Massachusetts has made meaningful strides in addressing behavioral health. From expanding urgent care access to strengthening school-based supports and launching Community Behavioral Health Centers (CBHCs), progress is undeniable. Yet critical gaps remain, especially in our crisis response. Too often, individuals in mental health crisis are met with emergency rooms or jail cells instead of the immediate direct care and compassion they deserve.
Now, a journey that started seven years ago with the formation of the Middlesex County Restoration Center Commission is about to take a transformative step forward. The vision of Middlesex Sheriff Peter Koutoujian, State Senator Cindy Friedman and Massachusetts Association for Mental Health (MAMH) President and CEO Danna Mauch, the Restoration Center of Greater Lowell will open its doors in 2026, providing a community-based, clinically appropriate response to behavioral health crises and one that prioritizes diversion, stabilization, and recovery.
Approximately 236,000 adults in Massachusetts live with co-occurring mental health and substance use conditions. Without appropriate community-based care, incarceration and emergency departments often become the default response. Greater Lowell in particular is feeling the strain. In 2021, Lowell’s opioid-related overdose death rate was 53.2 per 100,000 — well above the state average of 30.2. By 2023, the city experienced three times the statewide rate of substance use-related emergency room visits, and nearly four times the rate of opioid-related ER visits. Lowell General Hospital operates a busy emergency department (ED) serving Greater Lowell, often oversubscribed with people waiting for psychiatric and substance use dispositions.
This crisis unfolds in a region known for its deep commitment to caring for one another and a long tradition of welcoming the newcomer. Lowell is not only a Gateway City, but a vibrant example of community resilience — where over 25% of residents speak a language other than English, and where the immigrant and refugee experience has shaped the very fabric of local life. The Greater Lowell catchment area comprises eight cities and towns and is home to more than 290,000 people. It is one of Massachusetts’ most culturally and linguistically diverse regions: 17% Asian, 11% Hispanic/Latino, and 6% Black, non-Hispanic. Lowell’s nonprofit sector and municipal government have responded in tandem to support this diverse population, connecting immigrants and refugees to jobs, housing, and health care.
The Restoration Center of Greater Lowell is a robust response to this public health and community care crisis, addressing the urgent needs of individuals with co-occurring conditions who often fall through the cracks of fragmented systems, leading to higher rates of hospitalization, incarceration, and unmet care.
The Center will serve as a front-door alternative to emergency rooms or jail. This “diversion-first” model — shaped by the Commission’s site visits to programs in Arizona, Maine, Michigan, and Texas and informed by national best practices — ensures individuals in crisis receive timely, appropriate care in the right setting. By providing coordinated, person-centered support from the outset, the Center helps improve outcomes while easing the burden on police, EMS, and hospital emergency departments.
The Center — located within a Lowell office park building owned by Spectrum Health Systems, one of New England’s largest addiction-treatment providers — will deliver comprehensive addiction treatment and behavioral health services. On the first floor, Vinfen, one of the Commonwealth’s largest mental health and human services nonprofits, will perform intake screening and offer sober support in a “living room” space. There will be access to showers, laundry, kitchen, internet, phone, a 30-day respite for those in the community when transitioning care, as well as case management and aftercare planning. On the second floor, Spectrum will operate a 16-bed detoxification unit, 45-bed clinical stabilization unit, and an outpatient unit offering counseling and medication for addiction treatment.
The city’s existing behavioral health infrastructure, including Vinfen’s long-standing work in community-based care and the city’s active CBHC, has laid the foundation for this next step. Part of the CBHC also includes 13 crisis stabilization beds for adults and youth, which has been helpful in diverting individuals from the highest levels of care. Vinfen’s integrated services and trauma-informed approach have already proven effective in meeting people where they are, particularly those with co-occurring conditions. Spectrum provides a comprehensive continuum of addiction treatment services throughout the state, including 280 inpatient beds, 14 outpatient treatment centers, and 5 peer recovery support programs.
While the Center is being launched to serve the Greater Lowell region, its potential exceeds city limits. As communities across the commonwealth grapple with similar behavioral health challenges, Lowell can serve as a blueprint for replicable, community-rooted innovation.
The Restoration Center builds upon this spirit of community interconnectedness. The region’s strong nonprofit ecosystem works hand-in-hand with local government to connect residents alike with the support they need, including expanded behavioral health services. This model honors Lowell’s legacy: supporting every individual with dignity, especially in their most vulnerable moments.
Policymakers, advocates, and community leaders across the state should support the center’s launch and explore how similar solutions can meet their own communities’ needs — because leading with care and compassion benefits us all.
Peter J. Koutoujian is the Middlesex County Sheriff, Jean Yang is CEO of Vinfen, and Kurt Isaacson is the president and CEO of Spectrum Health Systems.