Emerald City Behavioral Health proposes comprehensive mental health facility in Cowlitz County

The Cowlitz County Commissioners held a public meeting on July 22, 2025, focusing on the urgent need for enhanced mental health services in the region. Central to the discussion was the proposal for a new behavioral health facility aimed at addressing the significant gaps in mental health care, particularly for individuals transitioning from state hospitals.

Commissioners and stakeholders discussed the creation of a comprehensive agency that would provide a range of services, including a 16-bed facility for crisis stabilization and outpatient behavioral health counseling. This initiative is seen as a critical step in improving local mental health resources and reducing the burden on the county's jail system, where individuals with mental health issues often face inadequate care.

The proposed facility would not only serve residents of Cowlitz County but also accommodate individuals from other areas, particularly those being discharged from Western and Eastern State Hospitals. The plan emphasizes the importance of keeping local residents close to their families during treatment, thereby enhancing recovery prospects.

Funding for the facility is a key concern, with discussions highlighting the potential for generating revenue through insurance billing for services provided. This approach aims to alleviate reliance on taxpayer funding while ensuring sustainable operations. The commissioners expressed optimism that the facility could create numerous healthcare jobs, contributing to the local economy.

The meeting also touched on the possibility of utilizing existing structures, such as the old Monticello Medical Center, for some services, although there are concerns about the feasibility of renovating older buildings to meet modern healthcare standards.

Overall, the commissioners underscored the pressing need for a dedicated mental health facility in Cowlitz County, viewing it as a vital component of a broader strategy to improve community health and well-being. The next steps involve further exploration of funding options and site evaluations to move the project forward.