How To Get Affordable State Sponsored Therapy in Washington
Many people don’t realize that publicly-funded mental health services are available in their state. People looking for free or low-cost counseling often think their only options are counselors in private practice and don’t know that publicly-funded providers in their communities may also offer counseling services.
While state-based programs are not for everyone, they are often a great place to start for people who face geographic or financial barriers to therapy. Intake specialists at community mental health programs can help people learn whether they qualify for state-funded services and can refer people who don’t qualify to other low-cost programs that may be able to meet their needs.
On This Page
- When Should You Go to a State Mental Health Program?
- Who Is Eligible for Public Mental Health Services in Washington?
- How Can You Find Out More About Local Programs in Washington?
- Northeast Washington Clinics and Crisis Lines
- North Central and Southwest Washington Clinics and Crisis Lines
- South Central and Southeast Washington Clinics and Crisis Lines
- Southwest and Coastal Washington Clinics and Crisis Lines
- King County Clinics and Crisis Lines
- North Puget Sound Clinics and Crisis Lines
- West Puget Sound Clinics and Crisis Lines
- South Puget Sound Clinics and Crisis Lines
- Federally Qualified Health Centers
- How Does Washington's Public Mental Health System Work?
When Should You Go to a State Mental Health Program?
Few mental health providers outside of those in the public sector are able to immediately serve people in crisis. This usually makes public mental health services the best option for anyone who is having a mental health crisis and needs help right away. The people who answer crisis lines offer caring attention and support as they help people determine the best response to a crisis, whether it’s inpatient treatment or an appointment with a counselor.
In most cases, community mental health programs serve as alternative providers for people who lack the means to access services in the private sector. County mental health programs usually prioritize people with severe mental illness that impairs their functioning puts them at risk of hospitalization. However, Washington’s system also includes providers that serve people with a wide range of mental health needs. You can call your local providers directly to see if you qualify.
The Central Washington Recovery Help Line is a great resource for people who want information about local mental health services. County and regional crisis and information lines are another great way to get information about mental health treatment in Washington. If you’re not finding what you need through the public mental health system in Washington, you can search for free or low-cost counselors on OpenCounseling.com or try affordable online counseling at BetterHelp (a sponsor).
Who Is Eligible for Public Mental Health Services in Washington?
Washington’s Access to Care standards define eligibility for its publicly-funded mental health services. To meet Access to Care standards, people must have a covered mental health condition that affects their ability to function. Many diagnoses listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM) are covered under Access to Care standards, including:
- Personality disorders
- Obsessive-compulsive disorders
- Schizophrenia and other psychotic disorders
- Anorexia, bulimia, and other eating disorders
- Bipolar disorder, major depression, and other mood disorders
- Post-traumatic stress disorder and other trauma-related conditions
- Generalized anxiety disorder, panic disorder, phobias, and other anxiety disorders
Access to Care standards also require people to meet at least one of four functional criteria to qualify for publicly-funded care. To be eligible, you must:
- Present a serious risk of harm to yourself or others
- Be unable to care for yourself or live independently without support
- Have problems at work or school or other difficulties with role performance
- Risk further deterioration of functioning without intervention, often because of factors like social isolation, poverty, or extreme chronic stressors
Washington directs people who don’t meet Access to Care standards to seek care through their Apple Health (Medicaid) or private insurance provider networks. The exception is people who are in crisis; any Washington resident can use local or regional crisis resources regardless of whether or how they are able to pay for them.
People who lack insurance can seek services through their regional mental health organization’s provider network. Whether people can access public mental health services when they do not meet Access to Care standards varies from region to region and program to program. Counties that directly provide services may be able to serve people who don’t meet Access to Care standards under specific circumstances. Independent providers that contract with the state often accept public and private insurance and offer sliding scale fee options to people without insurance regardless of whether they qualify for public financial assistance.
How Can You Find Out More About Local Programs in Washington?
A mix of regional, county, and independent crisis lines are available in Washington. The people who answer these crisis lines can guide you through mental health crises as well as give you information about local services, make referrals, and sometimes even help you set up appointments.
Unlike many other states, Washington also operates a statewide mental health information line that people can call to get the same information even when they’re not in crisis. The Washington Recovery Help Line provides 24-hour help for people dealing with issues related to substance abuse, problem gambling, or mental health. You can use the phone line or website to find helpful information, links, and provider lists for yourself or a loved one. You can reach the Recovery Help Line by calling or texting (866) 789-1511 or by following this link.
Each regional behavioral health organization in Washington operates a phone line and website where you can find out more about options for mental health care in your local area. The following list has been compiled from these sites and includes contact information about each regional board, associated information and crisis lines, and contracted mental health providers in each county.
This list focuses on adult outpatient mental health service providers and crisis centers. Note that many providers accept clients from their entire service region, not just the county where they are located, though some programs are limited to special populations or groups. You can call these programs directly to find out whether you qualify for affordable counseling through them.
