Mink-Bowman Spending

Welcome to the Aid and Assist 2023-2025 Financial Dashboard. The purpose of this dashboard is to increase transparency and financial accountability for the aid and assist population by providing the budget and actuals spent for the 2023-2025 biennium.

What is Aid and Assist? When people are accused of a crime, sometimes they are not able to participate in their trial because of the severity of their mental illness. In these cases, the court may issue an order under ORS 161.370 for them to be sent for mental health treatment — most often at Oregon State Hospital — so they can become well enough to "aid and assist" in their own defense.

This dashboard contains information on:

Various funding sources and amounts invested for aid and assist for the 2023-2025 biennium;
Where funds have been invested by county;
Types of funding, including their definitions;
Budgeted and actual expenditures by county;
Behavioral Health Housing for aid & assist.
A funding overview which includes the budget for other projects that improve Aid and Assist services.

Each Service Element (SE) includes:

Background information on each service element, including primary and supplemental funding;
2023-2025 budget for each service element;
Actual spending as of June 30, 2025.

Future Data Products

The 2025-2027 Aid and Assist Financial Dashboard will be released in 2026 and refreshed on a quarterly basis. We will include more information as the dashboard develops.

Questions? Contact us! oha.gei.coordinator@odhsoha.oregon.gov or Aidand.AssistAdmin@odhsoha.oregon.gov

Accessibility

OHA welcomes all data consumers. This dashboard will be made available in an accessible alternative format upon request. You can get this document in other languages, large print, braille or a format you prefer free of charge. Please send requests or questions to Aidand.AssistAdmin@odhsoha.oregon.gov .

View the 21-23 and 23-25 spend plans

View 21-23 Aid and Assist spending

View 23-25 Aid and Assist spend plan

Aid and Assist 2023-2025 Financial Dashboard

For Behavioral Health Housing data: Behavioral Health Investments Dashboard

For all financial data: Statewide Financial Management Accounting (SFMA) and Reporting System (R*STARS)

OHA's strategic goal is to eliminate health inequities in Oregon by 2030. The following is OHA's definition of health equity:

“Oregon will have established a health system that creates health equity when all people can reach their full health potential and well-being and are not disadvantaged by their race, ethnicity, language, disability, age, gender, gender identity, sexual orientation, social class, intersections among these communities or identities, or other socially determined circumstances."

Achieving health equity requires the ongoing collaboration of all regions and sectors of the state, including tribal governments, to address:

The equitable distribution or redistribution of resources and power; and
Recognizing, reconciling and rectifying historical and contemporary injustices.

The Behavioral Health Division is committed to addressing these disparities by:

Intentional and ongoing engagement with communities most impacted by health inequities.
Increasing statewide behavioral health housing capacity that aims to meet the unique and unmet needs of minoritized cultural communities.
Addressing issues within the current system for disbursing funding by prioritizing smaller, culturally, and linguistically diverse organizations when funding opportunities are available.
Collaboration with community partners to broaden our awareness and strengthen our ability to address health injustices throughout the state.

OHA's initiatives will be informed by and aligned with these priorities, ensuring that we effectively bridge gaps in service provision and promote equitable access to behavioral health housing services. OHA is committed to a holistic approach that not only expands capacity, but also enhances the quality of care for all Oregonians, particularly those from communities most impacted by health inequities.

Service Element (SE) 04 Aid and Assist - Community Restoration Services

Primary Funding

OHA contracts with Community Mental Health Programs (CMHP) to provide services for individuals who are in Oregon State Hospital (OSH) under Aid and Assist orders and individuals in the community, under a community restoration order.

The services provided by CMHPs, as listed in the MHS 04 contract include the following:

Community Transition Planning and Forensic Care Coordination while an individual is at OSH for competency restoration.
Community Restoration Services and treatment that are necessary to safely allow a defendant to gain or regain fitness to proceed in their defense. These services may include but are not limited to, Competency Restoration Services, Forensic Care Coordination and Supportive Services.

