Programs & Services
Addressing Mental Health Needs in Our Community
Our Behavioral Health Work Group uses a community-driven and collaborative approach to address mental health needs in Washington County.
We work closely with:
- Residents
- Local organizations
Together, we develop solutions that improve access to evidence-based mental health services and supports.
Our goals are to:
- Reduce barriers to care
- Promote mental well-being
- Create long-term, positive change in our community
Why Behavioral Health Matters
Mental health affects every part of daily life, including:
- Relationships
- Ability to work
- Physical health
In Washington County, many people face serious mental health challenges. Like other parts of Rhode Island and the United States, many residents struggle to find and receive the care they need.
Challenges in Washington County
Washington County is designated as a Mental Health Professional Shortage Area (HPSA). This means there are not enough providers to meet community needs.
As a result, many residents experience:
- Long wait times
- High costs
- Limited or no access to services
Impact on Children and Families
- Only one-third of children in the region receive needed mental health evaluations
- Without early support, many individuals experience worsening conditions
This can lead to:
- Increased use of emergency rooms during mental health crises
- Greater strain on families and the healthcare system
Moving Forward
Improving access to mental health care is essential to building a healthier community. HBHM works with partners and residents to expand services, reduce barriers, and support people in getting the care they need.
The Data

These following numbers reflect more than just statistics. They reflect a growing crisis and the real, urgent need for our neighbors, friends, and families, but they also guide our efforts to create a more supportive, responsive behavioral health system for all.
Behavioral Health and Substance Use in Washington County
Nearly 1 in 5 adults in Washington County report ever being diagnosed with a depressive disorder. This rate is higher than the national average.
Youth Mental Health
The percentage of youths reporting they have attempted suicide:
- Middle school students: 11%
- High school students: 21%
High school students report nearly double the rate compared to middle school students.
Adult Mental Health
The rate of mental and behavioral health disorders in adults has Increased by four or more percentage points over the past six years.
Mental Health Equity
Black, non-Hispanic residents experience double the hospitalization rate for mental health compared to White, non-Hispanic residents.
Substance Use and Prescription Drug Misuse
4.5% report non-medical use of pain relievers
Treatment Gap
81% of people who need addiction treatment are not receiving it.
Hospitalizations
- Substance use–related hospitalizations at South County Hospital increased by 50% (2016–2018).
- Mental health–related hospitalizations at Westerly Hospital more than doubled.
Drug-Related Deaths
The drug-induced death rate is 2 times higher than the Healthy People 2020 goal.
Alcohol-Related Harm
Washington County has the highest rate in Rhode Island for:
- Excessive drinking
- Deaths related to driving under the influence (DUI)
Newborn Health
Washington County has the highest rate in Rhode Island of newborns diagnosed with Neonatal Abstinence Syndrome (NAS).
Our Strategic Approach
Healthy Bodies, Healthy Minds (HBHM) leads a multi-year, county-wide effort to improve behavioral health services in Washington County.
Our goal is to build a system where everyone has access to the care and support they need.
Community-Guided Planning
Our work is guided by a 3-Year Action Plan. This plan is developed with input from:
- Community members
- Individuals with lived experience
This approach helps ensure our work reflects real community needs.
Our Focus
We are committed to creating a recovery-oriented system of care, which means:
- Supporting people at every stage of need
- Expanding access to services and resources
- Promoting long-term recovery and well-being
Our Commitment
HBHM works to create a coordinated system of care that is:
- Accessible
- Inclusive
- Responsive to community needs
The Plan in Action
Through four key focus areas, HBHM is working to build a healthier and more resilient community.
We partner with:
- Residents
- Healthcare providers
- Local organizations
Together, we are improving how behavioral health services are delivered in Washington County.
2024 Impact Summary
View our 2024 Impact Summary for a full report. Highlights include:
Community-Based Mental Health Initiatives
HBHM partners with local organizations to offer evidence-based programs, including:
- Mental Health First Aid
- Man Therapy
These programs help residents:
- Recognize mental health challenges
- Provide support to others
- Take action when someone is in need
Washington County has faced serious challenges, including a 20% increase in suicide rates between 2013 and 2015 and the highest suicide rate in Rhode Island.
In response, a county-wide prevention effort was launched. As part of this work:
- Over 1,000 people have completed Mental Health First Aid training
- Participants include:
- Law enforcement officers
- Clergy
- Teachers
- Parents
- Youth-serving organization staff
Suicide Prevention and Crisis Intervention
HBHM supports programs that provide timely care and reduce reliance on the criminal justice system.
Zero Suicide Initiative
HBHM works with hospitals, community health centers, and residents to:
- Screen patients for depression
- Identify people at risk for suicide
- Provide timely, evidence-based care
In 2023:
- Over 125,000 screenings were completed for depression and suicidal thoughts
Crisis Intervention Team (CIT) Training
CIT training helps law enforcement respond to mental health crises safely and effectively.
Results include:
- 529 individuals diverted from arrest in 2019
- Increased connection to community-based care
Additional impact:
- About 40% of calls in Narragansett involve behavioral health crises
- The average annual cost of incarceration is $58,564 per person
By diverting individuals to treatment instead of incarceration:
- Community costs are reduced
- Individuals receive more appropriate care
CIT programs have since expanded statewide through collaborative efforts.
Expanding Access to Behavioral Health Care
Washington County faces a shortage of mental health providers. To address this, HBHM works with partners to improve access to care and reduce pressure on emergency departments.
Key strategies include:
- Embedding Community Health Workers (CHWs) in hospitals
- Connecting patients to follow-up care and community resources
Results include:
- 44 fewer emergency department visits among seven high-need individuals
- 649 interventions supporting 277 people
- Investment in a behavioral health–friendly emergency response unit
For a deeper look at our efforts and impact, explore our full reports and supporting documents:
- Full report
- Integrated Needs Assessment 3-4-20, the key backup information that feeds the plan
- System Gaps, Priority Areas, and Strategies: A two-chart file that shows 1) the gaps in the existing behavioral services system and 2) a proposed model that provides comprehensive preventive and responsive services
- Washington County Focus Group Report is a powerful group of consumers and families who speak about their personal experiences with Washington County’s mental health system.
- YouTube video announcing the initial project, with supportive material
PDF Accessibility
Healthy Bodies, Healthy Minds (HBHM), a program of Wood River Health, is committed to providing content that is accessible to all users.
Some PDFs may not be fully accessible. If you need assistance or an alternative format, please contact us at Kristen.Frady@WoodRiverHealth.org.