Northeast Washington Clinics and Crisis Lines
- Regional Mental Health Organization: Spokane County Regional Behavioral Health Organization
- Serving Adams, Ferry, Lincoln, Pend Oreille, Spokane, and Stevens Counties
- Customer Care Services: (509) 477-4570 or (877) 304-7183
- Regional Crisis Line: (877) 266-1818
- County Crisis Lines:
- Adams County Crisis Line: (509) 488-5611
- Ferry County Crisis Line: (866) 268-5105
- Lincoln County Crisis Line: (888) 380-6823 or (509) 725-3001
- Pend Oreille County Crisis Line: (866) 847-8540
- Spokane County Crisis Line: (509) 838-4428 or (877) 678-4428
- Stevens County Crisis Line: (888) 380-6823 or (509) 684-4597
- Contracted Adult Outpatient Providers:
- Adams County
- Adams County Integrated Health Care Services:
- (509) 488-5611 (Othello)
- (509) 659-4357 (Ritzville)
- Adams County Integrated Health Care Services:
- Ferry County
- Northeast Washington Alliance Counseling Services:
- (509) 684-4597 (Colville)
- (509) 935-4808 (Chewelah)
- Northeast Washington Alliance Counseling Services:
- Lincoln County
- Northeast Washington Alliance Counseling Services:
- (509) 684-4597 (Colville)
- (509) 935-4808 (Chewelah)
- Northeast Washington Alliance Counseling Services:
- Pend Oreille County
- Pend Oreille County Counseling Services (Newport): (509) 447-5651 or (800) 404-5151
- Spokane County
- Catholic Charities Counseling (Spokane): (509) 242-2308
- Discovery Counseling Group(Spokane): (509) 413-1193
- (509) 475-8253 (On-Call/After-Hours Line)
- The Emily Program for Eating Disorder Treatment (Spokane): (888) 364-5977
- Excelsior Youth and Family Outpatient Services (Spokane): (509) 559-3100 / 3160
- Frontier Behavioral Health (Spokane): (509) 838-4651
- Lutheran Community Services Northwest (Spokane): (509) 747-8224
- New Horizon Care Centers:
- (509) 838-6092 (Spokane)
- (509) 927-1543 (Spokane Valley)
- Partners with Families and Children (Spokane): (509) 473-4810
- Passages Family Support (Spokane): (509) 892-9241
- Pathways of Washington (Spokane Valley): (509) 209-8990
- Pioneer Human Services Counseling and Treatment (Spokane): (509) 325-7232
- Providence Holy Family Hospital Outpatient Program (Spokane): (509) 482-0111
- Psychiatric Solutions (Spokane): (509) 740-0024
- SPARC State-Certified Mental Health Services (Spokane): (509) 241-3130
- YWCA Therapy Program for Domestic Violence Survivors (Spokane): (509) 789-9297
- Stevens County
- Northeast Washington Alliance Counseling Services:
- (509) 684-4597 (Colville)
- (509) 935-4808 (Chewelah)
- Spokane Tribe of Indians Behavioral Health Program (Wellpinit): (509) 258-7502
- Adams County
North Central and Southwest Washington Clinics and Crisis Lines
- Regional Mental Health Organization: Beacon Health Options Administrative Service Organization
- Serving Chelan, Clark, Douglas, Grant, Klickitat, Okanogan, Pierce, and Skamania Counties
- Main Number: (855) 228-6502
- Regional Crisis Lines:
- Southwest Washington Crisis Line (Clark, Klickitat, and Skamania Counties): (800) 626-8137
- North Central Washington Crisis Line (Chelan, Douglas, Grant, and Okanogan Counties): (800) 852-2923
- County Crisis Lines:
- Chelan County Crisis Line: (800) 852-2923 or (509) 662-7105
- Clark County Crisis Line: (800) 626-8137
- Douglas County Crisis Line: (509) 662-7105 or (800) 852-2923
- Grant County Crisis Line: (509) 765-1717
- Klickitat County Crisis Line: (800) 572-8122 or (509) 773-5801
- Okanogan County Crisis Line: (509) 826-6191 or (866) 826-6191
- Pierce County Crisis Line: (800) 576-7764
- Skamania County Crisis Line: (800) 626-8137
- Contracted Adult Outpatient Providers:
- Chelan County
- American Behavioral Health Systems (Wenatchee): (509) 300-1221
- Catholic Charities of the Diocese of Yakima (Wenatchee): (509) 662-6761
- Columbia Valley Community Health:
- (509) 662-4296 (Wenatchee)
- (509) 682-6000 (Chelan)
- Confluence Health Adult Behavioral Health Services (Wenatchee): (509) 663-8711
- Shipowick-Smith Counseliing, LLC (Wenatchee): (509) 667-0679
- Clark County
- Associates for Psychiatric and Mental Health (Vancouver): (360) 448-7827
- Clark County Department of Community Services (Vancouver): (360) 397-2000
- Columbia River Mental Health Services (Battle Ground and Vancouver): (360) 993-3000
- Helping Professionals Wellness Center (Vancouver): (360) 687-0693
- Family Solutions (Vancouver): (360) 695-1014
- Lifeline Connections(Camas and Vancouver): (360) 397-8246 x30500
- (360) 524-7924 (Camas)