Supplemental Funding

Community Navigators: The Community Navigator (CN) program is a pilot and provides in-reach into OSH, transitional care, support and coordination at discharge, and ongoing follow up for all individuals on Aid and Assist orders discharging from OSH regardless of legal status upon release. The primary goal of reducing rates of recidivism for individuals on Aid and Assist orders.

Direct Contracts: OHA also has several direct contracts with counties to provide community housing for Aid and Assist clients at lower levels of care – primarily Stabilization and Transition Programs (STP) and permanent supported housing. This housing facilitates the transition to long-term stability. These direct contracts include funds for:

Lane County to subcontract with a provider for eight (8) supported housing beds;
Coos Health and Wellness to subcontract with a provider for five (5) shelter beds; and
Multnomah County Behavioral Health maintain 2.0 FTE, a rapid evaluation program with a capacity of eight (8) evaluations per month, and a subcontract with Cascadia Behavioral Health for ten (10) STP beds.

Service Element 17 (SE17) - Secure Residential Treatment Facility (SRTF)

SE17 Invoiceable Services

SE17 includes Security and Supervision services for individuals under the jurisdiction of the Psychiatric Security Review Board (PSRB).

A. Security Services

Services that are identified as required for the safety of the Individual and the public in the Conditional Release Order, but they are not considered medically necessary.

B. Supervision Services

Services that are not eligible for Medicaid or other third-party payors, such as: interpreter services, transportation, obtaining identification.

SE17 includes reimbursements for Residential Services

Funding for Individuals who are under the jurisdiction of the PSRB or Community Restoration orders who do not meet medical necessity and therefore don't qualify for payment from Medicaid.

Service Element 30 (SE30) – Psychiatric Security Review Board Funding

Primary Funding

OHA funds Community Mental Health Programs (CMHP) to provide services to Individuals who are under the jurisdiction of the Psychiatric Security and Review Board (PSRB). These services are provided to Individuals who have been granted Conditional Release and have transitioned from the Oregon State Hospital to a lower level of care in the community that has been approved by the PSRB. Services for Individuals who are under the jurisdiction of the PSRB are provided under two contracts, Service Element 30 (SE30) and Service Element 17 (SE17)

SE30 is Monitoring services provided by CMHPs. These services may include but are not limited to supervision, intensive case management and reporting, evaluations and recommendations for treatment and supportive services, coordination with community providers, the PSRB and OHA.

House Bill 5024 (HB 5024) (General Fund for Intensive Services Unit) Program Overview

The Oregon State Legislature, for the biennium ending June 30, 2023, appropriated $130 million to HB 5024 ($65 million from the General Fund and $65 million from American Rescue Plan Act funding). These funds were appropriated to the Oregon Health Authority through the Health Systems Division (HSD) for the expansion of community-based licensed residential facilities and homes and supportive housing settings for individuals with a Serious and Persistent Mental Illness (SPMI) requiring a higher level of care. Of the $65 million from the General Fund dollars, $9.4 Million was appropriated to Intensive Services Unit (ISU). The ISU Housing expansion costs are not associated with CFAA contracts, these are stand-alone direct award projects. The ISU is a team that provides oversight for the aid and assist population.

Re-Entry Program

Transitional housing is a residential setting in which services and supports are provided to individuals involved in the criminal legal system due to a behavioral health reason in order to help them successfully transition back into their communities.

Residential Treatment Facility

A 24-hour program for 6-16 individuals, focusing on those who need help with medication management and skill-building for independent living. Non-locked, whereabouts of individuals must be known.

Residential Treatment Home

A 24-hour program for five (5) or fewer adults with qualifying mental health conditions, focusing on those who need help with medication management and skill-building for independent living.

Secure Residential Treatment Facility

Divided into Class 1 and Class 2 facilities:

Class 1 has 24/7 Registered Nurse staffing for medical assessments and can use physician-ordered seclusion/restraint.
Class 2 can initiate physical restraint but must refer individuals to the Emergency Department for medical assessments. Differentiated by resident stability and compliance with medication.

