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In 2001, the Washington State Legislature directed the Washington State Institute for Public Policy to conduct a longitudinal study of long-term outcomes for clients of the state’s public mental health system. The Legislature requested follow-up reports at two-, five-, and ten-year intervals.
This report documents changes in the study cohort from 2002 to 2005. It describes client retention rates and changes in clients’ mental health conditions, mental health service utilization, employment and wages, criminal justice involvement, and demographics.