Office of Program Policy Analysis and Government Accountability
Office of Program Policy Analysis and Government Accountability

Department of Children and Families

Mental Health Hospitals

What is the purpose of the program?

The state's six mental health treatment facilities provide treatment and housing in a secure environment to persons with severe and persistent mental illness who cannot be treated in less restrictive community settings and to individuals who have a mental illness and are involved with the criminal justice system.

Who does the program serve?

The Department of Children and Families' mental health hospitals served 1,696 individuals in civil commitment and 3,311 individuals in forensic commitment during Fiscal Year 2020-21.
  • Adults Served in Civil Mental Health Treatment Facilities. Civil facilities serve individuals 18 years of age or older with severe and persistent mental illness for whom less restrictive treatment settings are not available or appropriate. Individuals may be admitted either voluntarily or involuntarily by court order. There are three civil mental health treatment facilities. The Department of Children and Families operates Florida State Hospital and Northeast Florida State Hospital. The additional civil facility, South Florida State Hospital, is operated through a contract with Wellpath Recovery Solutions.
  • Adults Served in Forensic Mental Health Treatment Facilities. Forensic facilities serve individuals charged with a felony criminal offense who are incompetent to proceed to trial and those found not guilty by reason of insanity and determined by the court to require treatment in a state mental health facility. Individuals who do not require a secure setting may be directly admitted or transferred into one of three civil hospitals. There are four maximum security facilities to serve individuals determined by the court to require treatment in a state mental health facility. DCF operates Florida State Hospital and North Florida Evaluation and Treatment Center; Wellpath Recovery Solutions operates Treasure Coast Treatment Facility and South Florida Evaluation and Treatment Center.

How well do the hospitals meet the mental health needs of their clients?

 Program Performance in Fiscal Year 2020-21

Measure Performance
Adults in forensic commitment who are not guilty by reason of insanity with improved functioning   56%
Average number of days to restore competency for adults in forensic commitment   117
Adults in civil commitment with improved functioning   63%
Number of adults on forensic admission waiting list over 15 days 1,512
Source: Long Range Program Plan, Department of Children and Families.

How are these activities funded?

State general revenue funds comprise the majority of funding for mental health treatment facilities shown below.
Fiscal Year: 2022-23
Fund Dollars Positions
PROGRAM: MENTAL HEALTH PROGRAM
MENTAL HEALTH SERVICES
427,156,445
3,045.50
TOTAL
427,156,445
3,045.50

Updates

Civil Facility Closure. The West Florida Community Care Center, a civil facility with 64 beds, closed during Fiscal Year 2020-21 and provided no beds in Fiscal Year 2021-22.

Treatment of Defendants Adjudicated Incompetent to Stand Trial. The 2022 Legislature enacted Ch. 2022-62, Laws of Florida, which revises the definition of "forensic facility" to include separate and secure facilities that, in part are contracted using funding from the Department of Children and Families (DCF) and to include a mental health facility serving forensic clients committed to the DCF that is operated by a community mental health provider through a contract that may be co-located in a county jail. This change creates additional venues where individuals deemed incompetent to stand trial due to a mental illness, but who are likely to regain competence to proceed in the foreseeable future, can receive restoration treatment.

Where can I find related OPPAGA reports?

A complete list of related OPPAGA reports is available on our website.

Where can I get more information?

Other Reports

Oversight and Administration of State Mental Health Treatment Facilities, Report 2021-043, October 2020.

The Auditor General reports on department operations are available on its website.

Websites of Interest
Louis de la Parte Florida Mental Health Institute
Substance Abuse and Mental Health Services Administration
Bazelon Center for Mental Health Law
Mental Health America

Performance Information
Performance measures and standards for the department may be found in its Long Range Program Plan and Planning and Performance Measures, which reports the department's performance on external and internal measures for its various programs. The measures allow the user to view performance at both a statewide and geographic region level.

What are the applicable statutes?

Chapters 394 and 916, Florida Statutes.

Whom do I contact for help?

Mental Health Services, DCF Headquarters, 850-487-1111
Website

Contacts for the state hospitals can be found on the websites below.

State Hospital  Contact
Florida State Hospital850-663-7536
Northeast Florida State Hospital904-330-2001
North Florida Evaluation and Treatment Center352-375-8484
South Florida Evaluation and Treatment Center786-349-6000
South Florida State Hospital954-392-3000
Treasure Coast Treatment Facility772-597-9400