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.