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Fiscal Year 2018/2019 Annual Report The Baker Act Florida Mental Health Act Prepared for the Florida Department of Children and Families Baker Act Reporting Center Louis de la Parte Florida Mental Health Institute Department of Mental Health Law & Policy Annette Christy, Ph.D. Sara Rhode, LCSW Kevin Jenkins, AA Released November 2020

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Page 1: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Fiscal Year 2018/2019 Annual Report

The Baker ActFlorida Mental Health Act

Prepared for the Florida Department of Children and Families

Baker Act Reporting CenterLouis de la Parte Florida Mental Health Institute

Department of Mental Health Law & Policy

Annette Christy, Ph.D. Sara Rhode, LCSW Kevin Jenkins, AA

Released November 2020

Page 2: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are
Page 3: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Table of Contents – Baker Act Reporting Center Fiscal Year 2018/2019 Report

I. Introduction ................................................................................................................................... 1

II. Report Highlights ......................................................................................................................... 2

A. Technical Notes ....................................................................................................................................... 3

B. Involuntary Examinations: State Level Analyses ................................................................................... 4

C. Information About Suicide ................................................................................................................... 11

D. Involuntary Examinations: Provider Level Analyses ............................................................................ 12

E. Involuntary Examinations: Geographic Area Reporting ...................................................................... 18

F. Involuntary Examinations: County Specific Analyses ........................................................................... 21

Appendix A: Additonal Technical Notes ................................................................................................... 93

Appendix B: Suicide and Suicide Prevention ............................................................................................ 95

Appendix C: Baker Act Receiving Facility List ........................................................................................... 96

Appendix D: County Level Indicators Detail ........................................................................................... 101

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Baker Act Reporting Center FY18/19 Annual Report 1

I. Introduction

Chapter 394, Florida Statutes (F.S.), The Florida Mental Health Act, also known as the “Baker Act,” includes several data reporting requirements. Specifics of data submission requirements are described in Florida Administrative Code 65E-5, which includes directing providers to send forms to the Baker Act Reporting Center at the University of South Florida. For the dates addressed in this report, forms were required to be submitted to the Baker Act Reporting Center within one working day after the person arrived at the receiving facility (Section 394.463 F.S.). Forms submitted to the Baker Act Reporting Center include:

Form1 Form Name The underlined text below and elsewhere in this report indicates a hyperlink to a webpage. The links below will bring you to each form on the Department’s web page. Control+Click to go to the web page.

CF-MH 3052a Report of Law Enforcement Officer Initiating Involuntary Examination

CF-MH 3052b Certificate of Professional Initiating Involuntary Examination

CF-MH 3001 Ex Parte Order for Involuntary Examination

The Cover Sheet (CF-MH 3118) systematically reports demographic and provider information that corresponds to any of the forms (CF-MH3052a, CF-MH3052b, and CF-MH3001) listed above.

Designated Baker Act receiving facilities submit a Cover Sheet (CF-MH 3118) on top of each initiation form and Ex Parte Order for Involuntary Examination (CF-MH 3052a, CF-MH 3052b, and CF-MH 3001 or its equivalent). Links to the statute, administrative code, forms, and other materials can be found on The Department of Children and Families (Department) Crisis Services – Baker Act web page.

Section 394.463(2)(e) F.S., requires the Department of Children and Families (the Department) to submit an annual report to the President of the Florida Senate, the Speaker of the House of Representatives, and the minority leaders of the Senate and House of Representatives. This annual report is published on the Department’s website.

Staff at the Baker Act Reporting Center at the University of South Florida produced this report under contract LH292 with the Department. Although this is considered the statutorily required annual report for FY18/19, additional years of data were used for analyses. Staff at the Baker Act Reporting Center can be reached at 813-974-1010 or [email protected]. Additional information and resources are available at https://www.usf.edu/cbcs/baker-act/. Suggestions for additions or changes to the structure and content of future annual reports may be addressed to Annette Christy, Director, Baker Act Reporting Center ([email protected]). Additional results may be released in between annual reports. Readers of this report are encouraged to periodically check the Baker Act Reporting Center website for reports and updates.

This report includes links to numerous resources focused on involuntary assessment/treatment. Some information about suicide prevention is included to add context to this report. This includes the Policy Surveillance Project2 at the Center for Public Health Law Research at Temple University (go to topics3, choose “mental health and mental disorders,” then “short-term emergency commitment laws4”). Involuntary (Baker Act) examinations can be more broadly categorized as short-term emergency commitments. This Policy Surveillance Project site will allow you to compare Florida’s law for involuntary (Baker Act) examinations to the equivalent legal mechanisms in other states.

1 Here is a link to the Department’s webpage that contains multiple Baker Act specific forms: https://www.myflfamilies.com/service-programs/samh/crisis-services/baker-act-forms.shtml

2 http://lawatlas.org/page/lawatlas-about 3 http://lawatlas.org/topics 4 http://lawatlas.org/datasets/short-term-civil-commitment

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Baker Act Reporting Center FY18/19 Annual Report 2

II. Report Highlights

• There were 210,992 involuntary (Baker Act) examinations in Fiscal Year 2018/2019. The FiscalYear (FY) in Florida runs from July 1 through June 30th.

• From FY13/14 to FY18/19, statewide involuntary examinations increased 19.20% for all ages,24.80% for children (< 18), 15.45% for young adults (18-24), and 14.00% for older adults. FromFY17/18 to FY18/19, statewide involuntary examinations increased 2.53% for all ages, 5.00% forchildren, 1.23% for young adults (18-24), and 1.34% for older adults.

• Three-quarters (73.33%) of involuntary examinations in FY18/19 were for adults aged 18through 64, with 17.95% for children, and 7.33% for people 65 and older. [Age was unknownfor 1.39%.]

• Half (51.34%) of involuntary examinations were initiated by law enforcement, with 46.45%initiated by professional certificate, and 2.22% initiated via ex parte order.

• Physicians who are not psychiatrists (65.54%) were the most common health professional toinitiate involuntary examinations, followed by licensed mental health counselors (10.36%),psychiatrists (9.13%), licensed clinical social workers (5.52%), psychiatric nurses5 (2.17%),psychologists (1.34%), physician assistants (1.25%), and licensed marriage and family therapists(< 1%). Children were more likely than other age groups to have an involuntary examinationinitiated by licensed mental health counselors and licensed clinical social workers.

• More than half (54.58%) of involuntary examinations in FY18/19 were received at privatelyfunded receiving facilities, with 45.42% at publicly funded receiving facilities. Children were theleast likely to be received at a private receiving facility for involuntary examinations (42.35%),followed by people 18-24 (52.11%) and 25-64 (56.09%). Over three quarters (76.86%) ofinvoluntary examinations of older adults (65+) were received at private receiving facilities.

• Over half (54.03%) of involuntary examinations were based on evidence of harm only. Almostone-third (32.58%) were based on both harm and self-neglect. Nearly ten percent (9.99%) werebased on evidence of self-neglect only. Self-neglect only (no harm) was more common withincreased age. [Evidence type was not reported for 3.41%.]

• Harm can be further broken down into harm to self and/or harm to others. More than half(57.83%) of all involuntary examinations were based on evidence of harm to self only. One infive (21.73%) were based on both harm to self and harm to others. Harm to others only was theevidence type for 5.63% of all involuntary examinations.

• More than three-quarters (79.56%) of involuntary examinations were based on evidence ofharm to self (either by itself, or in combination with harm to others and/or self-neglect). Self-harm includes suicidal ideation and/or suicide attempts. However, it is important to understandthat self-harm is not synonymous with suicide. Self-harm can also include behaviors such ascutting and bodily harm that do not have suicidal intent.

5 “Psychiatric nurse” means an advanced practice registered nurse licensed under s. 464.012 who has a master’s or doctoral degree in psychiatric nursing, holds a national advanced practice certification as a psychiatric mental health advanced practice nurse, and has 2 years of post-master’s clinical experience under the supervision of a physician.

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Baker Act Reporting Center FY18/19 Annual Report 3

III. Involuntary Examinations

A. Technical Notes

The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are contained in Florida rule (F.A.C. 65E.5.280).6

Not every involuntary examination initiated results in an admission to a Baker Act receiving facility. The data in this report are of involuntary examinations, they are not data on admissions. They are not counts of voluntary examinations. The counts in this report are only for involuntary examinations. They are not counts of people.

The data do not include information on what occurred after the initial involuntary examination. For example, the data do not reveal if the person was admitted, how long individuals stayed at the facility, whether they remained on an involuntary or voluntary basis, or whether the involuntary (Baker Act)

examination was converted to a Marchman Act assessment.7

Redaction: Cell sizes smaller than 25 Baker Act examinations were redacted from this report. The purpose of this redaction is to prevent identification of people. Those interested in more information about the Baker Act Reporting Center’s approach to redaction may contact Annette Christy, Center Director, to discuss ([email protected]).

Terminology:

• The term “Department” is referring to the Florida Department of Children and Families or DCF.

• Involuntary examinations occur at Baker Act receiving facilities.

o Designated receiving facilities includes hospitals licensed under 395 F.S., and CrisisStabilization Units (CSUs), licensed under 394 F.S.

o The Department designates all Baker Act receiving facilities regardless of type.

o CSUs are mainly residential units of community mental health centers and receiveDepartment funds for Baker Act related services.

o CSUs designated for children are referred to as Children’s Crisis Stabilization Units(CCSUs). This means that while all CSUs/CCSUs are Baker Act receiving facilities, not allBaker Act receiving facilities are CSUs or CCSUs.

o Receiving facilities that receive funding from the Department are referred to in thisreport as “public,” while facilities that do not receive Department funding are referredto as “private.”

Additional technical notes are contained in Appendix A of this report that starts on page 94.

6 Revised forms went into effect on 5/4/2020 as shown on the web page for F.A.C. 65.E-5.280: https://www.flrules.org/gateway/ruleno.asp?id=65E-5.280

7 It is also possible that a major disaster or incident may impact the use of involuntary examination. For example, the Marjory Stoneman Douglas High School shooting (February 2018) and Hurricane Michael (Florida landfall in October 2018). Additional analyses to address the impact of these events on involuntary examinations are underway.

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Baker Act Reporting Center FY18/19 Annual Report 4

B. Involuntary Examinations: State Level Analyses

There were 210,992 involuntary examinations in FY 18/19. Below are counts and overall percentages by age groups: o Children (< 18) 37,882 17.95% o Older Adults (65+) 15,457 7.33% o Young Adults (18-24) 26,653 12.63% o Age Not Reported 2,939 1.39% o Adults (18-64) 128,061 60.69%

Table 1: Involuntary Examinations: FY 01/02 to 18/19 – All Ages, Children, Young Adults, and Older Adults8 (N/A = Not Applicable)

Fiscal Year

All Ages Children (< 18) Young Adults 18-24 Older Adults (65+)

Involuntary Exams

In Each Fiscal Year

% Increase

to FY18/19

Rate Per

100,000

Involuntary Exams

% Increase

to FY18/19

Rate Per

100,000

Involuntary Exams

% Increase

to FY18/19

Rate Per

100,000

Involuntary Exams

% Increase

to FY18/19

Rate Per

100,000

2018-2019 210,992 N/A 1,007 37,882 N/A 1,240 26,653 N/A 1,525 15,457 N/A 368

2017-2018 205,781 2.53% 1,005 36,078 5.00% 1,186 26,328 1.23% 1,445 15,253 1.34% 381

2016-2017 199,944 5.53% 992 32,763 15.62% 1,092 26,243 1.56% 1,446 14,348 7.73% 372

2015-2016 194,354 8.56% 981 32,475 16.65% 1,097 25,861 3.06% 1,431 13,829 11.77% 370

2014-2015 187,999 12.23% 964 32,650 16.02% 1,102 24,467 8.93% 1,365 13,828 11.78% 381

2013-2014 177,006 19.20% 919 30,355 24.80% 1,030 23,087 15.45% 1,301 13,559 14.00% 390

2012-2013 163,850 28.77% 859 26,808 41.31% 914 21,763 22.47% 1,237 12,519 23.47% 368

2011-2012 154,655 36.43% 818 24,836 52.53% 848 20,594 29.42% 1,179 11,704 32.07% 351

2010-2011 145,290 45.22% 773 21,752 74.15% 743 19,616 35.87% 1,128 10,860 42.33% 332

2009-2010 141,284 49.34% 754 21,128 79.30% 702 19,072 39.75% 1,135 10,240 50.95% 312

2008-2009 133,644 57.88% 711 20,258 87.00% 664 17,601 51.43% 1,042 9,506 62.60% 292

2007-2008 127,983 64.86% 685 19,705 92.25% 643 16,622 60.35% 987 8,988 71.97% 281

2006-2007 120,082 75.71% 661 19,238 96.91% 652 16,384 62.68% 975 8,707 77.52% 287

2005-2006 118,722 77.72% 668 19,019 99.18% 651 16,244 64.08% 986 8,696 77.75% 296

2004-2005 114,700 83.95% 660 19,065 98.70% 664 15,664 70.15% 991 8,629 79.13% 297

2003-2004 107,705 95.90% 634 18,286 107.16% 648 14,123 88.72% 933 8,582 80.11% 299

2002-2003 103,079 104.69% 620 16,845 124.89% 606 13,175 102.30% 908 8,514 81.55% 299

2001-2002 95,574 120.76% 586 14,997 152.60% 547 11,959 122.87% 860 8,193 88.66% 290

8 The population statistics used to compute involuntary examinations rates per 100,000 are age specific. For example, the denominators used to compute the rates per 100,000 for children were for children 5 through 17, for young adults for the population 18 through 24, and for older adults for the population 65 and older. The age range 5 through 17 was used for children because including the population of children from birth through age 4 (who are not typically subject to involuntary examination) would incorrectly lower the rate per 100,000 for children.

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Baker Act Reporting Center FY18/19 Annual Report 5

Changes in Population vs. Changes in Volume of Involuntary Examinations: Because population estimates for fiscal years were not available, population increases were calculated for the calendar years closest to the fiscal years reported. Population estimates were obtained from the Office of Economic and Demographic Research.9 The increase in the number of involuntary examinations was greater than the Florida population increase for all ages and the three age groups from FY 08/09 to FY 18/19 (see columns A and B in Table 2). Over the last fiscal year (FY 17/18 to FY 18/19) involuntary examination increases exceeded population increases, except for older adults from for FY17/18 to FY18/19 (see Columns C and D in Table 2).

Table 2: Comparison of Change in Population to Change in Involuntary Examinations

Age Categories

Column A Column B Column C Column D

Population Change

2008 to 2018

Involuntary Examination Change FY 08/09 to FY 18/19

Population Change

2017 to 2018

Involuntary Examination Change FY 17/18 to FY 18/19

All Ages 11.43% 57.88% 2.31% 2.53%

Children (5-17) 0.13% 87.00% 0.48% 5.00%

Young Adults (18-24) 3.43% 51.43% -4.11% 1.23%

Older Adults (65+) 28.88% 62.60% 4.93% 1.34%

9 http://edr.state.fl.us/Content/population-demographics/index.cfm

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Baker Act Reporting Center FY18/19 Annual Report 6

The increase over time for all three age groups is shown in Figure 1. Figure 2 shows counts for children, young adults, and older adults, but does not show the counts for all ages. This allows the scale of Figure 2 to be from 0 to 40,000, which allows us to see the pattern of increase in the age groups that is not possible in Figure 1 given the scale that is needed to show the count for all ages.

Figure 1: Involuntary Examinations for 18 Fiscal Years for All Ages, Children, Young Adults, and Older Adults

0

50,000

100,000

150,000

200,000

250,000

Invo

lun

tary

Exa

min

atio

ns

by

Fisc

al Y

ear

All Ages Children (< 18) Young Adults 18-24 Older Adults (65+)

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Baker Act Reporting Center FY18/19 Annual Report 7

Figure 2: Involuntary Examinations by Age Groups

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

Invo

lun

tary

Exa

min

atio

ns

by

Fisc

al Y

ear

Children (< 18) Young Adults 18-24 Older Adults (65+)

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Baker Act Reporting Center FY18/19 Annual Report 8

Counts of involuntary examinations by age group are presented in Table 3. The percentage of total examinations and the percentage within each age group are both included. For example, involuntary examinations for older adults aged 65 to 74 accounted for 4.67% of all involuntary examinations during the fiscal year and 63.73% of involuntary examinations for older adults (65+). [Less than 2% of involuntary examination were missing the date of birth necessary to compute age. This is why the total count of involuntary examinations from Table 3 (208,053) is slightly less than the total number of involuntary exams for the fiscal year (210,992)]

Table 3: Involuntary Examinations by Age Groups for FY18/19

Age Groups Involuntary Examinations

FY18/19 % of Involuntary Examinations

Total Within Each Age Grouping

Children (<18) 37,882 17.95% 100.00%

10 and younger 4,649 2.20% 12.27%

11-13 11,105 5.26% 29.31%

14-17 22,128 10.49% 58.41%

Adults (18-64) 154,714 73.33% 100.00%

18-24 26,653 12.63% 17.23%

25-34 40,566 19.23% 26.22%

35-44 33,033 15.66% 21.35%

45-54 29,446 13.96% 19.03%

55-64 25,016 11.86% 16.17%

Older Adults (65+) 15,457 7.33% 100.00%

65-74 9,851 4.67% 63.73%

75-84 4,191 1.99% 27.11%

85+ 1,415 0.67% 9.15%

Initiation Type, Evidence Type, and Harm Type: Involuntary examinations may be initiated by law enforcement, certain health professionals, and via ex parte order (see Figure 3). Types of health professionals that initiated involuntary examinations are shown in Table 4. There must be evidence of harm, neglect, or both harm and neglect (see Figure 4). Harm is further described as being to self, others, or both self and others (see Figure 5).

Initiation Type: 51.34% of the involuntary examinations in FY18/19 were initiated by law enforcement, 46.45% initiated by professional certificate and 2.22% initiated via ex parte order.

Figure 3: Initiation Type for FY18/19

51.34

66.79

56.92

47.10

38.6246.45

32.6041.09

50.20

58.78

2.22 0.61 1.98 2.70 2.60

0

20

40

60

80

100

All ages <18 18-24 25-64 65+

Invo

lun

tary

Exa

min

atio

n f

or

FY1

8/1

9

Law Enforcement Health Professionals Ex Parte

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Baker Act Reporting Center FY18/19 Annual Report 9

Professional Certificate Type: Percentages of involuntary examinations by professional certificate are shown in Table 4.

Table 4: Involuntary Examination Initiations by Professional Certificate Type

Professional Certificate Type All Ages

Children (<18)

18-25 18-64 Older Adults

(65+)

Percentages Computed on Total Number of Involuntary Examinations by Professional Certificate Type

Physician (not a Psychiatrist) 65.54% 49.95% 66.74% 68.81% 60.49%

Physician (Psychiatrist) 9.13% 8.24% 7.63% 8.51% 15.17%

Licensed Mental Health Counselor 10.36% 20.72% 10.83% 9.09% 6.59%

Licensed Clinical Social Worker 5.52% 12.69% 4.95% 4.32% 5.52%

Psychiatric Nurse 2.17% 1.88% 2.45% 2.08% 3.17%

Clinical Psychologist 1.34% 1.04% 1.72% 1.22% 2.67%

Physician Assistant 1.25% 0.84% 1.35% 1.30% 1.43%

Licensed Marriage and Family Therapist 0.44% 1.17% 0.46% 0.36% 0.12%

Multiple Professional Types Reported 0.82% 0.56% 0.92% 0.84% 1.09%

Not Reported 3.44% 2.91% 2.95% 3.48% 3.74%

Evidence Type: Over half (54.03%) of involuntary examinations were based on evidence of harm only. Almost one-third (32.58%) were based on harm and self-neglect. Ten percent (9.99%) of involuntary examinations were based on evidence of self-neglect only. Evidence type was not reported on forms for 3.41% of involuntary examinations. Neglect only was more common and harm only was less common as age increased.

Figure 4: Evidence Type for FY18/19

54.03

65.62

54.9451.49

45.24

32.5827.66

33.38 33.69 33.89

9.994.22

8.34 11.2416.55

3.41 2.49 3.34 3.58 4.33

0

20

40

60

80

100

All ages <18 18-24 25-64 65+

% o

f In

volu

nta

ry E

xam

s in

FY1

8/1

9 Harm Neglect and Harm Neglect Not Reported

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Baker Act Reporting Center FY18/19 Annual Report 10

Harm Type: Harm can be further broken down into harm to self and/or harm to others. The percentage of involuntary examinations that had harm as an evidence type (either harm only or harm and neglect) by harm type is shown in Figure 5. More than three quarters (67.89%) of involuntary examinations with harm as an evidence type were based on evidence of harm to self only. One quarter (25.51%) of involuntary examinations with harm as an evidence type were based on both harm to self and harm to others. Harm to others only was the evidence upon which 6.61% of involuntary examinations with harm as an evidence type were initiated. The most striking aspect of Figure 5 is how similar the proportions are across age groups.

Figure 5: Harm Type for Involuntary Examinations with Harm as an Evidence Type FY18/19

67.8965.29

69.44 69.04

62.66

25.5126.48

24.99 25.1126.83

6.618.23

5.56 5.85

10.51

0

20

40

60

80

100

All ages <18 18-24 25-64 65+

Invo

lun

tary

Exa

min

atio

n f

or

FY1

8/1

9 w

ith

Har

m in

th

e Ev

iden

ce T

ype

Harm to self Harm to self and others Harm to others

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Baker Act Reporting Center FY18/19 Annual Report 11

C. Information About Suicide

There is sometimes interest in learning about the correlation of death by suicide, suicide attempts, suicidal ideation and risk for suicide to involuntary examinations. While such a correlational analysis is beyond the scope of this report, information about suicide is presented here to provide context. The involuntary examination initiation forms from which we enter data do not contain categorical data elements to indicate if a person attempted suicide or experienced suicidal ideation associated with the initiation of their involuntary examination. More than three-quarters (79.56%) of involuntary examinations were based on evidence of harm to self (either by itself, or in combination with harm to others and/or self-neglect). Self-harm includes suicidal thoughts (also referred to as suicidal ideation) and suicide attempts. However, it is important to understand that self-harm (including behaviors such as cutting and bodily harm) is not synonymous with suicide.

Information about death by suicide rates per 100,000 population for the US and Florida are presented below. Florida county specific suicide rates start on page 25. View Appendix B for additional information about suicide prevention, the Statewide Office for Suicide Prevention (SOSP) and the Suicide Prevention Coordinating Council. If you or someone you know is thinking about suicide, please call the National Suicide Prevention Lifeline at 800-273-8255 right away.

Florida: From 2017-2019 suicide was the 8th leading cause of death in Florida following heart disease, cancer, unintentional injury, stroke, chronic lower respiratory disease, diabetes mellitus, and Alzheimer’s disease.10 In 2019, suicide was ranked among the 5th leading causes of death for the following age ranges: age 5-14 (3rd leading cause of death), 15-24 (3rd), 25-34 (2nd), 34-44 (4th), and 45-54 (4th).11 Florida age adjusted suicide rates over 5 years are shown in Figure 6.12

Figure 6: Age Adjusted Suicide Rates Per 100,000 Population for the US and Florida

National:13 The following statistics are for 2018. The US age-adjusted rate of suicide per 100,000 population was 14.2. Florida ranked 22nd for its suicide rate among the 50 states and the District of Columbia. The five jurisdictions with the highest age adjusted rate of suicide were Wyoming (25.2), New Mexico (25.0), Montana (24.9), Alaska (24.6), and Idaho (23.9), with the lowest suicide rates in the District of Columbia (7.5), New Jersey (8.3), New York (8.3), Rhode Island (9.5), and Massachusetts (9.9). The American Foundation of Suicide Prevention provides a summary of statistics that may be of interest to readers of this report.14

10 Source: http://www.flhealthcharts.com/ChartsReports/rdPage.aspx?rdReport=MortalityAtlas.Dashboard_MortalityAtlas1 11 Age groups not listed here did not have suicide as one of the five leading causes of death for 2019. Source of 2019 rates by age group:

http://www.flhealthcharts.com/ChartsReports/rdPage.aspx?rdReport=MortalityAtlas.Dashboard_MortalityAtlas1 12 Source: http://www.flhealthcharts.com/ 13 Source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6917a4.htm. Rates are from a CDC web page updated 5/1/2020. As of the writing

of this report the CDC has not released age-adjusted suicide rates for 2019. 14 https://afsp.org/suicide-

statistics/#:~:text=Additional%20facts%20about%20suicide%20in%20the%20US.%20The,accounted%20for%2069.67%25%20of%20suicide%20aths%20in%202018

14.515.3

14.114.1

14.5

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Age Adjusted Suicide Rate Per 100,000 Population

2015

2016

2017

2018

2019

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Baker Act Reporting Center FY18/19 Annual Report 12

D. Involuntary Examinations: Provider Level Analyses

Counts of involuntary examinations in FY17/18 and 18/19 for each receiving facility are reported in Table 5. Receiving facilities are listed by the Department region, then alphabetically by facility county within each Department region, then in descending order by number of involuntary examinations. The corresponding Managing Entities are also included. The Managing Entities contract with behavioral health providers, including designated receiving facilities, to provide behavioral health services. Also reported is the percent change in involuntary examinations from FY17/18 to FY18/19.

There are several reasons why the number of involuntary examinations at a receiving facility increase or decrease over time. Change over time in the use of Baker Act examination is a complicated issue. Those wanting to make conclusions about this change over time are encouraged to contact the Baker Act Reporting Center to discuss possible factors related to change over time ([email protected]).

A total row is provided in Table 5 for each of the Department’s regions. These totals for FY 18/19 sum to 210,800. This is because the receiving facility for 192 (0.09%) involuntary examinations could not be identified. It is also important to understand that Table 5 is the only presentation of counts by region that rely on the county of the receiving facility. The rest of this report uses the county of residence to categorize by county. County categorizations are then used to group within the Department’s regions, Judicial Circuits, and Managing Entity areas. The totals by Department region differ slightly between Table 5 and Table 6, because Table 5 used county of the receiving facility while Table 6 used county of residence.

Table 5: FY18/19 Involuntary Examinations by Receiving Facility

Judicial Circuit

Managing Entity Facility County

Receiving Facility

Involuntary Examinations

Fiscal Year

% Change FY17/18 to 18/19

Public Private or VA

17/18 18/19

The Department’s Central Region

18th Central Florida Cares Health System Brevard Circles of Care (Sheridan Oaks Hospital) 4,957 4,280 -13.65% Public

18th Central Florida Cares Health System Brevard Steward Rockledge Hospital (Wuesthoff) 1,471 1,339 -8.97% Private

18th Central Florida Cares Health System Brevard Palm Point Behavioral Health 0 594 ∞15 Private

5th Lutheran Services Florida Health Systems Hernando Springbrook Hospital 1,282 1,211 -5.54% Private

5th Lutheran Services Florida Health Systems Lake Life Stream Behavioral Center 3,551 3,475 -2.14% Public

5th Lutheran Services Florida Health Systems Marion The Centers 3,301 3,045 -7.76% Public

5th Lutheran Services Florida Health Systems Marion The Vines Hospital 1,399 1,552 10.94% Private

9th Central Florida Cares Health System Orange Central Florida Behavioral Hospital 4,241 4,536 6.96% Private

9th Central Florida Cares Health System Orange Aspire Health Partners 3,680 3,926 6.68% Public

9th Central Florida Cares Health System Orange University Behavioral Center 2,162 2,131 -1.43% Public

9th Central Florida Cares Health System Orange Aspire Health Partners (Lakeside Behavioral Healthcare) 2,092 1,842 -11.95% Public

9th Central Florida Cares Health System Orange Advent Health- Orlando (Florida Hospital) 1,270 1,520 19.69% Private

15 See Appendix A for details about computing percentage change when one of the values is zero.

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Baker Act Reporting Center FY18/19 Annual Report 13

Judicial Circuit

Managing Entity Facility County

Receiving Facility

Involuntary Examinations

Fiscal Year

% Change FY17/18 to 18/19

Public Private or VA

17/18 18/19

9th Central Florida Cares Health System Orange Veteran's Administration Hospital - Orlando 120 138 15.00% VA

9th Central Florida Cares Health System Osceola Park Place Behavioral Health Care 1,929 1,942 0.67% Public

9th Central Florida Cares Health System Osceola Osceola Regional Medical Center 1,503 1,402 -6.72% Private

10th Central Florida Behavioral Health Network Polk Peace River Center 2,792 3,496 25.21% Public

10th Central Florida Behavioral Health Network Polk Lakeland Regional Medical Center 3,292 2,627 -20.20% Private

10th Central Florida Behavioral Health Network Polk Winter Haven Hospital 1,417 1,672 18.00% Private

10th Central Florida Behavioral Health Network Polk Advent Health- Lake Wales (Lake Wales Med. Center) 270 844 212.59% Public

18th Central Florida Cares Health System Seminole Orlando Health (South Seminole Hospital) 3,769 4,223 12.05% Private

18th Central Florida Cares Health System Seminole Aspire Health Partners 1,537 1,256 -18.28% Public

Total for the Department’s Central Region 46,035 47,051 2.21%

The Department’s Northeast Region

8th Lutheran Services Florida Health Systems Alachua UF Health Shands Psychiatric Hospital 2,079 2,026 -2.55% Private

8th Lutheran Services Florida Health Systems Alachua North Florida Regional Medical Center 1,502 1,201 -20.04% Private

8th Lutheran Services Florida Health Systems Alachua Meridian Behavioral Health Care- Gainesville 936 689 -26.39% Public

8th Lutheran Services Florida Health Systems Alachua UF Health Shands Hospital 188 278 47.87% Private

4th Lutheran Services Florida Health Systems Clay Orange Park Medical Center 1,207 1,090 -9.69% Public

3rd Lutheran Services Florida Health Systems Columbia Meridian Behavioral Health Care- Lake City 1,718 1,143 -33.47% Public

4th Lutheran Services Florida Health Systems Duval Mental Health Resource Center- North 4,539 4,745 4.54% Public

4th Lutheran Services Florida Health Systems Duval River Point Behavioral Health 2,222 2,404 8.19% Private

4th Lutheran Services Florida Health Systems Duval Memorial Hospital of Jacksonville 2,096 2,057 -1.86% Private

4th Lutheran Services Florida Health Systems Duval Mental Health Resource Center- South 1,915 1,935 1.04% Public

4th Lutheran Services Florida Health Systems Duval Baptist Medical Center Jacksonville 1,491 1,835 23.07% Private

4th Lutheran Services Florida Health Systems Duval Wekiva Springs Center 1,315 1,649 25.40% Private

4th Lutheran Services Florida Health Systems Duval UF Health Jacksonville 1,523 1,629 6.96% Private

7th Lutheran Services Florida Health Systems Saint Johns Flagler Hospital 812 811 -0.12% Public

7th Lutheran Services Florida Health Systems Volusia Halifax Health Medical Center 1,888 1,916 1.48% Private

7th Lutheran Services Florida Health Systems Volusia SMA Behavioral Health Services 1,913 1,843 -3.66% Public

7th Lutheran Services Florida Health Systems Volusia Halifax Psychiatric Center-North 1,363 1,494 9.61% Public

Total for the Department’s Northeast Region 28,707 28,745 0.13%

The Department’s Northwest Region

14th Big Bend Community Based Care Bay Life Management Center of Northwest Florida 612 799 30.56% Public

