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Fiscal Year 2017/2018 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, MSW Kim Lersch, Ph.D. Daniel Ringhoff, Ph.D. Kevin Jenkins, AA

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Page 1: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Fiscal Year 2017/2018 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, MSW Kim Lersch, Ph.D.

Daniel Ringhoff, Ph.D.Kevin Jenkins, AA

Page 2: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida
Page 3: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Table of Contents – Baker Act Reporting Center 17/18 Report

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

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

III. Involuntary Examinations ........................................................................................................... 3

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

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

C. Involuntary Examinations: Provider Level Analyses ............................................................ 13

D. Involuntary Examinations: Geographic Area Reporting ..................................................... 20

E. Involuntary Examinations: County Specific Analyses ........................................................... 24

Appendix A: Baker Act Receiving Facility List ........................................................................... 97

Appendix B: County Level Indicators Detail ............................................................................ 102

Appendix C: Deaths by Suicide in Florida: Additional Details ................................................. 103

Page 4: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 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. Forms must be submitted to the Baker Act Reporting Center within one working day after the person arrives at the receiving facility (Section 394.463 F.S.).

Forms submitted to the Baker Act Reporting Center include:

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) was implemented in 1999 to systematically report client demographic and provider information. 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 (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 FY17/18, 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.

Page 5: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 Annual Report 2

II. Report Highlights

• There were 205,781 involuntary (Baker Act) examinations in Fiscal Year 2017/2018 (FY17/18).

• Involuntary examinations increased 2.92% from FY16/17 to FY17/18, 16.26% from FY13/14 to FY17/18, and 53.98% from FY08/09 to FY17/18. Involuntary examinations more than doubled (115.31% increase) in the 17 years from FY01/02 to FY17/18.

• From FY13/14 to FY17/18, statewide involuntary examinations increased 18.85% for children, 14.04% for young adults (18-24), and 12.49% for older adults.

• Three-quarters (73.55%) of involuntary examinations in FY17/18 were for adults aged 18 through 64, with 17.53% for children, and 7.41% for people 65 and older. [Age was unknown for 1.51%.]

• 51.67% of involuntary examinations were initiated by law enforcement, with 46.31% initiated by professional certificate, and 2.02% initiated via ex parte order.

• Physicians who are not psychiatrists (68.04%) were the most common health professional to initiate involuntary examinations, followed by psychiatrists (9.28%), licensed mental health counselors (9.29%), licensed clinical social workers (5.33%), psychiatric nurses1 (2.02%), psychologists (1.27%), Physician Assistants (<1%), and licensed marriage and family therapists (<1%). Children were more likely than other age groups to have their involuntary examinations initiated by licensed mental health counselors and social workers.

• Evidence Type: Over half (56.83%) of involuntary examinations were based on evidence of harm only. Almost one-third (30.47%) were based on both harm and self-neglect. Less than ten percent (9.47%) were based on evidence of self-neglect only. Self-neglect only (no harm) was more common with increased age. [Evidence type was not reported for 3.22%.]

• Harm Type: Harm can be further broken down into harm to self and/or harm to others. More than half(55.84%) of all involuntary examinations were based on evidence of harm to self only. One in five (21.52%) were based on both harm to self and harm to others. Harm to others only was the evidence for 5.55% of all involuntary examinations.

• Suicide and Self-Harm: Three-quarters (77.36%) of involuntary examinations were based evidence of harm to self (either by itself, or in combination with harm to others and/or self-neglect). Self-harm includes suicidal ideation a suicide attempts. However, it is important to understand that self-harm is not synonymous with suicide. Self-harm can also include behaviors such as cutting and bodily harm that does not have suicidal intent.

• Rates per 100,000 population for deaths by suicide and involuntary examinations over a ten year period were positively and significantly correlated statewide for all ages (r = .71, p < .05), children (r = .92, p < .01) and older adults (r = .78, p < .01). These correlational findings do not imply causation. Further, these significant correlations were not seen in all counties. These relationships will be explored in future years to understand the dynamics related to them, including additional (“third”) variables that may be related to the correlations and differences across counties. Rates of suicide are included in this report to provide additional context to readers (see Appendix C).

• More than half (55%) of involuntary examinations in FY17/18 were at privately funded receiving facilities, with 45% at publicly funded receiving facilities.

• New to the annual report are details about transition-aged young adults (aged 18-24). Figures 1 and 2 present counts for all ages of involuntary examinations year by year by age group. The percentage of change in the number of involuntary examinations from FY16/17 to FY17/18 is reported at the facility level for all ages (see Table 7).

1 “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 FY17/18 Annual Report 3

III. Involuntary Examinations

A. Technical NotesUnderstanding what the data are not is as important as understanding what they are when considering related policy decisions. The Baker Act data analyzed for this report are from examination initiation forms received by the Baker Act Reporting Center. However, 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.

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: 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 inpatient 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 (see Table 7).

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 having a receiving facility. Areas of some counties are geographically distant from the nearest receiving facility. Additional factors may influence the use of involuntary examination, 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

funded by Criminal Justice, Mental Health, and Substance Abuse (CJMHSA) Reinvestment Grants• Availability and quality of community-based behavioral health services, including mobile response teams• Availability of a wide array of social services such as assistance with housing, coverage for health care,

and existence of county funds for those who are underinsured or uninsured.

Population statistics are provided in some tables to put counts of involuntary examinations 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 the 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.

Page 7: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 Annual Report 4

B. Involuntary Examinations: State Level Analyses

There were 205,781 involuntary examinations in FY 17/18. Three-quarters of involuntary examinations were for adults aged 18 through 64 (n = 151,345, 73.55%), with 17.53% (n = 36,078) for those less than 18, and 7.41% (n = 15,253) for people 65 and older. Young adults (age 18-24) accounted for 12.79% of involuntary examinations statewide. There were 3,105 (1.51%) forms where age was unknown because a validdate of birth was not included on the Cover Sheet. Counts of involuntary examinations for the last 17 fiscal years are reported for all ages,children (<18), transition-aged young adults (18-24), and older adults (65+) (see Table 1. and Figure 1.).

Table 1: Involuntary Examinations: FY 01/02 to 17/18 – All Ages, Children, and Older Adults2

Fiscal Year

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

Involuntary Exams

% Increase

to FY17/18

Rate Per

100,000

Involuntary Exams

% Increase

to FY17/18

Rate Per

100,000

Involuntary Exams

% Increase

to FY17/18

Rate Per 100,000

Involuntary Exams

% Increase

to FY17/18

Rate Per

100,000

2017-2018 205,781 N/A 1,005 36,078 N/A 1,186 26,328 N/A 1,445 15,253 N/A 381

2016-2017 199,944 2.92% 992 32,763 10.12% 1,092 26,243 0.32% 1,446 14,348 6.31% 372

2015-2016 194,354 5.88% 981 32,475 11.09% 1,097 25,861 1.81% 1,431 13,829 10.30% 370

2014-2015 187,999 9.46% 964 32,650 10.50% 1,102 24,467 7.61% 1,365 13,828 10.31% 381

2013-2014 177,006 16.26% 919 30,355 18.85% 1,030 23,087 14.04% 1,301 13,559 12.49% 390

2012-2013 163,850 25.59% 859 26,808 34.58% 914 21,763 20.98% 1,237 12,519 21.84% 368

2011-2012 154,655 33.06% 818 24,836 45.26% 848 20,594 27.84% 1,179 11,704 30.32% 351

2010-2011 145,290 41.63% 773 21,752 65.86% 743 19,616 34.22% 1,128 10,860 40.45% 332

2009-2010 141,284 45.65% 754 21,128 70.76% 702 19,072 38.05% 1,135 10,240 48.96% 312

2008-2009 133,644 53.98% 711 20,258 78.09% 664 17,601 49.58% 1,042 9,506 60.46% 292 2007-2008 127,983 60.79% 685 19,705 83.09% 643 16,622 58.39% 987 8,988 69.70% 281 2006-2007 120,082 71.37% 661 19,238 87.54% 652 16,384 60.69% 975 8,707 75.18% 287 2005-2006 118,722 73.33% 668 19,019 89.69% 651 16,244 62.08% 986 8,696 75.40% 296 2004-2005 114,700 79.41% 660 19,065 89.24% 664 15,664 68.08% 991 8,629 76.76% 297 2003-2004 107,705 91.06% 634 18,286 97.30% 648 14,123 86.42% 933 8,582 77.73% 299 2002-2003 103,079 99.63% 620 16,845 114.18% 606 13,175 99.83% 908 8,514 79.15% 299 2001-2002 95,574 115.31% 586 14,997 140.57% 547 11,959 120.15% 860 8,193 86.17% 290

2 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 FY17/18 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. 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 07/08 to FY 17/18 (see columns A and B in Table 2). Over the last fiscal year (FY 16/17 to FY 17/18) involuntary examination increases exceeded population increases, except for young adults (18-24) (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 2007 to 2017

Involuntary Examinations

FY 07/08 to FY 17/18

Population Change

2016 to 2017

Involuntary Examinations

FY 16/17 to FY 17/18 All Ages +11.32% +60.79% +0.99% +2.92%Children (<18) -0.81% +83.09% +0.32% +10.12%Young Adults (18-24) +7.95% +58.39% +2.57% +0.32%Older Adults (65+) +24.61% +69.70% +1.58% +6.31%

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Baker Act Reporting Center FY17/18 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 17 Fiscal Years for All Ages, Children, Young Adults, and Older Adults

0

50,000

100,000

150,000

200,000

250,000

Invo

lunt

ary

Exam

inat

ions

by

Fisc

al Y

ear

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

Page 10: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 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

lunt

ary

Exam

inat

ions

by

Fisc

al Y

ear

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

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Baker Act Reporting Center FY17/18 Annual Report 8

The percent change in involuntary examinations from one year to the next is shown in Table 3 and Figure 3.

Table 3: Year to Year Percentage Change of Involuntary Examinations by Age Groups

% Change from One Fiscal Year to the Next Fiscal Year All Ages Children

(<18) Young Adults

18-24Older Adults

(65+)

01/02 to 02/03 7.85% 12.32% 10.17% 3.92%

02/03 to 03/04 4.49% 8.55% 7.20% 0.80%

03/04 to 04/05 6.49% 4.26% 10.91% 0.55%

04/05 to 05/06 3.51% -0.24% 3.70% 0.78%

05/06 to 06/07 1.15% 1.15% 0.86% 0.13%

06/07 to 07/08 6.58% 2.43% 1.45% 3.23%

07/08 to 08/09 4.42% 2.81% 5.89% 5.76%

08/09 to 09/10 5.72% 4.29% 8.36% 7.72%

09/10 to 10/11 2.84% 2.95% 2.85% 6.05%

10/11 to 11/12 6.45% 14.18% 4.99% 7.77%

11/12 to 12/13 5.95% 7.94% 5.68% 6.96%

12/13 to 13/14 8.03% 13.23% 6.08% 8.31%

13/14 to 14/15 6.21% 7.56% 5.98% 1.98%

14/15 to 15/16 3.38% -0.54% 5.70% 0.01%

15/16 to 16/17 2.88% 0.89% 1.48% 3.75%

16/17 to 17/18 2.92% 10.12% 0.32% 6.31%

Page 12: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 Annual Report 9

Figure 3: Year to Year Percentage Change of Involuntary Examinations by Age Groups3

3 Note that the scale of Figure 3 is from slightly less than zero (to account for the few years with slight decreases) up to a max of a 15% change from one year to the next.

-5

0

5

10

15

01/02to

02/03

02/03to

03/04

03/04to

04/05

04/05to

05/06

05/06to

06/07

06/07to

07/08

07/08to

08/09

08/09to

09/10

09/10to

10/11

10/11to

11/12

11/12to

12/13

12/13to

13/14

13/14to

14/15

14/15to

15/16

15/16to

16/17

16/17to

17/18

% C

hang

in In

volu

ntar

y Ex

amna

tions

from

Yea

r to

Year

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

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Baker Act Reporting Center FY17/18 Annual Report 10

Counts of involuntary examinations by age group are presented in Table 4. The percentage of total examinations and the percentage within each age group are both included. For example, involuntary examinations for adults aged 65 to 74 accounted for 4.71% of all involuntary examinations during the fiscal year and 62.56% of involuntary examinations for older adults (65 and older).

Table 4: Involuntary Examinations by Age Groups for FY17/18

Age Groups Involuntary Examinations FY17/18

% of Involuntary Examinations Total Within Each Age Grouping

Children (<18) 36,078 17.53% 10 and younger 4,090 2.02% 11.34% 11-13 9,942 4.91% 27.56% 14-17 22,046 10.88% 61.11% Adults 151,345 73.55% 18-24 26,328 12.99% 17.40% 25-34 39,740 19.61% 26.26% 35-44 31,540 15.56% 20.84% 45-54 29,871 14.74% 19.74% 55-64 23,866 11.78% 15.77% Older Adults 15,253 7.41% 65-74 9,542 4.71% 62.56% 75-84 4,154 2.05% 27.23% 85+ 1,557 <1.00% 10.21%

Initiation Type, Evidence Type, and Harm Type: Initiation type, evidence type, and harm type for involuntary examinations in FY17/1817 are summarized in Figure 4.

Initiation Type: 51.67% of the involuntary examinations in FY17/18 were initiated by law enforcement, with almost half initiated by professional certificate (46.31%). The remaining 2.02% were initiated via ex parte order.

Figure 4: Initiation Type for FY17/18

51.67

68.10

57.51

47.43

36.57

46.31

31.25

40.56

50.22

60.70

2.02 0.65 1.93 2.36 2.73

0

20

40

60

80

100

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

Invo

lunt

ary

Exam

inat

ion

for F

Y17/

18

Law Enforcement Professional Certificates Ex Parte Orders

Page 14: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 Annual Report 11

Professional Certificate Type: Percentages of involuntary examinations by professional certificate are shown in Table 5.

Table 5: Involuntary Examination Initiations by Professional Certificate Type Professional Certificate Type All Ages Children (<18) 18-64 Older Adults (65+)

Percentages Computed on Total Number of Involuntary Examinations by Professional Certificate Type Physician (not a Psychiatrist) 68.04% 52.96% 71.23% 61.09% Physician (Psychiatrist) 9.28% 9.07% 8.40% 16.50% Licensed Mental Health Counselor 9.29% 19.36% 8.15% 6.01% Licensed Clinical Social Worker 5.33% 12.33% 4.31% 4.84% Psychiatric Nurse 2.02% 1.30% 1.94% 3.50% Clinical Psychologist 1.27% 1.03% 1.12% 2.74% Physician Assistant 0.92% 0.59% 0.93% 1.22% Licensed Marriage and Family Therapist 0.24% 0.77% 0.19% 0.04% Multiple Professional Types Reported 0.68% 0.54% 0.69% 0.81% Not Reported 2.93% 2.03% 3.03% 3.25%

Evidence Type: Over half (56.83%) of involuntary examinations were based on evidence of harm only. Almost one-third (30.47%) were based on harm and self-neglect. Less than ten percent (9.47%) of involuntary examinations were based on evidence of self-neglect only. Evidence type was not reported on forms for 3.22% of involuntary examinations.

Figure 5: Evidence Type for FY17/18

56.83

68.24

58.2354.42

47.56

30.4725.63

30.85 31.63 31.55

9.47

3.878.19

10.46

16.69

3.22 2.25 2.73 3.49 4.19

0

20

40

60

80

100

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

Invo

lunt

ary

Exam

inat

ions

in F

Y17/

18

Harm

Neglect and Harm

Neglect

Not Reported

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Baker Act Reporting Center FY17/18 Annual Report 12

Harm Type: Evidence of harm can be further reported according to harm type (see Figure 6). Harm can be further broken down into harm to self and/or harm to others. More than half (55.84%) of all involuntary examinations were based on evidence of harm to self only. One in five (21.52%) of all involuntary examinations were based on both harm to self and harm to others. Harm to others only was the evidence upon which 5.55% of all involuntary examinations were initiated. The most striking aspect of Figure 6 is how similar the proportions are across age groups of harm and evidence type combinations. Neglect only (no harm type) was more common as age increases.

Figure 6: Harm Type for FY17/18

The involuntary examination initiation forms do not contain categorical data elements to indicate if a person attempted suicide or had suicidal ideation associated the initiation of their involuntary examination. Three-quarters (77.36%) of involuntary examinations were based evidence of harm to self (either by itself, or in combination with harm to others and/or self-neglect). Self-harm includes suicidal ideation a suicide attempts. However, it is important to understand that self-harm is not synonymous with suicide. Self-harm can also include behaviors such as cutting and bodily harm that does not have suicidal intent.

Rates per 100,000 population for deaths by suicide and involuntary examinations over a ten year period statewide (based on rates per year) were positively and significantly correlated for all ages (r = .71, n = 10, p < .05), children (r = .92, n = 10, p < .01) and older adults (r = .78, n = 10, p < .01). It is likely that there are one or more additional variables/phenomenon related to the relationship of rates of suicide to involuntary examination rates. In addition, these significant differences were not seen in all counties. Information about caution that should be taken when interpreting suicide rates as well as detailed tables with counts of death by suicide are in Appendix C.

45.23

55.90

58.36

58.53

55.84

20.35

20.61

21.71

24.86

21.52

8.23

4.84

4.74

7.49

5.55

5.30

4.70

4.28

3.00

4.39

16.69

10.46

8.19

3.87

9.47

4.19

3.49

2.73

2.25

3.22

0 20 40 60 80 100

65+

25-64

18-24

<18

All Ages

% Involuntary Examinations in FY17/18

Evidence Type Not Reported

Harm Type Not Applicable:Neglect Only

Harm As Evidence But Harm TypeNot Reported

Harm to Others Only

Harm to Self and Others

Harm to Self Only

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Baker Act Reporting Center FY17/18 Annual Report 13

C. Involuntary Examinations: Provider Level AnalysesCounts of involuntary examinations in FY16/17 and 17/18 for each receiving facility are reported in Table 6. Facilities are listed by the Department region, then alphabetically by facility county within each the Department region, then in descending order by number of involuntary examinations. Counts for most providers that have both CSUs (crisis stabilization unit) and CCSUs (children’s crisis stabilization unit) are counted separately for CSUs and CCSUs. Also reported is the percent change in involuntary examinations from FY16/17 to FY17/18.

There are several reasons why the number of involuntary examinations at a receiving facility increase or decrease over time. Cells with a ** in the “% Change” column mean that the percent change is not available or meaningful due to changes in facility designation. Change over time in the use of Baker Act examination is a complicated issue. Those wanting 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]).

Table 6: FY17/18 Involuntary Examinations by Receiving Facility

Judicial Circuit The Department Managing Entity Facility

County Receiving Facility

Involuntary Examinations

Fiscal Year

% Change FY 16/17

to FY 17/18

Public Private or

VA 16/17 17/18

The Department Central Region

18th Central Florida Cares Health System Brevard Circles of Care 3,904 3,902 -0.05% Public

18th Central Florida Cares Health System Brevard Steward Rockledge Hospital 1,524 1,471 -3.48% Private

18th Central Florida Cares Health System Brevard Circles of Care CCSU 1,144 1,055 -7.78% Public

5th Lutheran Services Florida Hernando Springbrook Hospital 914 1,282 40.26% Private

10th Central Florida Behavioral Health Network Highlands FL Hospital Heartland Medical Center Lake Placid 433 285 -34.18% Public

5th Lutheran Services Florida Lake Life Stream Behavioral Center 3,251 3,551 9.23% Public

5th Lutheran Services Florida Marion The Centers (CSU/CCSU) 2,683 3,301 23.03% Public

5th Lutheran Services Florida Marion The Vines Hospital 1,173 1,400 19.35% Private

9th Central Florida Cares Health System Orange Central Florida Behavioral Hospital 3,273 4,241 29.58% Private

9th Central Florida Cares Health System Orange Aspire Health Partners 1,982 3,680 85.67% Public

9th Central Florida Cares Health System Orange University Behavioral Center 2,473 2,163 -12.54% Public

9th Central Florida Cares Health System Orange Aspire Health Partners 3,075 1,309 -57.43% Public

9th Central Florida Cares Health System Orange Florida Hospital - Orlando 1,198 1,270 6.01% Private

9th Central Florida Cares Health System Orange Aspire Health Partners CCSU 919 783 -14.80% Public

9th Central Florida Cares Health System Orange Veterans Administration Hospital - Orlando 26 120 361.54% VA

9th Central Florida Cares Health System Osceola Park Place Behavioral Health Care (CSU/CCSU) 1,741 1,929 10.80% Public

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Baker Act Reporting Center FY17/18 Annual Report 14

Judicial Circuit The Department Managing Entity Facility

County Receiving Facility

Involuntary Examinations

Fiscal Year

% Change FY 16/17

to FY 17/18

Public Private or

VA 16/17 17/18

9th Central Florida Cares Health System Osceola Osceola Regional Medical Center 1,485 1,503 1.21% Private

10th Central Florida Behavioral Health Network Polk Lakeland Regional Medical Center 2,875 3,292 14.50% Private

10th Central Florida Behavioral Health Network Polk Peace River Center (CSU/CCSU) 2,216 2,792 25.99% Public

10th Central Florida Behavioral Health Network Polk Winter Haven Hospital 1,326 1,417 6.86% Private

10th Central Florida Behavioral Health Network Polk Lake Wales Medical Center 103 270 162.14% Public

18th Central Florida Cares Health System Seminole South Seminole Hospital 3,551 3,769 6.14% Private

18th Central Florida Cares Health System Seminole Aspire Health Partners 1,417 1,537 8.47% Public

The Department Northeast Region

8th Lutheran Services Florida Alachua UF Health Shands Psychiatric Hospital 1,921 2,079 8.22% Private

8th Lutheran Services Florida Alachua North Florida Regional Medical Center 1,443 1,502 4.09% Private

8th Lutheran Services Florida Alachua Meridian Behavioral Health Care (CSU/CCSU) 1,414 936 -33.80% Public

8th Lutheran Services Florida Alachua UF Health Shands Hospital 105 188 79.05% Private

4th Lutheran Services Florida Clay Orange Park Medical Center 1,298 1,207 -7.01% Public

3rd Lutheran Services Florida Columbia Meridian Behavioral Health Care (CSU/CCSU) 1,617 1,718 6.25% Public

4th Lutheran Services Florida Duval Mental Health Resource Center - North 2,868 2,974 3.70% Public

4th Lutheran Services Florida Duval River Point Behavioral Health 1,748 2,222 27.12% Private

4th Lutheran Services Florida Duval Memorial Hospital of Jacksonville 1,557 2,096 34.62% Private

4th Lutheran Services Florida Duval Mental Health Resource Center - South 1,946 1,916 -1.54% Public

4th Lutheran Services Florida Duval Mental Health Resource Center - North CCSU 1,516 1,566 3.30% Public

4th Lutheran Services Florida Duval UF Health Jacksonville 1,245 1,523 22.33% Private

4th Lutheran Services Florida Duval Baptist Medical Center Jacksonville 1,450 1,490 2.76% Private

4th Lutheran Services Florida Duval Wekiva Springs Center 884 1,315 48.76% Private

7th Lutheran Services Florida Saint Johns Flagler Hospital 722 812 12.47% Public

7th Lutheran Services Florida Volusia SMA Behavioral Health Services 1,946 1,914 -1.64% Public

7th Lutheran Services Florida Volusia Halifax Health Medical Center 1,452 1,888 30.03% Private

7th Lutheran Services Florida Volusia Halifax Health Child and Adolescent Behavioral Services 1,118 1,363 21.91% Public

Page 18: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 Annual Report 15

Judicial Circuit The Department Managing Entity Facility

County Receiving Facility

Involuntary Examinations

Fiscal Year

% Change FY 16/17

to FY 17/18

Public Private or

VA 16/17 17/18

The Department Northwest Region

14th Big Bend Community Based Care Bay Emerald Coast Behavioral Hospital 1,494 1,594 6.69% Private

14th Big Bend Community Based Care Bay Life Management Center of NW Florida (CSU/CCSU) 748 612 -18.18% Public

1st Big Bend Community Based Care Escambia Baptist Hospital 3,938 3,575 -9.22% Private

1st Big Bend Community Based Care Escambia West Florida Regional Medical Center 1,372 1,178 -14.14% Private

1st Big Bend Community Based Care Escambia Lakeview Center 411 342 -16.79% Public

2nd Big Bend Community Based Care Leon Apalachee Center (CSU/CCSU) 775 1,945 150.97% Public

2nd Big Bend Community Based Care Leon Tallahassee Memorial Hospital 1,924 1,503 -21.88% Private

2nd Big Bend Community Based Care Leon Capital Regional Medical Center 988 1,202 21.66% Private

2nd Big Bend Community Based Care Leon Eastside Psychiatric Hospital 409 449 9.78% Private

1st Big Bend Community Based Care Okaloosa Fort Walton Beach Medical Center 1,842 1,834 -0.43% Public

The Department Southeast Region

17th Broward Behavioral Health Coalition Broward Memorial Regional Hospital 4,503 4,290 -4.73% Public

17th Broward Behavioral Health Coalition Broward Broward Health Imperial Point 2,985 3,218 7.81% Private

17th Broward Behavioral Health Coalition Broward University Hospital and Medical Center 2,737 2,407 -12.06% Private

17th Broward Behavioral Health Coalition Broward Broward Health Medical Center 2,014 2,260 12.21% Public

17th Broward Behavioral Health Coalition Broward Fort Lauderdale Hospital 1,690 1,629 -3.61% Private

17th Broward Behavioral Health Coalition Broward Plantation General Hospital 890 1,007 13.15% Private

17th Broward Behavioral Health Coalition Broward Florida Medical Center - A Campus of North Shore 0 672 ** Private

17th Broward Behavioral Health Coalition Broward Henderson Behavioral Health 490 515 5.10% Public

17th Broward Behavioral Health Coalition Broward Larkin Community Hospital Behavioral Health Services 191 150 -21.47% Private

17th Broward Behavioral Health Coalition Broward Atlantic Shores Hospital 555 115 -79.28% Private

19th Southeast Florida Behavioral Health Network Indian River Indian River Memorial Hospital 1,167 1,228 5.23% Public

19th Southeast Florida Behavioral Health Network Martin Coral Shores Behavioral Health 6 806 ** Private

15th Southeast Florida Behavioral Health Network Palm Beach JFK Medical Center North Campus 4,042 4,462 10.39% Private

15th Southeast Florida Behavioral Health Network Palm Beach Delray Medical Center 1,483 1,533 3.37% Private

15th Southeast Florida Behavioral Health Network Palm Beach South County Mental Health Center 1,639 1,326 -19.10% Public

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Baker Act Reporting Center FY17/18 Annual Report 16

Judicial Circuit The Department Managing Entity Facility

County Receiving Facility

Involuntary Examinations

Fiscal Year

% Change FY 16/17

to FY 17/18

Public Private or

VA 16/17 17/18

15th Southeast Florida Behavioral Health Network Palm Beach The Jerome Golden Center for Behavioral Health 832 980 17.79% Public

15th Southeast Florida Behavioral Health Network Palm Beach St. Mary's Medical Center 980 917 -6.43% Private

15th Southeast Florida Behavioral Health Network Palm Beach JFK Medical Center 1,193 745 -37.55% Private

15th Southeast Florida Behavioral Health Network Palm Beach Veterans Administration Hospital - West Palm Beach 281 249 -11.39% VA

15th Southeast Florida Behavioral Health Network Palm Beach The Jerome Golden Center for Behavioral Health (CSU/CCSU) 215 152 -29.30% Public

19th Southeast Florida Behavioral Health Network Saint Lucie New Horizons of the Treasure Coast (CSU/CCSU) 2,202 2,630 19.44% Public

19th Southeast Florida Behavioral Health Network Saint Lucie Treasure Coast Behavioral Healthcare at St. Lucie Med Center 1,193 1,260 5.62% Private

19th Southeast Florida Behavioral Health Network Saint Lucie Lawnwood Regional Medical Center 1,158 958 -17.27% Private

19th Southeast Florida Behavioral Health Network Saint Lucie Port St Lucie Hospital 94 120 27.66% Private

The Department Southern Region

11th South Florida Behavioral Health Network Miami-Dade Jackson Memorial Hospital 7,225 6,231 -13.76% Public

11th South Florida Behavioral Health Network Miami-Dade Mount Sinai Medical Center 2,200 2,269 3.14% Private

11th South Florida Behavioral Health Network Miami-Dade Palmetto General Hospital 2,510 2,221 -11.51% Private

11th South Florida Behavioral Health Network Miami-Dade Aventura Hospital and Medical Center 2,318 2,186 -5.69% Private

11th South Florida Behavioral Health Network Miami-Dade North Shore Medical Center 1,952 2,014 3.18% Private

11th South Florida Behavioral Health Network Miami-Dade Community Health of South Florida 1,969 1,937 -1.63% Public

11th South Florida Behavioral Health Network Miami-Dade Southern Winds Hospital 1,706 1,902 11.49% Private

11th South Florida Behavioral Health Network Miami-Dade Larkin Community Hospital 1,672 1,793 7.24% Private

11th South Florida Behavioral Health Network Miami-Dade Kendall Regional Medical Center 1,359 1,488 9.49% Private

11th South Florida Behavioral Health Network Miami-Dade Jackson South Community Hospital 1,435 1,451 1.11% Private

11th South Florida Behavioral Health Network Miami-Dade Citrus Health Network 1,354 1,269 -6.28% Public

11th South Florida Behavioral Health Network Miami-Dade Westchester General Hospital 1,149 1,177 2.44% Private

11th South Florida Behavioral Health Network Miami-Dade Jackson Community Mental Health Center 641 1,076 67.86% Public

11th South Florida Behavioral Health Network Miami-Dade Banyan Health Systems 975 995 2.05% Public

11th South Florida Behavioral Health Network Miami-Dade Citrus Health Network CCSU 914 785 -14.11% Public

11th South Florida Behavioral Health Network Miami-Dade Hialeah Hospital 298 603 102.35% Private

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Baker Act Reporting Center FY17/18 Annual Report 17

Judicial Circuit The Department Managing Entity Facility

County Receiving Facility

Involuntary Examinations

Fiscal Year

% Change FY 16/17

to FY 17/18

Public Private or

VA 16/17 17/18

11th South Florida Behavioral Health Network Miami-Dade Mercy Hospital - A Campus of Plantation General Hospital 506 459 -9.29% Private