- (360) 787-9319 (East Vancouver)
- Lutheran Community Services Northwest (Vancouver): (360) 694-5624
- Sea Mar Community Behavioral Health Clinics:
- (360) 723-0848 (Battle Ground Clinic)
- (360) 546-1772 (39th Street, Vancouver)
- (360) 558-5770 (65th Street, Vancouver)
- (360) 566-4432 (109th Court, Vancouver)
- (360) 397-8484 (Fourth Plain, Vancouver)
- (360) 831-0904 (Mill Plain, Vancouver)
- (360) 566-4402 (Delaware Lane, Vancouver)
- (360) 397-9211 (Salmon Creek Clinic, Vancouver)
- Sea Mar Community Services Northwest(Battle Ground and Vancouver):
- (360) 397-8484 (Mental Health Outpatient)
- (360) 546-1722 (Free Counseling Program for Uninsured Adults)
- Telecare Clark County Evaluation and Treatment Crisis Program (Vancouver): (360) 397-8474
- Western Psychological and Counseling Services(Vancouver):
- (360) 574-9303 (Vancouver, Salmon Creek Office)
- (360) 906-1190 (Vancouver, 51st Street Office)
- Douglas County
- American Behavioral Health Systems (Wenatchee): (509) 300-1221
- Catholic Charities of the Diocese of Yakima (Wenatchee): (509) 662-6761
- Columbia Valley Community Health:
- (509) 662-4296 (Wenatchee)
- (509) 682-6000 (Chelan)
- Confluence Health Adult Behavioral Health Services (Wenatchee): (509) 663-8711
- Grant County
- Grant Integrated Services: (409) 765-9239
- (509) 765-1717 or (877) 467-4303 (crisis line)
- (509) 765-9239 (Moses Lake, Royal City, and Ephrata Offices)
- (509) 787-4466 (Quincy Office)
- (509) 633-1471 (Grand Coulee Office)
- (509) 932-0100 (Mattawa Office)
- STOP Moses Lake Treatment Center: (509) 855-9494
- Grant Integrated Services: (409) 765-9239
- Klickitat County
- Comprehensive Healthcare Mental Health Services:
- (509) 773-5801 (Goldendale Center)
- (509) 493-3400 (White Salmon Center)
- Comprehensive Healthcare Mental Health Services:
- Okanogan County
- Okanogan Behavioral Healthcare (Omak): (509) 826-6191 or (866) 826-6191
- Pierce County
- Adonai Counseling and Employment (Tacoma): (253) 777-1434
- Alternative Counseling (Spanaway): (253) 538-2323
- Asian Counseling Treatment Services (Tacoma): (253) 302-3826
- Casteele Williams and Associates (Tacoma): (253) 536-2881
- Comprehensive Life Resources (Tacoma and Gig Harbor): (253) 396-5800
- Consejo Counseling Outpatient Mental Health Program (Tacoma): (253) 414-7461
- F. H. Counseling and Associates (Tacoma): (253) 777-4772
- Greater Lakes Mental Healthcare: (253) 581-7020
- (253) 581-7020 (Main Office, Lakewood)
- (253) 620-5800 (Tacoma Clinic)
- (253) 535-1935 (Spanaway Clinic)
- (253) 869-6436 (Auburn)
- Healing Hearts Counseling at HopeSparks Family Services (Tacoma): (253) 565-4484
- Holistic Recovery for Mothers (Tacoma): (253) 267-5402
- Kwawachee Counseling Center (Tacoma): (253) 593-0247 or (253) 593-0232
- Lakeside-Milam Recovery Centers Outpatient Mental Health Treatment:
- (253) 840-8687 (Puyallup)
- (253) 272-2242 (Tacoma)
- Metropolitan Development Council Mental Health Services (Tacoma): (253) 593-2740
- Multicare Outpatient and Specialty Services (Puyallup and Tacoma): (888) 445-8120
- Northwest Integrated Health Behavioral Health Program:
- (253) 200-0415 (Puyallup)
- (253) 503-3666 (Lakewood)
- (253) 503-0226 (Tacoma, Westgate Boulevard)
- (253) 300-7474 (Tacoma, South Tacoma Way)
- Pierce County Alliance (Tacoma): (253) 572-4750
- Pioneer Human Services Counseling and Treatment (Tacoma): (253) 798-6500
- Sea Mar Community Behavioral Health Clinics:
- (253) 280-9888 (Gig Harbor)
- (253) 864-4770 (Puyallup)
- (253) 682-2180 (Tacoma, 11th Street)
- (253) 396-1634 (Tacoma, 19th Street)
- (253) 593-2144 (Tacoma, Cushman)
- STOP Tacoma Treatment Center: (253) 471-0890
- Tacoma-Pierce County Treatment Services (Tacoma): (253) 798-6527
- Telecare Pierce County Evaluation and Treatment Crisis Program (Milton): (253) 220-6183
- Skamania County
- Skamania County Community Health (Stevenson): (509) 427-3850
- Chelan County
South Central and Southeast Washington Clinics and Crisis Lines
- Regional Mental Health Organization: Greater Columbia Behavioral Health Administrative Service Organization
- Serving Asotin, Benton, Columbia, Franklin, Garfield, Kittitas, Walla Walla, Whitman, and Yakima Counties
- Main Number: (509) 737-2475 or (888) 545-3022
- Regional Crisis Line: (888) 544-9986
- County Crisis Lines:
- Asotin County Crisis Line: (888) 475-5665
- Benton County Crisis Line: (800) 783-0544
- Columbia County Crisis Line: (866) 382-1164
