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.

Please call the Cascadia Access, Information, and Referral line at 503-674-7777, Monday through Friday 9:00 a.m. to 5:00 p.m., to access our services.

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.

Our Services

  • Care coordination
  • Community-based care
  • Drug and alcohol addiction treatment
  • Individual and group therapy
  • Medication management services
  • Peer services
  • Skills training
  • Supported employment
  • Primary care (at specific health centers)

Locations

Woodland Park Health Center
10373 NE Hancock St., Suite 200, Portland, OR 97220

Garlington Health Center
3036 NE Martin Luther King, Jr. Blvd., Portland, OR 97201

Plaza Health Center
4212 SE Division St., Portland, OR 97206

Talbert Health Center
12360 SE Sunnyside Rd, Clackamas, OR 97015

Make an Appointment or Referral

503-674-7777
Monday to Friday, 9 a.m. to 5 p.m.

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.

Our Services

  • Care coordination
  • Community based
  • Drug and alcohol addiction treatment
  • Individual and group therapy
  • Medication management services by geriatric specialists
  • Peer services
  • Skills training

For more support, check out our Conversations on Aging program >>

Locations

Woodland Park Health Center
10373 NE Hancock St., Suite 200, Portland, OR 97220

Make an Appointment or Referral

503-674-7777
Monday to Friday, 9 a.m. to 5 p.m.

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.

Our Services

  • Individual counseling
  • Family therapy
  • Medication management
  • Parent-Child Interaction Therapy (PCIT)
  • School-based counseling
  • Parenting groups

Locations

Woodland Park Health Center
10373 NE Hancock St., Suite 200, Portland, OR 97220

Garlington Health Center
3036 NE Martin Luther King, Jr. Blvd., Portland, OR 97201

Plaza Health Center
4212 SE Division St., Portland, OR 97206

Make an Appointment or Referral

503-674-7777
Monday to Friday, 9 a.m. to 5 p.m.

Specialty Mental Health

Cascadia’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.

Resources:

Who We Are

FICC is a short-term mental health program, contracted with the Department of Community Justice, to provide services to individuals who have been diagnosed with severe and persistent mental illness and are currently on supervision in Multnomah County. We have a team of QMHPs, QMHAs and a Licensed Medical Provider to conduct behavioral health assessments, alcohol and drug assessments and work on case management, individual therapy, skills training, and medication management goals. When the justice-involved individual has demonstrated stability and successful reintegration into the community, the goal is to transition the individual to a long-term mental health provider.

What We Do

We collaborate with the Mental health Unit (MHU) to offer no-barrier and flexible services to meet the unique needs of this population. FICC engages participants in various community settings, the DCJ Mead building, and tri-county corrections facilities. We often partner with other agencies such as Multnomah County Detention Center, Mental Health Court, Forensic Diversion, Behavioral Health Division, Central City Concern, Bridges to Change, and other community partners to best serve the individuals enrolled in our program.

Overall, the clinicians utilize a strengths based and trauma informed approach to assess the needs of the individual, connect them to community resources and partner with the probation and parole officers to reduce the risk of recidivism.

  • Program Eligibility: Only available to individuals currently on supervision in Multnomah County, typically with MHU or Family Services Unit. Referrals are only accepted from DCJ.
  • Length of program: Approximately 6-12 months.
  • Services: Behavioral health assessment, ASAM, case management, individual therapy, skills training, and medication management.
  • Frequency: We provide flexible services to best meet the needs of the individual. This ranges from meeting with individuals one time weekly to multiple times per week if necessary.

Contact:

Who We Are

Multnomah County Mental Health Court was created to address the needs of adults diagnosed with serious mental illness who are involved with the criminal justice system, with the goal of providing the opportunity to divert them from prison. Cascadia Health’s Mental Health Court (MHC) program is a short-term mental health program that partners with Multnomah County Mental Health Court to provide services to individuals who have been diagnosed with severe and persistent mental illness and are currently on supervision in Multnomah County. We have a team of QMHPs, a QMHA, and a Licensed Medical Provider who provide behavioral health assessments, alcohol and drug assessments, case management, individual therapy, skills training, and medication management. After the MHC participant demonstrates stability by progressing through the court’s program, the team will then transition the individual to a long-term mental health provider.

What We Do

We collaborate with Multnomah County’s Circuit Court, Department of Community Justice, District Attorney’s Office, Behavioral Health Division, Metropolitan Public Defender, and the Mental Health & Addiction Association of Oregon to offer low-barrier and flexible services to meet the unique needs of Mental Health Court participants. MHC engages individuals in various community settings, such as the DCJ Mead building, the courthouse, and corrections facilities. We often partner with other agencies such as Central City Concern, Bridges to Change, New Narrative, and other community partners to best serve the individuals enrolled in our program.

Overall, the clinicians utilize a strength based and trauma informed approach to assess the needs of the individual, connect them to community resources, and partner with Multnomah County Mental Health Court to reduce the risk of recidivism or revocation.

  • Program Eligibility: Available only to individuals who have already pled into Multnomah County Mental Health Court. Referrals are accepted from only Multnomah County Department of Community Justice or Multnomah County Behavioral Health Division.
  • Length of program: Approximately 6-18 months.
  • Services: Behavioral health assessment, ASAM, case management, individual therapy, skills training, and medication management. Through the Multnomah County Mental Health Court system, all participants are also assigned a clinical services specialist (from Multnomah County Behavioral Health Division) and peer support specialist (from Mental Health & Addiction Association of Oregon).
  • Frequency: We provide flexible services to best meet the needs of the individual. This ranges from meeting with individuals every other week to multiple times per week.

Contact:

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.