People who come to Oregon State Hospital through a civil commitment require physically secure 24-hour care that is not available through community programs. They have been found by the court to be a danger to themselves or others, or unable to provide for their own basic needs, such as health and safety, because of a mental disorder.
The Springs program is for patients who require a hospital level of care for dementia, organic brain injury or mental illness. These patients often have significant medical issues. The program's goal is for everyone to return to a community-care setting. From the day of admission, the treatment team works with the patient toward this goal. Springs uses treatments that include sensory and behavioral therapy such as daily living skills and recreation; coping and problem-solving skills learned through group and individual therapy; and classes or activities in the treatment mall.
The Crossroads program provides services for adults who have been civilly committed or voluntarily committed by a guardian. Patients each have an individual treatment care plan and attend the treatment mall every weekday. The primary focus of treatment mall programs is to prepare patients to return to the community. Groups help patients learn how to manage their symptoms and medications, develop coping and recreational skills, budget and manage their money, and plan and prepare meals. Community reintegration is the focus of weekly group trips to community settings. Separate programs provide educational support, psychotherapy and help for alcohol and drug abuse. The Crossroads program has units at both the Salem and Portland campuses.
People who come to Oregon State Hospital under a forensic commitment are individuals who have been charged with or convicted of criminal behavior related to their mental illness. Some are referred by the courts under Oregon law (ORS 161.370) for treatment that will help them to understand the criminal charges against them and to assist in their own defense. Others are admitted after they have been found guilty of a crime except for insanity. Depending on the nature of their crime, these patients are under the jurisdiction of either the Psychiatric Security Review Board or the Oregon State Hospital Review Panel.
Patients in our Archways program have been charged with but not convicted of a crime. They have been sent to OSH by a court order under Oregon law (ORS 161.370) because they have been found unable to participate in their defense due to their mental illness. The goal of Archways is to stabilize patients and help them achieve a level of legal competency so they are able to understand the criminal charges against them and work with their attorney.
Patients in our Pathways program have been convicted of a crime related to their mental illness; however, due to their mental illness at the time of the crime, a court has found that the person did not have the capacity to understand the criminality of their conduct.
Bridges is our community transition program for patients who have been found guilty except for insanity and are nearing the point where they no longer need hospital-level care. In addition to four traditional living units, Bridges includes six cottages on the hospital campus that provide a treatment setting much like a group home, where patients cook their own meals and share other household responsibilities. Bridges' goal is to help patients achieve their highest level of health, safety and independence as they prepare for discharge or conditional release to a less-restrictive community setting. Individuals work on living skills through daily treatment mall activities and classes as well as approved outings. They also participate in discharge planning with their treatment team members.