- Franklin County Crisis Line: (800) 783-0544 or (509) 783-0500
- Garfield County Crisis Line: (888) 475-5665 or (509) 765-1717
- Kittitas County Crisis Line: (800) 572-8122 or (509) 925-4168 (Ellensburg) or (509) 674-2881 (Cle Elum)
- Walla Walla County Crisis Line: (509) 524-2999 or (800) 572-8122
- Whitman County Crisis Line: (866) 871-6385 or (509) 334-1133
- Yakima County Crisis Line: (800) 572-8122 or (509) 575-4200
- Contracted Adult Outpatient Providers:
- Asotin County
- Quality Behavioral Health(Clarkston): (509) 758-8009
- Daytime crisis line (Clarkston): (509) 758-3341
- After-hours crisis line (Clarkston): (509) 578-4665
- Crisis line (Pomeroy): (509) 843-3791
- After-hours crisis line: (888) 475-5665
- Quality Behavioral Health(Clarkston): (509) 758-8009
- Benton County
- Catholic Charities of the Diocese of Yakima: (800) 246-2962
- (509) 965-7100 (Yakima)
- (509) 946-4645 (Richland)
- (509) 662-6761 (Wenatchee)
- Lourdes Counseling Center(Richland): (509) 943-9104
- (509) 783-0500 (Crisis Services, Kennewick)
- Merit Resource Services:
- (509) 837-7700 (Sunnyside)
- (509) 579-0738 (Kennewick)
- Recovery and Wellness Center of Eastern Washington (Richland): (509) 619-0519
- Reliance Health Systems (Richland): (509) 420-5060
- Tri-Cities Community Health:
- (509) 543-8500 (Kennewick)
- (509) 547-2204 (Richland)
- Catholic Charities of the Diocese of Yakima: (800) 246-2962
- Columbia County
- Blue Mountain Counseling (Dayton): (509) 382-1164
- Franklin County
- Assessment and Treatment Associates (Pasco): (877) 479-5993 or (509) 380-5292
- Comprehensive Healthcare Mental Health Services:
- (509) 925-7507 or (509) 925-9384 (Ellensburg Pearl Street Center)
- (509) 925-9861 (Ellensburg Fourth Street Center)
- (509) 412-1051 (Pasco Center)
- Tri-Cities Community Health (Pasco): (509) 545-6506
- Garfield County
- Garfield County Human Services / Quality Behavioral Health (Pomeroy): (509) 843-3791
- Kittitas County
- Comprehensive Healthcare Mental Health Services:
- (509) 674-2340 (Cle Elum Center)
- (509) 925-7507 or (509) 925-9384 (Ellensburg Pearl Street Center)
- (509) 925-9861 (Ellensburg Fourth Street Center)
- Merit Resource Services:
- (509) 925-9821 (Ellensburg)
- Comprehensive Healthcare Mental Health Services:
- Walla Walla County
- Comprehensive Healthcare Mental Health Services (Walla Walla): (509) 522-4000
- Serenity Point Counseling (Walla Walla): (509) 529-6036
- Whitman County
- Palouse River Counseling Center (Pullman): (509) 334-1133
- Yakima County
- Catholic Charities Child, Adult, and Family Counseling (Yakima): (509) 965-7100
- Comprehensive Healthcare Mental Health Services:
- (509) 575-4084 (Yakima)
- (509) 837-2089 x2700 (Sunnyside)
- Merit Resource Services:
- (509) 877-7271 (Wapato)
- (509) 469-9366 (Yakima)
- (509) 865-5233 (Toppenish)
- Triumph Integrated Behavioral Health Services(Yakima):
- (509) 853-4173 (Casita)
- (509) 576-3060 (Riel House)
- (509) 853-4175 (Beth’s Place)
- (509) 571-1455 (Inspirations)
- (509) 248-1800 (Main Office)
- Yakama Nation Behavioral Health Services (Toppenish): (509) 865-5121
- Yakima Valley Farm Workers Clinic (Yakima): (509) 453-1344
- Asotin County
Southwest and Coastal Washington Clinics and Crisis Lines
- Regional Mental Health Organization: Great Rivers Behavioral Health Organization
- Serving Cowlitz, Grays Harbor, Lewis, Pacific, and Wahkiakum Counties
- Main Number: (800) 392-6298 or (360) 795-5955
- Regional Crisis Line: (800) 803-8833
- County Crisis Lines:
- Cowlitz County Crisis Line: (360) 425-6064 or (800) 803-8833
- Grays Harbor County Crisis Line: (800) 685-6556 or (360) 532-4357
- Lewis County Crisis Line: (800) 559-6696
- Pacific County Crisis Line: (800) 884-2298 or (360) 942-2303 (North County) or (360) 642-3787 (South County)
- Wahkiakum County Crisis Line: (800) 635-5989 or (360) 795-8630
- Contracted Adult Outpatient Providers:
- Cowlitz County
- Awakenings Inc. (Kelso): (360) 423-2806
- Columbia Wellness (Kelso, Longview, and Woodland): (360) 423-0203
- Core Health (Longview): (360) 200-5419
- Cowlitz Family Health Center:
- (360) 353-5511 (Kelso Clinic)
- (360) 225-4310 (Woodland Clinic)
- (360) 703-6400 (Longview 14th Avenue Clinic)
- (360) 636-3892 (Longview 12th Avenue Clinic)
- Great Rivers Community Integrated Health Services (Chehalis): (360) 795-5955 or (800) 392-6298
- Sea Mar Kelso Behavioral Health Clinic: (360) 261-7020
- Grays Harbor County
- Alternative Counseling (Aberdeen): (360) 532-0205
