Abstract
Abstract Objective To determine whether holding an individual suffering from a mental health crisis for a longer period under a temporary detention order (TDO) reduces the number and length of involuntary commitments. Data Source Data were obtained from the Virginia Court System and matched to Medicaid claims files between July 2008 and March 2009. The court data provides information on length of TDO and TDO hearing outcome and location of hearing. Medicaid data add information on the length of the subsequent hospital stay, as well as the patient’s primary diagnosis, age, sex, and race. Principal findings First, longer TDO periods were correlated with an increased probability of a dismissal rather hospitalization following a TDO. Second, among the individuals who were hospitalized, longer TDO periods were correlated with an increased likelihood of the individual agreeing to voluntary hospitalization. Finally, longer TDO periods were correlated with shorter post-TDO hospitalizations, although the net care time (TDO period plus post-TDO hospitalization) increased for those individuals whose TDO length was greater than 24 hours.
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