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Treatment Programs

Who We Serve

Oregon State Hospital serves adults who need intensive, psychiatric treatment for severe and persistent mental illness. With our 24-hour, onsite nursing and psychiatric care, we help patients gain the skills they need to successfully transition back to the community.

Our patients have been committed by one of four ways:

  • Civil — People who come to Oregon State Hospital through a civil commitment require 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.
  • Voluntary by Guardian — Working through the court system, legal guardians may commit their wards who meet civil commitment criteria: they must pose a danger to themselves or others and/or they must be unable to provide for their own basic needs due to their mental illness.
  • Guilty Except for Insanity (GEI) — Oregon State Hospital serves people who have successfully pled Guilty Except for Insanity (GEI) to criminal behavior related to their mental illness. 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.
  • Aid and Assist — Some people are ordered to Oregon State Hospital by the courts under Oregon law (ORS 161.370) for treatment that will help them understand the criminal charges against them and to assist in their own defense.

Oregon State Hospital serves people in the program that best meets their individual needs. Each program is designed to treat a specific segment of our patient population.

Our Programs

Salem Campus

Archways

Archways serves people who have been committed under Aid and Assist court orders. In this program, we help patients stabilize, gain the ability to cooperate with attorneys, understand the charges against them, and participate in their own defense.

All patients are enrolled in a legal skills group where they learn basic legal terminology. Other treatment groups and resources include a law library, legal assistance, symptom management, anger management, mindfulness such as tai chi, physical fitness, medication management and drug and alcohol education.

Crossroads

The Crossroads Program serves people who have been civilly committed, were voluntarily committed by a guardian, as well as people who have been committed under aid and assist orders. Everyone has an individual treatment care plan and attends treatment mall every weekday. People who have been civilly committed or voluntarily committed by a guardian attend group sessions to learn how to manage their symptoms and medications, develop coping and recreational skills, budget and manage their own money, plan and prepare meals, and work toward returning to the community. Treatment also includes educational support, psychotherapy and help for alcohol and drug abuse. People under aid and assist court orders receive treatment designed to help them prepare to return to court and move to a unit or program where they will have more choices. For more information on treatment, see the description for the Archways Program.

Harbors

The Harbors Program primarily serves people who have been committed under an Aid & Assist order or who have been committed under a Guilty Except for Insanity plea to criminal behavior related to their mental illness. Patients each have individual treatment care plans and attend the treatment mall every weekday. Groups help patients prepare to return to the community or move to lesser levels of care within the hospital. During their stay, patients learn how to manage their symptoms and medications and they develop coping, recreational and legal skills. Programing may also provide educational and employment assistance, psychotherapy, spiritual care and help for alcohol and drug abuse.

Pathways/Bridges

Patients in our Pathways/Bridges Program have been committed under a Guilty Except for Insanity plea to criminal behavior related to their mental illness. Pathways serves patients from the Harbors Program and have progressed in their recovery. Bridges serves patients who are preparing to transition back to the community. The goal of the transition program 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, classes and approved outings. They also participate in discharge planning with their treatment team members.

Springs

The Springs Program mainly serves people 55 and older who have been civilly committed or voluntarily committed by a guardian. These patients experience co-occurring mental and physical illnesses that often require hospital-level care for dementia or organic brain injuries. Springs uses treatments that feature sensory and behavioral therapy. Through these treatments, patients learn daily living, coping and problem-solving skills via group and individual therapy.

During their stay, patients are periodically evaluated to determine if they are able, never able or not yet able to stand trial.

 

Junction City Campus

Junction City

The Junction City Program serves people who have been civilly committed, were voluntarily committed by a guardian, or have been committed under a Guilty Except for Insanity plea to criminal behavior related to their mental illness. Patients are served through varied treatment mall and group therapy offerings. The program’s intent 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, classes and approved outings. Patients also participate in discharge planning with their treatment team. The Junction City campus most often serves the seven southern counties – Lane, Curry, Klamath, Douglas, Jackson, Coos and Lake.

Rivers Run

The Rivers Run Program on the Junction City Campus serves people under civil commitments, voluntary, and voluntary-by-guardian status. Residents are housed in two suites on the hospital grounds. They have access to treatment and services on and off campus to better meet their individual needs. Services focus on preparing people for a successful transition to a placement in the community. Hospital staff, community partners and friends and family will work with residents, so they are prepared to move to a less restrictive and more integrated setting.

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