- Behavioral Health Resources: (800) 654-3837
- (360) 532-8629 (Hoquiam)
- (360) 482-5358 (Elma)
- (360) 532-4357 or (800) 685-6556 (Crisis Clinic of Grays Harbor)
- Catholic Community Services Grays Harbor Adult Behavioral Health (Aberdeen): (360) 612-3839
- Chehalis Tribal Tsapowum Behavioral Health Center (Oakville): (360) 709-1733
- Columbia Wellness (Aberdeen): (360) 612-0012
- Cowlitz Family Health Center (Ocean Park): (360) 665-3000
- Great Rivers Community Integrated Health Services (Chehalis): (360) 795-5955 or (800) 392-6298
- Lifeline Connections (Aberdeen): (360) 787-9319
- Northwest Integrated Health Behavioral Health Program (Hoquiam): (253) 200-0300
- Sea Mar Aberdeen Behavioral Health Clinic: (360) 538-1461
- Lewis County
- American Behavioral Health Systems (Centralia): (360) 559-6201
- Cascade Adult Outpatient Program:
- (360) 330-9044 (Centralia and Morton)
- (360) 748-4339 (Chehalis)
- Core Health (Centralia): (360) 807-4929
- Eugenia Center:
- (360) 948-0203 (Chehalis)
- (360) 983-3227 (Mossyrock)
- Great Rivers Community Integrated Health Services (Chehalis): (360) 795-5955 or (800) 392-6298
- Providence Centralia Hospital Outpatient Program: (360) 736-2803
- Pacific County
- Great Rivers Community Integrated Health Services (Chehalis): (360) 795-5955 or (800) 392-6298
- Lifeline Connections (South Bend): (360) 787-9319
- Shoalwater Bay Tribe Behavioral Health (Tokeland): (360) 267-8141
- Willapa Behavioral Health Services:
- (800) 884-2298 (24-Hour Crisis Line)
- (360) 942-2303 (Raymond / North Pacific County)
- (360) 642-3787 (Long Beach / South Pacific County)
- Wahkiakum County
- Great Rivers Community Integrated Health Services (Chehalis): (360) 795-5955 or (800) 392-6298
- Wahkiakum County Mental Health Services (Cathlamet): (360) 795-8630 or (800) 635-5989
- Cowlitz County
King County Clinics and Crisis Lines
- Regional Mental Health Organization: King County Behavioral Health and Recovery Division
- Serving King County
- Main Number: (206) 263-9000
- Access Line: (800) 790-8049
- King County Crisis Line: (206) 461-3222 or (866) 427-4747
- Contracted Adult Outpatient Providers:
- Asian Counseling and Referral Service (Seattle): (206) 695-7600
- Assessment and Treatment Associates (Bellevue): (877) 479-5993 or (425) 289-1600
- Associated Behavioral Health: (800) 858-6702
- (425) 646-7279 (Bellevue)
- (206) 935-1282 (West Seattle)
- (206) 781-2661 (North Seattle)
- (253) 867-5344 (Kent)
- Atlantic Street Center(Seattle): (206) 329-2050
- (206) 461-3222 (Crisis Line)
- Casteele Williams and Associates (Vashon): (253) 536-2881
- Catholic Community Services CReW Program (Seattle): (206) 956-9570
- Center for Human Services Mental Health Counseling Program (Shoreline): (206) 362-7282
- Community Psychiatric Clinic(Seattle): (206) 461-3614
- (206) 461-4544 (Northgate Clinic)
- (206) 461-3614 (Lake City Clinic)
- (206) 461-3649 (Belltown Clinic)
- (206) 461-3707 (Wallingford Clinic)
- Consejo Counseling Outpatient Mental Health Program (Seattle, Columbia City, Renton, South Park, Lake City, Kent, and Bellevue): (206) 461-4880
- Cowlitz Tribal Mental Health (Seattle): (206) 721-5170
- Eating Recovery Center(Eating Disorders Only):
- (425) 451-1134 (Bellevue)
- (206) 971-2266 (Seattle)
- The Emily Program Eating Disorder Treatment (Seattle): (888) 364-5977
- Family Therapy and Recovery P. S. (Renton): (253) 220-9452
- Harborview Mental Health Services (Seattle): (206) 744-9657
- Ikron Behavioral Health:
- (425) 242-1713 (Bellevue)
- (206) 420-7949 (North Seattle)
- (425) 968-5921 (Redmond)
- Kent Youth and Family Services (Kent): (253) 859-0300
- King County Sexual Assault Resource Center(Renton):
- (425) 226-5062 (Main Office)
- (888) 998-6423 (24-Hour Resource Line)
- Lakeside-Milam Recovery Centers Outpatient Mental Health Treatment:
- (253) 869-6436 (Auburn)
- (425) 822-5095 (Kirkland)
- (425) 392-8468 (Issaquah)
- (425) 670-3664 (North Seattle)
- (206) 248-4358 (South Seattle)
- (206) 341-9373 (Downtown Seattle)
- Matumaini Counseling (Seattle): (818) 400-5203
- Muckleshoot Tribe Behavioral Health Program (Auburn): (253) 804-8752
- Multicare Outpatient and Specialty Services (Auburn and Kent): (888) 445-8120
- Navos Mental Health: (206) 648-8226
- (206) 933-7000 (Seattle)
- (206) 257-6600 (Burien)
- Nexus Family Behavioral Health Services:
- (253) 939-2202 (Auburn)
- (360) 825-4586 (Enumclaw)
- (425) 358-9451 (Maple Valley)
- Northshore Youth and Family Services (Bothell): (425) 485-6541