11th South Florida Behavioral Health Network Miami-Dade Nicklaus Children's Hospital 430 413 -3.95% Private

11th South Florida Behavioral Health Network Miami-Dade University of Miami Hospital 670 335 -50.00% Private

16th South Florida Behavioral Health Network Monroe Guidance/Care Center 457 370 -19.04% Public

16th South Florida Behavioral Health Network Monroe DePoo Hospital 260 243 -6.54% Public

The Department SunCoast Region

20 Central Florida Behavioral Health Network Charlotte Charlotte Behavioral Health Care (CSU/CCSU) 1,012 1,434 41.70% Public

20 Central Florida Behavioral Health Network Charlotte Riverside Behavioral Center 1,100 971 -11.73% Private

20 Central Florida Behavioral Health Network Collier David Lawrence Mental Health Center (CSU/CCSU) 1,243 1,451 16.73% Public

13th Central Florida Behavioral Health Network Hillsborough Mental Health Care (Gracepoint) 4,626 4,039 -12.69% Public

13th Central Florida Behavioral Health Network Hillsborough St. Joseph Hospitals Behavioral Health Center 3,433 3,149 -8.27% Private

13th Central Florida Behavioral Health Network Hillsborough Mental Health Care (Gracepoint) CCSU 2,279 1,573 -30.98% Public

13th Central Florida Behavioral Health Network Hillsborough Brandon Regional Hospital 1,322 1,310 -0.91% Private

13th Central Florida Behavioral Health Network Hillsborough Memorial Hospital of Tampa 1,343 1,250 -6.92% Private

13th Central Florida Behavioral Health Network Hillsborough Northside Behavioral Health Center 1,027 887 -13.63% Public

13th Central Florida Behavioral Health Network Hillsborough Tampa Community Hospital 823 878 6.68% Private

20 Central Florida Behavioral Health Network Lee SalusCare 2,899 3,008 3.76% Public

20 Central Florida Behavioral Health Network Lee Park Royal Hospital 2,558 2,469 -3.48% Private

20 Central Florida Behavioral Health Network Lee SalusCare CCSU 1,234 1,167 -5.43% Public

12th Central Florida Behavioral Health Network Manatee SunCoast Behavioral Health Center 1,514 1,570 3.70% Private

12th Central Florida Behavioral Health Network Manatee Centerstone of Florida (CSU/CCSU) 829 1,059 27.74% Public

12th Central Florida Behavioral Health Network Manatee Centerstone of Florida 495 573 15.76% Private

6th Central Florida Behavioral Health Network Pasco Morton Plant North Bay Hospital Recovery Center 3,245 3,159 -2.65% Private

6th Central Florida Behavioral Health Network Pasco Medical Center of Trinity - West Pasco Campus 2,208 2,329 5.48% Private

6th Central Florida Behavioral Health Network Pasco North Tampa Behavioral Health 2,004 2,036 1.60% Private

6th Central Florida Behavioral Health Network Pasco BayCare Behavioral Health 1,498 1,614 7.74% Public

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Baker Act Reporting Center FY17/18 Annual Report 18

Judicial Circuit The Department Managing Entity Facility

County Receiving Facility

Involuntary Examinations

Fiscal Year

% Change FY 16/17

to FY 17/18

Public Private or

VA 16/17 17/18

6th Central Florida Behavioral Health Network Pinellas Personal Enrichment Through Mental Health Services 2,616 3,163 20.91% Public

6th Central Florida Behavioral Health Network Pinellas Largo Medical Center/Indian Rocks 2,821 2,621 -7.09% Private

6th Central Florida Behavioral Health Network Pinellas St. Anthony's Hospital 1,881 1,847 -1.81% Private

6th Central Florida Behavioral Health Network Pinellas Mease Dunedin Hospital 1,725 1,588 -7.94% Private

6th Central Florida Behavioral Health Network Pinellas Personal Enrichment Through Mental Health Services CCSU 1,038 780 -24.86% Public

6th Central Florida Behavioral Health Network Pinellas Windmoor Healthcare of Clearwater 757 778 2.77% Private

6th Central Florida Behavioral Health Network Pinellas Morton Plant Hospital 657 755 14.92% Private

6th Central Florida Behavioral Health Network Pinellas Veterans Administration Hospital - Bay Pines 715 693 -3.08% VA

12th Central Florida Behavioral Health Network Sarasota Sarasota Memorial Hospital 1,853 1,796 -3.08% Private

12th Central Florida Behavioral Health Network Sarasota Coastal Behavioral Healthcare 1,657 1,654 -0.18% Public

12th Central Florida Behavioral Health Network Sarasota Coastal Behavioral Healthcare CCSU 120 21 -82.50% Public

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Baker Act Reporting Center FY17/18 Annual Report 19

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 services, while “private” receiving facilities did not receive funds from the Department. Children (56.65%) are more likely to have involuntary examination at public receiving facilities as compared to transition-aged young adults (public = 47.93%), adults (public = 44.12%), and older adults (public = 22.44%). The meaningful percentage of involuntary examinations 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 a large corporate entity. For example, one in six (16.47%) involuntary examinations in FY17/18 were at Hospital Corporation of American (HCA) owned facilities, with 8.27% at Universal Health Services (UHS) run receiving facilities, 6.57% at BayCare Health Systems owned receiving facilities, 3.87% at Tenet Health facilities, and 2.46% at Baptist Hospital Corporation owned facilities.

45%

56.65%

47.93%44.12%

22.44%

55%

43.30%

51.96%55.88%

75.95%

0%

20%

40%

60%

80%

100%

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

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olun

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Exa

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atio

ns w

/in e

ach

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Private

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Baker Act Reporting Center FY17/18 Annual Report 20

D. Involuntary Examinations: Geographic Area Reporting

Data for FY 17/18 were analyzed for each of Florida’s 20 judicial circuits, 6 Department of Children and Families regions, and 7 Managing Entity (ME) areas.

County of residence, as reported by Baker Act receiving facilities on the Cover Sheet, was used to categorize by county. These analyses are based on 191,630 involuntary examinations because 14,151 (6.88%) did not have county of residence reported on the Cover Sheet necessary to categorize those involuntary examinations into these geographic categories.

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.”4 This is because small changes in numbers of involuntary examinations can account for larger percentage.

4 http://www.in.gov/isdh/23986.htm

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Baker Act Reporting Center FY17/18 Annual Report 21

Table 7: FY 17/18 Involuntary Examinations by the Department Region, Managing Entity, and Judicial Circuit

Geographic Areas Involuntary Examinations

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

Children < 18

Older Adults

65+

Public Receiving Facilities

Law Enforcement

Professional Certificate

Ex Parte Order

1 Year 5 Years BA

Exams FY16/17

to FY17/18

Pop 2016

to 2017

BA Exams

FY13/14 to

FY17/18

Pop 2013

To 2017

Department of Children and Families Regions

Central 43,474 20.41% 6.60% 73.02% 58.52% 39.90% 1.58% 5.77% 2.03% 12.81% 7.75%

Northeast 27,934 19.54% 5.94% 65.29% 57.11% 39.78% 3.10% 13.72% 1.54% 54.08% 6.16%

Northwest 12,928 24.25% 5.53% 33.05% 49.78% 45.82% 4.40% 1.83% 1.12% 6.93% 4.51%

Southeast 30,212 16.36% 7.33% 39.19% 44.08% 54.63% 1.29% 2.19% 1.33% 9.44% 5.08%

Southern 29,279 8.18% 11.76% 53.92% 48.18% 49.15% 2.67% -0.15% 1.55% 20.07% 6.18%

SunCoast 47,803 21.67% 7.76% 67.51% 52.11% 46.39% 1.50% -1.21% 1.88% 15.13% 6.89%

Not Reported 13,129 3.12% 3.12% 54.36% 43.50% 55.47% 1.03% -8.25% N/A -10.9% N/A

Managing Entity Area (ME)

Big Bend Community Based Care 13,414 24.20% 5.51% 34.82% 50.28% 45.21% 4.51% 2.84% 1.08% 8.16% 4.32%

Broward Behavioral Health Coalition 14,580 12.87% 6.60% 41.08% 42.76% 56.63% 0.62% -1.44% 1.05% 8.94% 5.00%

Central Florida Behavioral Health Network 56,534 21.78% 7.76% 70.39% 53.88% 44.70% 1.42% -0.26% 1.89% 14.15% 6.88%

Central Florida Cares Health System 24,567 17.21% 5.56% 69.19% 53.38% 45.26% 1.36% 3.31% 2.30% 11.30% 8.52%

Lutheran Services Florida 37,624 21.37% 6.35% 66.62% 59.60% 37.49% 2.91% 13.17% 1.54% 43.18% 6.37%

South Florida Behavioral Health Network 29,279 8.18% 11.76% 53.92% 48.18% 49.15% 2.67% -0.15% 1.55% 20.07% 6.18%

Southeast Florida Behavioral Health Network 15,632 19.62% 8.00% 37.42% 45.32% 52.77% 1.91% 5.83% 1.59% 9.91% 5.15%

Not Reported 13,129 3.12% 3.12% 54.36% 43.50% 55.47% 1.03% -8.25% N/A -10.9% N/A

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Baker Act Reporting Center FY17/18 Annual Report 22

Geographic Areas Involuntary Examinations

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

Children < 18

Older Adults

65+

Public Receiving Facilities

Law Enforcement

Professional Certificate

Ex Parte Order

1 Year 5 Years BA

Exams FY16/17

to FY17/18

Pop 2016

to 2017

BA Exams

FY13/14 to

FY17/18

Pop 2013

To 2017

Judicial Circuits

1st 6,436 24.46% 5.89% 5.22% 38.77% 57.49% 3.74% -9.58% 1.66% -13.4% 5.74%

2nd 3,951 24.65% 5.42% 82.54% 56.85% 38.19% 4.96% 26.55% 0.16% 67.13% 3.10%

3rd 2,393 25.78% 5.85% 77.64% 66.19% 30.80% 3.01% 22.53% 0.25% 78.05% 1.04%

4th 15,047 16.47% 4.39% 51.27% 56.75% 39.54% 3.71% 15.28% 1.58% 75.05% 7.19%

5th 10,176 26.46% 7.41% 71.00% 66.62% 30.78% 2.60% 12.68% 1.49% 20.28% 6.58%

6th 19,311 20.26% 8.07% 62.27% 52.72% 45.49% 1.80% 2.10% 1.19% 24.54% 4.82%

7th 6,896 22.01% 9.61% 86.09% 60.61% 36.79% 2.60% 11.37% 1.94% 26.90% 6.94%

8th 3,598 23.51% 5.42% 75.88% 45.89% 52.50% 1.61% 6.92% 1.11% 30.55% 3.80%

9th 14,907 15.62% 4.85% 65.63% 50.29% 48.36% 1.36% 5.34% 3.01% 13.04% 10.74%

10th 8,731 22.36% 8.57% 86.14% 63.54% 35.45% 1.01% 5.29% 1.94% 9.07% 6.82%

11th 28,630 8.23% 11.86% 53.83% 48.46% 48.86% 2.69% 0.07% 1.57% 19.57% 6.22%

12th 6,185 21.20% 8.88% 71.85% 52.26% 45.19% 2.55% 4.71% 2.45% 9.98% 7.71%

13th 12,031 23.72% 5.12% 74.70% 42.98% 56.01% 1.01% -12.3% 1.96% -4.04% 8.06%

14th 2,541 23.10% 4.80% 26.60% 66.71% 28.10% 5.19% 3.46% 1.08% 10.86% 3.44%

15th 9,392 18.54% 9.24% 25.10% 45.99% 52.07% 1.95% 1.10% 1.61% 3.42% 5.09%

16th 649 5.70% 7.09% 57.78% 36.21% 61.94% 1.85% -8.72% 1.11% 47.50% 4.53%

17th 14,580 12.87% 6.60% 41.08% 42.76% 56.63% 0.62% -1.44% 1.05% 8.94% 5.00%

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Baker Act Reporting Center FY17/18 Annual Report 23

Geographic Areas Involuntary Examinations

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

Children < 18

Older Adults

65+

Public Receiving Facilities

Law Enforcement

Professional Certificate

Ex Parte Order

1 Year 5 Years BA

Exams FY16/17

to FY17/18

Pop 2016

to 2017

BA Exams

FY13/14 to

FY17/18

Pop 2013

To 2017

Judicial Circuits (continued)

18th 9,660 19.67% 6.67% 74.68% 58.16% 40.47% 1.38% 0.33% 1.17% 8.72% 5.15%

19th 6,240 21.25% 6.14% 55.96% 44.31% 53.83% 1.86% 13.85% 1.56% 21.35% 5.29%

20th 10,276 22.22% 8.93% 66.33% 61.57% 37.55% 0.88% 4.32% 2.25% 30.85% 7.52%

Not Reported 13,129 3.12% 3.12% 54.36% 43.50% 55.47% 1.03% -8.25% N/A -10.9% N/A

Total (Statewide) 205,781 17.53% 7.41% 59.21% 51.67% 46.31% 2.02% 2.92% 1.67% 16.26% 6.36%

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Baker Act Reporting Center FY17/18 Annual Report 24

E. Involuntary Examinations: County Specific Analyses

Data for FY 17/18 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. These analyses are based on 191,630 involuntary examinations because 14,151 (6.88%) did not have county of residence reported on the Cover Sheet necessary to categorize those involuntary examinations into these geographic categories. Percentages in Tables A and B 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 2,573 involuntary examinations in FY17/18, with 40.26% initiated by law enforcement, 58.14% by professional certificate, and 1.59% 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 Act receiving facilities in other counties. It is important to keep this in mind when reading results at the county level.

• Redaction: Counts below 25 were redacted for tables in this report. The symbols *** indicate that counts for that cell were redacted because they were less than 25.

• 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 each year. This report used the April 2017 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 are considered public domain. They were obtained from the county pages that are part of the Wikipedia: Wiki Project U.S. Counties/County Lists.

• Following is information about interpreting Table A in the county specific tables starting on page 30.

• The “% Change in Exams for All Ages 2017/2018” may be compared to the “% Change in Population All Ages to 2017” to determine how much of the change in involuntary examinations can be accounted for by population change. Following are a few examples: o Involuntary examinations for Hillsborough County residents decreased 12.3% from FY16/17 to

FY17/18, while the population increased by approximately 1.96% during that time (see p. 57). o Involuntary examinations for residents of Duval County increased 15.79% from FY16/17 to

FY17/18, while the population increased approximately 1.43% during that time (see p. 44). o Involuntary examinations for Bradford County residents increased 54.38% from FY08/09 to

FY17/18, while the population decreased approximately 4.88% during that same time (see p. 33). o Involuntary examinations for Jackson County residents decreased 7.69% from FY14/15 to

FY17/18, while the population had almost no change (increase of 0.37%) (see p. 60).

• Data on Deaths by Suicide: The one page statewide summary (p. 29) and one-page county summary pages contain information about rates of suicide per 100,000 population. Additional information about deaths by suicide is provided in Appendix C (p. 103).

• Technical Issues with Suicide Data: The Suicide Prevention Resource Center (SPRC) report, “Interpreting Suicide Data: Special Considerations for Small Populations” provides important information to consider.5 The SPRC is a resource that readers of this report may find helpful in general, such as a resource for training6 and to learn about state activities.7

5https://www.sprc.org/sites/default/files/migrate/library/Interpreting%20Suicide%20Data%20Special%20Considerations%20for%20Small%20Populations.pdf 6 https://training.sprc.org/ 7 http://www.sprc.org/states and http://www.sprc.org/states/florida

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Baker Act Reporting Center FY17/18 Annual Report 25

Table 8: FY17/18 Involuntary Examinations by County of Residence

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 FY16/17

to FY17/18

Pop 2016

to 2017

BA Exams FY13/14

to FY17/18

Pop 2013

To 2017

Alachua 2,573 23.24% 4.78% 76.10% 40.26% 58.14% 1.59% 5.28% 1.14% 28.84% 4.84%

Baker 243 13.99% 8.64% 76.13% 66.26% 32.92% 0.82% 30.65% 0.84% 74.82% 1.15%

Bay 1,691 22.35% 4.20% 28.21% 66.88% 29.27% 3.84% 6.55% 1.59% 10.16% 5.27%

Bradford 247 26.72% 8.10% 74.09% 59.92% 38.87% 1.21% -3.14% 0.74% 8.81% 1.56%

Brevard 6,589 19.02% 6.77% 75.76% 54.96% 43.74% 1.31% 2.15% 1.11% 13.90% 4.88%

Broward 14,580 12.87% 6.60% 41.08% 42.76% 56.63% 0.62% -1.44% 1.05% 8.94% 5.00%

Calhoun 146 30.14% 6.16% 23.29% 67.12% 26.71% 6.16% 18.70% 2.89% 60.44% 2.60%

Charlotte 1,905 24.09% 10.55% 59.48% 64.20% 34.80% 1.00% 17.45% 1.33% 43.67% 5.52%

Citrus 1,369 25.27% 7.30% 59.75% 72.10% 25.79% 2.12% 4.34% 0.52% 5.71% 2.34%

Clay 1,752 24.37% 3.08% 28.65% 54.45% 44.24% 1.31% 15.72% 1.57% 64.97% 8.14%

Collier 1,861 23.43% 7.52% 73.94% 59.70% 40.03% 0.27% -0.16% 2.08% 20.38% 7.13%

Columbia 1,048 27.10% 6.11% 79.68% 67.94% 31.30% 0.76% 33.16% 0.55% 91.24% 2.15%

Desoto 360 30.56% 5.83% 74.72% 65.56% 34.17% 0.28% 20.00% 1.37% 73.91% 3.65%

Dixie 171 11.70% 4.68% 52.63% 50.88% 45.61% 3.51% 12.50% -0.28% 47.41% 2.85%

Duval 12,716 15.17% 4.58% 53.77% 56.71% 39.11% 4.18% 15.79% 1.43% 74.62% 6.93%

Escambia 3,205 24.24% 6.37% 7.39% 41.28% 55.13% 3.59% -12.8% 1.10% -27.3% 4.07%

Flagler 716 25.84% 12.15% 86.03% 69.83% 27.65% 2.51% 27.63% 2.00% 64.98% 7.48%

Gadsden 511 20.74% 9.00% 82.78% 67.91% 26.81% 5.28% 48.55% -0.46% 65.91% 1.42%

Gilchrist 132 40.91% 6.06% 68.94% 45.45% 52.27% 2.27% 23.36% 2.23% 67.09% 2.04%

Glades 83 21.69% 6.02% 86.75% 57.83% 34.94% 7.23% 31.75% 0.31% 40.68% 3.39%

Gulf 98 14.29% 5.10% 36.73% 65.31% 31.63% 3.06% 2.08% -1.99% 18.07% 1.19%

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Baker Act Reporting Center FY17/18 Annual Report 26

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 FY16/17

to FY17/18

Pop 2016

to 2017

BA Exams FY13/14

to FY17/18

Pop 2013

To 2017

Hamilton 134 14.93% 8.96% 76.12% 62.69% 27.61% 9.70% -5.63% -0.01% 69.62% 1.08%

Hardee 167 25.75% 9.58% 92.81% 67.07% 29.94% 2.99% -22.3% -0.76% 21.01% -0.92%

Hendry 254 20.08% 7.87% 70.87% 59.45% 38.19% 2.36% 27.00% 1.79% 16.51% 3.30%

Hernando 1,419 28.82% 9.23% 19.73% 58.63% 36.58% 4.79% 5.42% 1.33% -4.19% 4.65%

Highlands 916 18.45% 19.00% 80.02% 57.10% 42.03% 0.87% -0.11% 0.60% -4.38% 3.07%

Hillsborough 12,031 23.72% 5.12% 74.70% 42.98% 56.01% 1.01% -12.3% 1.96% -4.04% 8.06%

Holmes 192 17.19% 7.81% 10.94% 70.83% 21.35% 7.81% -0.52% 1.03% 4.92% 0.94%

Indian River 1,213 19.70% 7.91% 91.10% 46.33% 51.36% 2.31% 1.25% 1.74% 16.08% 6.72%

Jackson 252 23.02% 5.56% 19.05% 59.52% 28.97% 11.51% -9.03% 0.14% 4.13% 0.50%

Jefferson 180 23.89% 8.33% 85.00% 70.00% 21.11% 8.89% 18.42% 0.78% 66.67% 0.39%

Lafayette 64 15.63% 15.63% 65.63% 59.38% 37.50% 3.13% 36.17% -1.65% 166.7% -1.61%

Lake 3,041 22.43% 6.15% 95.59% 56.20% 41.14% 2.66% 6.33% 2.39% 38.54% 9.37%

Lee 6,173 21.37% 8.94% 65.69% 61.46% 37.66% 0.87% 1.18% 2.63% 31.23% 8.56%

Leon 2,766 23.43% 4.63% 82.39% 54.09% 41.21% 4.70% 23.48% 0.08% 64.15% 3.42%

Levy 291 25.09% 5.84% 79.73% 59.79% 37.80% 2.41% 18.78% 1.14% 20.75% 1.76%

Liberty 63 19.05% 6.35% 80.95% 61.90% 26.98% 11.11% 1.61% -0.19% 43.18% 2.78%

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Baker Act Reporting Center FY17/18 Annual Report 27

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 FY16/17

to FY17/18

Pop 2016

to 2017

BA Exams FY13/14

to FY17/18

Pop 2013

To 2017

Madison 305 21.64% 4.59% 82.62% 65.90% 26.23% 7.87% 78.36% 0.72% 41.86% -0.09%

Manatee 2,502 21.98% 6.51% 48.44% 53.56% 43.73% 2.72% 11.50% 3.13% 14.61% 10.45%

Marion 3,757 30.69% 6.95% 71.52% 76.34% 21.96% 1.70% 24.57% 1.02% 22.30% 4.26%

Martin 1,072 20.34% 8.02% 37.13% 45.06% 52.99% 1.96% 32.67% 1.43% 36.04% 3.34%

Miami-Dade 28,630 8.23% 11.86% 53.83% 48.46% 48.86% 2.69% 0.07% 1.57% 19.57% 6.22%

Monroe 649 5.70% 7.09% 57.78% 36.21% 61.94% 1.85% -8.72% 1.11% 47.50% 4.53%

Nassau 579 21.07% 3.97% 64.77% 64.59% 34.89% 0.52% 3.95% 3.36% 129.8% 7.76%

Okaloosa 1,750 21.83% 3.89% 2.40% 27.31% 68.57% 4.11% -4.27% 1.33% 4.42% 3.79%

Okeechobee 479 28.81% 6.26% 68.89% 37.79% 60.75% 1.46% 27.39% 0.82% 31.59% 3.47%

Orange 11,825 14.68% 4.99% 68.96% 50.84% 47.91% 1.25% 6.94% 2.62% 10.39% 9.22%

Osceola 3,082 19.24% 4.32% 52.86% 48.15% 50.10% 1.75% -0.36% 4.57% 24.53% 17.08%

Palm Beach 9,392 18.54% 9.24% 25.10% 45.99% 52.07% 1.95% 1.10% 1.61% 3.42% 5.09%

Pasco 6,253 23.97% 7.13% 55.45% 57.54% 40.00% 2.46% 10.44% 1.98% 22.03% 6.79%

Pinellas 13,058 18.48% 8.52% 65.53% 50.41% 48.12% 1.48% -1.46% 0.78% 25.78% 3.82%

Polk 7,648 22.75% 7.30% 86.73% 64.24% 34.78% 0.98% 6.82% 2.27% 10.70% 7.77%

Putnam 641 22.93% 5.93% 68.02% 50.70% 46.49% 2.81% 14.26% 0.28% 49.07% 0.79%

Saint Johns 995 16.18% 9.15% 73.87% 45.13% 51.46% 3.42% 9.82% 4.29% 13.71% 13.98%

Saint Lucie 3,476 21.03% 4.92% 47.73% 44.28% 54.00% 1.73% 12.17% 1.64% 18.03% 5.86%

Santa Rosa 1,109 30.48% 7.66% 4.69% 46.71% 50.95% 2.34% -10.9% 2.29% 10.13% 8.59%

Sarasota 3,323 19.59% 10.98% 89.17% 49.83% 47.49% 2.68% -1.19% 1.93% 2.75% 5.70%

Seminole 3,071 21.07% 6.45% 72.35% 65.03% 33.44% 1.53% -3.37% 1.25% -0.94% 5.49%

Page 31: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 Annual Report 28

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 FY16/17

to FY17/18

Pop 2016

to 2017

BA Exams FY13/14

to FY17/18

Pop 2013

To 2017

Sumter 590 17.46% 12.71% 90.34% 64.92% 31.19% 3.90% 18.71% 1.79% 41.49% 14.84%

Suwannee 490 35.10% 4.49% 79.80% 72.24% 26.33% 1.43% 2.73% 0.77% 84.91% 1.86%

Taylor 181 24.86% 5.52% 80.66% 59.67% 33.70% 6.63% 2.26% -0.81% 86.60% -3.14%

Union 112 18.75% 5.36% 72.32% 64.29% 33.93% 1.79% -12.5% 0.38% 53.42% 3.00%

Volusia 4,544 22.56% 9.84% 91.33% 63.95% 33.65% 2.40% 9.13% 1.16% 22.98% 4.90%

Wakulla 359 42.62% 5.57% 84.40% 54.04% 42.34% 3.62% 49.58% 0.98% 117.6% 3.37%

Walton 372 20.70% 5.91% 1.34% 47.31% 45.16% 7.53% 0.81% 3.75% 7.83% 13.02%

Washington 162 37.04% 4.94% 37.04% 71.60% 21.60% 6.79% -10.0% 0.39% 2.53% 0.77%

Not Reported 13,129 3.12% 3.12% 54.36% 43.50% 55.47% 1.03% -8.25% N/A -10.9% N/A

Total (Statewide) 205,781 17.53% 7.41% 59.21% 51.67% 46.31% 2.02% 2.92% 1.67% 16.26% 6.36%

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Baker Act Reporting Center FY17/18 Annual Report 29

Florida Statewide Totals Data from Florida Health Charts shows the following:

• Percentage of population living below the poverty level (2017): o All ages: 15.50% o Under 18: 22.30%

• Median Household Income (2017) = $50,883 • County Public Health Department Expenditures Per Person for (2017) = $36.00 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 15.1 15.5 2.65% Children (< 18) 1.5 1.8 20.00% Older Adults (65+) 20.3 20.1 -0.99%

Statewide counts and rates of involuntary examinations for residents of Florida are shown for ten fiscal years in Table A 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 2017 county population totals.

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

Fiscal Year

All Ages Children % (<18) Older Adults % (65+) % Change in Exams for All Ages to 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 205,781 1,005 17.53% 1,186 7.41% 381 N/A 20,484,142 N/A 2016-2017 199,944 992 16.40% 1,092 7.19% 372 2.92% 20,148,654 1.67% 2015-2016 194,354 981 16.72% 1,097 7.10% 370 5.88% 19,815,183 3.38% 2014-2015 187,999 964 17.37% 1,102 7.36% 381 9.46% 19,507,369 5.01% 2013-2014 177,006 919 17.15% 1,030 7.66% 390 16.26% 19,259,543 6.36% 2012-2013 163,850 859 16.37% 914 7.64% 368 25.59% 19,074,434 7.39% 2011-2012 154,655 818 16.07% 848 7.54% 351 33.06% 18,905,070 8.35% 2010-2011 145,290 773 14.98% 743 7.45% 332 41.63% 18,801,310 8.95% 2009-2010 141,285 754 14.96% 702 7.25% 312 45.65% 18,750,483 9.25% 2008-2009 133,644 711 15.16% 664 7.11% 292 53.98% 18,807,219 8.92%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Florida Residents by Initiation Type Professional Certificate Law Enforcement Ex Parte Order

Total 46.31% 51.67% 2.02% Professional Certificate Type Physician (not a Psychiatrist) 68.04%

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) 9.28% Licensed Clinical Social Worker 5.33% Licensed Mental Health Counselor 9.29% Clinical Psychologist 1.27% Psychiatric Nurse 2.02% Licensed Marriage and Family Therapist 0.24% Physician Assistant 0.92% Multiple Professional Types Reported 0.68% Not Reported 2.93%

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Baker Act Reporting Center FY17/18 Annual Report 30

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

• Percentage of population living below the poverty level (2017): o All ages: 23.30% o Under 18: 22.00%

• Median Household Income (2017) = $45,478 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $64.70

Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 14.7 12.3 -16.33% Children (< 18) 3.2 12.3 284.38% Older Adults (65+) 33.1 23.1 -30.21%

Counts and rates of involuntary examinations for residents of Alachua County are shown for ten fiscal years in Table A 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 2017 county population totals.

Table A: 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 2017/2018

Total County Population

All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 2,573 990 23.24% 1,835 4.78% 345 N/A 260,003 N/A 2016-2017 2,444 951 22.30% 1,689 5.48% 394 5.28% 257,062 1.14% 2015-2016 2,422 950 20.64% 1,557 5.04% 373 6.23% 254,893 2.00% 2014-2015 2,237 892 19.27% 1,339 6.21% 438 15.02% 250,730 3.70% 2013-2014 1,997 805 19.28% 1,210 6.16% 411 28.84% 248,002 4.84% 2012-2013 1,818 737 18.87% 1,086 4.24% 267 41.53% 246,770 5.36% 2011-2012 1,746 706 17.75% 984 5.27% 331 47.37% 247,337 5.12% 2010-2011 1,652 668 19.37% 1,025 6.84% 424 55.75% 247,336 5.12% 2009-2010 1,220 476 20.25% 721 6.48% 302 110.9% 256,232 1.47% 2008-2009 834 330 16.43% 405 8.03% 265 208.5% 252,388 3.02%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Alachua County Residents by Initiation Type Professional Certificate Law Enforcement Ex Parte Order

Total 58.14% 40.26% 1.59% Professional Certificate Type Physician (not a Psychiatrist) 62.77%

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) 7.42% Licensed Clinical Social Worker 5.55% Licensed Mental Health Counselor 18.45% Clinical Psychologist 0.67% Psychiatric Nurse 1.40% Licensed Marriage and Family Therapist 0.40% Physician Assistant 0.33% Multiple Professional Types Reported 0.60% Not Reported 2.41%

The majority of Alachua County residents who received an involuntary examination were seen at UF Health Shands Psychiatric Hospital (48.74%), North Florida Regional Medical Center (18.62%), and Meridian Behavioral Health Care (Gainesville) (CSU/CCSU) (15.90%).

