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Mental Health - Dept of Social and Health Services

RCW 10.77, 71.05, .24, .34, 72.23

The Behavioral Health Administration (BHA) administers programs designed to provide evaluation, treatment and rehabilitation services for children and adults with severe and persistent mental illness and serious emotional disturbance. This includes inpatient mental health care for adults and children, and forensic mental health evaluation and competency services for adults and youth. The administration operates three state psychiatric hospitals in Washington State — Western State Hospital, Eastern State Hospital, and Child Study and Treatment Center. These institutions provide long-term acute psychiatric care for people in the civil involuntary treatment system; and evaluation and restoration services for people with mental illness who have been charged with a crime or found not guilty by reason of insanity. State psychiatric hospitals are a critical part of the continuum of mental health services. Their goal is to provide high-quality treatment in a safe environment, for both patients and staff. Their performance is monitored through strategic objectives related to clinical services and staff and patient safety. The administration is partnering with the Healthcare Authority and the Department of Social and Health Services’ Aging and Long-Term Services Administration to develop community resources to fully support individuals who are transitioning out of long-term inpatient stays in state hospitals and reduce recidivism. In order to expand services to meet the demands for forensic inpatient competency restoration services, the administration also operates two residential treatment facilities: one in Thurston County and one in Pierce County (on the campus of Western State Hospital). The Maple Lane community-based facility located near Rochester will serve 16 patients at a time; construction is in process with an estimated completion date of November 2022. The Clark County community-based facilities, also known as residential treatment facilities, located near Vancouver will serve up to 48 patients at a time in three 16-bed facilities located on the same campus. Construction on the facilities is tentatively scheduled to start in spring of 2023. In addition, BHA will expand their not-guilty by reason of insanity treatment by opening a 30-bed NGRI facility on the Maple Lane campus in fall 2023.

Agency Mission

To transform lives through dedication to the wellness of individuals, their families and the community through behavioral health intervention, treatment, and education.
Request 1,413,649,000
Net change from current biennium 702,473,662 Increase
Percent change from current biennium 98.8% Increase

Program Level Summary

Fund Title Actual Estimated Proposed
Actual Estimated Estimated Proposed Proposed
General Fund - Federal 68,599,490 112,854,760 3,804,041 79,475,000 85,969,000
General Fund - Private/Local 8,164,969 7,833,725 1,734,380 5,181,000 5,551,000
General Fund - State 427,591,356 387,743,203 191,244,229 599,512,000 637,961,000
Coronavirus State Fiscal Recovery Fund - Federal 5,961,000
State Agency Office Relocation Pool Account - Nonappropriated 674,762
Pension Funding Stabilization Account - State 16,650,000
Annual Total 521,680,576 514,392,688 196,782,650 684,168,000 729,481,000

Operating Budget: Change from Preceding Biennium

Actual Estimated Proposed
Amount Percent Amount Percent Amount Percent
(756,936,462) (42.4%) (316,469,404) (30.8%) 702,473,662 98.8%

Employment Summary

  Actual Estimated Proposed
  2020-21 Actual 2021-22 Estimated 2022-23 Estimated 2023-24 Proposed 2024-25 Proposed
FTE Staff Years 4,055.3 3,839.3 3,672.1 4,556.4 4,992.2