Anyone can walk in and receive a professional assessment for their substance use or mental health needs. We will use the "No Wrong Door" approach.
Inpatient treatment will be offered to anyone who needs a 24-hour stabilization period for their recovery in accordance with the American Society of Addiction Medicine's criteria
Two Rivers will use licensed professional counselors for therapy and counseling programs, as well as peers in treatment having experience with addiction or mental illnesses.
Two Rivers will have the capacity to take in people charged with minor crimes who agree to receive treatment instead of incarceration.
Two Rivers will be equipped to evaluate urgent behavioral health situations and refer patients to the appropriate care.
Medical monitoring of the detoxification process if the abrupt withdrawal has the potential to cause life-threatening issues.
Two Rivers Behavioral Health Recovery Center is envisioned to provide a detoxification and residential rehabilitation facility to help combat the opioid epidemic. With no behavioral health or substance use disorder (SUD) treatment facility in the area, we made it our priority to address this unmet need.
Once we began, we reached out to the community for support and collaboration. We were fortunate to connect with the Benton County Recovery Coalition. Their subject matter expertise aided in early discussions, and their existing relationships continue to help open doors. We are receiving an overwhelming amount of support for this center from the community.
Our community is coming together in unprecedented ways to raise awareness and find ways to act. Leaders from both Benton and Franklin Counties, law enforcement officials, and the healthcare community are engaged to meet this tragic and urgent unmet need.
“Even prior to the pandemic, our state was experiencing a mental and behavioral health crisis, which was being reflected in everything from teen suicide rates to drug addiction and homelessness . The isolation, depression and anxiety caused by the Covid shut down has only exacerbated these problems and made the need for a new behavioral Health Center even more urgent. I’m glad that we were able to secure funds in the capital budget to address this problem in our community.”
- Senator Sharon Brown
“KPHD’s newest community outreach is a much-needed comprehensive treatment center for mental health, drug and alcohol abuse. Housed in the former KGH hospital space on Auburn Street, this facility will be a life saver for our neighbors attempting to turn their lives around.”
- Dr. Sheila Dunlop
“The importance of having a recovery center for drugs, alcohol and mental health issues located in the Tri-Cities is undeniable. Such a center is important to all of us who live here. For too long those living in the Tri-Cities, and in need for this care, have had to travel to Yakima or Spokane to receive such care. The need is real, and the time is now for a community the size of ours to have such a center located in the Tri-Cities.”
- Kennewick Mayor Don Britain
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The Feasibility Study was focused on the circumstances in our area—whether it could be financially feasible. There seems to be a mixed bag of organizational patterns in the limited facilities within the State. Some are publicly run, some by not-for-profit entities, and some by private for-profit entities. Most address either mental health treatment or SUD treatment. Our approach addresses both at a single “no wrong door” receiving and assessment center with immediately available treatment for behavioral health issues and SUD. We are not aware of any Public Hospital District in the State funding those comprehensive services solely or partially from tax revenues.
The District will not put itself in a position of risk. The plan is that the District will own the facility to ensure continued operation, the benefits of public ownership, and voter responsibility. It may also hold the licenses necessary for the services. It will not provide the actual behavioral health services. That will be the second tier of service providers. One or more qualified entities will assume various service areas such as SUD (substance use disorder) or mental health treatment. These will, in turn, contract with individual providers, such as a counselor, housing and employment specialists. These services and providers will all be governed by contracts defining performance standards, compensation, and coordinating services. The accountability chain goes right back up the chain to the Board of Commissioners and ultimately the voters of the District.
The District is presently exploring potential service providers. In doing so, we are working closely with LifePoint, the successor of RCCH. They currently own the building as well as Lourdes Health Services and Lourdes Counseling Center. Coordination is critical since, under the terms of the Master Asset and Sales Agreement, there is a covenant to not compete without their prior written consent. Therefore, they obviously will not sell us a building to compete with them. However, we are fortunate that LifePoint does have a national perspective, and their Behavioral Health Division is very supportive of this project. As a result, LifePoint can be significantly involved in identifying services and the primary service providers selection.
There are two pieces to the funding element.
The first is capital costs for acquisition, remodeling, and initial start-up costs (Capital Costs). The Study does not address these. The business model pro forma identifies the capital cost as debt collaterally but does not site funding. We anticipate this need to be funded by grants, governmental funding, and private donations.
The second element is operations and maintenance. The Ascension Study addressed the sustainability of the project from service revenues. They determined that it was financially viable.
The Pro Forma in the Feasibility Study contains only the summary schedules showing the start-up budget and the five-year projections. The full pro forma includes a Final Projection schedule that
includes all the anticipated expenses from “accounting and payroll” to “utilities.” In the summaries,
these are included in the “Total General and Administrative Expenses.” The supporting detail schedules were omitted for brevity.
The model we have been most influenced by is the Federal Substance Abuse, and Mental Health Service Administration’s recent guidelines at https://www.samhsa.gov.The best description may be found at Crisis Now’s website: https://crisisnow.com/. RI International is an international behavioral health provider that is using this model. We visited their closest facility in Fife, Washington, and facilities in Arizona. Due to space available to provide both SUD and behavioral health detox and stabilization services, the Recovery Center will be the first of its kind in the State.
The Study did not contain a comparative analysis of facilities in Washington.