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Baker Act Reporting Center FY17/18 Annual Report 31

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

• Percentage of population living below the poverty level (2017): o All ages: 17.20% o Under 18: 22.00%

• Median Household Income (2017) = $59,506 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $125.50

Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 18.5 7.4 -60.00%

Children (< 18) 0* 0* 0% Older Adults (65+) 29.8 0* -100.00%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Baker County.

Counts and rates of involuntary examinations for residents of Baker County are shown for ten fiscal years in Table A 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 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 243 894 13.99% 713 8.64% 588 N/A 27,191 N/A 2016-2017 186 690 16.13% 626 4.84% 261 30.65% 26,965 0.84% 2015-2016 183 677 15.85% 595 3.83% 207 32.79% 27,017 0.64% 2014-2015 240 889 19.58% 969 5.42% 393 1.25% 26,991 0.74% 2013-2014 139 517 20.86% 594 4.32% 191 74.82% 26,881 1.15% 2012-2013 142 527 20.42% 586 5.63% 260 71.13% 26,938 0.94% 2011-2012 181 672 22.10% 797 2.76% 167 34.25% 26,927 0.98% 2010-2011 178 656 15.17% 528 2.81% 169 36.52% 27,115 0.28% 2009-2010 175 676 21.14% 763 6.86% 418 38.86% 25,899 4.99% 2008-2009 148 572 22.30% 680 1.35% 71 64.19% 25,890 5.03%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Baker County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 32.92% 66.26% 0.82% Professional Certificate Type Physician (not a Psychiatrist) 68.75%

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

Physician (Psychiatrist) 3.75% Licensed Clinical Social Worker 6.25% Licensed Mental Health Counselor 15.00% Clinical Psychologist 0.00% Psychiatric Nurse 5.00% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 0.00% Not Reported 1.25%

The majority of Baker County residents who received an involuntary examination were seen at Meridian Behavioral Health Care (Lake City) (CSU/CCSU) (61.32%), Orange Park Medical Center (7.41%), and North Florida Regional Medical Center (5.76%).

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Baker Act Reporting Center FY17/18 Annual Report 32

County: Bay 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 (2017): o All ages: 15.40% o Under 18: 22.10%

• Median Household Income (2017) = $50,283 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $54.70 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 25.1 24.6 -1.99%

Children (< 18) 3.8 0* -100.00% Older Adults (65+) 18.4 43.4 135.87%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Bay County

Counts and rates of involuntary examinations for residents of Bay County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 1,691 946 22.35% 1,367 4.20% 237 N/A 178,820 N/A 2016-2017 1,587 902 21.49% 1,252 4.47% 245 6.55% 176,016 1.59% 2015-2016 1,586 915 20.43% 1,207 4.85% 275 6.62% 173,310 3.18% 2014-2015 1,698 994 21.38% 1,367 6.36% 394 -0.41% 170,781 4.71% 2013-2014 1,535 904 19.09% 1,105 5.47% 320 10.16% 169,866 5.27% 2012-2013 1,276 753 14.81% 715 4.39% 218 32.52% 169,392 5.57% 2011-2012 1,199 708 13.68% 620 6.51% 310 41.03% 169,278 5.64% 2010-2011 1,274 755 12.01% 579 6.04% 314 32.73% 168,852 5.90% 2009-2010 1,449 855 12.28% 663 6.07% 337 16.70% 169,562 5.46% 2008-2009 1,525 901 14.43% 810 6.10% 346 10.89% 169,307 5.62%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Bay County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 29.27% 66.88% 3.84% Professional Certificate Type Physician (not a Psychiatrist) 65.86%

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

Physician (Psychiatrist) 7.07% Licensed Clinical Social Worker 7.47% Licensed Mental Health Counselor 12.12% Clinical Psychologist 0.40% Psychiatric Nurse 2.02% Licensed Marriage and Family Therapist 0.00% Physician Assistant 2.02% Multiple Professional Types Reported 1.21% Not Reported 1.82%

The majority of Bay County residents who received an involuntary examination were seen at Emerald Coast Behavioral Hospital (47.25%), Life Management Center of Northwest Florida (CSU/CCSU) (25.01%), Capital Regional Medical Center (11.35%), and Fort Walton Beach Medical Center (7.33%).

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Baker Act Reporting Center FY17/18 Annual Report 33

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

• Percentage of population living below the poverty level (2017): o All ages: 18.80% o Under 18: 24.90%

• Median Household Income (2017) = $46,106 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $87.60

Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 11.0 7.2 -34.55%

Children (< 18) 0* 0* 0% Older Adults (65+) 0* 0* 0%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Bradford County.

Counts and rates of involuntary examinations for residents of Bradford County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 247 894 26.72% 1,656 8.10% 403 N/A 27,642 N/A 2016-2017 255 929 21.96% 1,411 9.41% 498 -3.14% 27,440 0.74% 2015-2016 231 846 23.81% 1,392 4.76% 235 6.93% 27,310 1.22% 2014-2015 268 981 23.88% 1,610 4.85% 282 -7.84% 27,323 1.17% 2013-2014 227 834 23.79% 1,363 3.08% 159 8.81% 27,217 1.56% 2012-2013 204 749 22.55% 1,160 9.80% 465 21.08% 27,239 1.48% 2011-2012 167 583 15.57% 654 12.57% 498 47.90% 28,662 -3.56% 2010-2011 186 652 17.20% 807 7.53% 340 32.80% 28,520 -3.08% 2009-2010 160 550 15.00% 580 8.75% 347 54.38% 29,085 -4.96% 2008-2009 160 551 15.00% 573 11.88% 477 54.38% 29,059 -4.88%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Bradford County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 38.87% 59.92% 1.21% Professional Certificate Type Physician (not a Psychiatrist) 65.63%

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

Physician (Psychiatrist) 1.04% Licensed Clinical Social Worker 4.17% Licensed Mental Health Counselor 26.04% Clinical Psychologist 1.04% Psychiatric Nurse 1.04% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 0.00% Not Reported 1.04%

The majority of Bradford County who received an involuntary examination were seen at Meridian Behavioral Health Care (Gainesville) (CSU/CCSU) (31.58%), UF Health Shands Psychiatric Hospital (19.84%), Meridian Behavioral Health Care (Lake City) (CSU/CCSU) (17.00%), and North Florida Regional Medical Center (12.96%).

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Baker Act Reporting Center FY17/18 Annual Report 34

County: Brevard 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 (2017): o All ages: 13.40% o Under 18: 19.40%

• Median Household Income (2017) = $51,536 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $31.80 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 20.6 24.4 18.45%

Children (< 18) 2.5 7.6 204.00% Older Adults (65+) 28.6 30.6 6.99%

Counts and rates of involuntary examinations for residents of Brevard County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals. Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 6,589 1,145 19.02% 1,592 6.77% 339 N/A 575,211 N/A 2016-2017 6,450 1,134 18.73% 1,543 5.75% 290 2.16% 568,919 1.11% 2015-2016 6,274 1,117 18.28% 1,475 6.57% 333 5.02% 561,714 2.40% 2014-2015 5,999 1,086 20.34% 1,581 6.65% 332 9.83% 552,427 4.12% 2013-2014 5,785 1,055 17.79% 1,317 6.27% 314 13.90% 548,424 4.88% 2012-2013 4,983 913 18.40% 1,164 6.42% 281 32.23% 545,625 5.42% 2011-2012 4,028 739 22.29% 1,123 6.18% 222 63.58% 545,184 5.51% 2010-2011 3,046 561 27.45% 1,034 4.96% 136 116.3% 543,376 5.86% 2009-2010 3,809 685 20.48% 950 7.11% 231 72.99% 555,657 3.52% 2008-2009 4,240 762 19.46% 981 6.30% 231 55.40% 556,213 3.42%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Brevard County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 43.74% 54.96% 1.31% Professional Certificate Type Physician (not a Psychiatrist) 75.82%

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

Physician (Psychiatrist) 7.63% Licensed Clinical Social Worker 1.08% Licensed Mental Health Counselor 8.19% Clinical Psychologist 1.60% Psychiatric Nurse 0.80% Licensed Marriage and Family Therapist 0.03% Physician Assistant 1.67% Multiple Professional Types Reported 0.35% Not Reported 2.85%

The majority of Brevard County residents who received an involuntary examination were seen at Circles of Care (57.60%), Steward Rockledge Hospital (Wuesthoff Medical Center-Rockledge) (20.41%), and Circles of Care CCSU (Harbor Pines) (15.39%).

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Baker Act Reporting Center FY17/18 Annual Report 35

County: Broward 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 (2017): o All ages: 14.00% o Under 18: 19.10%

• Median Household Income (2017) = $54,895 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $27.10 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 11.8 11.5 -2.54%

Children (< 18) 0.7 1.0 42.86% Older Adults (65+) 21.3 14.5 -31.92%

Counts and rates of involuntary examinations for residents of Broward County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 14,580 778 12.87% 652 6.60% 316 N/A 1,873,970 N/A 2016-2017 14,793 798 12.11% 626 6.21% 312 -1.44% 1,854,513 1.05% 2015-2016 13,378 732 14.96% 704 5.83% 276 8.98% 1,827,367 2.55% 2014-2015 13,927 772 15.98% 772 6.10% 301 4.69% 1,803,903 3.88% 2013-2014 13,383 750 17.24% 803 6.17% 304 8.94% 1,784,715 5.00% 2012-2013 12,577 710 14.88% 649 6.64% 319 15.93% 1,771,099 5.81% 2011-2012 12,589 718 14.29% 626 6.45% 319 15.82% 1,753,162 6.89% 2010-2011 12,361 707 12.82% 550 6.65% 330 17.95% 1,748,066 7.20% 2009-2010 10,746 616 13.82% 497 6.37% 272 35.68% 1,744,922 7.40% 2008-2009 9,763 555 14.27% 459 6.53% 254 49.34% 1,758,494 6.57%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Broward County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 56.63% 42.76% 0.62% Professional Certificate Type Physician (not a Psychiatrist) 70.06%

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

Physician (Psychiatrist) 13.30% Licensed Clinical Social Worker 4.65% Licensed Mental Health Counselor 4.34% Clinical Psychologist 1.43% Psychiatric Nurse 1.34% Licensed Marriage and Family Therapist 0.28% Physician Assistant 0.80% Multiple Professional Types Reported 0.30% Not Reported 3.50%

The majority of Broward County residents who received an involuntary examination were seen at Memorial Regional Hospital (23.66%), Broward Health Imperial Point (17.95%), University Hospital and Medical Center (15.30%), Broward Health Medical Center (11.72%), Fort Lauderdale Hospital (8.82%), and Plantation General Hospital (5.23%).

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Baker Act Reporting Center FY17/18 Annual Report 36

County: Calhoun 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 (2017): o All ages: 12.90% o Under 18: 10.00%

• Median Household Income (2017) = $36,237 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $101.90 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 6.9 20.5 197.10%

Children (< 18) 0* 0* 0% Older Adults (65+) 0* 38.2 NA*

*Percentage change not applicable because there were no deaths classified as a suicide by the medical examiner.

Counts and rates of involuntary examinations for residents of Calhoun County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 146 973 30.14% 1,966 6.16% 333 N/A 15,001 N/A 2016-2017 123 844 21.95% 1,235 5.69% 272 18.70% 14,580 2.89% 2015-2016 113 777 18.58% 961 12.39% 561 29.20% 14,549 3.11% 2014-2015 102 699 22.55% 1,076 4.90% 206 43.14% 14,592 2.80% 2013-2014 91 622 38.46% 1,615 9.89% 382 60.44% 14,621 2.60% 2012-2013 74 505 17.57% 596 9.46% 301 97.30% 14,641 2.46% 2011-2012 98 667 26.53% 1,175 9.18% 392 48.98% 14,685 2.15% 2010-2011 87 595 20.69% 810 9.20% 354 67.82% 14,625 2.57% 2009-2010 77 527 22.08% 751 6.49% 223 89.61% 14,601 2.74% 2008-2009 63 440 14.29% 391 14.29% 410 131.8% 14,310 4.83%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Calhoun County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 26.71% 67.12% 6.16% Professional Certificate Type Physician (not a Psychiatrist) 79.49%

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

Physician (Psychiatrist) 7.69% Licensed Clinical Social Worker 7.69% Licensed Mental Health Counselor 0.00% Clinical Psychologist 0.00% Psychiatric Nurse 2.56% Licensed Marriage and Family Therapist

0.00%

Physician Assistant 2.56% Multiple Professional Types Reported 0.00% Not Reported 0.00%

The majority of Calhoun County residents who received an involuntary examination were seen at Emerald Coast Behavioral Hospital (65.75%), Tallahassee Memorial Hospital (9.59%), and Capital Regional Medical Center (8.90%).

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Baker Act Reporting Center FY17/18 Annual Report 37

County: Charlotte 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 (2017): o All ages: 12.00% o Under 18: 19.60%

• Median Household Income (2017) = $46,511 (statewide = $50,883) • County Public Health Department Expenditures Per Person for 2017 in dollars $26.70 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 17 17.8 4.71%

Children (< 18) 5.9 6.1 3.39% Older Adults (65+) 13.1 19.2 46.56%

Counts and rates of involuntary examinations for residents of Charlotte County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 1,905 1,103 24.09% 2,688 10.55% 316 N/A 172,720 N/A 2016-2017 1,622 952 21.33% 2,033 12.58% 328 17.45% 170,450 1.33% 2015-2016 1,523 911 22.65% 2,055 11.88% 299 25.08% 167,141 3.34% 2014-2015 1,433 871 22.68% 1,971 16.33% 398 32.94% 164,467 5.02% 2013-2014 1,326 810 17.72% 1,395 17.95% 418 43.67% 163,679 5.52% 2012-2013 1,148 703 15.94% 1,070 17.77% 361 65.94% 163,357 5.73% 2011-2012 1,016 633 15.75% 933 12.80% 237 87.50% 160,463 7.64% 2010-2011 942 589 18.58% 1,010 14.86% 256 102.2% 159,978 7.96% 2009-2010 834 504 15.59% 695 18.71% 277 128.4% 165,455 4.39% 2008-2009 889 536 19.12% 894 16.65% 263 114.3% 165,781 4.19%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Charlotte County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 34.80% 64.20% 1.00% Professional Certificate Type Physician (not a Psychiatrist) 58.07%

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

Physician (Psychiatrist) 8.75% Licensed Clinical Social Worker 8.75% Licensed Mental Health Counselor 11.31% Clinical Psychologist 1.06% Psychiatric Nurse 6.79% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.15% Multiple Professional Types Reported 0.45% Not Reported 4.68%

The majority of Charlotte County residents who received an involuntary examination were seen at Charlotte Behavioral Health Care (CSU/CCSU) (52.34%), and Riverside Behavioral Center (Charlotte Regional Medical Center) (31.50%).

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Baker Act Reporting Center FY17/18 Annual Report 38

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

• Percentage of population living below the poverty level (2017): o All ages: 17.40% o Under 18: 30.60%

• Median Household Income (2017) = $40,574 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $39.20 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 23.4 25.5 8.97%

Children (< 18) 0* 0* 0% Older Adults (65+) 20.5 30.7 49.76%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Citrus County

Counts and rates of involuntary examinations for residents of Citrus County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 1,369 952 25.27% 2,161 7.30% 203 N/A 143,801 N/A 2016-2017 1,312 917 25.69% 2,106 8.16% 220 4.34% 143,054 0.52% 2015-2016 1,148 811 27.26% 1,972 7.49% 180 19.25% 141,501 1.63% 2014-2015 1,149 816 23.50% 1,746 8.70% 213 19.15% 140,798 2.13% 2013-2014 1,295 922 20.85% 1,706 10.04% 284 5.71% 140,519 2.34% 2012-2013 1,133 805 17.92% 1,259 8.38% 209 20.83% 140,761 2.16% 2011-2012 1,268 900 18.22% 1,402 9.70% 271 7.97% 140,956 2.02% 2010-2011 1,120 793 17.14% 1,139 10.54% 262 22.23% 141,236 1.82% 2009-2010 1,151 807 17.12% 1,166 8.43% 209 18.94% 142,609 0.84% 2008-2009 905 637 19.01% 1,006 9.50% 186 51.27% 142,043 1.24%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Citrus County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 25.79% 72.10% 2.12% Professional Certificate Type Physician (not a Psychiatrist) 67.71%

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

Physician (Psychiatrist) 9.63% Licensed Clinical Social Worker 5.67% Licensed Mental Health Counselor 8.50% Clinical Psychologist 1.42% Psychiatric Nurse 1.98% Licensed Marriage and Family Therapist 0.00% Physician Assistant 1.13% Multiple Professional Types Reported 1.70% Not Reported 2.27%

The majority of Citrus County residents who received an involuntary examination were seen at The Centers (CSU/CCSU) (53.03%), Springbrook Hospital (16.51%), Medical Center of Trinity - West Pasco Campus (6.65%), and North Tampa Behavioral Health (5.33%).

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Baker Act Reporting Center FY17/18 Annual Report 39

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

• Percentage of population living below the poverty level (2017): o All ages: 10.40% o Under 18: 12.90%

• Median Household Income (2017) = $61,971 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $22.60 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 18.6 18.0 -3.23%

Children (< 18) 8 7.9 -1.25% Older Adults (65+) 25.7 18.8 -26.85%

Counts and rates of involuntary examinations for residents of Clay County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 1,752 840 24.37% 1,107 3.08% 176 N/A 208,549 N/A 2016-2017 1,514 737 26.95% 1,068 3.76% 194 15.72% 205,321 1.57% 2015-2016 1,356 674 27.36% 985 3.54% 172 29.20% 201,277 3.61% 2014-2015 1,146 581 25.74% 800 5.32% 228 52.88% 197,403 5.65% 2013-2014 1,062 551 28.72% 832 3.95% 169 64.97% 192,843 8.14% 2012-2013 835 435 33.77% 760 3.11% 108 109.8% 192,071 8.58% 2011-2012 906 474 29.69% 715 3.86% 151 93.38% 191,143 9.11% 2010-2011 935 490 27.49% 671 2.78% 117 87.38% 190,865 9.27% 2009-2010 1,084 585 19.56% 578 3.60% 179 61.62% 185,208 12.60% 2008-2009 1,119 604 21.81% 657 5.00% 264 56.57% 185,168 12.63%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Clay County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 44.24% 54.45% 1.31% Professional Certificate Type Physician (not a Psychiatrist) 80.00%

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

Physician (Psychiatrist) 2.97% Licensed Clinical Social Worker 3.48% Licensed Mental Health Counselor 4.65% Clinical Psychologist 0.13% Psychiatric Nurse 1.68% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.26% Multiple Professional Types Reported 1.94% Not Reported 4.90%

The majority of Clay County residents who received an involuntary examination were seen at Orange Park Medical Center (36.70%), Mental Health Resource Center - North CCSU (16.89%), Memorial Hospital of Jacksonville (14.27%), and River Point Behavioral Health (7.65%).

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Baker Act Reporting Center FY17/18 Annual Report 40

County: Collier 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 (2017): o All ages: 12.80% o Under 18: 22.80%

• Median Household Income (2017) = $62,407 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $34.10

Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 10.6 15.9 50.00%

Children (< 18) 0* 0* 0% Older Adults (65+) 9.2 15.3 66.30%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Collier County

Counts and rates of involuntary examinations for residents of Collier County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals. Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 1,861 521 23.43% 896 7.52% 139 N/A 357,470 N/A 2016-2017 1,864 532 22.96% 891 7.67% 146 -0.16% 350,202 2.08% 2015-2016 1,853 539 24.77% 966 8.31% 161 0.43% 343,802 3.98% 2014-2015 1,585 471 24.73% 828 8.58% 147 17.41% 336,783 6.14% 2013-2014 1,546 463 20.57% 673 7.57% 130 20.38% 333,663 7.14% 2012-2013 1,310 397 20.23% 568 7.63% 113 42.06% 329,849 8.37% 2011-2012 1,111 343 16.65% 402 7.29% 94 67.51% 323,785 10.40% 2010-2011 1,008 314 16.87% 371 6.15% 73 84.62% 321,520 11.18% 2009-2010 884 265 19.80% 364 6.67% 74 110.5% 333,032 7.34% 2008-2009 792 238 20.71% 337 7.45% 75 135.0% 332,854 7.40%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Collier County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 40.03% 59.70% 0.27% Professional Certificate Type Physician (not a Psychiatrist) 46.44%

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

Physician (Psychiatrist) 8.32% Licensed Clinical Social Worker 11.01% Licensed Mental Health Counselor 17.58% Clinical Psychologist 1.74% Psychiatric Nurse 7.38% Licensed Marriage and Family Therapist 0.00% Physician Assistant 5.91% Multiple Professional Types Reported 0.40% Not Reported 1.21%

The majority of Collier County residents who received an involuntary examination were seen at David Lawrence Mental Health Center (CSU/CCSU) (67.76%), and Park Royal Hospital (19.13%).

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Baker Act Reporting Center FY17/18 Annual Report 41

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

• Percentage of population living below the poverty level (2017): o All ages: 16.80% o Under 18: 23.90%

• Median Household Income (2017) = $43,504 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $37.30 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 20.6 15.9 -22.82%

Children (< 18) 0* 0* 0% Older Adults (65+) 26.1 8.1 -68.97%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Columbia County

Counts and rates of involuntary examinations for residents of Columbia County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County Population

All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 1,048 1,520 27.10% 2,666 6.11% 504 N/A 68,943 N/A 2016-2017 787 1,148 21.35% 1,577 5.08% 326 33.16% 68,566 0.55% 2015-2016 771 1,131 24.12% 1,749 5.84% 378 35.93% 68,163 1.14% 2014-2015 811 1,196 26.26% 2,018 5.92% 416 29.22% 67,826 1.65% 2013-2014 548 812 22.81% 1,173 7.12% 353 91.24% 67,489 2.15% 2012-2013 433 639 8.78% 352 6.93% 276 142.0% 67,729 1.79% 2011-2012 384 569 14.06% 495 7.55% 272 172.9% 67,528 2.10% 2010-2011 540 800 11.11% 547 8.52% 443 94.07% 67,531 2.09% 2009-2010 492 741 8.33% 370 5.28% 245 113.0% 66,409 3.82% 2008-2009 499 755 13.03% 583 6.01% 291 110.0% 66,121 4.27%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Columbia County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 31.30% 67.94% 0.76% Professional Certificate Type Physician (not a Psychiatrist) 60.67%

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

Physician (Psychiatrist) 8.23% Licensed Clinical Social Worker 7.93% Licensed Mental Health Counselor 18.60% Clinical Psychologist 0.91% Psychiatric Nurse 0.30% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 0.00% Not Reported 3.35%

The majority of Columbia County residents who received an involuntary examination were seen at Meridian Behavioral Health Care (Lake City) (CSU/CCSU) (59.26%), UF Health Shands Psychiatric Hospital (13.65%), and North Florida Regional Medical Center (11.55%).

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Baker Act Reporting Center FY17/18 Annual Report 42

County: Desoto 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 (2017): o All ages: 29.90% o Under 18: 41.00%

• Median Household Income (2017) = $35,435 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $164.80 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 20.3 14.1 -30.54%

Children (< 18) 0* 0* 0% Older Adults (65+) 45.1 13.7 -69.62%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Desoto County

Counts and rates of involuntary examinations for residents of Desoto County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County Population

All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 360 1,011 30.56% 1,953 5.83% 314 N/A 35,621 N/A 2016-2017 300 854 33.00% 1,773 6.00% 275 20.00% 35,141 1.37% 2015-2016 270 776 31.48% 1,525 7.04% 297 33.33% 34,777 2.43% 2014-2015 273 793 34.07% 1,647 9.52% 417 31.87% 34,426 3.47% 2013-2014 207 602 32.37% 1,182 7.25% 237 73.91% 34,367 3.65% 2012-2013 210 610 20.95% 776 5.24% 174 71.43% 34,408 3.53% 2011-2012 149 429 21.48% 562 6.04% 142 141.6% 34,708 2.63% 2010-2011 194 556 14.95% 522 9.28% 289 85.57% 34,862 2.18% 2009-2010 130 374 23.85% 590 13.85% 280 176.9% 34,792 2.38% 2008-2009 116 336 19.83% 439 6.90% 124 210.3% 34,487 3.29%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Desoto County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 34.17% 65.56% 0.28% Professional Certificate Type Physician (not a Psychiatrist) 58.54%

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

Physician (Psychiatrist) 3.25% Licensed Clinical Social Worker 21.95% Licensed Mental Health Counselor 7.32% Clinical Psychologist 2.44% Psychiatric Nurse 3.25% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.81% Multiple Professional Types Reported 0.00% Not Reported 2.44%

The majority of Desoto County residents who received an involuntary examination were seen at Charlotte Behavioral Health Care (CSU/CCSU) (65.56%), and Riverside Behavioral Center (Charlotte Regional Medical Center) (18.06%).

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Baker Act Reporting Center FY17/18 Annual Report 43

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

• Percentage of population living below the poverty level (2017): o All ages: 23.70% o Under 18: 32.90%

• Median Household Income (2017) = $35,910 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $72.40

Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 24.4 11.7 -52.05%

Children (< 18) 0* 0* 0% Older Adults (65+) 57.2 0* -100.00%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Dixie County.

Counts and rates of involuntary examinations for residents of Dixie County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 171 1,022 11.70% 921 4.68% 212 N/A 16,726 N/A 2016-2017 152 906 21.71% 1,509 4.61% 189 12.50% 16,773 -0.28% 2015-2016 125 759 15.20% 874 7.20% 252 36.80% 16,468 1.57% 2014-2015 89 544 10.11% 419 10.11% 259 92.13% 16,356 2.26% 2013-2014 116 713 7.76% 413 7.76% 270 47.41% 16,263 2.85% 2012-2013 91 558 10.99% 452 6.59% 183 87.91% 16,298 2.63% 2011-2012 75 458 2.67% 88 4.00% 92 128.0% 16,385 2.08% 2010-2011 97 591 9.28% 395 5.15% 158 76.29% 16,422 1.85% 2009-2010 76 469 10.53% 326 5.26% 124 125.0% 16,221 3.11% 2008-2009 56 351 8.93% 206 8.93% 160 205.4% 15,963 4.78%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Dixie County Residents by Initiator Type

Professional Certificate Law Enforcement Ex Parte Order

Total 45.61% 50.88% 3.51% Professional Certificate Type Physician (not a Psychiatrist) 87.18%

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

Physician (Psychiatrist) 2.56% Licensed Clinical Social Worker 1.28% Licensed Mental Health Counselor 2.56% Clinical Psychologist 0.00% Psychiatric Nurse 0.00% Licensed Marriage and Family Therapist 0.00% Physician Assistant 2.56% Multiple Professional Types Reported 1.28% Not Reported 2.56%

The majority of Dixie County residents who received an involuntary examination were seen at Memorial Hospital of Jacksonville (21.64%), North Florida Regional Medical Center (20.47%), UF Health Shands Psychiatric Hospital (18.71%), Meridian Behavioral Health Care (Lake City) (CSU/CCSU) (14.62%), and Meridian Behavioral Health Care (Gainesville) (CSU/CCSU) (12.28%).

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Baker Act Reporting Center FY17/18 Annual Report 44

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

• Percentage of population living below the poverty level (2017): o All ages: 16.00% o Under 18: 24.30%

• Median Household Income (2017) = $51,296 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $39.70

Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 13.3 16.4 23.31%

Children (< 18) 2.8 2.0 -28.57% Older Adults (65+) 14.5 16.5 13.79%

Counts and rates of involuntary examinations for residents of Duval County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County Population

All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 12,716 1,357 15.17% 1,276 4.58% 453 N/A 936,811 N/A 2016-2017 10,982 1,189 15.15% 1,114 3.84% 343 15.79% 923,647 1.43% 2015-2016 10,262 1,133 14.38% 1,008 4.84% 425 23.91% 905,574 3.45% 2014-2015 9,437 1,060 13.12% 837 4.23% 350 34.75% 890,066 5.25% 2013-2014 7,282 831 20.37% 1,019 4.85% 329 74.62% 876,075 6.93% 2012-2013 6,989 804 22.76% 1,101 5.11% 345 81.94% 869,729 7.71% 2011-2012 6,732 779 22.21% 1,038 4.86% 328 88.89% 864,601 8.35% 2010-2011 5,907 683 22.28% 914 4.44% 272 115.3% 864,263 8.39% 2009-2010 6,334 703 18.74% 756 4.33% 271 100.8% 900,518 4.03% 2008-2009 6,689 739 18.22% 762 3.89% 262 90.10% 904,971 3.52%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Duval County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 39.11% 56.71% 4.18% Professional Certificate Type Physician (not a Psychiatrist) 74.90%

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

Physician (Psychiatrist) 4.28% Licensed Clinical Social Worker 3.28% Licensed Mental Health Counselor 8.43% Clinical Psychologist 0.38% Psychiatric Nurse 1.77% Licensed Marriage and Family Therapist 0.34% Physician Assistant 0.66% Multiple Professional Types Reported 1.75% Not Reported 4.20%

The majority of Duval County residents who received an involuntary examination were seen at Mental Health Resource Center - North (20.12%), River Point Behavioral Health (13.89%), Mental Health Resource Center - South (13.64%), Memorial Hospital of Jacksonville (11.42%), UF Health Jacksonville (Shands Jacksonville Healthcare) (10.00%), Baptist Medical Center Jacksonville (Baptist Health Center) (9.02%), Mental Health Resource Center - North CCSU (8.74%), and Wekiva Springs Center (7.09%).

