The Cowlitz County Commissioners held a significant meeting on July 22, 2025, focusing on the establishment of a new behavioral health facility aimed at addressing the pressing mental health needs in the region. The proposed facility would include a 16-bed unit specifically designed for individuals transitioning from state hospitals, as well as outpatient services for substance use disorder and other mental health issues.

Commissioners discussed the potential for creating a new agency in collaboration with the governor's office and the Health Care Authority (HCA). This agency would allow for billing to insurance companies, generating revenue that could alleviate the financial burden on taxpayers. The initiative is seen as a way to revamp local mental health services, create jobs, and provide high-quality care for residents.

The proposed facility is envisioned as a comprehensive campus, potentially spanning over five acres and including various services such as crisis stabilization, evaluation and treatment, and rehabilitation. The discussions highlighted the need for a facility that not only serves individuals from outside the county but also prioritizes Cowlitz County residents, ensuring they have access to necessary mental health resources.

Concerns were raised about the adequacy of existing facilities and the importance of creating a supportive environment for individuals with mental health issues. The commissioners emphasized the need for a facility that would not only treat but also rehabilitate individuals, moving away from the current system that often leads to incarceration rather than treatment.

The meeting concluded with a commitment to explore potential locations for the facility, including the possibility of repurposing an old hospital building in the area. The commissioners expressed optimism about the project, recognizing the critical need for improved mental health services in Cowlitz County and the potential positive impact on the community.