FY 2011-12: Tables: Involuntary Detentions in California.pdf

CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES - MENTAL HEALTH SERVICES DIVISION
INVOLUNTARY DETENTION DATA
FISCAL YEAR 2011-12
California's Welfare and Institutions Code (WIC) Section 5402 requires the collection on a quarterly basis from each county mental health
program or treatment facility quantitative information on the number of involuntary detentions, the number of temporary and permanent
conservatorships established by the superior court of the county, the number of persons transferred from a jail for mental health services, the
number of persons admitted to a Lanterman Petris Short (LPS) approved treatment program within a jail facility, and the number of outpatient
mental health services provided to persons detained in jail facilities.
The following tables consist of the FY 2011-12 totals as reported by each county for each of the various classifications of involuntary detention,
including a table of the rates of detention per 10,000. The population table includes data by county for children, adults, and total population. The
rate of detention per 10,000 takes into account fluctuations to the annual population total and allows for comparison of these rates over time.
DATA SOURCES
The data were collected and tabulated from the quarterly reports of involuntary detentions compiled and reported from each county mental health
department and the facilities that provide evaluation and treatment within each county. This includes data from all facilities, public or private, and
the clients served in those facilities receiving services reimbursed by private or public funds.
Three forms are used to summarize and report the involuntary detention data:
1. DHCS 1008 - Quarterly Report on Services Provided to Persons Detained in Jail Facilities - Counties and providers use this form to
summarize and report the number of transfers for admission, both voluntary and involuntary, to local inpatient services pursuant to Penal Code
Sections 4011.6 or 4011.8 and evaluated and/or treated in a local mental health facility. It is also used to collect the number of admissions, both
voluntary and involuntary, to an LPS approved inpatient treatment program within a jail facility, and the unduplicated count of persons receiving
outpatient services provided within a jail facility.
2. DHCS 1009 - Quarterly Report of Conservatorships Established by the Superior Court of the County - This form is used to summarize
the number of persons placed under temporary conservatorship, including the number of newly established and re-established permanent
conservatorships established by the superior court of the county, regardless of the type of facility in which the patient is placed (e.g., county
agency, state hospital).
3. DHCS 1010 - Quarterly Report on Involuntary Detentions - This form is used to summarize the number of admissions under various
categories of WIC Section 5150. Specifically, the number of all admissions, both child and adult, for 72-hour evaluation and treatment, the
number of certifications for 14-day treatment and additional 14-day intensive treatment for persons who are suicidal, the number of certifications
for 30-day intensive treatment and 180-day post-certification treatment.
1 September 6, 2013

CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES - MENTAL HEALTH SERVICES DIVISION
INVOLUNTARY DETENTION DATA
FISCAL YEAR 2011-12
The reporting applies to all instances of involuntary treatment regardless of funding source. In other words, persons who are treated involuntarily
in private psychiatric facilities, or whose treatment is funded by private resources, must be reported along with persons whose treatment is funded
through Medi-Cal or the county mental health program. The totals also include involuntary detention data obtained from State Hospitals.
Population projection data were obtained from the California Department of Finance (DOF).
PROGRAM NOTE
WIC Section 5775(b) permits counties to jointly agree to deliver or subcontract for the delivery of mental health services. Sutter and Yuba
counties are combined under this joint agreement and their involuntary detention data are displayed as Sutter/Yuba County. Population data for
these two counties are combined and presented as Sutter/Yuba County.
DATA METHODOLOGY
In November 1999, the Facility-Based Reporting (FBR) method was used to ensure more accurate involuntary detention reporting. The FBR
method places the responsibility upon the county in which the treatment facility, jail, or court is located to report the number of persons admitted
and detained involuntarily. For example, if client "A" it taken to county "B" under WIC Section 5150, then the facility in county "B" is required to
report that client as one 5150 admission. County "B" should obtain these data from all appropriate facilities within their county. Next, county "B"
is responsible for submitting a single report, quarterly, for each of the three involuntary detention reporting areas.
The rate per 10,000 population is an expression of the number of persons involuntarily committed when compared to a segment of the population.
For example, in Table Rates for Every 10,000 by Category and County, approximately 38.7 adults were involuntarily committed for 72-hour
evaluation and treatment services. Each range was calculated by dividing the number of persons in an involuntary detention classification by an
appropriate population total, either adult, child, or total population and then multiplying the result by 10,000.