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Baker Act Reporting Center FY17/18 Annual Report 45

County: Escambia 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 (2017): o All ages: 14.60% o Under 18: 23.80%

• Median Household Income (2017) = $47,361 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $49.20 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 19.0 24.0 26.32%

Children (< 18) 0* 0* 0% Older Adults (65+) 32.0 27.2 -15.00%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Escambia County

Counts and rates of involuntary examinations for residents of Escambia County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 3,205 1,023 24.24% 1,620 6.37% 383 N/A 313,381 N/A 2016-2017 3,676 1,186 20.62% 1,606 7.10% 506 -12.8% 309,986 1.10% 2015-2016 4,185 1,363 17.87% 1,610 7.60% 637 -23.4% 306,944 2.10% 2014-2015 4,179 1,375 17.18% 1,519 6.41% 549 -23.3% 303,907 3.12% 2013-2014 4,406 1,463 13.35% 1,257 6.88% 652 -27.3% 301,120 4.07% 2012-2013 3,952 1,319 16.32% 1,393 4.88% 427 -18.9% 299,511 4.63% 2011-2012 3,764 1,258 15.81% 1,290 4.97% 424 -14.9% 299,261 4.72% 2010-2011 3,438 1,155 17.83% 1,351 5.50% 440 -6.78% 297,619 5.30% 2009-2010 3,200 1,022 18.88% 1,209 4.22% 289 0.16% 312,980 0.13% 2008-2009 2,870 916 17.91% 1,014 3.59% 224 11.67% 313,480 -0.03%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Escambia County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 55.13% 41.28% 3.59% Professional Certificate Type Physician (not a Psychiatrist) 69.10%

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

Physician (Psychiatrist) 1.25% Licensed Clinical Social Worker 7.13% Licensed Mental Health Counselor 15.51% Clinical Psychologist 1.25% Psychiatric Nurse 2.66% Licensed Marriage and Family Therapist 0.17% Physician Assistant 1.92% Multiple Professional Types Reported 0.06% Not Reported 0.96%

The majority of Escambia County residents who received an involuntary examination were seen at Baptist Hospital (71.14%), West Florida Regional Medical Center (19.41%), and Lakeview Center (6.65%).

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Baker Act Reporting Center FY17/18 Annual Report 46

County: Flagler Flagler County is in the Department’s Northeast region and Florida Judicial Circuit 7. Lutheran Services Florida is the Managing Entity for Flagler County.

• Percentage of population living below the poverty level (2017): o All ages: 13.30% o Under 18: 21.50%

• Median Household Income (2017) = $51,049 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) =$34.50 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 20.1 29.2 45.27%

Children (< 18) 0* 7.0 NA* Older Adults (65+) 22.0 22.2 0.91%

*Percentage change not applicable because there were no deaths classified as a suicide by the medical examiner.

Counts and rates of involuntary examinations for residents of Flager County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 716 681 25.84% 1,266 12.15% 301 N/A 105,157 N/A 2016-2017 561 544 22.46% 873 11.23% 226 27.63% 103,095 2.00% 2015-2016 552 545 24.09% 933 7.97% 162 29.71% 101,353 3.75% 2014-2015 497 501 29.78% 1,034 9.05% 176 44.06% 99,121 6.09% 2013-2014 434 444 29.49% 895 11.75% 207 64.98% 97,843 7.48% 2012-2013 514 529 27.04% 975 8.37% 177 39.30% 97,160 8.23% 2011-2012 536 557 22.20% 832 9.14% 207 33.58% 96,241 9.26% 2010-2011 563 588 28.24% 1,114 6.93% 167 27.18% 95,696 9.89% 2009-2010 543 572 23.76% 1,003 9.76% 200 31.86% 94,901 10.81% 2008-2009 465 487 22.15% 780 5.59% 99 53.98% 95,512 10.10%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Flagler County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 27.65% 69.83% 2.51% Professional Certificate Type Physician (not a Psychiatrist) 61.11%

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

Physician (Psychiatrist) 6.06% Licensed Clinical Social Worker 10.10% Licensed Mental Health Counselor 8.59% Clinical Psychologist 2.02% Psychiatric Nurse 5.05% Licensed Marriage and Family Therapist 0.00% Physician Assistant 2.02% Multiple Professional Types Reported 0.00% Not Reported 5.05%

The majority of Flagler County residents who received an involuntary examination were seen at SMA Behavioral Health Services (35.75%), Halifax Health Child and Adolescent Behavioral Services (Halifax Psychiatric Center-North) (23.74%), and Halifax Health Medical Center (21.51%).

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Baker Act Reporting Center FY17/18 Annual Report 47

County: Franklin 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 (2017): o All ages: 20.10% o Under 18: 32.10%

• Median Household Income (2017) = $41,267 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $153.00

Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 0* 16.7 NA*

Children (< 18) 0* 0* 0% Older Adults (65+) 0* 37.9 NA*

*Percentage change not applicable because there were no deaths classified as a suicide by the medical examiner.

Counts and rates of involuntary examinations for residents of Franklin County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 72 592 16.67% 790 1.39% 39 N/A 12,161 N/A 2016-2017 84 705 14.29% 822 8.33% 290 -14.3% 11,916 2.06% 2015-2016 66 557 13.64% 625 7.58% 214 9.09% 11,840 2.71% 2014-2015 60 509 13.33% 567 6.67% 177 20.00% 11,794 3.11% 2013-2014 54 467 18.52% 716 0.00% 0 33.33% 11,562 5.18% 2012-2013 37 321 10.81% 290 13.51% 238 94.59% 11,530 5.47% 2011-2012 51 442 9.80% 362 9.80% 242 41.18% 11,527 5.50% 2010-2011 37 320 5.41% 145 8.11% 149 94.59% 11,549 5.30% 2009-2010 55 443 0.00% 0 5.45% 127 30.91% 12,414 -2.04% 2008-2009 50 405 8.00% 254 8.00% 170 44.00% 12,331 -1.38%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Franklin County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 34.72% 61.11% 4.17% Professional Certificate Type Physician (not a Psychiatrist) 48.00%

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

Physician (Psychiatrist) 16.00% Licensed Clinical Social Worker 12.00% Licensed Mental Health Counselor 16.00% Clinical Psychologist 0.00% Psychiatric Nurse 8.00% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 0.00% Not Reported 0.00%

The majority of Franklin County residents who received an involuntary examination were seen at Apalachee Center (CSU/CCSU) (47.22%), Capital Regional Medical Center (18.06%), Tallahassee Memorial Hospital (16.67%), and Eastside Psychiatric Hospital (6.94%).

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Baker Act Reporting Center FY17/18 Annual Report 48

County: Gadsden 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 (2017): o All ages: 24.40% o Under 18: 40.80%

• Median Household Income (2017) = $39,830 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $70.00 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 14.5 6.2 -57.24%

Children (< 18) 0* 0* 0% Older Adults (65+) 14.0 0* -100.00%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Gadsden County

Counts and rates of involuntary examinations for residents of Gadsden County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals. Table A: 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 2017/2018

Total County Population

All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 511 1,059 20.74% 1,400 9.00% 581 N/A 48,263 N/A 2016-2017 344 709 15.99% 722 6.10% 274 48.55% 48,486 -0.46% 2015-2016 359 743 18.11% 857 6.13% 300 42.34% 48,315 -0.11% 2014-2015 328 682 16.77% 721 6.71% 307 55.79% 48,096 0.35% 2013-2014 308 647 15.91% 637 8.44% 381 65.91% 47,588 1.42% 2012-2013 256 539 9.77% 323 9.38% 363 99.61% 47,506 1.59% 2011-2012 270 560 11.85% 403 6.30% 264 89.26% 48,200 0.13% 2010-2011 248 535 11.29% 350 8.06% 316 106.1% 46,389 4.04% 2009-2010 233 466 9.01% 246 5.15% 175 119.3% 50,046 -3.56% 2008-2009 219 433 12.79% 322 5.48% 180 133.3% 50,611 -4.64%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Gadsden County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 26.81% 67.91% 5.28% Professional Certificate Type Physician (not a Psychiatrist) 47.45%

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

Physician (Psychiatrist) 15.33% Licensed Clinical Social Worker 4.38% Licensed Mental Health Counselor 17.52% Clinical Psychologist 2.19% Psychiatric Nurse 8.76% Licensed Marriage and Family Therapist 0.00% Physician Assistant 2.19% Multiple Professional Types Reported 0.00% Not Reported 2.19%

The majority of Gadsden County residents who received an involuntary examination were seen at Apalachee Center (CSU) (43.44%), Tallahassee Memorial Hospital (27.01%), Capital Regional Medical Center (16.05%), and Eastside Psychiatric Hospital (9.98%).

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Baker Act Reporting Center FY17/18 Annual Report 49

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

• Percentage of population living below the poverty level (2017): o All ages: 19.80% o Under 18: 34.40%

• Median Household Income (2017) = $42,934 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $74.30 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 23.7 17.7 -25.32%

Children (< 18) 0* 38.9 NA* Older Adults (65+) 0* 29.1 NA*

*Percentage change not applicable because there were no deaths classified as a suicide by the medical examiner.

Counts and rates of involuntary examinations for residents of Gilchrist County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 132 766 40.91% 2,141 6.06% 225 N/A 17,224 N/A 2016-2017 107 635 29.91% 1,281 6.54% 204 23.36% 16,848 2.23% 2015-2016 98 582 26.53% 1,037 2.04% 61 34.69% 16,839 2.29% 2014-2015 82 487 26.83% 882 4.88% 125 60.98% 16,853 2.20% 2013-2014 79 468 20.25% 625 8.86% 228 67.09% 16,880 2.04% 2012-2013 71 419 18.31% 497 4.23% 100 85.92% 16,946 1.64% 2011-2012 76 448 23.68% 670 11.84% 306 73.68% 16,983 1.42% 2010-2011 103 608 22.33% 845 9.71% 350 28.16% 16,939 1.68% 2009-2010 86 494 24.42% 749 11.63% 350 53.49% 17,393 -0.97% 2008-2009 56 325 19.64% 387 19.64% 400 135.7% 17,256 -0.19%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Gilchrist County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 52.27% 45.45% 2.27% Professional Certificate Type Physician (not a Psychiatrist) 63.77%

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

Physician (Psychiatrist) 7.25% Licensed Clinical Social Worker 2.90% Licensed Mental Health Counselor 18.84% Clinical Psychologist 0.00% Psychiatric Nurse 1.45% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 1.45% Not Reported 4.35%

The majority of Gilchrist County residents who received an involuntary examination were seen at UF Health Shands Psychiatric Hospital (47.73%), North Florida Regional Medical Center (29.55%), Meridian Behavioral Health Care (Gainesville) (CSU/CCSU) (8.33%), and Meridian Behavioral Health Care (Lake City) (CSU/CCSU) (8.33%).

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Baker Act Reporting Center FY17/18 Annual Report 50

County: Glades 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 (2017): o All ages: 18.00% o Under 18: 26.90%

• Median Household Income (2017) = $37,385 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $74.60 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 23.3 7.5 -67.81%

Children (< 18) 0* 0* 0% Older Adults (65+) 60.4 0* -100.00%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Glades County

Counts and rates of involuntary examinations for residents of Glades County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 83 634 21.69% 1,041 6.02% 158 N/A 13,087 N/A 2016-2017 63 483 17.46% 632 1.59% 32 31.75% 13,047 0.31% 2015-2016 64 498 17.19% 637 1.56% 33 29.69% 12,853 1.82% 2014-2015 58 451 22.41% 739 0.00% 0 43.10% 12,852 1.83% 2013-2014 59 466 8.47% 287 5.08% 104 40.68% 12,658 3.39% 2012-2013 45 355 24.44% 633 4.44% 70 84.44% 12,671 3.28% 2011-2012 28 219 28.57% 454 10.71% 105 196.4% 12,812 2.15% 2010-2011 16 124 0.00% 0 18.75% 108 418.8% 12,884 1.58% 2009-2010 23 203 21.74% 295 17.39% 189 260.9% 11,311 15.70% 2008-2009 25 221 24.00% 344 16.00% 192 232.0% 11,323 15.58%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Glades County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 34.94% 57.83% 7.23% Professional Certificate Type Physician (not a Psychiatrist) 58.62%

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

Physician (Psychiatrist) 6.90% Licensed Clinical Social Worker 27.59% Licensed Mental Health Counselor 0.00% Clinical Psychologist 0.00% Psychiatric Nurse 6.90% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 0.00% Not Reported 0.00%

The majority of Glades County residents who received an involuntary examination were seen at SalusCare (48.19%), SalusCare CCSU (18.07%), The Jerome Golden Center for Behavioral Health (Belle Glades) (CSU/CCSU) (13.25%), and Park Royal Hospital (12.05%).

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Baker Act Reporting Center FY17/18 Annual Report 51

County: Gulf 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 (2017): o All ages: 14.90% o Under 18: 19.60%

• Median Household Income (2017) = $44,647 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $125.30

Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 24.2 0* -100.00%

Children (< 18) 105.5 0* -100.00% Older Adults (65+) 0* 0* 0%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Gulf County

Counts and rates of involuntary examinations for residents of Gulf County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 98 601 14.29% 735 5.10% 154 N/A 16,297 N/A 2016-2017 96 577 26.04% 1,303 7.29% 219 2.08% 16,628 -1.99% 2015-2016 84 514 23.81% 1,058 8.33% 228 16.67% 16,346 -0.30% 2014-2015 89 538 12.36% 589 6.74% 203 10.11% 16,543 -1.49% 2013-2014 83 515 31.33% 1,396 3.61% 108 18.07% 16,106 1.19% 2012-2013 100 629 20.00% 1,067 6.00% 222 -2.00% 15,907 2.45% 2011-2012 88 557 19.32% 890 10.23% 339 11.36% 15,789 3.22% 2010-2011 82 517 10.98% 468 9.76% 309 19.51% 15,863 2.74% 2009-2010 96 572 21.88% 959 7.29% 253 2.08% 16,798 -2.98% 2008-2009 71 420 9.86% 306 12.68% 326 38.03% 16,923 -3.70%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Gulf County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 31.63% 65.31% 3.06% Professional Certificate Type Physician (not a Psychiatrist) 83.87%

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

Physician (Psychiatrist) 0.00% Licensed Clinical Social Worker 3.23% Licensed Mental Health Counselor 3.23% Clinical Psychologist 0.00% Psychiatric Nurse 6.45% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 0.00% Not Reported 3.23%

The majority of Gulf County residents who received an involuntary examination were seen at Emerald Coast Behavioral Hospital (37.76%), Life Management Center of Northwest Florida (CSU/CCSU) (35.71%), Fort Walton Beach Medical Center (9.18%), Capital Regional Medical Center (9.18%), and West Florida Regional Medical Center (5.10%).

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Baker Act Reporting Center FY17/18 Annual Report 52

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

• Percentage of population living below the poverty level (2017): o All ages: 26.60% o Under 18: 35.50%

• Median Household Income (2017) = $36,209 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $88.00 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 13.9 0* -100.00%

Children (< 18) 0* 0* 0% Older Adults (65+) 0* 0* 0%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Hamilton County

Counts and rates of involuntary examinations for residents of Hamilton County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 134 914 14.93% 983 8.96% 470 N/A 14,663 N/A 2016-2017 142 968 14.08% 974 11.97% 688 -5.63% 14,665 -0.01% 2015-2016 126 861 17.46% 1,066 11.90% 627 6.35% 14,630 0.23% 2014-2015 112 780 8.04% 433 9.82% 483 19.64% 14,351 2.17% 2013-2014 79 545 16.46% 614 8.86% 322 69.62% 14,507 1.08% 2012-2013 45 303 6.67% 140 2.22% 48 197.8% 14,836 -1.17% 2011-2012 51 346 13.73% 324 13.73% 344 162.8% 14,744 -0.55% 2010-2011 52 351 7.69% 187 7.69% 206 157.7% 14,799 -0.92% 2009-2010 72 487 18.06% 564 6.94% 276 86.11% 14,783 -0.81% 2008-2009 69 467 4.35% 128 4.35% 170 94.20% 14,779 -0.78%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Hamilton County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 27.61% 62.69% 9.70% Professional Certificate Type Physician (not a Psychiatrist) 72.97%

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

Physician (Psychiatrist) 10.81% Licensed Clinical Social Worker 0.00% Licensed Mental Health Counselor 8.11% Clinical Psychologist 2.70% Psychiatric Nurse 0.00%

Licensed Marriage and Family Therapist 0.00% Physician Assistant 2.70% Multiple Professional Types Reported 0.00% Not Reported 2.70%

The majority of Hamilton County residents who received an involuntary examination were seen at Meridian Behavioral Health Care (Lake City) (CSU/CCSU) (58.96%), North Florida Regional Medical Center (10.45%), and UF Health Shands Psychiatric Hospital (8.21%).

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Baker Act Reporting Center FY17/18 Annual Report 53

County: Hardee 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 (2017): o All ages: 24.50% o Under 18: 39.00%

• Median Household Income (2017) = $39,063 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $70.60 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 10.8 3.6 -66.67%

Children (< 18) 0* 0* 0% Older Adults (65+) 75.0 0* -100.00%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Hardee County

Counts and rates of involuntary examinations for residents of Hardee County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 167 609 25.75% 805 9.58% 412 N/A 27,426 N/A 2016-2017 215 778 24.19% 971 12.09% 680 -22.3% 27,637 -0.76% 2015-2016 175 633 20.57% 670 2.86% 133 -4.57% 27,645 -0.79% 2014-2015 147 530 21.77% 593 10.88% 428 13.61% 27,712 -1.03% 2013-2014 138 499 15.22% 388 14.49% 549 21.01% 27,682 -0.92% 2012-2013 163 587 13.50% 406 18.40% 827 2.45% 27,762 -1.21% 2011-2012 137 495 16.06% 402 15.33% 595 21.90% 27,653 -0.82% 2010-2011 102 368 15.69% 294 18.63% 531 63.73% 27,731 -1.10% 2009-2010 149 526 10.07% 297 12.08% 470 12.08% 28,333 -3.20% 2008-2009 171 613 12.87% 432 8.77% 416 -2.34% 27,909 -1.73%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Hardee County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 29.94% 67.07% 2.99% Professional Certificate Type Physician (not a Psychiatrist) 60.00%

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

Physician (Psychiatrist) 4.00% Licensed Clinical Social Worker 10.00% Licensed Mental Health Counselor 8.00% Clinical Psychologist 0.00% Psychiatric Nurse 16.00% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 0.00% Not Reported 2.00%

The majority of Hardee County residents who received an involuntary examination were seen at Peace River Center (CSU/CCSU) (74.25%), Florida Hospital Heartland Medical Center Lake Placid (7.19%), and Lakeland Regional Medical Center (6.59).

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Baker Act Reporting Center FY17/18 Annual Report 54

County: Hendry 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 (2017): o All ages: 25.50% o Under 18: 31.10%

• Median Household Income (2017) = $37,966 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $118.80 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 13.2 12.9 -2.27%

Children (< 18) 0* 0* 0% Older Adults (65+) 20.8 39.0 87.50%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Hendry County

Counts and rates of involuntary examinations for residents of Hendry County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 254 650 20.08% 650 7.87% 380 N/A 39,057 N/A 2016-2017 200 521 21.50% 559 7.50% 293 27.00% 38,370 1.79% 2015-2016 273 717 34.43% 1,225 4.76% 263 -6.96% 38,096 2.52% 2014-2015 218 575 29.36% 826 6.88% 311 16.51% 37,895 3.07% 2013-2014 218 577 23.39% 656 4.59% 216 16.51% 37,808 3.30% 2012-2013 135 354 17.78% 308 4.44% 130 88.15% 38,132 2.43% 2011-2012 69 177 15.94% 141 1.45% 22 268.1% 38,908 0.38% 2010-2011 50 128 22.00% 142 6.00% 67 408.0% 39,140 -0.21% 2009-2010 72 174 23.61% 207 1.39% 23 252.8% 41,320 -5.48% 2008-2009 86 209 17.44% 180 2.33% 48 195.3% 41,216 -5.24%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Hendry County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 38.19% 59.45% 2.36% Professional Certificate Type Physician (not a Psychiatrist) 64.95%

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

Physician (Psychiatrist) 7.22% Licensed Clinical Social Worker 12.37% Licensed Mental Health Counselor 7.22% Clinical Psychologist 0.00% Psychiatric Nurse 5.15% Licensed Marriage and Family Therapist 0.00% Physician Assistant 3.09% Multiple Professional Types Reported 0.00% Not Reported 0.00%

The majority of Hendry County residents who received an involuntary examination were seen at SalusCare (37.80%), Park Royal Hospital (18.50%), SalusCare CCSU (12.20%), and The Jerome Golden Center for Behavioral Health (Belle Glades) (CSU/CCSU) (10.63%).

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Baker Act Reporting Center FY17/18 Annual Report 55

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

• Percentage of population living below the poverty level (2017): o All ages: 14.30% o Under 18: 20.70%

• Median Household Income (2017) = $44,324 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $30.90 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 17.7 18.6 5.08%

Children (< 18) 0* 0* 0% Older Adults (65+) 21.0 15.7 -25.24%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Hernando County

Counts and rates of involuntary examinations for residents of Hernando County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 1,419 780 28.82% 1,624 9.23% 258 N/A 181,882 N/A 2016-2017 1,346 750 27.86% 1,499 8.47% 229 5.42% 179,503 1.33% 2015-2016 974 551 33.98% 1,329 6.37% 128 45.69% 176,819 2.86% 2014-2015 1,113 636 35.49% 1,607 6.92% 165 27.49% 174,955 3.96% 2013-2014 1,481 852 23.50% 1,401 9.86% 321 -4.19% 173,808 4.65% 2012-2013 1,382 798 21.85% 1,209 10.35% 317 2.68% 173,104 5.07% 2011-2012 1,379 797 16.46% 894 11.68% 360 2.90% 173,078 5.09% 2010-2011 1,412 817 20.54% 1,130 11.33% 359 0.50% 172,778 5.27% 2009-2010 1,344 814 20.01% 1,162 8.26% 231 5.58% 165,048 10.20% 2008-2009 1,384 839 19.15% 1,129 11.05% 320 2.53% 164,907 10.29%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Hernando County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 36.58% 58.63% 4.79% Professional Certificate Type Physician (not a Psychiatrist) 74.76%

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

Physician (Psychiatrist) 6.94% Licensed Clinical Social Worker 3.66% Licensed Mental Health Counselor 5.78% Clinical Psychologist 3.08% Psychiatric Nurse 1.93% Licensed Marriage and Family Therapist 0.58% Physician Assistant 1.16% Multiple Professional Types Reported 1.35% Not Reported 0.77%

The majority of Hernando County residents who received an involuntary examination were seen at Springbrook Hospital (32.21%), Medical Center of Trinity - West Pasco Campus (14.45%), Suncoast Behavioral Health Center (10.57%), North Tampa Behavioral Health (8.67%), and Central Florida Behavioral Hospital (6.27%).

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Baker Act Reporting Center FY17/18 Annual Report 56

County: Highlands 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 (2017): o All ages: 18.70% o Under 18: 31.50%

• Median Household Income (2017) = $36,374 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $47.50 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 23.0 26.3 14.35%

Children (< 18) 0* 0* 0% Older Adults (65+) 17.9 36.8 105.59%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Highlands County

Counts and rates of involuntary examinations for residents of Highlands County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 916 897 18.45% 1,306 19.00% 504 N/A 102,138 N/A 2016-2017 917 903 14.29% 1,013 27.92% 752 -0.11% 101,531 0.60% 2015-2016 1,037 1,029 14.66% 1,178 23.63% 732 -11.7% 100,748 1.38% 2014-2015 933 935 11.68% 857 23.69% 674 -1.82% 99,818 2.32% 2013-2014 958 967 13.57% 1,020 29.65% 883 -4.38% 99,092 3.07% 2012-2013 919 929 15.34% 1,105 28.07% 802 -0.33% 98,955 3.22% 2011-2012 756 766 13.89% 815 25.40% 605 21.16% 98,712 3.47% 2010-2011 819 829 9.52% 601 28.94% 745 11.84% 98,786 3.39% 2009-2010 732 734 10.11% 549 33.47% 759 25.14% 99,713 2.43% 2008-2009 691 690 12.30% 618 25.76% 557 32.56% 100,207 1.93%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Highlands County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 42.03% 57.10% 0.87% Professional Certificate Type Physician (not a Psychiatrist) 66.75%

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

Physician (Psychiatrist) 7.53% Licensed Clinical Social Worker 2.86% Licensed Mental Health Counselor 6.49% Clinical Psychologist 0.26% Psychiatric Nurse 13.25% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.26% Multiple Professional Types Reported 0.78% Not Reported 1.82%

The majority of Highlands County residents who received an involuntary examination were seen at Peace River Center (CSU/CCSU) (44.65%), Florida Hospital Heartland Medical Center Lake Placid (25.44%), and Lakeland Regional Medical Center (5.24%).

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Baker Act Reporting Center FY17/18 Annual Report 57

County: Hillsborough 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 (2017): o All ages: 15.70% o Under 18: 21.20%

• Median Household Income (2017) = $53,742 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $27.30 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 14.1 13.8 -2.13%

Children (< 18) 1.4 3.0 114.29% Older Adults (65+) 19.2 23.1 20.31%

Counts and rates of involuntary examinations for residents of Hillsborough County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 12,031 872 23.72% 1,230 5.12% 331 N/A 1,379,302 N/A 2016-2017 13,717 1,014 20.41% 1,229 4.61% 353 -12.3% 1,352,797 1.96% 2015-2016 14,935 1,127 19.55% 1,308 5.01% 434 -19.4% 1,325,563 4.05% 2014-2015 13,935 1,070 20.96% 1,309 5.18% 426 -13.7% 1,301,887 5.95% 2013-2014 12,537 982 19.87% 1,134 4.83% 378 -4.04% 1,276,410 8.06% 2012-2013 11,848 943 19.21% 1,049 4.90% 375 1.54% 1,256,118 9.81% 2011-2012 11,122 898 19.12% 990 4.90% 364 8.17% 1,238,951 11.33% 2010-2011 9,416 766 12.81% 564 5.36% 348 27.77% 1,229,226 12.21% 2009-2010 9,409 786 14.56% 634 4.95% 316 27.87% 1,196,892 15.24% 2008-2009 8,915 743 16.06% 655 4.53% 277 34.95% 1,200,541 14.89%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Hillsborough County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 56.01% 42.98% 1.01% Professional Certificate Type Physician (not a Psychiatrist) 69.40%

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

Physician (Psychiatrist) 7.23% Licensed Clinical Social Worker 4.54% Licensed Mental Health Counselor 13.64% Clinical Psychologist 0.77% Psychiatric Nurse 0.96% Licensed Marriage and Family Therapist 0.68% Physician Assistant 0.37% Multiple Professional Types Reported 0.59% Not Reported 1.81%

The majority of Hillsborough County residents who received an involuntary examination were seen at Mental Health Care (Gracepoint) (27.92%), St. Joseph Hospital Behavioral Health Center (19.22%), Mental Health Care (Gracepoint) CCSU (10.61%), Brandon Regional Hospital (7.33%), Memorial Hospital of Tampa (7.24%), and Morton Plant North Bay Hospital Recovery Center (5.38%).

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Baker Act Reporting Center FY17/18 Annual Report 58

County: Holmes 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 (2017): o All ages: 26.60% o Under 18: 37.40%

• Median Household Income (2017) = $37,474 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $107.00 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 20.0 24.8 24.00%

Children (< 18) 0* 0* 0% Older Adults (65+) 0* 25.4 NA

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Holmes County

Counts and rates of involuntary examinations for residents of Holmes County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000 2017-2018 192 950 17.19% 1,096 7.81% 370 N/A 20,210 N/A 2016-2017 193 965 17.62% 1,137 10.36% 508 -0.52% 20,003 1.03% 2015-2016 159 799 27.04% 1,441 5.66% 234 20.75% 19,902 1.55% 2014-2015 174 869 21.26% 1,233 6.90% 321 10.34% 20,025 0.92% 2013-2014 183 914 24.04% 1,446 7.10% 360 4.92% 20,022 0.94% 2012-2013 131 656 16.03% 684 11.45% 424 46.56% 19,984 1.13% 2011-2012 167 839 20.96% 1,130 4.19% 201 14.97% 19,901 1.55% 2010-2011 140 703 17.86% 795 9.29% 380 37.14% 19,927 1.42% 2009-2010 138 695 16.67% 729 8.70% 363 39.13% 19,857 1.78% 2008-2009 161 815 14.91% 746 5.59% 277 19.25% 19,757 2.29%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Holmes County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 21.35% 70.83% 7.81% Professional Certificate Type Physician (not a Psychiatrist) 73.17%

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

Physician (Psychiatrist) 7.32% Licensed Clinical Social Worker 4.88% Licensed Mental Health Counselor 9.76% Clinical Psychologist 2.44% Psychiatric Nurse 0.00% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 0.00% Not Reported 2.44%

The majority of Holmes County residents who received an involuntary examination were seen at Emerald Coast Behavioral Hospital (70.31%) and Fort Walton Beach Medical Center (10.42%).

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Baker Act Reporting Center FY17/18 Annual Report 59

County: Indian River 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 (2017): o All ages: 12.70% o Under 18: 20.10%

• Median Household Income (2017) = $49,009 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $50.90 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 18.4 22.7 23.37%

Children (< 18) 0* 0* 0% Older Adults (65+) 29.0 21.1 -27.24%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Indian River County

Counts and rates of involuntary examinations for residents of Indian River County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 1,213 814 19.70% 1,231 7.91% 217 N/A 148,962 N/A 2016-2017 1,198 818 13.61% 845 8.76% 246 1.25% 146,410 1.74% 2015-2016 1,010 705 16.93% 898 9.60% 235 20.10% 143,326 3.93% 2014-2015 1,027 729 17.04% 936 9.54% 246 18.11% 140,955 5.68% 2013-2014 1,045 749 19.62% 1,088 9.95% 270 16.08% 139,586 6.72% 2012-2013 1,001 718 20.18% 1,058 9.79% 256 21.18% 139,446 6.82% 2011-2012 1,054 760 15.65% 853 7.78% 217 15.09% 138,694 7.40% 2010-2011 997 722 13.54% 694 12.34% 328 21.66% 138,028 7.92% 2009-2010 1,003 708 15.35% 802 9.17% 236 20.94% 141,634 5.17% 2008-2009 993 701 17.82% 908 10.47% 269 22.16% 141,667 5.15%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Indian River County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 51.36% 46.33% 2.31% Professional Certificate Type

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

Physician (not a Psychiatrist) 82.34% Physician (Psychiatrist) 5.78% Licensed Clinical Social Worker 1.28% Licensed Mental Health Counselor 5.46% Clinical Psychologist 0.32% Psychiatric Nurse 1.44% Licensed Marriage and Family Therapist 0.32% Physician Assistant 0.96% Multiple Professional Types Reported 0.00% Not Reported 2.09%

The majority of Indian River County residents who received an involuntary examination were seen at Indian River Memorial Hospital (81.29%) and New Horizons of the Treasure Coast (CSU/CCSU) (6.43%).