Acronym	Name	Definition	Webpage
A&A	Aid and Assist	When people are accused of a crime, sometimes they are not able to participate in their trial because of the severity of their mental illness. In these cases, the court may issue an order under ORS 161.370 for them to be sent for mental health treatment — most often at Oregon State Hospital — so they can become well enough to "aid and assist" in their own defense.	https://www.oregon.gov/oha/ osh/legal/pages/aid-assist-orders.aspx
ARPA	American Rescue Plan Act	A $1.9 trillion economic stimulus bill passed by the 117th United States Congress on March 11, 2021 and signed into law by then President Joe Biden. This stimulus bill created the American Rescue Plan Act (ARPA) which will deliver $350 billion for eligible state, local, territorial and Tribal governments across the country to support their response to and recovery from the COVID-19 public health emergency.	https://home.treasury.gov/news/featured-stories/ icymi-in-2022-american-rescue-plan-funding- helped-states-communities-recover
AOT	Assisted Outpatient Treatment	AOT is the practice of delivering outpatient treatment under court order to adults with severe mental illness who meet specific criteria, such as a prior history of repeated hospitalizations or arrest. In the process, the treatment system is committed to the patient at the same time the patient is committed to treatment. Also known as “involuntary outpatient commitment," “mandated outpatient treatment" and by other terms, AOT is authorized by statute in 46 states and the District of Columbia.	https://www.oregonlegislature.gov/ committees/sjud/WorkgroupDocuments/ aot-and-violence.pdf; ORS 426.133
BHI	Behavioral Health Investments	Investments include capital for start-up and operational costs which support: community-based residential treatment facilities. These are higher levels of care for individuals with serious and persistent mental illness (SPMI) or substance use disorder (SUD). Investments also include: community-based housing with appropriate support services for individuals with SPMI. This housing supports independent living.	https://www.oregon.gov/oha/HSD/ AMH/Pages/Investments.aspx
CMHP	Community Mental Health Program	“Community Mental Health Program" (CMHP) means an entity established under ORS 430.620 that is responsible for planning and delivery of Services for Individuals with or at risk of developing a Behavioral Health Disorder in a specific geographic area of the state under an agreement with OHA or a Local Mental Health Authority.	N/A
CN	Community Navigator	The Community Navigator (CN) program is a pilot provides in-reach into OSH, transitional care, support and coordination at discharge, and ongoing follow up for all individuals on Aid and Assist orders discharging from OSH regardless of legal status upon release. The primary goal of reducing rates of recidivism for individuals on Aid and Assist orders.	N/A
CNP	Community Navigator Project (SB 5525 OSH Transition)	$15 million from SB 5525 (2023). General funds to be allocated to increase availability of Substance Use Disorder (SUD) facilities for both children and adults with substance use disorders. Effective date July 31, 2023.	https://olis.oregonlegislature.gov/liz/ 2023R1/Measures/Overview/SB5525
	Community Restoration (HB 5204 Aid & Assist to CMH)	In order to address behavioral health facility capacity, this measure appropriates a total of $85,408,000.00 General Funds to the Department of Administrative Services to distribute to twenty-one (21) organizations throughout the state. Effective date April 1, 2024.	https://olis.oregonlegislature.gov/liz/ 2024R1/Measures/Overview/HB5204
CFAA	County Financial Assistance Agreements	The CFAA agreement is a mechanism OHA uses to fund Behavioral Health services not covered by Medicaid. These agreements are determined on a state fiscal year basis and include funding for: Aid & Assist, Civil Commitment and Crisis Services through service elements and consist of separate funding sources.	https://www.oregon.gov/oha/ ERD/SiteAssets/Pages/ Government-Relations/ HB%204092_OR%20CMHP%20Cost%20Report_2024.12.26.pdf
ECMU	Extended Care Management Unit	The ECMU works to facilitate patient transitions from the Oregon State Hospital to appropriate community residential care.	N/A
