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.

Adult Services

Cascadia provides a variety of health services to assist adults in improving their quality of life and managing their mental health symptoms. The adult program provides whole health care, including on-site primary care in addition to behavioral health treatment. We work with our clients by assessing their needs and developing a treatment plan which may include evidence-based individual and group therapy and medication management. We also provide case management, support focused on advocacy, community referrals and additional resources for success including supported employment.

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 an evidence-based practice and has been noted to have effective client outreach, engagement, and outcomes 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 Department of Community Justice.

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 Mental Health 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.

Cascadia’s Psychiatric Security Review Board (PSRB) clinical programs offer diverse trauma-informed treatment services in the community, residential settings, and intensive outpatient settings to individuals mandated to treatment by the State of Oregon’s PSRB. Additionally, as a forensic program, we provide monitoring and supervision of the stipulations of conditions of release issued by the PSRB prior to the client returning to the community.  The goal of Cascadia’s PSRB program is to promote the health, wellness, and safety of the individual within the community.

Services provided include:

  • case management
  • medication management and comprehensive nursing services
  • psycho-educational groups
  • individual and group therapy
  • skills training
  • after-hours, on-call coverage
  • forensic risk assessment
  • supported employment
  • sex-offender treatment therapy
  • monitoring and supervision

PSRB Monitoring and Supervision

Staff supervision is available 24 hours per day in PSRB residential group homes. After demonstrating psychiatric stability and community safety, clients may be approved by the PSRB to transition either into a semi-independent living or intensive-case management program where clients live in their own community-based apartments and staff provide daily support with check-ins.

Clients in the PSRB program regularly meet with their case managers and attend groups at the day-treatment clinic. Clients can be referred to additional recovery services, such as drug and alcohol services. The program is designed to offer wrap-around supports and clinical services tailored to and individual client’s needs. The goal of the continuum of care that Cascadia provides for the PSRB clients, is to assist clients in obtaining wellness and stability, and the highest level possible of independence.

Referral Process

Referrals come from the Oregon State Hospital once a client has been found conditional-release ready by the hospital risk-review panel. Referrals may also come from secure residential treatment providers (SRTF) in the community. In rare instances, individuals can be referred directly from the court adjudication of their instant offense without first going to the Oregon State Hospital.

All referrals participate in a comprehensive evaluation with the program manager and a forensic psychiatrist that includes consideration of an individual’s personal risk factors and ability to be successful in Cascadia’s program. Based on this evaluation, a report and recommended conditional release plan are provided to the PSRB who conducts a hearing for final approval.

The PSRB 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 illness, 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, wellness, and safety of the individual client and the safety of the community at large. A violation of the Conditional Release results in clinical staffing and consideration of any appropriate treatment interventions, and if necessary, psychiatric stabilization. In situations where community safety is endangered, and clients cannot be stabilized with local hospitalization, clients may be revoked to the the Oregon State Hospital.

 Turning Point is a program serving over 100 inmates with a history of substance dependence and mental health issues during their final six months of incarceration with Oregon Department of Corrections (ODOC).  The Coffee Creek Correctional Facility program serves around 50 women and Turning Point-Columbia River Correctional Institute serves around 50 men.

The Turning Point program uses:

  • evidence-based interventions to address criminal thinking as well as substance dependence.
  • intensive group and individual counseling to help clients recover from their addictions and related issues.
  • a strong emphasis on community reintegration, with focus on referral for housing, employment services and continuing care upon release.

Referral and eligibility determination is conducted by ODOC staff, based on the facilities’ multi-disciplinary teams who assess recidivism risk as well as substance use history.