 64 21.5%
September 2179 282 1613 275 58 557 102 399 56 74 25.6%
October 2062 254 1628 180 59 505 115 352 38 69 24.5%
November 1833 205 1477 151 65 455 89 322 44 78 24.8%
December 1868 211 1456 201 46 353 74 240 38 60 18.9%
January 1954 214 1500 240 55 464 93 324 47 61 23.7%
February 1907 241 1402 264 41 477 108 328 41 57 25.0%
March 1831 190 1500 141 45 410 85 279 46 47 22.4%
April 1757 138 1476 143 34 298 39 234 25 39 17.0%
May 1873 133 1570 170 43 443 47 353 43 47 23.7%
June 2010 143 1683 184 40 549 43 452 54 50 27.3%
Totals 23512 2361 18805 2337 612 5412 907 3975 529 722 23.0%

Page 9 of 17
 DBHDS TDO Exception Report Summary

Statewide Executed TDO, Last Resort, and Last Number of Last resort and Last Resort due
Resort Due to COVID19, May 2020 - June 2020 to COVID 19 status, May 2020 - June 2020
250
215 212
200 181
2879, 150 144
321,
74.14% 8.27% 111
25.86% 100
683, 74 74 67 61 59
17.59% 45 57
50 23
2
0
Region 1 Region 2 Region 3 Region 3a Region 3b Region 4 Region 5

TDO-Non-LastResort TDO-LastResort Non-COVID TDO-LastResort COVID LastResort LastResortCovid19

FY 2020 Executed TDOs Last Resort TDOs Last Resort TDOs % Total Last Resort due to % Total
7/01/2019- 6/30/2020 with ECO without ECO TDOs COVID 19 status Last Resort TDOs
July 2042 337 87 20.8%
August 2196 388 92 21.9%
September 2179 444 92 24.6%
October 2062 406 92 24.2%
November 1833 353 98 24.6%
December 1868 287 63 18.7%
January 1954 392 86 24.5%
February 1907 391 85 25.0%
March 1831 326 69 21.6%
April 1757 264 47 17.7%
May 1873 384 74 24.5% 141 30.8%
June 2010 461 85 27.2% 180 33.0%
Totals 23512 4433 970 23.0% 321

Page 10 of 17
 DBHDS TDO Exception Report Summary
Fiscal Year 2021

FY 2021 Total ECOs, Crisis Evaluations, Reportable Event1 Details

Month: Executed TDOs and Reportable Events1 Loss of Custody Events Medical
Other4
7/01/2020- Crisis % Total Total % Total Total Events w/No TDO Engaged in Never Treatment
ECOs TDOs Events
6/30/2021 Evals Evals Events TDOs Events w/ECO ECO2 Executed OP Services Engaged Events
July 2108 6065 2121 35.0% 39 1.84% 14 10 4 6 3 5 3 22
August 1989 5753 1951 33.9% 29 1.49% 6 4 3. 6 0 1 6 16
September 1894 5953 1829 30.7% 41 2.24% 6 4 2 1 2 3 4 31
October 1922 6006 1886 31.4% 36 1.91% 4 1 3 1 3 0 3 29
November 1836 5246 1855 35.4% 39 2.10% 5 2 3 1 1 3 6 28
December 1698 5123 1703 33.2% 44 2.58% 15 3 12 6 1 8 8 21
January 1821 5287 1842 34.8% 29 1.57% 10 4 6 2 0 8 3 16
February 1695 5111 1782 34.9% 37 2.08% 11 4 7 5 3 3 5 21
March 2025 6007 1980 33.0% 52 2.63% 14 3 11 7 2 5 3 35
April 1945 5826 1992 34.2% 44 2.21% 13 5 8 8 4 1 8 23
May 2077 6150 2002 32.6% 47 2.35% 12 4 8 7 4 1 9 26
June 2023 5894 1921 32.6% 51 2.65% 10 3 7 6 2 2 9 32
Totals 23033 68421 22864 33.4% 488 2.13% 120 47 74 56 25 40 67 300
1
Reportable event is defined as the activity that made the event reportable to DBHDS, that is additional medical treatment warranted or loss of custody of
the individual. All of these events had an ultimate outcome at the conclusion of the event.
2
In some of the events, an ECO was obtained after the CSB began the evaluation but prior to obtaining a TDO and are reflected as “No ECO” in this table.
3
Denotes at least one individual was released from the medical hospital without CSB knowledge.
4
Other is defined as any event not directly related to medical treatment or loss of custody; for example, fax machines not operating, delays with admission to
state hospitals, delays with access to the magistrate, late notification of ECO to the CSB, TDO expired in hospital emergency department with no hearing,
magistrate denied TDO petition, arrested and placed in jail