14th Big Bend Community Based Care Bay Emerald Coast Behavioral Hospital 1,594 322 -79.80% Private

1st Big Bend Community Based Care Escambia Baptist Hospital 3,575 3,532 -1.20% Private

1st Big Bend Community Based Care Escambia West Florida Regional Medical Center 1,178 1,215 3.14% Private

1st Big Bend Community Based Care Escambia Lakeview Center 342 244 -28.65% Public

2nd Big Bend Community Based Care Leon Apalachee Center 1,944 2,007 3.24% Public

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Baker Act Reporting Center FY18/19 Annual Report 14

Judicial Circuit

Managing Entity Facility County

Receiving Facility

Involuntary Examinations

Fiscal Year

% Change FY17/18 to 18/19

Public Private or VA

17/18 18/19

2nd Big Bend Community Based Care Leon Tallahassee Memorial Hospital 1,503 1,246 -17.10% Private

2nd Big Bend Community Based Care Leon Capital Regional Medical Center 1,202 1,217 1.25% Private

2nd Big Bend Community Based Care Leon Apalachee Center (Eastside Psychiatric Hospital) 449 460 2.45% Private

1st Big Bend Community Based Care Okaloosa Fort Walton Beach Medical Center 1,834 2,072 12.98% Public

Total for the Department’s Northwest Region 14,233 13,114 -7.86

The Department’s Southeast Region

17th Broward Behavioral Health Coalition Broward Memorial Regional Hospital 4,289 4,312 0.54% Public

17th Broward Behavioral Health Coalition Broward Broward Health Imperial Point 3,218 3,016 -6.28% Private

17th Broward Behavioral Health Coalition Broward University Hospital and Medical Center 2,407 2,215 -7.98% Private

17th Broward Behavioral Health Coalition Broward Broward Health Medical Center 2,259 2,203 -2.48% Public

17th Broward Behavioral Health Coalition Broward Ft Lauderdale Behavioral Health Center 1,629 1,885 15.72% Private

17th Broward Behavioral Health Coalition Broward Florida Medical Center - A Campus of North Shore 672 1,303 93.90% Private

17th Broward Behavioral Health Coalition Broward Plantation General Hospital 1,007 1,147 13.90% Private

17th Broward Behavioral Health Coalition Broward Henderson Behavioral Health 515 256 -50.29% Public

17th Broward Behavioral Health Coalition Broward Larkin Community Hospital Behavioral Health Services 150 114 -24.00% Private

17th Broward Behavioral Health Coalition Broward Citrus Health Network 17 104 511.76% Public

19th Southeast Florida Behavioral Health Network Indian River Indian River Medical Center 1,228 1,574 28.18% Private

19th Southeast Florida Behavioral Health Network Martin Coral Shores Behavioral Health 804 1,256 56.22% Private

15th Southeast Florida Behavioral Health Network Palm Beach JFK Medical Center North Campus 4,463 4,836 8.36% Private

15th Southeast Florida Behavioral Health Network Palm Beach Delray Medical Center 1,533 1,788 16.63% Private

15th Southeast Florida Behavioral Health Network Palm Beach South County Mental Health Center 1,326 1,245 -6.11% Public

15th Southeast Florida Behavioral Health Network Palm Beach St. Mary's Medical Center 918 1,001 9.04% Private

15th Southeast Florida Behavioral Health Network Palm Beach JFK Medical Center 745 933 25.23% Private

15th Southeast Florida Behavioral Health Network Palm Beach The Jerome Golden Center for Behavioral Health (West Palm Beach)

980 907 -7.45% Public

15th Southeast Florida Behavioral Health Network Palm Beach Veteran's Administration Hospital- West Palm Beach 249 279 12.05% VA

15th Southeast Florida Behavioral Health Network Palm Beach The Jerome Golden Center for Behavioral Health (Belle Glades)

152 154 1.32% Public

19th Southeast Florida Behavioral Health Network Saint Lucie New Horizons of the Treasure Coast 2,628 2,767 5.29% Public

19th Southeast Florida Behavioral Health Network Saint Lucie St. Lucie Medical Center (Treasure Coast Behavioral Healthcare)

1,260 1,387 10.08% Private

19th Southeast Florida Behavioral Health Network Saint Lucie Lawnwood Regional Medical Center & Heart Institute 958 964 0.63% Private

19th Southeast Florida Behavioral Health Network Saint Lucie Port St. Lucie Hospital 120 147 22.50% Private

Total for the Department’s Southeast Region 33,527 35,793 6.76%

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Baker Act Reporting Center FY18/19 Annual Report 15

Judicial Circuit

Managing Entity Facility County

Receiving Facility

Involuntary Examinations

Fiscal Year

% Change FY17/18 to 18/19

Public Private or VA

17/18 18/19

The Department’s Southern Region

11th South Florida Behavioral Health Network Miami-Dade Jackson Memorial (Jackson Behavioral Health Hospital) 6,231 7,234 16.10% Public

11th South Florida Behavioral Health Network Miami-Dade Southern Winds Hospital 1,902 2,573 35.28% Private

11th South Florida Behavioral Health Network Miami-Dade Mount Sinai Medical Center 2,269 2,341 3.17% Private

11th South Florida Behavioral Health Network Miami-Dade Aventura Hospital and Medical Center 2,186 2,202 0.73% Private

11th South Florida Behavioral Health Network Miami-Dade North Shore Medical Center 2,014 2,170 7.75% Private

11th South Florida Behavioral Health Network Miami-Dade Community Health of South Florida 1,937 2,012 3.87% Public

11th South Florida Behavioral Health Network Miami-Dade Citrus Health Network 2,037 2,248 10.35% Public

11th South Florida Behavioral Health Network Miami-Dade Palmetto General Hospital 2,221 1,842 -17.06% Private

11th South Florida Behavioral Health Network Miami-Dade Larkin Community Hospital 1,793 1,445 -19.41% Private

11th South Florida Behavioral Health Network Miami-Dade Kendall Regional Medical Center 1,488 1,420 -4.57% Private

11th South Florida Behavioral Health Network Miami-Dade Westchester General Hospital 1,177 1,297 10.20% Private

11th South Florida Behavioral Health Network Miami-Dade Jackson South Medical Center (Behavioral Hospital) 1,451 1,199 -17.37% Private

11th South Florida Behavioral Health Network Miami-Dade Banyan Health Systems (Miami Behavioral Health Center) 995 861 -13.47% Public

11th South Florida Behavioral Health Network Miami-Dade Jackson Community Mental Health Center 1,076 762 -29.18% Public

11th South Florida Behavioral Health Network Miami-Dade Nicklaus Children's Hospital 413 473 14.53% Private

11th South Florida Behavioral Health Network Miami-Dade Hialeah Hospital 604 416 -31.13 Private

11th South Florida Behavioral Health Network Miami-Dade University of Miami Hospital 335 226 -32.54% Private

11th South Florida Behavioral Health Network Miami-Dade Mercy Hospital A Campus of Plantation General Hospital 459 108 -76.47 Private

16th South Florida Behavioral Health Network Monroe Guidance/Care Center 370 434 17.30% Public

16th South Florida Behavioral Health Network Monroe DePoo Hospital (Lower Keys Medical Center) 243 344 41.56% Public

Total for the Department’s Southern Region 31,201 31,607 1.30%

The Department’s Suncoast Region

20th Central Florida Behavioral Health Network Charlotte Charlotte Behavioral Health Care 1,434 1,875 30.75% Public

20th Central Florida Behavioral Health Network Charlotte Bayfront Health Punta Gorda 971 1,212 24.82% Private

20th Central Florida Behavioral Health Network Collier David Lawrence Mental Health Center 1,451 1,628 12.20% Public

13th Central Florida Behavioral Health Network Hillsborough Mental Health Care (Gracepoint) 5,608 7,328 30.67% Public

13th Central Florida Behavioral Health Network Hillsborough St. Joseph’s Hospital Behavioral Health Center 3,147 2,797 -11.12% Private

13th Central Florida Behavioral Health Network Hillsborough Tampa Community Hospital 878 1,213 38.15% Private

13th Central Florida Behavioral Health Network Hillsborough Brandon Regional Hospital 1,310 1,171 -10.61% Private

13th Central Florida Behavioral Health Network Hillsborough Memorial Hospital of Tampa 1,250 858 -31.36% Private

13th Central Florida Behavioral Health Network Hillsborough Northside Behavioral Health Center 887 778 -12.29% Public

20th Central Florida Behavioral Health Network Lee SalusCare 4,175 3,979 -4.69% Public

20th Central Florida Behavioral Health Network Lee Park Royal Hospital 2,469 2,452 -0.69% Private

12th Central Florida Behavioral Health Network Manatee Suncoast Behavioral Health Center 1,571 1,347 -14.26% Private

12th Central Florida Behavioral Health Network Manatee Centerstone of Florida 1,058 1,054 -0.38% Private

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Baker Act Reporting Center FY18/19 Annual Report 16

Judicial Circuit

Managing Entity Facility County

Receiving Facility

Involuntary Examinations

Fiscal Year

% Change FY17/18 to 18/19

Public Private or VA

17/18 18/19

12th Central Florida Behavioral Health Network Manatee Centerstone of Florida (Manatee Glens Hospital) 572 578 1.05% Public

6th Central Florida Behavioral Health Network Pasco Morton Plant North Bay Hospital Recovery Center 3,159 3,423 8.36% Private

6th Central Florida Behavioral Health Network Pasco Medical Center of Trinity- West Pasco Campus 2,329 2,380 2.19% Private

6th Central Florida Behavioral Health Network Pasco North Tampa Behavioral Health 2,036 2,152 5.70% Private

6th Central Florida Behavioral Health Network Pasco BayCare Behavioral Health 1,615 2,009 24.40% Public

6th Central Florida Behavioral Health Network Pinellas Personal Enrichment Through Mental Health Services 3,943 3,970 0.68% Public

6th Central Florida Behavioral Health Network Pinellas Largo Medical Center- Indian Rocks 2,621 2,839 8.32% Private

6th Central Florida Behavioral Health Network Pinellas Mease Dunedin Hospital 1,588 1,579 -0.57% Private

6th Central Florida Behavioral Health Network Pinellas St. Anthony's Hospital 1,847 1,288 -30.27% Private

6th Central Florida Behavioral Health Network Pinellas Windmoor Healthcare of Clearwater 778 1,247 60.28% Private

6th Central Florida Behavioral Health Network Pinellas Morton Plant Hospital 755 1,083 43.44% Private

6th Central Florida Behavioral Health Network Pinellas Veteran's Administration Hospital - Bay Pines 693 597 -13.85% VA

12th Central Florida Behavioral Health Network Sarasota Sarasota Memorial Hospital 1,796 1,985 10.52% Private

12th Central Florida Behavioral Health Network Sarasota Coastal Behavioral Healthcare 1,654 1,668 0.85% Public

Total for the Department’s SunCoast Region 51,595 54,490 5.61%

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Baker Act Reporting Center FY18/19 Annual Report 17

Public and Private Baker Act Receiving Facilities: The distribution of involuntary examinations at public and private receiving facilities is shown in Figure 7. “Public” in this context means the receiving facility received funds from the Department for Baker Act examination related services. These public facilities are under contract with a Managing Entity. It is important to note that public receiving facilities may also receive funding through Medicaid, private insurance, or county governments in addition to Department funds. “Private” receiving facilities did not receive funds from the Department and most are not under contact with a Managing Entity.

Children (57.66%) are more likely to have involuntary examination conducted at public receiving facilities as compared to young adults (18-24) (public = 47.89%), adults under 65 (public = 43.91%), and older adults (65+) (public = 23.14%). The meaningful percentage of involuntary examinations conducted at privately funded receiving facilities means that funding and policy as it relates to both privately funded and publicly funded receiving facilities are essential to understand the use of involuntary examinations.

Figure 7: Involuntary Examinations at Public and Private Baker Act Receiving Facilities

Some Baker Act receiving facilities are owned by corporate entities. One in six (16.08%) involuntary

examinations in FY18/19 were received in Hospital Corporation of America (HCA) owned Baker Act

receiving facilities, with 8.69% at Universal Health Services (UHS) run facilities, 6.56% at BayCare Health

Systems owned facilities, 4.04% at Tenet Healthcare facilities, 2.54% at Baptist Hospital Corporation

facilities, and 2.18% at Acadia Healthcare facilities.

45.42

57.66

47.8943.91

23.14

54.58

42.34

52.1156.09

76.86

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20

40

60

80

100

All ages <18 18-24 25-64 65+

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Baker Act Reporting Center FY18/19 Annual Report 18

E. Involuntary Examinations: Geographic Area Reporting

Data for FY 18/19 were analyzed for each of Florida’s 20 judicial circuits16, six Department of Children and Families regions17, and seven Managing Entity areas18. County of residence, as reported by Baker Act receiving facilities on the Cover Sheet, was used to categorize by county.

Caution should be applied when interpreting changes for counties with smaller populations and fewer involuntary examinations. “Changes in small numbers can lead to large, but meaningless, increases or decreases to percent change.”19 This is because small changes in numbers of involuntary examinations can account for larger percentages of change.

Certain metrics for each county are provided on the county specific pages that follow. Readers of this report who want to learn more about metrics at the county level may be interested in:

• Robert Wood Johnson Foundation and University of Wisconsin Population HealthInstitute County Health Rankings and Roadmaps Florida Page20

• County and State Profile Reports21 provided by or listed in Florida Health Charts.22

• Florida Kids Count23

16https://www.floridabar.org/directories/courts/maps-circuit/ 17 https://www.myflfamilies.com/newsroom/media-guide/circuit-regions.shtml 18 https://www.myflfamilies.com/service-programs/samh/managing-entities/ 19 http://www.in.gov/isdh/23986.htm 20 https://www.countyhealthrankings.org/reports/state-reports/2020-florida-report 21 http://www.flhealthcharts.com/charts/QASpecial.aspx 22 http://www.flhealthcharts.com/charts/default.aspx 23 http://www.floridakidscount.org/

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Baker Act Reporting Center FY18/19 Annual Report 19

Table 6: FY 18/19 Involuntary Examinations by the Department Region, Managing Entity, and Judicial Circuit *Pop = Population

Geographic Areas Involuntary

Examinations

% of Total % of Total by Initiator Type % Change from

Children < 18

Older Adults

65+

Public Facilities

Law Enforcement

Professional Certificate

Ex-Parte Order

1 Year 5 Years

BA Exams

FY17/18 to

FY18/19

Pop* 2017

to 2018

BA Exams

FY14/15 to

FY18/19

Pop * 2014

To 2018

Department Regions

Central 45,278 20.72% 6.66% 55.93% 58.07% 40.13% 1.80% 4.15% 3.15% 14.99% 9.39%

Northeast 28,396 20.40% 5.63% 48.57% 56.85% 40.06% 3.09% 1.65% 2.07% 30.81% 6.91%

Northwest 12,190 23.50% 5.23% 38.37% 49.08% 46.14% 4.77% -5.71% 1.47% -4.07% 4.88%

Southeast 32,630 17.36% 7.61% 46.12% 44.25% 54.20% 1.55% 8.00% 1.80% 13.26% 5.91%

Southern 30,327 10.50% 11.65% 45.20% 49.08% 48.16% 2.77% 3.58% 2.15% 16.46% 7.18%

SunCoast 51,260 20.60% 7.29% 45.34% 50.90% 47.28% 1.82% 7.23% 2.41% 15.46% 8.07%

County of Residence Not Reported‡

10,911 3.98% 3.98% 39.30% 41.15% 57.71% 1.14% -22.9% N/A -27.1% N/A

Managing Entity Area

Big Bend Community Based Care 12,581 23.38% 5.39% 38.88% 49.64% 45.43% 4.93% -6.21% 1.43% -3.58% 4.70%

Broward Behavioral Health Coalition

14,934 13.29% 7.29% 39.50% 44.44% 54.85% 0.72% 2.43% 1.56% 7.23% 5.51%

Central Florida Behavioral Health Network

60,528 21.06% 7.25% 46.16% 53.20% 45.10% 1.70% 7.06% 2.45% 14.37% 8.09%

Central Florida Cares Health System

25,609 17.31% 5.81% 54.36% 52.13% 45.96% 1.91% 4.24% 3.62% 12.71% 10.56%

Lutheran Services Florida Health Systems

38,406 22.07% 6.34% 52.81% 59.14% 38.08% 2.78% 2.08% 2.18% 30.22% 7.16%

South Florida Behavioral Health Network

30,327 10.50% 11.65% 45.20% 49.08% 48.16% 2.77% 3.58% 2.15% 16.46% 7.18%

Southeast Florida Behavioral Health Network

17,696 20.80% 7.88% 51.71% 44.10% 53.65% 2.25% 13.20% 2.01% 18.91% 6.28%

County of Residence Not Reported‡

10,911 3.98% 3.98% 39.30% 41.15% 57.71% 1.14% -22.9% N/A -27.1% N/A

‡This includes counts of involuntary examinations that were not categorized according to geographic area because the county of residence was not reported on the Cover Sheet (CF-MH 3118).

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Baker Act Reporting Center FY18/19 Annual Report 20

Geographic Areas Involuntary

Examinations

% of Total % of Total by Initiator Type % Change from

Children < 18

Older Adults

65+

Public Facilities

Law Enforcement

Professional Certificate

Ex-Parte Order

1 Year 5 Years

BA Exams

FY17/18 to

FY18/19

Pop* 2017

to 2018

BA Exams

FY14/15 to

FY18/19

Pop * 2014

To 2018

Judicial Circuits

1st 6,141 22.55% 5.49% 29.02% 38.25% 58.13% 3.62% -4.58% 1.87% -16.4% 6.27%

2nd 3,804 25.71% 5.05% 45.03% 60.83% 33.10% 6.07% -3.72% 0.76% 33.43% 2.75%

3rd 2,179 25.15% 6.75% 57.69% 65.58% 31.67% 2.75% -8.94% 0.53% 21.60% 1.33%

4th 15,877 17.06% 4.58% 47.41% 56.52% 39.80% 3.68% 5.52% 2.07% 44.61% 7.60%

5th 10,401 26.56% 8.41% 64.47% 65.67% 32.12% 2.21% 2.21% 2.37% 27.98% 7.45%

6th 20,561 19.70% 8.15% 29.77% 52.42% 45.61% 1.97% 6.47% 1.50% 27.57% 5.46%

7th 7,150 24.18% 7.52% 59.78% 61.15% 36.43% 2.42% 3.68% 2.68% 25.64% 8.32%

8th 3,190 25.30% 5.89% 22.98% 42.92% 55.20% 1.88% -11.3% 1.39% -1.73% 4.34%

9th 15,947 15.95% 4.97% 51.21% 49.39% 49.02% 1.59% 6.98% 4.81% 18.19% 13.61%

10th 9,268 23.58% 7.03% 50.70% 65.97% 33.02% 1.01% 6.15% 2.68% 8.68% 8.22%

11th 29,526 10.62% 11.78% 43.87% 49.27% 47.93% 2.80% 3.13% 2.23% 15.42% 7.29%

12th 6,541 21.65% 8.94% 44.73% 51.78% 45.93% 2.29% 5.76% 2.62% 12.02% 9.43%

13th 13,633 17.33% 4.71% 53.00% 40.48% 57.49% 2.04% 13.32% 2.90% -2.17% 9.02%

14th 2,245 22.36% 4.86% 52.65% 58.80% 35.46% 5.75% -11.6% 1.43% -10.6% 4.37%

15th 10,420 19.62% 8.34% 61.00% 44.28% 53.51% 2.21% 10.95% 1.99% 8.60% 6.03%

16th 801 6.24% 6.74% 94.13% 41.95% 56.55% 1.50% 23.42% 0.46% 74.51% 3.36%

17th 14,934 13.29% 7.29% 39.50% 44.44% 54.85% 0.72% 2.43% 1.56% 7.23% 5.51%

18th 9,662 19.57% 7.19% 59.55% 56.65% 40.90% 2.44% 0.02% 1.72% 4.69% 5.88%

19th 7,276 22.48% 7.23% 38.40% 43.84% 53.85% 2.31% 16.60% 2.07% 37.62% 6.83%

20th 10,525 25.95% 7.94% 66.21% 60.86% 38.18% 0.96% 2.42% 2.81% 23.77% 9.24%

County of Residence Not Reported‡

10,911 3.98% 3.98% 39.30% 41.15% 57.71% 1.14% -22.9% N/A -27.1% N/A

Total (Statewide) 210,992 17.95% 7.33% 47.43% 51.34% 46.45% 2.22% 2.53% 2.31% 12.23% 7.43%

‡This includes counts of involuntary examinations that were not categorized according to geographic area because the county of residence was not reported on the Cover Sheet (CF-MH 3118).

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Baker Act Reporting Center FY18/19 Annual Report 21

F. Involuntary Examinations: County Specific Analyses

Data for FY 18/19 were analyzed for each of Florida’s 67 Counties. County of residence, as reported by Baker Act receiving facilities on the Cover Sheet, was used to categorize by county. County of residence was not known for 10,991 (5.17%) involuntary examinations. These involuntary examinations are counted in the statewide total (210,992), but could not be categorized into counties.24

Percentages in Tables B and C of the county pages are computed horizontally such that they indicate for residents of each area, the percentage of age and initiation type. For example, Alachua County residents had 2,221 involuntary examinations in FY18/19, with 38.90% initiated by law enforcement, 59.25% by professional certificate, and 1.85% by ex parte order.

Please Note:

• Some percentages do not sum to 100% due to rounding.

• Some counties do not have a receiving facility. This means that people are brought to Baker Actreceiving facilities in other counties. It is important to keep this in mind when reading results atthe county level.

• Redaction: Baker Act examination counts below 25 and their associated rates and percentageswere redacted in this report. Cells with counts less than 25 will report a “< 25,” with theassociated percentage and rate containing “***” in those cells.

• Population statistics were obtained from The Office of Economic and Demographic Research(EDR) of the Florida Legislature. EDR provides updates to population statistics several times eachyear. This report used the June 2019 EDR estimates.

• Select community characteristics obtained from Florida Health Charts are provided for each county.

• The maps included on the County pages were created by the U.S. Geological Survey and areconsidered public domain. They were obtained from the county pages that are part of theWikipedia: Wiki Project U.S. Counties/County Lists.

• Following is information about interpreting Table B in the county specific tables starting on page 25.

• The “% Change in Exams for All Ages 2018/2019” may be compared to the “% Change inPopulation All Ages to 2018” to determine how much of the change in involuntaryexaminations can be accounted for by population change. Following are a few examples:

o Involuntary examinations for Hillsborough County residents increased 13.2% from FY17/18to FY18/19, while the population increased by approximately 2.9% during that time.

o Involuntary examinations for residents of Duval County increased 5.36% from FY17/18 toFY18/19, while the population increased approximately 1.88% during that time.

o Involuntary examinations for Bradford County residents decreased 5.22% from FY14/15to FY18/19, while the population increased approximately 2.78% during that same time.

o Involuntary examinations for Jackson County residents decreased 19.9% from FY16/17 toFY18/19, while the population had almost no change (increase of 0.68%).

• Data on Deaths by Suicide: The one-page statewide summary (p. 24) and one-page county summarypages (starting on page 25) contain information about rates of suicide per 100,000 population. Thecrude rates of suicide are reported on these county specific pages because age adjusted rates ofsuicide are not available for specific age ranges. Crude rates are typically slightly higher than ageadjusted rates.

24The zip code of residence reported on the Cover Sheet was used to determine the county of residence for forms that contained a zip code of residence but not a county of residence. [This was possible, except in the very few Florida zip codes that span more than one county.]

Page 25: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 22

Table 7: FY18/19 Involuntary Examinations by County of Residence *Pop = Population

County of Residence

Involuntary Examinations

% of Total % of Total by Initiation Type % Change from

Children < 18

Older Adults

65+

Public Facilities

Law Enforcement

Professional Certificate

Ex Parte Order

1 Year 5 Years

BA Exams FY17/18

to FY18/19

Pop* 2017

to 2018

BA Exams FY14/15

to FY18/19

Pop* 2014

To 2018

Alachua 2,221 24.09% 5.99% 13.73% 38.90% 59.25% 1.85% -13.70% 1.44% -0.72% 5.19%

Baker 203 18.72% 5.42% 72.41% 58.13% 40.39% 1.48% -16.50% 1.09% -15.40% 1.84%

Bay 1,564 21.23% 4.48% 53.26% 57.61% 38.87% 3.52% -7.51% 1.90% -7.89% 6.70%

Bradford 254 27.56% 7.48% 37.80% 50.00% 47.64% 2.36% 2.83% 1.60% -5.22% 2.78%

Brevard 6,419 19.02% 7.52% 67.60% 53.68% 44.12% 2.20% -2.58% 1.54% 7.00% 5.72%

Broward 14,934 13.29% 7.29% 39.50% 44.44% 54.85% 0.72% 2.43% 1.56% 7.23% 5.51%

Calhoun 96 21.88% 10.42% 48.96% 66.67% 22.92% 10.42% -34.20% 2.09% -5.88% 4.95%

Charlotte 1,951 24.14% 10.51% 57.30% 61.20% 37.52% 1.28% 2.41% 1.56% 36.15% 6.66%

Citrus 1,368 24.27% 9.50% 56.65% 68.79% 29.75% 1.46% -0.07% 0.95% 19.06% 3.10%

Clay 1,905 26.82% 3.99% 60.21% 47.35% 51.50% 1.15% 8.73% 2.41% 66.23% 8.19%

Collier 2,295 29.63% 7.84% 71.81% 60.26% 39.35% 0.39% 23.32% 2.80% 44.80% 9.11%

Columbia 964 27.28% 6.12% 62.55% 67.43% 31.54% 1.04% -8.02% 0.90% 18.87% 2.57%

Desoto 381 29.66% 4.20% 76.38% 65.62% 33.86% 0.52% 5.83% 0.90% 39.56% 4.40%

Dixie 215 16.74% 5.58% 21.40% 47.44% 52.09% 0.47% 25.73% 0.25% 141.60% 2.51%

Duval 13,397 15.70% 4.62% 45.61% 57.86% 37.98% 4.16% 5.36% 1.88% 41.96% 7.23%

Escambia 3,121 23.33% 5.86% 8.14% 39.44% 57.74% 2.82% -2.62% 1.17% -25.30% 4.33%

Flagler 787 27.19% 8.77% 63.53% 68.23% 29.10% 2.67% 9.92% 3.16% 58.35% 9.44%

Franklin 94 9.57% 5.32% 50.00% 62.77% 28.72% 8.51% 30.56% 1.64% 56.67% 4.80%

Gadsden 423 18.68% 6.15% 46.34% 69.03% 24.11% 6.86% -17.20% -0.19% 28.96% 0.16%

Gilchrist 118 30.51% 3.39% 16.95% 43.22% 53.39% 3.39% -10.60% 2.06% 43.90% 4.30%

Glades 122 26.23% 9.84% 83.61% 54.10% 40.98% 4.92% 46.99% 0.81% 110.30% 2.65%

Gulf 67 17.91% 7.46% 62.69% 71.64% 23.88% 4.48% -31.60% -0.38% -24.70% -1.86%

Hamilton 131 17.56% 8.40% 63.36% 67.18% 29.77% 3.05% -2.24% 0.29% 16.96% 2.47%

Hardee 156 25.00% 11.54% 81.41% 65.38% 32.69% 1.92% -6.59% 0.04% 6.12% -1.00%

Hendry 244 24.59% 6.97% 76.23% 68.03% 29.92% 2.05% -3.94% 1.60% 11.93% 4.72%

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Baker Act Reporting Center FY18/19 Annual Report 23

County of Residence

Involuntary Examinations

% of Total % of Total by Initiation Type % Change from

Children < 18

Older Adults

65+

Public Facilities

Law Enforcement

Professional Certificate

Ex Parte Order

1 Year 5 Years

BA Exams FY17/18

to FY18/19

Pop 2017

to 2018

BA Exams FY14/15

to FY18/19

Pop 2014

To 2018

Hernando 1,509 26.64% 10.67% 19.28% 55.80% 39.56% 4.64% 35.58% 5.98%

Highlands 705 20.85% 11.77% 71.21% 67.80% 30.21% 1.99% -23.00% 1.15% -24.40% 3.51%

Hillsborough 13,633 17.33% 4.71% 53.00% 40.48% 57.49% 2.04% 13.32% 2.90% -2.17% 9.02%

Holmes 147 29.93% 2.04% 51.02% 69.39% 25.85% 4.76% -23.40% 0.96% -15.50% 1.89%

Indian River 1,485 22.09% 8.15% 9.76% 47.14% 50.30% 2.56% 22.42% 2.09% 44.60% 7.89%

Jackson 222 21.17% 7.21% 45.95% 52.70% 29.28% 18.02% -11.90% 0.54% -18.70% 0.91%

Jefferson 180 30.00% 6.11% 52.22% 78.89% 16.11% 5.00% 0.00% 0.78% 51.26% 0.88%

Lafayette 49 32.65% 6.12% 59.18% 69.39% 30.61% 0.00% -23.40% -1.32% 28.95% -3.78%

Lake 2,875 25.39% 7.13% 90.92% 55.97% 41.84% 2.19% -5.46% 3.21% 25.82% 10.53%

Lee 5,913 25.16% 7.14% 66.21% 60.83% 38.22% 0.95% -4.21% 3.23% 13.49% 10.34%

Leon 2,702 24.83% 4.92% 43.49% 58.03% 35.64% 6.33% -2.31% 0.81% 31.48% 3.17%

Levy 263 31.18% 5.32% 38.40% 54.75% 43.35% 1.90% -9.62% 1.30% -15.40% 2.66%

Liberty 101 18.81% 4.95% 54.46% 74.26% 17.82% 7.92% 60.32% 0.71% 87.04% 1.30%

Madison 226 18.58% 11.50% 58.85% 69.47% 19.03% 11.50% -25.90% 0.22% 2.73% 0.61%

Manatee 2,339 25.65% 7.23% 41.17% 54.21% 43.61% 2.18% -6.51% 3.33% -2.34% 12.23%

Marion 4,076 29.34% 6.94% 61.68% 74.61% 23.92% 1.47% 8.49% 1.73% 31.48% 5.30%

Martin 1,244 20.66% 9.97% 31.19% 45.98% 51.93% 2.09% 16.04% 1.75% 29.58% 4.79%

Miami-Dade 29,526 10.62% 11.78% 43.87% 49.27% 47.93% 2.80% 3.13% 2.23% 15.42% 7.29%

Monroe 801 6.24% 6.74% 94.13% 41.95% 56.55% 1.50% 23.42% -0.46% 74.51% 3.36%

Nassau 575 16.35% 5.57% 46.96% 55.65% 43.48% 0.87% -0.69% 3.32% 45.20% 10.36%

Okaloosa 1,610 16.46% 4.35% 72.05% 30.75% 64.29% 4.97% -8.00% 1.49% -6.29% 4.06%

Okeechobee 540 35.00% 5.00% 68.15% 38.52% 59.07% 2.41% 12.73% 0.86% 93.55% 4.18%

Orange 12,590 14.84% 4.90% 51.77% 50.24% 48.53% 1.23% 6.47% 4.31% 16.88% 11.60%

Osceola 3,357 20.11% 5.21% 49.12% 46.20% 50.88% 2.92% 8.92% 6.76% 23.37% 21.95%

Palm Beach 10,420 19.62% 8.34% 61.00% 44.28% 53.51% 2.21% 10.95% 1.99% 8.60% 6.03%

Pasco 6,504 23.85% 6.73% 20.40% 55.70% 41.42% 2.88% 4.01% 2.56% 18.97% 8.20%

Page 27: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 24

County of Residence

Involuntary Examinations

% of Total % of Total by Initiation Type % Change from

Children < 18

Older Adults

65+

Public Facilities

Law Enforcement

Professional Certificate

Ex Parte Order

1 Year 5 Years

BA Exams FY17/18

to FY18/19

Pop 2017

to 2018

BA Exams FY14/15

to FY18/19

Pop 2014

To 2018

Pinellas 14,057 17.78% 8.80% 34.10% 50.90% 47.55% 1.55% 7.65% 0.94% 31.98% 4.05%

Polk 8,407 23.78% 6.55% 48.41% 65.83% 33.26% 0.92% 9.92% 3.03% 12.88% 9.39%

Putnam 550 20.55% 6.73% 57.09% 46.91% 52.00% 1.09% -14.20% 0.34% 0.92% 1.24%

Saint Johns 1,113 18.87% 6.74% 64.15% 41.96% 54.99% 3.05% 11.86% 5.15% 30.33% 16.44%

Saint Lucie 4,007 21.51% 6.34% 47.24% 42.68% 55.05% 2.27% 15.28% 2.39% 32.64% 7.75%

Santa Rosa 1,100 30.36% 5.82% 14.27% 44.00% 53.00% 3.00% -0.81% 2.76% -1.17% 9.87%

Sarasota 3,821 18.40% 10.47% 43.76% 48.91% 48.55% 2.54% 14.99% 2.12% 20.50% 7.43%

Seminole 3,243 20.66% 6.54% 43.63% 62.53% 34.54% 2.93% 5.60% 1.95% 0.40% 6.07%

Sumter 573 17.80% 16.75% 89.35% 69.28% 27.75% 2.97% -2.88% 4.21% 19.38% 13.19%

Suwannee 429 31.24% 5.13% 65.50% 68.30% 30.07% 1.63% -12.40% 0.97% 6.98% 2.16%

Taylor 165 20.61% 8.48% 49.70% 63.64% 29.09% 7.27% -8.84% -0.17% 36.36% -2.94%

Union 131 35.11% 5.34% 48.86% 49.62% 49.62% 0.76% 16.96% 0.12% 21.30% 2.04%

Volusia 4,700 25.36% 7.60% 58.43% 66.17% 31.45% 2.38% 3.43% 1.82% 23.85% 5.77%

Wakulla 304 48.03% 3.95% 48.03% 58.55% 39.47% 1.97% -15.30% 1.38% 29.36% 3.40%

Walton 310 18.71% 6.45% 68.06% 44.84% 48.39% 6.77% -16.70% 4.02% -7.74% 13.60%

Washington 149 30.87% 3.36% 55.70% 59.06% 31.54% 9.40% -8.02% 1.03% -14.40% 1.14%

County of Residence Not Reported‡

10,911 3.98% 3.98% 39.30% 41.15% 57.71% 1.14% -22.90% N/A -27.10% N/A

‡This includes counts of involuntary examinations that were not categorized according to geographic area because the county of residence was not reported on the Cover Sheet (CF-MH 3118).

