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County health officials warn Columbia River Mental Health disruption could affect 800 methadone clients

2841907 · March 25, 2025
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Summary

Clark County health director and councilors raised immediate concern about Columbia River Mental Health Services' recent reductions and the potential impact on up to 800 methadone clients and broader behavioral health capacity.

Clark County Public Health Director Alan Milnick told the Board of Health and the Public Health Advisory Council that recent developments at Columbia River Mental Health (CRMH) have raised urgent operational concerns for local health and social services.

Milnick said CRMH advised the county that NorthStar would remain open for now but that other services had been cut. "I'm really concerned because methadone withdrawal is tougher than heroin withdrawal," Milnick said, adding that the county was worried the change could affect roughly 800 methadone clients and that the impact could ripple into emergency departments, clinics and community partners.

Councilors and hospital representatives said gaps in behavioral health capacity would shift higher demands onto hospital emergency departments and other systems that do not have the capacity to absorb a large influx of patients. Milnick said Clark County Public Health does not provide methadone services directly and that managed-care organizations (Molina, Community Health Plan of Washington) contract for those services; the county would seek to convene providers and MCOs to identify options.

Speakers asked the state Department of Health and the Health Care Authority to be involved in discussions about continuity of care and potential emergency responses. County officials and hospital partners said they would continue coordination meetings to track service availability and escalate where patients face abrupt discontinuation of medication or mental-health supports.