MENTAL HEALTH TREATMENT2019-02-07T15:29:23+00:00

We All Need Help Sometimes.

If this is your time, Cascadia is here. Our services include comprehensive assessment and treatment planning, individual and group counseling, case management, skills training, consultation, supported employment, supported education and medication management. Evidence-based, multi-disciplinary treatment for people of all ages with mental health, addiction, and dual-diagnosis issues.

Referrals welcome from individuals, families, medical providers, Multnomah County Court including (DUII, FIT), DHS (children and families), Department of Criminal Justice (probation, post-prison supervision), Community Court, Mental Health Court, and others. Programs are designed for people of diverse cultural backgrounds and include specialized programs.

Sliding Scale Fees

Older Adult Services

Support is here for aging adults and adults with medical conditions. Cascadia provides a variety of health services to assist adults in improving their quality of life and managing their mental health symptoms. With our whole health care approach, we will work with our clients by assessing their needs and developing a treatment plan which may include evidenced-based individual and group therapy, and medication management. We also provide case management support focused on advocacy, community referrals and providing additional resources for success.

Child & Family Services

Cascadia provides outpatient services to children and their families, with a focus on strengthening families from diverse backgrounds. Our staff understands and values the role of families in creating a healthier community. Our clinical practice is respectful of culture and diversity, is family-centered and trauma-informed.

Millions of American children live with depression, anxiety, ADHD, autism spectrum disorders, or a host of other mental health challenges.

Counseling helps improve skills for coping with life’s stressors and challenges and develops a sense of empowerment. It can also pinpoint specific issues while learning new ways to interact as a family. By working with you, we can help set individual and family goals and help you achieve them.

Our goal is to ensure family health and safety, as well as parent engagement in services.

Specialty Mental Health

Cascadia’s Behavioral Healthcare’s Forensic Assertive Community Treatment (FACT) program assists individuals who experience serious mental health challenges and need special guidance in major life areas such as employment, relationships, housing, and physical health and wellness.

Our program is contracted with Multnomah County and Health Share of Oregon, and assists individuals who experience the most severe symptoms of mental illness and the greatest level of functional impairment, and have not been successful in traditional outpatient, clinic-based services. Individuals appropriate for the program have had frequent hospitalizations or crisis services; experience chronic homelessness and inability to maintain a safe or stable living situation; and have significant impairment performing basic daily living tasks.  Additionally, they have had repeated criminal justice involvement, such as frequent police contact, arrests, and detention or incarceration, and have been assessed as a moderate to high risk to re-offend. The program serves up to 45 clients.

Cascadia’s FACT program incorporates an Assertive Community Treatment (ACT) approach with a team of psychiatry, nursing, case management, addiction counseling, peer wellness support, and vocational rehabilitation professionals. ACT is a evidence designed practice and has been noted to have effective client outreach and engagement since it integrates services within a community setting.

The Second Chance for Women  program is designed to work specifically with women who have mental health and substance use disorders and are under supervision with Multnomah County’s Department of Community Justice.  The program provides case management, medication management, and gender-specific counseling to women.

Second Chance for Women accepts referrals directly from Multnomah County.

Case Coordination provides short-term case management, medication management and counseling to clients under supervision with Multnomah County’s Department of Community Justice. The program works specifically with individuals within the Mentally Ill Offender Unit and the Transitional Services Unit. The program assists individuals as they transition and stabilize in the community by connecting them to long-term treatment, housing, benefits, and other community supports.

Case Coordination accepts referrals directly from Multnomah County.

The Psychiatric Security Review Board (PSRB) Services Outpatient Program offers multi-dimensional support to individuals to help ensure that they are offered the treatment needed, as well as  provided monitoring and supervision as required by the stipulations under the conditions of release that are reviewed and approved by the Psychiatric Security Review Board prior to the client re-entering the community. The goal of Cascadia’s PSRB program is to promote the health and safety of the individual within the community so that ultimately they may transition into a lower level of services.

Services provided include:

  • case management
  • medication management
  • psycho-educational groups
  • group therapy
  • on-call coverage
  • day treatment

Clients with a dual diagnosis receive treatment through the Integrated Treatment program on site.

PSRB Monitoring and Supervision

Staff supervision is available 24 hours per day in PSRB residential group homes. After working through a level and pass system, as well as learning how to administer their own medication, many clients transition into a semi-independent living, where the house is staffed eight hours a day, and then on to independent living.

Clients in the PSRB program regularly meet with their case managers, attend groups, and receive alcohol and drug treatment. The program is designed to offer multi-dimensional support to the client to help ensure that they are offered the treatment and supervision that is required under Conditional Release. Through the continuum of care that Cascadia provides for the PSRB clients, the goal is to help clients obtain the highest possible level of independence.

Intensive Case Management (ICM) offers individuals the opportunity to reside in their own apartment within the community with a minimum of two counselor contacts per day to ensure individual and community safety. Individuals at this independent level are responsible for attending all required meetings and groups and manage their own medications.

Referral Process

The process of determining whether an individual is ready for discharge begins in the Oregon State Hospital with hospital staff and the individual, with a request from PSRB for Cascadia to conduct an evaluation. This is done by our evaluation specialist and if referred on in the process, by our psychiatrist. After consultation with the treatment team if it is determined that we can effectively provide treatment in the community, a report, and recommendations, with the conditions of release/treatment plan, is submitted to a hearing before the Psychiatric Security Review Board. If they agree to the plan the client re-enters the community; most often to a structured residential facility with 24/7 staffing.

The Psychiatric Security Review Board is an Oregon state agency that was established in 1976 and has jurisdiction over individuals who have pled guilty except for insanity to a criminal charge in a court of law. A person is able to plead guilty except for insanity when, as a result of a mental disease or defect, the individual lacked the ability to understand or appreciate their actions at the time of committing their crime. Subsequent to spending time in Oregon State Hospital, where psychiatric symptoms are stabilized, clients are able to move into residences in the community. All clients who move into the community have a Conditional Release comprised of criteria that describe in detail the expectations and treatment the individual will be provided in order to remain out of the hospital, with the primary concerns being the health and safety of the individual client and the safety of the community at large. A violation of the Conditional Release results in the individual being subject to a revocation from the community and returned to the Oregon State Hospital.