Page 28: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 25

Florida Statewide Totals

This statewide focused page can be used to compare counts to those on any of the following county specific pages.

Data from Florida Health Charts shows the following:

• Percentage of population living below the poverty level (2018):o All ages: 14.80% o Under 18: 21.30%

• Median Household Income (2018) = $53,267

• Average County Public Health Department Expenditures Per Person (2018/2019) = $33.60

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 15.8 15.3

Children (< 18) 2.0 2.5

Older Adults (65+) 21.3 23.0

Statewide counts and rates of involuntary examinations for residents of Florida are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total state population. Percent change in population is based on comparisons to 2018 state population totals.

Table B: Involuntary Examinations: Florida Residents for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 210,992 1,007 37,882 17.95% 1,240 15,457 7.33% 368 N/A 20,957,705 N/A

2017-2018 205,781 1,005 36,078 17.53% 1,186 15,251 7.41% 381 2.53% 20,484,142 2.31%

2016-2017 199,944 992 32,787 16.40% 1,092 14,366 7.19% 372 5.53% 20,148,654 4.02%

2015-2016 194,354 981 32,487 16.72% 1,097 13,806 7.10% 370 8.56% 19,815,183 5.77%

2014-2015 187,999 964 32,653 17.37% 1,102 13,835 7.36% 381 12.23% 19,507,369 7.43%

2013-2014 177,006 919 30,364 17.15% 1,030 13,563 7.66% 390 19.20% 19,259,543 8.82%

2012-2013 163,850 859 26,829 16.37% 914 12,524 7.64% 368 28.77% 19,074,434 9.87%

2011-2012 154,655 818 24,851 16.07% 848 11,667 7.54% 351 36.43% 18,905,070 10.86%

2010-2011 145,290 773 21,764 14.98% 743 10,825 7.45% 332 45.22% 18,801,310 11.47%

2009-2010 141,285 754 21,132 14.96% 702 10,238 7.25% 312 49.34% 18,750,483 11.77%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

Table C: FY18/19 Involuntary Examinations for Florida Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 46.45% 51.34% 2.22%

Professional Certificate Type

Physician (not a Psychiatrist) 65.54%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 9.13%

Licensed Clinical Social Worker 5.52%

Licensed Mental Health Counselor 10.36%

Clinical Psychologist 1.34%

Psychiatric Nurse 2.17%

Licensed Marriage and Family Therapist 0.44%

Physician Assistant 1.25%

Multiple Professional Types Reported 0.82%

Not Reported 3.44%

Page 29: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 26

County: Alachua (Compare to the counts in the Florida Statewide Totals on page 24.)

Alachua County is in the Department’s Northeast region and Florida Judicial Circuit 8. Lutheran Services Florida Health Systems is the Managing Entity for Alachua County.

• Percentage of population living below the poverty level (2018):o All ages: 21.80% o Under 18: 20.50%

• Median Household Income (2018) = $49,078 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $63.00

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 12.1 16.5

Children (< 18) 6.3 9.0

Older Adults (65+) 21.9 25.1

Counts and rates of involuntary examinations for residents of Alachua County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Alachua County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 2,221 842 535 24.09% 1602.28 133 5.99% 370.82 N/A 263,753 N/A

2017-2018 2,573 990 598 23.24% 1835.09 123 4.78% 344.67 -13.7% 260,003 1.44%

2016-2017 2,444 951 545 22.30% 1688.88 134 5.48% 393.96 -9.12% 257,062 2.60%

2015-2016 2,422 950 500 20.64% 1557.44 122 5.04% 373.07 -8.30% 254,893 3.48%

2014-2015 2,237 892 431 19.27% 1339.09 139 6.21% 437.57 -0.72% 250,730 5.19%

2013-2014 1,997 805 385 19.28% 1210.24 123 6.16% 410.78 11.22% 248,002 6.35%

2012-2013 1,818 737 343 18.87% 1086.44 77 4.24% 267.29 22.17% 246,770 6.88%

2011-2012 1,746 706 310 17.75% 983.72 92 5.27% 331.11 27.21% 247,337 6.64%

2010-2011 1,652 668 320 19.37% 1025.08 113 6.84% 424.38 34.44% 247,336 6.64%

2009-2010 1,220 476 247 20.25% 721.23 79 6.48% 302.42 82.05% 256,232 2.94%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Alachua County residents who received an involuntary examination were seen at UF Health Shands Psychiatric Hospital (53.62%), North Florida Regional Medical Center (17.74%), Meridian Behavioral Health Care (Gainesville) (7.38%), and UF Health Shands Hospital (6.26%).

Table C: FY18/19 Involuntary Examinations for Alachua County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 59.25% 38.90% 1.85% Professional Certificate Type

Physician (not a Psychiatrist) 65.58%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 6.23%

Licensed Clinical Social Worker 5.32%

Licensed Mental Health Counselor 15.35%

Clinical Psychologist 0.61%

Psychiatric Nurse 1.37%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.46%

Multiple Professional Types Reported 1.06%

Not Reported 3.65%

Page 30: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 27

County: Baker

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Baker County is in the Department’s Northeast region and Florida Judicial Circuit 8. Lutheran Services Florida Health Systems is the Managing Entity for Baker County.

• Percentage of population living below the poverty level (2018):o All ages: 14.60% o Under 18: 19.30%

• Median Household Income (2018) = $61,769 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $107.90

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 11.1 18.4

Children (< 18) 0.0 20.8

Older Adults (65+) 28.8 0.0

Counts and rates of involuntary examinations for residents of Baker County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Baker County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 203 739 38 18.72% 790.84 < 25 *** *** N/A 27,488 N/A

2017-2018 243 894 34 13.99% 713.24 < 25 *** *** -16.5% 27,191 1.09%

2016-2017 186 690 30 16.13% 626.44 < 25 *** *** 9.14% 26,965 1.94%

2015-2016 183 677 29 15.85% 595.12 < 25 *** *** 10.93% 27,017 1.74%

2014-2015 240 889 47 19.58% 968.87 < 25 *** *** -15.4% 26,991 1.84%

2013-2014 139 517 29 20.86% 593.78 < 25 *** *** 46.04% 26,881 2.26%

2012-2013 142 527 29 20.42% 585.98 < 25 *** *** 42.96% 26,938 2.04%

2011-2012 181 672 40 22.10% 796.5 < 25 *** *** 12.15% 26,927 2.08%

2010-2011 178 656 27 15.17% 527.96 < 25 *** *** 14.04% 27,115 1.38%

2009-2010 175 676 37 21.14% 763.2 < 25 *** *** 16.00% 25,899 6.14%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Baker County residents who received an involuntary examination were seen at Meridian Behavioral Health Care (Lake City) (45.32%), Meridian Behavioral Health Care (Gainesville) (13.79%), and Memorial Hospital of Jacksonville (5.42%).

Table C: FY18/19 Involuntary Examinations for Baker County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 40.39% 58.13% 1.48%

Professional Certificate Type

Physician (not a Psychiatrist) 58.54%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 2.44%

Licensed Clinical Social Worker 2.44%

Licensed Mental Health Counselor 30.49%

Clinical Psychologist 0.00%

Psychiatric Nurse 0.00%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 2.44%

Multiple Professional Types Reported 1.22%

Not Reported 2.44%

Page 31: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 28

County: Bay

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Bay County is in the Department’s Northwest region and Florida Judicial Circuit 14. Big Bend Community Based Care is the Managing Entity for Bay County.

• Percentage of population living below the poverty level (2018):o All ages: 14.70% o Under 18: 20.80%

• Median Household Income (2018) = $51,829 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $52.30

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 21.3 23.9

Children (< 18) 3.8 3.6

Older Adults (65+) 21.3 39.2

*A minus symbol indicates there was a decrease and a positive symbol indicates there was an increase

Counts and rates of involuntary examinations for residents of Bay County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Bay County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 1,564 858 332 21.23% 1201.55 70 4.48% 228.44 N/A 182,218 N/A

2017-2018 1,691 946 378 22.35% 1366.59 71 4.20% 237.2 -7.51% 178,820 1.90%

2016-2017 1,587 902 341 21.49% 1252.3 71 4.47% 245.28 -1.45% 176,016 3.52%

2015-2016 1,586 915 324 20.43% 1207.29 77 4.85% 275.48 -1.39% 173,310 5.14%

2014-2015 1,698 994 363 21.38% 1366.56 108 6.36% 394.35 -7.89% 170,781 6.70%

2013-2014 1,535 904 293 19.09% 1104.99 84 5.47% 320.24 1.89% 169,866 7.27%

2012-2013 1,276 753 189 14.81% 715.37 56 4.39% 217.86 22.57% 169,392 7.57%

2011-2012 1,199 708 164 13.68% 619.64 78 6.51% 310.02 30.44% 169,278 7.64%

2010-2011 1,274 755 153 12.01% 578.6 77 6.04% 313.53 22.76% 168,852 7.92%

2009-2010 1,449 855 178 12.28% 663.19 88 6.07% 337.26 7.94% 169,562 7.46%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Bay County residents who received an involuntary examination were seen at Life Management Center of Northwest Florida (34.78%), Capital Regional Medical Center (17.39%), Fort Walton Beach Medical Center (16.62%), Emerald Coast Behavioral Hospital (9.85%), and Baptist Hospital (5.43%).

Table C: FY18/19 Involuntary Examinations for Bay County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 38.87% 57.61% 3.52%

Professional Certificate Type

Physician (not a Psychiatrist) 68.75%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 3.13%

Licensed Clinical Social Worker 2.63%

Licensed Mental Health Counselor 10.03%

Clinical Psychologist 0.16%

Psychiatric Nurse 5.92%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 2.30%

Multiple Professional Types Reported 3.13%

Not Reported 3.95%

Page 32: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 29

County: Bradford

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Bradford County is in the Department’s Northeast region and Florida Judicial Circuit 8. Lutheran Services Florida Health Systems is the Managing Entity for Bradford County.

• Percentage of population living below the poverty level (2018):o All ages: 20.30% o Under 18: 30.70%

• Median Household Income (2018) = $46,197 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $90.10

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 25.6 16.0

Children (< 18) 0.0 0.0

Older Adults (65+) 41.6 0.0

Counts and rates of involuntary examinations for residents of Bradford County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Bradford County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 254 904 70 27.56% 1721.59 < 25 *** *** N/A 28,083 N/A

2017-2018 247 894 66 26.72% 1655.8 < 25 *** *** 2.83% 27,642 1.60%

2016-2017 255 929 56 21.96% 1410.58 < 25 *** *** -0.39% 27,440 2.34%

2015-2016 231 846 55 23.81% 1392.41 < 25 *** *** 9.96% 27,310 2.83%

2014-2015 268 981 64 23.88% 1610.47 < 25 *** *** -5.22% 27,323 2.78%

2013-2014 227 834 54 23.79% 1362.95 < 25 *** *** 11.89% 27,217 3.18%

2012-2013 204 749 46 22.55% 1160.44 < 25 *** *** 24.51% 27,239 3.10%

2011-2012 167 583 26 15.57% 653.92 < 25 *** *** 52.10% 28,662 -2.02%

2010-2011 186 652 32 17.20% 807.06 < 25 *** *** 36.56% 28,520 -1.53%

2009-2010 160 550 < 25 *** *** < 25 *** *** 58.75% 29,085 -3.45%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Bradford County residents who received an involuntary examination were seen at UF Health Shands Psychiatric Hospital (24.80%), Meridian Behavioral Health Care (Gainesville) (16.14%), Meridian Behavioral Health Care (Lake City) (16.14%), North Florida Regional Medical Center (10.63%), and The Vines Hospital (9.06%).

Table C: FY18/19 Involuntary Examinations for Bradford County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 47.64% 50.00% 2.36%

Professional Certificate Type

Physician (not a Psychiatrist) 66.94%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 4.13%

Licensed Clinical Social Worker 1.65%

Licensed Mental Health Counselor 19.01%

Clinical Psychologist 0.83%

Psychiatric Nurse 2.48%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.83%

Multiple Professional Types Reported 0.00%

Not Reported 4.13%

Page 33: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 30

County: Brevard

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Brevard County is in the Department’s Central region and Florida Judicial Circuit 18. Central Florida Cares Health System is the Managing Entity for Brevard County.

• Percentage of population living below the poverty level (2018):o All ages: 12.70% o Under 18: 18.50%

• Median Household Income (2018) = $54,359 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $30.50

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 24.7 19.7

Children (< 18) 1.3 3.7

Older Adults (65+) 27.5 23.5

Counts and rates of involuntary examinations for residents of Brevard County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Brevard County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 6,419 1,099 1,221 19.02% 1521.95 483 7.52% 354.96 N/A 584,050 N/A

2017-2018 6,589 1,145 1,253 19.02% 1591.96 446 6.77% 338.63 -2.58% 575,211 1.54%

2016-2017 6,450 1,134 1,208 18.73% 1542.57 371 5.75% 290.38 -0.48% 568,919 2.66%

2015-2016 6,274 1,117 1,147 18.28% 1475.05 412 6.57% 333.15 2.31% 561,714 3.98%

2014-2015 5,999 1,086 1,220 20.34% 1580.8 399 6.65% 332.16 7.00% 552,427 5.72%

2013-2014 5,785 1,055 1,029 17.79% 1317 363 6.27% 313.83 10.96% 548,424 6.50%

2012-2013 4,983 913 917 18.40% 1164.27 320 6.42% 280.79 28.82% 545,625 7.04%

2011-2012 4,028 739 898 22.29% 1123.02 249 6.18% 221.56 59.36% 545,184 7.13%

2010-2011 3,046 561 836 27.45% 1033.67 151 4.96% 136.39 110.7% 543,376 7.49%

2009-2010 3,809 685 780 20.48% 949.73 271 7.11% 230.58 68.52% 555,657 5.11%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Brevard County residents who received an involuntary examination were seen at Circles of Care (Sheridan Oaks Hospital) (61.44%), Steward Rockledge Hospital (Wuesthoff) (18.77%), and Palm Point Behavioral Health (8.51%).

Table C: FY18/19 Involuntary Examinations for Brevard County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 44.12% 53.68% 2.20%

Professional Certificate Type

Physician (not a Psychiatrist) 71.72%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 5.93%

Licensed Clinical Social Worker 2.51%

Licensed Mental Health Counselor 9.11%

Clinical Psychologist 1.55%

Psychiatric Nurse 1.17%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 4.13%

Multiple Professional Types Reported 1.24%

Not Reported 2.58%

Page 34: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 31

County: Broward

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Broward County is in the Department’s Southeast region and Florida Judicial Circuit 17. Broward Behavioral Health Coalition is the Managing Entity for Broward County.

• Percentage of population living below the poverty level (2018):o All ages: 13.50% o Under 18: 18.70%

• Median Household Income (2018) = $57,333 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $25.60

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 12.0 12.5

Children (< 18) 1.0 0.7

Older Adults (65+) 17.0 22.3

Counts and rates of involuntary examinations for residents of Broward County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Broward County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 14,934 785 1,985 13.29% 676.63 1,088 7.29% 351.91 N/A 1,903,210 N/A

2017-2018 14,580 778 1,877 12.87% 652.05 963 6.60% 316.12 2.43% 1,873,970 1.56%

2016-2017 14,793 798 1,792 12.11% 625.58 919 6.21% 312 0.95% 1,854,513 2.63%

2015-2016 13,378 732 2,001 14.96% 704.35 780 5.83% 275.95 11.63% 1,827,367 4.15%

2014-2015 13,927 772 2,225 15.98% 772.34 849 6.10% 300.53 7.23% 1,803,903 5.51%

2013-2014 13,383 750 2,307 17.24% 802.65 826 6.17% 304.32 11.59% 1,784,715 6.64%

2012-2013 12,577 710 1,872 14.88% 649.34 835 6.64% 318.72 18.74% 1,771,099 7.46%

2011-2012 12,589 718 1,799 14.29% 625.95 812 6.45% 319.14 18.63% 1,753,162 8.56%

2010-2011 12,361 707 1,585 12.82% 550.17 822 6.65% 329.56 20.82% 1,748,066 8.88%

2009-2010 10,746 616 1,485 13.82% 497.49 685 6.37% 272.1 38.97% 1,744,922 9.07%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Broward County residents who received an involuntary examination were seen at Memorial Regional Hospital (23.21%), Broward Health Imperial Point (16.75%), University Hospital and Medical Center (13.59%), Broward Health Medical Center (11.70%), Ft Lauderdale Behavioral Health Center (9.13%), Florida Medical Center (7.55%), and Plantation General Hospital (6.20%).

Table C: FY18/19 Involuntary Examinations for Broward County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 54.85% 44.44% 0.72%

Professional Certificate Type

Physician (not a Psychiatrist) 65.94%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 12.04%

Licensed Clinical Social Worker 5.01%

Licensed Mental Health Counselor 6.42%

Clinical Psychologist 2.82%

Psychiatric Nurse 2.06%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.50%

Multiple Professional Types Reported 0.45%

Not Reported 4.32%

Page 35: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 32

County: Calhoun

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Calhoun County is in the Department’s Northwest region and Florida Judicial Circuit 14. Big Bend Community Based Care is the Managing Entity for Calhoun County.

• Percentage of population living below the poverty level (2018):o All ages: 12.20% o Under 18: 9.90%

• Median Household Income (2018) = $38,609 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $90.10

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 6.9 14.3

Children (< 18) 0.0 0.0

Older Adults (65+) 0.0 0.0

Counts and rates of involuntary examinations for residents of Calhoun County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Calhoun County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 96 627 < 25 *** *** < 25 *** *** N/A 15,315 N/A

2017-2018 146 973 44 30.14% 1966.04 < 25 *** *** -34.3% 15,001 2.09%

2016-2017 123 844 27 21.95% 1234.57 < 25 *** *** -21.9% 14,580 5.04%

2015-2016 113 777 < 25 *** *** < 25 *** *** -15.0% 14,549 5.26%

2014-2015 102 699 < 25 *** *** < 25 *** *** -5.88% 14,592 4.95%

2013-2014 91 622 35 38.46% 1615.14 < 25 *** *** 5.49% 14,621 4.75%

2012-2013 74 505 < 25 *** *** < 25 *** *** 29.73% 14,641 4.60%

2011-2012 98 667 26 26.53% 1175.41 < 25 *** *** -2.04% 14,685 4.29%

2010-2011 87 595 < 25 *** *** < 25 *** *** 10.34% 14,625 4.72%

2009-2010 77 527 < 25 *** *** < 25 *** *** 24.68% 14,601 4.89%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Calhoun County residents who received an involuntary examination were seen at Apalachee Center (32.29%), Capital Regional Medical Center (13.54%), Tallahassee Memorial Hospital (13.54%), Emerald Coast Behavioral Hospital (11.46%), Life Management Center of Northwest Florida (7.29%), and Eastside Psychiatric Hospital (5.21%).

Table C: FY18/19 Involuntary Examinations for Calhoun County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 22.92% 66.67% 10.42%

Professional Certificate Type

Physician (not a Psychiatrist) 72.73%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 13.64%

Licensed Clinical Social Worker 9.09%

Licensed Mental Health Counselor 0.00%

Clinical Psychologist 0.00%

Psychiatric Nurse 0.00%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 4.55%

Multiple Professional Types Reported 0.00%

Not Reported 0.00%

Page 36: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 33

County: Charlotte

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Charlotte County is in the Department’s SunCoast region and Florida Judicial Circuit 20. Central Florida Behavioral Health Network is the Managing Entity for Charlotte County.

• Percentage of population living below the poverty level (2018):o All ages: 11.10% o Under 18: 18.30%

• Median Household Income (2018) = $49,225 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $24.20

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 22.0 17.9

Children (< 18) 5.9 6.1

Older Adults (65+) 17.3 18.8

Counts and rates of involuntary examinations for residents of Charlotte County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Charlotte County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 1,951 1,112 471 24.14% 2878.97 205 10.51% 296.29 N/A 175,413 N/A

2017-2018 1,905 1,103 459 24.09% 2687.51 201 10.55% 315.7 2.41% 172,720 1.56%

2016-2017 1,622 952 346 21.33% 2032.78 204 12.58% 327.74 20.28% 170,450 2.91%

2015-2016 1,523 911 345 22.65% 2055.16 181 11.88% 298.82 28.10% 167,141 4.95%

2014-2015 1,433 871 325 22.68% 1970.53 234 16.33% 398.16 36.15% 164,467 6.66%

2013-2014 1,326 810 235 17.72% 1394.58 238 17.95% 417.65 47.13% 163,679 7.17%

2012-2013 1,148 703 183 15.94% 1069.55 204 17.77% 361.21 69.95% 163,357 7.38%

2011-2012 1,016 633 160 15.75% 933 130 12.80% 236.51 92.03% 160,463 9.32%

2010-2011 942 589 175 18.58% 1009.63 140 14.86% 256.41 107.1% 159,978 9.65%

2009-2010 834 504 130 15.59% 694.74 156 18.71% 276.92 133.9% 165,455 6.02%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Charlotte County residents who received an involuntary examination were seen at Charlotte Behavioral Health Care (54.48%), and Bayfront Health Punta Gorda (Riverside Behavioral Center) (33.01%).

Table C: FY18/19 Involuntary Examinations for Charlotte County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 37.52% 61.20% 1.28%

Professional Certificate Type

Physician (not a Psychiatrist) 53.42%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 11.89%

Licensed Clinical Social Worker 11.20%

Licensed Mental Health Counselor 12.02%

Clinical Psychologist 0.96%

Psychiatric Nurse 5.87%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 1.23%

Multiple Professional Types Reported 0.27%

Not Reported 2.87%

Page 37: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 34

County: Citrus

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Citrus County is in the Department’s Central region and Florida Judicial Circuit 5. Lutheran Services Florida Health Systems is the Managing Entity for Citrus County.

• Percentage of population living below the poverty level (2018):o All ages: 16.70% o Under 18: 29.00%

• Median Household Income (2018) = $41,424 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $37.10

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 21.2 30.9

Children (< 18) 0.0 6.1

Older Adults (65+) 26.0 32.6

Counts and rates of involuntary examinations for residents of Citrus County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Citrus County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 1,368 942 332 24.27% 2037.56 130 9.50% 249.38 N/A 145,164 N/A

2017-2018 1,369 952 346 25.27% 2161.01 100 7.30% 202.98 -0.07% 143,801 0.95%

2016-2017 1,312 917 337 25.69% 2106.38 107 8.16% 220.08 4.27% 143,054 1.47%

2015-2016 1,148 811 313 27.26% 1971.65 86 7.49% 180.17 19.16% 141,501 2.59%

2014-2015 1,149 816 270 23.50% 1746.1 100 8.70% 213.15 19.06% 140,798 3.10%

2013-2014 1,295 922 270 20.85% 1705.62 130 10.04% 284.03 5.64% 140,519 3.31%

2012-2013 1,133 805 203 17.92% 1258.76 95 8.38% 208.52 20.74% 140,761 3.13%

2011-2012 1,268 900 231 18.22% 1401.95 123 9.70% 271.45 7.89% 140,956 2.99%

2010-2011 1,120 793 192 17.14% 1138.99 118 10.54% 261.98 22.14% 141,236 2.78%

2009-2010 1,151 807 197 17.12% 1165.61 97 8.43% 208.75 18.85% 142,609 1.79%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Citrus County residents who received an involuntary examination were seen at The Centers (38.89%), Springbrook Hospital (19.08%), Life Stream Behavioral Center (12.21%), and Medical Center of Trinity - West Pasco Campus (7.02%).

Table C: FY18/19 Involuntary Examinations for Citrus County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 29.75% 68.79% 1.46%

Professional Certificate Type

Physician (not a Psychiatrist) 63.88%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 11.79%

Licensed Clinical Social Worker 5.90%

Licensed Mental Health Counselor 9.83%

Clinical Psychologist 0.98%

Psychiatric Nurse 2.46%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 1.97%

Multiple Professional Types Reported 0.74%

Not Reported 2.21%

Page 38: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 35

County: Clay

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Clay County is in the Department’s Northeast region and Florida Judicial Circuit 4. Lutheran Services Florida Health Systems is the Managing Entity for Clay County.

• Percentage of population living below the poverty level (2018):o All ages: 10.60% o Under 18: 13.60%

• Median Household Income (2018) = $62,653 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $21.40

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 14.8 18.0

Children (< 18) 2.7 7.8

Older Adults (65+) 24.3 27.7

Counts and rates of involuntary examinations for residents of Clay County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Clay County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 1,905 892 511 26.82% 1335.56 76 3.99% 233.64 N/A 213,565 N/A

2017-2018 1,752 840 427 24.37% 1106.53 54 3.08% 176.23 8.73% 208,549 2.41%

2016-2017 1,514 737 408 26.95% 1067.87 57 3.76% 194.35 25.83% 205,321 4.02%

2015-2016 1,356 674 371 27.36% 985.08 48 3.54% 172.01 40.49% 201,277 6.11%

2014-2015 1,146 581 295 25.74% 800.39 61 5.32% 228.45 66.23% 197,403 8.19%

2013-2014 1,062 551 305 28.72% 831.65 42 3.95% 168.8 79.38% 192,843 10.75%

2012-2013 835 435 282 33.77% 759.66 26 3.11% 108.01 128.1% 192,071 11.19%

2011-2012 906 474 269 29.69% 714.8 35 3.86% 151.09 110.3% 191,143 11.73%

2010-2011 935 490 257 27.49% 671 26 2.78% 116.63 103.7% 190,865 11.89%

2009-2010 1,084 585 212 19.56% 578.24 39 3.60% 178.74 75.74% 185,208 15.31%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Clay County residents who received an involuntary examination were seen at Orange Park Medical Center (32.18%), Mental Health Resource Center - North (19.00%), Memorial Hospital of Jacksonville (16.54%), and River Point Behavioral Health (6.77%).

Table C: FY18/19 Involuntary Examinations for Clay County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 51.50% 47.35% 1.15%

Professional Certificate Type

Physician (not a Psychiatrist) 80.43%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 3.67%

Licensed Clinical Social Worker 4.18%

Licensed Mental Health Counselor 5.40%

Clinical Psychologist 0.10%

Psychiatric Nurse 1.63%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 1.02%

Multiple Professional Types Reported 0.61%

Not Reported 2.85%

Page 39: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 36

County: Collier

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Collier County is in the Department’s SunCoast region and Florida Judicial Circuit 20. Central Florida Behavioral Health Network is the Managing Entity for Collier County.

• Percentage of population living below the poverty level (2018):o All ages: 12.30% o Under 18: 22.30%

• Median Household Income (2018) = $65,675 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $31.40

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 12.7 12.0

Children (< 18) 2.2 4.3

Older Adults (65+) 15.7 17.3

Counts and rates of involuntary examinations for residents of Collier County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Collier County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 2,295 625 680 29.63% 1445.06 180 7.84% 155.6 N/A 367,471 N/A

2017-2018 1,861 521 436 23.43% 895.81 140 7.52% 138.68 23.32% 357,470 2.80%

2016-2017 1,864 532 428 22.96% 890.57 143 7.67% 145.78 23.12% 350,202 4.93%

2015-2016 1,853 539 459 24.77% 966.46 154 8.31% 161.02 23.85% 343,802 6.88%

2014-2015 1,585 471 392 24.73% 827.51 136 8.58% 146.63 44.79% 336,783 9.11%

2013-2014 1,546 463 318 20.57% 672.67 117 7.57% 130.31 48.45% 333,663 10.13%

2012-2013 1,310 397 265 20.23% 567.61 100 7.63% 112.97 75.19% 329,849 11.41%

2011-2012 1,111 343 185 16.65% 402.02 81 7.29% 94.02 106.6% 323,785 13.49%

2010-2011 1,008 314 170 16.87% 371.09 62 6.15% 72.98 127.7% 321,520 14.29%

2009-2010 884 265 175 19.80% 363.66 59 6.67% 73.65 159.6% 333,032 10.34%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Collier County residents who received an involuntary examination were seen at David Lawrence Mental Health Center (62.79%), and Park Royal Hospital (19.87%).

Table C: FY18/19 Involuntary Examinations for Collier County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 39.35% 60.26% 0.39%

Professional Certificate Type

Physician (not a Psychiatrist) 39.65%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 9.19%

Licensed Clinical Social Worker 14.62%

Licensed Mental Health Counselor 20.38%

Clinical Psychologist 1.66%

Psychiatric Nurse 5.76%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 5.09%

Multiple Professional Types Reported 0.44%

Not Reported 1.33%

Page 40: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 37

County: Columbia

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Columbia County is in the Department’s Northeast region and Florida Judicial Circuit 3. Lutheran Services Florida Health Systems is the Managing Entity for Columbia County.

