Southwest Washington Behavioral Health

Center for Community Health

Southwest Washington Behavioral Health (SWBH) administers and coordinates public mental services in Clark and Skamania counties. Formed October 1, 2012, SWBH operates through an inter-local agreement between the two counties.

Working collaboratively with all system stakeholders, SWBH envisions a community that encourages recovery, cultural competency, engagement, clinical excellence and access to services in a welcoming environment.

SWBH is strategically implementing system changes to align with health care reform as required through the federal Affordable Care Act and Washington State’s initiatives.

Goals of the organization include:

  • Regional implementation of best, promising, evidence-based, recovery-oriented, and culturally competent practices for children and adults.
  • Standardization and improvement of data collection on consumer and system process and outcome variables.
  • Positioning for health care reform by developing organizational capacity to respond and adapt rapidly to new system requirements and opportunities (e.g. behavioral health/primary care integration).
  • Commitment to maintaining and improving local systems of health care service delivery responsive to Southwest Washington’s distinct communities, cultures, resources and needs.
  • Local responsiveness to the needs of the people of each participating county and tribal jurisdiction, including Clark County, Skamania County and the Cowlitz Tribe, as well as any additional jurisdictions that may join over time.

The entity has a governing board consisting of two members. Current representatives include: Councilor David Madore, Clark County, and Commissioner Chris Brong, Skamania County.

Primary business is conducted at the Center for Community Health, 1601 E. Fourth Plain Blvd., Building #17, Vancouver, WA, 98661.

As of July 1, 2015, Cowlitz County’s mental health services merged with the Grays Harbor Regional Support Network. The Grays Harbor RSN will manage the public mental health service needs of people living in Grays Harbor and Cowlitz counties and provide the funding to community mental health agencies that provide these services. For current Cowlitz County clients, this change does not affect access to services.

For more information, please contact: Christine DesRosier, Deputy Director, Cowlitz County Human Services: 360-501-1201.


Family Youth System Partner Round Table seeks feedback on mental health services

Click here for a pdf with more information

Joel’s Law

On July 24, 2015, a new section of Washington State’s Mental Illness laws called “Joel’s Law,” became effective. It allows an immediate family member, guardian, or conservator of a person to file a petition asking the superior court to detain that person for initial involuntary civil commitment.

docClick here for more information.

Integrated Care Conference


Upcoming Events

Wed Nov 25 @ 6:00PM - 07:30PM
Thu Nov 26 @11:00AM - 12:00PM
NAMI Walks and Talks
Thu Nov 26 @ 3:30PM - 05:00PM
Family Support Group
Fri Nov 27 @ 3:00PM - 07:00PM
Community Tree Lighting
Wed Dec 02 @ 1:30PM - 03:30PM
SWBH Quality Management Committee

Mental Health & Recovery Resource Site

NOC rectangular gray with flower

Early Adopter Model for Fully Integrated Care

Clark and Skamania counties have committed to the implementation of the Early Adopter model for full Medicaid integration of behavioral and primary health services beginning April 1, 2016. The Washington State Health Care Authority and local representatives have developed a Q&A document to help keep stakeholders informed of progress.

pdfDownload the latest updated Q&A document.

pdfDownload the Healther Washington presentation: HCA Update: Health Systems Transformation in Washington State - Southwest Washington Public Forum September 21, 2015

Watch the Public Forum meeting

SWBH Mission

To build and maintain a hopeful, strength-based, collaborative and empowering system of care to help those individuals and families in Southwest Washington with complex mental health, substance use and other health needs achieve personal goals and live, work and participate in their community.

SWBH Mental Health Advisory Board Mission

The mission of the Southwest Washington Behavioral Health (SWBH) Mental Health Advisory Board (MHAB) is to advise and assist SWBH to ensure timely access to superior and effective mental health services for people in need, their families and the community. To fulfill this mission, the SWBH MHAB will:

  • Engage in advocacy to reduce stigma, increase awareness of needs and available services, promote equality in service provision, and eliminate disparities in health care;
  • Promote holistic services that emphasize prevention, build resiliency, and address adverse childhood experiences; and
  • Base decisions on sound and credible data.