Oregon Mental Health Residential Facilities

BENTON COUNTY

[CCO: Intercommunity Health Network]
Please contact Benton County for screening process and referrals:
Michelle Bangs | su.ro.notneb.oc|sgnaB.ellehciM#su.ro.notneb.oc|sgnaB.ellehciM | (541)766-6211 | Fax: (541)766-6186

  • RTF - Janus House (Corvallis): MH Facility - (10/12) Not accepting referrals at this time.
  • RTH - Sequoia Creek (Corvallis): MH Home - (5/5) (Full) Not reviewing referrals at this time.
  • RTH- Lewisburg House- Renew (Corvallis/Lewisburg) MH Home (3/3) (Full) This home specializes in 1:1 services to complex care (Aging and People with Disabilities/Mental Health) and/or sex offender history (male beds)
  • AFH- Stride Residential (Corvallis): MH Home - (5/5) (Full) NOT reviewing referrals at this time.
  • AFH - Mary's River AFH (Philomath): MH Home (Full) NOT reviewing referrals at this time.

Updated: 06/14/2022


CLACKAMAS COUNTY

[CCO: Clackamas HealthShare]
Contact for Referrals:
Referrals/Other Choice inquiries: su.ro.samakcalc.oc|maeTtludAHBsamakcalC#su.ro.samakcalc.oc|maeTtludAHBsamakcalC | (503)742-5335 | Fax: (503)742-5355 Email monitored Monday-Thursday ONLY
(Please send referrals only to the listed email address and not directly to facilities)

After ALL referral requirements are received, the Residential Specialist will forward the referral to the providers indicated on PRTS coversheet. Please submit a separate PRTS cover sheet for each residential facility referring to. Within 48 hours of the residential provider receiving the referral packet, the residential provider will contact the referring party to schedule a screening. The screening appointment must occur within 14 calendar days from the date the residential provider receives the referral packet.

Within 72 hours of the screening, the residential provider will inform CCBHD via e-mail of their decision, including the completed PRTS cover sheet.

Each RTF/RTH will keep a waitlist of up to three applicants. When the wait list is at three, the facility will close for any additional referrals. When wait lists are closed, the provider will not be required to accept referrals, conduct screenings, or evaluate admissions criteria as directed by OAR. When the provider’s waitlist falls below three, CCBHD will resume sending referrals to the provider.

As always, referrals from the state hospital will be prioritized.
Priority 1: Patients who are designated as RTT (Ready to Transition) from OSH
Priority 2: Clients who are being diverted off the OSH waitlist, Clients who need to step down from Telecare TRC or SRTF
Priority 3: Patients stepping down from acute care
Priority 4: Community referrals

NOTE: Please be sure to indicate the type of referral (Pre-RTT packet or RTT Packet).

1. Oregon PRTS Application or CLAR, include signed ROI and PRTS Cover sheet
2. Level of Service Inventory (LSI) for level of care being referred to (in last 30 days)
3. Mental Health Assessment
4. Treatment Plan
5. Psychiatric Assessment
7. Progress notes for last 30 days MUST submit most current progress notes dated within two days of referral submission. Referrals will not be accepted without current progress notes
8. Prescriber notes for last 30 days
9. Income verification
10. Copy of current medication orders
12. Legal documents/ Civil Commitment paperwork / Guardianship paperwork

  • RTF - Leland (Oregon City): MH Facility - (Full) Waitlist closed
  • RTF - Pearl Street (Oregon City): MH Facility - (Full) Waitlist closed
  • RTF - Alder Creek (Milwaukie): MH Home - (Full) Waitlist closed
  • RTH - Portland Ave (Gladstone): MH Home - (Full) Waitlist closed
  • RTH - Fieldstone (Wilsonville): MH Home - (Full) Waitlist closed
  • RTH - Bridgestone (Wilsonville): MH Home - (Full) Waitlist closed
  • RTH - Autumn Ridge (Milwaukie): ENHANCED MEDICAL NEED MH Home - (Full) Waitlist closed

Updated: 6/23/2022


CLATSOP COUNTY

[CCO: CPCCO]
Contact for Referrals:

  • RTF - North Coast Crisis Respite and Residential Center (Warrenton), 15 bed MH Facility.
  • gro.hbpostalc|slarreferCRCCN#gro.hbpostalc|slarreferCRCCN - cc: gro.hbpostalc|pimat#gro.hbpostalc|pimat -

** Not Accepting referrals **

  • NRCCRC contact Tami Perry, gro.hbpostalc|pimat#gro.hbpostalc|pimat 971-704-4018

For referrals include:
1. Oregon PRTS Program Referral Cover Sheet (Attach separately from the rest of packet)
2. Mental Health Assessment, current within the last year.
3. Treatment Plan
4. Legal / Civil Commitment / Guardianship documents, as applicable
5. Current Medication list or MARS
6. At Least 30 days of progress notes.
7. 30 days of prescriber notes
8. Income verification
9. Current and hx of medical info.
10. Evacuation capability (we can provide form to you if needed)
11. Please include a current (within the last 6 months) LOCUS//LSI
If accepted when an opening happens: Current TB test results, Hep B screening, and Medication orders need to be received within 3 days of transfer.