DATA LIMITATIONS
The DHCS has learned that some counties have contracted with an outside entity, such as the local Sheriff's Office or a private medical company,
to provide mental health outpatient services in jail. In many cases, the contracting agency does not report data on the services provided. Thus,
the count of persons receiving mental health outpatient services in jail is limited by those counties not reporting mental health outpatient services
in jail.
Additionally, the quarterly unduplicated counts of persons receiving outpatient services have been summed to represent the count of persons
receiving outpatient services during the fiscal year. Unduplicated means that individuals are counted only once in a quarter, regardless of the
number of times or types of outpatient services they receive in jail facilities.
2 September 6, 2013

CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES - MENTAL HEALTH SERVICES DIVISION
SUMMARY OF INVOLUNTARY DETENTIONS
FISCAL YEAR 2011-12
72-Hour 72-Hour Additional 180-Day
Number of Admissions to Local Inpatient
Unduplicated Count of
Number of Admissions to an LPS
Evaluation Evaluation 14-Day Post
Services Pursuant to PC 4011.6 or 4011.8,
Persons Receiving
Approved Inpatient Program Treated
and and 14-Day Intensive 30-Day Certification Temporary Permanent Evaluated and/or Treated in a Local Mental
Outpatient Services
Within a Jail Facility
Treatment Treatment Intensive Treatment Intensive Intensive Conserva- Conserva-
Health Facility
Provided Within a Jail
(Children) (Adults) Treatment (Suicidal) Treatment Treatment torships torships Involuntary Voluntary Involuntary Voluntary
Facility
STATEWIDE 16,115 109,583 51,948 203 3,461 13 4,191 7,121 851 23 1,694 360 156,003
1
01 ALAMEDA
552 5,433 1,702 2 0 0 554 345 50 0 0 0 7,167
02 ALPINE 0 0 0 0 0 0 0 10 0 0 0 0 0
03 AMADOR 0 0 0 0 0 0 3 32 0 0 0 0 0
04 BUTTE 0 659 204 36 1 0 8 106 8 0 0 0 0
05 CALAVERAS 2, 3 0 0 0 0 0 0 6 4 0 0 0 0 176
06 COLUSA 0 0 0 0 0 0 0 14 0 0 0 0 83
07 CONTRA COSTA 1, 2, 3 0 0 0 0 0 0 90 92 0 0 0 0 0
08 DEL NORTE 2, 3 0 0 0 0 0 0 0 6 0 0 0 0 100
09 EL DORADO 0 315 104 0 13 0 15 188 9 0 0 0 21
10 FRESNO 1, 2, 3 0 2,656 368 0 34 1 0 0 0 0 0 0 0
11 GLENN 0 0 0 0 0 0 1 14 0 0 0 0 5
12 HUMBOLDT 1 509 187 0 0 0 27 91 0 0 0 0 1,668
13 IMPERIAL 0 0 0 0 0 0 19 64 0 0 0 0 0
14 INYO 0 0 0 0 0 0 5 3 0 0 0 0 19
15 KERN 1,029 3,752 1,036 3 12 8 66 97 0 0 0 0 2,009
16 KINGS 0 0 0 0 0 0 10 69 0 0 0 0 0
17 LAKE 2, 3 0 0 0 0 0 0 0 0 0 0 0 0 0
18 LASSEN 0 0 0 0 0 0 3 0 204 0 0 0 452
19 LOS ANGELES 1, 2, 3 5,250 39,895 25,389 0 2,606 0 978 1,763 0 0 154 2 4,908
20 MADERA 0 0 0 0 0 0 10 47 0 0 0 0 1,502
21 MARIN 1, 2, 3 130 1,007 132 0 0 0 48 77 13 0 12 0 983
22 MARIPOSA 0 0 0 0 0 0 2 9 0 0 0 0 45
23 MENDOCINO 2, 3 0 0 0 0 0 0 0 0 0 0 0 0 0
