¶23 (dissenting) — The issue presented is not whether counties should be subject to an expansive duty to *584prevent recidivism by former jail inmates. Rather, the issue presented is whether the evidence in the record is sufficient to create a factual question about whether Skagit County fulfilled its duty to protect third parties from foreseeable violence by pretrial detainees and jail inmates in accordance with Restatement (Second) of Torts § 319 (Am. Law Inst. 1965) (§ 319). The majority limits the scope of this duty to maintaining physical control over the detainee or inmate during periods of lawful confinement, categorically excluding any other types of reasonable precautions a county might take. Such a limitation is inconsistent with our precedent, and the evidence in the record is sufficient to raise factual questions that should have precluded summary judgment. I would therefore affirm the Court of Appeals and must respectfully dissent.
FACTUAL BACKGROUND
¶24 Because the duty imposed by § 319 requires a highly fact-specific inquiry, I present these additional facts to supplement the factual summary in the majority opinion. And as the nonmoving parties at the summary judgment stage, the plaintiffs are entitled to have “all facts submitted and all reasonable inferences therefrom” viewed in the light most favorable to them. Taggart v. State, 118 Wn.2d 195, 199, 822 P.2d 243 (1992).
¶25 The records from Skagit County’s own jail and sheriff’s office indicate that Skagit County had known for years that Isaac Zamora suffered from mental health issues. See Clerk’s Papers (CP) at 3551 (“At this time we are aware that ISAAC ZAMORA does have some mental problems and his mom will be monitoring him, calling if there is any change.” (emphasis added)). The events surrounding Zamora’s incarceration in Skagit County Jail in the spring of 2008 reaffirmed this knowledge and also strongly indicated that his condition was worsening and becoming potentially dangerous.
*585¶26 On April 4, 2008, Skagit Emergency Communications Center received a hang-up call from the Zamora residence and dispatched Skagit County deputies to investigate. Zamora explained that he had called 911 and “just wanted to thank us and the dispatcher for a response the other day.” Id. at 3554. The deputies arrested Zamora on two outstanding warrants and described him in their reports as “verbally abusive” and “rambling.” Id. At the request of jail staff, Zamora was taken to a hospital to determine whether “he was fit for jail” at all. Id. Zamora was ultimately housed in the “C-Pod” unit of Skagit County Jail, which is “sort of protective custody” for inmates who are “anti-social,” are “fearful” of others, are “disruptive” or “threatening” to the general population, or suffer from mental illness. Id. at 2581.
¶27 By this time, Zamora’s mother was very concerned about his deteriorating mental health. Three days after Zamora was taken to jail, she wrote a letter to the Skagit County prosecutor, requesting that his sentence include “a mental health evaluation and treatment.” Id. at 142. She also spoke to a Skagit County corrections officer by phone that day, reporting that she was “afraid” of Zamora due to his mental illness and unpredictable behavior. Id. at 2580. Zamora’s mother reported he was “bi-polar and is aggressive [and] has anger problems,” and “begged” the officer to keep Zamora in jail and get him mental health treatment. Id. at 3681. The next day, a mental health counselor asked Zamora if he would like contact with a mental health provider, but he would not answer the question at that time. Id. at 3683.
¶28 However, while Zamora was in Skagit County Jail, he did make three separate requests for mental health care. The first mental health counselor Zamora spoke with described him as having “[p]ersecutorial thoughts,” being “easily moved into rageful thinking,” having “pressured speech,” feeling “victimized,” having “[s]ome grandiosity” about “his role in the world,” and suffering from “anxiety” *586that “sounds like [a] panic attack.” Id. at 3685. The counselor concluded, “He needs something!” Id. However, because Zamora was “paranoid about poison and not messing [with] his brain,” the counselor entreated, “Can a person in medical please meet with him if meds are approved and address his fears?” Id. Three days later, a physician approved a prescription for Lamictal, an antiseizure medication that is often used as a mood stabilizer. There is no indication that anyone followed up on the counselor’s urgent request that a medical professional meet with Zamora regarding this medication.
