Washington Gov. Jay Inslee (D) unveiled a $675 million proposal to dramatically reshape how patients in the Evergreen State’s mental health system are cared for.
Inslee’s plan calls for hundreds of new community mental-health beds and the creation of a first-of-its-kind partnership with the University of Washington to establish a new teaching hospital focused on behavioral health. It would also address an ongoing worker shortage by committing $4 million to developing more mental-health workers by creating a new state-funded scholarship program for students who agree to work in high-demand behavioral health fields at state hospitals and community sites.
Other tenets include funding long-term housing options and tailoring treatment for patients who don’t need 24-hour supervision or care.
“We know we need to transform our mental-health-care system,” Inslee said during a news conference announcing the proposal. “For too long, we’ve had too long of a line of people who need to get into the door of mental-health-care treatment.”
The Washington mental health system has been the subject of numerous court orders and lawsuits in recent years, including for keeping patients in emergency rooms and other inappropriate settings without proper treatment because of a lack of bed space, or in jail for extended periods of time awaiting mental competency evaluations.
The state’s largest mental health facility, Western State Hospital, has also been cited several times by federal officials for lackluster patient safety and care standards. Thigs got so bad that the U.S. Centers for Medicare and Medicaid Services this year decertified the facility, costing the state more than $50 million in federal funding.
Under Inslee’s proposal, some patients from both Western State and Eastern State hospitals would be moved to new community beds.
Because federal law bars reimbursing for treatment at community facilities with more than 16 beds, Inslee has historically favored smaller sites that stay within that limit. But Inslee cited a recent offering from the Trump administration to allow states to request a waiver from the law, which he said could facilitate building the larger facilities the state needs.
The next hurdles will be convincing lawmakers to endorse the necessary funding and local communities to embrace having the facilities in their neighborhoods. Inslee acknowledged that the latter might be the harder of the two.
“We’re going to need to talk to neighborhoods and communities to make sure they’re comfortable with those provisions,” he said. (SEATTLE TIMES, LEWISTON TRIBUNE, WASHINGTON GOVERNOR’S OFFCE)