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Baker Act Reporting Center FY17/18 Annual Report 60

County: Jackson 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 (2017): o All ages: 21.60% o Under 18: 31.60%

• Median Household Income (2017) = $36,944 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $82.60 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 13.9 17.9 28.78%

Children (< 18) 0* 0* 0% Older Adults (65+) 45.2 21.2 -53.10%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Jackson County

Counts and rates of involuntary examinations for residents of Jackson County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 252 500 23.02% 828 5.56% 151 N/A 50,418 N/A 2016-2017 277 550 17.69% 701 7.94% 244 -9.03% 50,345 0.14% 2015-2016 283 561 21.91% 888 6.71% 217 -10.9% 50,458 -0.08% 2014-2015 273 543 20.15% 783 10.62% 337 -7.69% 50,231 0.37% 2013-2014 242 482 22.73% 775 5.79% 169 4.13% 50,166 0.50% 2012-2013 209 419 24.40% 721 4.78% 125 20.57% 49,847 1.15% 2011-2012 299 598 16.39% 680 6.35% 240 -15.7% 49,964 0.91% 2010-2011 271 545 16.24% 603 4.06% 141 -7.01% 49,746 1.35% 2009-2010 270 513 23.70% 854 5.56% 179 -6.67% 52,637 -4.22% 2008-2009 299 568 21.40% 844 7.69% 280 -15.7% 52,639 -4.22%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Jackson County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 28.97% 59.52% 11.51% Professional Certificate Type

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

Physician (not a Psychiatrist) 43.84% Physician (Psychiatrist) 8.22% Licensed Clinical Social Worker 9.59% Licensed Mental Health Counselor 17.81% Clinical Psychologist 2.74% Psychiatric Nurse 15.07% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 0.00% Not Reported 2.74%

The majority of Jackson County residents who received an involuntary examination were seen at Emerald Coast Behavioral Hospital (63.89%), Life Management Center of Northwest Florida (CSU/CCSU) (11.90%), and Capital Regional Medical Center (11.11%).

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Baker Act Reporting Center FY17/18 Annual Report 61

County: Jefferson 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 (2017): o All ages: 13.90% o Under 18: 19.20%

• Median Household Income (2017) = $47,599 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $126.30 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 6.9 6.9 0%

Children (< 18) 0* 0* 0% Older Adults (65+) 0* 0* 0%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Jefferson County

Counts and rates of involuntary examinations for residents of Jefferson County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 180 1,232 23.89% 2,286 8.33% 494 N/A 14,611 N/A 2016-2017 152 1,048 17.11% 1,376 7.24% 379 18.42% 14,498 0.78% 2015-2016 124 854 17.74% 1,169 5.65% 252 45.16% 14,519 0.63% 2014-2015 119 815 20.17% 1,273 10.92% 469 51.26% 14,597 0.10% 2013-2014 108 742 22.22% 1,262 13.89% 567 66.67% 14,554 0.39% 2012-2013 91 629 7.69% 365 6.59% 233 97.80% 14,478 0.92% 2011-2012 125 852 16.00% 1,027 6.40% 319 44.00% 14,666 -0.38% 2010-2011 107 725 13.08% 710 12.15% 535 68.22% 14,761 -1.02% 2009-2010 89 606 3.37% 146 17.98% 697 102.3% 14,677 -0.45% 2008-2009 108 742 14.81% 779 9.26% 447 66.67% 14,553 0.40%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Jefferson County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 21.11% 70.00% 8.89% Professional Certificate Type

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

Physician (not a Psychiatrist) 76.32% Physician (Psychiatrist) 21.05% Licensed Clinical Social Worker 0.00% Licensed Mental Health Counselor 2.63% 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 0.00%

The majority of Jefferson County residents who received an involuntary examination were seen at Apalachee Center (CSU) (45.00%), Tallahassee Memorial Hospital (26.67%), Capital Regional Medical Center (13.89%), and Eastside Psychiatric Hospital (10.56%).

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Baker Act Reporting Center FY17/18 Annual Report 62

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

• Percentage of population living below the poverty level (2017): o All ages: 17.80% o Under 18: 19.20%

• Median Household Income (2017) = $41,512 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $97.90

Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 0* 0* 0%

Children (< 18) 0* 0* 0% Older Adults (65+) 0* 0* 0%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Lafayette County

Counts and rates of involuntary examinations for residents of Lafayette County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 64 755 15.63% 751 15.63% 783 N/A 8,479 N/A 2016-2017 47 545 14.89% 527 8.51% 323 36.17% 8,621 -1.65% 2015-2016 37 427 21.62% 599 10.81% 329 72.97% 8,664 -2.14% 2014-2015 38 437 15.79% 449 18.42% 593 68.42% 8,696 -2.50% 2013-2014 24 278 33.33% 601 0.00% 0 166.7% 8,618 -1.61% 2012-2013 20 231 5.00% 75 0.00% 0 220.0% 8,663 -2.12% 2011-2012 23 263 4.35% 75 8.70% 179 178.3% 8,752 -3.12% 2010-2011 30 338 20.00% 462 0.00% 0 113.3% 8,870 -4.41% 2009-2010 35 428 8.57% 259 20.00% 617 82.86% 8,183 3.62% 2008-2009 37 446 10.81% 362 10.81% 385 72.97% 8,287 2.32%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table. Table B: FY17/18 Involuntary Examinations for Lafayette County Residents by Initiator Type

Professional Certificate Law Enforcement Ex Parte Order

Total 37.50% 59.38% 3.13% Professional Certificate Type

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

Physician (not a Psychiatrist) 66.67% Physician (Psychiatrist) 12.50% Licensed Clinical Social Worker 4.17% Licensed Mental Health Counselor 16.67% 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 0.00%

The majority of Lafayette County residents who received an involuntary examination were seen at Meridian Behavioral Health Care (Lake City) (CSU/CCSU) (45.31%), North Florida Regional Medical Center (20.31%), UF Health Shands Psychiatric Hospital (7.81%), and Meridian Behavioral Health Care (Gainesville) (CSU/CCSU) (6.25%).

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Baker Act Reporting Center FY17/18 Annual Report 63

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

• Percentage of population living below the poverty level (2017): o All ages: 12.80% o Under 18: 20.00%

• Median Household Income (2017) = $49,734 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $26.90 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 15.7 26.1 66.24%

Children (< 18) 0* 6.2 NA* Older Adults (65+) 25.0 30.6 22.40%

*Percentage change not applicable because there were no deaths classified as a suicide by the medical examiner.

Counts and rates of involuntary examinations for residents of Lake County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 3,041 917 22.43% 1,414 6.15% 220 N/A 331,724 N/A 2016-2017 2,860 883 21.33% 1,287 6.71% 233 6.33% 323,985 2.39% 2015-2016 2,571 812 24.82% 1,369 7.74% 249 18.28% 316,569 4.79% 2014-2015 2,285 738 20.96% 1,053 8.62% 258 33.09% 309,736 7.10% 2013-2014 2,195 724 20.46% 995 7.70% 230 38.54% 303,317 9.37% 2012-2013 2,076 693 21.19% 980 8.62% 246 46.48% 299,677 10.69% 2011-2012 2,071 694 19.12% 872 11.40% 328 46.84% 298,265 11.22% 2010-2011 1,967 662 16.88% 730 8.90% 244 54.60% 297,052 11.67% 2009-2010 1,887 646 18.97% 844 7.90% 198 61.16% 291,993 13.61% 2008-2009 1,799 624 19.23% 819 7.89% 192 69.04% 288,379 15.03%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Lake County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 41.14% 56.20% 2.66% Professional Certificate Type

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

Physician (not a Psychiatrist) 78.42% Physician (Psychiatrist) 4.08% Licensed Clinical Social Worker 2.00% Licensed Mental Health Counselor 9.27% Clinical Psychologist 0.88% Psychiatric Nurse 1.28% Licensed Marriage and Family Therapist 0.88% Physician Assistant 0.88% Multiple Professional Types Reported 0.64% Not Reported 1.68%

The majority of Lake County residents who received an involuntary examination were seen at Life Stream Behavioral Center (88.49%).

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Baker Act Reporting Center FY17/18 Annual Report 64

County: Lee 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 (2017): o All ages: 14.90% o Under 18: 24.90%

• Median Household Income (2017) = $52,052 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $21.70 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 21.9 16.3 -25.57%

Children (< 18) 4.4 2.1 -52.27% Older Adults (65+) 21.9 20.8 -5.02%

Counts and rates of involuntary examinations for residents of Lee County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 6,173 884 21.37% 1,385 8.94% 311 N/A 698,468 N/A 2016-2017 6,101 897 19.91% 1,302 8.24% 294 1.18% 680,539 2.63% 2015-2016 5,638 847 19.99% 1,230 8.99% 305 9.49% 665,845 4.90% 2014-2015 5,210 797 21.31% 1,226 9.08% 298 18.48% 653,485 6.88% 2013-2014 4,704 731 21.24% 1,114 8.52% 261 31.23% 643,367 8.56% 2012-2013 4,227 663 23.37% 1,106 7.85% 219 46.04% 638,029 9.47% 2011-2012 3,139 502 23.86% 845 4.49% 96 96.65% 625,310 11.70% 2010-2011 2,107 341 22.69% 543 5.32% 77 193.0% 618,754 12.88% 2009-2010 3,004 488 19.27% 654 3.73% 76 105.5% 615,124 13.55% 2008-2009 2,669 428 23.49% 689 5.84% 106 131.3% 623,725 11.98%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Lee County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 37.66% 61.46% 0.87% Professional Certificate Type

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

Physician (not a Psychiatrist) 57.98% Physician (Psychiatrist) 13.59% Licensed Clinical Social Worker 6.02% Licensed Mental Health Counselor 9.20% Clinical Psychologist 0.99% Psychiatric Nurse 3.87% Licensed Marriage and Family Therapist 0.39% Physician Assistant 6.11% Multiple Professional Types Reported 0.69% Not Reported 1.16%

The majority of Lee County residents who received an involuntary examination were seen at SalusCare (44.57%), Park Royal Hospital (29.26%), and SalusCare CCSU (17.46%).

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Baker Act Reporting Center FY17/18 Annual Report 65

County: Leon 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 (2017): o All ages: 20.50% o Under 18: 18.80%

• Median Household Income (2017) = $49,941 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $35.20 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 10.3 12.0 16.50%

Children (< 18) 2.6 5.1 96.15% Older Adults (65+) 22.9 19.2 -16.16%

Counts and rates of involuntary examinations for residents of Leon County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 2,766 961 23.43% 1,617 4.63% 350 N/A 287,899 N/A 2016-2017 2,240 779 19.82% 1,101 4.82% 307 23.48% 287,671 0.08% 2015-2016 2,209 777 18.79% 1,037 4.71% 311 25.22% 284,443 1.22% 2014-2015 2,055 731 19.85% 1,024 5.84% 376 34.60% 281,292 2.35% 2013-2014 1,685 605 21.78% 931 5.93% 334 64.15% 278,377 3.42% 2012-2013 1,487 536 16.34% 622 5.85% 305 86.01% 277,670 3.68% 2011-2012 1,504 544 14.83% 576 4.19% 231 83.91% 276,278 4.21% 2010-2011 1,400 508 13.79% 500 5.36% 289 97.57% 275,487 4.51% 2009-2010 1,352 492 13.98% 487 3.92% 215 104.6% 274,803 4.77% 2008-2009 1,110 404 17.84% 503 3.78% 173 149.2% 274,892 4.73%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Leon County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 41.21% 54.09% 4.70% Professional Certificate Type

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

Physician (not a Psychiatrist) 49.65% Physician (Psychiatrist) 19.39% Licensed Clinical Social Worker 8.16% Licensed Mental Health Counselor 10.79% Clinical Psychologist 3.33% Psychiatric Nurse 3.95% Licensed Marriage and Family Therapist 0.00% Physician Assistant 1.40% Multiple Professional Types Reported 0.35% Not Reported 2.98%

The majority of Leon County residents who received an involuntary examination were seen at Apalachee Center (CSU/CCSU) (39.55%), Tallahassee Memorial Hospital (32.14%), Capital Regional Medical Center (16.45%), and Eastside Psychiatric Hospital (9.15%).

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Baker Act Reporting Center FY17/18 Annual Report 66

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

• Percentage of population living below the poverty level (2017): o All ages: 21.90% o Under 18: 35.60%

• Median Household Income (2017) = $36,554 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $67.50 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 29.6 17.1 -42.23%

Children (< 18) 16.5 0* -100.00% Older Adults (65+) 55.9 10.3 -81.57%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Levy County

Counts and rates of involuntary examinations for residents of Levy County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 291 710 25.09% 1,242 5.84% 183 N/A 41,015 N/A 2016-2017 245 604 19.59% 819 14.29% 390 18.78% 40,553 1.14% 2015-2016 262 648 27.48% 1,223 12.21% 366 11.07% 40,448 1.40% 2014-2015 311 768 26.69% 1,391 8.04% 293 -6.43% 40,473 1.34% 2013-2014 241 598 26.56% 1,061 7.47% 219 20.75% 40,304 1.76% 2012-2013 275 682 21.82% 983 7.27% 246 5.82% 40,339 1.68% 2011-2012 228 559 15.35% 560 9.21% 261 27.63% 40,767 0.61% 2010-2011 252 618 18.25% 727 7.94% 253 15.48% 40,801 0.52% 2009-2010 212 521 26.42% 844 9.91% 264 37.26% 40,674 0.84% 2008-2009 120 294 17.50% 310 18.33% 280 142.5% 40,817 0.49%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Levy County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 37.80% 59.79% 2.41% Professional Certificate Type

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

Physician (not a Psychiatrist) 69.09% Physician (Psychiatrist) 5.45% Licensed Clinical Social Worker 2.73% Licensed Mental Health Counselor 14.55% Clinical Psychologist 0.00% Psychiatric Nurse 0.91% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 3.64% Not Reported 3.64%

The majority of Levy County residents who received an involuntary examination were seen at Meridian Behavioral Health Care (Gainesville) (CSU/CCSU) (42.61%), UF Health Shands Psychiatric Hospital (22.68%), North Florida Regional Medical Center (14.78%), and Meridian Behavioral Health Care (Lake City) (CSU/CCSU) (5.84%).

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Baker Act Reporting Center FY17/18 Annual Report 67

County: Liberty 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 (2017): o All ages: 17.80% o Under 18: 16.20%

• Median Household Income (2017) = $36,741 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $116.70 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 11.5 11.3 -1.74%

Children (< 18) 0* 0* 0% Older Adults (65+) 99.8 90.8 -9.02%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Liberty County

Counts and rates of involuntary examinations for residents of Liberty County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 63 723 19.05% 887 6.35% 377 N/A 8,719 N/A 2016-2017 62 710 9.68% 442 4.84% 289 1.61% 8,736 -0.19% 2015-2016 81 931 23.46% 1,402 7.41% 600 -22.2% 8,698 0.24% 2014-2015 54 623 12.96% 530 3.70% 201 16.67% 8,668 0.59% 2013-2014 44 519 20.45% 687 2.27% 105 43.18% 8,483 2.78% 2012-2013 36 423 8.33% 226 11.11% 425 75.00% 8,519 2.35% 2011-2012 41 490 9.76% 300 9.76% 431 53.66% 8,370 4.17% 2010-2011 30 359 10.00% 228 13.33% 450 110.0% 8,365 4.23% 2009-2010 28 341 14.29% 311 7.14% 211 125.0% 8,220 6.07% 2008-2009 34 417 14.71% 397 8.82% 334 85.29% 8,158 6.88%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Liberty County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 26.98% 61.90% 11.11% Professional Certificate Type

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

Physician (not a Psychiatrist) 35.29% Physician (Psychiatrist) 23.53% Licensed Clinical Social Worker 5.88% Licensed Mental Health Counselor 5.88% Clinical Psychologist 11.76% Psychiatric Nurse 11.76% Licensed Marriage and Family Therapist 0.00% Physician Assistant 5.88% Multiple Professional Types Reported 0.00% Not Reported 0.00%

The majority of Liberty County residents who received an involuntary examination were seen at Apalachee Center (CSU/CCSU) (42.86%), Tallahassee Memorial Hospital (14.29%), Eastside Psychiatric Hospital (12.70%), Centerstone of Florida (Manatee Glens Crisis Center) (CSU/CCSU) (7.94%), Centerstone of Florida (Manatee Glens Hospital) (6.35%), and Emerald Coast Behavioral Hospital (6.35%).

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Baker Act Reporting Center FY17/18 Annual Report 68

County: Madison 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 (2017): o All ages: 31.90% o Under 18: 51.40%

• Median Household Income (2017) = $31,816 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $86.90 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 10.4 15.5 49.04%

Children (< 18) 0* 0* 0% Older Adults (65+) 29.7 0* -100.00%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Madison County

Counts and rates of involuntary examinations for residents of Madison County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 305 1,574 21.64% 2,212 4.59% 381 N/A 19,377 N/A 2016-2017 171 889 23.39% 1,350 3.51% 168 78.36% 19,238 0.72% 2015-2016 196 1,021 19.39% 1,293 6.63% 375 55.61% 19,200 0.92% 2014-2015 220 1,140 14.09% 1,055 7.27% 471 38.64% 19,303 0.38% 2013-2014 215 1,109 9.30% 673 9.77% 641 41.86% 19,395 -0.09% 2012-2013 174 905 14.94% 883 8.62% 473 75.29% 19,227 0.78% 2011-2012 205 1,062 12.20% 843 8.29% 547 48.78% 19,298 0.41% 2010-2011 188 978 11.17% 707 7.98% 493 62.23% 19,224 0.80% 2009-2010 181 890 12.15% 687 5.52% 319 68.51% 20,333 -4.70% 2008-2009 138 685 15.94% 678 9.42% 422 121.0% 20,152 -3.85%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Madison County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 26.23% 65.90% 7.87% Professional Certificate Type

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

Physician (not a Psychiatrist) 36.25% Physician (Psychiatrist) 15.00% Licensed Clinical Social Worker 15.00% Licensed Mental Health Counselor 16.25% Clinical Psychologist 2.50% Psychiatric Nurse 2.50% Licensed Marriage and Family Therapist 0.00% Physician Assistant 7.50% Multiple Professional Types Reported 2.50% Not Reported 2.50%

The majority of Madison County residents who received an involuntary examination were seen at Apalachee Center (CSU) (39.34%), Tallahassee Memorial Hospital (15.41%), Capital Regional Medical Center (13.44%), Eastside Psychiatric Hospital (12.13%), and Centerstone of Florida (Manatee Glens Crisis Center) (CSU/CCSU) (11.15%).

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Baker Act Reporting Center FY17/18 Annual Report 69

County: Manatee 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 (2017): o All ages: 13.40% o Under 18: 22.80%

• Median Household Income (2017) = $53,408 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $23.00 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 16.7 18.2 8.98%

Children (< 18) 2.0 0* -100.00% Older Adults (65+) 21.1 21.8 3.32%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Manatee County

Counts and rates of involuntary examinations for residents of Manatee County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 2,502 678 21.98% 1,045 6.51% 172 N/A 368,782 N/A 2016-2017 2,244 628 23.53% 1,028 6.37% 158 11.50% 357,591 3.13% 2015-2016 2,310 661 22.81% 1,046 7.45% 197 8.31% 349,334 5.57% 2014-2015 2,395 705 22.59% 1,097 6.47% 186 4.47% 339,545 8.61% 2013-2014 2,183 654 21.58% 960 7.33% 201 14.61% 333,880 10.45% 2012-2013 1,968 596 17.02% 690 8.28% 208 27.13% 330,302 11.65% 2011-2012 1,904 584 18.33% 724 8.56% 213 31.41% 325,905 13.16% 2010-2011 2,014 624 20.56% 863 7.99% 214 24.23% 322,833 14.23% 2009-2010 2,003 629 15.53% 665 7.84% 217 24.91% 318,404 15.82% 2008-2009 1,814 571 15.21% 583 9.65% 244 37.93% 317,699 16.08%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Manatee County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 43.73% 53.56% 2.72% Professional Certificate Type

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

Physician (not a Psychiatrist) 42.14% Physician (Psychiatrist) 13.07% Licensed Clinical Social Worker 14.17% Licensed Mental Health Counselor 21.30% Clinical Psychologist 2.83% Psychiatric Nurse 2.47% Licensed Marriage and Family Therapist 0.27% Physician Assistant 0.37% Multiple Professional Types Reported 2.83% Not Reported 0.55%

The majority of Manatee County residents who received an involuntary examination were seen at Centerstone of Florida (Manatee Glens Crisis Center) (CSU/CCSU) (36.85%), Suncoast Behavioral Health Center (25.18%), Centerstone of Florida (Manatee Glens Hospital) (20.18%), and Sarasota Memorial Hospital (Bayside Center for Behavioral) (5.84%).

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Baker Act Reporting Center FY17/18 Annual Report 70

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

• Percentage of population living below the poverty level (2017): o All ages: 17.60% o Under 18: 28.70%

• Median Household Income (2017) = $41,964 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $36.00 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 18.6 23.0 23.66%

Children (< 18) 4.3 4.2 -2.33% Older Adults (65+) 18.3 25.8 40.98%

Counts and rates of involuntary examinations for residents of Marion County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 3,757 1,076 30.69% 2,470 6.95% 263 N/A 349,267 N/A 2016-2017 3,016 872 25.93% 1,686 7.03% 218 24.57% 345,749 1.02% 2015-2016 3,045 892 27.42% 1,818 5.98% 192 23.38% 341,205 2.36% 2014-2015 3,100 919 27.23% 1,841 7.87% 267 21.19% 337,455 3.50% 2013-2014 3,072 917 25.00% 1,662 8.46% 294 22.30% 335,008 4.26% 2012-2013 2,534 761 28.49% 1,561 7.93% 230 48.26% 332,989 4.89% 2011-2012 2,939 886 20.86% 1,313 8.34% 284 27.83% 331,745 5.28% 2010-2011 3,147 950 21.42% 1,432 8.58% 316 19.38% 331,298 5.42% 2009-2010 2,999 908 20.01% 1,232 7.97% 296 25.28% 330,440 5.70% 2008-2009 2,607 791 20.21% 1,065 7.48% 245 44.11% 329,418 6.03%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Marion County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 21.96% 76.34% 1.70% Professional Certificate Type

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

Physician (not a Psychiatrist) 56.85% Physician (Psychiatrist) 8.97% Licensed Clinical Social Worker 6.18% Licensed Mental Health Counselor 17.58% Clinical Psychologist 1.21% Psychiatric Nurse 3.64% Licensed Marriage and Family Therapist 0.36% Physician Assistant 0.97% Multiple Professional Types Reported 1.33% Not Reported 2.91%

The majority of Marion County residents who received an involuntary examination were seen at The Centers (CSU/CCSU) (63.43%) and The Vines Hospital (21.19%).

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Baker Act Reporting Center FY17/18 Annual Report 71

County: Martin 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 (2017): o All ages: 10.90% o Under 18: 15.60%

• Median Household Income (2017) = $55,588 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $37.80 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 16.1 17.1 6.21%

Children (< 18) 5.1 10.5 105.88% Older Adults (65+) 11.6 15.2 31.03%

Counts and rates of involuntary examinations for residents of Martin County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 1,072 701 20.34% 1,172 8.02% 189 N/A 153,022 N/A 2016-2017 808 536 17.70% 770 8.54% 156 32.67% 150,870 1.43% 2015-2016 855 570 14.39% 655 8.65% 171 25.38% 150,062 1.97% 2014-2015 960 646 15.94% 822 10.52% 238 11.67% 148,585 2.99% 2013-2014 788 532 14.59% 608 10.03% 191 36.04% 148,077 3.34% 2012-2013 893 607 12.21% 574 11.31% 246 20.04% 147,203 3.95% 2011-2012 775 528 12.52% 501 10.84% 208 38.32% 146,689 4.32% 2010-2011 763 521 9.83% 384 10.09% 193 40.50% 146,318 4.58% 2009-2010 704 489 9.23% 344 10.09% 175 52.27% 143,856 6.37% 2008-2009 589 409 11.54% 355 9.00% 131 82.00% 143,868 6.36%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Martin County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 52.99% 45.06% 1.96% Professional Certificate Type

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

Physician (not a Psychiatrist) 63.91% Physician (Psychiatrist) 3.70% Licensed Clinical Social Worker 5.28% Licensed Mental Health Counselor 12.85% Clinical Psychologist 0.18% Psychiatric Nurse 1.41% Licensed Marriage and Family Therapist 0.70% Physician Assistant 0.00% Multiple Professional Types Reported 2.29% Not Reported 9.68%

The majority of Martin County residents who received an involuntary examination were seen at Coral Shores Behavioral Health (37.03%), New Horizons of the Treasure Coast (CSU/CCSU) (34.33%), and Treasure Coast Behavioral Healthcare at St. Lucie Medical Center (16.04%).

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Baker Act Reporting Center FY17/18 Annual Report 72

County: Miami-Dade 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 (2017): o All ages: 19.00% o Under 18: 25.40%

• Median Household Income (2017) = $46,338 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $24.50 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 9.0 8.7 -3.33%

Children (< 18) 1.0 1.2 20.00% Older Adults (65+) 16.6 16.8 1.20%

Counts and rates of involuntary examinations for residents of Miami-Dade County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 28,630 1,044 8.23% 571 11.86% 782 N/A 2,743,095 N/A 2016-2017 28,611 1,059 8.52% 598 11.18% 763 0.07% 2,700,794 1.57% 2015-2016 27,072 1,020 8.72% 585 10.48% 702 5.76% 2,653,934 3.36% 2014-2015 25,582 979 9.74% 614 10.21% 662 11.91% 2,613,692 4.95% 2013-2014 23,944 927 10.21% 605 10.92% 692 19.57% 2,582,375 6.22% 2012-2013 20,353 798 9.89% 502 11.53% 636 40.67% 2,551,290 7.52% 2011-2012 15,852 630 11.60% 463 10.83% 477 80.61% 2,516,537 9.00% 2010-2011 15,767 632 10.10% 402 9.51% 426 81.58% 2,496,435 9.88% 2009-2010 17,172 695 11.43% 459 9.51% 471 66.72% 2,472,344 10.95% 2008-2009 16,446 664 9.84% 377 10.15% 485 74.08% 2,477,289 10.73%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Miami-Dade County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 48.86% 48.46% 2.69% Professional Certificate Type

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

Physician (not a Psychiatrist) 63.33% Physician (Psychiatrist) 16.01% Licensed Clinical Social Worker 5.40% Licensed Mental Health Counselor 6.95% Clinical Psychologist 0.77% Psychiatric Nurse 1.05% Licensed Marriage and Family Therapist 0.06% Physician Assistant 0.57% Multiple Professional Types Reported 1.01% Not Reported 4.84%

The majority of Miami-Dade County residents who received an involuntary examination were seen at Jackson Memorial Hospital (19.35%), Palmetto General Hospital (7.62%), Mount Sinai Medical Center (7.02%), Southern Winds Hospital (6.55%), North Shore Medical Center (6.33%), Community Health of South Florida (6.06%), and Larkin Community Hospital (5.80%).

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Baker Act Reporting Center FY17/18 Annual Report 73

County: Monroe 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 (2017): o All ages: 12.70% o Under 18: 16.70%

• Median Household Income (2017) = $63,030 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $92.00 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 17.6 25.9 47.16%

Children (< 18) 0* 0* 0% Older Adults (65+) 27.4 29.8 8.76%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Monroe County

Counts and rates of involuntary examinations for residents of Monroe County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 649 844 5.70% 461 7.09% 272 N/A 76,889 N/A 2016-2017 711 935 4.64% 415 6.05% 266 -8.72% 76,047 1.11% 2015-2016 524 706 5.15% 349 4.96% 170 23.85% 74,206 3.62% 2014-2015 459 620 3.49% 202 6.75% 208 41.39% 74,044 3.84% 2013-2014 440 598 5.00% 279 6.36% 199 47.50% 73,560 4.53% 2012-2013 486 667 5.14% 320 3.91% 141 33.54% 72,897 5.48% 2011-2012 465 640 7.96% 473 3.66% 132 39.57% 72,670 5.81% 2010-2011 463 633 8.86% 525 3.89% 144 40.17% 73,090 5.20% 2009-2010 420 539 6.43% 278 5.24% 158 54.52% 77,925 -1.33% 2008-2009 507 666 7.89% 420 2.96% 115 28.01% 76,081 1.06%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Monroe County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 61.94% 36.21% 1.85% Professional Certificate Type

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

Physician (not a Psychiatrist) 70.65% Physician (Psychiatrist) 2.99% Licensed Clinical Social Worker 13.18% Licensed Mental Health Counselor 5.22% Clinical Psychologist 0.25% Psychiatric Nurse 1.00% Licensed Marriage and Family Therapist 1.24% Physician Assistant 2.24% Multiple Professional Types Reported 1.00% Not Reported 2.24%

The majority of Monroe County residents who received an involuntary examination were seen at Guidance/Care Center (48.84%) and DePoo Hospital (Lower Keys Medical Center) (34.51%).