FTE	Full-Time Equivalent	A full-time equivalent (FTE) is a unit of measurement used to figure out the number of full-time hours worked by all employees in a business. If your business considers 40 hours to be a full-time workweek, then an employee working 40 hours per week would have an FTE of 1.0. In contrast, a part-time employee working only 20 hours per week would have an FTE of 0.5—which shows that their hours worked are equivalent to half of a full-time employee.	https://www.forbes.com/advisor/ business/full-time-equivalent/
GEI	Guilty Except for Insanity	According to Oregon law, a person is “guilty except for insanity" (GEI) if they engage in criminal conduct and lack the ability to understand the criminal nature of their conduct, or they are unable to conform to the requirements of the laws.	https://www.doj.state.or.us/ wp-content/uploads/2017/ 03/cvsd_pcp_handout_victim_services_at_psrb.pdf
GF	General Funds	In Oregon, "General Funds" for the Oregon Health Authority (OHA) primarily come from state income taxes and are used to fund a wide range of healthcare programs and services.	https://www.oregon.gov/ transparency/pages/revenue.aspx
HSD	Health Systems Division	The Health Systems Division (HSD) works with partners statewide to build and advance a system of care to create a healthy Oregon. This includes managing the Oregon Health Plan (OHP), Oregon's Medicaid and Children's Health Insurance Program. Oregon Health Authority created the Health Systems Division in 2015 by combining the Medical Assistance Programs (MAP) and Addictions and Mental Health (AMH) divisions. As of April 1, 2024, Health Systems Division is transitioning back to separate Medicaid and Behavioral Health divisions.	https://www.oregon.gov/oha/ HSD/Pages/About-Us.aspx
ISU	Intensive Services Unit	The Intensive Services Unit oversees policies, program development and contract administration in the following areas. Partners in development, coordination and oversight include: Oregon State Hospital Community Mental Health Programs Community-based organizations The courts Tribes The residential treatment system Hospitals Local jurisdictions Psychiatric Security Review Board	https://www.oregon.gov/oha/hsd/ amh/pages/intensive-services.aspx
OHCS	Oregon Housing and Community Services	Oregon Housing and Community Services provides resources for Oregonians to reduce poverty and increase access to stable housing.	https://www.oregon.gov/ohcs/ pages/index.aspx
OSH	Oregon State Hospital	Oregon State Hospital (OSH) provides patient-centered, psychiatric treatment for adults from throughout the state who need hospital-level care. The hospital's primary goal is to help people recover from their illness and return to the community. Services include psychiatric evaluation, diagnosis, and treatment, as well as community outreach and peer support.	https://www.oregon.gov/oha/ osh/pages/index.aspx
PDES	Program Design and Evaluation Services	Program Design and Evaluation Services (PDES) is an interagency research and evaluation unit established over 25 years ago within Multnomah County Health Department and Oregon Public Health Division. We are committed to partnering with clients to promote healthy communities and reduce health disparities. We aim to actively demonstrate our program's values of collaboration, equity, flexibility, and integrity in each of our projects.	https://www.oregon.gov/oha/ ph/providerpartnerresources/ evaluationresearch/programdesignandevaluationservices/ pages/index.aspx
PSRB	Psychiatric Security Review Board	The Psychiatric Security Review Board (PSRB) primarily supervises those adults who assert the insanity defense (GEI) to a felony charge in criminal court and who are determined by the court to be a substantial danger to others. (Reference: ORS 161)	https://www.oregonlegislature.gov/ bills_laws/ors/ors161.html
	Recidivism	As required in ORS 423.557, an individual is counted as recidivating if they are incarcerated for a new crime, or arrested or convicted of a crime, within three years of release from prison/felony jail sentence or starting a probation sentence. Arrest, conviction, and incarceration rates are tracked separately, so a single individual can contribute to all three recidivism measures or a subset.	https://www.oregon.gov/cjc/ CJC%20Document%20Library/ Recidivism%20Report%20November%202022.pdf
