Eastern State Hospital Overview

Eastern State Hospital is a 367-bed inpatient psychiatric hospital and is accredited by the Joint Commission and certified by the federal Centers for Medicare and Medicaid Services. ESH is located in the city of Medical Lake, which is approximately 20 miles west of Spokane. ESH is one of two state-owned psychiatric hospitals for adults in Washington.
Eastern State Hospital is a partner with individuals, families, advocates, community healthcare providers, regional support networks, employee organizations, educational organizations, and local and state government systems to provide services to individuals in 20 eastern Washington counties. The hospital provides evaluation and inpatient treatment for individuals with serious or long-term mental illness that have been referred to the hospital through a behavioral health organization, the civil court system - where individuals  have received a civil court order for involuntary treatment - (RCW 71.05) or through the criminal court system - (RCW 10.77).

Patient Care Services

Adult Psychiatric Unit (APU) - APU is a 91-bed unit that provides inpatient hospitalization for adults 18 to 50 years old who are severely mentally ill and are committed for evaluation and treatment by a civil court proceeding.

Geropsychiatric Unit  (GPU) -  GPU is a 101-bed unit that provides inpatient  psychiatric evaluation and treatment for people 50 years of age and older, or persons under 50 years of age with medical concerns. Included in GPU is the Habilitation Mental Health (HMH) Unit, which consists of patients who are dually diagnosed with a mental illness and a developmental disability.

Forensic Services Unit (FSU) - FSU is a 95-bed inpatient unit for patients who enter the forensic (legal) unit in the hospital through the criminal justice system. Evaluation and treatment services are provided for adults prior to their trial, after they are convicted or after they are acquitted by reason of insanity.

Treatment Malls - Eastern State Hospital provides a treatment program that recognizes the worth, dignity and rights of all patients. Treatment focuses on the psychiatric illness and behavioral issues which make hospitalization necessary.  The treatment programs are conducted in an area called the Treatment Mall. ESH maintains two treatment malls, one is located in the activity building and the second is on the first floor in GPU.

Career Opportunities at Eastern State Hospital

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