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.
Adult Treatment Services - Portland
The Portland campus of Oregon State Hospital currently houses the adult treatment services program for adults who have been civilly committed or voluntarily committed by 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. Skill-building treatment groups are facilitated by nursing staff, social workers, psychologists, community reintegration specialists, and music, occupational and recreational therapists. 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 integration is the focus of weekly group trips to community settings. Separate programs provide educational support or psychotherapy and help patients understand and deal with alcohol and other drug abuse and their effects on mental illness.
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.
Harbors is the admissions and stabilization program for the hospital, where patients receive their initial assessments and have their symptoms stabilized. From the first day of their stay, patients begin planning for discharge and eventual transition to the community. They begin meeting with a treatment team within three days of admission to develop a recovery plan that includes classes and activities on the treatment mall, which they are expected to attend every weekday. Length of stay in Harbors varies, depending on each patient's needs. Harbors' goal is to evaluate, stabilize and move each patient to a less restrictive program within 21 to 30 days.
Patient continue in their recovery by transferring to Trails, the hospital's community rehabilitation program for forensics patients, after being assessed and stabilized in Harbors. Trails offers many more choices for patients, including more options for treatment, free time and meals. These additional choices help patients build on their strengths and manage their illness while in the hospital and after discharge. How long a patient stays in Trails depends on the stage of recovery, patient and community safety, the patient's legal status and other factors.
Bridges is the transition program for forensic patients who 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.