
We are pleased to announce the release of the 2020 MIDD Annual Report! We’re also excited to announce the new and improved MIDD Results Dashboard, where you can dig into detailed data and results interactively.
The MIDD Behavioral Health Sales Tax Fund ensures that people with behavioral health needs across King County are healthy, safe, and have access to the care they need. Generated by a countywide 0.1% sales tax, it is our shared investment in wellness for people across King County.
The COVID-19 pandemic’s economic downturn reduced MIDD funds available for mental health and substance use services in 2020—just as the need was rising. Despite these challenges, MIDD funding supported partners to adapt and innovate to meet the moment with resilience.
In 2020, MIDD supported over 125 community and implementing partners to provide critical services for 20,220 people, including the communities most affected by inequities related to race, income, and access to health care. Behind each of these statistics is the story of a person, a family, or a community whose life has been impacted.
MIDD’s Impact in 2020 at a Glance

New 2020 MIDD Results Dashboard is live! Dive deep into the data.
You are also invited to explore the new and improved 2020 MIDD Results Dashboard for detailed results on MIDD Behavioral Health Sales Tax initiatives. The dashboard is live now!
How MIDD works
In 2020, the COVID-19 pandemic placed immense pressure on communities throughout King county. The strain revealed strengths and vulnerabilities, highlighting the importance of investing in an integrated behavioral health care system rooted in equity and social justice.
MIDD persevered in its mission to build on the strength of communities through investments in services at the agency and system level to enhance a countywide continuum of care. MIDD seeks to shift away from a costly, crisis-oriented system to one that focuses on prevention, embraces recovery, and reduces inequities.
To advance equitable and culturally responsive opportunities for health, wellness, and recovery, MIDD delivers programs and services across five integrated strategy areas:
- Prevention and Early Intervention to ensure people get the support they need to stay healthy and keep concerns from escalating.
- Crisis Diversion to avoid unnecessary hospitalization or incarceration.
- Recovery and Reentry to help people become healthy and safely reintegrate into community after a crisis.
- System Improvement to strengthen access to the behavioral health system and equip providers to deliver on outcomes more effectively.
- Therapeutic Courts to serve people experiencing behavioral health conditions who are involved with the criminal legal system, supporting them to achieve stability and avoid further legal system involvement.
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