Hailey Tran
Washington State has two state-operated psychiatric hospitals for adults: Western State Hospital and Eastern State Hospital. Western State Hospital, located in Lakewood, is one of the largest inpatient psychiatric hospitals west of the Mississippi, with over 800 beds. Eastern State Hospital, located in Medical Lake, is a 375-bed inpatient psychiatric hospital. In addition to these state-operated facilities, there are also private psychiatric hospitals in Washington State, such as the 130-bed Psychiatric Institute of Washington.
| Characteristics | Values |
|---|---|
| Number of state-operated psychiatric hospitals for adults in Washington state | 2 |
| Names of the hospitals | Western State Hospital, Eastern State Hospital |
| Location of Western State Hospital | Lakewood, Washington |
| Distance from Tacoma | 7 miles south |
| Year of opening of Western State Hospital | 1871 |
| Number of beds at Western State Hospital | More than 800 |
| Location of Eastern State Hospital | Medical Lake, Washington |
| Distance from Spokane | 15 miles west |
| Year of opening of Eastern State Hospital | 1891 |
| Number of beds at Eastern State Hospital | 375 |
| Campuses at Eastern State Hospital | Eastlake, Westlake |
| Other psychiatric hospitals in Washington state | The Psychiatric Institute of Washington, Northern State Hospital (now closed) |
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What You'll Learn
- Two state-operated psychiatric hospitals for adults: Western State Hospital and Eastern State Hospital
- The Psychiatric Institute of Washington: a 130-bed facility with inpatient and outpatient programs
- Fairfax Behavioral Health: a mental health hospital in Seattle offering psychiatric and detox treatment
- Northern State Hospital: a psychiatric hospital in Sedro Woolley that closed 50 years ago
- Child and adolescent psychiatric services: offered by Western State Hospital and The Psychiatric Institute of Washington
Two state-operated psychiatric hospitals for adults: Western State Hospital and Eastern State Hospital
Washington State is served by two state-operated psychiatric hospitals for adults: Western State Hospital and Eastern State Hospital. Both hospitals have played a vital role in helping generations of Washingtonians receive therapy and treatment for mental illness.
Western State Hospital, located in Lakewood, Washington, has been operating since 1871. It is one of the largest inpatient psychiatric hospitals west of the Mississippi, with more than 800 beds. The hospital primarily serves patients from the western counties of Washington State. Patients at Western State Hospital are involuntarily detained through a court order or by medical professionals. The hospital also houses the Child Study and Treatment Center, which provides psychiatric services for children aged 5-18 from across the state.
Eastern State Hospital, located in Medical Lake, Washington, opened in 1891 and has a capacity of 375 beds. The hospital primarily serves patients from the eastern counties and is accredited by the Joint Commission and certified by the federal Centers for Medicare and Medicaid Services. Similar to Western State Hospital, patients at Eastern State Hospital are involuntarily detained either through a court order or by medical professionals.
In addition to these two state-operated psychiatric hospitals, there were previously other psychiatric hospitals in Washington State, including Northern State Hospital in Sedro Woolley, which closed around 50 years ago as part of a national movement towards "deinstitutionalization". This movement aimed to replace large psychiatric hospitals with community healthcare that reintegrated mentally ill people into society. However, the closure of these hospitals has also been blamed for the mental health problems and homelessness seen on the streets of cities like Seattle today.
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The Psychiatric Institute of Washington: a 130-bed facility with inpatient and outpatient programs
Washington State has two state-operated psychiatric hospitals for adults: Western State Hospital and Eastern State Hospital. Western State Hospital, located in Lakewood, is one of the largest inpatient psychiatric hospitals west of the Mississippi, with more than 800 beds. Eastern State Hospital, located in Medical Lake, is a 375-bed inpatient psychiatric hospital.
In addition to these state-operated facilities, there is also The Psychiatric Institute of Washington (PIW), a 130-bed facility with inpatient, intensive outpatient, and partial hospitalization programs. PIW offers comprehensive behavioural healthcare to children, adolescents, and adults experiencing mental health and substance abuse issues. Their inpatient units serve patients experiencing an acute mental health crisis or seeking inpatient detoxification.
PIW's multidisciplinary team includes psychiatrists, therapists, social workers, nurses, and counsellors dedicated to helping patients overcome their challenges. The facility offers a stabilizing and healing environment, providing innovative treatment and care to those in need.
As a private facility, PIW provides an alternative to state-operated hospitals, allowing patients to access a range of services and support their journey towards healing and recovery. The facility is committed to excellence in behavioural health programs, ensuring that patients receive the highest standard of care during their stay.
With its comprehensive approach, PIW fills an important gap in Washington State's mental healthcare system, catering to individuals across different age groups and providing much-needed support for those navigating mental health and substance abuse challenges.
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Fairfax Behavioral Health: a mental health hospital in Seattle offering psychiatric and detox treatment
Washington State has two state-operated psychiatric hospitals for adults: Western State Hospital and Eastern State Hospital. Western State Hospital, located in Lakewood, has been serving the community since 1871 and is one of the largest inpatient psychiatric hospitals west of the Mississippi, with over 800 beds. The hospital primarily serves patients from western counties. Eastern State Hospital, located in Medical Lake, has been operating since 1891 and has 375 beds. It primarily serves patients from the eastern counties.
In addition to these state-operated psychiatric facilities, there are other mental health hospitals in Washington State, such as Fairfax Behavioral Health, located in the Seattle metropolitan area. Fairfax Behavioral Health has been serving the community since 1930 and operates a 157-bed standalone psychiatric hospital in Kirkland, WA. The hospital provides a wide range of treatment options for adults and adolescents, including outpatient services, a mood disorders program, an acute care program, a co-occurring and detox program, a psychiatric program, and a seniors program.