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Baker Act Reporting Center FY17/18 Annual Report 74

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

• Percentage of population living below the poverty level (2017): o All ages: 11.40% o Under 18: 16.40%

• Median Household Income (2017) = $64,294 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $56.20 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 19.8 16.3 -17.63%

Children (< 18) 0* 0* 0% Older Adults (65+) 7.0 23.5 235.71%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Nassau County

Counts and rates of involuntary examinations for residents of Nassau County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 579 720 21.07% 1,027 3.97% 137 N/A 80,456 N/A 2016-2017 557 716 21.36% 1,027 5.57% 196 3.95% 77,841 3.36% 2015-2016 407 532 21.13% 748 4.42% 120 42.26% 76,536 5.12% 2014-2015 396 526 15.91% 551 3.79% 106 46.21% 75,321 6.82% 2013-2014 252 338 30.16% 656 5.56% 105 129.8% 74,661 7.76% 2012-2013 234 317 35.90% 723 6.84% 125 147.4% 73,745 9.10% 2011-2012 205 278 39.02% 677 4.88% 81 182.4% 73,684 9.19% 2010-2011 181 247 31.49% 478 3.31% 50 219.9% 73,314 9.74% 2009-2010 252 347 21.83% 463 5.16% 112 129.8% 72,588 10.84% 2008-2009 275 382 14.18% 326 3.64% 90 110.6% 71,915 11.88%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Nassau County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 34.89% 64.59% 0.52% Professional Certificate Type

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

Physician (not a Psychiatrist) 72.28% Physician (Psychiatrist) 2.48% Licensed Clinical Social Worker 0.50% Licensed Mental Health Counselor 10.89% Clinical Psychologist 1.49% Psychiatric Nurse 0.99% Licensed Marriage and Family Therapist 0.50% Physician Assistant 0.00% Multiple Professional Types Reported 1.49% Not Reported 9.41%

The majority of Nassau County residents who received an involuntary examination were seen at Mental Health Resource Center - North (31.61%), Baptist Medical Center Jacksonville (Baptist Health Center) (17.79%), Mental Health Resource Center - North CCSU (17.62%), UF Health Jacksonville (Shands Jacksonville Healthcare) (9.84%), and Wekiva Springs Center (7.08%).

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Baker Act Reporting Center FY17/18 Annual Report 75

County: Okaloosa 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 (2017): o All ages: 11.50% o Under 18: 16.60%

• Median Household Income (2017) = $59,955 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $39.80 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 13.1 23.6 80.15%

Children (< 18) 6.7 6.7 0% Older Adults (65+) 17.8 26.0 46.07%

Counts and rates of involuntary examinations for residents of Okaloosa County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 1,750 895 21.83% 1,239 3.89% 213 N/A 195,488 N/A 2016-2017 1,828 948 19.09% 1,143 5.58% 331 -4.27% 192,925 1.33% 2015-2016 1,692 882 19.68% 1,094 5.50% 310 3.43% 191,898 1.87% 2014-2015 1,718 901 16.88% 942 6.87% 404 1.86% 190,666 2.53% 2013-2014 1,676 890 14.92% 823 5.85% 353 4.42% 188,349 3.79% 2012-2013 1,518 811 8.96% 452 6.79% 380 15.28% 187,280 4.38% 2011-2012 1,644 905 12.96% 734 5.47% 347 6.45% 181,679 7.60% 2010-2011 1,466 811 15.42% 785 5.25% 305 19.37% 180,822 8.11% 2009-2010 1,209 616 20.02% 744 3.14% 139 44.75% 196,237 -0.38% 2008-2009 1,430 724 15.52% 669 4.83% 259 22.38% 197,597 -1.07%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Okaloosa County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 68.57% 27.31% 4.11% Professional Certificate Type

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

Physician (not a Psychiatrist) 84.67% Physician (Psychiatrist) 1.25% Licensed Clinical Social Worker 5.33% Licensed Mental Health Counselor 3.75% Clinical Psychologist 0.58% Psychiatric Nurse 1.67% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.92% Multiple Professional Types Reported 0.50% Not Reported 1.33%

The majority of Okaloosa County residents who received an involuntary examination were seen at Fort Walton Beach Medical Center (64.11%), Baptist Hospital (20.06%), and Emerald Coast Behavioral Hospital (6.40%).

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Baker Act Reporting Center FY17/18 Annual Report 76

County: Okeechobee 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 (2017): o All ages: 22.30% o Under 18: 34.00%

• Median Household Income (2017) = $39,059 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $54.80 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 20.1 14.5 -27.86%

Children (< 18) 0* 0* 0% Older Adults (65+) 14.3 13.1 -8.39%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Okeechobee County

Counts and rates of involuntary examinations for residents of Okeechobee County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 479 1,164 28.81% 1,980 6.26% 400 N/A 41,140 N/A 2016-2017 376 921 29.79% 1,611 9.31% 475 27.39% 40,806 0.82% 2015-2016 359 896 28.41% 1,482 4.18% 208 33.43% 40,052 2.72% 2014-2015 279 701 26.88% 1,089 5.02% 197 71.68% 39,828 3.29% 2013-2014 364 915 28.30% 1,493 4.67% 246 31.59% 39,762 3.47% 2012-2013 298 749 19.46% 841 5.70% 247 60.74% 39,805 3.35% 2011-2012 297 745 21.55% 926 6.40% 278 61.28% 39,870 3.19% 2010-2011 362 905 19.06% 996 7.18% 383 32.32% 39,996 2.86% 2009-2010 321 809 25.23% 1,120 7.17% 335 49.22% 39,703 3.62% 2008-2009 293 732 19.80% 795 4.44% 188 63.48% 40,003 2.84%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Okeechobee County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 60.75% 37.79% 1.46% Professional Certificate Type

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

Physician (not a Psychiatrist) 69.42% Physician (Psychiatrist) 2.75% Licensed Clinical Social Worker 2.41% Licensed Mental Health Counselor 19.93% Clinical Psychologist 0.34% Psychiatric Nurse 2.41% Licensed Marriage and Family Therapist 0.69% Physician Assistant 0.34% Multiple Professional Types Reported 0.34% Not Reported 1.37%

The majority of Okeechobee County residents who received an involuntary examination were seen at New Horizons of the Treasure Coast (CSU/CCSU) (63.26%), Lawnwood Regional Medical Center and Heart Institute/Lawnwood Pavilion (13.78%), and Treasure Coast Behavioral Healthcare at St. Lucie Medical Center (10.23%).

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Baker Act Reporting Center FY17/18 Annual Report 77

County: Orange 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 (2017): o All ages: 16.70% o Under 18: 23.40%

• Median Household Income (2017) = $51,586 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $26.80 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 10.4 11.1 6.73%

Children (< 18) 2.4 1.4 -41.67% Older Adults (65+) 9.3 20.2 117.20%

Counts and rates of involuntary examinations for residents of Orange County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 11,825 900 14.68% 789 4.99% 390 N/A 1,313,880 N/A 2016-2017 11,058 864 14.54% 750 4.68% 360 6.94% 1,280,387 2.62% 2015-2016 11,061 883 13.75% 725 4.75% 384 6.91% 1,252,396 4.91% 2014-2015 10,772 877 14.83% 758 4.63% 381 9.78% 1,227,995 6.99% 2013-2014 10,712 890 14.23% 737 4.28% 371 10.39% 1,202,978 9.22% 2012-2013 9,841 837 14.92% 727 4.45% 369 20.16% 1,175,941 11.73% 2011-2012 9,450 817 13.96% 663 4.22% 348 25.13% 1,157,342 13.53% 2010-2011 9,310 812 13.64% 648 3.77% 316 27.01% 1,145,956 14.65% 2009-2010 8,864 799 15.20% 671 3.58% 302 33.40% 1,108,882 18.49% 2008-2009 7,942 712 16.05% 626 3.56% 271 48.89% 1,114,979 17.84%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Orange County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 47.91% 50.84% 1.25% Professional Certificate Type

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

Physician (not a Psychiatrist) 63.95% Physician (Psychiatrist) 11.70% Licensed Clinical Social Worker 5.61% Licensed Mental Health Counselor 15.27% Clinical Psychologist 1.02% Psychiatric Nurse 0.60% Licensed Marriage and Family Therapist 0.19% Physician Assistant 0.16% Multiple Professional Types Reported 0.48% Not Reported 1.01%

The majority of Orange County residents who received an involuntary examination were seen at Aspire Health Partners (27.05%), Central Florida Behavioral Hospital (16.90%), South Seminole Hospital (14.13%), University Behavioral Center (10.15%), Aspire Health Partners (Lakeside Behavioral Healthcare) (7.53%), Florida Hospital - Orlando (6.81%), and Aspire Health Partners (Lakeside Behavioral Healthcare) CCSU (5.62%).

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Baker Act Reporting Center FY17/18 Annual Report 78

County: Osceola 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 (2017): o All ages: 17.80% o Under 18: 26.70%

• Median Household Income (2017) = $47,343 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $32.50 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 11.4 13.0 14.04%

Children (< 18) 0* 3.2 NA* Older Adults (65+) 5.5 15.6 183.64%

*Percentage change not applicable because there were no deaths classified as a suicide by the medical examiner.

Counts and rates of involuntary examinations for residents of Osceola County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 3,082 913 19.24% 957 4.32% 303 N/A 337,614 N/A 2016-2017 3,093 958 22.11% 1,149 4.62% 348 -0.36% 322,862 4.57% 2015-2016 3,151 1,022 19.64% 1,084 4.47% 369 -2.19% 308,327 9.50% 2014-2015 2,721 921 21.87% 1,078 4.96% 379 13.27% 295,553 14.23% 2013-2014 2,475 858 22.95% 1,041 4.89% 361 24.53% 288,361 17.08% 2012-2013 2,320 826 22.67% 980 4.27% 308 32.84% 280,866 20.20% 2011-2012 2,044 746 21.09% 813 3.72% 247 50.78% 273,867 23.28% 2010-2011 1,902 708 19.61% 709 4.63% 297 62.04% 268,685 25.65% 2009-2010 1,776 651 20.44% 664 3.32% 205 73.54% 272,788 23.76% 2008-2009 1,614 590 24.97% 725 4.34% 247 90.95% 273,709 23.35%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Osceola County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 50.10% 48.15% 1.75% Professional Certificate Type

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

Physician (not a Psychiatrist) 70.79% Physician (Psychiatrist) 6.67% Licensed Clinical Social Worker 4.99% Licensed Mental Health Counselor 11.14% Clinical Psychologist 1.10% Psychiatric Nurse 1.49% Licensed Marriage and Family Therapist 0.26% Physician Assistant 0.26% Multiple Professional Types Reported 0.91% Not Reported 2.40%

The majority of Osceola County residents who received an involuntary examination were seen at Park Place Behavioral Health Care (CSU/CCSU) (40.82%), Osceola Regional Medical Center (28.91%), and Central Florida Behavioral Hospital (9.83%).

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Baker Act Reporting Center FY17/18 Annual Report 79

County: Palm Beach 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 (2017): o All ages: 13.40% o Under 18: 20.30%

• Median Household Income (2017) = $57,256 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $39.40 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 17.3 14.1 -18.50%

Children (< 18) 2.5 2.0 -20.00% Older Adults (65+) 24.8 16.7 -32.66%

Counts and rates of involuntary examinations for residents of Palm Beach County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 9,392 664 18.54% 866 9.24% 264 N/A 1,414,144 N/A 2016-2017 9,290 668 17.36% 812 9.06% 263 1.10% 1,391,741 1.61% 2015-2016 9,550 693 16.07% 777 8.93% 272 -1.65% 1,378,417 2.59% 2014-2015 9,595 705 16.45% 797 9.34% 291 -2.12% 1,360,238 3.96% 2013-2014 9,081 675 15.75% 723 10.16% 311 3.42% 1,345,652 5.09% 2012-2013 8,763 656 16.00% 709 9.31% 279 7.18% 1,335,415 5.90% 2011-2012 8,261 623 15.80% 661 9.39% 269 13.69% 1,325,758 6.67% 2010-2011 7,938 601 10.73% 430 8.92% 248 18.32% 1,320,134 7.12% 2009-2010 7,824 608 10.30% 403 9.05% 255 20.04% 1,287,344 9.85% 2008-2009 8,119 627 11.57% 461 8.18% 239 15.68% 1,294,654 9.23%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Palm Beach County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 52.07% 45.99% 1.95% Professional Certificate Type

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

Physician (not a Psychiatrist) 73.44% Physician (Psychiatrist) 8.85% Licensed Clinical Social Worker 4.15% Licensed Mental Health Counselor 2.88% Clinical Psychologist 2.33% Psychiatric Nurse 3.15% Licensed Marriage and Family Therapist 0.02% Physician Assistant 0.33% Multiple Professional Types Reported 0.43% Not Reported 4.42%

The majority of Palm Beach County residents who received an involuntary examination were seen at JFK Medical Center North Campus (West Palm Hospital) (40.06%), Delray Medical Center (13.01%), South County Mental Health Center (11.39%), The Jerome Golden Center for Behavioral Health (West Palm Beach) (10.03%), St. Mary's Medical Center (7.92%), and JFK Medical Center (6.42%).

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Baker Act Reporting Center FY17/18 Annual Report 80

County: Pasco 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 (2017): o All ages: 13.60% o Under 18: 17.90%

• Median Household Income (2017) = $48,289 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $23.10 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 23.7 18.7 -21.10%

Children (< 18) 0* 4.0 NA* Older Adults (65+) 29.1 19.8 -31.96%

*Percentage change not applicable because there were no deaths classified as a suicide by the medical examiner. Counts and rates of involuntary examinations for residents of Pasco County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 6,253 1,236 23.97% 1,962 7.13% 390 N/A 505,709 N/A 2016-2017 5,662 1,142 21.99% 1,653 6.11% 312 10.44% 495,868 1.98% 2015-2016 5,925 1,215 21.22% 1,688 7.26% 399 5.54% 487,588 3.72% 2014-2015 5,467 1,141 21.51% 1,592 7.23% 383 14.38% 479,340 5.50% 2013-2014 5,124 1,082 19.73% 1,375 6.26% 323 22.03% 473,566 6.79% 2012-2013 4,687 1,000 19.76% 1,270 6.57% 314 33.41% 468,562 7.93% 2011-2012 4,435 951 19.39% 1,183 7.03% 321 40.99% 466,533 8.40% 2010-2011 4,809 1,035 18.30% 1,207 7.51% 375 30.03% 464,697 8.83% 2009-2010 4,390 998 17.74% 1,145 7.13% 301 42.44% 439,786 14.99% 2008-2009 4,162 949 18.72% 1,136 6.90% 276 50.24% 438,668 15.28%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Pasco County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 40.00% 57.54% 2.46% Professional Certificate Type

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

Physician (not a Psychiatrist) 81.85% Physician (Psychiatrist) 5.24% Licensed Clinical Social Worker 2.64% Licensed Mental Health Counselor 4.08% Clinical Psychologist 1.44% Psychiatric Nurse 1.16% Licensed Marriage and Family Therapist 0.28% Physician Assistant 0.64% Multiple Professional Types Reported 0.28% Not Reported 2.40%

The majority of Pasco County residents who received an involuntary examination were seen at Morton Plant North Bay Hospital Recovery Center (26.72%), Medical Center of Trinity - West Pasco Campus (24.26%), North Tampa Behavioral Health (12.38%), and BayCare Behavioral Health (11.91%).

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Baker Act Reporting Center FY17/18 Annual Report 81

County: Pinellas 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 (2017): o All ages: 13.70% o Under 18: 20.20%

• Median Household Income (2017) = $48,968 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $55.80

Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 20.8 18.5 -11.06%

Children (< 18) 0.8 2.6 225.00% Older Adults (65+) 25.1 21.8 -13.15%

Counts and rates of involuntary examinations for residents of Pinellas County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 13,058 1,357 18.48% 2,059 8.52% 477 N/A 962,003 N/A 2016-2017 13,251 1,388 16.67% 1,896 8.85% 517 -1.46% 954,569 0.78% 2015-2016 11,914 1,261 17.26% 1,777 9.27% 503 9.60% 944,971 1.80% 2014-2015 10,651 1,141 21.21% 1,932 10.25% 507 22.60% 933,258 3.08% 2013-2014 10,382 1,120 20.93% 1,845 9.76% 490 25.78% 926,610 3.82% 2012-2013 10,016 1,088 19.48% 1,651 8.44% 418 30.37% 920,381 4.52% 2011-2012 9,967 1,085 17.25% 1,437 9.26% 466 31.01% 918,496 4.74% 2010-2011 8,989 981 17.76% 1,324 8.69% 402 45.27% 916,542 4.96% 2009-2010 8,655 930 16.85% 1,141 8.54% 370 50.87% 931,113 3.32% 2008-2009 8,080 861 17.74% 1,107 7.54% 303 61.61% 938,461 2.51%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Pinellas County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 48.12% 50.41% 1.48% Professional Certificate Type

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

Physician (not a Psychiatrist) 66.39% Physician (Psychiatrist) 6.56% Licensed Clinical Social Worker 8.36% Licensed Mental Health Counselor 8.39% Clinical Psychologist 3.61% Psychiatric Nurse 3.29% Licensed Marriage and Family Therapist 0.19% Physician Assistant 1.53% Multiple Professional Types Reported 0.27% Not Reported 1.42%

The majority of Pinellas County residents who received an involuntary examination were seen at Personal Enrichment Through Mental Health Services (22.26%), Largo Medical Center/Indian Rocks (15.88%), St. Anthony's Hospital (11.10%), Mease Dunedin Hospital (9.17%), Personal Enrichment Through Mental Health Services CCSU (5.81%), and Windmoor Healthcare of Clearwater (5.19%).

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Baker Act Reporting Center FY17/18 Annual Report 82

County: Polk 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 (2017): o All ages: 17.30% o Under 18: 27.00%

• Median Household Income (2017) = $45,988 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $42.30 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 13.1 14.9 13.74%

Children (< 18) 0.9 0* -100.00% Older Adults (65+) 16.6 19.6 18.07%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Polk County

Counts and rates of involuntary examinations for residents of Polk County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 7,648 1,156 22.75% 1,599 7.30% 420 N/A 661,645 N/A 2016-2017 7,160 1,107 20.67% 1,387 6.28% 351 6.82% 646,989 2.27% 2015-2016 7,122 1,125 24.21% 1,645 5.34% 307 7.39% 633,052 4.52% 2014-2015 7,448 1,195 24.81% 1,780 5.56% 346 2.69% 623,174 6.17% 2013-2014 6,909 1,125 24.74% 1,657 6.73% 406 10.70% 613,950 7.77% 2012-2013 5,342 880 22.97% 1,203 7.02% 333 43.17% 606,888 9.02% 2011-2012 5,766 953 21.00% 1,178 7.89% 413 32.64% 604,792 9.40% 2010-2011 3,658 608 19.87% 707 5.85% 198 109.1% 602,095 9.89% 2009-2010 5,588 956 18.06% 1,007 8.72% 457 36.86% 584,343 13.23% 2008-2009 5,189 886 17.31% 884 7.73% 380 47.39% 585,733 12.96%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Polk County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 34.78% 64.24% 0.98% Professional Certificate Type

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

Physician (not a Psychiatrist) 74.55% Physician (Psychiatrist) 6.84% Licensed Clinical Social Worker 3.01% Licensed Mental Health Counselor 8.76% Clinical Psychologist 0.45% Psychiatric Nurse 2.44% Licensed Marriage and Family Therapist 0.08% Physician Assistant 1.02% Multiple Professional Types Reported 0.60% Not Reported 2.26%

The majority of Polk County residents who received an involuntary examination were seen at Lakeland Regional Medical Center (32.53%), Peace River Center (CSU/CCSU) (28.23%), and Winter Haven Hospital (15.48%).

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Baker Act Reporting Center FY17/18 Annual Report 83

County: Putnam Putnam County is in the Department’s Northeast region and Florida Judicial Circuit 7. Lutheran Services Florida is the Managing Entity for Putnam County.

• Percentage of population living below the poverty level (2017): o All ages: 27.60% o Under 18: 44.20%

• Median Household Income (2017) = $33,619 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $57.20 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 19.3 24.6 27.46%

Children (< 18) 0* 8.7 NA* Older Adults (65+) 13.4 43.7 226.12%

*Percentage change not applicable because there were no deaths classified as a suicide by the medical examiner.

Counts and rates of involuntary examinations for residents of Putnam County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 641 876 22.93% 1,288 5.93% 241 N/A 73,176 N/A 2016-2017 561 769 22.82% 1,123 5.88% 214 14.26% 72,972 0.28% 2015-2016 517 711 24.37% 1,102 6.19% 213 23.98% 72,756 0.58% 2014-2015 545 751 24.40% 1,168 4.22% 156 17.61% 72,523 0.90% 2013-2014 430 592 21.40% 797 6.05% 182 49.07% 72,605 0.79% 2012-2013 423 578 17.02% 615 8.98% 267 51.54% 73,158 0.02% 2011-2012 404 546 17.82% 602 6.93% 197 58.66% 74,052 -1.18% 2010-2011 492 662 17.07% 694 5.89% 206 30.28% 74,364 -1.60% 2009-2010 453 607 12.14% 437 5.30% 165 41.50% 74,608 -1.92% 2008-2009 424 565 10.61% 350 5.19% 152 51.18% 74,989 -2.42%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Putnam County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 46.49% 50.70% 2.81% Professional Certificate Type

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

Physician (not a Psychiatrist) 81.21% Physician (Psychiatrist) 4.70% Licensed Clinical Social Worker 4.03% Licensed Mental Health Counselor 3.69% Clinical Psychologist 0.34% Psychiatric Nurse 1.68% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 0.67% Not Reported 3.69%

The majority of Putnam County residents who received an involuntary examination were seen at Flagler Hospital (20.75%), North Florida Regional Medical Center (17.00%), Meridian Behavioral Health Care (Gainesville) (CSU/CCSU) (11.23%), Halifax Health Child and Adolescent Behavioral Services (Halifax Psychiatric Center-North) (10.61%), UF Health Shands Psychiatric Hospital (6.71%), Meridian Behavioral Health Care (Lake City) (CSU/CCSU) (5.77%), and Memorial Hospital of Jacksonville (5.15%).

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Baker Act Reporting Center FY17/18 Annual Report 84

County: Saint Johns Saint Johns County is in the Department’s Northeast region and Florida Judicial Circuit 7. Lutheran Services Florida is the Managing Entity for Saint Johns County.

• Percentage of population living below the poverty level (2017):o All ages: 9.1% o Under 18: 9.3%

• Median Household Income (2017) = $73,640 (statewide = $50,883)• County Public Health Department Expenditures Per Person (2017) = $21.60Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 19.6 20.9 6.63%

Children (< 18) 2.8 2.6 -7.14%Older Adults (65+) 38.1 20.3 -46.72%

Counts and rates of involuntary examinations for residents of Saint Johns County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 995 433 16.18% 9.15% N/A 229,715 N/A 2016-2017 906 411 18.87% 464 5.30% 118 9.82% 220,257 4.29% 2015-2016 865 405 21.85% 523 5.43% 123 15.03% 213,566 7.56% 2014-2015 854 412 21.55% 525 6.09% 144 16.51% 207,443 10.74% 2013-2014 875 434 22.29% 564 5.14% 133 13.71% 201,541 13.98% 2012-2013 901 460 19.20% 509 5.77% 161 10.43% 196,071 17.16% 2011-2012 990 513 14.65% 428 7.47% 238 0.51% 192,852 19.11% 2010-2011 982 517 18.23% 530 6.72% 222 1.32% 190,039 20.88% 2009-2010 932 508 15.88% 503 6.76% 215 6.76% 183,572 25.14% 2008-2009 851 470 17.86% 515 6.93% 207 16.92% 181,180 26.79%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showingFY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Saint Johns County Residents by Initiator Type

Professional Certificate Law Enforcement Ex Parte Order

Total 51.46% 45.13% 3.42% Professional Certificate Type

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

Physician (not a Psychiatrist) 67.77% Physician (Psychiatrist) 7.03% Licensed Clinical Social Worker 9.77% Licensed Mental Health Counselor 7.42% Clinical Psychologist 0.39% Psychiatric Nurse 4.69% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.59% Multiple Professional Types Reported 0.39% Not Reported 1.95%

The majority of Saint Johns County residents who received an involuntary examination were seen at Flagler Hospital (56.38%), River Point Behavioral Health (9.95%), and Halifax Health Child and Adolescent Behavioral Services (Halifax Psychiatric Center-North) (5.73%).

422 211

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Baker Act Reporting Center FY17/18 Annual Report 85

County: Saint Lucie Saint Lucie County is in the Southeast Department 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 (2017):o All ages: 16.6% o Under 18: 24.6%

• Median Household Income (2017) = $47,132 (statewide = $50,883)• County Public Health Department Expenditures Per Person (2017) = $44.10Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 16.2 16.0 -1.23%

Children (< 18) 0* 4.5 NA* Older Adults (65+) 20.8 25.5 22.60%

*Percentage change not applicable because there were no deaths classified as a suicide by the medical examiner.Counts and rates of involuntary examinations for residents of Saint Lucie County are shown for ten fiscal years in Table A for allages, children, and older adults. Involuntary examination rates for children and older adults are based on age specific populationtotals, not the Total County Population All Ages. Percent change in population is based on comparisons to 2017 county populationtotals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 3,476 1,168 21.03% 4.92% N/A 297,634 N/A 2016-2017 3,099 1,058 15.46% 1,055 5.49% 272 12.17% 292,826 1.64% 2015-2016 2,860 994 15.35% 979 6.50% 307 21.54% 287,749 3.44% 2014-2015 3,021 1,068 16.19% 1,097 6.69% 343 15.06% 282,821 5.24% 2013-2014 2,945 1,047 15.55% 1,020 8.01% 414 18.03% 281,151 5.86% 2012-2013 2,876 1,026 15.96% 1,016 7.65% 389 20.86% 280,355 6.16% 2011-2012 2,632 941 14.55% 844 7.75% 364 32.07% 279,696 6.41% 2010-2011 2,572 926 13.80% 779 9.60% 446 35.15% 277,789 7.14% 2009-2010 2,166 794 15.14% 753 8.96% 324 60.48% 272,864 9.08% 2008-2009 2,109 763 13.37% 627 7.97% 280 64.82% 276,585 7.61%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used forthe row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details abouthow to interpret information in this table.Table B: FY17/18 Involuntary Examinations for Saint Lucie County Residents by Initiator Type

Professional Certificate Law Enforcement Ex Parte Order

Total 54.00% 44.28% 1.73% Professional Certificate Type

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

Physician (not a Psychiatrist) 70.54% Physician (Psychiatrist) 3.25% Licensed Clinical Social Worker 4.95% Licensed Mental Health Counselor 16.20% Clinical Psychologist 0.27% Psychiatric Nurse 0.64% Licensed Marriage and Family Therapist 0.11% Physician Assistant 0.11% Multiple Professional Types Reported 0.91% Not Reported 3.04%

The majority of Saint Lucie County residents who received an involuntary examination were seen at New Horizons of the Treasure Coast (CSU/CCSU) (43.99%), Treasure Coast Behavioral Healthcare at St. Lucie Medical Center (22.87%), and Lawnwood Regional Medical Center and Heart Institute/Lawnwood Pavilion (20.17%).

1,593 267

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Baker Act Reporting Center FY17/18 Annual Report 86

County: Santa Rosa 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 (2017):o All ages: 11.30% o Under 18: 16.10%

• Median Household Income (2017) = $62,731 (statewide = $50,883)• County Public Health Department Expenditures Per Person (2017) = $29.50Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 19.9 18.0 -9.55%

Children (< 18) 3.6 3.5 -2.78%Older Adults (65+) 17.7 7.6 -57.06%

Counts and rates of involuntary examinations for residents of Santa Rosa County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 1,109 649 30.48% 1,189 7.66% 327 N/A 170,835 N/A 2016-2017 1,245 745 26.99% 1,202 6.51% 328 -10.9% 167,009 2.29% 2015-2016 1,165 715 21.89% 928 6.09% 303 -4.81% 162,925 4.85% 2014-2015 1,113 697 19.86% 817 6.65% 329 -0.36% 159,785 6.92% 2013-2014 1,007 640 10.63% 397 7.15% 337 10.13% 157,317 8.59% 2012-2013 951 612 10.62% 376 6.52% 300 16.61% 155,390 9.94% 2011-2012 980 633 15.51% 560 5.31% 258 13.16% 154,901 10.29% 2010-2011 938 620 18.44% 640 6.18% 298 18.23% 151,372 12.86% 2009-2010 843 583 18.74% 611 5.81% 269 31.55% 144,508 18.22% 2008-2009 907 629 20.07% 694 6.17% 313 22.27% 144,136 18.52%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showingFY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Santa Rosa County Residents by Initiator Type

Professional Certificate Law Enforcement Ex Parte Order

Total 50.95% 46.71% 2.34% Professional Certificate Type

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

Physician (not a Psychiatrist) 72.39% Physician (Psychiatrist) 1.42% Licensed Clinical Social Worker 7.08% Licensed Mental Health Counselor 10.09% Clinical Psychologist 0.35% Psychiatric Nurse 1.77% Licensed Marriage and Family Therapist 0.00% Physician Assistant 4.25% Multiple Professional Types Reported 0.35% Not Reported 2.30%

The majority of Santa Rosa County residents who received an involuntary examination were seen at Baptist Hospital (58.79%), West Florida Regional Medical Center (25.34%), and Fort Walton Beach Medical Center (9.74%).