Clarissa Torres gro.hbpostalc|tassiralc#gro.hbpostalc|tassiralc

  • AFH - Hearts Care - (Full) - Not accepting referrals at this time.
  • AFH - Winterlite - (FULL) - Not accepting referrals at this time.
  • AFH- Radiant Care-

COLUMBIA COUNTY

[CCO: CPCCO]

Residential Treatment Director:
Ben Weaver
moc.1hmcc|wneb#moc.1hmcc|wneb

Residential Administrator
Meghan Hill
moc.1hmcc|ihnagem#moc.1hmcc|ihnagem

PSRB Monitor
moc.1hmcc|csyma#moc.1hmcc|csyma

Facility Updates as of 2.1.22

  • RTF- Cornerstone (St. Helens)(Columbia Co.) - 15-Bed MH Facility - CLOSED to REFERRALS as of 12.15.2021
  • RTF- Alternatives (St. Helens)(Columbia Co.): 8-Bed PSRB Facility- Taking Referrals. as of 4.11.2022

To submit a referral: Email moc.1hmcc|noissimdA_laitnediseR#moc.1hmcc|noissimdA_laitnediseR PLEASE INDICATE WHICH FACILITY YOU ARE REFERRING TO

When sending referrals, please be sure to indicate the type of referral (Pre-RTT packet or Referral to Transition Packet). If the referral being made is a Referral to Transition Packet, the following needs to be included:

1. Oregon PRTS Application or CLAR (if referral to SRTF, send proof of SRTF approval), include signed ROI and PRTS Cover sheet

All referral packets must include the following:
1. Statement summarizing why you feel the client is appropriate for Residential Treatment.
2. Level of Service Inventory (LSI) to reflect residential level of care within the last year. Contact Comagine for an updated assessment if needed Form can be found at https://comagine.org/program/oregon-behavioral-health-support/providers
3. LOCUS
4. Mental Health Assessment
5. Treatment Plan
6. Recent physical (within last 60 days)
7. Psychiatric Assessment (if applicable)
8. Copy of all Incident Reports for last 90 days
9. Progress notes for last 90 days (direct care and clinical)
10. Prescriber notes for last 90 days
11. Income verification
12. Insurance verification
13. Copy of current medication orders
14. All Legal documents/ Civil Commitment paperwork (if applicable)
15. Guardianship paperwork (if applicable)

If accepted:
1. TB results (results must be provided before placement)
2. Proof of COVID vaccination or Negative COVID test 48 hours before entry.
3. Signed ROI for Columbia Community Mental Health and the referrer and/or hospital, all MH providers including county of responsibility and Payee (if applicable)
4. If client is being referred from another COR, how the COR intends on coordinating care (ensuring MH and medical services are authorized due to OHP captivation of COR and the return of the individual back to COR if desired by the resident).

CURRY COUNTY

[CCO: WOAH and AllCare]
Contact for Referrals:

Driftwood/Bungalows: Kimberly Coy | gro.eracaibmuloc|yock#gro.eracaibmuloc|yock | Josh Ferreira. gro.eracaibmuloc|arierrefj#gro.eracaibmuloc|arierrefj. (541)247-6566 FAX (541) 247-6549
Bell Cove: Meaghan McGlasson | gro.eracaibmuloc|nossalgcmm#gro.eracaibmuloc|nossalgcmm (541)469-0222
Case Monitor - Curry County Tara Modugno - gro.nogerotpada|marat#gro.nogerotpada|marat OR Maggy Guthrie - gro.nogerotpada|gteragram#gro.nogerotpada|gteragram

Referrals from the state hospital will be prioritized.
Priority 1: Patients who are designated as RTT (Ready to Transition) from OSH
Priority 2: Clients who are being diverted off the OSH waitlist, Clients who need to step down from Telecare TRC or SRTF
Priority 3: Patients stepping down from acute care
Priority 4: Community referrals
NOTE: Please be sure to indicate the type of referral (Pre-RTT packet or RTT Packet).

1. Oregon PRTS Application or CLAR, include signed ROI and PRTS Cover sheet
2. Level of Service Inventory (LSI) for level of care being referred to (in last 30 days)
3. Mental Health Assessment
4. Treatment Plan
5. Psychiatric Assessment
7. Progress notes for last 30 days
8. Prescriber notes for last 30 days
9. Income verification
10. Copy of current medication orders
12. Legal documents/ Civil Commitment paperwork / Guardianship paperwork
13. TB/Hep B results (if not readily available, you can submit the packet and work on this with the clients, as it must be completed before move-in to any residential program)
14. Crisis plan (if applicable
15. Health and Physical (from PCP – if not readily applicable, you can submit the packet and work on this with the client, as it must be completed before move-in to any residential program)

If packets are not complete we will request all documentation prior to setting up screening.

