Intensive behavioral health treatment facilities

Intensive behavioral health treatment facilities (IBHTFs) are a type of residential treatment facility (RTF). IBHTFs are for people who no longer benefit from treatment at state hospitals, but who are still voluntarily seeking further treatment and support to fully integrate back into their community.


IBHTFs use a person-centered treatment planning philosophy that incorporates person-first, strengths-based, recovery-oriented, and trauma-informed principles. These facilities each have up to 16 beds for live-in care that prioritizes the person’s needs. They provide onsite behavioral health interventions, psychosocial rehabilitation, and skill building to help people reintegrate back into their community.

The teams

Each IBHTF will have a team of specially trained staff who will provide 24/7 coverage. Each IBHTF treatment team consists of:

  • Psychiatric care provider
  • Mental health professional
  • Registered nurse
  • Mental health care provider
  • Certified peer counselor
  • Substance use disorder professional
  • Program support staff


The Department of Commerce is currently funding seven projects to be completed between 2023 and 2025. The Health Care Authority contracts with the new facilities to provide them with start-up funding and technical support for development.

The facilities currently in development are located in:

  • Tacoma
  • Renton
  • Chewelah
  • Kennewick
  • Spokane
  • Bremerton
  • One additional facility yet to be determined