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Our Policy Vision


In response to the Secretary of State's 2020 audit, the Oregon Health Authority (OHA) developed the Child and Family Behavioral Health Policy Vision to improve Oregon's behavioral health system for children, youth and families. 

In the last three years, OHA has received input on this document from youth and families, providers, the Children's System Advisory Council, partners and interested communities. OHA heard loud and clear messages from families and young people:

  • Ensure access to a broad, flexible array of community-based services and support for children, and their families and caregivers, to address their emotional, social, educational and physical needs.
  • The right services need to be individualized according to the unique needs of each child and family and be available when needed, for the duration needed.
  • Ensure the network of providers is responsive to children, youth and families in a way that is trauma informed and culturally responsive.

The next phase is reporting, refining and getting feedback on a roadmap. The roadmap will be a living document that reflects ongoing input from communities, including the System of Care, on direction and further investments.

Strategies and Successes

As we begin this next phase of work, we want to share the core strategies that support and guide the road map for this work, as well as celebrate the successes along the way.

Three pillars or philosophies underpin the plan. The work will center all youth and families, demonstrate and promote trauma-informed principles toward the goal of achieving health equity in the continuum of care, policy formation and in all our current and future work.

Health equity

All people can reach their full potential and well-being and are not disadvantaged by their race, ethnicity, language, disability, gender identity, sexual orientation, social class, intersections among these communities or identities, or other socially determined circumstances.

Youth and fam​ily

Center communities of color, indigenous and Tribal communities, people who identify as LGBTQIA2S+ and other historically marginalized groups, incorporating meaningful youth and family participation.

Center youth and families

Recognize that traumatic experiences terrify, overwhelm and violate the individual. Trauma-informed care is a commitment not to repeat these experiences and in whatever way possible, to restore a sense of safety, power and self-worth. Traumatic experiences include abuse, historical, complex and medical traumas and many others.

​Four pathways guide and organize the work:

  1. Continuum of Care. Work addresses gaps and quality in the children's behavioral health continuum of care and centers communities that have been disproportionally impacted by health inequities and systemic racism.
  2. Youth and Family Engagement. Work incorporates meaningful youth and family participation centering communities of color, indigenous and Tribal communities, people who identify as LGBTQIA2S+ and other traditionally marginalized populations.
  3. Data. Work centers health equity by making policy and program decisions based on accurate and timely data and by seeking data that can assist in understanding health inequities.
  4. Cross System. Work supports and prioritizes cross-system collaboration to improve the behavioral health continuum of care for youth and families.

Expert consensus and evidence​ informs and supports each of these four goal pathways. The goal pathways:

  • Include feedback from the voices of youth and families with lived experience.
  • Integrate Oregon's current state health improvement plan (Healthier Together Oregon) and other state agency reports/guidance documents with the work being done. 

OHA's 2023 Policy Option Package to the Governor includes the following youth and family priority requests:

  • Adding respite services to the Medicaid State Plan
  • Expanding the young adult hub model
  • Adding more developmental assessment capacity

OHA has expanded the CFBH team to create the capacity to focus on implementation of the work.

Mobile Response and Stabilization Services have moved through the Oregon Administrative Rules process. This important new crisis support service will roll out beginning January 2023.

Capacity needs for the psychiatric residential treatment system have been modeled and the process initiated to add more providers and beds. 

We continue our commitment to this work and the engagement of our community in all that we do.

Find further updates in our monthly newsletter, Holding Hope.

Family Member Policy Vision Work Group

This workgroup will reconvene in 2023 to provide OHA and the Children's System Advisory Council a parent and family perspective about OHA programs and policies. 

Workgroup members include the council's appointed Family Representatives and additional family members representing specific populations or regions of the state.


2020 Secretary of State audit report update - 12/27/2021
CFBH-CSAC Final Report, Jan. 2022
Child and Family Behavioral Health - Draft Policy Vision
CSAC Family Representative Recommendations, 2022
Youth Feedback Report, 2021

Keep Informed

Read our monthly newsletter, Holding Hope.

Contact Us

OHA welcomes your feedback about this work. Please email us your questions or comments:

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