8000 Statewide Number of Emergency Custody Orders, Crisis Evaluations and Executed TDOs June 2020 - June 2021
6000
4000
2000
0
20-Jun July August September October November December January February March April May 21-Jun
Number of Emergency Custody Orders Temporary Detention Orders Executed Number of Crisis Evaluations
Page 11 of 17
 DBHDS TDO Exception Report Summary
State Hospital Total Admissions and Civil TDO Admissions June 2020 - June 2021
800
700
600
500
400
300
200
100
0
20-Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May 21-Jun

CivilTDOs TotalAdmission

FY 2021
Total Executed TDOs and State Hospital TDO Admissions
Month:
7/01/2020- Executed TDOs State Hospital TDO Admissions % Civil TDOs
6/30/2021 Admitted to
Civil Civil
Total Criminal Total Criminal State Hospital
Minor Adult Older Adult Minor Adult Older Adult
July 2121 155 1823 143 59 599 57 500 42 67 28.2%
August 1951 161 1583 207 41 477 61 370 46 51 24.4%
September 1829 139 1543 147 43 448 16 385 47 42 24.5%
October 1886 181 1553 152 43 465 52 367 46 49 24.7%
November 1855 150 1569 136 34 387 56 300 31 37 20.9%
December 1703 134 1438 131 60 369 50 287 32 64 21.7%
January 1842 151 1556 135 51 387 67 285 35 54 21.0%
February 1782 142 1495 145 55 348 55 265 28 63 19.5%
March 1980 166 1603 211 54 438 81 309 48 58 22.1%
April 1992 177 1641 174 69 455 87 332 36 71 22.8%
May 2002 192 1629 181 55 467 82 329 56 78 23.3%
June 1921 147 1606 168 66 400 34 316 50 66 20.8%
Totals 22864 1895 19039 1930 630 5240 698 4045 497 700 22.9%

Page 12 of 17
 DBHDS TDO Exception Report Summary

Statewide Executed TDO, Last Resort, and Last Number of Last resort and Last Resort due
Resort Due to COVID19, Jul 2020-Jun 2021 to COVID 19 status, Jul 2020 - Jun 2021
1200 1123 1100
1000
872 806
800
689
17679, 4194, 991,
77.32% 600
22.68% 18.34% 4.33%
400 297 298
225 273
200 128 143 160
34 28
0
Region 1 Region 2 Region 3 Region 3a Region 3b Region 4 Region 5

TDO-Non-LastResort TDO-LastResort Non-COVID TDO-LastResort COVID Series3 Series4

FY 2021 Executed TDOs Last Resort TDOs Last Resort TDOs % Total Last Resort due to % Total
7/01/2020- 6/30/2021 with ECO without ECO TDOs COVID 19 status Last Resort TDOs
July 2121 495 92 27.7% 170 29.0%
August 1951 404 64 24.0% 142 30.3%
September 1829 378 51 23.5% 122 28.4%
October 1886 380 69 23.8% 89 19.8%
November 1855 371 50 22.7% 90 21.4%
December 1703 305 65 21.7% 87 23.5%
January 1842 320 53 20.2% 53 14.2%
February 1782 306 43 19.6% 50 14.3%
March 1980 350 73 21.4% 63 14.9%
April 1992 386 65 22.6% 36 8.0%
May 2002 404 58 23.1% 45 9.7%
June 1921 341 62 21.0% 44 10.9%
Total 22864 4440 745 22.7% 991 19.1%

