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Published Friday, Jul. 31, 2009

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Youth mental health unit closes doors

By Michelle Dupler, Herald staff writer

PASCO -- Lourdes Counseling Center will close its inpatient unit for children and adolescents today rather than run at an estimated $600,000 annual loss, officials said.

The unit has provided mental health hospitalization for children ages 7 to 18 with severe mental illnesses for more than 20 years, said Executive Director Barbara Mead.

The unit is one of only four in the state providing acute treatment for adolescents. Yakima and Spokane also have facilities.

Lourdes' board announced the closure about a month ago after a task force studied the unit and whether it was still viable with hospitalizations for mental illnesses declining.

Mead said more children and adolescents are being treated as outpatients, meaning they get care from mental health providers in their offices or even at home rather than being admitted to a psychiatric hospital.

"It's not any different than acute care," Mead said. "Twenty years ago if you had gallbladder surgery, the hospital stay was extensive. Nowadays you may not stay overnight."

On average, the 10-bed unit has had only six patients per day over the last year, with an average of only three per day from Benton and Franklin counties, Mead said.

When a facility opened in Yakima in February, the center knew another option was available in the region and the board chose to shutter the unit rather than operate at a loss.

Patients admitted to the children and adolescent unit typically were "very disturbed," Mead said.

They often suffered from abuse and neglect and were diagnosed with severe depression, bipolar disorder or conduct disorders, she said.

Lourdes Counseling Center will continue to see children and adolescents as outpatients, and its adult inpatient unit will remain open.

Lourdes has not decided how it might use the space formerly occupied by the children and adolescents unit. The psychiatric hospital is licensed for 32 beds and theoretically could expand its adult inpatient unit or remodel the children's unit for outpatient services.

No patients were in the unit this week. Mead said anyone needing to be hospitalized will be referred to Yakima or Spokane.

w Michelle Dupler: 582-1543; mdupler@tricityherald.com

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