Mental Illness and Drug Dependency
King County's Mental Illness and Drug Dependency (MIDD) is a countywide 0.1% sales tax generating an about $134 million per two-year biennium, specifically for programs and services for people living with mental illness and chemical dependency. King County’s MIDD is managed and operated by the King County Department of Community and Human Services Behavioral Health and Recovery Division.
2005: The Washington State Legislature created an option for counties to support behavioral health services locally by increasing the local sales tax by 0.1 percent to augment state funding for behavioral health services and therapeutic courts. As required by state law (Revised Code of Washington 82.14.460), revenue raised under the MIDD must be used for new and expanded mental health and substance use disorder services, including King County’s therapeutic courts.
2006: The King County Council began exploring of the possibility of utilizing the tax option in response to shrinking state investment in community-based behavioral health services and corresponding escalation in the use of jails and hospitals for people living with behavioral health conditions.
2007: After significant work in partnership with communities and the Executive, the Council authorized the sales tax levy collection to begin in 2008, with a sunset date of January 1, 2017. King County is one of 23 counties (along with one city) in Washington State that have authorized the tax revenue.
2016: King County Council voted unanimously to extend sales tax collection for MIDD through 2025. The nine-year extension of the tax is expected to generate an estimated $134 million per biennium (two-year budget cycle), and is known as MIDD 2.
The Service Improvement Plan for MIDD 2 was approved by King County Council. Policy goals were updated for MIDD 2, and the Council called for MIDD 2 Implementation and Evaluation Plans by August 2017.
King County's MIDD is guided by adopted policy goals (King County Ordinance 18407) and the Service Improvement Plan (Ordinance 18406). The forthcoming Implementation and Evaluation Plans, due to the Council in August 2017, will further detail operations and assessment components for MIDD initiatives.
As required by the Council annual MIDD reports are provided to the Council. Find MIDD reports
The MIDD Advisory Committee is an advisory body to the County Executive and Council on matters related to King County's MIDD, as described in Ordinance 18452. The MIDD Advisory Committee is a unique partnership of representatives from the health and human services and criminal justice communities, including providers and other stakeholders. MIDD Advisory Committee meetings are open to the public and comments are welcome.
Find a schedule of meetings and meeting notes from past meetings on the MIDD Advisory Committee page.
As adopted by King County Council, MIDD’s five policy goals updated for MIDD 2 are as follows:
- Divert individuals with behavioral health needs from costly interventions, such as jail, emergency rooms, and hospitals.
- Reduce the number, length, and frequency of behavioral health crisis events.
- Increase culturally appropriate, trauma-informed behavioral health services.
- Improve health and wellness of individuals living with behavioral health conditions.
- Explicit linkage with and furthering the work of King County and community initiatives.
In November 2016, as part of biennial budget deliberations, the MIDD 2 Service Improvement Plan (SIP) was approved by the King County Council. Informed by an extensive community input process and 19 months of analysis and deliberative work by the County, stakeholders, and community members, the SIP is the County’s blueprint for MIDD 2. It outlines the fundemental policies, goals, services, and improvements planned for MIDD 2.
As called for by the Council in Ordinance 18407, Its appendices also include programmatic and funding recommendations and preliminary information about each of the initiatives recommended for funding.the County is developing two more plans that build upon and update the SIP. The MIDD 2 Implementation Plan, along with the concurrent MIDD 2 Evaluation Plan, will provide the specific, detailed working components of MIDD 2. The three documents are intended to work together to provide a full picture of MIDD 2 for policymakers, stakeholders, and the public.
As of June 2017, Implementation Plan and Evaluation Plan drafts were under review by the MIDD Advisory Committee and the King County Executive. They will be transmitted to King County Council and posted to this site in early August.
King County is engaged in planning work with stakeholders and community members to implement many new initiatives and improvements outlined in the MIDD 2 Service Improvement Plan (SIP), along with revising some of the existing services. Stakeholder and community member involvement is key to MIDD. Some initiatives from MIDD 1 are being redesigned or re-envisioned and may result in re-procurement (Request for Proposal or RFP) opportunities. Most initiatives from MIDD 1 are carried forward, with some having modest changes that do not impact to service users.
As a follow-up to the SIP, King County is developing Implementation and Evaluation Plans for Council review. These plans will outline steps taken to date and further work planned (especially for new and redesigned initiatives), describe how initiatives fit within MIDD 2's adopted policy goals and policy and services framework, and outline how initiatives will be evaluated. The Implementation Plan's initiative descriptions will contain details about funding levels and program plans for each of MIDD 2's 53 initiatives as of mid-2017. These plans will be transmitted to Council and posted to this site in August 2017.
We Want to Hear From You!We welcome your thoughts, suggestions, and questions. Feel free to send us an email, and please visit this website in the future for updates and information.