Page 13 of 17
 DBHDS TDO Exception Report Summary
Fiscal Year 2022

FY 2022 Total ECOs, Crisis Evaluations, Reportable Event1 Details

Month: Executed TDOs and Reportable Events1 Loss of Custody Events Medical
Other4
7/01/2021- Crisis % Total Total % Total Total Events w/No TDO Engaged in Never Treatment
ECOs TDOs Events
6/30/2022 Evals Evals Events TDOs Events w/ECO ECO2 Executed OP Services Engaged Events
July 1863 5244 1836 35.01% 48 2.61% 14 4 10 8 3 3 6 28
August 1926 5709 1812 31.76% 44 2.43% 8 2 6 6 1 1 8 28
September 1843 5854 1848 31.57% 41 2.22% 9 6 3 3 3 3 2 30
October 1837 5943 1776 29.88% 34 1.91% 16 10 6 8 3 5 2 16
November 1696 5376 1699 31.60% 36 2.12% 18 9 9 12 2 4 10 8
December 1587 5276 1641 31.10% 49 2.99% 10 4 5 5 0 5 4 35
January 1571 4797 1641 34.21% 61 3.72% 16 7 9 5 3 8 3 42
February 1631 5137 1679 32.70% 80 4.76% 9 9 5 7 0 7 5 66
March 1828 5501 1896 34.47% 43 2.27% 9 3 6 6 0 4 3 32
April 1703 5117 1689 33.01% 37 2.19% 9 2 7 3 1 5 2 26
May 1851 5513 1819 32.99% 46 2.53% 12 5 7 4 3 6 3 31
June 1774 5300 1763 33.26% 42 2.38% 9 5 4 5 4 0 3 30
Totals 21110 64767 21099 32.58% 561 2.66% 139 66 77 72 23 51 51 372
1
Reportable event is defined as the activity that made the event reportable to DBHDS, that is additional medical treatment warranted or loss of custody of
the individual. All of these events had an ultimate outcome at the conclusion of the event.
2
In some of the events, an ECO was obtained after the CSB began the evaluation but prior to obtaining a TDO and are reflected as “No ECO” in this table.
3
Denotes at least one individual was released from the medical hospital without CSB knowledge.
4
Other is defined as any event not directly related to medical treatment or loss of custody; for example, fax machines not operating, delays with admission to
state hospitals, delays with access to the magistrate, late notification of ECO to the CSB, TDO expired in hospital emergency department with no hearing,
magistrate denied TDO petition, arrested and placed in jail; delayed admission to state hospital due to safety issues related to adequate staffing to care for
individual; commitment hearing held in emergency room or on medical floor

8000 Statewide Number of Emergency Custody Orders, Crisis Evaluations and Executed TDOs June 2021 - June 2022
6000
4000
2000
0
21-Jun July August September October November December January February March April May 22-Jun
Number of Emergency Custody Orders Temporary Detention Orders Executed Number of Crisis Evaluations
Page 14 of 17
 DBHDS TDO Exception Report Summary

State Hospital Total Admissions and Civil TDO Admissions June 2021 - June 2022
700
600
500
400
300
200
100
0
21-Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May 22-Jun