¶29 Zamora later spoke with a different mental health counselor and stated he was taking his Lamictal, although the medication log indicated he was refusing it. Id. at 3687. Zamora also told the counselor that he would take medication to help him sleep, but not any other “ ‘mental’ medications.” Id. He “expressed extreme anger” regarding his mother’s efforts to get him mental health treatment and asked the counselor to call his mother and “tell her to ‘get the fuck out of my life.’ ” Id. The counselor noted he “appeared upset, [was] easily angered,” and had “rambling style speech.” Id. The counselor’s recommendation was to “continue to offer psych meds.” Id.
¶30 After Zamora had spent a little over a month in Skagit County Jail, he made a third mental health request, stating, “[I’]d like [t]o talk because [I] keep seeing black dots and white flashes.” Id. at 2958. Unlike Zamora’s previous mental health requests, there are no notes indicating whether there was any follow-up on this third request.
¶31 On May 15, 2008, after spending approximately 6 weeks in Skagit County Jail as a pretrial detainee, Zamora pleaded guilty to one count of malicious mischief in the second degree and one count of possession of a controlled substance. Id. at 3483, 3494. He was sentenced to 6 months of confinement, which, “if medically appropriate/required,” could be served as in-home detention. Id. at 3498. Following confinement, Zamora was to serve 12 months of community *587supervision with conditions including “mental health eval[u-ation]/treatment,” a “drug evaluation,” and was to “comply with all treatment recommendations.” Id. at 3499. Two weeks later, Zamora was transferred to Okanogan County Corrections Center pursuant to an interlocal agreement. However, Skagit County transferred only part of Zamora’s file, and did not provide Okanogan County with his judgment and sentence or other information about Zamora’s mental health care needs. Id. at 2540, 2618. Zamora remained in Okanogan County Corrections Center for approximately 2 months.
¶32 Three days after Zamora was released, his mother called 911 because Zamora “was aggressive and angry towards his mother and brother.” Id. at 2858. The responding deputy discovered Zamora had an outstanding warrant, arrested him, and took him back to Skagit County Jail. Zamora’s mother told officers that he was “suffering from undiagnosed and untreated mental illness and that he has been a problem for some time.” Id. at 3557. The deputy who brought Zamora to the jail specifically asked them not to release Zamora the same day in order to give his mother time to seek a no-contact order. Zamora was released the next day on his own recognizance.
¶33 About a month later, one of Zamora’s neighbors, Clinton Griffith, called police to report Zamora had confronted Griffith’s wife, demanding to know how long she had been living there. As Zamora left, he apparently tore down a sign on Griffith’s gate. Griffith was less concerned about the property damage than about Zamora’s “weird behavior” and the possibility that he was suffering from “some sort of mental illness.” Id. at 3562. On that same day, Zamora underwent a mental health evaluation to determine his eligibility for services from the Department of Social and Health Services. Zamora “apparently really needed help,” id. at 162, and the evaluator found him qualified for services. Zamora’s mother viewed this evaluation as a “glimmer of hope” because in the preceding weeks *588he’d “been progressively getting more seriously mentally ill with no treatment, no diagnosis, no help in sight.” Id. at 181.
¶34 The violence underlying this lawsuit occurred the next day. Another of Zamora’s neighbors, Chester Rose, called Zamora’s mother to say Zamora was in Rose’s house and “didn’t seem to be himself.” Id. at 170. Zamora apparently let himself into Rose’s house, then demanded to know what Rose was doing there. Zamora’s mother told Rose to call the police, which he did, and Skagit County Sheriff’s Deputy Anne Jackson responded. Upon getting out of her patrol car at Rose’s house, Deputy Jackson encountered Zamora and the two exchanged gunfire. Deputy Jackson was shot six times and died at the scene. In the ensuing melee, five of Zamora’s neighbors were also killed and four more were injured.
ANALYSIS
¶35 As correctly noted by the majority, the duty contemplated by § 319 stems from the special relationship that arises where one “takes charge” of someone else who has a known likelihood of harming others if not controlled. However, the majority incorrectly seizes on the single word “control” to unduly limit the scope of that duty. This interpretation is inconsistent with our precedent. It also encourages counties to detain individuals with known mental health issues in jail without making reasonable efforts to provide them with adequate treatment, to transfer such individuals to another county without providing adequate information about their mental health needs, and to release such individuals into the community with more severe mental health problems than they had to begin with. We should not tolerate, much less encourage, such practices, which contribute to a revolving door, conveyor belt system of justice.