- Nua Counseling (Seattle): (206) 905-4667 or (206) 905-4668
- Olive Crest Family Counseling (Bellevue): (425) 462-1612
- Opal Eating Disorders Clinic (Seattle): (206) 926-9087
- Pathways at Coastal Mental Health Services (Bellevue): (425) 646-4406
- Pioneer Human Services Counseling and Treatment (Seattle): (206) 470-3856
- Refugee Women’s Alliance Behavioral Health: (253) 246-4003
- (206) 721-0243 (Main Office, Seattle)
- (206) 241-4659 (SeaTac Behavioral Health Office)
- (253) 246-4003 (Kent Behavioral Health Office)
- Sea Mar Behavioral Health Clinics:
- (425) 460-7114 (Bellevue)
- (206) 212-4500 (Des Moines)
- (253) 681-6640 (Federal Way)
- (206) 764-8019 (Kent)
- (206) 766-6976 (Seattle)
- Seattle Counseling Service for Sexual Minorities: (206) 323-1768
- Seattle Indian Health Board Behavioral Health Services: (206) 324-9360
- Sisters In Common Family Counseling Services (Renton): (206) 726-0430
- Snoqualmie Tribe Behavioral Health Services (Snoqualmie): (425) 831-5425
- Solstice Behavioral Health (Seattle): (206) 224-3746
- Sound Counseling Services: (206) 302-2300
- (253) 876-7600 (Auburn)
- (206) 444-7900 (Tukwila West)
- (206) 444-3600 (Tukwila East)
- (206) 302-2200 (Seattle)
- (425) 653-4900 (Bellevue)
- (425) 653-4960 (Redmond)
- (425) 653-4940 (Snoqualmie)
- Southwest Youth and Family Services (Seattle): (206) 937-7680
- Telecare King County Evaluation and Treatment Crisis Program (Federal Way): (360) 854-7400
- Therapeutic Health Services:
- (425) 747-7892 (Bellevue)
- (253) 681-0010 (Kent)
- (206) 546-9766 (Shoreline)
- (206) 726-4100 (Seattle Main Office)
- (206) 723-1980 (Seattle Rainier Branch)
- (206) 323-0934 (Seattle Seneca Branch)
- (206) 323-0930 (Seattle Summit Branch)
- Ukrainian Community Center of Washington Behavioral Health Program (Seattle): (425) 430-8229
- Valley Cities Behavioral Health Care:
- (253) 833-7444 (Auburn, Aurora, Des Moines, Enumclaw, Federal Way, Kent, and Seattle)
- (206) 296-4990 (Seattle Meridian Center)
- YMCA of Greater Seattle Youth Counseling Program (Seattle): (206) 382-5340
- You Grow Girl Youth and Adult Counseling (Seattle): (206) 417-9904
- Youth Eastside Services Youth and Family Counseling: (425) 747-4937
- (425) 747-4937 (Bellevue)
- (425) 827-4937 (Kirkland)
- (425) 869-6037 (Redmond)
North Puget Sound Clinics and Crisis Lines
- Regional Mental Health Organization: North Sound Behavioral Health Organization
- Serving Island, San Juan, Skagit, Snohomish, and Whatcom Counties
- Main Number: (360) 416-7013 or (800) 864-3555
- Access to Care Line: (888) 693-7200
- Regional Crisis Line: (800) 584-3578 or (425) 258-4357
- Contracted Adult Outpatient Providers:
- Island County
- Compass Health:
- (360) 678-5555 (Coupeville)
- (360) 682-4100 (Oak Harbor)
- Sea Mar Oak Harbor Behavioral Health Clinic: (360) 679-7676
- Sunrise Services, Inc.:
- (360) 720-2946 (Oak Harbor Office)
- (360) 544-3801 (Oak Harbor Community Behavioral Health Program)
- (360) 682-6154 (Island County Information Line and Coupeville Office)
- Compass Health:
- San Juan County
- Compass Health (Lopez Island, Orcas Island, and Friday Harbor Offices): (360) 378-2669
- Skagit County
- Compass Health (Mount Vernon): (360) 419-3500
- DidgWalic Wellness Center (Anacortes): (360) 588-2800
- Follman Counseling Agency (Burlington): (360) 755-1125
- Pioneer Human Services Counseling and Treatment (Mount Vernon): (360) 848-8437
- Sea Mar Community Behavioral Health Clinics:
- (360) 293-8007 (Anacortes)
- (360) 542-8920 (Mount Vernon, College Way Clinic)
- (360) 542-8810 (Mount Vernon, Highway 99 Clinic)
- Sunrise Services, Inc.:
- (360) 360-5480 (Concrete Recovery Services)
- (360) 336-3762 (Skagit County Information Line)
- (360) 336-3815 (Mount Vernon Community Behavioral Health Program)
- Swinomish Indian Tribal Community Wellness Program (La Conner): (360) 466-7389 or (36) 466-7256
- Telecare North Sound Evaluation and Treatment Crisis Program (Sedro-Woolley): (360) 854-7400
- Snohomish County
- American Behavioral Health Systems (Stanwood): (360) 502-4074
- Asian Counseling Treatment Services (Lynnwood): (425) 776-1290
- Assessment and Treatment Associates (Mountlake Terrace): (877) 479-5993 or (425) 289-1600
- Balanced Living Therapy (Edmonds): (425) 977-4988
- Basic Steps Mental Health (Mukilteo): (425) 588-8438
- Bridgeway Treatment Services (Everett): (425) 283-5315
- Catholic Community Services Mental Health Program (Everett): (425) 257-2111