• Percentage of population living below the poverty level (2018):o All ages: 17.40% o Under 18: 25.70%

• Median Household Income (2018) = $44,491 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $37.70

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 14.7 23.1

Children (< 18) 0.0 0.0

Older Adults (65+) 25.4 15.6

Counts and rates of involuntary examinations for residents of Columbia County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Columbia County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 964 1,386 263 27.28% 2383.11 59 6.12% 459.97 N/A 69,566 N/A

2017-2018 1,048 1,520 284 27.10% 2665.67 64 6.11% 504.37 -8.02% 68,943 0.90%

2016-2017 787 1,148 168 21.35% 1576.58 40 5.08% 325.6 22.49% 68,566 1.46%

2015-2016 771 1,131 186 24.12% 1748.61 45 5.84% 377.9 25.03% 68,163 2.06%

2014-2015 811 1,196 213 26.26% 2018 48 5.92% 416.49 18.87% 67,826 2.57%

2013-2014 548 812 125 22.81% 1172.94 39 7.12% 353.07 75.91% 67,489 3.08%

2012-2013 433 639 38 8.78% 352.41 30 6.93% 276.42 122.6% 67,729 2.71%

2011-2012 384 569 54 14.06% 495.09 29 7.55% 272.25 151.0% 67,528 3.02%

2010-2011 540 800 60 11.11% 547.4 46 8.52% 442.73 78.52% 67,531 3.01%

2009-2010 492 741 41 8.33% 370.27 26 5.28% 245.45 95.93% 66,409 4.75%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Columbia County residents who received an involuntary examination were seen at Meridian Behavioral Health Care (Lake City) (45.95%), Meridian Behavioral Health Care (Gainesville) (14.63%), UF Health Shands Psychiatric Hospital (10.79%), and North Florida Regional Medical Center (8.51%).

Table C: FY18/19 Involuntary Examinations for Columbia County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 31.54% 67.43% 1.04%

Professional Certificate Type

Physician (not a Psychiatrist) 51.32%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 11.51%

Licensed Clinical Social Worker 8.55%

Licensed Mental Health Counselor 22.70%

Clinical Psychologist 0.33%

Psychiatric Nurse 0.66%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.00%

Multiple Professional Types Reported 0.33%

Not Reported 3.95%

Page 41: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 38

County: Desoto

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Desoto County is in the Department’s SunCoast region and Florida Judicial Circuit 12. Central Florida Behavioral Health Network is the Managing Entity for Desoto County.

• Percentage of population living below the poverty level (2018):o All ages: 28.50% o Under 18: 39.60%

• Median Household Income (2018) = $35,057 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $165.60

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 20.1 19.9

Children (< 18) 0.0 0.0

Older Adults (65+) 43.7 38.3

Counts and rates of involuntary examinations for residents of Desoto County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Desoto County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 381 1,060 113 29.66% 2223.1 < 25 *** *** N/A 35,940 N/A

2017-2018 360 1,011 110 30.56% 1953.47 < 25 *** *** 5.83% 35,621 0.90%

2016-2017 300 854 99 33.00% 1772.61 < 25 *** *** 27.00% 35,141 2.27%

2015-2016 270 776 85 31.48% 1524.94 < 25 *** *** 41.11% 34,777 3.34%

2014-2015 273 793 93 34.07% 1647.48 26 9.52% 416.93 39.56% 34,426 4.40%

2013-2014 207 602 67 32.37% 1181.66 < 25 *** *** 84.06% 34,367 4.58%

2012-2013 210 610 44 20.95% 775.74 < 25 *** *** 81.43% 34,408 4.45%

2011-2012 149 429 32 21.48% 561.7 < 25 *** *** 155.7% 34,708 3.55%

2010-2011 194 556 29 14.95% 521.86 < 25 *** *** 96.39% 34,862 3.09%

2009-2010 130 374 31 23.85% 590.36 < 25 *** *** 193.1% 34,792 3.30%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Desoto County residents who received an involuntary examination were seen at Charlotte Behavioral Health Care (72.97%), and Bayfront Health Punta Gorda (Riverside Behavioral Center) (15.22%).

Table C: FY18/19 Involuntary Examinations for Desoto County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 33.86% 65.62% 0.52%

Professional Certificate Type

Physician (not a Psychiatrist) 62.79%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 4.65%

Licensed Clinical Social Worker 15.50%

Licensed Mental Health Counselor 13.95%

Clinical Psychologist 1.55%

Psychiatric Nurse 1.55%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.00%

Multiple Professional Types Reported 0.00%

Not Reported 0.00%

Page 42: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 39

County: Dixie

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Dixie County is in the Department’s Northeast region and Florida Judicial Circuit 3. Lutheran Services Florida Health Systems is the Managing Entity for Dixie County.

• Percentage of population living below the poverty level (2018):o All ages: 23.10% o Under 18: 31.10%

• Median Household Income (2018) = $38,237 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $75.10

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 30.2 9.7

Children (< 18) 0.0 0.0

Older Adults (65+) 82.3 25.5

Counts and rates of involuntary examinations for residents of Dixie County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Dixie County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 215 1,282 36 16.74% 1584.51 < 25 *** *** N/A 16,767 N/A

2017-2018 171 1,022 < 25 *** *** < 25 *** *** 25.73% 16,726 0.25%

2016-2017 152 906 33 21.71% 1508.92 < 25 *** *** 41.45% 16,773 -0.04%

2015-2016 125 759 < 25 *** *** < 25 *** *** 72.00% 16,468 1.82%

2014-2015 89 544 < 25 *** *** < 25 *** *** 141.6% 16,356 2.51%

2013-2014 116 713 < 25 *** *** < 25 *** *** 85.34% 16,263 3.10%

2012-2013 91 558 < 25 *** *** < 25 *** *** 136.3% 16,298 2.88%

2011-2012 75 458 < 25 *** *** < 25 *** *** 186.7% 16,385 2.33%

2010-2011 97 591 < 25 *** *** < 25 *** *** 121.7% 16,422 2.10%

2009-2010 76 469 < 25 *** *** < 25 *** *** 182.9% 16,221 3.37%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Dixie County residents who received an involuntary examination were seen at Memorial Hospital of Jacksonville (26.98%), UF Health Shands Psychiatric Hospital (26.51%), North Florida Regional Medical Center (16.28%), Meridian Behavioral Health Care (Lake City) (10.23%), and Meridian Behavioral Health Care (Gainesville) (8.84%).

Table C: FY18/19 Involuntary Examinations for Dixie County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 52.09% 47.44% 0.47%

Professional Certificate Type

Physician (not a Psychiatrist) 83.04%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 5.36%

Licensed Clinical Social Worker 1.79%

Licensed Mental Health Counselor 6.25%

Clinical Psychologist 0.00%

Psychiatric Nurse 0.89%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.89%

Multiple Professional Types Reported 0.00%

Not Reported 1.79%

Page 43: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 40

County: Duval

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Duval County is in the Department’s Northeast region and Florida Judicial Circuit 4. Lutheran Services Florida Health Systems is the Managing Entity for Duval County.

• Percentage of population living below the poverty level (2018):o All ages: 15.50% o Under 18: 23.70%

• Median Household Income (2018) = $53,473 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $33.70

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 17.7 16.9

Children (< 18) 2.7 2.0

Older Adults (65+) 24.1 26.1

Counts and rates of involuntary examinations for residents of Duval County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Duval County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 13,397 1,404 2,103 15.70% 1392.12 619 4.62% 474.37 N/A 954,454 N/A

2017-2018 12,716 1,357 1,929 15.17% 1276.48 583 4.58% 452.89 5.36% 936,811 1.88%

2016-2017 10,982 1,189 1,664 15.15% 1114.4 422 3.84% 343.32 21.99% 923,647 3.34%

2015-2016 10,262 1,133 1,476 14.38% 1007.9 497 4.84% 425.46 30.55% 905,574 5.40%

2014-2015 9,437 1,060 1,238 13.12% 837.11 399 4.23% 350.16 41.96% 890,066 7.23%

2013-2014 7,282 831 1,483 20.37% 1018.96 353 4.85% 328.58 83.97% 876,075 8.95%

2012-2013 6,989 804 1,591 22.76% 1100.95 357 5.11% 344.82 91.69% 869,729 9.74%

2011-2012 6,732 779 1,495 22.21% 1037.83 327 4.86% 328.44 99.00% 864,601 10.39%

2010-2011 5,907 683 1,316 22.28% 913.81 262 4.44% 272.44 126.8% 864,263 10.44%

2009-2010 6,334 703 1,187 18.74% 755.96 274 4.33% 270.89 111.5% 900,518 5.99%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Duval County residents who received an involuntary examination were seen at Mental Health Resource Center - North (26.49%), River Point Behavioral Health (14.34%), Mental Health Resource Center - South (13.09%), UF Health Jacksonville (10.13%), Memorial Hospital of Jacksonville (9.89%), Baptist Medical Center Jacksonville (9.45%), and Wekiva Springs Center (8.30%).

Table C: FY18/19 Involuntary Examinations for Duval County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 37.98% 57.86% 4.16%

Professional Certificate Type

Physician (not a Psychiatrist) 73.33%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 3.38%

Licensed Clinical Social Worker 2.91%

Licensed Mental Health Counselor 10.30%

Clinical Psychologist 0.47%

Psychiatric Nurse 2.32%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 1.22%

Multiple Professional Types Reported 0.81%

Not Reported 4.72%

Page 44: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 41

County: Escambia

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Escambia County is in the Department’s Northwest region and Florida Judicial Circuit 1. Big Bend Community Based Care is the Managing Entity for Escambia County.

• Percentage of population living below the poverty level (2018):o All ages: 13.90% o Under 18: 22.30%

• Median Household Income (2018) = $49,286 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $42.90

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 17.2 15.9

Children (< 18) 2.1 0.0

Older Adults (65+) 16.5 11.5

Counts and rates of involuntary examinations for residents of Escambia County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Escambia County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 3,121 984 728 23.33% 1531.44 183 5.86% 350.29 N/A 317,051 N/A

2017-2018 3,205 1,023 777 24.24% 1619.9 204 6.37% 382.56 -2.62% 313,381 1.17%

2016-2017 3,676 1,186 758 20.62% 1606.27 261 7.10% 506.28 -15.1% 309,986 2.28%

2015-2016 4,185 1,363 748 17.87% 1610.4 318 7.60% 637.22 -25.4% 306,944 3.29%

2014-2015 4,179 1,375 718 17.18% 1519.29 268 6.41% 548.51 -25.3% 303,907 4.33%

2013-2014 4,406 1,463 588 13.35% 1256.95 303 6.88% 651.95 -29.2% 301,120 5.29%

2012-2013 3,952 1,319 645 16.32% 1393.24 193 4.88% 426.93 -21.0% 299,511 5.86%

2011-2012 3,764 1,258 595 15.81% 1289.61 187 4.97% 423.96 -17.1% 299,261 5.94%

2010-2011 3,438 1,155 613 17.83% 1351.2 189 5.50% 440.26 -9.22% 297,619 6.53%

2009-2010 3,200 1,022 604 18.88% 1208.77 135 4.22% 289.22 -2.47% 312,980 1.30%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Escambia County residents who received an involuntary examination were seen at Baptist Hospital (70.94%), West Florida Regional Medical Center (19.61%), and Lakeview Center (5.54%).

Table C: FY18/19 Involuntary Examinations for Escambia County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 57.74% 39.44% 2.82%

Professional Certificate Type

Physician (not a Psychiatrist) 67.04%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 0.44%

Licensed Clinical Social Worker 8.16%

Licensed Mental Health Counselor 14.93%

Clinical Psychologist 0.61%

Psychiatric Nurse 3.94%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 3.00%

Multiple Professional Types Reported 0.33%

Not Reported 1.55%

Page 45: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 42

County: Flagler

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Flagler County is in the Department’s Northeast region and Florida Judicial Circuit 7. Lutheran Services Florida Health Systems is the Managing Entity for Flagler County.

• Percentage of population living below the poverty level (2018):o All ages: 11.90% o Under 18: 18.10%

• Median Household Income (2018) = $53,872 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $36.30

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 25.5 24.8

Children (< 18) 0.0 0.0

Older Adults (65+) 31.2 27.6

Counts and rates of involuntary examinations for residents of Flagler County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Flagler County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 787 725 214 27.19% 1474.95 69 8.77% 211.67 N/A 108,481 N/A

2017-2018 716 681 185 25.84% 1265.82 87 12.15% 301.43 9.92% 105,157 3.16%

2016-2017 561 544 126 22.46% 873.24 63 11.23% 225.55 40.29% 103,095 5.22%

2015-2016 552 545 133 24.09% 933.4 44 7.97% 162.17 42.57% 101,353 7.03%

2014-2015 497 501 148 29.78% 1034.17 45 9.05% 175.61 58.35% 99,121 9.44%

2013-2014 434 444 128 29.49% 895.23 51 11.75% 207.38 81.34% 97,843 10.87%

2012-2013 514 529 139 27.04% 975.16 43 8.37% 177.38 53.11% 97,160 11.65%

2011-2012 536 557 119 22.20% 832.4 49 9.14% 207.24 46.83% 96,241 12.72%

2010-2011 563 588 159 28.24% 1114.23 39 6.93% 166.63 39.79% 95,696 13.36%

2009-2010 543 572 129 23.76% 1003.03 53 9.76% 200.09 44.94% 94,901 14.31%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Flagler County residents who received an involuntary examination were seen at SMA Behavioral Health Services (33.04%), Halifax Psychiatric Center-North (23.13%), and Halifax Health Medical Center (20.97%).

Table C: FY18/19 Involuntary Examinations for Flagler County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 29.10% 68.23% 2.67%

Professional Certificate Type

Physician (not a Psychiatrist) 58.95%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 4.37%

Licensed Clinical Social Worker 9.61%

Licensed Mental Health Counselor 13.10%

Clinical Psychologist 0.00%

Psychiatric Nurse 4.37%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 1.31%

Multiple Professional Types Reported 1.75%

Not Reported 6.55%

Page 46: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 43

County: Franklin

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Franklin County is in the Department’s Northwest region and Florida Judicial Circuit 2. Big Bend Community Based Care is the Managing Entity for Franklin County.

• Percentage of population living below the poverty level (2018):o All ages: 20.70% o Under 18: 37.80%

• Median Household Income (2018) = $42,855 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $159.50

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 25.3 11.6

Children (< 18) 0.0 0.0

Older Adults (65+) 0.0 70.9

Counts and rates of involuntary examinations for residents of Franklin County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Franklin County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 94 761 < 25 *** *** < 25 *** *** N/A 12,360 N/A

2017-2018 72 592 < 25 *** *** < 25 *** *** 30.56% 12,161 1.64%

2016-2017 84 705 < 25 *** *** < 25 *** *** 11.90% 11,916 3.73%

2015-2016 66 557 < 25 *** *** < 25 *** *** 42.42% 11,840 4.39%

2014-2015 60 509 < 25 *** *** < 25 *** *** 56.67% 11,794 4.80%

2013-2014 54 467 < 25 *** *** < 25 *** *** 74.07% 11,562 6.90%

2012-2013 37 321 < 25 *** *** < 25 *** *** 154.1% 11,530 7.20%

2011-2012 51 442 < 25 *** *** < 25 *** *** 84.31% 11,527 7.23%

2010-2011 37 320 < 25 *** *** < 25 *** *** 154.1% 11,549 7.02%

2009-2010 55 443 < 25 *** *** < 25 *** *** 70.91% 12,414 -0.43%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Franklin County residents who received an involuntary examination were seen at Apalachee Center (46.81%), Capital Regional Medical Center (17.02%), Tallahassee Memorial Hospital (14.89%), and Eastside Psychiatric Hospital (10.64%).

Table C: FY18/19 Involuntary Examinations for Franklin County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 28.72% 62.77% 8.51%

Professional Certificate Type

Physician (not a Psychiatrist) 59.26%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 22.22%

Licensed Clinical Social Worker 7.41%

Licensed Mental Health Counselor 0.00%

Clinical Psychologist 3.70%

Psychiatric Nurse 3.70%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 3.70%

Multiple Professional Types Reported 0.00%

Not Reported 0.00%

Page 47: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 44

County: Gadsden

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Gadsden County is in the Department’s Northwest region and Florida Judicial Circuit 2. Big Bend Community Based Care is the Managing Entity for Gadsden County.

• Percentage of population living below the poverty level (2018):o All ages: 24.60% o Under 18: 42.40%

• Median Household Income (2018) = $40,922 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $68.90

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 14.5 17.2

Children (< 18) 0.0 0.0

Older Adults (65+) 53.5 0.0

Counts and rates of involuntary examinations for residents of Gadsden County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Gadsden County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 423 878 79 18.68% 1028.91 26 6.15% 314.54 N/A 48,173 N/A

2017-2018 511 1,059 106 20.74% 1400.08 46 9.00% 580.81 -17.2% 48,263 -0.19%

2016-2017 344 709 55 15.99% 722.45 < 25 *** *** 22.97% 48,486 -0.65%

2015-2016 359 743 65 18.11% 856.84 < 25 *** *** 17.83% 48,315 -0.29%

2014-2015 328 682 55 16.77% 720.84 < 25 *** *** 28.96% 48,096 0.16%

2013-2014 308 647 49 15.91% 637.27 26 8.44% 380.79 37.34% 47,588 1.23%

2012-2013 256 539 25 9.77% 322.87 < 25 *** *** 65.23% 47,506 1.40%

2011-2012 270 560 32 11.85% 403.07 < 25 *** *** 56.67% 48,200 -0.06%

2010-2011 248 535 28 11.29% 350.35 < 25 *** *** 70.56% 46,389 3.85%

2009-2010 233 466 < 25 *** *** < 25 *** *** 81.55% 50,046 -3.74%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Gadsden County residents who received an involuntary examination were seen at Apalachee Center (44.44%), Tallahassee Memorial Hospital (19.86%), Eastside Psychiatric Hospital (16.78%), and Capital Regional Medical Center (15.13%).

Table C: FY18/19 Involuntary Examinations for Gadsden County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 24.11% 69.03% 6.86%

Professional Certificate Type

Physician (not a Psychiatrist) 44.12%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 14.71%

Licensed Clinical Social Worker 7.84%

Licensed Mental Health Counselor 14.71%

Clinical Psychologist 0.00%

Psychiatric Nurse 6.86%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 7.84%

Multiple Professional Types Reported 0.98%

Not Reported 2.94%

Page 48: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 45

County: Gilchrist

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Gilchrist County is in the Department’s Northeast region and Florida Judicial Circuit 8. Lutheran Services Florida Health Systems is the Managing Entity for Gilchrist County.

• Percentage of population living below the poverty level (2018):o All ages: 17.90% o Under 18: 28.40%

• Median Household Income (2018) = $42,357 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $63.50

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 23.8 20.2

Children (< 18) 39.0 0.0

Older Adults (65+) 61.3 55.8

Counts and rates of involuntary examinations for residents of Gilchrist County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Gilchrist County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 118 671 36 30.51% 1360.03 < 25 *** *** N/A 17,578 N/A

2017-2018 132 766 54 40.91% 2141.16 < 25 *** *** -10.6% 17,224 2.06%

2016-2017 107 635 32 29.91% 1281.02 < 25 *** *** 10.28% 16,848 4.33%

2015-2016 98 582 26 26.53% 1037.1 < 25 *** *** 20.41% 16,839 4.39%

2014-2015 82 487 < 25 *** *** < 25 *** *** 43.90% 16,853 4.30%

2013-2014 79 468 < 25 *** *** < 25 *** *** 49.37% 16,880 4.14%

2012-2013 71 419 < 25 *** *** < 25 *** *** 66.20% 16,946 3.73%

2011-2012 76 448 < 25 *** *** < 25 *** *** 55.26% 16,983 3.50%

2010-2011 103 608 < 25 *** *** < 25 *** *** 14.56% 16,939 3.77%

2009-2010 86 494 < 25 *** *** < 25 *** *** 37.21% 17,393 1.06%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Gilchrist County residents who received an involuntary examination were seen at UF Health Shands Psychiatric Hospital (37.29%), North Florida Regional Medical Center (31.36%), Meridian Behavioral Health Care (Lake City) (8.47%), and Meridian Behavioral Health Care (Gainesville) (6.78%).

Table C: FY18/19 Involuntary Examinations for Gilchrist County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 53.39% 43.22% 3.39%

Professional Certificate Type

Physician (not a Psychiatrist) 74.60%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 4.76%

Licensed Clinical Social Worker 4.76%

Licensed Mental Health Counselor 4.76%

Clinical Psychologist 3.17%

Psychiatric Nurse 0.00%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.00%

Multiple Professional Types Reported 0.00%

Not Reported 7.94%

Page 49: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 46

County: Glades

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Glades County is in the Department’s SunCoast region and Florida Judicial Circuit 20. Central Florida Behavioral Health Network is the Managing Entity for Glades County.

• Percentage of population living below the poverty level (2018):o All ages: 17.00% o Under 18: 24.50%

• Median Household Income (2018) = $39,879 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $85.20

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 23.3 10.2

Children (< 18) 0.0 0.0

Older Adults (65+) 28.9 0.0

Counts and rates of involuntary examinations for residents of Glades County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Glades County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 122 925 32 26.23% 1945.29 < 25 *** *** N/A 13,193 N/A

2017-2018 83 634 < 25 *** *** < 25 *** *** 46.99% 13,087 0.81%

2016-2017 63 483 < 25 *** *** < 25 *** *** 93.65% 13,047 1.12%

2015-2016 64 498 < 25 *** *** < 25 *** *** 90.63% 12,853 2.65%

2014-2015 58 451 < 25 *** *** < 25 *** *** 110.3% 12,852 2.65%

2013-2014 59 466 < 25 *** *** < 25 *** *** 106.8% 12,658 4.23%

2012-2013 45 355 < 25 *** *** < 25 *** *** 171.1% 12,671 4.12%

2011-2012 28 219 < 25 *** *** < 25 *** *** 335.7% 12,812 2.97%

2010-2011 < 25 124 < 25 *** *** < 25 *** *** 662.5% 12,884 2.40%

2009-2010 < 25 203 < 25 *** *** < 25 *** *** 430.4% 11,311 16.64%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Glades County residents who received an involuntary examination were seen at SalusCare (59.84%), Park Royal Hospital (9.02%), The Jerome Golden Center for Behavioral Health (Belle Glades) (6.56%), and The Jerome Golden Center for Behavioral Health (West Palm Beach) (6.56%).

Table C: FY18/19 Involuntary Examinations for Glades County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 40.98% 54.10% 4.92%

Professional Certificate Type

Physician (not a Psychiatrist) 52.00%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 6.00%

Licensed Clinical Social Worker 10.00%

Licensed Mental Health Counselor 20.00%

Clinical Psychologist 0.00%

Psychiatric Nurse 6.00%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 2.00%

Multiple Professional Types Reported 0.00%

Not Reported 4.00%

Page 50: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 47

County: Gulf

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Gulf County is in the Department’s Northwest region and Florida Judicial Circuit 14. Big Bend Community Based Care is the Managing Entity for Gulf County.

• Percentage of population living below the poverty level (2018):o All ages: 13.90% o Under 18: 20.40%

• Median Household Income (2018) = $44,291 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $123.70

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 42.8 15.8

Children (< 18) 0.0 0.0

Older Adults (65+) 67.7 29.7

Counts and rates of involuntary examinations for residents of Gulf County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Gulf County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 67 413 < 25 *** *** < 25 *** *** N/A 16,235 N/A

2017-2018 98 601 < 25 *** *** < 25 *** *** -31.6% 16,297 -0.38%

2016-2017 96 577 25 26.04% 1303.44 < 25 *** *** -30.2% 16,628 -2.36%

2015-2016 84 514 < 25 *** *** < 25 *** *** -20.2% 16,346 -0.68%

2014-2015 89 538 < 25 *** *** < 25 *** *** -24.7% 16,543 -1.86%

2013-2014 83 515 26 31.33% 1396.35 < 25 *** *** -19.3% 16,106 0.80%

2012-2013 100 629 < 25 *** *** < 25 *** *** -33.0% 15,907 2.06%

2011-2012 88 557 < 25 *** *** < 25 *** *** -23.9% 15,789 2.82%

2010-2011 82 517 < 25 *** *** < 25 *** *** -18.3% 15,863 2.35%

2009-2010 96 572 < 25 *** *** < 25 *** *** -30.2% 16,798 -3.35%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Gulf County residents who received an involuntary examination were seen at Life Management Center of Northwest Florida (34.33%), Fort Walton Beach Medical Center (14.93%), Emerald Coast Behavioral Hospital (11.94%), Capital Regional Medical Center (10.45%), Apalachee Center (7.46%), and Suncoast Behavioral Health Center (5.97%).

Table C: FY18/19 Involuntary Examinations for Gulf County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 23.88% 71.64% 4.48%

Professional Certificate Type

Physician (not a Psychiatrist) 62.50%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 12.50%

Licensed Clinical Social Worker 6.25%

Licensed Mental Health Counselor 6.25%

Clinical Psychologist 6.25%

Psychiatric Nurse 0.00%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 6.25%

Multiple Professional Types Reported 0.00%

Not Reported 0.00%

Page 51: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 48

County: Hamilton

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Hamilton County is in the Department’s Northeast region and Florida Judicial Circuit 3. Lutheran Services Florida Health Systems is the Managing Entity for Hamilton County.

• Percentage of population living below the poverty level (2018):o All ages: 29.50% o Under 18: 40.10%

• Median Household Income (2018) = $34,583 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $82.40

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 6.8 6.1

Children (< 18) 0.0 0.0

Older Adults (65+) 0.0 38.5

Counts and rates of involuntary examinations for residents of Hamilton County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Hamilton County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 131 891 < 25 *** *** < 25 *** *** N/A 14,706 N/A

2017-2018 134 914 < 25 *** *** < 25 *** *** -2.24% 14,663 0.29%

2016-2017 142 968 < 25 *** *** < 25 *** *** -7.75% 14,665 0.28%

2015-2016 126 861 < 25 *** *** < 25 *** *** 3.97% 14,630 0.52%

2014-2015 112 780 < 25 *** *** < 25 *** *** 16.96% 14,351 2.47%

2013-2014 79 545 < 25 *** *** < 25 *** *** 65.82% 14,507 1.37%

2012-2013 45 303 < 25 *** *** < 25 *** *** 191.1% 14,836 -0.88%

2011-2012 51 346 < 25 *** *** < 25 *** *** 156.9% 14,744 -0.26%

2010-2011 52 351 < 25 *** *** < 25 *** *** 151.9% 14,799 -0.63%

2009-2010 72 487 < 25 *** *** < 25 *** *** 81.94% 14,783 -0.52%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Hamilton County residents who received an involuntary examination were seen at Meridian Behavioral Health Care (Lake City) (39.69%), Meridian Behavioral Health Care (Gainesville) (19.08%), North Florida Regional Medical Center (6.11%), and UF Health Shands Psychiatric Hospital (6.11%).

Table C: FY18/19 Involuntary Examinations for Hamilton County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 29.77% 67.18% 3.05%

Professional Certificate Type

Physician (not a Psychiatrist) 43.59%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 25.64%

Licensed Clinical Social Worker 5.13%

Licensed Mental Health Counselor 23.08%

Clinical Psychologist 0.00%

Psychiatric Nurse 2.56%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.00%

Multiple Professional Types Reported 0.00%

Not Reported 0.00%

Page 52: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 49

County: Hardee

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Hardee County is in the Department’s Central region and Florida Judicial Circuit 10. Central Florida Behavioral Health Network is the Managing Entity for Hardee County.

• Percentage of population living below the poverty level (2018):o All ages: 26.70% o Under 18: 43.50%

• Median Household Income (2018) = $37,594 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $66.80

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 14.5 19.9

Children (< 18) 0.0 0.0

Older Adults (65+) 49.0 22.7

Counts and rates of involuntary examinations for residents of Hardee County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Hardee County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 156 569 39 25.00% 737.38 < 25 *** *** N/A 27,436 N/A

2017-2018 167 609 43 25.75% 805.39 < 25 *** *** -6.59% 27,426 0.04%

2016-2017 215 778 52 24.19% 970.69 26 12.09% 680.45 -27.4% 27,637 -0.73%

2015-2016 175 633 36 20.57% 669.52 < 25 *** *** -10.9% 27,645 -0.76%

2014-2015 147 530 32 21.77% 593.03 < 25 *** *** 6.12% 27,712 -1.00%

2013-2014 138 499 < 25 *** *** < 25 *** *** 13.04% 27,682 -0.89%

2012-2013 163 587 < 25 *** *** 30 18.40% 826.9 -4.29% 27,762 -1.17%

2011-2012 137 495 < 25 *** *** < 25 *** *** 13.87% 27,653 -0.78%

2010-2011 102 368 < 25 *** *** < 25 *** *** 52.94% 27,731 -1.06%

2009-2010 149 526 < 25 *** *** < 25 *** *** 4.70% 28,333 -3.17%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Hardee County residents who received an involuntary examination were seen at Peace River Center (71.15%), and Lakeland Regional Medical Center (6.41%).

Table C: FY18/19 Involuntary Examinations for Hardee County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 32.69% 65.38% 1.92%

Professional Certificate Type

Physician (not a Psychiatrist) 62.75%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 3.92%

Licensed Clinical Social Worker 17.65%

Licensed Mental Health Counselor 3.92%

Clinical Psychologist 0.00%

Psychiatric Nurse 5.88%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.00%

Multiple Professional Types Reported 1.96%

Not Reported 3.92%

Page 53: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 50

County: Hendry

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Hendry County is in the Department’s SunCoast region and Florida Judicial Circuit 20. Central Florida Behavioral Health Network is the Managing Entity for Hendry County.

• Percentage of population living below the poverty level (2018):o All ages: 26.80% o Under 18: 34.10%

• Median Household Income (2018) = $40,728 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $121.80

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 23.6 12.9

Children (< 18) 13.3 13.2

Older Adults (65+) 61.4 37.9

Counts and rates of involuntary examinations for residents of Hendry County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Hendry County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 244 615 60 24.59% 793.86 < 25 *** *** N/A 39,682 N/A

2017-2018 254 650 51 20.08% 649.85 < 25 *** *** -3.94% 39,057 1.60%

2016-2017 200 521 43 21.50% 559.02 < 25 *** *** 22.00% 38,370 3.42%

2015-2016 273 717 94 34.43% 1225.23 < 25 *** *** -10.6% 38,096 4.16%

2014-2015 218 575 64 29.36% 825.59 < 25 *** *** 11.93% 37,895 4.72%

2013-2014 218 577 51 23.39% 655.78 < 25 *** *** 11.93% 37,808 4.96%

2012-2013 135 354 < 25 *** *** < 25 *** *** 80.74% 38,132 4.06%

2011-2012 69 177 < 25 *** *** < 25 *** *** 253.6% 38,908 1.99%

2010-2011 50 128 < 25 *** *** < 25 *** *** 388.0% 39,140 1.38%

2009-2010 72 174 < 25 *** *** < 25 *** *** 238.9% 41,320 -3.96%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Hendry County residents who received an involuntary examination were seen at SalusCare (54.10%), Park Royal Hospital (18.44%), and The Jerome Golden Center for Behavioral Health (Belle Glades) (10.25%).