Fairfax Behavioral Health specializes in psychiatric and detox treatment, serving individuals with a wide range of mental health needs. Their Acute Care Program addresses distressing and debilitating symptoms of mental illness that require immediate attention, including psychosis. They also offer a Co-occurring and Detox program for those with substance use disorders and mental health disorders, such as schizophrenia and schizoaffective disorder.
Fairfax Behavioral Health employs a multidisciplinary approach to assessment, treatment, medication management, and discharge planning. Their Outpatient Program provides intensive care without requiring 24-hour hospitalization. This program typically involves three-hour group sessions three days a week, along with individual assessments and follow-ups. The hospital is committed to providing a supportive environment and long-term plans for sobriety and improved mental health.
Fairfax Behavioral Health is dedicated to empowering patients to achieve both treatment and life goals. They offer crisis intervention services and are available 24 hours a day, seven days a week. With a focus on patient recovery, the staff at Fairfax prioritizes creating a supportive and compassionate environment for those seeking mental health treatment and detox services.
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Northern State Hospital: a psychiatric hospital in Sedro Woolley that closed 50 years ago
Washington State currently has two state-operated psychiatric hospitals for adults: Western State Hospital and Eastern State Hospital. Western State Hospital, located in Lakewood, Washington, has been operating since 1871 and is one of the largest inpatient psychiatric hospitals west of the Mississippi, with over 800 beds. The hospital primarily serves patients from western counties. On the other hand, Eastern State Hospital, located in Medical Lake, Washington, opened in 1891 and serves patients from eastern Washington. It has 375 beds and hosts two campuses: Eastlake and Westlake.
In addition to these state-operated psychiatric hospitals, there are other facilities in Washington State that offer psychiatric services, such as The Psychiatric Institute of Washington (PIW), a 130-bed facility providing inpatient, intensive outpatient, and partial hospitalization programs for children, adolescents, and adults facing mental health and substance abuse issues.
One notable former psychiatric hospital in Washington State is the Northern State Hospital, located in Sedro-Woolley, which closed its doors around 50 years ago in the early 1970s. Once the largest hospital for mentally ill people in the state, Northern State Hospital was established in 1909 in response to overcrowding at Western State Hospital. It officially opened in 1912, featuring a landscape designed by the Olmstead Brothers and buildings designed by renowned architects Saunders and Lawton. The hospital's farm superintendent also played a key role in creating a self-sustaining and therapeutic colony for its patients.
In the 1950s, Northern State Hospital housed around 2,700 patients, which was considered its full capacity. However, the public perception of mental hospitals began to shift in the 1970s, and the hospital's controversial practices, such as lobotomies, contributed to its negative reputation. As a result, the state legislature cut off funding, leading to the closure of Northern State Hospital in 1976. The move towards "deinstitutionalization" aimed to replace large psychiatric hospitals with community healthcare that focused on reintegrating mentally ill individuals into society. While this decision was made with good intentions, it has been partly blamed for the mental health issues and chronic homelessness visible on the streets of cities like Seattle. Today, parts of the former hospital site are still in use and off-limits to the public, while the farm has been transformed into a recreation area.
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Child and adolescent psychiatric services: offered by Western State Hospital and The Psychiatric Institute of Washington
There are two state-operated psychiatric hospitals in Washington State: Western State Hospital and Eastern State Hospital. Western State Hospital is located in Lakewood, Washington, and is one of the largest inpatient psychiatric hospitals west of the Mississippi, with over 800 beds. The hospital treats patients using psychiatric medications, mental health counselling, group therapy, drug, psychiatric rehabilitation, and behaviour modification therapies. The hospital is divided into four specific acute treatment areas: PTRC Central and South for the treatment of civil and voluntarily committed adult patients; PTRC East for the treatment of older and geriatric patients; the Centre for Forensic Services, which provides court-ordered evaluations and treatments for patients with legal charges or convictions; and the Child Study and Treatment Centre, which provides psychiatric services for children aged 5–18 from across the state.
The Child Study and Treatment Centre is located on the WSH campus but is a separate entity. It is important to note that Western State Hospital is not a designated crisis responder (DCR) and does not voluntarily accept patients. Patients at Western State Hospital have been involuntarily detained through a court order or from medical professionals.
The Psychiatric Institute of Washington (PIW) is a 130-bed facility with inpatient, intensive outpatient, and partial hospitalisation programs. PIW offers comprehensive behavioural healthcare to children, adolescents, and adults experiencing mental health and substance abuse issues. Their inpatient units serve patients experiencing an acute mental health crisis or seeking inpatient detoxification. PIW offers six inpatient programs: Adult Psychiatric Services, Detox & Psych Units, Child Services, Adolescent Services, The Center, and The School. Each of these programs targets specific age groups and mental health needs. PIW also offers two outpatient programs to patients who do not qualify for in-hospital care: The Day Center and The Urgent Care Center.
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Frequently asked questions
There are currently two state-operated psychiatric hospitals for adults in Washington state: Western State Hospital and Eastern State Hospital.
The Psychiatric Institute of Washington is a private facility with 130 beds. Fairfax Behavioral Health is a mental health hospital in the Seattle metropolitan area.
Fifty years ago, one of the three state psychiatric hospitals in Washington closed. Northern State Hospital in Sedro Woolley was shut down as part of the deinstitutionalization movement.
Western State Hospital has more than 800 beds, while Eastern State Hospital has 375 beds.