	Re-Entry Program	Transitional housing a residential setting in which services and supports are provided to individuals involved in the criminal legal system due to a behavioral health reason in order to help them successfully transition back into their communities.	N/A
RTF	Residential Treatment Facility	Provides psychiatric treatment, care and services in a home-like environment for 6-16 adults with mental health conditions. Program Administrator is responsible for operations and maintenance and program staff are onsite and awake 24/7 in numbers sufficient to meet the needs of the residents.	https://www.oregon.gov/oha/ hsd/amh-lc/pages/rt.aspx
RTH	Residential Treatment Home	Provides psychiatric treatment, care and services in a home-like environment for 5 or fewer adults with mental health conditions. Program Administrator responsible for operations and maintenance and program staff are onsite and awake 24/7 in numbers sufficient to meet the needs of the residents.	https://www.oregon.gov/oha/ hsd/amh-lc/pages/rt.aspx
SRTF	Secure Residential Treatment Facility	Provides psychiatric treatment, care and services in a home-like environment for 1-16 adults with mental health conditions while restricting the resident's ability to leave the facility. Program Administrator is responsible for operations and maintenance, and program staff are onsite and awake 24/7 in numbers sufficient to meet the needs of the residents. Class 1 facilities are allowed to use seclusion, restraints and compelled medications. Physician consultation available 24/7 and a registered nurse is on duty 24/7. Class 2 facilities have two (2) Qualified Mental Health Associates on duty 24/7.	https://www.oregon.gov/oha/ hsd/amh-lc/pages/rt.aspx
SE	Service Element	Financial Assistance Agreements with Local Public Health Authorities (LPHAs) and Federally Recognized Tribes include Service Elements (SEs), which describe programmatic and service deliverables to be provided based on agreements with the Oregon Health Authority (OHA).	N/A
SPMI	Serious and Persistent Mental Illness	The current Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnostic criteria for at least one of the following conditions, as a primary diagnosis for an adult 18 years of age or older: Schizophrenia, psychotic disorders, major depressive disorder, bipolar disorder, anxiety disorders limited to obsessive compulsive disorder (OCD) and post-traumatic stress disorder (PTSD), schizotypal personality disorder, and borderline personality disorder. (OAR 410-173-0005 (58))	https://secure.sos.state.or.us/ oard/processLogin.action
STP	Stabilization and Transition Programs	The Oregon State Hospital (OSH) in Salem helps patients gain the skills they need to successfully transition back to the community through one of five (5) available programs: Archways, Crossroads, Harbors, Pathways/Bridges, or Springs. Programs are assigned based on how to best meet the needs of individuals, and each program is designed to treat a specific segment of the patient population.	https://www.oregon.gov/oha/ osh/pages/programs.aspx
SUD	Substance Use Disorder	According to the Substance Abuse and Mental Health Services Administration (SAMHSA), "drug addiction is a chronic disease where people compulsively seek and use drugs despite harmful consequences."	https://www.samhsa.gov/ substance-use/what-is-sud
TMSA	Tobacco Master Settlement Agreement	The Tobacco Master Settlement Agreement (TMSA) was a landmark legal agreement reached in 1998 between 46 U.S. states, the District of Columbia, and five territories, and the major tobacco companies. It resolved lawsuits filed by states to recover healthcare costs associated with tobacco-related illnesses. All money paid to the state under TMSA is deposited into the Tobacco Settlement Funds Account, which is an account in the General Fund.	https://www.publichealthlawcenter.org/ sites/default/files/resources/tclc-fs-msa-overview-2015.pdf https://www.oregon.gov/oha/PH/ DISEASESCONDITIONS/CHRONICDISEASE/ HPCDPCONNECTION/Documents/TobaccoLaws.pdf

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Mink-Bowman Spending

Accessibility

View the 21-23 and 23-25 spend plans

Data Sources

Equity Vision and Next Steps

Aid and Assist

Secure Residential Treatment Facilities

Psychiatric Security Review Board

Behavioral Health Housing

Facility Type Definitions

Acronyms and Definitions

How to View Power BI Reports