Table C: FY18/19 Involuntary Examinations for Hendry County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 29.92% 68.03% 2.05%

Professional Certificate Type

Physician (not a Psychiatrist) 76.71%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 4.11%

Licensed Clinical Social Worker 4.11%

Licensed Mental Health Counselor 9.59%

Clinical Psychologist 0.00%

Psychiatric Nurse 1.37%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 2.74%

Multiple Professional Types Reported 0.00%

Not Reported 1.37%

Page 54: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 51

County: Hernando

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Hernando County is in the Department’s Central region and Florida Judicial Circuit 5. Lutheran Services Florida Health Systems is the Managing Entity for Hernando County.

• Percentage of population living below the poverty level (2018):o All ages: 14.30% o Under 18: 19.20%

• Median Household Income (2018) = $46,030 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $28.70

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 22.0 17.4

Children (< 18) 3.9 0.0

Older Adults (65+) 20.5 15.6

Counts and rates of involuntary examinations for residents of Hernando County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Hernando County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 1,509 814 402 26.64% 1554.1 161 10.67% 314.7 N/A 185,421 N/A

2017-2018 1,419 780 409 28.82% 1623.6 131 9.23% 257.87 6.34% 181,882 1.95%

2016-2017 1,346 750 375 27.86% 1498.62 114 8.47% 228.94 12.11% 179,503 3.30%

2015-2016 974 551 331 33.98% 1328.84 62 6.37% 127.76 54.93% 176,819 4.86%

2014-2015 1,113 636 395 35.49% 1607.32 77 6.92% 164.67 35.58% 174,955 5.98%

2013-2014 1,481 852 348 23.50% 1400.97 146 9.86% 321.31 1.89% 173,808 6.68%

2012-2013 1,382 798 302 21.85% 1208.87 143 10.35% 316.79 9.19% 173,104 7.12%

2011-2012 1,379 797 227 16.46% 894.44 161 11.68% 360.45 9.43% 173,078 7.13%

2010-2011 1,412 817 290 20.54% 1130.43 160 11.33% 359.36 6.87% 172,778 7.32%

2009-2010 1,344 814 269 20.01% 1162.04 111 8.26% 230.78 12.28% 165,048 12.34%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Hernando County residents who received an involuntary examination were seen at Springbrook Hospital (30.35%), Medical Center of Trinity - West Pasco Campus (15.18%), Central Florida Behavioral Hospital (8.88%), North Tampa Behavioral Health (7.62%), Mental Health Care (Gracepoint) (6.56%), Baycare Behavioral Health (5.57%), and Lakeland Regional Medical Center (5.04%).

Table C: FY18/19 Involuntary Examinations for Hernando County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 39.56% 55.80% 4.64%

Professional Certificate Type

Physician (not a Psychiatrist) 72.36%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 6.37%

Licensed Clinical Social Worker 6.20%

Licensed Mental Health Counselor 2.68%

Clinical Psychologist 1.51%

Psychiatric Nurse 4.69%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 1.84%

Multiple Professional Types Reported 0.67%

Not Reported 3.02%

Page 55: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 52

County: Highlands

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Highlands County is in the Department’s Central region and Florida Judicial Circuit 10. Central Florida Behavioral Health Network is the Managing Entity for Highlands County.

• Percentage of population living below the poverty level (2018):o All ages: 19.20% o Under 18: 33.70%

• Median Household Income (2018) = $37,314 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $46.10

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 17.8 28.6

Children (< 18) 0.0 0.0

Older Adults (65+) 26.3 22.3

Counts and rates of involuntary examinations for residents of Highlands County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Highlands County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 705 682 147 20.85% 1118.47 83 11.77% 230.93 N/A 103,317 N/A

2017-2018 916 897 169 18.45% 1305.83 174 19.00% 504.29 -23.0% 102,138 1.15%

2016-2017 917 903 131 14.29% 1013.3 256 27.92% 752.1 -23.1% 101,531 1.76%

2015-2016 1,037 1,029 152 14.66% 1178.29 245 23.63% 731.8 -32.0% 100,748 2.55%

2014-2015 933 935 109 11.68% 856.78 221 23.69% 674.48 -24.4% 99,818 3.51%

2013-2014 958 967 130 13.57% 1020.49 284 29.65% 883.03 -26.4% 99,092 4.26%

2012-2013 919 929 141 15.34% 1105.19 258 28.07% 802.44 -23.3% 98,955 4.41%

2011-2012 756 766 105 13.89% 814.65 192 25.40% 604.71 -6.75% 98,712 4.67%

2010-2011 819 829 78 9.52% 600.74 237 28.94% 744.77 -13.9% 98,786 4.59%

2009-2010 732 734 74 10.11% 548.64 245 33.47% 759.36 -3.69% 99,713 3.61%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Highlands County residents who received an involuntary examination were seen at Peace River Center (37.45%), Lake Wales Medical Center (27.38%), and Central Florida Behavioral Hospital (5.53%).

Table C: FY18/19 Involuntary Examinations for Highlands County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 30.21% 67.80% 1.99%

Professional Certificate Type

Physician (not a Psychiatrist) 73.71%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 4.23%

Licensed Clinical Social Worker 3.29%

Licensed Mental Health Counselor 6.57%

Clinical Psychologist 0.94%

Psychiatric Nurse 5.63%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.00%

Multiple Professional Types Reported 0.94%

Not Reported 4.23%

Page 56: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 53

County: Hillsborough

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Hillsborough County is in the Department’s SunCoast region and Florida Judicial Circuit 13. Central Florida Behavioral Health Network is the Managing Entity for Hillsborough County.

• Percentage of population living below the poverty level (2018):o All ages: 15.30% o Under 18: 20.70%

• Median Household Income (2018) = $56,137 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $27.10

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 14.9 14.3

Children (< 18) 1.3 0.4

Older Adults (65+) 25.7 21.1

Counts and rates of involuntary examinations for residents of Hillsborough County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Hillsborough County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 13,633 961 2,362 17.33% 1009.57 642 4.71% 322.66 N/A 1,419,285 N/A

2017-2018 12,031 872 2,854 23.72% 1229.81 616 5.12% 330.68 13.32% 1,379,302 2.90%

2016-2017 13,717 1,014 2,800 20.41% 1229.45 633 4.61% 352.93 -0.61% 1,352,797 4.91%

2015-2016 14,935 1,127 2,920 19.55% 1307.91 748 5.01% 433.93 -8.72% 1,325,563 7.07%

2014-2015 13,935 1,070 2,921 20.96% 1309.33 722 5.18% 426.47 -2.17% 1,301,887 9.02%

2013-2014 12,537 982 2,491 19.87% 1133.78 606 4.83% 378.17 8.74% 1,276,410 11.19%

2012-2013 11,848 943 2,276 19.21% 1049.32 580 4.90% 374.88 15.07% 1,256,118 12.99%

2011-2012 11,122 898 2,126 19.12% 990.1 545 4.90% 363.88 22.58% 1,238,951 14.56%

2010-2011 9,416 766 1,206 12.81% 564.21 505 5.36% 347.71 44.79% 1,229,226 15.46%

2009-2010 9,409 786 1,370 14.56% 633.68 466 4.95% 315.77 44.89% 1,196,892 18.58%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Hillsborough County residents who received an involuntary examination were seen at Mental Health Care (Gracepoint) (44.61%), St. Joseph’s Hospital Behavioral Health Center (15.46%), Brandon Regional Hospital (5.88%), Tampa Community Hospital (5.51%), and Morton Plant North Bay Hospital Recovery Center (5.33%).

Table C: FY18/19 Involuntary Examinations for Hillsborough County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 57.49% 40.48% 2.04%

Professional Certificate Type

Physician (not a Psychiatrist) 63.95%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 6.74%

Licensed Clinical Social Worker 5.21%

Licensed Mental Health Counselor 16.17%

Clinical Psychologist 0.66%

Psychiatric Nurse 0.94%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.40%

Multiple Professional Types Reported 0.75%

Not Reported 3.23%

Page 57: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 54

County: Holmes

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Holmes County is in the Department’s Northwest region and Florida Judicial Circuit 14. Big Bend Community Based Care is the Managing Entity for Holmes County.

• Percentage of population living below the poverty level (2018):o All ages: 25.60% o Under 18: 33.10%

• Median Household Income (2018) = $38,608 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $107.90

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 15.1 11.9

Children (< 18) 0.0 0.0

Older Adults (65+) 0.0 49.8

Counts and rates of involuntary examinations for residents of Holmes County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Holmes County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 147 720 44 29.93% 1477.5 < 25 *** *** N/A 20,404 N/A

2017-2018 192 950 33 17.19% 1095.98 < 25 *** *** -23.4% 20,210 0.96%

2016-2017 193 965 34 17.62% 1136.74 < 25 *** *** -23.8% 20,003 2.00%

2015-2016 159 799 43 27.04% 1440.54 < 25 *** *** -7.55% 19,902 2.52%

2014-2015 174 869 37 21.26% 1232.92 < 25 *** *** -15.5% 20,025 1.89%

2013-2014 183 914 44 24.04% 1446.42 < 25 *** *** -19.7% 20,022 1.91%

2012-2013 131 656 < 25 *** *** < 25 *** *** 12.21% 19,984 2.10%

2011-2012 167 839 35 20.96% 1130.49 < 25 *** *** -12.0% 19,901 2.53%

2010-2011 140 703 25 17.86% 794.66 < 25 *** *** 5.00% 19,927 2.39%

2009-2010 138 695 < 25 *** *** < 25 *** *** 6.52% 19,857 2.75%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Holmes County residents who received an involuntary examination were seen at Life Management Center of Northwest Florida (30.61%), Emerald Coast Behavioral Hospital (21.77%), Fort Walton Beach Medical Center (19.05%), Baptist Hospital (12.24%), and Capital Regional Medical Center (8.84%).

Table C: FY18/19 Involuntary Examinations for Holmes County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 25.85% 69.39% 4.76%

Professional Certificate Type

Physician (not a Psychiatrist) 68.42%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 2.63%

Licensed Clinical Social Worker 10.53%

Licensed Mental Health Counselor 13.16%

Clinical Psychologist 0.00%

Psychiatric Nurse 2.63%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.00%

Multiple Professional Types Reported 0.00%

Not Reported 2.63%

Page 58: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 55

County: Indian River

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Indian River County is in the Department’s Southeast region and Florida Judicial Circuit 19. Southeast Florida Behavioral Health Network is the Managing Entity for Indian River County.

• Percentage of population living below the poverty level (2018):o All ages: 12.20% o Under 18: 19.40%

• Median Household Income (2018) = $52,336 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $42.80

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 11.8 17.0

Children (< 18) 0.0 0.0

Older Adults (65+) 20.7 24.5

Counts and rates of involuntary examinations for residents of Indian River County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Indian River County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 1,485 976 328 22.09% 1767.53 121 8.15% 246.77 N/A 152,079 N/A

2017-2018 1,213 814 239 19.70% 1230.69 96 7.91% 217.09 22.42% 148,962 2.09%

2016-2017 1,198 818 163 13.61% 845.35 105 8.76% 245.51 23.96% 146,410 3.87%

2015-2016 1,010 705 171 16.93% 898.25 97 9.60% 235.16 47.03% 143,326 6.11%

2014-2015 1,027 729 175 17.04% 936.08 98 9.54% 246.35 44.60% 140,955 7.89%

2013-2014 1,045 749 205 19.62% 1087.53 104 9.95% 269.81 42.11% 139,586 8.95%

2012-2013 1,001 718 202 20.18% 1058.26 98 9.79% 255.89 48.35% 139,446 9.06%

2011-2012 1,054 760 165 15.65% 852.58 82 7.78% 216.91 40.89% 138,694 9.65%

2010-2011 997 722 135 13.54% 694.3 123 12.34% 327.97 48.95% 138,028 10.18%

2009-2010 1,003 708 154 15.35% 802 92 9.17% 236.41 48.06% 141,634 7.37%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Indian River County residents who received an involuntary examination were seen at Indian River Medical Center (Cleveland Clinic Indian River Hospital) (80.34%), and New Horizons of the Treasure Coast (7.81%).

Table C: FY18/19 Involuntary Examinations for Indian River County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 50.30% 47.14% 2.56%

Professional Certificate Type

Physician (not a Psychiatrist) 71.75%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 5.35%

Licensed Clinical Social Worker 3.08%

Licensed Mental Health Counselor 4.28%

Clinical Psychologist 0.54%

Psychiatric Nurse 5.09%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 6.69%

Multiple Professional Types Reported 0.54%

Not Reported 2.54%

Page 59: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 56

County: Jackson

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Jackson County is in the Department’s Northwest region and Florida Judicial Circuit 14. Big Bend Community Based Care is the Managing Entity for Jackson County.

• Percentage of population living below the poverty level (2018):o All ages: 20.60% o Under 18: 28.80%

• Median Household Income (2018) = $39,002 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $87.10

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 21.8 20.1

Children (< 18) 14.3 0.0

Older Adults (65+) 11.0 31.0

Counts and rates of involuntary examinations for residents of Jackson County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Jackson County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 222 438 47 21.17% 784.9 < 25 *** *** N/A 50,689 N/A

2017-2018 252 500 58 23.02% 828.1 < 25 *** *** -11.9% 50,418 0.54%

2016-2017 277 550 49 17.69% 701.2 < 25 *** *** -19.9% 50,345 0.68%

2015-2016 283 561 62 21.91% 888.12 < 25 *** *** -21.6% 50,458 0.46%

2014-2015 273 543 55 20.15% 783.14 29 10.62% 337.13 -18.7% 50,231 0.91%

2013-2014 242 482 55 22.73% 775.3 < 25 *** *** -8.26% 50,166 1.04%

2012-2013 209 419 51 24.40% 721.15 < 25 *** *** 6.22% 49,847 1.69%

2011-2012 299 598 49 16.39% 679.89 < 25 *** *** -25.8% 49,964 1.45%

2010-2011 271 545 44 16.24% 602.99 < 25 *** *** -18.1% 49,746 1.90%

2009-2010 270 513 64 23.70% 853.9 < 25 *** *** -17.8% 52,637 -3.70%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Jackson County residents who received an involuntary examination were seen at Life Management Center of Northwest Florida (34.68%), Emerald Coast Behavioral Hospital (19.37%), Capital Regional Medical Center (15.32%), Tallahassee Memorial Hospital (7.21%), and Fort Walton Beach Medical Center (5.86%).

Table C: FY18/19 Involuntary Examinations for Jackson County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 29.28% 52.70% 18.02%

Professional Certificate Type

Physician (not a Psychiatrist) 55.38%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 18.46%

Licensed Clinical Social Worker 0.00%

Licensed Mental Health Counselor 23.08%

Clinical Psychologist 0.00%

Psychiatric Nurse 0.00%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.00%

Multiple Professional Types Reported 0.00%

Not Reported 3.08%

Page 60: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 57

County: Jefferson

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Jefferson County is in the Department’s Northwest region and Florida Judicial Circuit 2. Big Bend Community Based Care is the Managing Entity for Jefferson County.

• Percentage of population living below the poverty level (2018):o All ages: 14.10% o Under 18: 18.10%

• Median Household Income (2018) = $48,173 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $119.00

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 20.7 13.4

Children (< 18) 0.0 0.0

Older Adults (65+) 68.3 0.0

Counts and rates of involuntary examinations for residents of Jefferson County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Jefferson County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 180 1,222 54 30.00% 2883.08 < 25 *** *** N/A 14,725 N/A

2017-2018 180 1,232 43 23.89% 2286.02 < 25 *** *** 0.00% 14,611 0.78%

2016-2017 152 1,048 26 17.11% 1376.39 < 25 *** *** 18.42% 14,498 1.57%

2015-2016 124 854 < 25 *** *** < 25 *** *** 45.16% 14,519 1.42%

2014-2015 119 815 < 25 *** *** < 25 *** *** 51.26% 14,597 0.88%

2013-2014 108 742 < 25 *** *** < 25 *** *** 66.67% 14,554 1.17%

2012-2013 91 629 < 25 *** *** < 25 *** *** 97.80% 14,478 1.71%

2011-2012 125 852 < 25 *** *** < 25 *** *** 44.00% 14,666 0.40%

2010-2011 107 725 < 25 *** *** < 25 *** *** 68.22% 14,761 -0.24%

2009-2010 89 606 < 25 *** *** < 25 *** *** 102.3% 14,677 0.33%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Jefferson County residents who received an involuntary examination were seen at Apalachee Center (46.67%), Tallahassee Memorial Hospital (19.44%), Eastside Psychiatric Hospital (14.44%), and Capital Regional Medical Center (13.33%).

Table C: FY18/19 Involuntary Examinations for Jefferson County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 16.11% 78.89% 5.00%

Professional Certificate Type

Physician (not a Psychiatrist) 55.17%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 13.79%

Licensed Clinical Social Worker 10.34%

Licensed Mental Health Counselor 10.34%

Clinical Psychologist 3.45%

Psychiatric Nurse 3.45%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 3.45%

Multiple Professional Types Reported 0.00%

Not Reported 0.00%

Page 61: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 58

County: Lafayette

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Lafayette County is in the Department’s Northeast region and Florida Judicial Circuit 3. Lutheran Services Florida Health Systems is the Managing Entity for Lafayette County.

• Percentage of population living below the poverty level (2018):o All ages: 20.10% o Under 18: 19.80%

• Median Household Income (2018) = $39,543 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $122.60

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 11.6 0.0

Children (< 18) 0.0 0.0

Older Adults (65+) 82.3 0.0

Counts and rates of involuntary examinations for residents of Lafayette County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Lafayette County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 49 586 < 25 *** *** < 25 *** *** N/A 8,367 N/A

2017-2018 64 755 < 25 *** *** < 25 *** *** -23.4% 8,479 -1.32%

2016-2017 47 545 < 25 *** *** < 25 *** *** 4.26% 8,621 -2.95%

2015-2016 37 427 < 25 *** *** < 25 *** *** 32.43% 8,664 -3.43%

2014-2015 38 437 < 25 *** *** < 25 *** *** 28.95% 8,696 -3.78%

2013-2014 < 25 278 < 25 *** *** < 25 *** *** 104.2% 8,618 -2.91%

2012-2013 < 25 231 < 25 *** *** < 25 *** *** 145.0% 8,663 -3.42%

2011-2012 < 25 263 < 25 *** *** < 25 *** *** 113.0% 8,752 -4.40%

2010-2011 30 338 < 25 *** *** < 25 *** *** 63.33% 8,870 -5.67%

2009-2010 35 428 < 25 *** *** < 25 *** *** 40.00% 8,183 2.25%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Lafayette County residents who received an involuntary examination were seen at Meridian Behavioral Health Care (Lake City) (51.02%), North Florida Regional Medical Center (20.41%), UF Health Shands Psychiatric Hospital (6.12%), and Meridian Behavioral Health Care (Gainesville) (6.12%).

Table C: FY18/19 Involuntary Examinations for Lafayette County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 30.61% 69.39% 0.00%

Professional Certificate Type

Physician (not a Psychiatrist) 46.67%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 20.00%

Licensed Clinical Social Worker 6.67%

Licensed Mental Health Counselor 20.00%

Clinical Psychologist 0.00%

Psychiatric Nurse 0.00%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.00%

Multiple Professional Types Reported 6.67%

Not Reported 0.00%

Page 62: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 59

County: Lake

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Lake County is in the Department’s Central region and Florida Judicial Circuit 5. Lutheran Services Florida Health Systems is the Managing Entity for Lake County.

• Percentage of population living below the poverty level (2018):o All ages: 12.50% o Under 18: 19.50%

• Median Household Income (2018) = $51,884 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $25.50

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 16.3 21.3

Children (< 18) 0.0 6.1

Older Adults (65+) 22.9 25.3

Counts and rates of involuntary examinations for residents of Lake County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Lake County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 2,875 840 730 25.39% 1491.01 205 7.13% 225.77 N/A 342,356 N/A

2017-2018 3,041 917 682 22.43% 1414.41 187 6.15% 220.45 -5.46% 331,724 3.21%

2016-2017 2,860 883 610 21.33% 1287.22 192 6.71% 233.26 0.52% 323,985 5.67%

2015-2016 2,571 812 638 24.82% 1369.01 199 7.74% 249.03 11.82% 316,569 8.15%

2014-2015 2,285 738 479 20.96% 1052.77 197 8.62% 257.72 25.82% 309,736 10.53%

2013-2014 2,195 724 449 20.46% 995.32 169 7.70% 229.79 30.98% 303,317 12.87%

2012-2013 2,076 693 440 21.19% 979.82 179 8.62% 246.11 38.49% 299,677 14.24%

2011-2012 2,071 694 396 19.12% 871.5 236 11.40% 328.3 38.82% 298,265 14.78%

2010-2011 1,967 662 332 16.88% 729.54 175 8.90% 243.65 46.16% 297,052 15.25%

2009-2010 1,887 646 358 18.97% 844.36 149 7.90% 198.25 52.36% 291,993 17.25%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Lake County residents who received an involuntary examination were seen at and Life Stream Behavioral Center (86.05%).

Table C: FY18/19 Involuntary Examinations for Lake County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 41.84% 55.97% 2.19%

Professional Certificate Type

Physician (not a Psychiatrist) 75.98%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 5.40%

Licensed Clinical Social Worker 2.83%

Licensed Mental Health Counselor 9.06%

Clinical Psychologist 1.00%

Psychiatric Nurse 1.08%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.42%

Multiple Professional Types Reported 0.25%

Not Reported 3.16%

Page 63: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 60

County: Lee

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Lee County is in the Department’s SunCoast region and Florida Judicial Circuit 20. Central Florida Behavioral Health Network is the Managing Entity for Lee County.

• Percentage of population living below the poverty level (2018):o All ages: 14.00% o Under 18: 23.40%

• Median Household Income (2018) = $54,691 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $19.70

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 18.1 17.0

Children (< 18) 3.3 4.2

Older Adults (65+) 17.0 17.3

Counts and rates of involuntary examinations for residents of Lee County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Lee County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 5,913 820 1,488 25.16% 1563.76 422 7.14% 209.12 N/A 721,053 N/A

2017-2018 6,173 884 1,319 21.37% 1385.36 552 8.94% 311.28 -4.21% 698,468 3.23%

2016-2017 6,101 897 1,215 19.91% 1302.39 503 8.24% 293.79 -3.08% 680,539 5.95%

2015-2016 5,638 847 1,127 19.99% 1229.73 507 8.99% 305 4.88% 665,845 8.29%

2014-2015 5,210 797 1,110 21.31% 1226.44 473 9.08% 298.07 13.49% 653,485 10.34%

2013-2014 4,704 731 999 21.24% 1113.69 401 8.52% 261.26 25.70% 643,367 12.07%

2012-2013 4,227 663 988 23.37% 1105.59 332 7.85% 219.02 39.89% 638,029 13.01%

2011-2012 3,139 502 749 23.86% 844.67 141 4.49% 95.95 88.37% 625,310 15.31%

2010-2011 2,107 341 478 22.69% 543.16 112 5.32% 77.18 180.6% 618,754 16.53%

2009-2010 3,004 488 579 19.27% 654.36 112 3.73% 75.99 96.84% 615,124 17.22%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Lee County residents who received an involuntary examination were seen at SalusCare (58.77%), and Park Royal Hospital (27.30%).

Table C: FY18/19 Involuntary Examinations for Lee County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 38.22% 60.83% 0.95%

Professional Certificate Type

Physician (not a Psychiatrist) 58.76%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 11.90%

Licensed Clinical Social Worker 5.13%

Licensed Mental Health Counselor 11.28%

Clinical Psychologist 0.58%

Psychiatric Nurse 2.12%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 7.70%

Multiple Professional Types Reported 0.35%

Not Reported 1.46%

Page 64: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 61

County: Leon

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Leon County is in the Department’s Northwest region and Florida Judicial Circuit 2. Big Bend Community Based Care is the Managing Entity for Leon County.

• Percentage of population living below the poverty level (2018):o All ages: 20.40% o Under 18: 18.80%

• Median Household Income (2018) = $51,201 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $34.40

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 11.6 12.3

Children (< 18) 0.0 0.0

Older Adults (65+) 12.3 16.0

Counts and rates of involuntary examinations for residents of Leon County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Leon County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 2,702 931 671 24.83% 1726.22 133 4.92% 354.92 N/A 290,223 N/A

2017-2018 2,766 961 648 23.43% 1616.52 128 4.63% 350.29 -2.31% 287,899 0.81%

2016-2017 2,240 779 444 19.82% 1101.35 108 4.82% 307.03 20.63% 287,671 0.89%

2015-2016 2,209 777 415 18.79% 1036.67 104 4.71% 311.17 22.32% 284,443 2.03%

2014-2015 2,055 731 408 19.85% 1023.53 120 5.84% 375.74 31.48% 281,292 3.17%

2013-2014 1,685 605 367 21.78% 930.74 100 5.93% 334.45 60.36% 278,377 4.26%

2012-2013 1,487 536 243 16.34% 622.14 87 5.85% 305.03 81.71% 277,670 4.52%

2011-2012 1,504 544 223 14.83% 575.65 63 4.19% 231.41 79.65% 276,278 5.05%

2010-2011 1,400 508 193 13.79% 499.7 75 5.36% 288.68 93.00% 275,487 5.35%

2009-2010 1,352 492 189 13.98% 486.91 53 3.92% 214.68 99.85% 274,803 5.61%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Leon County residents who received an involuntary examination were seen at Apalachee Center (41.67%), Tallahassee Memorial Hospital (28.79%), Capital Regional Medical Center (15.77%), and Eastside Psychiatric Hospital (9.29%).

Table C: FY18/19 Involuntary Examinations for Leon County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 35.64% 58.03% 6.33%

Professional Certificate Type

Physician (not a Psychiatrist) 44.96%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 17.24%

Licensed Clinical Social Worker 10.18%

Licensed Mental Health Counselor 11.01%

Clinical Psychologist 3.63%

Psychiatric Nurse 6.23%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 3.95%

Multiple Professional Types Reported 0.73%

Not Reported 2.08%

Page 65: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 62

County: Levy

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Levy County is in the Department’s Northeast region and Florida Judicial Circuit 8. Lutheran Services Florida Health Systems is the Managing Entity for Levy County.

• Percentage of population living below the poverty level (2018):o All ages: 20.70% o Under 18: 33.80%

• Median Household Income (2018) = $37,634 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $63.10

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 29.7 24.9

Children (< 18) 0.0 0.0

Older Adults (65+) 43.2 29.5

Counts and rates of involuntary examinations for residents of Levy County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Levy County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 263 633 82 31.18% 1356.72 < 25 *** *** N/A 41,550 N/A

2017-2018 291 710 73 25.09% 1242.13 < 25 *** *** -9.62% 41,015 1.30%

2016-2017 245 604 48 19.59% 819.39 35 14.29% 390.1 7.35% 40,553 2.46%

2015-2016 262 648 72 27.48% 1222.62 32 12.21% 365.55 0.38% 40,448 2.72%

2014-2015 311 768 83 26.69% 1390.52 25 8.04% 292.5 -15.4% 40,473 2.66%

2013-2014 241 598 64 26.56% 1060.66 < 25 *** *** 9.13% 40,304 3.09%

2012-2013 275 682 60 21.82% 983.12 < 25 *** *** -4.36% 40,339 3.00%

2011-2012 228 559 35 15.35% 559.55 < 25 *** *** 15.35% 40,767 1.92%

2010-2011 252 618 46 18.25% 726.7 < 25 *** *** 4.37% 40,801 1.84%

2009-2010 212 521 56 26.42% 844.01 < 25 *** *** 24.06% 40,674 2.15%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Levy County residents who received an involuntary examination were seen at UF Health Shands Psychiatric Hospital (34.60%), Meridian Behavioral Health Care (Gainesville) (19.77%), North Florida Regional Medical Center (11.03%), Meridian Behavioral Health Care (Lake City) (8.37%), and The Centers (5.32%).

Table C: FY18/19 Involuntary Examinations for Levy County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 43.35% 54.75% 1.90%

Professional Certificate Type

Physician (not a Psychiatrist) 71.93%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 4.39%

Licensed Clinical Social Worker 4.39%

Licensed Mental Health Counselor 14.91%

Clinical Psychologist 0.00%

Psychiatric Nurse 0.00%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.00%

Multiple Professional Types Reported 0.00%

Not Reported 4.39%

Page 66: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 63

County: Liberty

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Liberty County is in the Department’s Northwest region and Florida Judicial Circuit 2. Big Bend Community Based Care is the Managing Entity for Liberty County.

• Percentage of population living below the poverty level (2018):o All ages: 13.00% o Under 18: 11.20%

• Median Household Income (2018) = $37,363 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $110.60

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 0.0 22.0

Children (< 18) 0.0 85.8

Older Adults (65+) 0.0 78.8

Counts and rates of involuntary examinations for residents of Liberty County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Liberty County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 101 1,150 < 25 *** *** < 25 *** *** N/A 8,781 N/A

2017-2018 63 723 < 25 *** *** < 25 *** *** 60.32% 8,719 0.71%

2016-2017 62 710 < 25 *** *** < 25 *** *** 62.90% 8,736 0.52%

2015-2016 81 931 < 25 *** *** < 25 *** *** 24.69% 8,698 0.95%

2014-2015 54 623 < 25 *** *** < 25 *** *** 87.04% 8,668 1.30%

2013-2014 44 519 < 25 *** *** < 25 *** *** 129.6% 8,483 3.51%

2012-2013 36 423 < 25 *** *** < 25 *** *** 180.6% 8,519 3.08%

2011-2012 41 490 < 25 *** *** < 25 *** *** 146.3% 8,370 4.91%

2010-2011 30 359 < 25 *** *** < 25 *** *** 236.7% 8,365 4.97%

2009-2010 28 341 < 25 *** *** < 25 *** *** 260.7% 8,220 6.82%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Liberty County residents who received an involuntary examination were seen at Apalachee Center (48.51%), Tallahassee Memorial Hospital (20.79%), Capital Regional Medical Center (9.90%), and Eastside Psychiatric Hospital (8.91%).

Table C: FY18/19 Involuntary Examinations for Liberty County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 17.82% 74.26% 7.92%

Professional Certificate Type

Physician (not a Psychiatrist) 38.89%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 50.00%

Licensed Clinical Social Worker 0.00%

Licensed Mental Health Counselor 5.56%

Clinical Psychologist 0.00%

Psychiatric Nurse 0.00%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.00%

Multiple Professional Types Reported 0.00%

Not Reported 5.56%

Page 67: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 64

County: Madison

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Madison County is in the Department’s Northeast region and Florida Judicial Circuit 3. Big Bend Community Based Care is the Managing Entity for Madison County.

