There are significant disparities in access to mental health services between urban and rural communities in Washington State. Rural areas have fewer psychiatrists, mental health providers, and facilities like inpatient hospitals and children's long-term programs. Rural residents experience lower rates of hospitalization and receive fewer outpatient treatment hours. The document recommends increasing inpatient beds and outpatient providers in rural areas, allowing flexibility in care practices, and expanding education for rural mental health professionals to help address these disparities.