- Center for Human Services (Edmonds): (206) 362-7282
- Compass Health:
- (425) 349-7244 (Snohomish Office)
- (425) 349-8810 (Monroe Office)
- (425) 349-7352 (Marysville Office)
- (425) 672-3333 (Aurora House, Edmonds)
- (425) 349-8700 (Smokey Point Office, Arlington)
- (425) 349-8888 (Mukilteo Evaluation and Treatment Facility)
- (425) 349-7289 (Snohomish County Triage Center, Everett)
- (425) 349-6200 (Federal Avenue Campus, Everett)
- (425) 349-6800 (Bailey Building, Everett)
- (425) 349-6700 (Haven House, Everett)
- (425) 835-5850 (Lynwood Adult Office)
- Lakeside-Milam Recovery Centers Outpatient Mental Health Treatment:
- (425) 267-9573 (Everett)
- Sea Mar Community Behavioral Health Clinics:
- (425) 609-5505 (Everett Clinic)
- (425) 977-2560 (Lynwood Clinic)
- (360) 805-3122 (Monroe Clinic)
- Snohomish County Community Mental Health (Information Only): (425) 388-3411
- Sunrise Services, Inc.:
- (425) 493-5800 (Snohomish County Information Line)
- (425) 493-5801 (Snohomish Community Behavioral Health Program)
- (425) 595-5201 (Everett Community Behavioral Health Program)
- (425) 678-6801 (Mountlake Terrace Community Behavioral Health Program)
- (360) 926-8493 (Stanwood Community Behavioral Health Program)
- Therapeutic Health Services (Everett): (425) 347-5121
- Whatcom County
- Assessment and Treatment Associates (Bellingham): (877) 479-5993 or (425) 289-1600
- Compass Health:
- (360) 676-2220 (Bellingham Outpatient Office)
- (360) 676-2020 (Whatcom County Triage Center, Bellingham)
- Lummi Nation Counseling Services (Bellingham): (360) 312-2420
- Nooksack Indian Tribe Behavioral Health Program (Deming): (360) 966-2376
- Sea Mar Community Behavioral Health Clinics (Bellingham): (360) 734-5458
- Sunrise Services, Inc.:
- (360) 746-7200 (Whatcom County Information Line)
- (360) 746-7201 (Bellingham Community Behavioral Health Program)
- Unity Care Behavioral Health Services(Bellingham): (360) 676-6177
- (800) 584-3578 (Crisis Line)
- Island County
West Puget Sound Clinics and Crisis Lines
- Regional Mental Health Organization: Salish Behavioral Health Organization
- Serving Clallam, Jefferson, and Kitsap Counties
- Main Number: (360) 337-7050 or (800) 525-5637
- Regional Crisis Line: (800) 843-4793 or (360) 479-3033
- County Crisis Lines:
- Clallam County Crisis Line: (360) 452-4500 or (800) 843-4793
- Jefferson County Crisis Line: (360) 385-0321 or (800) 843-4793
- Kitsap County Crisis Line: (360) 373-3425 or (800) 843-4793
- Contracted Adult Outpatient Providers:
- Clallam County
- Peninsula Behavioral Health:
- (360) 457-0431 (Port Angeles)
- (360) 681-0585 (Sequim)
- West End Outreach Services at Forks Community Hospital(Forks): (360) 374-5011
- (800) 843-4793 (after-hours)
- Peninsula Behavioral Health:
- Jefferson County
- Discovery Behavioral Healthcare (Port Townsend): (360) 385-0321
- Kitsap County
- Action Counseling (Port Orchard): (360) 895-1307
- Kitsap Mental Health Services(Bremerton and Port Orchard):
- (360) 373-7049 (Adult Services)
- (360) 405-4010 (Referral Line)
- (360) 373-3425 (Crisis Line)
- (360) 373-5031 (General Information Line)
- S’Klallam Tribe Port Gamble Wellness Program (Kingston): (360) 297-6326
- Suquamish Tribe Wellness Center (Suquamish): (360) 598-3311 or (360) 394-8558
- Clallam County
South Puget Sound Clinics and Crisis Lines
- Regional Mental Health Organization: Thurston-Mason Behavioral Health Organization
- Serving Mason and Thurston Counties
- Thurston County Mental Health Line: (360) 867-2602
- Customer Service: (360) 763-5828 or (800) 658-4105
- Recovery Help Line: (866) 789-1511
- Regional Crisis Line: (360) 754-1338 or (800) 270-0041
- Crisis Clinic of Thurston and Mason Counties: (360) 586-2800
- Contracted Adult Outpatient Providers:
- Mason County
- Behavioral Health Resources:
- (360) 426-1696 (Shelton Office)
(360) 586-2800 (Crisis Clinic of Thurston and Mason Counties)
- (360) 426-1696 (Shelton Office)
- Consejo Counseling Outpatient Mental Health Program (Shelton): (360) 763-5610
- Northwest Resources II (Shelton): (360) 426-0890 or (360) 868-2697
- Squaxin Island Tribe Behavioral Health Clinic (Shelton): (360) 426-1582
- STOP Shelton Treatment Center: (360) 426-5641
- Telecare Corporation:
- (360) 462-3016 (Mason County Mobile Outreach and Intensive Case Management)
- (360) 528-2590 (Thurston Mason Evaluation and Treatment Center)
- (360) 943-1907 (Thurston Mason Crisis Triage)
- Behavioral Health Resources:
- Thurston County