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Baker Act Reporting Center FY17/18 Annual Report 87

County: Sarasota 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 (2017): o All ages: 10.50% o Under 18: 16.70%

• Median Household Income (2017) = $55,236 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $82.30 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 16.5 21.6 30.91%

Children (< 18) 4.5 2.3 -48.89% Older Adults (65+) 13.1 23.6 80.15%

Counts and rates of involuntary examinations for residents of Sarasota County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 3,323 816 19.59% 1,436 10.98% 263 N/A 407,260 N/A 2016-2017 3,363 842 20.70% 1,553 9.90% 248 -1.19% 399,538 1.93% 2015-2016 3,548 905 19.08% 1,528 9.08% 247 -6.34% 392,090 3.87% 2014-2015 3,171 819 21.73% 1,586 10.91% 274 4.79% 387,140 5.20% 2013-2014 3,234 839 19.14% 1,405 10.39% 273 2.75% 385,292 5.70% 2012-2013 2,719 709 20.49% 1,252 13.09% 293 22.21% 383,664 6.15% 2011-2012 2,528 663 19.90% 1,126 11.87% 251 31.45% 381,319 6.80% 2010-2011 2,513 662 18.90% 1,053 9.87% 210 32.23% 379,448 7.33% 2009-2010 2,309 593 14.90% 743 11.65% 219 43.92% 389,320 4.61% 2008-2009 2,138 543 17.49% 788 13.70% 238 55.43% 393,608 3.47%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Sarasota County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 47.49% 49.83% 2.68% Professional Certificate Type

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

Physician (not a Psychiatrist) 62.42% Physician (Psychiatrist) 5.70% Licensed Clinical Social Worker 12.80% Licensed Mental Health Counselor 13.81% Clinical Psychologist 1.58% Psychiatric Nurse 1.27% Licensed Marriage and Family Therapist 0.25% Physician Assistant 0.19% Multiple Professional Types Reported 0.13% Not Reported 1.84%

The majority of Sarasota County residents who received an involuntary examination were seen at Sarasota Memorial Hospital (Bayside Center for Behavioral) (45.29%) and Coastal Behavioral Healthcare (37.86%

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Baker Act Reporting Center FY17/18 Annual Report 88

County: Seminole 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 (2017): o All ages: 11.80% o Under 18: 15.30%

• Median Household Income (2017) = $60,739 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $20.40 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 12.1 12.5 3.31%

Children (< 18) 2.8 1.4 -50.00% Older Adults (65+) 6.6 11.5 74.24%

Counts and rates of involuntary examinations for residents of Seminole County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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

2017/2018

Total County Population

All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 3,071 675 21.07% 885 6.45% 295 N/A 454,757 N/A 2016-2017 3,178 708 24.42% 1,071 5.57% 274 -3.37% 449,124 1.25% 2015-2016 3,135 708 25.17% 1,099 5.39% 273 -2.04% 442,903 2.68% 2014-2015 3,230 739 24.61% 1,096 5.29% 283 -4.92% 437,086 4.04% 2013-2014 3,100 719 23.77% 1,016 5.29% 290 -0.94% 431,074 5.49% 2012-2013 3,008 703 20.84% 860 4.82% 265 2.09% 428,104 6.23% 2011-2012 2,854 672 21.83% 849 4.77% 259 7.60% 424,587 7.11% 2010-2011 2,633 623 22.14% 790 5.01% 260 16.64% 422,718 7.58% 2009-2010 2,466 582 19.95% 667 5.47% 280 24.53% 423,759 7.32% 2008-2009 2,199 516 19.87% 581 5.64% 260 39.65% 426,413 6.65%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Seminole County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 33.44% 65.03% 1.53% Professional Certificate Type

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

Physician (not a Psychiatrist) 74.00% Physician (Psychiatrist) 8.76% Licensed Clinical Social Worker 2.73% Licensed Mental Health Counselor 7.30% Clinical Psychologist 0.29% Psychiatric Nurse 3.12% Licensed Marriage and Family Therapist 0.39% Physician Assistant 0.68% Multiple Professional Types Reported 1.07% Not Reported 1.66%

The majority of Seminole County residents who received an involuntary examination were seen at South Seminole Hospital (35.88%), Aspire Health Partners (Seminole Behavioral Healthcare) (23.09%), University Behavioral Center (12.76%), and Central Florida Behavioral Hospital (7.49%).

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Baker Act Reporting Center FY17/18 Annual Report 89

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

• Percentage of population living below the poverty level (2017): o All ages: 9.20% o Under 18: 22.30%

• Median Household Income (2017) = $54,771 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $24.60 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 17.8 13.7 -23.03%

Children (< 18) 0* 0* 0% Older Adults (65+) 13.9 15.8 13.67%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Sumter County

Counts and rates of involuntary examinations for residents of Sumter County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 590 489 17.46% 1,351 12.71% 119 N/A 120,700 N/A 2016-2017 497 419 18.11% 1,205 15.49% 126 18.71% 118,577 1.79% 2015-2016 466 403 21.46% 1,383 16.09% 128 26.61% 115,657 4.36% 2014-2015 480 432 19.79% 1,363 15.83% 141 22.92% 111,125 8.62% 2013-2014 417 397 17.03% 1,052 17.99% 154 41.49% 105,104 14.84% 2012-2013 367 366 16.35% 925 15.53% 125 60.76% 100,198 20.46% 2011-2012 352 364 13.35% 745 13.92% 115 67.61% 96,615 24.93% 2010-2011 339 363 12.09% 654 14.45% 121 74.04% 93,420 29.20% 2009-2010 306 321 12.75% 361 14.71% 150 92.81% 95,326 26.62% 2008-2009 286 307 13.99% 375 8.74% 86 106.3% 93,034 29.74%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Sumter County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 31.19% 64.92% 3.90% Professional Certificate Type

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

Physician (not a Psychiatrist) 69.57% Physician (Psychiatrist) 5.43% Licensed Clinical Social Worker 0.54% Licensed Mental Health Counselor 9.24% Clinical Psychologist 0.54% Psychiatric Nurse 7.61% Licensed Marriage and Family Therapist 0.54% Physician Assistant 2.17% Multiple Professional Types Reported 0.54% Not Reported 3.80%

The majority of Sumter County residents who received an involuntary examination were seen at Life Stream Behavioral Center (82.20%).

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Baker Act Reporting Center FY17/18 Annual Report 90

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

• Percentage of population living below the poverty level (2017): o All ages: 20.40% o Under 18: 35.30%

• Median Household Income (2017) = $40,600 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $40.10 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 20.3 29.2 43.84%

Children (< 18) 0* 29.2 NA* Older Adults (65+) 46.8 44.0 -5.98%

*Percentage change not applicable because there were no deaths classified as a suicide by the medical examiner.

Counts and rates of involuntary examinations for residents of Suwannee County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County Population

All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 490 1,096 35.10% 2,463 4.49% 235 N/A 44,690 N/A 2016-2017 477 1,076 26.21% 1,798 3.98% 209 2.73% 44,349 0.77% 2015-2016 501 1,127 28.74% 2,065 4.79% 269 -2.20% 44,452 0.54% 2014-2015 401 908 27.43% 1,602 7.48% 347 22.19% 44,168 1.18% 2013-2014 265 604 23.40% 898 10.57% 337 84.91% 43,873 1.86% 2012-2013 201 459 8.46% 246 7.96% 195 143.8% 43,796 2.04% 2011-2012 150 347 9.33% 202 14.67% 274 226.7% 43,215 3.41% 2010-2011 243 585 11.93% 422 3.70% 115 101.7% 41,551 7.55% 2009-2010 253 629 11.07% 449 9.49% 306 93.68% 40,230 11.09% 2008-2009 231 564 10.82% 407 6.93% 210 112.1% 40,927 9.19%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Suwannee County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 26.33% 72.24% 1.43% Professional Certificate Type

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

Physician (not a Psychiatrist) 71.32% Physician (Psychiatrist) 8.53% Licensed Clinical Social Worker 5.43% Licensed Mental Health Counselor 10.85% Clinical Psychologist 0.00% Psychiatric Nurse 0.78% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 0.00% Not Reported 3.10%

The majority of Suwannee County residents who received an involuntary examination were seen at Meridian Behavioral Health Care (Lake City) (CSU/CCSU) (66.53%), North Florida Regional Medical Center (10.00%), and UF Health Shands Psychiatric Hospital (7.14%).

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Baker Act Reporting Center FY17/18 Annual Report 91

County: Taylor 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 (2017): o All ages: 16.40% o Under 18: 21.30%

• Median Household Income (2017) = $37,188 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $98.40 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 17.5 27.0 54.29%

Children (< 18) 0* 0* 0% Older Adults (65+) 0* 23.5 NA*

*Percentage change not applicable because there were no deaths classified as a suicide by the medical examiner. Counts and rates of involuntary examinations for residents of Taylor County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 181 812 24.86% 1,440 5.52% 221 N/A 22,295 N/A 2016-2017 177 787 23.16% 1,320 4.52% 183 2.26% 22,478 -0.81% 2015-2016 184 806 18.48% 1,091 6.52% 282 -1.63% 22,824 -2.32% 2014-2015 121 528 15.70% 608 3.31% 98 49.59% 22,932 -2.78% 2013-2014 97 421 25.77% 799 5.15% 129 86.60% 23,018 -3.14% 2012-2013 86 376 17.44% 480 2.33% 53 110.5% 22,898 -2.63% 2011-2012 123 547 10.57% 417 5.69% 192 47.15% 22,500 -0.91% 2010-2011 124 549 14.52% 570 4.03% 142 45.97% 22,570 -1.22% 2009-2010 108 466 15.74% 487 0.93% 30 67.59% 23,164 -3.75% 2008-2009 107 461 13.08% 388 1.87% 61 69.16% 23,199 -3.90%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table. Table B: FY17/18 Involuntary Examinations for Taylor County Residents by Initiator Type

Professional Certificate Law Enforcement Ex Parte Order

Total 33.70% 59.67% 6.63% Professional Certificate Type

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

Physician (not a Psychiatrist) 68.85% Physician (Psychiatrist) 8.20% Licensed Clinical Social Worker 1.64% Licensed Mental Health Counselor 6.56% Clinical Psychologist 0.00% Psychiatric Nurse 4.92% Licensed Marriage and Family Therapist 1.64% Physician Assistant 4.92% Multiple Professional Types Reported 0.00% Not Reported 3.28%

The majority of Taylor County residents who received an involuntary examination were seen at Apalachee Center (CSU) (44.20%), Tallahassee Memorial Hospital (21.55%), Capital Regional Medical Center (16.57%), and Eastside Psychiatric Hospital (11.05%).

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Baker Act Reporting Center FY17/18 Annual Report 92

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

• Percentage of population living below the poverty level (2017): o All ages: 21.40% o Under 18: 32.30%

• Median Household Income (2017) = $37,460 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $144.50 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 6.4 25.2 293.75%

Children (< 18) 0* 0* 0% Older Adults (65+) 0* 0* 0%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Union County

Counts and rates of involuntary examinations for residents of Union County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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

2017/2018

Total County Population

All Ages

% Change in Population All Ages to 2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 112 702 18.75% 1,019 5.36% 309 N/A 15,947 N/A 2016-2017 128 806 25.78% 1,574 5.47% 369 -12.5% 15,887 0.38% 2015-2016 92 578 23.91% 1,035 1.09% 54 21.74% 15,918 0.18% 2014-2015 108 690 26.85% 1,364 4.63% 283 3.70% 15,647 1.92% 2013-2014 73 471 35.62% 1,224 4.11% 179 53.42% 15,483 3.00% 2012-2013 94 606 19.15% 836 5.32% 305 19.15% 15,510 2.82% 2011-2012 39 252 15.38% 279 5.13% 125 187.2% 15,473 3.06% 2010-2011 65 418 13.85% 412 1.54% 64 72.31% 15,535 2.65% 2009-2010 74 475 20.27% 630 2.70% 148 51.35% 15,576 2.38% 2008-2009 48 300 12.50% 249 4.17% 151 133.3% 15,974 -0.17%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Union County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 33.93% 64.29% 1.79% Professional Certificate Type

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

Physician (not a Psychiatrist) 42.11% Physician (Psychiatrist) 13.16% Licensed Clinical Social Worker 13.16% Licensed Mental Health Counselor 7.89% Clinical Psychologist 15.79% Psychiatric Nurse 0.00% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 0.00% Not Reported 7.89%

The majority of Union County residents who received an involuntary examination were seen at Meridian Behavioral Health Care (Lake City) (CSU/CCSU) (47.32%), North Florida Regional Medical Center (19.64%), and UF Health Shands Psychiatric Hospital (16.96%).

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Baker Act Reporting Center FY17/18 Annual Report 93

County: Volusia Volusia County is in the Department’s Northeast region and Florida Judicial Circuit 7. Lutheran Services Florida is the Managing Entity for Volusia County.

• Percentage of population living below the poverty level (2017): o All ages: 16.10% o Under 18: 24.00%

• Median Household Income (2017) = $43,838 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $37.70 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 21.0 23.4 11.43%

Children (< 18) 7.4 1.5 -79.73% Older Adults (65+) 26.9 17.4 -35.32%

Counts and rates of involuntary examinations for residents of Volusia County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in

Population All Ages to

2017

Exams Rate Per 100,000 Exams Rate Per

100,000 Exams Rate Per 100,000

2017-2018 4,544 868 22.56% 1,468 9.84% 362 N/A 523,405 N/A 2016-2017 4,164 805 21.37% 1,287 7.56% 263 9.13% 517,411 1.16% 2015-2016 3,812 747 23.61% 1,319 6.61% 217 19.20% 510,494 2.53% 2014-2015 3,795 753 22.40% 1,247 9.17% 306 19.74% 503,851 3.88% 2013-2014 3,695 741 21.79% 1,181 9.26% 313 22.98% 498,978 4.90% 2012-2013 4,145 834 17.68% 1,071 9.38% 361 9.63% 497,145 5.28% 2011-2012 4,317 871 17.84% 1,118 9.38% 382 5.26% 495,400 5.65% 2010-2011 4,550 920 17.76% 1,172 8.15% 356 -0.13% 494,593 5.83% 2009-2010 4,107 810 18.16% 1,029 6.89% 259 10.64% 507,105 3.21% 2008-2009 3,852 754 18.56% 962 6.20% 220 17.96% 510,750 2.48%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Volusia County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 33.65% 63.95% 2.40% Professional Certificate Type

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

Physician (not a Psychiatrist) 55.13% Physician (Psychiatrist) 12.23% Licensed Clinical Social Worker 6.54% Licensed Mental Health Counselor 4.51% Clinical Psychologist 2.94% Psychiatric Nurse 7.65% Licensed Marriage and Family Therapist 0.85% Physician Assistant 0.98% Multiple Professional Types Reported 0.98% Not Reported 8.18%

The majority of Volusia County residents who received an involuntary examination were seen at Halifax Health Medical Center (32.70%), SMA Behavioral Health Services (31.98%), and Halifax Health Child and Adolescent Behavioral Services (Halifax Psychiatric Center-North) (21.76%).

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Baker Act Reporting Center FY17/18 Annual Report 94

County: Wakulla 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 (2017): o All ages: 12.60% o Under 18: 15.90%

• Median Household Income (2017) = $57,866 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $78.30 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 19.2 24.9 29.69%

Children (< 18) 0* 0* 0% Older Adults (65+) 25.0 43.6 74.40%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Wakulla County

Counts and rates of involuntary examinations for residents of Wakulla County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 359 1,125 42.62% 2,943 5.57% 459 N/A 31,909 N/A 2016-2017 240 760 32.92% 1,539 2.92% 169 49.58% 31,599 0.98% 2015-2016 245 783 39.18% 1,883 7.76% 478 46.53% 31,283 2.00% 2014-2015 235 751 45.96% 2,121 7.23% 435 52.77% 31,285 1.99% 2013-2014 165 535 36.36% 1,180 3.64% 163 117.6% 30,869 3.37% 2012-2013 112 364 19.64% 426 9.82% 305 220.5% 30,771 3.70% 2011-2012 156 505 21.15% 636 7.69% 344 130.1% 30,877 3.34% 2010-2011 153 497 22.22% 656 1.96% 90 134.6% 30,776 3.68% 2009-2010 179 563 13.97% 511 5.03% 225 100.6% 31,791 0.37% 2008-2009 130 423 17.69% 460 4.62% 154 176.2% 30,717 3.88%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Wakulla County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 42.34% 54.04% 3.62% Professional Certificate Type

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

Physician (not a Psychiatrist) 30.26% Physician (Psychiatrist) 15.79% Licensed Clinical Social Worker 35.53% Licensed Mental Health Counselor 7.89% Clinical Psychologist 1.32% Psychiatric Nurse 5.92% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.66% Multiple Professional Types Reported 0.66% Not Reported 1.97%

The majority of Wakulla County residents who received an involuntary examination were seen at Apalachee Center (CSU) (41.78%), Tallahassee Memorial Hospital (33.70%), Capital Regional Medical Center (13.93%), and Eastside Psychiatric Hospital (6.96%).

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Baker Act Reporting Center FY17/18 Annual Report 95

County: Walton 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 (2017): o All ages: 17.00% o Under 18: 30.90%

• Median Household Income (2017) = $50,619 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $97.90 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 15.0 18.3 22.00%

Children (< 18) 11.5 10.7 -6.96% Older Adults (65+) 18.3 15.6 -14.75%

Counts and rates of involuntary examinations for residents of Walton County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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 2017/2018

Total County

Population All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 372 570 20.70% 796 5.91% 182 N/A 65,301 N/A 2016-2017 369 586 18.70% 739 6.78% 218 0.81% 62,943 3.75% 2015-2016 307 506 16.94% 577 5.86% 166 21.17% 60,687 7.60% 2014-2015 336 562 16.37% 615 9.52% 308 10.71% 59,793 9.21% 2013-2014 345 597 13.33% 534 8.12% 287 7.83% 57,779 13.02% 2012-2013 356 625 11.24% 474 7.87% 294 4.49% 56,965 14.63% 2011-2012 340 613 12.94% 539 6.47% 240 9.41% 55,450 17.77% 2010-2011 341 620 16.13% 690 7.33% 280 9.09% 55,043 18.64% 2009-2010 253 437 20.16% 612 2.77% 65 47.04% 57,917 12.75% 2008-2009 324 561 14.81% 566 6.48% 199 14.81% 57,784 13.01%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Walton County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 45.16% 47.31% 7.53% Professional Certificate Type

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

Physician (not a Psychiatrist) 82.14% Physician (Psychiatrist) 2.38% Licensed Clinical Social Worker 0.00% Licensed Mental Health Counselor 12.50% Clinical Psychologist 0.00% Psychiatric Nurse 0.00% Licensed Marriage and Family Therapist 0.00% Physician Assistant 1.19% Multiple Professional Types Reported 0.60% Not Reported 1.19%

The majority of Walton County residents who received an involuntary examination were seen at Fort Walton Beach Medical Center (67.20%), Baptist Hospital (15.86%), and Emerald Coast Behavioral Hospital (8.60%).

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County: Washington 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 (2017): o All ages: 21.00% o Under 18: 28.50%

• Median Household Income (2017) = $36,989 (statewide = $50,883) • County Public Health Department Expenditures Per Person (2017) = $88.00 Suicide Rates (2014 and 2017):

Age Group 2014 Suicide Rate per 100,000 2017 Suicide Rate per 100,000 % Change in Suicide Rate All Ages 16.0 20.1 25.63%

Children (< 18) 0* 0* 0% Older Adults (65+) 23.8 22.6 -5.04%

* Zero indicates that no deaths were classified as a suicide by the medical examiner for Washington County

Counts and rates of involuntary examinations for residents of Washington County are shown for ten fiscal years in Table A 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 All Ages. Percent change in population is based on comparisons to 2017 county population totals.

Table A: 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

2017/2018

Total County Population

All Ages

% Change in Population All Ages to

2017 Exams Rate Per

100,000 Exams Rate Per 100,000 Exams Rate Per

100,000

2017-2018 162 648 37.04% 1,611 4.94% 183 N/A 24,985 N/A 2016-2017 180 723 22.78% 1,100 2.78% 117 -10.0% 24,888 0.39% 2015-2016 203 813 19.70% 1,072 3.45% 167 -20.2% 24,975 0.04% 2014-2015 174 697 23.56% 1,086 4.60% 194 -6.90% 24,959 0.10% 2013-2014 158 637 22.78% 950 7.59% 300 2.53% 24,793 0.77% 2012-2013 177 710 20.34% 941 2.26% 102 -8.47% 24,922 0.25% 2011-2012 161 653 11.18% 469 8.07% 332 0.62% 24,638 1.41% 2010-2011 155 623 16.77% 680 5.16% 209 4.52% 24,896 0.36% 2009-2010 158 639 15.82% 641 5.06% 199 2.53% 24,721 1.07% 2008-2009 154 621 17.53% 675 12.99% 501 5.19% 24,779 0.83%

*Population estimates are available by calendar year only. This means that calendar year 2017 population estimates were used for the row showing FY17/18 data, 2016 for the row for FY16/15 data and so on. Please refer to page 24 for additional details about how to interpret information in this table.

Table B: FY17/18 Involuntary Examinations for Washington County Residents by Initiator Type Professional Certificate Law Enforcement Ex Parte Order

Total 21.60% 71.60% 6.79% Professional Certificate Type

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

Physician (not a Psychiatrist) 68.57% Physician (Psychiatrist) 5.71% Licensed Clinical Social Worker 2.86% Licensed Mental Health Counselor 17.14% Clinical Psychologist 2.86% Psychiatric Nurse 2.86% Licensed Marriage and Family Therapist 0.00% Physician Assistant 0.00% Multiple Professional Types Reported 0.00% Not Reported 0.00%

The majority of Washington County residents who received an involuntary examination were seen at Emerald Coast Behavioral Hospital (48.15%), Life Management Center of Northwest Florida (CSU/CCSU) (33.33%), and Capital Regional Medical Center (8.02%).

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Appendix A: Baker Act Receiving Facility List

Receiving facilities are listed alphabetically within each of the Department’s regions. 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 MH3118) and assists with our data processing. Some facilities have both Crisis Stabilization Units (CSUs) and Children’s Crisis Stabilization Units (CCSUs). Separate FMHI#s are assigned to CSUs and CCSUs to assist with our data processing and analysis. The three VA facilities that submitted forms to the Baker Act Reporting Center are included in this 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 201 Aspire Health Partners Orlando Orange 9th Central Florida Cares Health System Public

71 Aspire Health Partners Orlando Orange 9th Central Florida Cares Health System Public 176 Aspire Health Partners CCSU Orlando Orange 9th Central Florida Cares Health System Public 114 Aspire Health Partners 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 Melbourne Brevard 18th Central Florida Cares Health System Public 153 Circles of Care CCSU (Harbor Pines) Melbourne Brevard 18th Central Florida Cares Health System Public

46 Florida Hospital - Orlando Orlando Orange 9th Central Florida Cares Health System Private 69 Florida Hospital Heartland Medical Center Lake Placid Lake Placid Highlands 10th Central Florida Behavioral Health Network Public

203 Lake Wales Medical Center Lake Wales Polk 10th Central Florida Behavioral Health Network Public 70 Lakeland Regional Medical Center Lakeland Polk 10th Central Florida Behavioral Health Network Public 78 Life Stream Behavioral Center Leesburg Lake 5th Lutheran Services Florida Public

197 Osceola Regional Medical Center Kissimmee Osceola 9th Central Florida Cares Health System Private 90 Park Place Behavioral Health Care (CSU/CCSU) Kissimmee Osceola 9th Central Florida Cares Health System Public

107 Peace River Center (CSU/CCSU) Bartow Polk 10th Central Florida Behavioral Health Network Public 120 South Seminole Hospital Longwood Seminole 18th Central Florida Cares Health System Private

51 Springbrook Hospital Brooksville Hernando 5th Lutheran Services Florida Private 151 Steward Rockledge Hospital Rockledge Brevard 18th Central Florida Cares Health System Private

82 The Centers (CSU/CCSU) Ocala Marion 5th Lutheran Services Florida Public 179 The Vines Hospital Ocala Marion 5th Lutheran Services Florida Private 139 University Behavioral Center Orlando Orange 9th Central Florida Cares Health System Public 205 Veterans 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

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FMHI # Receiving Facility City County Judicial

Circuit Managing Entity Facility Type

Northeast Region 6 Baptist Medical Center Jacksonville Jacksonville Duval 4th Lutheran Services Florida Private

44 Flagler Hospital St. Augustine Saint Johns 7th Lutheran Services Florida Public 54 Halifax Health Child and Adolescent Behavioral Services Daytona Beach Volusia 7th Lutheran Services Florida Public 55 Halifax Health Medical Center Daytona Beach Volusia 7th Lutheran Services Florida Private

185 Memorial Hospital of Jacksonville Jacksonville Duval 4th Lutheran Services Florida Private 88 Mental Health Resource Center - North Jacksonville Duval 4th Lutheran Services Florida Public

172 Mental Health Resource Center - North CCSU Jacksonville Duval 4th Lutheran Services Florida Public 89 Mental Health Resource Center - South Jacksonville Duval 4th Lutheran Services Florida Public 91 Meridian Behavioral Health Care (CSU/CCSU) Gainesville Alachua 8th Lutheran Services Florida Public

158 Meridian Behavioral Health Care (CSU/CCSU) Lake City Columbia 3rd Big Bend Community Based Care Public 101 North Florida Reception Center Lake Butler Union 8th Lutheran Services Florida Private 194 North Florida Regional Medical Center Gainesville Alachua 8th Lutheran Services Florida Private

64 Orange Park Medical Center Orange Park Clay 4th Lutheran Services Florida Private 125 River Point Behavioral Health Jacksonville Duval 4th Lutheran Services Florida Private

2 SMA Behavioral Health Services Daytona Beach Volusia 7th Lutheran Services Florida Public 140 UF Health Jacksonville Jacksonville Duval 4th Lutheran Services Florida Private 117 UF Health Shands Hospital Gainesville Alachua 8th Lutheran Services Florida Private 116 UF Health Shands Psychiatric Hospital Gainesville Alachua 8th Lutheran Services Florida Private 192 Wekiva Springs Center Jacksonville Duval 4th Lutheran Services Florida Private

Northwest Region 4 Apalachee Center (CSU/CCSU) 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 77 Life Management Center of Northwest Florida (CSU/CCSU) 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

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Baker Act Reporting Center FY17/18 Annual Report 99

FMHI # Receiving Facility City County Judicial

Circuit Managing Entity Facility Type

Southeast Region 36 Atlantic Shores Hospital Ft. Lauderdale Broward 17th Broward Behavioral Health Coalition Private 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 SE Florida Behavioral Health Network Private 43 Delray Medical Center Delray Beach Palm Beach 15th SE Florida Behavioral Health Network Private 48 Florida Medical Center - A Campus of North Shore Ft. Lauderdale Broward 17th Broward Behavioral Health Coalition Private 38 Fort Lauderdale Hospital Ft. Lauderdale Broward 17th Broward Behavioral Health Coalition Private 15 Henderson Behavioral Health Ft. Lauderdale Broward 17th Broward Behavioral Health Coalition Public 18 Indian River Memorial Hospital Vero Beach Indian River 19th SE Florida Behavioral Health Network Private

189 JFK Medical Center Atlantis Palm Beach 15th SE Florida Behavioral Health Network Private 65 JFK Medical Center North Campus (West Palm Hospital) West Palm Beach Palm Beach 15th SE 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/Lawnwood Pavilion Ft. Pierce Saint Lucie 19th SE Florida Behavioral Health Network Private 85 Memorial Regional Hospital Hollywood Broward 17th Broward Behavioral Health Coalition Public 99 New Horizons of the Treasure Coast (CSU/CCSU) Ft. Pierce Saint Lucie 19th SE 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 Saint Lucie 19th SE Florida Behavioral Health Network Private 118 South County Mental Health Center Delray Beach Palm Beach 15th SE Florida Behavioral Health Network Public 128 St. Mary's Medical Center West Palm Beach Palm Beach 15th SE Florida Behavioral Health Network Private 147 The Jerome Golden Center (CSU/CCSU) Belle Glades Palm Beach 15th SE Florida Behavioral Health Network Public

1 The Jerome Golden Center for Behavioral Health W. Palm Beach Palm Beach 15th SE Florida Behavioral Health Network Public 188 Treasure Coast Behavioral Healthcare Port St Lucie Saint Lucie 19th SE Florida Behavioral Health Network Private 141 University Hospital and Medical Center Tamarac Broward 17th Broward Behavioral Health Coalition Private 162 Veterans Administration Hospital - West Palm Beach W. Palm Beach Palm Beach 15th SE Florida Behavioral Health Network VA

Southern Region 3 Aventura Hospital and Medical Center Aventura Miami-Dade 11th South Florida Behavioral Health Network Private

161 Banyan Health Systems Miami Miami-Dade 11th South Florida Behavioral Health Network Public 103 Citrus Health Network Hialeah Miami-Dade 11th South Florida Behavioral Health Network Public 178 Citrus Health Network CCSU Hialeah Miami-Dade 11th South Florida Behavioral Health Network Public

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FMHI # Receiving Facility City County Judicial

Circuit Managing Entity Facility Type

Southern Region (continued) 33 Community Health of South Florida Miami Miami-Dade 11th South Florida Behavioral Health Network Public 45 DePoo Hospital Key West Monroe 16th South Florida Behavioral Health Network Private 52 Guidance/Care Center Marathon Monroe 16th South Florida Behavioral Health Network Public

206 Hialeah Hospital Hialeah Miami-Dade 11th South Florida Behavioral Health Network Private 79 Jackson Community Mental Health Center Opa Locka Miami-Dade 11th South Florida Behavioral Health Network Public 67 Jackson Memorial Hospital Miami Miami-Dade 11th South Florida Behavioral Health Network Public 41 Jackson South Community 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 92 Mercy Hospital A Campus of Plantation General Hospital 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 119 South Florida Reception Center Miami 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 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 202 Bayfront Health Punta Gorda 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 (CSU/CCSU) Bradenton Manatee 12th Central Florida Behavioral Health Network Public 181 Centerstone of Florida (Manatee Glens Hospital) Bradenton Manatee 12th Central Florida Behavioral Health Network Private

20 Charlotte Behavioral Health Care (CSU/CCSU) Punta Gorda Charlotte 20th Central Florida Behavioral Health Network Public 32 Coastal Behavioral Healthcare Sarasota Sarasota 12th Central Florida Behavioral Health Network Public

175 Coastal Behavioral Healthcare CCSU Sarasota Sarasota 12th Central Florida Behavioral Health Network Public 40 David Lawrence Mental Health Center (CSU/CCSU) Naples Collier 20th Central Florida Behavioral Health Network Public

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

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Baker Act Reporting Center FY17/18 Annual Report 101

FMHI # Receiving Facility City County Judicial

Circuit Managing Entity Facility Type

SunCoast Region (continued) 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

170 Mental Health Care (Gracepoint) CCSU 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 Pinellas Park Pinellas 6th Central Florida Behavioral Health Network Public 174 Personal Enrichment Through Mental Health Services CCSU Pinellas Park Pinellas 6th Central Florida Behavioral Health Network Public 159 Riverside Behavioral Center Punta Gorda Charlotte 20th Central Florida Behavioral Health Network Private

76 SalusCare Fort Myers Lee 20th Central Florida Behavioral Health Network Public 177 SalusCare CCSU 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 Hospitals 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 Veterans Administration Hospital - Bay Pines Bay Pines Pinellas 6th Central Florida Behavioral Health Network VA 63 Windmoor Healthcare of Clearwater Clearwater Pinellas 6th Central Florida Behavioral Health Network Private

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Baker Act Reporting Center FY17/18 Annual Report 102

Appendix B: 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 Office of Economic and Demographic Research Retrieved from EDR- Historical County Population Totals and FL KIDS COUNT: http://edr.state.fl.us/Content/population-demographics/data/index-floridaproducts.cfm on 10/17/2018.

