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Washington State’s Involuntary Treatment Act establishes a process under which individuals may be committed by the courts for mental health evaluation and treatment. An involuntary treatment detention may be initiated if an individual is determined by a designated official to be gravely disabled or poses a danger to self or others as a result of a mental illness. The 2015 Washington State Legislature directed the Washington State Institute for Public Policy (WSIPP) to examine two aspects of Washington State's involuntary commitment process: the use of non-emergent petitions for initial detention and less restrictive alternative orders for outpatient treatment. Our findings are based on a review of available data and an online survey of legal and treatment professionals.