• Percentage of population living below the poverty level (2018):o All ages: 28.20% o Under 18: 43.30%

• Median Household Income (2018) = $35,509 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $87.10

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 15.6 5.0

Children (< 18) 0.0 0.0

Older Adults (65+) 29.1 0.0

Counts and rates of involuntary examinations for residents of Madison County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Madison County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 226 1,164 42 18.58% 1569.51 26 11.50% 669.93 N/A 19,420 N/A

2017-2018 305 1,574 66 21.64% 2211.8 < 25 *** *** -25.9% 19,377 0.22%

2016-2017 171 889 40 23.39% 1349.53 < 25 *** *** 32.16% 19,238 0.95%

2015-2016 196 1,021 38 19.39% 1293.4 < 25 *** *** 15.31% 19,200 1.15%

2014-2015 220 1,140 31 14.09% 1055.14 < 25 *** *** 2.73% 19,303 0.61%

2013-2014 215 1,109 < 25 *** *** < 25 *** *** 5.12% 19,395 0.13%

2012-2013 174 905 26 14.94% 882.55 < 25 *** *** 29.89% 19,227 1.00%

2011-2012 205 1,062 25 12.20% 843.17 < 25 *** *** 10.24% 19,298 0.63%

2010-2011 188 978 < 25 *** *** < 25 *** *** 20.21% 19,224 1.02%

2009-2010 181 890 < 25 *** *** < 25 *** *** 24.86% 20,333 -4.49%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Madison County residents who received an involuntary examination were seen at Apalachee Center (46.90%), Capital Regional Medical Center (14.60%), Eastside Psychiatric Hospital (13.27%), and Tallahassee Memorial Hospital (9.29%).

Table C: FY18/19 Involuntary Examinations for Madison County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 19.03% 69.47% 11.50%

Professional Certificate Type

Physician (not a Psychiatrist) 37.21%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 11.63%

Licensed Clinical Social Worker 11.63%

Licensed Mental Health Counselor 20.93%

Clinical Psychologist 0.00%

Psychiatric Nurse 2.33%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 9.30%

Multiple Professional Types Reported 2.33%

Not Reported 4.65%

Page 68: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 65

County: Manatee

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Manatee County is in the Department’s SunCoast region and Florida Judicial Circuit 12. Central Florida Behavioral Health Network is the Managing Entity for Manatee County.

• Percentage of population living below the poverty level (2018):o All ages: 12.50% o Under 18: 20.60%

• Median Household Income (2018) = $56,036 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $21.70

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 17.3 15.1

Children (< 18) 2.0 1.9

Older Adults (65+) 22.3 26.4

Counts and rates of involuntary examinations for residents of Manatee County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Manatee County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 2,339 614 600 25.65% 1159.6 169 7.23% 165.28 N/A 381,071 N/A

2017-2018 2,502 678 550 21.98% 1045.07 163 6.51% 172.19 -6.51% 368,782 3.33%

2016-2017 2,244 628 528 23.53% 1028.26 143 6.37% 158.13 4.23% 357,591 6.57%

2015-2016 2,310 661 527 22.81% 1045.84 172 7.45% 197.38 1.26% 349,334 9.09%

2014-2015 2,395 705 541 22.59% 1097.14 155 6.47% 185.72 -2.34% 339,545 12.23%

2013-2014 2,183 654 471 21.58% 960.3 160 7.33% 200.88 7.15% 333,880 14.13%

2012-2013 1,968 596 335 17.02% 689.84 163 8.28% 207.93 18.85% 330,302 15.37%

2011-2012 1,904 584 349 18.33% 723.68 163 8.56% 213.32 22.85% 325,905 16.93%

2010-2011 2,014 624 414 20.56% 863.2 161 7.99% 214.36 16.14% 322,833 18.04%

2009-2010 2,003 629 311 15.53% 664.5 157 7.84% 217.36 16.77% 318,404 19.68%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Manatee County residents who received an involuntary examination were seen at Centerstone of Florida (35.40%), Suncoast Behavioral Health Center (24.07%), Centerstone of Florida (Manatee Glens Hospital) (18.30%), and Sarasota Memorial Hospital (7.05%).

Table C: FY18/19 Involuntary Examinations for Manatee County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 43.61% 54.21% 2.18%

Professional Certificate Type

Physician (not a Psychiatrist) 41.08%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 18.92%

Licensed Clinical Social Worker 12.84%

Licensed Mental Health Counselor 17.16%

Clinical Psychologist 3.82%

Psychiatric Nurse 2.25%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.49%

Multiple Professional Types Reported 0.49%

Not Reported 2.45%

Page 69: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 66

County: Marion

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Marion County is in the Department’s Central region and Florida Judicial Circuit 5. Lutheran Services Florida Health Systems is the Managing Entity for Marion County.

• Percentage of population living below the poverty level (2018):o All ages: 16.60% o Under 18: 28.40%

• Median Household Income (2018) = $43,361 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $34.80

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 22.8 25.0

Children (< 18) 0.0 6.2

Older Adults (65+) 22.0 28.5

Counts and rates of involuntary examinations for residents of Marion County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Marion County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 4,076 1,147 1,196 29.34% 2463.64 283 6.94% 278.16 N/A 355,325 N/A

2017-2018 3,757 1,076 1,153 30.69% 2470.27 261 6.95% 263.07 8.49% 349,267 1.73%

2016-2017 3,016 872 782 25.93% 1686.14 212 7.03% 218.48 35.15% 345,749 2.77%

2015-2016 3,045 892 835 27.42% 1817.9 182 5.98% 192.46 33.86% 341,205 4.14%

2014-2015 3,100 919 844 27.23% 1841.23 244 7.87% 266.75 31.48% 337,455 5.30%

2013-2014 3,072 917 768 25.00% 1662.45 260 8.46% 293.9 32.68% 335,008 6.06%

2012-2013 2,534 761 722 28.49% 1560.57 201 7.93% 230.01 60.85% 332,989 6.71%

2011-2012 2,939 886 613 20.86% 1313.11 245 8.34% 284.2 38.69% 331,745 7.11%

2010-2011 3,147 950 674 21.42% 1431.94 270 8.58% 316.46 29.52% 331,298 7.25%

2009-2010 2,999 908 600 20.01% 1232.21 239 7.97% 295.84 35.91% 330,440 7.53%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Marion County residents who received an involuntary examination were seen at The Centers (56.67%), and The Vines Hospital (24.85%).

Table C: FY18/19 Involuntary Examinations for Marion County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 23.92% 74.61% 1.47%

Professional Certificate Type

Physician (not a Psychiatrist) 59.69%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 6.67%

Licensed Clinical Social Worker 5.13%

Licensed Mental Health Counselor 17.13%

Clinical Psychologist 0.62%

Psychiatric Nurse 6.36%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.92%

Multiple Professional Types Reported 0.82%

Not Reported 2.46%

Page 70: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 67

County: Martin

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Martin County is in the Department’s Southeast region and Florida Judicial Circuit 19. Southeast Florida Behavioral Health Network is the Managing Entity for Martin County.

• Percentage of population living below the poverty level (2018):o All ages: 10.50% o Under 18: 16.10%

• Median Household Income (2018) = $57,959 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $35.40

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 14.6 19.2

Children (< 18) 0.0 5.2

Older Adults (65+) 24.9 42.2

Counts and rates of involuntary examinations for residents of Martin County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Martin County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 1,244 799 257 20.66% 1331.05 124 9.97% 261.59 N/A 155,705 N/A

2017-2018 1,072 701 218 20.34% 1172.3 86 8.02% 188.8 16.04% 153,022 1.75%

2016-2017 808 536 143 17.70% 769.77 69 8.54% 155.74 53.96% 150,870 3.20%

2015-2016 855 570 123 14.39% 655.13 74 8.65% 170.64 45.50% 150,062 3.76%

2014-2015 960 646 153 15.94% 822.32 101 10.52% 238.15 29.58% 148,585 4.79%

2013-2014 788 532 115 14.59% 607.85 79 10.03% 191.18 57.87% 148,077 5.15%

2012-2013 893 607 109 12.21% 574.08 101 11.31% 246.38 39.31% 147,203 5.78%

2011-2012 775 528 97 12.52% 501.08 84 10.84% 208.38 60.52% 146,689 6.15%

2010-2011 763 521 75 9.83% 383.73 77 10.09% 192.63 63.04% 146,318 6.42%

2009-2010 704 489 65 9.23% 344.22 71 10.09% 175.23 76.70% 143,856 8.24%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Martin County residents who received an involuntary examination were seen at Coral Shores Behavioral Health (43.65%), New Horizons of the Treasure Coast (25.72%), St. Lucie Medical Center (Treasure Coast Behavioral Healthcare) (11.17%), and Indian River Medical Center (Cleveland Clinic Indian River Hospital) (5.23%).

Table C: FY18/19 Involuntary Examinations for Martin County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 51.93% 45.98% 2.09%

Professional Certificate Type

Physician (not a Psychiatrist) 68.73%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 4.64%

Licensed Clinical Social Worker 6.19%

Licensed Mental Health Counselor 6.04%

Clinical Psychologist 0.31%

Psychiatric Nurse 1.24%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 1.39%

Multiple Professional Types Reported 4.33%

Not Reported 6.04%

Page 71: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 68

County: Miami-Dade

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Miami-Dade County is in the Department’s Southern region and Florida Judicial Circuit 11. South Florida Behavioral Health Network is the Managing Entity for Miami-Dade County.

• Percentage of population living below the poverty level (2018):o All ages: 18.00% o Under 18: 24.20%

• Median Household Income (2018) = $48,982 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $21.20

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 9.8 9.1

Children (< 18) 1.0 2.7

Older Adults (65+) 18.8 16.8

Counts and rates of involuntary examinations for residents of Miami-Dade County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Miami-Dade County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 29,526 1,053 3,135 10.62% 767.23 3,478 11.78% 777.39 N/A 2,804,160 N/A

2017-2018 28,630 1,044 2,357 8.23% 571.42 3,396 11.86% 782 3.13% 2,743,095 2.23%

2016-2017 28,611 1,059 2,439 8.52% 597.51 3,199 11.18% 762.72 3.20% 2,700,794 3.83%

2015-2016 27,072 1,020 2,360 8.72% 585.31 2,836 10.48% 702.05 9.06% 2,653,934 5.66%

2014-2015 25,582 979 2,492 9.74% 614.09 2,612 10.21% 661.52 15.42% 2,613,692 7.29%

2013-2014 23,944 927 2,444 10.21% 604.98 2,614 10.92% 691.73 23.31% 2,582,375 8.59%

2012-2013 20,353 798 2,012 9.89% 501.88 2,347 11.53% 636.1 45.07% 2,551,290 9.91%

2011-2012 15,852 630 1,839 11.60% 463.26 1,717 10.83% 477.34 86.26% 2,516,537 11.43%

2010-2011 15,767 632 1,592 10.10% 402.23 1,499 9.51% 425.84 87.26% 2,496,435 12.33%

2009-2010 17,172 695 1,962 11.43% 459.45 1,633 9.51% 470.8 71.94% 2,472,344 13.42%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Miami-Dade County residents who received an involuntary examination were seen at Jackson Memorial (Jackson Behavioral Health Hospital) (22.86%), Southern Winds Hospital (8.64%), Mount Sinai Medical Center (6.67%), Citrus Health Network (6.61%), Community Health of South Florida (6.49%), North Shore Medical Center (6.36%), Palmetto General Hospital (6.11%), and Aventura Hospital and Medical Center (5.23%).

Table C: FY18/19 Involuntary Examinations for Miami-Dade County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 47.93% 49.27% 2.80%

Professional Certificate Type

Physician (not a Psychiatrist) 61.73%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 16.08%

Licensed Clinical Social Worker 5.66%

Licensed Mental Health Counselor 8.03%

Clinical Psychologist 1.02%

Psychiatric Nurse 1.10%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.82%

Multiple Professional Types Reported 1.08%

Not Reported 4.38%

Page 72: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 69

County: Monroe

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Monroe County is in the Department’s Southern region and Florida Judicial Circuit 16. South Florida Behavioral Health Network is the Managing Entity for Monroe County.

• Percentage of population living below the poverty level (2018):o All ages: 11.80% o Under 18: 17.30%

• Median Household Income (2018) = $67,023 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $103.10

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 28.2 34.9

Children (< 18) 12.7 0.0

Older Adults (65+) 32.6 72.3

Counts and rates of involuntary examinations for residents of Monroe County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Monroe County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 801 1,047 50 6.24% 617.06 54 6.74% 325.4 N/A 76,534 N/A

2017-2018 649 844 37 5.70% 461.17 46 7.09% 272.24 23.42% 76,889 -0.46%

2016-2017 711 935 33 4.64% 414.73 43 6.05% 265.81 12.66% 76,047 0.64%

2015-2016 524 706 27 5.15% 348.52 26 4.96% 169.91 52.86% 74,206 3.14%

2014-2015 459 620 < 25 *** *** 31 6.75% 208.08 74.51% 74,044 3.36%

2013-2014 440 598 < 25 *** *** 28 6.36% 198.67 82.05% 73,560 4.04%

2012-2013 486 667 25 5.14% 320.39 < 25 *** *** 64.81% 72,897 4.99%

2011-2012 465 640 37 7.96% 473.45 < 25 *** *** 72.26% 72,670 5.32%

2010-2011 463 633 41 8.86% 524.83 < 25 *** *** 73.00% 73,090 4.71%

2009-2010 420 539 27 6.43% 278.44 < 25 *** *** 90.71% 77,925 -1.79%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Monroe County residents who received an involuntary examination were seen at Guidance/Care Center (43.95%), and Depoo Hospital (Lower Keys Medical Center) (40.45%).

Table C: FY18/19 Involuntary Examinations for Monroe County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 56.55% 41.95% 1.50%

Professional Certificate Type

Physician (not a Psychiatrist) 69.76%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 1.99%

Licensed Clinical Social Worker 9.93%

Licensed Mental Health Counselor 10.38%

Clinical Psychologist 0.00%

Psychiatric Nurse 3.75%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 2.21%

Multiple Professional Types Reported 0.22%

Not Reported 1.77%

Page 73: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 70

County: Nassau

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Nassau County is in the Department’s Northeast region and Florida Judicial Circuit 4. Lutheran Services Florida Health Systems is the Managing Entity for Nassau County.

• Percentage of population living below the poverty level (2018):o All ages: 10.20% o Under 18: 12.90%

• Median Household Income (2018) = $66,297 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $52.90

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 23.4 21.7

Children (< 18) 8.5 8.2

Older Adults (65+) 32.5 22.3

Counts and rates of involuntary examinations for residents of Nassau County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Nassau County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 575 692 94 16.35% 768.1 32 5.57% 178.27 N/A 83,125 N/A

2017-2018 579 720 122 21.07% 1027.28 < 25 *** *** -0.69% 80,456 3.32%

2016-2017 557 716 119 21.36% 1026.75 31 5.57% 196.41 3.23% 77,841 6.79%

2015-2016 407 532 86 21.13% 748.28 < 25 *** *** 41.28% 76,536 8.61%

2014-2015 396 526 63 15.91% 550.75 < 25 *** *** 45.20% 75,321 10.36%

2013-2014 252 338 76 30.16% 656.3 < 25 *** *** 128.2% 74,661 11.34%

2012-2013 234 317 84 35.90% 723.14 < 25 *** *** 145.7% 73,745 12.72%

2011-2012 205 278 80 39.02% 676.53 < 25 *** *** 180.5% 73,684 12.81%

2010-2011 181 247 57 31.49% 477.55 < 25 *** *** 217.7% 73,314 13.38%

2009-2010 252 347 55 21.83% 462.73 < 25 *** *** 128.2% 72,588 14.52%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Nassau County residents who received an involuntary examination were seen at Mental Health Resource Center - North (39.13%), Baptist Medical Center Jacksonville (29.74%), UF Health Jacksonville (7.65%), and Wekiva Springs Center (7.13%).

Table C: FY18/19 Involuntary Examinations for Nassau County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 43.48% 55.65% 0.87%

Professional Certificate Type

Physician (not a Psychiatrist) 72.80%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 4.40%

Licensed Clinical Social Worker 0.40%

Licensed Mental Health Counselor 13.60%

Clinical Psychologist 0.00%

Psychiatric Nurse 0.40%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.40%

Multiple Professional Types Reported 2.40%

Not Reported 4.00%

Page 74: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 71

County: Okaloosa

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Okaloosa County is in the Department’s Northwest region and Florida Judicial Circuit 1. Big Bend Community Based Care is the Managing Entity for Okaloosa County.

• Percentage of population living below the poverty level (2018):o All ages: 11.50% o Under 18: 16.50%

• Median Household Income (2018) = $62,048 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $39.40

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 19.3 20.9

Children (< 18) 6.8 3.3

Older Adults (65+) 24.0 19.3

Counts and rates of involuntary examinations for residents of Okaloosa County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Okaloosa County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 1,610 811 265 16.46% 864.26 70 4.35% 224.8 N/A 198,409 N/A

2017-2018 1,750 895 382 21.83% 1238.65 68 3.89% 212.61 -8.00% 195,488 1.49%

2016-2017 1,828 948 349 19.09% 1142.99 102 5.58% 330.96 -11.9% 192,925 2.84%

2015-2016 1,692 882 333 19.68% 1094.49 93 5.50% 310.36 -4.85% 191,898 3.39%

2014-2015 1,718 901 290 16.88% 941.83 118 6.87% 404.28 -6.29% 190,666 4.06%

2013-2014 1,676 890 250 14.92% 822.88 98 5.85% 352.54 -3.94% 188,349 5.34%

2012-2013 1,518 811 136 8.96% 451.53 103 6.79% 380.47 6.06% 187,280 5.94%

2011-2012 1,644 905 213 12.96% 733.55 90 5.47% 347.12 -2.07% 181,679 9.21%

2010-2011 1,466 811 226 15.42% 785.27 77 5.25% 305.34 9.82% 180,822 9.73%

2009-2010 1,209 616 242 20.02% 743.77 38 3.14% 138.81 33.17% 196,237 1.11%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Okaloosa County residents who received an involuntary examination were seen at Fort Walton Beach Medical Center (70.81%), and Baptist Hospital (17.70%).

Table C: FY18/19 Involuntary Examinations for Okaloosa County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 64.29% 30.75% 4.97%

Professional Certificate Type

Physician (not a Psychiatrist) 71.59%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 1.16%

Licensed Clinical Social Worker 4.64%

Licensed Mental Health Counselor 4.06%

Clinical Psychologist 0.10%

Psychiatric Nurse 4.25%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 6.47%

Multiple Professional Types Reported 2.80%

Not Reported 4.64%

Page 75: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 72

County: Okeechobee

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Okeechobee County is in the Department’s Southeast region and Florida Judicial Circuit 19. Southeast Florida Behavioral Health Network is the Managing Entity for Okeechobee County.

• Percentage of population living below the poverty level (2018):o All ages: 22.70% o Under 18: 39.00%

• Median Household Income (2018) = $40,367 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $52.80

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 9.9 15.7

Children (< 18) 0.0 15.9

Older Adults (65+) 13.9 58.7

Counts and rates of involuntary examinations for residents of Okeechobee County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Okeechobee County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 540 1,301 189 35.00% 2995.72 27 5.00% 316.83 N/A 41,492 N/A

2017-2018 479 1,164 138 28.81% 1980.48 30 6.26% 400 12.73% 41,140 0.86%

2016-2017 376 921 112 29.79% 1610.82 35 9.31% 474.9 43.62% 40,806 1.68%

2015-2016 359 896 102 28.41% 1481.7 < 25 *** *** 50.42% 40,052 3.60%

2014-2015 279 701 75 26.88% 1089.17 < 25 *** *** 93.55% 39,828 4.18%

2013-2014 364 915 103 28.30% 1492.75 < 25 *** *** 48.35% 39,762 4.35%

2012-2013 298 749 58 19.46% 840.95 < 25 *** *** 81.21% 39,805 4.24%

2011-2012 297 745 64 21.55% 926.46 < 25 *** *** 81.82% 39,870 4.07%

2010-2011 362 905 69 19.06% 996.39 26 7.18% 382.86 49.17% 39,996 3.74%

2009-2010 321 809 81 25.23% 1120.33 < 25 *** *** 68.22% 39,703 4.51%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Okeechobee County residents who received an involuntary examination were seen at New Horizons of the Treasure Coast (62.04%), St. Lucie Medical Center (Treasure Coast Behavioral Healthcare) (12.22%), and Lawnwood Regional Medical Center & Heart Institute (11.48%).

Table C: FY18/19 Involuntary Examinations for Okeechobee County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 59.07% 38.52% 2.41%

Professional Certificate Type

Physician (not a Psychiatrist) 61.13%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 0.63%

Licensed Clinical Social Worker 3.13%

Licensed Mental Health Counselor 26.02%

Clinical Psychologist 0.63%

Psychiatric Nurse 5.02%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.63%

Multiple Professional Types Reported 0.31%

Not Reported 2.19%

Page 76: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 73

County: Orange

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Orange County is in the Department’s Central region and Florida Judicial Circuit 9. Central Florida Cares Health System is the Managing Entity for Orange County.

• Percentage of population living below the poverty level (2018):o All ages: 16.10% o Under 18: 22.50%

• Median Household Income (2018) = $54,335 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $25.40

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 10.8 10.4

Children (< 18) 1.4 2.3

Older Adults (65+) 17.0 16.9

Counts and rates of involuntary examinations for residents of Orange County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Orange County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 12,590 919 1,868 14.84% 842.54 617 4.90% 385.61 N/A 1,370,447 N/A

2017-2018 11,825 900 1,736 14.68% 789.47 590 4.99% 389.54 6.47% 1,313,880 4.31%

2016-2017 11,058 864 1,608 14.54% 750.25 518 4.68% 360.2 13.85% 1,280,387 7.03%

2015-2016 11,061 883 1,521 13.75% 724.99 525 4.75% 384.04 13.82% 1,252,396 9.43%

2014-2015 10,772 877 1,598 14.83% 757.68 499 4.63% 380.81 16.88% 1,227,995 11.60%

2013-2014 10,712 890 1,524 14.23% 736.77 459 4.28% 371.19 17.53% 1,202,978 13.92%

2012-2013 9,841 837 1,468 14.92% 727.14 438 4.45% 368.56 27.93% 1,175,941 16.54%

2011-2012 9,450 817 1,319 13.96% 663.24 399 4.22% 347.53 33.23% 1,157,342 18.41%

2010-2011 9,310 812 1,270 13.64% 648.08 351 3.77% 316.45 35.23% 1,145,956 19.59%

2009-2010 8,864 799 1,347 15.20% 671.09 317 3.58% 302.15 42.04% 1,108,882 23.59%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Orange County residents who received an involuntary examination were seen at Aspire Health Partners (27.76%), Central Florida Behavioral Hospital (19.67%), Orlando Health South Seminole Hospital (15.89%), Aspire Health Partners (Lakeside Behavioral Healthcare) (9.75%), University Behavioral Center (8.20%), and Advent Health Orlando (Florida Hospital) (7.83%).

Table C: FY18/19 Involuntary Examinations for Orange County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 48.53% 50.24% 1.23%

Professional Certificate Type

Physician (not a Psychiatrist) 58.64%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 15.74%

Licensed Clinical Social Worker 5.37%

Licensed Mental Health Counselor 15.66%

Clinical Psychologist 0.79%

Psychiatric Nurse 0.56%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.29%

Multiple Professional Types Reported 0.98%

Not Reported 1.52%

Page 77: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 74

County: Osceola

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Osceola County is in the Department’s Central region and Florida Judicial Circuit 9. Central Florida Cares Health System is the Managing Entity for Osceola County.

• Percentage of population living below the poverty level (2018):o All ages: 16.30% o Under 18: 23.90%

• Median Household Income (2018) = $50,063 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $23.10

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 9.3 11.5

Children (< 18) 1.7 1.5

Older Adults (65+) 12.7 21.4

Counts and rates of involuntary examinations for residents of Osceola County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Osceola County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 3,357 931 675 20.11% 1029.65 175 5.21% 375.17 N/A 360,426 N/A

2017-2018 3,082 913 593 19.24% 957.21 133 4.32% 302.88 8.92% 337,614 6.76%

2016-2017 3,093 958 684 22.11% 1149.33 143 4.62% 348.36 8.54% 322,862 11.63%

2015-2016 3,151 1,022 619 19.64% 1084.23 141 4.47% 368.62 6.54% 308,327 16.90%

2014-2015 2,721 921 595 21.87% 1078.27 135 4.96% 379.16 23.37% 295,553 21.95%

2013-2014 2,475 858 568 22.95% 1041.36 121 4.89% 361.39 35.64% 288,361 24.99%

2012-2013 2,320 826 526 22.67% 979.75 99 4.27% 308.05 44.70% 280,866 28.33%

2011-2012 2,044 746 431 21.09% 813.27 76 3.72% 246.51 64.24% 273,867 31.61%

2010-2011 1,902 708 373 19.61% 708.86 88 4.63% 296.74 76.50% 268,685 34.14%

2009-2010 1,776 651 363 20.44% 664.48 59 3.32% 205.2 89.02% 272,788 32.13%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Osceola County residents who received an involuntary examination were seen at Park Place Behavioral Health Care (39.74%), Osceola Regional Medical Center (25.83%), and Central Florida Behavioral Hospital (13.08%).

Table C: FY18/19 Involuntary Examinations for Osceola County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 50.88% 46.20% 2.92%

Professional Certificate Type

Physician (not a Psychiatrist) 70.67%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 7.20%

Licensed Clinical Social Worker 2.99%

Licensed Mental Health Counselor 12.53%

Clinical Psychologist 1.17%

Psychiatric Nurse 1.11%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.41%

Multiple Professional Types Reported 0.53%

Not Reported 3.10%

Page 78: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 75

County: Palm Beach

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Palm Beach County is in the Department’s Southeast region and Florida Judicial Circuit 15. Southeast Florida Behavioral Health Network is the Managing Entity for Palm Beach County.

• Percentage of population living below the poverty level (2018):o All ages: 12.80% o Under 18: 19.10%

• Median Household Income (2018) = $59,943 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $37.60

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 16.6 15.4

Children (< 18) 0.0 1.5

Older Adults (65+) 15.9 20.6

Counts and rates of involuntary examinations for residents of Palm Beach County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Palm Beach County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 10,420 722 2,044 19.62% 1002.72 869 8.34% 255.67 N/A 1,442,281 N/A

2017-2018 9,392 664 1,741 18.54% 865.59 868 9.24% 263.61 10.95% 1,414,144 1.99%

2016-2017 9,290 668 1,613 17.36% 812.39 842 9.06% 262.83 12.16% 1,391,741 3.63%

2015-2016 9,550 693 1,535 16.07% 777.48 853 8.93% 272.45 9.11% 1,378,417 4.63%

2014-2015 9,595 705 1,578 16.45% 797.05 896 9.34% 291.27 8.60% 1,360,238 6.03%

2013-2014 9,081 675 1,430 15.75% 722.57 923 10.16% 310.87 14.75% 1,345,652 7.18%

2012-2013 8,763 656 1,402 16.00% 709.18 816 9.31% 278.85 18.91% 1,335,415 8.00%

2011-2012 8,261 623 1,305 15.80% 660.89 776 9.39% 268.89 26.13% 1,325,758 8.79%

2010-2011 7,938 601 852 10.73% 430.23 708 8.92% 248.29 31.27% 1,320,134 9.25%

2009-2010 7,824 608 806 10.30% 402.51 708 9.05% 254.68 33.18% 1,287,344 12.04%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Palm Beach County residents who received an involuntary examination were seen at JFK Medical Center North Campus (40.42%), Delray Medical Center (12.72%), South County Mental Health Center (9.60%), St. Mary's Medical Center (8.19%), The Jerome Golden Center for Behavioral Health (West Palm Beach) (7.94%), and JFK Medical Center (7.72%).

Table C: FY18/19 Involuntary Examinations for Palm Beach County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 53.51% 44.28% 2.21%

Professional Certificate Type

Physician (not a Psychiatrist) 74.25%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 6.85%

Licensed Clinical Social Worker 3.73%

Licensed Mental Health Counselor 4.21%

Clinical Psychologist 2.39%

Psychiatric Nurse 2.71%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.50%

Multiple Professional Types Reported 0.56%

Not Reported 4.66%

Page 79: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 76

County: Pasco

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Pasco County is in the Department’s SunCoast region and Florida Judicial Circuit 6. Central Florida Behavioral Health Network is the Managing Entity for Pasco County.

• Percentage of population living below the poverty level (2018):o All ages: 13.50% o Under 18: 18.10%

• Median Household Income (2018) = $50,417 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $22.10

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 21.0 21.3

Children (< 18) 2.7 1.3

Older Adults (65+) 28.2 30.8

Counts and rates of involuntary examinations for residents of Pasco County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Pasco County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 6,504 1,254 1,551 23.85% 1988.79 438 6.73% 375.02 N/A 518,639 N/A

2017-2018 6,253 1,236 1,499 23.97% 1961.79 446 7.13% 390.15 4.01% 505,709 2.56%

2016-2017 5,662 1,142 1,245 21.99% 1653.36 346 6.11% 311.79 14.87% 495,868 4.59%

2015-2016 5,925 1,215 1,257 21.22% 1687.72 430 7.26% 398.67 9.77% 487,588 6.37%

2014-2015 5,467 1,141 1,176 21.51% 1592.12 395 7.23% 383.28 18.97% 479,340 8.20%

2013-2014 5,124 1,082 1,011 19.73% 1374.61 321 6.26% 322.57 26.93% 473,566 9.52%

2012-2013 4,687 1,000 926 19.76% 1270.11 308 6.57% 313.84 38.77% 468,562 10.69%

2011-2012 4,435 951 860 19.39% 1183.11 312 7.03% 320.6 46.65% 466,533 11.17%

2010-2011 4,809 1,035 880 18.30% 1206.98 361 7.51% 375.08 35.25% 464,697 11.61%

2009-2010 4,390 998 779 17.74% 1145.23 313 7.13% 300.6 48.15% 439,786 17.93%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Pasco County residents who received an involuntary examination were seen at Morton Plant North Bay Hospital Recovery Center (27.97%), Medical Center of Trinity - West Pasco Campus (24.38%), North Tampa Behavioral Health (12.96%), Baycare Behavioral Health (12.47%), and Mental Health Care (Gracepoint) (5.41%).

Table C: FY18/19 Involuntary Examinations for Pasco County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 41.42% 55.70% 2.88%

Professional Certificate Type

Physician (not a Psychiatrist) 80.66%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 4.75%

Licensed Clinical Social Worker 1.67%

Licensed Mental Health Counselor 5.38%

Clinical Psychologist 1.00%

Psychiatric Nurse 1.15%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.63%

Multiple Professional Types Reported 0.41%

Not Reported 4.16%

Page 80: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 77

County: Pinellas

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Pinellas County is in the Department’s SunCoast region and Florida Judicial Circuit 6. Central Florida Behavioral Health Network is the Managing Entity for Pinellas County.

• Percentage of population living below the poverty level (2018):o All ages: 13.00% o Under 18: 18.80%

• Median Household Income (2018) = $51,454 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $54.40

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 21.0 19.7

Children (< 18) 4.2 2.6

Older Adults (65+) 27.6 21.2

Counts and rates of involuntary examinations for residents of Pinellas County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Pinellas County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 14,057 1,448 2,500 17.78% 2147.54 1,237 8.80% 525.62 N/A 971,022 N/A

2017-2018 13,058 1,357 2,413 18.48% 2058.72 1,112 8.52% 476.7 7.65% 962,003 0.94%

2016-2017 13,251 1,388 2,209 16.67% 1895.63 1,173 8.85% 517.1 6.08% 954,569 1.72%

2015-2016 11,914 1,261 2,056 17.26% 1776.69 1,105 9.27% 502.81 17.99% 944,971 2.76%

2014-2015 10,651 1,141 2,259 21.21% 1931.99 1,092 10.25% 507.4 31.98% 933,258 4.05%

2013-2014 10,382 1,120 2,173 20.93% 1844.95 1,013 9.76% 489.61 35.40% 926,610 4.79%

2012-2013 10,016 1,088 1,951 19.48% 1650.55 845 8.44% 417.8 40.35% 920,381 5.50%

2011-2012 9,967 1,085 1,719 17.25% 1436.59 923 9.26% 466.33 41.04% 918,496 5.72%

2010-2011 8,989 981 1,596 17.76% 1324.05 781 8.69% 402.37 56.38% 916,542 5.94%

2009-2010 8,655 930 1,458 16.85% 1141.24 739 8.54% 370.13 62.41% 931,113 4.29%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Pinellas County residents who received an involuntary examination were seen at Personal Enrichment Through Mental Health Services (26.19%), Largo Medical Center- Indian Rocks (17.63%), Mease Dunedin Hospital (8.87%), St. Anthony's Hospital (7.52%), Windmoor Healthcare of Clearwater (7.29%), and Morton Plant Hospital (5.84%).