- Behavioral Health Resources:
- (360) 704-7170 or (800) 825-4820 (Olympia and Tumwater)
(360) 586-2800 (Crisis Clinic of Thurston and Mason Counties) - (360) 754-1338 or (800) 270-0041 (Crisis Resolution Services)
- (360) 704-7170 or (800) 825-4820 (Olympia and Tumwater)
- Capital Recovery Center (Olympia): (360) 357-2582
- The Emily Program Eating Disorder Treatment (Lacey): (888) 364-5977
- Northwest Resources II(Olympia):
- (360) 943-8810 (Westmoor Court)
- (360) 918-8336 (Lilly Road)
- (360) 688-7312 (Martin Way)
- Providence Community Care Center Outpatient Program (Olympia): (360) 515-5656
- Providence Olympia Psychiatry (Olympia): (360) 493-7060
- Sea Mar Community Behavioral Health Clinics:
- (360) 704-7590 (Tumwater Clinic)
- (360) 400-4860 (Yelm Clinic)
- Telecare Corporation:
- (360) 462-3016 (Mason County Mobile Outreach and Intensive Case Management)
- (360) 528-2590 (Thurston Mason Evaluation and Treatment Center)
- (360) 943-1907 (Thurston Mason Crisis Triage)
- Behavioral Health Resources:
- Mason County
Federally Qualified Health Centers
Federally qualified health centers (FQHCs) are another option for public mental health care in Washington. These federally-funded programs provide medical and mental health services to people in underserved communities. Their purpose is to provide high-quality coordinated care to people with complex needs and to link behavioral healthcare with primary medical care. Each FQHC accepts Medicaid and Medicare and offers sliding scale fees to people without insurance. You can search for FQHCs using the online search tool on the U.S. Department of Health and Human Services website.
How Does Washington's Public Mental Health System Work?
In the 1960s, Americans started thinking differently about how to treat mental health conditions. New laws required state and local governments to establish community mental health programs as alternatives to institutionalization for people with serious mental illness. Many states’ public mental health programs trace their origins back to this period.
Washington is no exception. The state enacted its own Community Mental Health Services Act in 1967, which authorized the construction of community mental health programs across the state. As in other states, the main purpose of these programs was to provide the resources necessary to allow people with serious mental illness to manage their conditions in the community instead of in large state institutions.
Despite its early start, Washington lagged behind other states in decentralizing its mental health system. While some counties started building and organizing local mental health services in the 1970s, the State of Washington did not officially create county mental health boards until it passed its Mental Health Reform Act in 1989. Until then, it continued to rely largely on its state hospitals for state-funded mental health services.
Washington’s 1989 mental health reform law established 14 Regional Support Networks (RSNs) tasked with overseeing community mental health programs. In 2016, Washington replaced RSNs with Behavioral Health Organizations (BHOs) as part of a shift to a Medicaid Managed Care system. In 2019, it started transitioning from BHOs to Administrative Service Organizations (ASOs).
The public mental health system in Washington now consists of a mix of BHOs and ASOs. These two types of organizations serve the same functions of supervising, developing, and funding local programs, though ASOs function more independently from state and local governments than BHOs. There are currently eight regional behavioral health organizations in Washington.
Some counties in Washington directly provide mental health services, particularly rural counties with low population densities. However, most counties contract mental health services, including crisis lines and crisis intervention teams, to independent providers licensed and overseen by regional planning boards.
According to Mental Health America, Washington ranks 22 out of 51 states (including the District of Columbia) for access to mental health care. However, many people in Washington still don’t get the care they need. According to SAMHSA, only 44 percent of people in Washington with mental health conditions get treatment for them. You can help change these statistics—consider reaching out to a local or statewide information or crisis line to learn how to access mental health care in your area.