CivilTDOs TotalAdmission

FY 2022
Total Executed TDOs and State Hospital TDO Admissions
Month:
7/01/2021- Executed TDOs State Hospital TDO Admissions % Civil TDOs
6/30/2022 Admitted to
Civil Civil
Total Criminal Total Criminal State Hospital
Minor Adult Older Adult Minor Adult Older Adult
July 1836 125 1578 133 46 259 29 215 15 50 14.11%
August 1812 154 1507 151 52 240 48 167 25 63 13.25%
September 1848 172 1542 134 46 259 39 194 26 50 14.07%
October 1776 164 1446 166 53 180 31 122 27 56 10.14%
November 1699 180 1387 132 54 221 31 161 29 55 13.01%
December 1641 126 1367 148 58 118 16 80 22 69 7.19%
January 1641 127 1389 125 59 95 21 59 15 55 5.79%
February 1679 177 1363 139 69 117 21 77 19 66 6.97%
March 1896 202 1569 125 71 184 25 145 14 61 9.70%
April 1689 181 1350 158 49 196 28 131 37 55 11.60%
May 1819 173 1530 116 62 177 34 122 21 61 9.73%
June 1763 121 1479 163 68 159 23 111 25 68 9.02%
Totals 21099 1902 17507 1690 687 2205 346 1584 275 709 10.45%

Page 15 of 17
 DBHDS TDO Exception Report Summary
Fiscal Year 2023

FY 2023 Total ECOs, Crisis Evaluations,

Month: Executed TDOs and Reportable Events1
7/01/2022- Crisis % Total
ECOs TDOs
6/30/2023 Evals Evals
July 1776 5183 1821 35.13%
August 1705 4965 1712 34.48%
September 1646 4666 1691 36.24%
October 1568 4689 1626 34.68%
November 1477 4486 1608 35.84%
December 1522 4547 1591 34.99%
January 1751 5054 1700 33.64%
February 1462 4628 1563 33.77%
March 1648 5012 1695 33.82%
April
May
June
Totals 14555 43230 15007 34.71%

6000 Statewide Number of Emergency Custody Orders, Crisis Evaluations and Executed TDOs Mar 2022 - Mar 2023
5501 5117 5513 5300 5183 4965 4666 4486 4689 5054 5012
4000 4547 4628
1896 1819 1774 1763 1776 1821 1695
2000 1828 1703 1689 1851 1705 1712 1646 1691 1568 1626 1477 1608 1522 1591 1751 1700 1462 1563 1648

0
22-Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb 23-Mar
Number of Crisis Evaluations Number of Emergency Custody Orders Temporary Detention Orders Executed

Page 16 of 17
 DBHDS TDO Exception Report Summary

State Hospital Total Admissions and Civil TDO Admissions Mar 2022 - Mar 2023
600
477 439 443 458 416 442 435 405 412 409 481
500 399 362
400
300 196 177 208 170
184 159 186 159 166 160
200 146 144 132
100
0
Mar Apr May Jun Jul Aug Sep Oct Nov Dec 23-Jan Feb Mar

TotalAdmission CivilTDOs

FY 2023
Total Executed TDOs and State Hospital TDO Admissions
Month:
7/01/2022- Executed TDOs State Hospital TDO Admissions % Civil TDOs
6/30/2023 Admitted to
Civil Civil
Total Criminal Total Criminal State Hospital
Minor Adult Older Adult Minor Adult Older Adult
July 1821 135 1514 172 64 146 18 105 23 71 8.02%
August 1712 146 1444 122 73 144 22 105 17 67 8.41%
September 1691 198 1343 150 53 186 31 121 34 61 11.00%
October 1626 149 1320 157 45 208 41 133 34 52 12.79%
November 1608 131 1348 129 45 170 37 107 26 52 10.57%
December 1591 132 1307 152 44 132 30 83 19 48 8.30%
January 1700 165 1394 141 57 159 29 117 13 47 9.35%
February 1563 180 1237 146 42 166 31 116 19 50 10.62%
March 1695 198 1392 105 57 160 31 89 40 86 9.44%
April
May
June
Totals 15007 1434 12299 1274 480 1471 270 976 225 534 9.80%

Page 17 of 17