Table C: FY18/19 Involuntary Examinations for Pinellas County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 47.55% 50.90% 1.55%

Professional Certificate Type

Physician (not a Psychiatrist) 67.67%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 5.80%

Licensed Clinical Social Worker 8.51%

Licensed Mental Health Counselor 7.68%

Clinical Psychologist 3.80%

Psychiatric Nurse 2.42%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.90%

Multiple Professional Types Reported 0.54%

Not Reported 2.45%

Page 81: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 78

County: Polk

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Polk County is in the Department’s Central region and Florida Judicial Circuit 10. Central Florida Behavioral Health Network is the Managing Entity for Polk County.

• Percentage of population living below the poverty level (2018):o All ages: 16.60% o Under 18: 26.00%

• Median Household Income (2018) = $48,500 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $39.40

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 15.2 14.6

Children (< 18) 4.7 2.7

Older Adults (65+) 24.2 19.7

Counts and rates of involuntary examinations for residents of Polk County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Polk County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 8,407 1,233 1,999 23.78% 1786.96 551 6.55% 401.42 N/A 681,691 N/A

2017-2018 7,648 1,156 1,740 22.75% 1599.22 558 7.30% 420.08 9.92% 661,645 3.03%

2016-2017 7,160 1,107 1,480 20.67% 1387.39 450 6.28% 350.84 17.42% 646,989 5.36%

2015-2016 7,122 1,125 1,724 24.21% 1645.43 380 5.34% 307.32 18.04% 633,052 7.68%

2014-2015 7,448 1,195 1,848 24.81% 1779.8 414 5.56% 345.63 12.88% 623,174 9.39%

2013-2014 6,909 1,125 1,709 24.74% 1656.79 465 6.73% 405.76 21.68% 613,950 11.03%

2012-2013 5,342 880 1,227 22.97% 1202.54 375 7.02% 332.86 57.38% 606,888 12.33%

2011-2012 5,766 953 1,211 21.00% 1178.34 455 7.89% 413.4 45.80% 604,792 12.71%

2010-2011 3,658 608 727 19.87% 706.53 214 5.85% 197.61 129.8% 602,095 13.22%

2009-2010 5,588 956 1,009 18.06% 1006.56 487 8.72% 456.87 50.45% 584,343 16.66%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Polk County residents who received an involuntary examination were seen at Peace River Center (35.99%), Lakeland Regional Medical Center (22.59%), and Winter Haven Hospital (16.38%).

Table C: FY18/19 Involuntary Examinations for Polk County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 33.26% 65.83% 0.92%

Professional Certificate Type

Physician (not a Psychiatrist) 72.93%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 5.26%

Licensed Clinical Social Worker 3.54%

Licensed Mental Health Counselor 9.66%

Clinical Psychologist 0.46%

Psychiatric Nurse 3.08%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.50%

Multiple Professional Types Reported 0.72%

Not Reported 3.86%

Page 82: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 79

County: Putnam

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Putnam County is in the Department’s Northeast region and Florida Judicial Circuit 7. Lutheran Services Florida Health Systems is the Managing Entity for Putnam County.

• Percentage of population living below the poverty level (2018):o All ages: 24.80% o Under 18: 38.60%

• Median Household Income (2018) = $35,649 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $59.30

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 16.5 29.6

Children (< 18) 8.7 0.0

Older Adults (65+) 26.0 54.4

Counts and rates of involuntary examinations for residents of Putnam County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Putnam County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 550 749 113 20.55% 982.35 37 6.73% 223.56 N/A 73,422 N/A

2017-2018 641 876 147 22.93% 1287.55 38 5.93% 241.3 -14.2% 73,176 0.34%

2016-2017 561 769 128 22.82% 1122.91 33 5.88% 213.84 -1.96% 72,972 0.62%

2015-2016 517 711 126 24.37% 1102.36 32 6.19% 212.78 6.38% 72,756 0.92%

2014-2015 545 751 133 24.40% 1167.79 < 25 *** *** 0.92% 72,523 1.24%

2013-2014 430 592 92 21.40% 797.37 26 6.05% 181.6 27.91% 72,605 1.13%

2012-2013 423 578 72 17.02% 615.28 38 8.98% 266.7 30.02% 73,158 0.36%

2011-2012 404 546 72 17.82% 602.36 28 6.93% 196.89 36.14% 74,052 -0.85%

2010-2011 492 662 84 17.07% 694.44 29 5.89% 206.11 11.79% 74,364 -1.27%

2009-2010 453 607 55 12.14% 436.96 < 25 *** *** 21.41% 74,608 -1.59%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Putnam County residents who received an involuntary examination were seen at Flagler Hospital (26.73%), North Florida Regional Medical Center (12.73%), Halifax Psychiatric Center-North (11.09%), UF Health Shands Psychiatric Hospital (9.27%), Meridian Behavioral Health Care (Gainesville) (6.55%), Halifax Health Medical Center (6.55%), and Meridian Behavioral Health Care (Lake City) (5.45%).

Table C: FY18/19 Involuntary Examinations for Putnam County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 52.00% 46.91% 1.09%

Professional Certificate Type

Physician (not a Psychiatrist) 77.97%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 2.10%

Licensed Clinical Social Worker 2.80%

Licensed Mental Health Counselor 7.34%

Clinical Psychologist 0.35%

Psychiatric Nurse 3.15%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 1.05%

Multiple Professional Types Reported 1.05%

Not Reported 3.85%

Page 83: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 80

County: Saint Johns

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Saint Johns County is in the Department’s Northeast region and Florida Judicial Circuit 7. Lutheran Services Florida Health Systems is the Managing Entity for Saint Johns County.

• Percentage of population living below the poverty level (2018):o All ages: 8.40% o Under 18: 8.50%

• Median Household Income (2018) = $77,323 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $20.10

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 18.6 22.0

Children (< 18) 5.5 7.5

Older Adults (65+) 17.9 39.8

Counts and rates of involuntary examinations for residents of Saint Johns County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Saint Johns County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 1,113 461 210 18.87% 521.7 75 6.74% 156.93 N/A 241,545 N/A

2017-2018 995 433 161 16.18% 422.48 91 9.15% 210.6 11.86% 229,715 5.15%

2016-2017 906 411 171 18.87% 463.58 48 5.30% 118.47 22.85% 220,257 9.67%

2015-2016 865 405 189 21.85% 523.42 47 5.43% 122.5 28.67% 213,566 13.10%

2014-2015 854 412 184 21.55% 524.98 52 6.09% 143.71 30.33% 207,443 16.44%

2013-2014 875 434 195 22.29% 564.42 45 5.14% 133.11 27.20% 201,541 19.85%

2012-2013 901 460 173 19.20% 509.47 52 5.77% 161.18 23.53% 196,071 23.19%

2011-2012 990 513 145 14.65% 427.93 74 7.47% 238.46 12.42% 192,852 25.25%

2010-2011 982 517 179 18.23% 530.45 66 6.72% 221.53 13.34% 190,039 27.10%

2009-2010 932 508 148 15.88% 503.47 63 6.76% 215.17 19.42% 183,572 31.58%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Saint Johns County residents who received an involuntary examination were seen at Flagler Hospital (49.06%), River Point Behavioral Health (10.33%), Baptist Medical Center Jacksonville (9.79%), and Halifax Psychiatric Center-North (8.09%).

Table C: FY18/19 Involuntary Examinations for Saint Johns County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 54.99% 41.96% 3.05%

Professional Certificate Type

Physician (not a Psychiatrist) 66.67%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 4.90%

Licensed Clinical Social Worker 7.03%

Licensed Mental Health Counselor 11.11%

Clinical Psychologist 0.98%

Psychiatric Nurse 4.25%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.16%

Multiple Professional Types Reported 1.47%

Not Reported 3.27%

Page 84: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 81

County: Saint Lucie

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Saint Lucie County is in the Department’s Southeast region and Florida Judicial Circuit 19. Southeast Florida Behavioral Health Network is the Managing Entity for Saint Lucie County.

• Percentage of population living below the poverty level (2018):o All ages: 15.00% o Under 18: 21.50%

• Median Household Income (2018) = $49,373 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $41.80

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 18.7 15.0

Children (< 18) 0.0 0.0

Older Adults (65+) 16.8 27.8

Counts and rates of involuntary examinations for residents of Saint Lucie County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Saint Lucie County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 4,007 1,315 862 21.51% 1908.39 254 6.34% 353.01 N/A 304,743 N/A

2017-2018 3,476 1,168 731 21.03% 1592.9 171 4.92% 266.73 15.28% 297,634 2.39%

2016-2017 3,099 1,058 479 15.46% 1055.32 170 5.49% 272.49 29.30% 292,826 4.07%

2015-2016 2,860 994 439 15.35% 978.91 186 6.50% 306.95 40.10% 287,749 5.91%

2014-2015 3,021 1,068 489 16.19% 1096.88 202 6.69% 343.03 32.64% 282,821 7.75%

2013-2014 2,945 1,047 458 15.55% 1020.18 236 8.01% 413.75 36.06% 281,151 8.39%

2012-2013 2,876 1,026 459 15.96% 1015.89 220 7.65% 389.46 39.33% 280,355 8.70%

2011-2012 2,632 941 383 14.55% 843.67 204 7.75% 364.27 52.24% 279,696 8.96%

2010-2011 2,572 926 355 13.80% 778.68 247 9.60% 446.03 55.79% 277,789 9.70%

2009-2010 2,166 794 328 15.14% 752.78 194 8.96% 323.91 85.00% 272,864 11.68%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Saint Lucie County residents who received an involuntary examination were seen at New Horizons of the Treasure Coast (43.15%), St. Lucie Medical Center (Treasure Coast Behavioral Healthcare) (22.14%), Lawnwood Regional Medical Center & Heart Institute (16.55%), and Coral Shores Behavioral Health (5.79%).

Table C: FY18/19 Involuntary Examinations for Saint Lucie County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 55.05% 42.68% 2.27%

Professional Certificate Type

Physician (not a Psychiatrist) 69.58%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 2.95%

Licensed Clinical Social Worker 9.75%

Licensed Mental Health Counselor 11.97%

Clinical Psychologist 0.32%

Psychiatric Nurse 1.27%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.77%

Multiple Professional Types Reported 0.95%

Not Reported 2.36%

Page 85: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 82

County: Santa Rosa

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Santa Rosa County is in the Department’s Northwest region and Florida Judicial Circuit 1. Big Bend Community Based Care is the Managing Entity for Santa Rosa County.

• Percentage of population living below the poverty level (2018):o All ages: 9.80% o Under 18: 14.30%

• Median Household Income (2018) = $66,242 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $30.10

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 17.7 20.2

Children (< 18) 3.6 3.5

Older Adults (65+) 25.2 43.7

Counts and rates of involuntary examinations for residents of Santa Rosa County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Santa Rosa County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 1,100 627 334 30.36% 1152.68 64 5.82% 233.12 N/A 175,552 N/A

2017-2018 1,109 649 338 30.48% 1188.51 85 7.66% 326.71 -0.81% 170,835 2.76%

2016-2017 1,245 745 336 26.99% 1201.67 81 6.51% 327.7 -11.7% 167,009 5.12%

2015-2016 1,165 715 255 21.89% 927.88 71 6.09% 302.8 -5.58% 162,925 7.75%

2014-2015 1,113 697 221 19.86% 817.31 74 6.65% 328.6 -1.17% 159,785 9.87%

2013-2014 1,007 640 107 10.63% 396.56 72 7.15% 337.43 9.24% 157,317 11.59%

2012-2013 951 612 101 10.62% 375.65 62 6.52% 300.17 15.67% 155,390 12.98%

2011-2012 980 633 152 15.51% 559.73 52 5.31% 258.45 12.24% 154,901 13.33%

2010-2011 938 620 173 18.44% 640.46 58 6.18% 298.05 17.27% 151,372 15.97%

2009-2010 843 583 158 18.74% 610.98 49 5.81% 268.91 30.49% 144,508 21.48%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Santa Rosa County residents who received an involuntary examination were seen at Baptist Hospital (53.09%), West Florida Regional Medical Center (29.55%), and Fort Walton Beach Medical Center (12.00%).

Table C: FY18/19 Involuntary Examinations for Santa Rosa County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 53.00% 44.00% 3.00%

Professional Certificate Type

Physician (not a Psychiatrist) 65.52%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 1.20%

Licensed Clinical Social Worker 6.35%

Licensed Mental Health Counselor 13.21%

Clinical Psychologist 0.51%

Psychiatric Nurse 3.26%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 6.52%

Multiple Professional Types Reported 0.86%

Not Reported 2.57%

Page 86: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 83

County: Sarasota

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Sarasota County is in the Department’s SunCoast region and Florida Judicial Circuit 12. Central Florida Behavioral Health Network is the Managing Entity for Sarasota County.

• Percentage of population living below the poverty level (2018):o All ages: 9.70% o Under 18: 15.10%

• Median Household Income (2018) = $58,644 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $67.80

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 24.4 21.2

Children (< 18) 0.0 6.7

Older Adults (65+) 24.6 31.3

Counts and rates of involuntary examinations for residents of Sarasota County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Sarasota County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 3,821 919 703 18.40% 1564.48 400 10.47% 266.43 N/A 415,896 N/A

2017-2018 3,323 816 651 19.59% 1436.42 365 10.98% 262.92 14.99% 407,260 2.12%

2016-2017 3,363 842 696 20.70% 1553.05 333 9.90% 247.62 13.62% 399,538 4.09%

2015-2016 3,548 905 677 19.08% 1528.29 322 9.08% 247.03 7.69% 392,090 6.07%

2014-2015 3,171 819 689 21.73% 1586.06 346 10.91% 273.57 20.50% 387,140 7.43%

2013-2014 3,234 839 619 19.14% 1404.97 336 10.39% 273.26 18.15% 385,292 7.94%

2012-2013 2,719 709 557 20.49% 1252.25 356 13.09% 293.3 40.53% 383,664 8.40%

2011-2012 2,528 663 503 19.90% 1125.58 300 11.87% 250.57 51.15% 381,319 9.07%

2010-2011 2,513 662 475 18.90% 1052.96 248 9.87% 209.77 52.05% 379,448 9.61%

2009-2010 2,309 593 344 14.90% 742.82 269 11.65% 219.47 65.48% 389,320 6.83%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Sarasota County residents who received an involuntary examination were seen at Sarasota Memorial Hospital (42.58%), and Coastal Behavioral Healthcare (36.74%).

Table C: FY18/19 Involuntary Examinations for Sarasota County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 48.55% 48.91% 2.54%

Professional Certificate Type

Physician (not a Psychiatrist) 56.44%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 7.12%

Licensed Clinical Social Worker 11.64%

Licensed Mental Health Counselor 20.00%

Clinical Psychologist 0.81%

Psychiatric Nurse 1.56%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.16%

Multiple Professional Types Reported 0.16%

Not Reported 1.99%

Page 87: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 84

County: Seminole

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Seminole County is in the Department’s Central region and Florida Judicial Circuit 18. Central Florida Cares Health System is the Managing Entity for Seminole County.

• Percentage of population living below the poverty level (2018):o All ages: 11.40% o Under 18: 14.90%

• Median Household Income (2018) = $63,760 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $19.70

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018)

Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 12.6 12.9

Children (< 18) 0.0 2.7

Older Adults (65+) 17.2 12.8

Counts and rates of involuntary examinations for residents of Seminole County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Seminole County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 3,243 699 670 20.66% 916.43 212 6.54% 302.4 N/A 463,627 N/A

2017-2018 3,071 675 647 21.07% 885.22 198 6.45% 295.17 5.60% 454,757 1.95%

2016-2017 3,178 708 776 24.42% 1071.08 177 5.57% 273.8 2.05% 449,124 3.23%

2015-2016 3,135 708 789 25.17% 1098.75 169 5.39% 272.66 3.44% 442,903 4.68%

2014-2015 3,230 739 795 24.61% 1095.89 171 5.29% 283.39 0.40% 437,086 6.07%

2013-2014 3,100 719 737 23.77% 1015.87 164 5.29% 289.55 4.61% 431,074 7.55%

2012-2013 3,008 703 627 20.84% 859.69 145 4.82% 265.36 7.81% 428,104 8.30%

2011-2012 2,854 672 623 21.83% 848.81 136 4.77% 258.99 13.63% 424,587 9.19%

2010-2011 2,633 623 583 22.14% 789.78 132 5.01% 260.47 23.17% 422,718 9.68%

2009-2010 2,466 582 492 19.95% 666.71 135 5.47% 280.4 31.51% 423,759 9.41%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Seminole County residents who received an involuntary examination were seen at Orlando Health South Seminole Hospital (34.29%), Aspire Health Partners (Seminole Behavioral Healthcare) (21.18%), University Behavioral Center (14.40%), and Central Florida Behavioral Hospital (10.82%).

Table C: FY18/19 Involuntary Examinations for Seminole County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 34.54% 62.53% 2.93%

Professional Certificate Type

Physician (not a Psychiatrist) 67.59%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 13.13%

Licensed Clinical Social Worker 3.39%

Licensed Mental Health Counselor 6.79%

Clinical Psychologist 0.45%

Psychiatric Nurse 3.39%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.54%

Multiple Professional Types Reported 2.05%

Not Reported 2.23%

Page 88: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 85

County: Sumter

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Sumter County is in the Department’s Central region and Florida Judicial Circuit 5. Lutheran Services Florida Health Systems is the Managing Entity for Sumter County.

• Percentage of population living below the poverty level (2018):o All ages: 8.80% o Under 18: 22.60%

• Median Household Income (2018) = $55,228 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $23.60

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 11.2 11.1

Children (< 18) 15.8 0.0

Older Adults (65+) 6.5 16.8

Counts and rates of involuntary examinations for residents of Sumter County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Sumter County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 573 456 102 17.80% 1582.38 96 16.75% 134.03 N/A 125,779 N/A

2017-2018 590 489 103 17.46% 1351.17 75 12.71% 119.49 -2.88% 120,700 4.21%

2016-2017 497 419 90 18.11% 1204.66 77 15.49% 126.39 15.29% 118,577 6.07%

2015-2016 466 403 100 21.46% 1382.93 75 16.09% 127.78 22.96% 115,657 8.75%

2014-2015 480 432 95 19.79% 1362.59 76 15.83% 141 19.38% 111,125 13.19%

2013-2014 417 397 71 17.03% 1052.32 75 17.99% 153.8 37.41% 105,104 19.67%

2012-2013 367 366 60 16.35% 924.5 57 15.53% 125.3 56.13% 100,198 25.53%

2011-2012 352 364 47 13.35% 744.73 49 13.92% 114.64 62.78% 96,615 30.19%

2010-2011 339 363 41 12.09% 654.01 49 14.45% 120.9 69.03% 93,420 34.64%

2009-2010 306 321 39 12.75% 360.54 45 14.71% 149.86 87.25% 95,326 31.95%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Sumter County residents who received an involuntary examination were seen at and Life Stream Behavioral Center (83.42%).

Table C: FY18/19 Involuntary Examinations for Sumter County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 27.75% 69.28% 2.97%

Professional Certificate Type

Physician (not a Psychiatrist) 67.30%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 5.66%

Licensed Clinical Social Worker 7.55%

Licensed Mental Health Counselor 8.18%

Clinical Psychologist 0.63%

Psychiatric Nurse 5.03%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 1.26%

Multiple Professional Types Reported 0.00%

Not Reported 4.40%

Page 89: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 86

County: Suwannee

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Suwannee County is in the Department’s Northeast region and Florida Judicial Circuit 3. Lutheran Services Florida Health Systems is the Managing Entity for Suwannee County.

• Percentage of population living below the poverty level (2018):o All ages: 17.80% o Under 18: 30.50%

• Median Household Income (2018) = $42,686 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $39.80

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 22.5 19.3

Children (< 18) 0.0 0.0

Older Adults (65+) 45.7 10.6

Counts and rates of involuntary examinations for residents of Suwannee County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Suwannee County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 429 951 134 31.24% 1926.39 < 25 *** *** N/A 45,123 N/A

2017-2018 490 1,096 172 35.10% 2462.77 < 25 *** *** -12.4% 44,690 0.97%

2016-2017 477 1,076 125 26.21% 1798.04 < 25 *** *** -10.1% 44,349 1.75%

2015-2016 501 1,127 144 28.74% 2064.52 < 25 *** *** -14.4% 44,452 1.51%

2014-2015 401 908 110 27.43% 1602.33 30 7.48% 347.14 6.98% 44,168 2.16%

2013-2014 265 604 62 23.40% 897.77 28 10.57% 336.78 61.89% 43,873 2.85%

2012-2013 201 459 < 25 *** *** < 25 *** *** 113.4% 43,796 3.03%

2011-2012 150 347 < 25 *** *** < 25 *** *** 186.0% 43,215 4.42%

2010-2011 243 585 29 11.93% 421.82 < 25 *** *** 76.54% 41,551 8.60%

2009-2010 253 629 28 11.07% 449.01 < 25 *** *** 69.57% 40,230 12.16%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Suwannee County residents who received an involuntary examination were seen at Meridian Behavioral Health Care (Lake City) (47.32%), Meridian Behavioral Health Care (Gainesville) (15.85%), UF Health Shands Psychiatric Hospital (11.66%), and North Florida Regional Medical Center (7.46%).

Table C: FY18/19 Involuntary Examinations for Suwannee County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 30.07% 68.30% 1.63%

Professional Certificate Type

Physician (not a Psychiatrist) 62.02%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 10.85%

Licensed Clinical Social Worker 4.65%

Licensed Mental Health Counselor 17.05%

Clinical Psychologist 0.00%

Psychiatric Nurse 0.00%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.78%

Multiple Professional Types Reported 0.78%

Not Reported 3.88%

Page 90: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 87

County: Taylor

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Taylor County is in the Department’s Northeast region and Florida Judicial Circuit 3. Big Bend Community Based Care is the Managing Entity for Taylor County.

• Percentage of population living below the poverty level (2018):o All ages: 19.80% o Under 18: 28.30%

• Median Household Income (2018) = $36,934 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $86.60

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 17.6 21.2

Children (< 18) 0.0 0.0

Older Adults (65+) 0.0 68.3

Counts and rates of involuntary examinations for residents of Taylor County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Taylor County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 165 741 34 20.61% 1070.19 < 25 *** *** N/A 22,258 N/A

2017-2018 181 812 45 24.86% 1439.54 < 25 *** *** -8.84% 22,295 -0.17%

2016-2017 177 787 41 23.16% 1320.03 < 25 *** *** -6.78% 22,478 -0.98%

2015-2016 184 806 34 18.48% 1091.14 < 25 *** *** -10.3% 22,824 -2.48%

2014-2015 121 528 < 25 *** *** < 25 *** *** 36.36% 22,932 -2.94%

2013-2014 97 421 25 25.77% 799.23 < 25 *** *** 70.10% 23,018 -3.30%

2012-2013 86 376 < 25 *** *** < 25 *** *** 91.86% 22,898 -2.80%

2011-2012 123 547 < 25 *** *** < 25 *** *** 34.15% 22,500 -1.08%

2010-2011 124 549 < 25 *** *** < 25 *** *** 33.06% 22,570 -1.38%

2009-2010 108 466 < 25 *** *** < 25 *** *** 52.78% 23,164 -3.91%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Taylor County residents who received an involuntary examination were seen at Apalachee Center (46.67%), Tallahassee Memorial Hospital (17.58%), Capital Regional Medical Center (15.15%), and Eastside Psychiatric Hospital (10.91%).

Table C: FY18/19 Involuntary Examinations for Taylor County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 29.09% 63.64% 7.27%

Professional Certificate Type

Physician (not a Psychiatrist) 58.33%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 14.58%

Licensed Clinical Social Worker 0.00%

Licensed Mental Health Counselor 0.00%

Clinical Psychologist 0.00%

Psychiatric Nurse 14.58%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.00%

Multiple Professional Types Reported 4.17%

Not Reported 8.33%

Page 91: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 88

County: Union

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Union County is in the Department’s Northeast region and Florida Judicial Circuit 8. Lutheran Services Florida Health Systems is the Managing Entity for Union County.

• Percentage of population living below the poverty level (2018):o All ages: 22.00% o Under 18: 34.20%

• Median Household Income (2018) = $41,770 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $135.50

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 18.8 20.0

Children (< 18) 0.0 0.0

Older Adults (65+) 101.4 44.2

Counts and rates of involuntary examinations for residents of Union County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Union County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 131 820 46 35.11% 2090.91 < 25 *** *** N/A 15,966 N/A

2017-2018 112 702 < 25 *** *** < 25 *** *** 16.96% 15,947 0.12%

2016-2017 128 806 33 25.78% 1574.43 < 25 *** *** 2.34% 15,887 0.50%

2015-2016 92 578 < 25 *** *** < 25 *** *** 42.39% 15,918 0.30%

2014-2015 108 690 29 26.85% 1364.06 < 25 *** *** 21.30% 15,647 2.04%

2013-2014 73 471 26 35.62% 1223.53 < 25 *** *** 79.45% 15,483 3.12%

2012-2013 94 606 < 25 *** *** < 25 *** *** 39.36% 15,510 2.94%

2011-2012 39 252 < 25 *** *** < 25 *** *** 235.9% 15,473 3.19%

2010-2011 65 418 < 25 *** *** < 25 *** *** 101.5% 15,535 2.77%

2009-2010 74 475 < 25 *** *** < 25 *** *** 77.03% 15,576 2.50%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Union County residents who received an involuntary examination were seen at Meridian Behavioral Health Care (Lake City) (35.88%), UF Health Shands Psychiatric Hospital (25.95%), North Florida Regional Medical Center (12.21%), and Meridian Behavioral Health Care (Gainesville) (8.40%).

Table C: FY18/19 Involuntary Examinations for Union County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 49.62% 49.62% 0.76%

Professional Certificate Type

Physician (not a Psychiatrist) 43.08%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 9.23%

Licensed Clinical Social Worker 7.69%

Licensed Mental Health Counselor 12.31%

Clinical Psychologist 24.62%

Psychiatric Nurse 0.00%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.00%

Multiple Professional Types Reported 0.00%

Not Reported 3.08%

Page 92: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 89

County: Volusia

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Volusia County is in the Department’s Northeast region and Florida Judicial Circuit 7. Lutheran Services Florida Health Systems is the Managing Entity for Volusia County.

• Percentage of population living below the poverty level (2018):o All ages: 15.20% o Under 18: 21.80%

• Median Household Income (2018) = $46,760 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $34.40

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 24.2 19.4

Children (< 18) 2.9 2.9

Older Adults (65+) 21.8 30.4

Counts and rates of involuntary examinations for residents of Volusia County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Volusia County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 4,700 882 1,192 25.36% 1707.93 357 7.60% 278.01 N/A 532,926 N/A

2017-2018 4,544 868 1,025 22.56% 1467.66 447 9.84% 361.66 3.43% 523,405 1.82%

2016-2017 4,164 805 890 21.37% 1286.76 315 7.56% 262.61 12.87% 517,411 3.00%

2015-2016 3,812 747 900 23.61% 1318.76 252 6.61% 216.63 23.29% 510,494 4.39%

2014-2015 3,795 753 850 22.40% 1246.97 348 9.17% 305.99 23.85% 503,851 5.77%

2013-2014 3,695 741 805 21.79% 1181.29 342 9.26% 312.57 27.20% 498,978 6.80%

2012-2013 4,145 834 733 17.68% 1071.29 389 9.38% 361.13 13.39% 497,145 7.20%

2011-2012 4,317 871 770 17.84% 1118.02 405 9.38% 382.13 8.87% 495,400 7.57%

2010-2011 4,550 920 808 17.76% 1172.1 371 8.15% 355.74 3.30% 494,593 7.75%

2009-2010 4,107 810 746 18.16% 1028.57 283 6.89% 259.4 14.44% 507,105 5.09%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Volusia County residents who received an involuntary examination were seen at SMA Behavioral Health Services (30.26%), Halifax Health Medical Center (29.79%), and Halifax Psychiatric Center-North (23.34%).

Table C: FY18/19 Involuntary Examinations for Volusia County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 31.45% 66.17% 2.38%

Professional Certificate Type

Physician (not a Psychiatrist) 55.14%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 10.22%

Licensed Clinical Social Worker 4.94%

Licensed Mental Health Counselor 11.64%

Clinical Psychologist 1.89%

Psychiatric Nurse 7.51%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.61%

Multiple Professional Types Reported 0.88%

Not Reported 6.50%

Page 93: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 90

County: Wakulla

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Wakulla County is in the Department’s Northwest region and Florida Judicial Circuit 2. Big Bend Community Based Care is the Managing Entity for Wakulla County.

• Percentage of population living below the poverty level (2018):o All ages: 11.50% o Under 18: 14.50%

• Median Household Income (2018) = $62,778 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $78.50

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 12.8 22.0

Children (< 18) 20.4 0.0

Older Adults (65+) 48.4 20.5

Counts and rates of involuntary examinations for residents of Wakulla County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Wakulla County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 304 940 146 48.03% 2864.43 < 25 *** *** N/A 32,350 N/A

2017-2018 359 1,125 153 42.62% 2943.44 < 25 *** *** -15.3% 31,909 1.38%

2016-2017 240 760 79 32.92% 1539.36 < 25 *** *** 26.67% 31,599 2.38%

2015-2016 245 783 96 39.18% 1883.46 < 25 *** *** 24.08% 31,283 3.41%

2014-2015 235 751 108 45.96% 2120.56 < 25 *** *** 29.36% 31,285 3.40%

2013-2014 165 535 60 36.36% 1179.94 < 25 *** *** 84.24% 30,869 4.80%

2012-2013 112 364 < 25 *** *** < 25 *** *** 171.4% 30,771 5.13%

2011-2012 156 505 33 21.15% 636.21 < 25 *** *** 94.87% 30,877 4.77%

2010-2011 153 497 34 22.22% 655.74 < 25 *** *** 98.69% 30,776 5.11%

2009-2010 179 563 25 13.97% 511.25 < 25 *** *** 69.83% 31,791 1.76%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Wakulla County residents who received an involuntary examination were seen at Apalachee Center (45.39%), Tallahassee Memorial Hospital (30.26%), Capital Regional Medical Center (12.83%), and Eastside Psychiatric Hospital (5.26%).

