In 2001, the Washington State Legislature directed the Washington State Institute for Public Policy (WSIPP) to conduct a study of the long-term outcomes of the state’s more than 120,000 public mental health consumers. In Washington, community mental health services are overseen by 13 Regional Support Networks (RSNs) under contract with the state Division of Mental Health.

The purpose of this report is to examine regional variations—related to client characteristics, availability of services, patterns of service utilization, and the extent of evidence-based practices—and lay the groundwork for future analyses of long-term outcomes among adult consumers of mental health services in Washington State.