A wrong fax machine number, not calling all possible facilities and poor communication are among the failures cited in the investigation of Gus Deeds' detention, release, attack on his father--Senator Creigh Deeds--and subsequent suicide.
Gus Deeds was in temporary custody for mental health crisis before being released on the reason that no beds could be found. The report from the state Office of Inspector General says one mental health screener told investigators ten facilities had been contacted but only seven could be confirmed and of the three allegedly not contacted two said they did have beds at the time. Faxes that were sent to Rockingham Memorial Hospital in search of a mental health bed went to the wrong number.
The inspector general also found significant information missing from a pre-admission report and the distance and time it took for a mental health case worker to get to Gus Deeds.