Indicator: Percentage of individuals living below the poverty level (2017) Source: American Communities Survey- 5-year estimates Retrieved from Florida Health Charts: http://www.flhealthcharts.com/charts/OtherIndicators/NonVitalIndDataViewer.aspx?cid=294 on 1/9/2019.

Indicator: Percentage of individuals under 18 living below the poverty level (2017) Source: US Census Bureau Retrieved from Florida Health Charts: http://www.flhealthcharts.com/charts/OtherIndicators/NonVitalIndRateOnlyDataViewer.aspx?cid=0295 on 1/9/2019.

Indicator: Median household income (2017) Source: American Communities Survey 5-Year estimates Retrieved from Florida Health Charts: http://www.flhealthcharts.com/charts/OtherIndicators/NonVitalIndGrpDataViewer.aspx?cid=293 on 1/9/2019.

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 5/13/2019.

Indicator: County public health department expenditures in dollars, per person (2017) Source: Florida Department of Health Retrieved from Florida Health Charts: http://www.flhealthcharts.com/charts/OtherIndicators/NonVitalIndNoGrpDataViewer.aspx?cid=0333 on 1/9/2019.

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Baker Act Reporting Center FY17/18 Annual Report 103

Appendix C: Deaths by Suicide in Florida: Additional Details

While rates per 100,000 population for deaths by suicide and involuntary examinations were positively and significantly correlated at the state level (Table C1), this same relationship was not seen in all counties (Table C2). Additional analyses of data from more counties, and more in depth analyses than have been conducted for this report will allow us to further understand the complicated relationship between deaths by suicide and involuntary examination.

Table C1: Rates Per 100,000 Population for Deaths by Suicide and Involuntary Examinations 2008-2017

Mean Standard Deviation

Minimum Maximum n Pearson r

Correlation All Ages r p Suicide Rate Per 100,000 15.12 .42 14.6-15.8 10 .71 < .05 Involuntary Examination Rate Per 100,000 877.60 109.07 711-1,005 10 Children Suicide Rate Per 100,000 1.79 .40 1.3-2.4 10 .92 < .01 Involuntary Examination Rate Per 100,000 937.80 189.541 664-1,186 10 Older Adults Suicide Rate Per 100,000 19.50 1.30 17.5-21.3 10 .78 < .01 Involuntary Examination Rate Per 100,000 354.90 32.70 292-390 10

Table C2: County Level Correlations of Rates Per 100,000 of Suicide and Involuntary Examinations 2008-2017

County n Pearson Correlation r p

Broward All Ages 10 -.52 not

statistically signficant

Children 10 .04 Older Adults 10 -.25 Duval All Ages 10 .07 not

statistically signficant

Children 10 -.01 Older Adults 10 .27 Hillsborough All Ages 10 .22 not

statistically signficant

Children 10 .16 Older Adults 10 .43 Orange All Ages 10 -.36 not

statistically signficant

Children 10 .39 Older Adults 10 -.14

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Baker Act Reporting Center FY17/18 Annual Report 104

Variability

The rates of suicide per 100,000 population for 2014 and 2017 shown in the county specific pages need to be interpreted with caution. Statewide rates are more stable than rates for counties, especially counties with smaller populations. Trends in the data over longer periods than three years are more indicative of patterns of deaths by suicide.

Figure C1: Rates of Deaths by Suicide – All Ages - Statewide

14.6 15.3 14.6 14.6 15.3 15.0 15.1 15.8 15.4 15.5

0

10

20

30

40

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Rate

of D

eath

by

Suic

ide

Per 1

00,0

00 P

opul

atio

n

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Baker Act Reporting Center FY17/18 Annual Report 105

Smaller counties, such as Okeechobee and Washington, show more variation than statewide for rates of suicide per 100,000 population. The 2017 populations were as follows for Okeechobee County (41,469) Washington County (24,935). The years that are chosen for comparison to each other will affect the percent change over time. For example, choosing the difference between rates per 100,000 population from 2014 to 2016 in Okeechobee County shows a decrese of 0.6 per 100,000, while the difference between 2011 and 2015 is 15.2. Neither figure provides an accurate representation of the pattern of suicide in Okeechobee County.8

Figure C1: Rates of Deaths by Suicide – All Ages – Okeechobee County Figure C2: Rates of Deaths by Suicide – All Ages – Washington County

8 The following resources about the interpretation of suicide death rates from smaller geographic areas, as well as general resources about suicide prevention, are repeated from earlier in this report for ease of reference: https://www.sprc.org/sites/default/files/migrate/library/Interpreting%20Suicide%20Data%20Special%20Considerations%20for%20Small%20Populations.pdf https://training.sprc.org/ and http://www.sprc.org/states/florida

20.0

17.5

17.5

25.1

17.6

12.6

20.1

9.9

19.5

14.5

0

10

20

30

40

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Rate

of D

eath

by

Suic

ide

Per 1

00,0

00 P

opul

atio

n

36.3

24.2

12.1

36.5

24.1

4.0

16.0

12.0

32.2

20.1

0

10

20

30

40

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Rate

of D

eath

by

Suic

ide

Per 1

00,0

00 P

opul

atio

n

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Addressing this issue fully for all counties and multiple age groups is beyond the scope of this report. However, the number of deaths by suicide and the rates per 100,000 population over multiple years and for all ages, children, and older adults are provided on the following pages so that readers of this report have easy access to this information to put the data on deaths by suicide into context for their geographic area of interest. Baker Act Reporting Center staff may be contacted to discuss further nuances in the data ([email protected], Center Director [email protected]). Counties with somewhat larger populations, such as Duval (2017 population = 942,841) and Marion (2017 population = 352,067) show variation in the rate per 100,000 population, but less so than the Okeechobee and Washington. Looking for the overall trend of the data over longer periods of time provides more usefull information than trends over shorter periods of time.

Figure C3: Rates of Deaths by Suicide – All Ages – Duval County

Figure C4: Rates of Deaths by Suicide – All Ages – Marion County

16.0

17.1

13.2

14.7

17.314.8

13.3

17.7

14.1

16.4

0

10

20

30

40

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Rate

of D

eath

by

Suic

ide

Per 1

00,0

00 P

opul

atio

n

16.718.4 18.4

20.5 20.1

22.4

18.6

22.8

18.4

23.0

0

10

20

30

40

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Rate

of D

eath

by

Suic

ide

Per 1

00,0

00 P

opul

atio

n

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Baker Act Reporting Center FY17/18 Annual Report 107

Table C1: Deaths by Suicide: All Ages

County

2010 2011 2012 2013 2014 2015 2016 2017

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Statewide 2,010 14.6 2,765 14.6 2,922 15.3 2,892 15 2,961 15.1 3,152 15.8 3,122 15.4 3,187 15.5

Alachua 33 13.3 26 10.5 35 14.2 31 12.5 37 14.7 31 12.1 32 12.4 32 12.3

Baker 4 14.8 3 11.1 3 11.1 1 3.7 5 18.5 3 11.1 5 18.5 2 7.4

Bay 30 17.8 33 19.5 37 21.8 35 20.6 43 25.1 37 21.3 45 25.5 44 24.6

Bradford 3 10.5 5 17.6 7 25.8 6 22 3 11 7 25.6 1 3.6 2 7.2

Brevard 111 20.4 103 18.9 123 22.5 126 22.9 114 20.6 139 24.7 134 23.5 141 24.4

Broward 252 14.4 233 13.3 237 13.4 210 11.7 214 11.8 220 12 243 13.1 217 11.5

Calhoun 2 13.7 4 27.2 3 20.5 0 0 1 6.9 1 6.9 2 13.7 3 20.5

Charlotte 31 19.4 29 18 35 21.4 29 17.7 28 17 37 22 38 22.2 31 17.8

Citrus 38 26.9 43 30.5 33 23.5 42 29.9 33 23.4 30 21.2 29 20.2 37 25.5

Clay 36 18.8 24 12.5 33 17.2 30 15.5 37 18.6 30 14.8 38 18.4 38 18

Collier 47 14.6 32 9.8 46 13.9 37 11.1 36 10.6 44 12.7 45 12.8 57 15.9

Columbia 11 16.3 13 19.2 10 14.8 13 19.3 14 20.6 10 14.7 9 13.1 11 15.9

Miami-Dade 221 8.8 206 8.2 222 8.7 215 8.3 235 9 261 9.8 241 8.9 241 8.7

De Soto 6 17.2 5 14.4 7 20.4 5 14.5 7 20.3 7 20.1 8 22.7 5 14.1

Dixie 4 24.4 5 30.6 3 18.4 2 12.3 4 24.4 5 30.2 2 11.9 2 11.7

Duval 114 13.2 127 14.7 151 17.3 130 14.8 119 13.3 161 17.7 131 14.1 155 16.4

Escambia 37 12.4 36 12 57 19 49 16.2 58 19 53 17.2 61 19.6 75 24

Flagler 18 18.8 15 15.6 11 11.3 17 17.3 20 20.1 26 25.5 20 19.3 31 29.2

Franklin 1 8.7 0 0 2 17.4 1 8.6 0 0 3 25.3 2 16.8 2 16.7

Gadsden 4 8.5 6 12.4 7 14.8 8 16.8 7 14.5 7 14.5 3 6.2 3 6.2

Gilchrist 3 17.7 5 29.4 5 29.5 2 11.9 4 23.7 4 23.8 3 17.8 3 17.7

Glades 4 31.1 3 23.5 1 7.9 1 7.9 3 23.3 3 23.3 4 30.5 1 7.5

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Baker Act Reporting Center FY17/18 Annual Report 108

County

2010 2011 2012 2013 2014 2015 2016 2017

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Gulf 3 19 3 19 2 12.6 3 18.5 4 24.2 7 42.8 2 12 0 0

Hamilton 5 33.8 1 6.8 4 27.1 1 6.9 2 13.9 1 6.8 2 13.6 0 0

Hardee 3 10.9 2 7.2 4 14.4 4 14.5 3 10.8 4 14.5 6 21.7 1 3.6

Hendry 2 4.9 1 2.6 2 5.3 1 2.6 5 13.2 9 23.6 5 13 5 12.9

Hernando 28 16.2 48 27.7 31 17.9 40 23 31 17.7 39 22 38 21.1 34 18.6

Highlands 19 19.2 16 16.2 18 18.2 27 27.2 23 23 18 17.8 24 23.6 27 26.3

Hillsborough 145 11.8 161 13 162 12.8 167 13 185 14.1 199 14.9 163 12 191 13.8

Holmes 4 20.1 4 20.1 8 40 3 15 4 20 3 15.1 4 20 5 24.8

Indian River 19 13.8 16 11.5 27 19.4 28 20 26 18.4 17 11.8 29 19.7 34 22.7

Jackson 3 6 7 14 10 20 5 10 7 13.9 11 21.8 3 6 9 17.9

Jefferson 2 13.6 0 0 2 13.8 1 6.9 1 6.9 3 20.7 2 13.8 1 6.9

Lafayette 2 22.6 1 11.5 1 11.6 0 0 0 0 1 11.6 0 0 0 0

Lake 55 18.5 46 15.4 50 16.6 43 14.1 49 15.7 52 16.3 52 16 87 26.1

Lee 111 17.9 103 16.4 105 16.4 100 15.5 144 21.9 121 18.1 113 16.5 114 16.3

Leon 41 14.9 29 10.5 45 16.2 36 12.9 29 10.3 33 11.6 26 9 35 12

Levy 12 29.4 8 19.7 9 22.3 12 29.7 12 29.6 12 29.7 5 12.3 7 17.1

Liberty 1 12 0 0 1 11.7 0 0 1 11.5 0 0 1 11.4 1 11.3

Madison 1 5.2 0 0 3 15.6 4 20.6 2 10.4 3 15.6 0 0 3 15.5

Manatee 58 17.9 51 15.6 49 14.8 69 20.6 57 16.7 61 17.3 81 22.5 67 18.2

Marion 61 18.4 68 20.5 67 20.1 75 22.4 63 18.6 78 22.8 64 18.4 81 23

Martin 21 14.3 39 26.6 30 20.3 32 21.6 24 16.1 22 14.6 34 22.5 26 17.1

Monroe 17 23.3 24 33 19 26 32 43.4 13 17.6 21 28.2 19 24.8 20 25.9

Nassau 15 20.4 15 20.4 17 23 19 25.4 15 19.8 18 23.4 21 26.9 13 16.3

Okaloosa 35 19.3 30 16.4 37 19.7 44 23.3 25 13.1 37 19.3 42 21.7 46 23.6

Page 112: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 Annual Report 109

County

2010 2011 2012 2013 2014 2015 2016 2017

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Okeechobee 7 17.5 10 25.1 7 17.6 5 12.6 8 20.1 4 9.9 8 19.5 6 14.5

Orange 120 10.4 113 9.7 130 11 122 10.1 128 10.4 136 10.8 126 9.8 146 11.1

Osceola 20 7.4 40 14.5 30 10.6 28 9.7 34 11.4 29 9.3 36 11 44 13

Palm Beach 189 14.3 198 14.9 205 15.3 214 15.9 236 17.3 229 16.6 230 16.5 199 14.1

Pasco 89 19.1 107 22.9 79 16.8 92 19.4 114 23.7 103 21 104 20.9 95 18.7

Pinellas 187 20.4 172 18.7 197 21.4 168 18.1 195 20.8 199 21 214 22.4 178 18.5

Polk 62 10.3 85 14 65 10.7 82 13.3 82 13.1 97 15.2 87 13.4 99 14.9

Putnam 17 22.9 10 13.5 11 15.1 17 23.4 14 19.3 12 16.5 15 20.5 18 24.6

St. Johns 42 22 26 13.4 40 20.3 42 20.7 41 19.6 40 18.6 43 19.4 48 20.9

St. Lucie 44 15.8 54 19.3 48 17.1 41 14.6 46 16.2 54 18.7 51 17.3 48 16

Santa Rosa 23 15.1 32 20.6 33 21.2 29 18.4 32 19.9 29 17.7 43 25.6 31 18

Sarasota 79 20.8 75 19.6 80 20.8 85 22 64 16.5 96 24.4 91 22.7 88 21.6

Seminole 55 13 54 12.7 54 12.6 61 14.1 53 12.1 56 12.6 71 15.8 57 12.5

Sumter 9 9.6 11 11.3 10 9.9 24 22.5 20 17.8 13 11.2 19 15.9 17 13.7

Suwannee 6 14.3 7 16.1 9 20.5 7 15.9 9 20.3 10 22.5 6 13.5 13 29.2

Taylor 4 17.8 2 8.9 3 13.1 7 30.4 4 17.5 4 17.6 4 17.9 6 27

Union 4 25.7 1 6.5 2 12.9 6 38.7 1 6.4 3 18.8 6 37.8 4 25.2

Volusia 102 20.6 102 20.6 121 24.3 105 21 106 21 124 24.2 103 19.8 123 23.4

Wakulla 5 16.2 8 25.9 7 22.8 5 16.1 6 19.2 4 12.8 7 22.1 8 24.9

Walton 11 20 16 28.7 13 22.7 13 22.3 9 15 11 18 15 23.6 12 18.3

Washington 3 12.1 9 36.5 6 24.1 1 4 4 16 3 12 8 32.2 5 20.1

Page 113: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 Annual Report 110

Table C2: Deaths by Suicide: Older Adults (65+)

County

2010 2011 2012 2013 2014 2015 2016 2017

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Statewide 580 17.5 600 18.2 670 19.9 714 20.3 741 20.3 807 21.3 816 20.7 819 20.1

Alachua 7 25.9 3 11.2 4 14.8 4 14 10 33.1 7 21.9 9 27 8 23.1

Baker 1 33.3 2 67.3 1 32.6 0 0 1 29.8 1 28.8 0 0 0 0

Bay 3 12.1 8 32.4 7 27.7 5 19 5 18.4 6 21.3 11 37.9 13 43.4

Bradford 2 48.3 0 0 1 24.6 1 22.3 0 0 2 41.6 0 0 0 0

Brevard 22 19.7 26 23.3 30 26.4 29 24.5 35 28.6 35 27.5 28 21.4 41 30.6

Broward 52 20.4 33 13.1 51 20.1 44 16.8 58 21.3 48 17 54 18.5 44 14.5

Calhoun 1 43.7 0 0 1 42.5 0 0 0 0 0 0 0 0 0 0

Charlotte 10 18.2 9 16.3 14 24.4 11 18.7 8 13.1 11 17.3 20 30.4 13 19.2

Citrus 12 26.5 9 19.9 11 23.9 18 37.9 10 20.5 13 26 12 23.5 16 30.7

Clay 5 22.1 4 17.7 4 17.1 4 15.8 7 25.7 7 24.3 10 33 6 18.8

Collier 12 13.9 6 6.9 8 8.9 15 15.9 9 9.2 16 15.7 19 17.9 17 15.3

Columbia 3 28.5 4 38.2 2 18.7 6 54.5 3 26.1 3 25.4 2 16.6 1 8.1

Miami-Dade 57 15.8 50 14 70 19.2 57 15.1 64 16.4 76 18.8 76 18 74 16.8

De Soto 0 0 2 32.2 2 31.9 1 15.4 3 45.1 3 43.7 3 42.2 1 13.7

Dixie 1 31.2 2 62.5 0 0 1 29.5 2 57.2 3 82.3 0 0 0 0

Duval 15 15.3 20 20.7 20 20.2 28 26.8 16 14.5 28 24.1 19 15.6 21 16.5

Escambia 2 4.6 6 13.9 7 16 8 17.6 15 32 8 16.5 13 25.9 14 27.2

Flagler 5 21.2 2 8.4 2 8.2 3 11.5 6 22 9 31.2 2 6.6 7 22.2

Franklin 0 0 0 0 0 0 0 0 0 0 0 0 1 39.3 1 37.9

Gadsden 0 0 0 0 3 46.5 2 29.2 1 14 4 53.5 0 0 0 0

Gilchrist 0 0 4 138.9 1 33.8 0 0 0 0 2 61.3 0 0 1 29.1

Glades 2 70.9 1 35.6 0 0 0 0 2 60.4 1 28.9 0 0 0 0

Page 114: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 Annual Report 111

County

2010 2011 2012 2013 2014 2015 2016 2017

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Gulf 0 0 1 38.4 0 0 1 36 0 0 2 67.7 1 31.9 0 0

Hamilton 1 50.7 0 0 3 145.1 1 47.6 0 0 0 0 2 84.2 0 0

Hardee 1 27.5 0 0 0 0 1 26.1 3 75 2 49 2 47.5 0 0

Hendry 0 0 1 22.3 1 22.8 1 21.5 1 20.8 3 61.4 0 0 2 39

Hernando 6 13.4 13 29.1 9 19.9 8 17.1 10 21 10 20.5 14 27.9 8 15.7

Highlands 5 15.5 7 21.9 6 18.7 12 36.6 6 17.9 9 26.3 14 40.2 13 36.8

Hillsborough 22 14.7 31 21 29 19.4 30 18.9 32 19.2 45 25.7 31 17 44 23.1

Holmes 1 28.9 0 0 3 86.4 1 27.6 0 0 0 0 0 0 1 25.4

Indian River 3 7.9 4 10.6 6 15.6 5 12.5 12 29 9 20.7 15 32.9 10 21.1

Jackson 0 0 1 12.7 4 49.4 0 0 4 45.2 1 11 0 0 2 21.2

Jefferson 2 80.9 0 0 1 39.9 0 0 0 0 2 68.3 1 33.1 0 0

Lafayette 2 179.4 0 0 0 0 0 0 0 0 1 82.3 0 0 0 0

Lake 16 22 16 22.1 16 21.8 13 16.9 20 25 19 22.9 24 28.1 27 30.6

Lee 24 16.3 23 15.5 27 17.5 30 18.6 37 21.9 30 17 32 17.3 40 20.8

Leon 3 11.4 6 22.8 7 25.8 7 24.4 7 22.9 4 12.3 4 11.7 7 19.2

Levy 1 12.5 3 37.8 2 24.4 4 46.4 5 55.9 4 43.2 3 31.7 1 10.3

Liberty 0 0 0 0 1 108 0 0 1 99.8 0 0 0 0 1 90.8

Madison 0 0 0 0 1 32.3 0 0 1 29.7 1 29.1 0 0 0 0

Manatee 20 26.3 12 15.7 10 12.7 16 19.5 18 21.1 20 22.3 32 34.4 21 21.8

Marion 23 26.7 20 23.3 20 22.9 28 31 17 18.3 21 22 23 23.4 26 25.8

Martin 6 14.9 13 32.3 11 27 7 16.6 5 11.6 11 24.9 4 8.9 7 15.2

Monroe 6 47.5 8 64 1 7.7 7 50 4 27.4 5 32.6 2 12.5 5 29.8

Nassau 4 33.2 3 24.8 3 23.9 6 43.8 1 7 5 32.5 2 12.4 4 23.5

Okaloosa 6 23.5 5 19.5 3 11.3 7 26 5 17.8 7 24 3 10 8 26

Page 115: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 Annual Report 112

County

2010 2011 2012 2013 2014 2015 2016 2017

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Okeechobee 1 14.6 1 14.7 2 30.7 3 44.4 1 14.3 1 13.9 5 66.5 1 13.1

Orange 10 8.7 22 19.4 24 20.6 21 17.1 12 9.3 23 17 24 16.9 30 20.2

Osceola 3 9.7 7 22.9 8 24.7 5 14.5 2 5.5 5 12.7 8 19 7 15.6

Palm Beach 40 13.8 34 11.8 51 17.5 53 17.7 76 24.8 50 15.9 56 17.5 55 16.7

Pasco 14 14.4 26 26.8 17 17.2 26 25.2 31 29.1 31 28.2 28 24.8 23 19.8

Pinellas 42 21.4 37 19 35 17.7 40 19.5 53 25.1 60 27.6 49 21.9 50 21.8

Polk 21 19.1 21 19.2 14 12.6 19 16.4 20 16.6 30 24.2 18 14 26 19.6

Putnam 5 35.2 1 7.1 4 28.3 3 20.5 2 13.4 4 26 5 31.8 7 43.7

St. Johns 9 29.8 5 16.4 8 25.1 14 40.5 14 38.1 7 17.9 15 36.2 9 20.3

St. Lucie 16 28.4 11 19.7 11 19.1 16 26.6 13 20.8 11 16.8 13 19.1 18 25.5

Santa Rosa 2 10.1 7 35.2 7 34.7 5 23.3 4 17.7 6 25.2 11 43.9 2 7.6

Sarasota 16 13.4 29 24.3 29 23.9 28 22.3 17 13.1 33 24.6 33 23.7 34 23.6

Seminole 9 17.3 4 7.8 6 11.1 11 19.2 4 6.6 11 17.2 12 18 8 11.5

Sumter 3 7.3 6 14 6 12.9 13 25 8 13.9 4 6.5 9 13.7 11 15.8

Suwannee 0 0 3 37 3 37.1 3 35.9 4 46.8 4 45.7 1 11.3 4 44

Taylor 1 27.9 0 0 1 26.8 0 0 0 0 0 0 3 72.1 1 23.5

Union 0 0 0 0 1 62 1 57.7 0 0 2 101.4 2 99.4 0 0

Volusia 19 18 22 21 32 30 24 21.6 31 26.9 26 21.8 30 24.4 22 17.4

Wakulla 1 29.5 2 59.3 3 86.4 3 80.5 1 25 2 48.4 3 68.6 2 43.6

Walton 3 33.2 2 21.9 1 10.3 4 39.1 2 18.3 1 8.8 3 24.8 2 15.6

Washington 1 25.8 2 52.1 3 74.8 0 0 1 23.8 1 23.1 0 0 1 22.6

Page 116: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 Annual Report 113

Table C3: Deaths by Suicide: Children (< 18)

County

2010 2011 2012 2013 2014 2015 2016 2017

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per 100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Statewide 38 1.3 51 1.7 58 2 50 1.7 59 2 58 2 66 2.2 73 2.4

Alachua 0 0 0 0 1 3.2 2 6.5 1 3.2 2 6.3 1 3.1 4 12.3

Baker 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bay 0 0 0 0 1 3.8 0 0 1 3.8 1 3.8 0 0 0 0

Bradford 0 0 1 25.1 0 0 0 0 0 0 0 0 0 0 0 0

Brevard 2 2.5 2 2.5 2 2.5 2 2.5 2 2.5 1 1.3 2 2.5 6 7.6

Broward 3 1 4 1.4 4 1.4 3 1 2 0.7 3 1 11 3.8 3 1

Calhoun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Charlotte 0 0 1 5.7 0 0 0 0 1 5.9 1 5.9 1 6 1 6.1

Citrus 0 0 0 0 0 0 0 0 0 0 0 0 2 12.4 0 0

Clay 0 0 2 5.2 1 2.6 2 5.3 3 8 1 2.7 0 0 3 7.9

Collier 0 0 1 2.2 0 0 0 0 0 0 1 2.2 1 2.2 0 0

Columbia 0 0 1 9 1 9.1 0 0 0 0 0 0 0 0 0 0

Miami-Dade 5 1.3 4 1 7 1.8 5 1.3 4 1 4 1 6 1.5 5 1.2

De Soto 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Dixie 1 43.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Duval 0 0 2 1.4 2 1.4 0 0 4 2.8 4 2.7 1 0.7 3 2

Escambia 1 2.2 0 0 2 4.4 3 6.5 0 0 1 2.1 1 2.1 0 0

Flagler 0 0 0 0 0 0 1 7 0 0 0 0 0 0 1 7

Franklin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Gadsden 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Gilchrist 0 0 0 0 0 0 0 0 0 0 1 39 0 0 1 38.9

Glades 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Page 117: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 Annual Report 114

County

2010 2011 2012 2013 2014 2015 2016 2017

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per 100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Gulf 0 0 0 0 0 0 0 0 2 105.5 0 0 0 0 0 0

Hamilton 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hardee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hendry 0 0 0 0 0 0 0 0 0 0 1 13.3 0 0 0 0

Hernando 0 0 1 3.9 0 0 2 7.8 0 0 1 3.9 0 0 0 0

Highlands 0 0 0 0 1 7.7 0 0 0 0 0 0 1 7.6 0 0

Hillsborough 6 2.8 6 2.8 6 2.8 4 1.8 3 1.4 3 1.3 4 1.8 7 3

Holmes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Indian River 1 5.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Jackson 0 0 0 0 1 13.8 0 0 0 0 1 14.3 0 0 0 0

Jefferson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Lafayette 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Lake 0 0 1 2.2 0 0 0 0 0 0 0 0 0 0 3 6.2

Lee 3 3.4 1 1.1 2 2.2 2 2.2 4 4.4 3 3.3 2 2.2 2 2.1

Leon 0 0 1 2.5 1 2.6 1 2.6 1 2.6 0 0 0 0 2 5.1

Levy 0 0 0 0 0 0 0 0 1 16.5 0 0 0 0 0 0

Liberty 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Madison 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Manatee 0 0 0 0 0 0 0 0 1 2 1 2 3 5.9 0 0

Marion 1 2.1 2 4.2 3 6.4 0 0 2 4.3 0 0 0 0 2 4.2

Martin 0 0 0 0 0 0 2 10.2 1 5.1 0 0 0 0 2 10.5

Monroe 0 0 0 0 0 0 1 12.6 0 0 1 12.7 2 25.1 0 0

Nassau 0 0 2 16.4 1 8.4 0 0 0 0 1 8.5 0 0 0 0

Okaloosa 1 3.5 1 3.4 0 0 1 3.4 2 6.7 2 6.8 0 0 2 6.7

Page 118: The Baker Act - University of South Florida · This annual report is published on the Department’s website. Staff at the Baker Act Reporting Center at the University of South Florida

Baker Act Reporting Center FY17/18 Annual Report 115

County

2010 2011 2012 2013 2014 2015 2016 2017

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per 100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Deaths by

Suicide

Suicide Rate Per

100,000

Okeechobee 0 0 0 0 1 14.5 0 0 0 0 0 0 0 0 0 0

Orange 0 0 4 2 2 1 2 1 5 2.4 3 1.4 6 2.8 3 1.4

Osceola 0 0 0 0 1 1.8 1 1.8 0 0 1 1.7 1 1.7 2 3.2

Palm Beach 2 1 2 1 3 1.5 3 1.5 5 2.5 0 0 5 2.5 4 2

Pasco 2 2.8 2 2.7 1 1.4 0 0 0 0 2 2.7 2 2.7 3 4

Pinellas 2 1.7 3 2.5 3 2.5 2 1.7 1 0.8 5 4.2 2 1.7 3 2.6

Polk 1 1 3 2.9 2 1.9 5 4.8 1 0.9 5 4.7 2 1.8 0 0

Putnam 1 8.2 0 0 0 0 0 0 0 0 1 8.7 1 8.7 1 8.7

St. Johns 0 0 0 0 2 5.8 0 0 1 2.8 2 5.5 1 2.7 1 2.6

St. Lucie 1 2.2 0 0 3 6.6 2 4.4 0 0 0 0 3 6.8 2 4.5

Santa Rosa 0 0 0 0 0 0 0 0 1 3.6 1 3.6 2 7.1 1 3.5

Sarasota 0 0 4 8.8 1 2.2 0 0 2 4.5 0 0 2 4.5 1 2.3

Seminole 2 2.7 0 0 0 0 1 1.4 2 2.8 0 0 0 0 1 1.4

Sumter 0 0 0 0 0 0 0 0 0 0 1 15.8 0 0 0 0

Suwannee 0 0 0 0 1 14.4 0 0 0 0 0 0 0 0 2 29.2

Taylor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Union 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Volusia 1 1.5 0 0 2 2.9 2 2.9 5 7.4 2 2.9 0 0 1 1.5

Wakulla 1 19.4 0 0 0 0 1 19.8 0 0 1 20.4 0 0 0 0

Walton 0 0 0 0 0 0 0 0 1 11.5 0 0 1 11 1 10.7

Washington 1 25.7 0 0 0 0 0 0 0 0 0 0 0 0 0 0