 This was a very long and well thought out decision on the part of our health co-organization, our facility. We have seen that through the years the number of patients that we see here that are committed or coming in on an involuntary basis has increased. We also recognize that we are having more and more difficulties serving the people in the five county area here in Brainerd. And we have also seen the amount of violence that occurs in our in-patient setting both in the in-patient mental health units as well as the medical units increase and the severity of those mental illnesses also increasing along with dual diagnosis of chemical dependency oftentimes. We made the decision to move from involuntary to voluntary based on the fact that we were struggling to find the staff that was necessary to run the facility. We had gone four years without a qualified psychiatrist candidate who was willing to come here. We have staffed with fortunately a very long-term mental health provider and another family medicine physician who does full-time psychiatry along with very dedicated nurse practitioners that are psychiatric nurse practitioners. But even then we have struggled to maintain that those professionals to keep our facility open. Most people who are in that profession tend to not want to come to a small community hospital where they have to take call but they have to work in an involuntary unit that don't have the collaborative and healing relationship that they desire with their patients and we are fortunate to have the staff that we have but it has came quite evident that we would be not able to even have a unit if we couldn't staff a unit. That was one of the rationale. Obviously the importance of keeping our other patients safe but as well the importance of keeping our staff safe was part of that decision and then more importantly I think is that we wanted to make sure that we had access to those patients within our five county area to be able to meet the needs of those people who have severe mental illness as well.