24 MERCED 0 387 88 0 10 1 4 0 0 0 0 0 0
25 MODOC 3 0 0 0 0 0 0 2 14 0 0 0 0 32
26 MONO 0 0 0 0 0 0 0 0 0 0 0 0 1
27 MONTEREY 4 870 376 0 0 0 12 56 23 0 0 0 0
28 NAPA 0 32 0 0 0 0 14 63 5 0 0 0 930
29 NEVADA 0 0 0 0 0 0 5 13 0 0 0 0 109
30 ORANGE 3 486 7,160 2,895 3 2 0 480 907 0 0 1 25 3,311
31 PLACER 1 0 515 313 5 14 0 10 84 1 1 0 0 0
32 PLUMAS 2 0 0 0 0 0 0 0 0 0 0 0 0 95
33 RIVERSIDE 1, 2, 3 0 0 0 0 0 0 0 0 0 0 0 0 0
34 SACRAMENTO 3,233 9,506 3,745 96 483 0 56 27 0 0 595 0 17,165
35 SAN BENITO 0 0 0 0 0 0 0 3 0 0 0 0 175
36 SAN BERNARDINO 1, 2,3 2,150 6,611 3,227 0 0 0 24 389 5 0 0 0 9,835
37 SAN DIEGO 1 1,798 11,797 2,233 36 86 1 719 1,068 0 0 11 333 15,301
38 SAN FRANCISCO 1 770 5,781 2,819 0 0 0 382 96 396 0 0 0 7,440
39 SAN JOAQUIN 27 861 584 0 57 0 67 40 7 0 0 0 17,729
40 SAN LUIS OBISPO 1, 2,3 0 0 0 0 0 0 0 0 32 0 0 0 1,273
41 SAN MATEO 186 982 602 2 0 0 126 374 3 0 0 0 680
42 SANTA BARBARA 2,3 0 329 215 0 55 0 20 78 0 0 0 0 0
43 SANTA CLARA 1, 2 0 1,989 935 0 0 0 246 419 0 22 921 0 40,114
44 SANTA CRUZ 0 715 443 1 0 0 42 28 2 0 0 0 971
45 SHASTA 2,3 0 0 0 0 0 0 0 0 0 0 0 0 67
46 SIERRA 0 0 0 0 0 0 0 0 0 0 0 0 7
47 SISKIYOU 2,3 0 0 0 0 0 0 0 3 0 0 0 0 0
48 SOLANO 1, 2,3 0 0 0 0 0 0 46 77 21 0 0 0 8,086
49 SONOMA 0 0 0 0 0 0 45 106 0 0 0 0 5,785
50 STANISLAUS 0 3,934 2,062 9 0 0 21 98 12 0 0 0 0
52 TEHAMA 0 0 0 0 0 0 4 39 0 0 0 0 358
53 TRINITY 2,3 0 0 0 0 0 0 0 4 0 0 0 0 4
54 TULARE 2,3 0 1,562 1,307 4 77 0 19 89 55 0 0 0 1,824
55 TUOLUMNE 2,3 0 0 0 0 0 0 0 0 0 0 0 0 170
56 VENTURA 1, 2,3 499 2,280 925 4 0 2 0 0 5 0 0 0 3,956
57 YOLO 1, 2,3 0 0 0 0 0 0 0 0 0 0 0 0 1,267
63 SUTTER/YUBA 1, 2,3 0 46 57 2 11 0 2 15 0 0 0 0 180
1 DHCS 1010 (Quarterly Report on Involuntary Detentions) incomplete data submitted
2 DHCS 1009 (Quarterly Report of Conservatorship) incomplete data submitted
3 DHCS 1008 (Quarterly Report on Persons Detained in Jail Facilities) incomplete data submitted
September 6, 2013

CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES - MENTAL HEALTH SERVICES DIVISION
RATES PER 10,000 BY CATEGORY AND COUNTY
FISCAL YEAR 2011-12
72-Hour 72-Hour Additional 180-Day
Evaluation Evaluation 14-Day Post
and and 14-Day Intensive 30-Day Certification Temporary Permanent
Treatment Treatment Intensive Treatment Intensive Intensive Conserva- Conserva-
(Children) (Adults) Treatment (Suicidal) Treatment Treatment torships torships
STATEWIDE 17.1 38.7 18.4 0.1 0.9 0.0 1.1 1.9
01 ALAMEDA 1 16.0 45.9 14.4 0.0 0.0 0.0 3.6 2.3
02 ALPINE 0.0 0.0 0.0 0.0 0.0 0.0 0.0 84.1
03 AMADOR 0.0 0.0 0.0 0.0 0.0 0.0 0.8 8.3
04 BUTTE 0.0 37.5 11.6 1.6 0.0 0.0 0.4 4.8
05 CALAVERAS 2 0.0 0.0 0.0 0.0 0.0 0.0 1.3 0.9
06 COLUSA 0.0 0.0 0.0 0.0 0.0 0.0 0.0 6.5
07 CONTRA COSTA 1,2 0.0 0.0 0.0 0.0 0.0 0.0 0.8 0.9