Table C: FY18/19 Involuntary Examinations for Wakulla County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 39.47% 58.55% 1.97%

Professional Certificate Type

Physician (not a Psychiatrist) 28.33%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 17.50%

Licensed Clinical Social Worker 33.33%

Licensed Mental Health Counselor 10.00%

Clinical Psychologist 2.50%

Psychiatric Nurse 3.33%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 3.33%

Multiple Professional Types Reported 0.00%

Not Reported 1.67%

Page 94: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 91

County: Walton

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Walton County is in the Department’s Northwest region and Florida Judicial Circuit 1. Big Bend Community Based Care is the Managing Entity for Walton County.

• Percentage of population living below the poverty level (2018):o All ages: 14.70% o Under 18: 26.20%

• Median Household Income (2018) = $53,785 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $94.60

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 18.0 12.6

Children (< 18) 0.0 0.0

Older Adults (65+) 8.8 22.3

Counts and rates of involuntary examinations for residents of Walton County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Walton County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 310 456 58 18.71% 598.74 < 25 *** *** N/A 67,926 N/A

2017-2018 372 570 77 20.70% 796.11 < 25 *** *** -16.7% 65,301 4.02%

2016-2017 369 586 69 18.70% 739.31 25 6.78% 217.75 -16.0% 62,943 7.92%

2015-2016 307 506 52 16.94% 577.2 < 25 *** *** 0.98% 60,687 11.93%

2014-2015 336 562 55 16.37% 615.28 32 9.52% 308.23 -7.74% 59,793 13.60%

2013-2014 345 597 46 13.33% 533.95 28 8.12% 287.03 -10.1% 57,779 17.56%

2012-2013 356 625 40 11.24% 474.44 28 7.87% 294.3 -12.9% 56,965 19.24%

2011-2012 340 613 44 12.94% 538.75 < 25 *** *** -8.82% 55,450 22.50%

2010-2011 341 620 55 16.13% 689.66 25 7.33% 279.55 -9.09% 55,043 23.41%

2009-2010 253 437 51 20.16% 611.73 < 25 *** *** 22.53% 57,917 17.28%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Walton County residents who received an involuntary examination were seen at Fort Walton Beach Medical Center (66.77%), Baptist Hospital (19.03%), and Capital Regional Medical Center (5.48%).

Table C: FY18/19 Involuntary Examinations for Walton County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 48.39% 44.84% 6.77%

Professional Certificate Type

Physician (not a Psychiatrist) 72.67%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 2.67%

Licensed Clinical Social Worker 1.33%

Licensed Mental Health Counselor 8.67%

Clinical Psychologist 0.00%

Psychiatric Nurse 4.00%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 4.00%

Multiple Professional Types Reported 3.33%

Not Reported 1.33%

Page 95: The Baker Act - usf.edu · The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. These forms are

Baker Act Reporting Center FY18/19 Annual Report 92

County: Washington

This county page can be compared to the counts in the Florida Statewide Totals on page 24.

Washington County is in the Department’s Northwest region and Florida Judicial Circuit 14. Big Bend Community Based Care is the Managing Entity for Washington County.

• Percentage of population living below the poverty level (2018):o All ages: 22.40% o Under 18: 29.50%

• Median Household Income (2018) = $37,188 (statewide = $53,267)

• County Public Health Department Expenditures Per Person (2018/2019) = $88.80

Table A: Crude Rate of Suicide Per 100,000 Population (2015 and 2018) Age Group 2015 Suicide Rate per 100,000 2018 Suicide Rate per 100,000

All Ages 12.0 33.6

Children (< 18) 0.0 0.0

Older Adults (65+) 23.1 45.1

Counts and rates of involuntary examinations for residents of Washington County are shown for ten fiscal years in Table B for all ages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific population totals, not the total county population. Percent change in population is based on comparisons to 2018 county population totals.

Table B: Involuntary Examinations: Residents of Washington County for Ten Years*

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All

Ages to 2018/2019

Total County Population

All Ages

% Change in Population All Ages to

2018 Exams

Rate Per 100,000

Exams Rate Per 100,000

Exams Rate Per 100,000 # % # %

2018-2019 149 590 46 30.87% 1,226.67 < 25 *** *** N/A 25,243 N/A

2017-2018 162 648 60 37.04% 1,611.17 < 25 *** *** -8.02% 24,985 1.03%

2016-2017 180 723 41 22.78% 1,100.38 < 25 *** *** -17.2% 24,888 1.43%

2015-2016 203 813 40 19.70% 1,071.81 < 25 *** *** -26.6% 24,975 1.07%

2014-2015 174 697 41 23.56% 1,085.81 < 25 *** *** -14.4% 24,959 1.14%

2013-2014 158 637 36 22.78% 950.12 < 25 *** *** -5.70% 24,793 1.82%

2012-2013 177 710 36 20.34% 941.42 < 25 *** *** -15.8% 24,922 1.29%

2011-2012 161 653 < 25 *** *** < 25 *** *** -7.45% 24,638 2.46%

2010-2011 155 623 26 16.77% 679.56 < 25 *** *** -3.87% 24,896 1.39%

2009-2010 158 639 25 15.82% 640.53 < 25 *** *** -5.70% 24,721 2.11%

*Population estimates are available by calendar year only. This means that calendar year 2018 population estimates were used for the row showing FY18/19 data, 2017 for the row for FY17/18 data and so on. Cells containing *** indicate that these percentages and rates were redacted due to involuntary examination counts of less than 25. Please refer to page 21 for additional details about population statistics and redaction.

The majority of Washington County residents who received an involuntary examination were seen at Life Management Center of Northwest Florida (40.94%), Emerald Coast Behavioral Hospital (12.75%), Fort Walton Beach Medical Center (9.40%), Capital Regional Medical Center (9.40%), Baptist Hospital (8.72%), and West Florida Regional Medical Center (6.04%).

Table C: FY18/19 Involuntary Examinations for Washington County Residents by Initiation Type

Professional Certificate Law Enforcement Ex Parte Order

Total 31.54% 59.06% 9.40%

Professional Certificate Type

Physician (not a Psychiatrist) 48.94%

These percentages are out of the total for involuntary examinations initiated by professional certificate (not out of the total number of involuntary examinations).

Physician (Psychiatrist) 6.38%

Licensed Clinical Social Worker 0.00%

Licensed Mental Health Counselor 38.30%

Clinical Psychologist 0.00%

Psychiatric Nurse 4.26%

Licensed Marriage and Family Therapist 0.00%

Physician Assistant 0.00%

Multiple Professional Types Reported 2.13%

Not Reported 0.00%

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Appendix A: Additional Technical Notes

The Baker Act data analyzed for this report are from involuntary examination initiation forms received by the Baker Act Reporting Center. Some individuals for whom forms were received were never admitted to the receiving facility because an examination by a physician or psychologist performed prior to admission determined they did not meet admission criteria. The data also do not include information on what occurred after the initial examination. For example, the data do not reveal how long individuals stayed at the facility, whether they remained on an involuntary or voluntary basis, or whether the involuntary (Baker Act) examination was converted to a Marchman Act assessment.

Because not everyone who has an involuntary examination initiated is admitted to a Baker Act receiving facility, the data in this report are of involuntary examinations, they are not data on admissions. They are not counts of voluntary examinations. They are counts for involuntary examinations.

Redaction: Cell sizes smaller than 25 were redacted from this report. This redaction is done to prevent identification of people. Those interested in more information about the Baker Act Reporting Center’s approach to redaction may contact Annette Christy, Center Director, to discuss ([email protected]).

Percent Change: Percent change is reported throughout this report. This is a helpful metric that can put counts of involuntary examinations into context. However, certain issues with using percent change need to be considered. Percent change needs to be interpreted carefully when the change is between small numbers. For example, an increase in County A from 4 to 8 is a 100% increase, just as a change in County B from 1,000 to 2,000 is a 100% increase. The challenge is to interpret what importance we should give this percent change in the decisions we make about whether there is a problem to be addressed and how to address it. What these counts represent out of the total population needs to also be considered. For example, County A has a population of 50,000. Four equals a rate of 8 per 100,000, while 8 equals a rate of 16 per 100,000 for County A. County B has a population of 500,000. This means that 1,000 equals a rate of 200 per 100,000 and 2,000 equals a rate of 400 per 100,000. The rate in County B is much higher than the rate in County A even though the percent increase is the same. Some counties may have large percentages of change, but because their counts were low in relation to other counties to begin with the increase over time may still mean that their rate per 100,000 is still smaller relative to other counties.

Handling Zeros in Percent Change Calculations: Cells in tables with an indeterminant percent changes include the infinity symbol (∞). There are nuances to how percent change is computed and reported when one of the numbers in the computation is zero. There is ongoing debate on this issue that is beyond the scope of this report to fully articulate. There is not consensus of how this should be handled. Construing any change from zero as a 100% change is problematic. In this scenario, a change from 0 to 1 would be a 100% change, a change from 0 to 6.1 would be a 100% change, and a change from 0 to 1,500 would be a 100% change, and so on. A more logical approach is to say that a change from 0 to some other number is infinity, the number of which is indeterminant. This is not a satisfying answer in that this does not provide us with a percent change. We do not feel it is correct to say that a percent change is not applicable (N/A) when we report out percent change that involved zeros. It is applicable. It is just that it is not knowable.

Context Matters: What is being measured matters. Let’s say it is readmissions to a state hospital over a three-year period that we are measuring. An increase from 8 to 16 may have meaning. But if we are measuring, for example, deaths by suicide for 12 to 14-year-old youth, this same 100% increase from 8 to 16 may be meaningful in a different way, and perhaps more concerning. It matters what we are measuring. What is occurring at the state level and in the community of focus as it relates to what is being measured

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needs to be considered. Was there some sort of catastrophic event, such as a hurricane or a severe economic downturn? How do the characteristics of the community of focus impact what you are measuring, and perhaps in a different way to other communities to which you are comparing? Is access to service different between the two communities you are comparing, such as access to Baker Act receiving facilities? The point here is that the percent change is just a number. Figuring out what it means and how to compare it between communities requires learning more about those communities. The numbers in this report are only a start to understanding relevant issues.

We have included some metrics in the county specific pages to describe communities to provide the readers of this report with some context. A full analysis of the impact of these metrics is beyond the scope of this report and we are not necessarily suggesting that they all impact the use of involuntary examination. But we feel that knowing about these metrics is helpful to provide context.

Terminology: Involuntary examinations occur at designated receiving facilities. Receiving facilities may include hospitals (licensed under 395 F.S.) and Crisis Stabilization Units (licensed under 394 F.S.). The Department designates all Baker Act receiving facilities regardless of type. Some receiving facilities are called Crisis Stabilization Units (CSUs). CSUs are usually residential units of community mental health centers and receive Department funds for Baker Act services. CSUs designated for children are referred to as Children’s Crisis Stabilization Units (CCSUs). This means that while all CSUs/CCSUs are Baker Act receiving facilities, not all Baker Act receiving facilities are CSUs. The abbreviations CSU and CCSU are used throughout this report. Receiving facilities that are provided funds from the Department are referred to later in this report as “public,” while those not receiving such funds are referred to as “private.” When the phrase “The Department” is used in this report, it is referring to the Florida Department of Children and Families.

All analyses in this report used the County of Residence.

There are complex reasons for the lower numbers of involuntary examinations in some areas and higher numbers in other areas. Readers of this report are urged to consider these factors when interpreting the results. For example, the distribution of Baker Act receiving facilities statewide is not uniform. About half of Florida’s 67 counties have at least one Baker Act receiving facility, about half do not have a receiving facility. Areas of some counties are geographically distant from the nearest receiving facility. Additional factors may influence the use of involuntary examinations, such as: • Number of people trained in Mental Health First Aid.

• Law enforcement training, including Crisis Intervention Training (CIT).

• Availability of criminal justice system diversion programs at all sequential intercepts, including those fundedby Criminal Justice, Mental Health, and Substance Abuse (CJMHSA) Reinvestment Grants.

• Availability and quality of community-based behavioral health services, including mobile response teams,Florida Assertive Community Treatment (FACT) and Community Action Treatment (CAT) Teams.

• Availability of a wide array of social services such as assistance with housing, coverage for health care, andexistence of county funds for those who are underinsured or uninsured.

• How facilities approach the admission status (voluntary or involuntary) for children based on the logistics ofholding the required voluntariness hearing for children.

Population Statistics: Population statistics are provided in some tables to put counts of involuntary exams in context. Population estimates were obtained from the Florida Office of Economic and Demographic Research. County level characteristics were obtained from the Florida Department of Health, Division of Public Health Statistics and Performance Management, and Florida Health Charts. While this report focuses on counts by fiscal years, estimates of population are available by calendar year. Logical calendar year spans are used to provide context.

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Appendix B: Suicide and Suicide Prevention

We have included a brief section here to provide resources for those interested in additional

information about suicide and suicide prevention.

The Statewide Office for Suicide Prevention (SOSP) and the Suicide Prevention Coordinating

Council focus on suicide prevention initiatives such as creating and implementing the Statewide

Plan for Suicide Prevention in Florida as well as increasing public awareness. The SOSP is

administratively housed in the Department’s Office of Substance Abuse and Mental Health. Those

interested in learning additional information about suicide prevention initiatives and research are

encouraged to view the Florida Suicide Prevention Plan 2016-2020.

If you or someone you know is thinking about suicide, please call 800-273-8255

right away. This is the phone number for the National Suicide Prevention Lifeline.

You can call 211 on your phone to be linked to a Florida Alliance of Information

Referral Services provider for your community to learn more about resources on a

wide array of health and social service needs. The Baker Act Reporting Center also

maintains a list of resources that may be helpful (click on “For the General Public”).

Following are links to resources relevant to suicide prevention:

• Florida Department of Children and Families, Suicide Prevention Webpage25

• Florida Department of Health, Suicide Prevention Webpage26

• Suicide Prevention Resource Center27

• Florida Health Rankings28

• The Centers for Disease Control and Prevention Center, National Center for Health Statistics,Suicide Mortality by State29

• American Foundation for Suicide Prevention State Fact Sheets30

• National Institute of Mental Health at the NIH Suicide Information31 (not Florida specific, but ahelpful site to access information and resources)

• Suicide Prevention: An Emerging Priority for Health Care32 article in Health Affairs (2016) by Hoganand Grumet is available at no cost to the general public and provides an excellent overview.

• Technical Issues with Suicide Data: The Suicide Prevention Resource Center (SPRC) report,“Interpreting Suicide Data: Special Considerations for Small Populations” provides importantinformation to consider.33 The SPRC is a resource that readers of this report may find helpful ingeneral, such as a resource for training34 and to learn about state activities.35

25https://www.myflfamilies.com/service-programs/samh/prevention/suicide-prevention/ 26http://www.floridahealth.gov/programs-and-services/prevention/suicide-prevention/index.html 27https://www.sprc.org/ 28https://www.americashealthrankings.org/explore/annual/measure/Suicide/state/FL 29https://www.cdc.gov/nchs/pressroom/sosmap/suicide-mortality/suicide.htm 30https://afsp.org/about-suicide/state-fact-sheets/ 31https://www.nimh.nih.gov/health/statistics/suicide.shtml 32https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2015.1672 33https://www.sprc.org/sites/default/files/migrate/library/Interpreting%20Suicide%20Data%20Special%20Considerations%20for%20Small%20Populations.pdf 34https://training.sprc.org/ 35http://www.sprc.org/states and http://www.sprc.org/states/florida

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Appendix C: Baker Act Receiving Facility List

Receiving facilities are listed alphabetically within each of the Department’s regions. The most recent receiving facility list is available here.36 The “FMHI #” is the unique number the Baker Act Reporting Center assigns to each receiving facility. This number is required on the Cover Sheet (form CF-MH 3118) and assists with our data processing. Some facilities have a Crisis Stabilization Unit (CSUs) and/or Children’s Crisis Stabilization Unit (CCSUs). The three VA facilities that submitted forms to the Baker Act Reporting Center are included in this receiving facility list (Orlando in Orange County, Bay Pines in Pinellas County, and West Palm Beach in Palm Beach County).

FMHI #

Receiving Facility City County Judicial Circuit

Managing Entity Facility

Type

Central Region

203 Advent Health Lake Whales (Lake Wales Medical Center)

Lake Wales Polk 10th Central Florida Behavioral Health Network Public

46 Advent Health Orlando (Florida Hospital)

Orlando Orange 9th Central Florida Cares Health System Private

201 Aspire Health Partners Orlando Orange 9th Central Florida Cares Health System Public

71 Aspire Health Partners (Lakeside Behavioral Healthcare)

Orlando Orange 9th Central Florida Cares Health System Public

114 Aspire Health Partners (Seminole Behavioral Healthcare)

Sanford Seminole 18th Central Florida Cares Health System Public

180 Central Florida Behavioral Hospital Orlando Orange 9th Central Florida Cares Health System Private

30 Circles of Care (Sheridan Oaks Hospital)

Melbourne Brevard 18th Central Florida Cares Health System Public

210 Harbor Pines (Circles of Care)

Melbourne Brevard 18th Central Florida Cares Health System Public

70 Lakeland Regional Medical Center Lakeland Polk 10th Central Florida Behavioral Health Network Private

78 Life Stream Behavioral Center Leesburg Lake 5th Lutheran Services Florida Health Systems Public

197 Osceola Regional Medical Center Kissimmee Osceola 9th Central Florida Cares Health System Private

209 Palm Point Behavioral Health Titusville Brevard 18th Central Florida Cares Health System Private

90 Park Place Behavioral Health Care Kissimmee Osceola 9th Central Florida Cares Health System Public

107 Peace River Center Bartow Polk 10th Central Florida Behavioral Health Network Public

211 Peace River Center - Lakeland Lakeland Polk 10th Central Florida Behavioral Health Network Public

120 South Seminole Hospital- Orlando Health Longwood Seminole 18th Central Florida Cares Health System Private

51 Springbrook Hospital Brooksville Hernando 5th Lutheran Services Florida Health Systems Private

151 Steward Rockledge Hospital (Wuesthoff) Rockledge Brevard 18th Central Florida Cares Health System Private

36 https://www.myflfamilies.com/service-programs/samh/crisis-services/baker-act.shtml

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FMHI #

Receiving Facility City County Judicial Circuit

Managing Entity Facility

Type

82 The Centers Ocala Marion 5th Lutheran Services Florida Health Systems Public

179 The Vines Hospital Ocala Marion 5th Lutheran Services Florida Health Systems Private

139 University Behavioral Center Orlando Orange 9th Central Florida Cares Health System Public

205 Veteran's Administration Hospital - Orlando Orlando Orange 9th Central Florida Cares Health System VA

148 Winter Haven Hospital Winter Haven Polk 10th Central Florida Behavioral Health Network Private

Northeast Region

6 Baptist Medical Center Jacksonville Jacksonville Duval 4th Lutheran Services Florida Health Systems Private

44 Flagler Hospital St. Augustine St. Johns 7th Lutheran Services Florida Health Systems Public

55 Halifax Health Medical Center Daytona Beach Volusia 7th Lutheran Services Florida Health Systems Private

54 Halifax Psychiatric Center-North Daytona Beach Volusia 7th Lutheran Services Florida Health Systems Public

185 Memorial Hospital of Jacksonville Jacksonville Duval 4th Lutheran Services Florida Health Systems Private

88 Mental Health Resource Center - North Jacksonville Duval 4th Lutheran Services Florida Health Systems Public

89 Mental Health Resource Center - South Jacksonville Duval 4th Lutheran Services Florida Health Systems Public

91 Meridian Behavioral Health Care (Gainesville) Gainesville Alachua 8th Lutheran Services Florida Health Systems Public

158 Meridian Behavioral Health Care (Lake City) Lake City Columbia 3rd Lutheran Services Florida Health Systems Public

194 North Florida Regional Medical Center Gainesville Alachua 8th Lutheran Services Florida Health Systems Private

64 Orange Park Medical Center Orange Park Clay 4th Lutheran Services Florida Health Systems Public

125 River Point Behavioral Health Jacksonville Duval 4th Lutheran Services Florida Health Systems Private

2 SMA Behavioral Health Services Daytona Beach Volusia 7th Lutheran Services Florida Health Systems Public

140 UF Health Jacksonville Jacksonville Duval 4th Lutheran Services Florida Health Systems Private

117 UF Health Shands Hospital Gainesville Alachua 8th Lutheran Services Florida Health Systems Private

116 UF Health Shands Psychiatric Hospital Gainesville Alachua 8th Lutheran Services Florida Health Systems Private

144 Veteran's Administration Hospital - Gainesville Gainesville Alachua 8th Lutheran Services Florida Health Systems VA

192 Wekiva Springs Center Jacksonville Duval 4th Lutheran Services Florida Health Systems Private

Northwest Region

4 Apalachee Center Tallahassee Leon 2nd Big Bend Community Based Care Public

5 Baptist Hospital Pensacola Escambia 1st Big Bend Community Based Care Private

200 Capital Regional Medical Center Tallahassee Leon 2nd Big Bend Community Based Care Private

42 Eastside Psychiatric Hospital Tallahassee Leon 2nd Big Bend Community Based Care Private

110 Emerald Coast Behavioral Hospital Panama City Bay 14th Big Bend Community Based Care Private

50 Fort Walton Beach Medical Center Ft. Walton Beach Okaloosa 1st Big Bend Community Based Care Public

72 Lakeview Center Pensacola Escambia 1st Big Bend Community Based Care Public

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FMHI #

Receiving Facility City County Judicial Circuit

Managing Entity Facility

Type

77 Life Management Center of Northwest Florida Panama City Bay 14th Big Bend Community Based Care Public

131 Tallahassee Memorial Hospital Tallahassee Leon 2nd Big Bend Community Based Care Private

146 West Florida Regional Medical Center Pensacola Escambia 1st Big Bend Community Based Care Private

Southeast Region

66 Broward Health Imperial Point Ft. Lauderdale Broward 17th Broward Behavioral Health Coalition Private

16 Broward Health Medical Center Ft. Lauderdale Broward 17th Broward Behavioral Health Coalition Public

207 Coral Shores Behavioral Health Stuart Martin 19th Southeast Florida Behavioral Health Network Private

43 Delray Medical Center Delray Beach Palm Beach 15th Southeast Florida Behavioral Health Network Private

48 Florida Medical Center (A Campus of North Shore)

Ft. Lauderdale Broward 17th Broward Behavioral Health Coalition Private

38 Ft Lauderdale Behavioral Health Center Oakland Park Broward 17th Broward Behavioral Health Coalition Private

15 Henderson Behavioral Health Ft. Lauderdale Broward 17th Broward Behavioral Health Coalition Public

18 Indian River Medical Center (Cleveland Clinic Indian River Hospital)

Vero Beach Indian River 19th Southeast Florida Behavioral Health Network Private

189 JFK Medical Center Atlantis Palm Beach 15th Southeast Florida Behavioral Health Network Private

65 JFK Medical Center North Campus West Palm Beach Palm Beach 15th Southeast Florida Behavioral Health Network Private

199 Larkin Community Hospital Behavioral Health Services

Hollywood Broward 17th Broward Behavioral Health Coalition Private

75 Lawnwood Regional Medical Center & Heart Institute

Ft. Pierce Saint Lucie 19th Southeast Florida Behavioral Health Network Private

85 Memorial Regional Hospital Hollywood Broward 17th Broward Behavioral Health Coalition Public

99 New Horizons of the Treasure Coast Ft. Pierce St. Lucie 19th Southeast Florida Behavioral Health Network Public

198 Plantation General Hospital Plantation Broward 17th Broward Behavioral Health Coalition Private

113 Port St. Lucie Hospital Port St. Lucie St. Lucie 19th Southeast Florida Behavioral Health Network Private

118 South County Mental Health Center Delray Beach Palm Beach 15th Southeast Florida Behavioral Health Network Public

188 St. Lucie Medical Center (Treasure Coast Behavioral Healthcare)

Port St Lucie St. Lucie 19th Southeast Florida Behavioral Health Network Private

128 St. Mary's Medical Center West Palm Beach Palm Beach 15th Southeast Florida Behavioral Health Network Private

147 The Jerome Golden Center for Behavioral Health Belle Glades Palm Beach 15th Southeast Florida Behavioral Health Network Public

1 The Jerome Golden Center for Behavioral Health West Palm Beach Palm Beach 15th Southeast Florida Behavioral Health Network Public

141 University Hospital and Medical Center Tamarac Broward 17th Broward Behavioral Health Coalition Private

162 Veteran's Administration Hospital West Palm Beach

West Palm Beach Palm Beach 15th Southeast Florida Behavioral Health Network VA

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FMHI #

Receiving Facility City County Judicial Circuit

Managing Entity Facility

Type

Southern Region

3 Aventura Hospital and Medical Center Aventura Miami-Dade 11th South Florida Behavioral Health Network Private

161 Banyan Health Systems (Miami Behavioral Health Center)

Miami Miami-Dade 11th South Florida Behavioral Health Network Public

103 Citrus Health Network Hialeah Miami-Dade 11th South Florida Behavioral Health Network Public

33 Community Health of South Florida Miami Miami-Dade 11th South Florida Behavioral Health Network Public

45 Depoo Hospital (Lower Keys Medical Center)

Key West Monroe 16th South Florida Behavioral Health Network Public

52 Guidance/Care Center Marathon Monroe 16th South Florida Behavioral Health Network Public

79 Jackson Community Mental Health Center Opa Locka Miami-Dade 11th South Florida Behavioral Health Network Public

67 Jackson Memorial (Jackson Behavioral Health Hospital)

Miami Miami-Dade 11th South Florida Behavioral Health Network Public

41 Jackson South Medical Center (Jackson South Behavioral Hospital)

Miami Miami-Dade 11th South Florida Behavioral Health Network Private

186 Kendall Regional Medical Center Miami Miami-Dade 11th South Florida Behavioral Health Network Private

73 Larkin Community Hospital South Miami Miami-Dade 11th South Florida Behavioral Health Network Private

96 Mount Sinai Medical Center Miami Beach Miami-Dade 11th South Florida Behavioral Health Network Private

93 Nicklaus Children's Hospital Miami Miami-Dade 11th South Florida Behavioral Health Network Private

102 North Shore Medical Center Miami Miami-Dade 11th South Florida Behavioral Health Network Private

105 Palmetto General Hospital Hialeah Miami-Dade 11th South Florida Behavioral Health Network Private

122 Southern Winds Hospital Hialeah Miami-Dade 11th South Florida Behavioral Health Network Private

17 University of Miami Hospital Miami Miami-Dade 11th South Florida Behavioral Health Network Private

142 Veteran's Administration Hospital - Miami Miami Miami-Dade 11th South Florida Behavioral Health Network VA

160 Westchester General Hospital Miami Miami-Dade 11th South Florida Behavioral Health Network Private

Suncoast Region

135 Baycare Behavioral Health New Port Richey Pasco 6th Central Florida Behavioral Health Network Public

159 Bayfront Health Punta Gorda (Riverside Behavioral Center)

Punta Gorda Charlotte 20th Central Florida Behavioral Health Network Private

184 Brandon Regional Hospital Brandon Hillsborough 13th Central Florida Behavioral Health Network Private

80 Centerstone of Florida Bradenton Manatee 12th Central Florida Behavioral Health Network Public

20 Charlotte Behavioral Health Care Punta Gorda Charlotte 20th Central Florida Behavioral Health Network Public

32 Coastal Behavioral Healthcare Sarasota Sarasota 12th Central Florida Behavioral Health Network Public

40 David Lawrence Mental Health Center Naples Collier 20th Central Florida Behavioral Health Network Public

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FMHI #

Receiving Facility City County Judicial Circuit

Managing Entity Facility

Type

130 Largo Medical Center- Indian Rocks Largo Pinellas 6th Central Florida Behavioral Health Network Private

196 Mease Dunedin Hospital Dunedin Pinellas 6th Central Florida Behavioral Health Network Private

58 Medical Center of Trinity - West Pasco Campus New Port Richey Pasco 6th Central Florida Behavioral Health Network Private

84 Memorial Hospital of Tampa Tampa Hillsborough 13th Central Florida Behavioral Health Network Private

87 Mental Health Care (Gracepoint) Tampa Hillsborough 13th Central Florida Behavioral Health Network Public

95 Morton Plant Hospital Clearwater Pinellas 6th Central Florida Behavioral Health Network Private

183 Morton Plant North Bay Hospital Recovery Center Lutz Pasco 6th Central Florida Behavioral Health Network Private

193 North Tampa Behavioral Health Wesley Chapel Pasco 6th Central Florida Behavioral Health Network Private

171 Northside Behavioral Health Center Tampa Hillsborough 13th Central Florida Behavioral Health Network Public

191 Park Royal Hospital Fort Myers Lee 20th Central Florida Behavioral Health Network Private

108 Personal Enrichment Through Mental Health Services (PEMHS)

Pinellas Park Pinellas 6th Central Florida Behavioral Health Network Public

76 SalusCare Fort Myers Lee 20th Central Florida Behavioral Health Network Public

9 Sarasota Memorial Hospital Sarasota Sarasota 12th Central Florida Behavioral Health Network Private

123 St. Anthony's Hospital St. Petersburg Pinellas 6th Central Florida Behavioral Health Network Private

127 St. Joseph’s Hospital Behavioral Health Center Tampa Hillsborough 13th Central Florida Behavioral Health Network Private

195 Suncoast Behavioral Health Center Bradenton Manatee 12th Central Florida Behavioral Health Network Private

187 Tampa Community Hospital Tampa Hillsborough 13th Central Florida Behavioral Health Network Private

8 Veteran's Administration Hospital - Bay Pines Bay Pines Pinellas 6th Central Florida Behavioral Health Network VA

143 Veteran's Administration Hospital - Tampa Tampa Hillsborough 13th Central Florida Behavioral Health Network VA

63 Windmoor Healthcare of Clearwater Clearwater Pinellas 6th Central Florida Behavioral Health Network Private

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Appendix D: County Level Indicators Detail

Note: You may need to copy and paste the links below into your web browser.

Indicator: State/County Population Data Source: Florida Legislature, Office of Economic and Demographic Research Retrieved from Florida Health Charts: http://www.flhealthcharts.com/FLQUERY/Population/PopulationRpt.aspx on 10/8/2019.

Indicator: Percentage of individuals living below the poverty level (2018) Source: American Communities Survey- 5-year estimates Retrieved from Florida Health Charts: http://www.flhealthcharts.com/charts/OtherIndicators/NonVitalIndDataViewer.aspx?cid=294 on 2/28/2020.

Indicator: Percentage of individuals under 18 living below the poverty level (2018) Source: US Census Bureau Retrieved from Florida Health Charts: http://www.flhealthcharts.com/charts/OtherIndicators/NonVitalIndRateOnlyDataViewer.aspx?cid=0295 on 2/28/2020.

Indicator: Median household income (2018) Source: American Communities Survey 5-Year estimates Retrieved from Florida Health Charts: http://www.flhealthcharts.com/charts/OtherIndicators/NonVitalIndGrpDataViewer.aspx?cid=293 on 2/28/2020.

Indicator: Suicide Death Rate, single year per 100,000 Source: Florida Department of Health, Bureau of Vital Statistics Retrieved from Florida Health Charts: http://www.flhealthcharts.com/charts/DataViewer/DeathViewer/DeathViewer.aspx?indNumber=0116 on 3/2/2020.

Indicator: County public health department expenditures in dollars, per person (2018-2019) Source: Florida Department of Health, Division of Public Health Statistics and Performance Management Retrieved from Florida Health Charts: http://www.flhealthcharts.com/charts/OtherIndicators/NonVitalIndNoGrpDataViewer.aspx?cid=0333 on 2/28/2020.