Prenatal through 25 Behavioral Health Strategic Plan
In 2021, in response to the ongoing crisis children and young adults – the Children and Youth Behavioral Health Work Group (CYBHWG) proposed creating the Prenatal through 25 (P-25) Behavioral Health Strategic Plan for individuals from prenatal stages through age 25.
In 2024, in collaboration with people with lived and living experience, providers, families, caregivers, and other key community members the project was renamed Washington Thriving.
The draft Prenatal through 25 Behavioral Health Strategic Plan will be presented to the CYBHWG by August 1, 2025, and then submitted to the Governor and Legislature by November 1, 2025.
On this page
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Principles
Design and build a system of services and supports that:
- Ensures no wrong door for anyone seeking help.
- Provides assistance and feels helpful to children, young people, and families.
- Is shaped by the input and experiences of those who use these services.
- Offers a comprehensive and adaptable system that covers the full range of care for mental health and substance use conditions from prenatal stages through age 25.
- Is driven by outcome measures that are flexible enough to adapt to the changing needs and approaches.
- Focuses on prevention and early intervention to reduce or prevent future mental health or substance use crises that require more intensive services.
Washington Thriving Advisory Group (formerly the Strategic Plan Advisory Group)
The Washington Thriving Advisory Group is made up of young people (ages 13-29), parents and caregivers, and system partners.
The advisory group:
- Brings everyone together to find common ground and have collaborative discussions.
View the current advisory group members.
Discussion groups
Each month, separate meetings are facilitated for:
- Youth and young adults (13-29)
- Parents and caregivers of children, youth, and young adults
- Partners (providers, advocates, others who support children, young people, and families)
These one to two hour meetings will focus on sharing updates about the strategic plan and gathering feedback and suggestions on project outputs.
Meetings and materials
All advisory group meetings are open to the public and include time for public comments and other ways to get involved and share your thoughts. You can watch the meetings live or watch the recordings later on the TVW website.
For more details on upcoming meetings and to add them to your calendar, visit Washington Thriving.
2025 meetings
| Date | Location, call-in information, and meeting materials |
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April 24, 2025 2 to 3:30 p.m. |
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April 24, 2025 11:30 a.m. to 1 p.m. |
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April 21, 2025 4 to 5:30 p.m. |
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April 2, 2025 4 to 5:30 p.m. |
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March 20, 2025 1:30 to 3 p.m. |
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March 19, 2025 1:30 to 3 p.m. |
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February 11, 2025 5:30 to 8:30 p.m. |
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Past meetings and materials
- 2024
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Date Meeting materials December 19 - System partners discussion presentation (12/19/2024)
December 18 - Youth and young adult discussion presentation (12/18/2024)
- Parent and caregiver discussion presentation (12/18/2024)
December 3 November 21 November 20 November 19 October 28 October 17 October 16 September 19 September 18 September 9 August 29 August 28 July 18 July 17 June 20 June 18 June 10 May 23 May 22 April 24 - 2023
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Date Meeting materials November 28, 2023 September 7, 2023 July 6, 2023 May 4, 2023 March 13, 2023 February 16, 2023 January 12, 2023 - 2022
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Date Meeting materials November 18, 2022 October 13, 2022 August 29, 2022
Discovery sprints
A discovery sprint is a methodology for collecting, analyzing, and integrating feedback on complex systems. Through four discovery sprints (8-12 weeks), held in 2024 with members of our target community, we explore the important challenges facing the behavioral health systems for children, youth, young adults, and their parents and caregivers.
Resources
The discovery sprints resulted in four sets of recommendations that are provided to the Washington Thriving Advisory Group for consideration as work is done to develop the P-25 Strategic Plan.
For each sprint, a final presentation was created and shared alongside the final report. The presentations were designed to provide an overview of the completed work and information on the recommendations while the report was developed to provide the detailed overview of the project and the contract deliverable information.
- Complex hospital discharge report
- Complex hospital discharge presentation
- Transition-age youth and complex behavioral health report
- Transition-age youth and complex behavioral health presentation
- Washington state behavioral health during pregnancy report
- Washington state behavioral health during pregnancy presentation
- Washington state K-12 school-based behavioral health report
- Washington state K-12 school-based behavioral health presentation
Newsletter
Stay up to date with the Washington Thriving newsletter! Each issue shares the latest news, highlights partners across the state, and offers ways to get involved in the strategic planning process. Find current and past newsletters and stay connected.
Background
During the 2022 legislative session, the Children and Youth Behavioral Health Work Group (CYBHWG) recommended the development of a Statewide Prenatal through 25 (P-25) Behavioral Health Strategic Plan. This recommendation was passed by the Washington State legislature in Second Substitute House Bill 1890.
In 2024, Engrossed House Bill 2256 updated this legislation and extended the due date for the P-25 behavioral health strategic plan to November 1, 2025.
In the first few years of the project, we explored Washington’s behavioral health landscape to create an initial overview. This work helped shape the 2023 progress report.
(Updated April 2025)