08 DEL NORTE 2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 2.1
09 EL DORADO 0.0 22.3 7.3 0.0 0.7 0.0 0.8 10.3
10 FRESNO 1, 2 0.0 40.2 5.6 0.0 0.4 0.0 0.0 0.0
11 GLENN 0.0 0.0 0.0 0.0 0.0 0.0 0.4 4.9
12 HUMBOLDT 0.4 46.8 17.2 0.0 0.0 0.0 2.0 6.7
13 IMPERIAL 0.0 0.0 0.0 0.0 0.0 0.0 1.1 3.6
14 INYO 0.0 0.0 0.0 0.0 0.0 0.0 2.7 1.6
15 KERN 40.0 63.3 17.5 0.0 0.1 0.1 0.8 1.1
16 KINGS 0.0 0.0 0.0 0.0 0.0 0.0 0.6 4.5
17 LAKE 2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
18 LASSEN 0.0 0.0 0.0 0.0 0.0 0.0 0.8 0.0
19 LOS ANGELES 1, 2 21.6 53.2 33.8 0.0 2.6 0.0 1.0 1.8
20 MADERA 0.0 0.0 0.0 0.0 0.0 0.0 0.7 3.1
21 MARIN 1, 2 24.6 49.7 6.5 0.0 0.0 0.0 1.9 3.0
22 MARIPOSA 0.0 0.0 0.0 0.0 0.0 0.0 1.1 4.9
23 MENDOCINO 2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
24 MERCED 0.0 21.8 5.0 0.0 0.4 0.0 0.2 0.0
25 MODOC 0.0 0.0 0.0 0.0 0.0 0.0 2.0 14.3
26 MONO 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
27 MONTEREY 0.4 28.3 12.2 0.0 0.0 0.0 0.3 1.3
28 NAPA 0.0 3.0 0.0 0.0 0.0 0.0 1.0 4.6
29 NEVADA 0.0 0.0 0.0 0.0 0.0 0.0 0.5 1.3
30 ORANGE 6.5 31.1 12.6 0.0 0.0 0.0 1.6 3.0
31 PLACER 1 0.0 19.3 11.7 0.1 0.4 0.0 0.3 2.4
32 PLUMAS 2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
33 RIVERSIDE 1,2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
34 SACRAMENTO 88.0 89.0 35.1 0.7 3.4 0.0 0.4 0.2
35 SAN BENITO 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.5
36 SAN BERNARDINO 1,2 35.7 45.3 22.1 0.0 0.0 0.0 0.1 1.9
37 SAN DIEGO 1 24.5 49.2 9.3 0.1 0.3 0.0 2.3 3.4
38 SAN FRANCISCO 1 70.8 81.9 39.9 0.0 0.0 0.0 4.7 1.2
39 SAN JOAQUIN 1.3 17.6 11.9 0.0 0.8 0.0 1.0 0.6
40 SAN LUIS OBISPO 1,2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
41 SAN MATEO 11.5 17.4 10.6 0.0 0.0 0.0 1.7 5.1
42 SANTA BARBARA 2 0.0 10.0 6.5 0.0 1.3 0.0 0.5 1.8
43 SANTA CLARA 1,2 0.0 14.5 6.8 0.0 0.0 0.0 1.4 2.3
44 SANTA CRUZ 0.0 34.1 21.2 0.0 0.0 0.0 1.6 1.1
45 SHASTA 2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
46 SIERRA 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
47 SISKIYOU 2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.7
48 SOLANO 1,2 0.0 0.0 0.0 0.0 0.0 0.0 1.1 1.8
49 SONOMA 0.0 0.0 0.0 0.0 0.0 0.0 0.9 2.2
50 STANISLAUS 0.0 105.8 55.5 0.2 0.0 0.0 0.4 1.9
52 TEHAMA 0.0 0.0 0.0 0.0 0.0 0.0 0.6 6.1
53 TRINITY 2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 2.9
54 TULARE 2 0.0 51.8 43.3 0.1 1.7 0.0 0.4 2.0
55 TUOLUMNE 2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
56 VENTURA 1,2 23.3 36.9 15.0 0.0 0.0 0.0 0.0 0.0
57 YOLO 1,2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
63 SUTTER/YUBA 1,2 0.0 3.8 4.7 0.1 0.7 0.0 0.1 0.9
1 DHCS 1010 (Quarterly Report on Involuntary Detentions) incomplete data submitted
2 DHCS 1009 (Quarterly Report of Conservatorship) incomplete data submitted
September 6, 2013