Expanded Community Services (ECS)

Expanded Community Services (ECS) provides intensive behavioral and medical support for individuals whose mental health or medical needs have made it difficult to live safely in other settings. We partner with people who are transitioning from Western State Hospital, King County hospitals, correctional facilities, or other institutional settings to help you build stability and live successfully in the community. Our goal is to help you build stability and thrive in a long term care setting within the community.

Who These Services are For

ECS supports adults who may be at risk of hospitalization, institutionalization, or involvement with the criminal legal system. Admission is determined through the Home and Community Services Care Assessment, with priority given to:

• Older adults

• People experiencing homelessness

• Individuals currently residing in state or community hospitals

You may benefit from ECS if you are experiencing:

• Significant behavioral needs

• Complex medical conditions

• Frequent or long-term hospital stays

• Difficulty finding or keeping housing

• Multiple unsuccessful housing placements

How We Support You

ECS services are provided exclusively in licensed long-term care facilities, such as Adult Family Homes that partner with our program.

When you receive ECS services, you can expect:

Behavioral-Health Support

• Individualized behavior-support plans

• Access to mental-health professionals

• Medication management and monitoring

• After-hours crisis support

• Specialized staff training to support your behavioral and medical needs

Care Coordination and Engagement

• A personalized service plan created with you

• Collaboration with your full treatment team

• Opportunities to participate in support groups or skill-building activities

• Consistent communication with family, guardians, or care partners when appropriate

• A collaborative, wraparound approach to your care.

Our team works closely with facility staff to integrate your service plan into daily care—ensuring you receive support that is structured, compassionate, and tailored to your needs.

Goals

Our main goal is to help you or your loved one live successfully and safely in a community setting while reducing the need for hospital or correctional placements. We approach every individual with empathy to ensure you feel safe, seen, heard, validated, and empowered.

Locations

ECS services are provided on site at the Adult Family Home or licensed long-term care facility where you reside. Some supplemental services, such as psychiatric appointments, medication management or groups, may also take place at a SOUND clinic, depending on your needs.

Contact us

For more information or to access services, 206-901-2000.