22 Washington counties sue the state over mental-health treatment obligations

Twenty-two Washington counties, including King County, sued DSHS in a case distinct from but closely tied to Trueblood, alleging the state was using its exposure to Trueblood contempt fines as a reason to stop evaluating and treating people whose criminal charges had been dismissed on incompetency grounds.

The suit illustrated a spillover effect of the long-running federal case: as the state tried to manage its Trueblood compliance risk, counties argued it was creating a new gap in services for a related population, dismissed defendants who still needed care.

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