Once eight hours have elapsed, the mental health professionals conducting the assessment will have reached a conclusion about whether or not additional hospitalization and/or treatment are needed. The two most likely outcomes are: the patient is released from the hospital with a Safety Plan and referred to additional resources that can help them, or more treatment is necessary. If more treatment is necessary and the patient refuses to voluntarily undertake the treatment, a Temporary Detention Order (TDO) can be issued. A Temporary Detention Order is an extension of an Emergency Custody Order, and it can last up to 72 hours before there is a court hearing to determine if additional care is necessary. Throughout this time, the patient remains in the custody and care of a mental health facility specifically designated for these situations.