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Intensive Services


Oregon’s Children’s System strives to offer a comprehensive continuum of care. We work with communities to build and support trauma-informed treatment programs that can serve mental health needs close to home.

Because day and residential treatment options are an essential part of a holistic continuum of care, Oregon’s Children’s System includes providers across the state that operate evidence based and trauma informed residential treatment programs for children and youth with mental health conditions that cannot be safely treated in their home, school and community based programs.

Throughout Oregon, private agencies operate intensive psychiatric services at a variety of levels of care. Depending on the agency, youth with commercial insurance and/or Oregon Health Plan receive appropriate levels of care. 

Psychiatric Treatment Services

Sometimes referred to as “partial hospitalization,” ​this level of care offers:

  • Individualized therapeutic services, 
  • Social environment supervision,  
  • In the moment coaching of relationship skills, 
  • Groups, and
  • Medication management. 

Day treatment programs are usually provided during school hours. They offer education services in collaboration with the mental health treatment providers.

Research shows that to best meet children's mental and behavioral needs, children and families should have treatment options in their communities. But sometimes community-based programs cannot safely manage the challenges of a youth’s mental health needs. When this happens, families may need an care out-of-home treatment option that provides 24-hour care.

These treatment environments are used to:

  • Accurately understand the mental health needs of the youth and family, and 
  • Keep the person safe.

​In Oregon, non-hospital treatment settings are known as psychiatric residential treatment services. These programs are generally less restrictive than a hospital setting. 

Residential programs treat children and adolescents who:

  • Have less acute illnesses, but 
  • Still require a residential environment for assessment and treatment. 

Youth receive care in 24-hour facilities where they live while receiving treatment. Active psychiatric treatment includes:

  • Medication management
  • Group therapy
  • Individual and family therapy

This helps the youth reintegrate with their community at the earliest appropriate time. This also prepares the youth and families for responsiveness to community-based programs.​

Providers in Oregon are:

​Similar to residential treatment services, this service is designed to be a short-term psychiatric assessment and stabilization service. It has more frequent access to child psychiatry and nursing.  

Oregon subacute providers are:

​If a youth’s mental health crisis requires hospital-based treatment, there are two Oregon hospitals to serve these needs. 

OHA approves and funds referrals for secure inpatient psychiatric treatment. This type of treatment offers long-term psychiatric services for children and adolescents.

These non-hospital based, secure residential treatment programs are available to all Oregon youth who:

  • Have not been able to benefit from any of the lower levels of care and
  • Need to be treated in a secure setting for an average length of stay of six to nine months.

Oregon's secure inpatient treatment provider:

The program contact for referralls to Secure Inpatient Psychiatric Treatment go through:
Summer Hunker​, Complex Clinical Care Coordinator

​The SAGE Residential program provides long-term stabilization for survivors of Commercial Sexual Exploitation of Children (CSEC) ages 11 to 17.

SAGE stands for: Support, Achieve their goals, Grow, and become Empowered.

CSEC survivors have very complex histories and have experienced multiple traumas. Referrals are usually made through the juvenile justice or Child Welfare systems. But referrals may also come from schools, hospitals, or a youth’s parent.

SAGE offers CSEC survivors treatment instead of punishment. Services are designed to teach participants pro-social alternatives that will help create long-term wellness.

Oregon's provider:

Program contact:
Sage Neilson
Children's Intensive Treatment Services Coordinator


Community Services and Supports

Fidelity Wraparound is a voluntary and intensive care coordination model. It offers a unique set of community services and supports individualized for a youth and family to achieve positive outcomes. Fidelity Wraparound is available in every county in Oregon. 

Youth and families will work with a team of individuals trained to support youth and their families. Together they will create a plan of care. This is a crisis and safety plan that helps youth and family members move toward their goals and vision for the future.


Wraparound is for children and youth under age 21 who:

  • Experience complex mental health issues and
  • Are involved in mental health and one other system (e.g., foster care, special education, juvenile justice, intellectual/developmental disability programs)
  • Are currently receiving OHP.

Once eligible for wraparound, children and youth may receive services through age 25.


Christianna Rhoads
Wraparound and System of Care Coordinator​


Local Wraparound Programs (A-Z)

  1. Adapt Integrated Health Care (Douglas and Curry Counties)
  2. Benton County Health Department
  3. Best Care Treatment Services - Crook County
  4. Best Care Treatment Services - Jefferson County
  5. Center for Human Development (Union County)
  6. Clackamas County Health Housing & Human Service
  7. Clatsop Behavioral Healthcare
  8. Columbia County Mental Health
  9. Community Counseling Services (Gilliam, Grant, Morrow, Wheeler Counties)
  10. Deschutes County Health Services
  11. Direction Service (Lane County)
  12. Jackson County Health & Human Services
  13. Kairos NW (Coos and Jackson Counties)
  14. Lake District Wellness Center
  15. Lifeways, Inc. - Malheur County
  16. Lifeways, Inc. - Umatilla County
  17. Lincoln County Health and Human Services
  18. Linn County Mental Health
  19. Lutheran Community Services NW (Klamath County)
  20. Marion County Health Department
  21. Mid-Columbia Center for Living (Hood River, Sherman, and Wasco Counties)
  22. Multnomah County Behavioral Health Division
  23. New Directions NW, Inc. (Baker County)
  24. Options for Southern Oregon, Inc. (Jackson and Josephine Counties)
  25. Polk County Addiction and Mental Health Services
  26. Symmetry Care, Inc. (Harney County)
  27. Tillamook Family Counseling
  28. Wallowa Valley Center for Wellness
  29. Washington County Health & Human Services
  30. Yamhill County Health & Human Services


Change to mental health assessment timeline for Wraparound referrals, effective Dec. 1, 2021
The Wraparound Approach in Systems of Care


OHA ODHS Capacity Memo 2020
Certification of Need for Services for Subacute 2020
2021 OHA ODHS PRTF Capacity Update 02-02-2022
2022 OHA ODHS PRTF Capacity Update 12.28.22
OHA ODHS Capacity Memo 2023
Assessment Tool for Expanding Systems of Care
Peer Roles Matrix
Psychiatric & Substance Use Disorder Residential Capacity Charts 2023 - 2024
Roles and Responsibilities for Families and Youth
Roles and Responsibilities for Wraparound Partners
Children's Seclusion and Restraint Report, 2018-2020
Wraparound Glossary
Wraparound Guidance Document for CCOs (2016)


Seclusion and Restraint Reports:
Page Info

Julie Graves
Children's Intensive Services Specialist​

Summer Hunker
Children’s Behavioral Health Systems Coordinator​


​Sage Neilson ​
Children's Intensive Treatment Services Coordinator

Beth Holliman
Intensive Community-Based Services Coordinator​


Contact for questions or concerns about IIBHT or MRSS
For assistance with IIBHT referrals, contact the CCO or provider direclty

Christianna Rhoads​
Wraparound and System of Care Coordinator​