*589A. Scope of the duty to control
¶36 The majority’s analysis rests on a single word: “control.” From this single word, the majority concludes that so long as Skagit County maintained physical control over Zamora while he was lawfully in custody, Skagit County fully discharged its § 319 duty. However, the scope of § 319 duty to control depends on the nature of the specific relationship at issue; it is not strictly limited to physical control.
¶37 Indeed, the very first case in which this court adopted § 319 applied it to the relationship between the State and parolees under its supervision. Taggart, 118 Wn.2d at 219. A parolee, by definition, is not within the State’s immediate physical control, and we specifically rejected the argument that the duty imposed by § 319 is limited to custodial relationships involving physical control over a person. Id. at 223. Nevertheless, we held “that the State has a duty to take reasonable precautions to protect against reasonably foreseeable dangers posed by the dangerous propensities of parolees,” id. at 217 (emphasis added), and we evaluated the scope of those reasonable precautions in light of the actual scope of the State’s authority over parolees, id. at 219-20. Our subsequent case law has adhered to this approach of evaluating the actual relationship giving rise to a § 319 duty to determine its proper scope. See, e.g., Osborn v. Mason County, 157 Wn.2d 18, 24, 134 P.3d 197 (2006); Joyce v. Dep’t of Corr., 155 Wn.2d 306, 320 n.3, 119 P.3d 825 (2005). In light of this precedent, it seems anomalous to hold, as the majority appears to, that § 319 imposes only a limited duty on counties to maintain physical control over its jail population, even though it imposes a broader duty on a state parole officer to take reasonable precautions to prevent foreseeable violence by parolees in the community.
¶38 There are, without question, important limitations on a county’s authority to control its jail population. Of *590course, the only acts or omissions that Skagit County could be held liable for are those that occurred during its special relationship with Zamora while he was in custody. See, e.g., Joyce, 155 Wn.2d at 319; Smith v. Dep’t of Corr., 189 Wn. App. 839, 849-50, 359 P.3d 867 (2015), review denied, 185 Wn.2d 1004, 366 P.3d 1244 (2016).6 There are also statutory, common law, and constitutional limitations on a county’s authority that necessarily limit the scope of its duty. See Osborn, 157 Wn.2d at 24-25; Joyce, 155 Wn.2d at 320 n.3; Couch v. Dep’t of Corr., 113 Wn. App. 556, 571, 54 P.3d 197 (2002). For instance, as amicus rightly notes, Skagit County cannot be held liable for failing to involuntarily medicate or civilly commit Zamora if it did not have the constitutional and statutory authority to do so. See Br. of Amicus Curiae Am. Civil Liberties Union of Wash. at 5-8.
¶39 It must also be emphasized that in this context, as in all negligence cases, “only reasonable care is owed.” Lowman v. Wilbur, 178 Wn.2d 165, 170, 309 P.3d 387 (2013). The law does not demand perfect results, but merely reasonable efforts. For example, while Skagit County had the duty to provide Zamora with necessary medical treatment, including mental health care, while he was in custody, it had no overarching duty to completely rehabilitate Zamora or somehow cure his mental illness. See RCW 70.48.130(1); Gregoire v. City of Oak Harbor, 170 Wn.2d 628, 635-36, 244 P.3d 924 (2010) (Sanders, J., lead opinion); id. at 646 (Madsen, C.J., concurring/dissenting); cf. Melville v. State, 115 Wn.2d 34, 38-39, 793 P.2d 952 (1990) (holding that general statutes do not impose a specific duty on the Department of Corrections to provide a particular course of mental health care treatment).
*591¶40 The record here indicates several reasonable precautions that might have been within the scope of Skagit County’s § 319 duty. Skagit County’s own mental health counselor recommended a reasonable step that Skagit County could have taken—having a medical doctor try to talk to Zamora about psychiatric medication. CP at 3685. While a doctor approved a prescription for Lamictal, it is not clear whether any doctor ever met with Zamora to address his fears or to evaluate whether Lamictal was an appropriate medication in light of Zamora’s known symptoms and barriers to treatment. Id. at 2539-40, 2544-45. Moreover, § 319 unquestionably imposes “a duty to protect foreseeable victims of criminals, mental patients, and others leaving its custody.” Osborn, 157 Wn.2d at 24 (emphasis added). But when Zamora was transferred to Okanogan County Corrections Center, Skagit County provided only part of his file and no information on his mental health care needs, potentially curtailing Okanogan County’s ability to address those needs. CP at 2540, 2618. Under the majority’s reasoning, however, even the basic step of transferring Zamora’s file along with his person was categorically outside Skagit County’s § 319 duty. This cannot be a legitimate limit on Skagit County’s duty.
