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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.
Sometimes referred to as “partial hospitalization,” this level of care offers:
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:
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:
Youth receive care in 24-hour facilities where they live while receiving treatment. Active psychiatric treatment includes:
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.
Sometimes, children and youth who have a mental health crisis end up in an emergency room for evaluation. The Acute Care Call Center and Bed Registry operates 24/7. It helps emergency department personnel find appropriate treatment for youth with intensive Behavioral Health needs. OHA contracts with Lines for Life to complete this work. Mental health providers and emergency department personnel may call the Acute Care Line at 503-255-4257.
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:
Oregon's secure inpatient treatment provider:
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.
Program contact:Shannon KarstenIntensive Services Coordinator503-358-8290she/her/hers
Children and youth experiencing a mental health crisis are presenting in emergency rooms across the nation at an alarming rate. It is reported that at times children and youth are left waiting in their local emergency rooms for hours, days and even weeks for inpatient or outpatient services to come available.
To reduce the amount of time spent in the emergency room, CATS providers:
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 ages 0-17 who:
Once eligible for wraparound, children and youth may receive services through age 25.
Nat JacobsSystem of Care and Wraparound Coordinator503-754-4287
Shannon Karsten Intensive Services Coordinator503-358-8290
Nat JacobsSystem of Care and Wraparound Program Coordinator503-754-4287
Beth Holliman Intensive Community Care Based Coordinator 503-820-1197
Summer Hunker Complex Clinical Care Coordinator 503-756-8540
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