It's been more than two months since a Sonoma County judge ordered Julia Franzen of Sebastopol to be committed to Napa State Hospital.
The 24-year-old woman was arrested in February on suspicion of stabbing her mother to death. She's since been diagnosed with paranoid schizophrenia and deemed unable to assist in her own defense.
Yet she remains in the county jail, waiting for the state to retrieve her, while the chronic mental illness that some say led her to kill her mother and blurt out bizarre courtroom statements causes her to pull out clumps of her own hair.
"She belongs in a hospital, not in a jail," said her lawyer, Deputy Public Defender Tyler Hicks.
Franzen's situation is not unusual these days. Sonoma County jail officials say a lack of bed space at the state's mental hospitals is increasing the lag time between when an inmate is committed to an institution and when they are actually picked up.
The delays have increased over the past year from a maximum of about two months to more than three months, said Lt. Mike Toby, who supervises the jail's three mental health units.
One mentally ill person has been waiting in the jail since April, Toby said.
It's not good for the inmates, who need treatment before they can proceed with their criminal cases, but it's also an added expense for the county which must pay for medication and enhanced supervision, Toby said.
The exact cost was not available.
"It does seem to have gotten longer now," Toby said. "Obviously, we don't want to see them sit here."
Concern that the situation is worsening sparked a recent flurry of legal filings from the County Counsel's Office and individual attorneys like Hicks, seeking to force the state to comply with court orders.
Since May, the county has asked the state to appear in about a dozen cases to explain why it hasn't picked up inmates who have been deemed incompetent and ordered to undergo treatment at a mental hospital, Deputy County Counsel Joshua Myers said.
"They are supposed to transfer that patient forthwith," Myers said. "They haven't done that."
The clock is ticking on another 25 inmates who have more recently been ordered to be committed, Toby said.
In each case, criminal proceedings have been suspended until the state can restore mental competence. If the suspects are someday deemed fit, they can be brought back to Sonoma County to answer charges or face trial.
"The state hospital has all the levels of services they need to be restored to competency ... so they can get through the rest of the criminal process," Toby said.
The problem isn't limited to Sonoma County. The lack of bed space is causing statewide delays, said Assistant Sheriff Randall Walker, who has heard from counterparts in other counties.
He said the issue has been around for years but has never been quite so bad.
"It's been slowly building," said Walker, the head of adult detention. "The state just does not have room. It has become increasingly difficult to get inmates out of the county who have been committed."
Of the 1,050 total men and women in the county jail, about 30 percent require some degree of mental health supervision. Many are housed in one of three mental health units and a portion are awaiting transport to state hospitals.