In 2006, the Washington State Department of Social and Health Services established two pilot sites for the Integrated Crisis Response Program. At these sites, Designated Crisis Responders (DCR) investigate and have authority to detain individuals with serious mental illness or substance abuse problems. Elsewhere in the state, this function is conducted separately by mental health professionals and chemical dependency specialists. The pilots also created secure detox facilities to hold involuntarily detained individuals. This report describes the 18-mounth outcomes of nearly 1,000 individuals admitted to these secure detox facilities from May 2006 through October 2007. Outcomes examined include psychiatric hospitalization, substance abuse treatment, emergency department utilization, employment, arrests, and mortality.