¶41 The majority rightly acknowledges that “[a] variety of actions might be needed to control a person to prevent him or her from doing harm.” Majority at 582 n.4. However, this acknowledgment is inconsistent with the majority’s apparent conclusion that such actions do not include reasonably following up on available information and conveying that information to other responsible parties. Those are in fact precisely the type of actions that may be required to fulfill a § 319 duty because the ability to meaningfully control a foreseeably violent person necessarily requires adequate information about that person. See, e.g., Joyce, 155 Wn.2d at 316-17 (“[A] jury could conclude that this duty was breached by the State’s failure to report egregious violations of the conditions of release to the court so that the *592trial judge could take action appropriate to the offender’s conduct.”); Taggart, 118 Wn.2d at 214 (parole officer allegedly failed to “provide his superior with relevant information necessary to enable the superior to make an informed decision whether to issue a parole warrant”). The majority does not explain why this case must be different, but nevertheless shifts the focus of its inquiry to whether Skagit County maintained basic, physical control over Zamora while he was in custody.7
¶42 By focusing only on physical control, the majority’s analysis treats the special relationship between a county and its jail population as analogous to the relationship between a warehouse and its inventory. This is unacceptable as applied to anyone, but is particularly disconcerting as applied to a presumptively innocent pretrial detainee who is known to be suffering from mental illness, as Zamora was for most of the time he was in Skagit County Jail. I therefore cannot join the majority.
B. Foreseeability and proximate cause
¶43 Because the majority does not need to reach the other issues raised, I address them only briefly. I would affirm the Court of Appeals holding that there are material factual questions precluding summary judgment dismissal of the plaintiffs’ § 319 claim.
¶44 First, Skagit County argues that it did not owe any take charge duty to the victims because their injuries and deaths occurred after Zamora left its custody. As the Court of Appeals correctly determined, “[T]his argument confuses the existence of a duty with the scope of the duty.” Binschus v. Dep’t of Corr., 186 Wn. App. 77, 95, 345 P.3d 818, review granted, 184 Wn.2d 1001, 357 P.3d 665 (2015). Section 319 itself plainly contemplates that the duty extends to anyone who is foreseeably injured by a breach occurring during the *593take charge relationship, even if the injury occurs later. Most on point is the first illustration:
A operates a private hospital for contagious diseases. Through the negligence of the medical staff!,] B, who is suffering from scarlet fever, is permitted to leave the hospital with the assurance that he is entirely recovered, although his disease is still in an infectious stage.... B ... communicate [s] the scarlet fever ... to D. ... A is subject to liability to D.
Restatement (Second) of Torts § 319 cmt. a, illus.1 (Am. Law. Inst. 1965). In this illustration, A’s take charge relationship with B ended when B was permitted to leave the hospital. However, A’s negligence during its take charge relationship with B foreseeably caused D’s later injury, so A is liable.
¶45 Our case law is consistent with this analysis. Most on point is Petersen v. State, 100 Wn.2d 421, 671 P.2d 230 (1983).8 In Petersen, a psychiatric patient had a schizophrenic-type reaction to drugs and the psychiatrist determined that the patient’s symptoms were likely to return if the patient used drugs again or went off his medication. Id. at 428. The psychiatrist also determined that the patient was “quite likely” to resume taking drugs and stop taking his medication if released, but the psychiatrist did not seek additional involuntary commitment or “take other reasonable precautions.” Id. The patient was released, resumed using drugs, and injured another person in a car accident while under the influence. Id. at 422-23. This court held that even though the car accident occurred after the psychiatrist’s relationship with the patient ended, the psychiatrist might be liable for the injuries because the breach occurred during the relationship. Id. at 428.
