SB 5732: Improving behavioral health services provided to adults in Washington State

Principal Investigator: 
Maria Monroe-DeVita, Ph.D.
Funding Source: 
DSHS, Behavioral Health and Service Integration Administration (BHSIA)
Project Period: 
January 2014 - Ongoing
PBHJP Project Faculty and Staff: 
Jonathan R.
Project Manager & Trainer
Director and Vice Chair, Department of Psychiatry & Behavioral Sciences
Assistant Professor
Kara M. Panek, MA, Service Integration Manager, BHSIA
Marna Miller, Senior Research Associate, WSIPP
Dennis Donovan, PhD, UW Professor and Director, Alcohol and Drug Abuse Institute (ADAI)
Bryan J. Hartzler, PhD, UW Senior Research Scientist, Alcohol and Drug Abuse Institute
Lydia Chwastiak, MD, UW Associate Professor, Psychiatry & Behavioral Sciences
Debra Srebnik, PhD, UW Assistant Professor, Psychiatry & Behavioral Sciences
Project Summary: 
  • SB 5732 directs the Department of Social and Health Services (DSHS) to develop a strategy for the improvement of the adult behavioral health system.
  • Requires the DSHS to issue a request for proposals for enhanced services facilities
  • Requires Regional Support Networks to develop an individualized discharge plan for certain patients and arrange for his or her transistion to the community within 21 days of the determination that he or she no longer needs inpatient, active psychiatric treatment

Please see full text of 2SSB 5732 here:  Final Bill Report 2SSB5732

Adult Behavioral Health (WIMHRT)
Additional Reports: 

Publically funded mental health services are delivered to adults and children in Washington through a wide variety of systems and programs. Research indicates that over 50 percent of adults meet diagnostic criteria for a behavioral health disorder during their lifetime. National studies indicate that the mortality rate is double for persons with mental illness. However, only 38 percent of persons with mental health disorders and 18 percent of persons with substance abuse disorders receive treatment. Persons with behavioral health disorders use emergency room and hospital services at a higher rate than the general population, and are at comparatively high risk for homelessness, unemployment, and criminal justice system involvement.

Enhanced services facility is defined in chapter 70.97 RCW as a facility which provides treatment and services to persons for whom acute inpatient treatment is not medically necessary and who have been determined by the Department of Social and Health Services (DSHS) to be inappropriate for placement in other licensed facilities due to complex needs that result in behavioral and security issues. A system of laws governing such facilities was adopted by the Legislature in 2005, but no such facilities have been funded in Washington.

Evidence-based is defined as a program or practice that has had multiple-site randomcontrolled trials across heterogeneous populations demonstrating that the program or practice is effective for the population. Research-based is defined as a program or practice that has some research demonstrating effectiveness, but that does not yet meet the standard of evidence-based practices. Emerging best practice or promising practice is defined as a practice that presents, based on preliminary information, potential for becoming a researchbased or consensus-based practice.