Orion Center discusses youth homelessness and mental health support gaps in King County

The King County Board of Health convened on April 17, 2025, to address pressing issues surrounding youth mental health and substance use services in the region. The meeting featured a detailed presentation from Althea, a representative from the Orion Center, which provides critical outreach and support services for homeless youth.

Althea outlined the center's approach, which includes outreach workers who connect with young people living in encampments or on the streets. The Orion Center serves as an entry point for these individuals, offering shelter, workforce programs, GED preparation, and transitional housing. However, Althea highlighted a significant challenge: many youths served are grappling with substance use disorders and mental health issues, complicating their path to independence.

A poignant case was shared about a young woman who, despite receiving support and being placed in an apartment, struggled with addiction and ultimately returned to homelessness. Althea emphasized the need for a middle-ground housing solution that accommodates youths who are not yet ready for independent living but require more than temporary shelter. She pointed out that existing transitional housing programs often lack the necessary support for those with severe mental health needs, leading to repeated cycles of homelessness.

The discussion transitioned to broader themes of youth mental health in King County, with Sarah Wilhelm from Public Health Seattle and King County presenting data on youth behavioral health. Statistics revealed that mood disorders are a leading cause of hospitalization among young people, with rates particularly high among girls. The need for a comprehensive continuum of support was stressed, as many youths face barriers to accessing necessary services.

Board member Nelson raised concerns about the implications of a harm reduction approach, questioning the acceptance of continued substance use among youths. Althea clarified that while the Orion Center supports youths in their goals, including those who may not wish to stop using substances, the focus remains on helping them achieve meaningful life improvements.

The meeting concluded with a call for increased investment in youth behavioral health services, particularly for marginalized groups such as BIPOC and LGBTQ youths, who face disproportionate challenges. The board acknowledged the importance of flexible, youth-centered approaches to address the complex needs of young people in King County.

Overall, the meeting underscored the urgent need for enhanced support systems and housing options for vulnerable youths, as well as the importance of community engagement in shaping effective policies and programs. The board plans to continue discussions on these critical issues in future meetings.