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On July 1, 1968, Kingman and Reno Counties officially merged their resources and opened the Kingman-Reno Mental Health Institute in Hutchinson, Kansas. The Institute opened its doors with 200 people on the waiting list. Over the next seven years, Pratt, Harper and Barber Counties joined the Mental Health Institute to create its present service area. Horizons currently operates offices in each of the five counties. In 1978, The Mental Health Institute merged with what is now known as Hutchinson Regional Medical Center and became a member of the Hutchinson Regional Healthcare Family. The Mental Health Institute became Horizons Mental Health Center in 1985.

The staff of Horizons works to fulfill the mission of Horizons through providing services that support the treatment of individuals and families in their communities. Today Horizons offers a full range of behavioral and mental health services to over 6,000 individuals and their families annually. Services include individual and family therapy, psychological testing, child and adolescent services and community services for adults with mental illness and children with severe emotional disturbances.

Horizons Mental Health Center is licensed by the Kansas Department of Aging and Disability Services to provide comprehensive mental health services. Services are offered to everyone, and denied to no one due to inability to pay.