¶46 Once a special relationship giving rise to a § 319 duty is established, the question of whether the actual *594injuries suffered by the particular victims were foreseeable is a question of fact “and should not be decided as a matter of law unless reasonable minds could not differ.” Joyce, 155 Wn.2d at 321 n.3; see also Taggart, 118 Wn.2d at 224-25. Here, reasonable minds could differ. Zamora’s release into the community was not only foreseeable, but certain. And the victims were Zamora’s neighbors, members of the immediate community into which Skagit County knew he would be released. Whether Zamora’s acts of violence against them were foreseeable should be resolved by the trier of fact.
¶47 Additionally, Skagit County contends that proximate cause is precluded as a matter of law. “Washington ‘recognizes two elements to proximate cause: [clause in fact and legal causation.’ ” Lowman, 178 Wn.2d at 169 (alteration in original) (quoting Hartley v. State, 103 Wn.2d 768, 777, 698 P.2d 77 (1985)). While proximate cause does present a close question in this case, I would hold it cannot be resolved as a matter of law based on the record presented.
¶48 As to cause in fact, Skagit County contends that there is no evidence that Zamora would have consented to any additional mental health care measures or that any such measures would have been effective. However, the evidence in the record indicates that Zamora’s willingness to accept mental health care fluctuated—he did in fact specifically request mental health treatment on three separate occasions while in Skagit County Jail. CP at 2958, 3685, 3687. Zamora’s intermittent refusal to participate in mental health treatment cannot be treated as definitive proof that he would certainly have refused all treatment if, for instance, a medical professional had spoken to him as Skagit County Jail’s mental health counselor had requested. Id. at 3685. Moreover, the record indicates that after the shootings, Zamora was confined at Western State Hospital and took medications that did in fact control his psychotic symptoms. Id. at 2545. This is significantly more concrete evidence than what we have rejected in the past as overly speculative. See, e.g., Melville, 115 Wn.2d at 40-41.
*595¶49 As to legal causation, Skagit County contends that the chain of causation was broken as a matter of law. However, in the specific context of a duty imposed by a special relationship, we have already held that “[t]he question of legal causation is so intertwined with the question of duty that the former can be answered by addressing the latter.” Taggart, 118 Wn.2d at 226; see also Hertog v. City of Seattle, 138 Wn.2d 265, 284, 979 P.2d 400 (1999). And Skagit County does not point to “an actual intervening act” in the record that was sufficient to break the chain of causation. Joyce, 155 Wn.2d at 321-22; see, e.g., Bishop v. Miche, 137 Wn.2d 518, 531-32, 973 P.2d 465 (1999) (where probation officer reported a violation of court-imposed probation conditions and the court chose not to revoke probation, the court’s decision precluded proximate cause as a matter of law). I would therefore hold that summary judgment on the issue of proximate cause was not appropriate.
CONCLUSION
¶50 I cannot join the majority’s narrow interpretation of the duty imposed by § 319. And because the evidence, viewed in the light most favorable to the plaintiffs, is sufficient to create genuine issues of material fact on all the elements of their § 319 claim, I would affirm the Court of Appeals and remand for further proceedings. I respectfully dissent.
Johnson, Stephens, and González, JJ., concur with Yu, J.After modification, further reconsideration denied January 17, 2017.
In Smith, Division Two of the Court of Appeals held that the Department of Corrections’ (DOC) take charge duty with respect to an offender on community custody “ended when [the offender] absconded from community custody and a warrant issued for his arrest.’’ Smith, 189 Wn. App. at 848. However, it separately analyzed DOC’s actions that occurred before the offender absconded, ultimately holding that any such actions or omissions did not proximately cause the victim’s murder, which occurred almost four months later. Id. at 850-53.
I also note that while N.L. v. Bethel School District, 186 Wn.2d 422, 378 P.3d 162 (2016), does not rely on § 319, there is considerable tension between the reasoning of the majority in this case and the reasoning of the majority in N.L.
Petersen discusses the general special relationships contemplated by Restatement (Second) of Torts § 315 (Am. Law Inst. 1965), rather than the specific take charge relationship contemplated by § 319. However, it illustrates well that a victim can be foreseeable even if he or she does not suffer injury until after the special relationship ends.