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Court urgent care clinic sees rapid growth; advocates press for more SUD capacity and competitive rates
Summary
Court urgent care clinic contractors and children's hospitals described rising demand, with the court clinic reporting hundreds of intakes over contract benchmarks; witnesses urged continued funding for same‑day services, expanded intermediate levels of care for youth, and a regional rate study for residential SUD services.
Pathways to Housing DC and its court urgent care clinic told the Committee they continue to see rising demand for same‑day behavioral health services in the court setting. Will Doyle, vice president of Pathways, said the clinic completed 897 unique intakes in FY25 — about 50% above contract benchmarks — and was on pace for still higher numbers in FY26. Shannon Walsh, clinical director of the Court Urgent Care Clinic, described that growth and asked the Committee to prioritize funding during upcoming budget decisions.
Children's National Hospital's chief of psychiatry, Dr. Adelaide Robb, said the city still lacks intermediate levels of pediatric care such as partial hospitalization and intensive outpatient programs; she urged coordinated investments so children do not fall into higher levels of care. Nadia Casey and others raised concerns that residential SUD per‑diem reimbursement in DC (cited as $128/day for level 3.1) is 40–60% below Maryland and Virginia peers and threatens provider sustainability; they asked for a rate study and regional comparison.