  • RTF - Driftwood (Gold Beach): MH Facility - (Full) - ** We are NOT accepting referrals at this time.
  • RTH - Bell Cove (Brookings): MH Facility - PSRB Medical- (0 openings ) - 2 on waitlist accepting referrals PSRB ONLY.
  • Supported Housing - Bungalows (Gold Beach): MH Facility - (Full) - No Referrals Needed

Updated: 4/13/22


DESCHUTES COUNTY

[CCO: PacificSource Community Solutions]
Contact for Referrals: Rachael Marble | gro.setuhcsed|elbram.leahcar#gro.setuhcsed|elbram.leahcar| (458) 600-7058 | Fax: (541) 330-4642

  • SRTF> Telecare: Deschutes Recovery Center (Bend): MH Facility (Full) - Not accepting referrals __Last Updated: 6/23/2022
  • RTH > Telecare: 12th Street RTH (Bend): MH Facility (Full) - Not accepting referrals __Last Updated: 6/23/2022
  • RTH > Telecare: Edgecliff RTH (Bend): MH Facility (Full) - Not accepting referrals __Last Updated: 6/23/2022
  • AFH > Golden Eagle AFH (Bend): MH Facility (Full) - Not accepting referrals __Last Updated: 6/23/2022
  • AFH > Clubhouse Foster: "Breitenbush" (Bend): MH Facility (Full) - Not accepting referrals __Last Updated: 6/23/2022
  • AFH > Clubhouse Foster: "Clairaway" (Bend): MH Facility (Full) - Not Accepting referrals __Last Updated: 6/23/2022

1. Oregon PRTS Application or CLAR, include signed ROI and PRTS Cover sheet
2. Level of Service Inventory (LSI) for level of care being referred to (in last 30 days)
3. Mental Health Assessment
4. Treatment Plan
5. Psychiatric Assessment
6. Progress notes for last 30 days
7. Prescriber notes for last 30 days
8. Income verification
9. Copy of current medication orders
10. Legal / Civil Commitment / Guardianship documents, as applicable
11. Safety plan, as applicable

**Last Updated: 6/23/2022


DOUGLAS COUNTY

[CCO: Umpqua Health Alliance]
Contact for Referrals:
Jaimie Perry| gro.nogerotpada|peimiaj#gro.nogerotpada|peimiaj | (541)440-3532 |

  • AFH - Freemont (Roseburg): MH Facility - (FULL) Not accepting referrals
  • AFH - Neely House (Roseburg): MH Facility - (FULL) Not accepting referrals
  • AFH - Wednesday's House (Myrtle Creek): MH Facility-(FULL)** Not accepting referrals

Updated: 4/8/22

EOCCO

[CCO: EOCCO]
[Counties: Lake, Harney, Malheur, Baker, Grant, Wheeler, Sherman, Gilliam, Morrow, Umatilla, Union, and Wallowa]
Contact for Referrals:
Please email all referrals directly to the Residential Provider

  • SRTF- Lakeview Heights (Heppner): Linsey Hanna - gro.liamescc|annaH.yesniL#gro.liamescc|annaH.yesniL - CLOSED to referrals - 6/23/2022
  • SRTF- McNary Place (Umatilla): Rory Schilling - gro.syawefil|gnillihcsr#gro.syawefil|gnillihcsr and Bonnie Berg- -gro.syawefil|grebb#-gro.syawefil|grebb (FULL)- Closed to Referrals
  • SRTF- Juniper Ridge (Grant-John Day): Chris Northway- -gro.liamescc|yawhtron.sirhc#-gro.liamescc|yawhtron.sirhc Closed to referrals - 2/23/22
  • RTF - Independence Place Dual dx (Hines): moc.cnieracyrtemmys|larreferpi#moc.cnieracyrtemmys|larreferpi - **(FULL) - CLOSED to referrals ** - 10/3/2021
    1. PRTS Face Page Must have ENCC contact listed also.
    2. PRTS App Fill-In
  • RTF - Columbia River Ranch (Boardman): Stephanie Cronen - gro.eracaibmuloc|nenorcs#gro.eracaibmuloc|nenorcs - Accepting referrals for Male bed, one opening, updated 06/03/2022.
  • WALLOWA COUNTY PROGRAMS - Brandon Miller, ENCC - gro.ssenllewrofretnecvw|rellim.nodnarb#gro.ssenllewrofretnecvw|rellim.nodnarb
  • RTF - Wallowa River House (Wallowa): ENHANCED-MEDICAL Facility Brandon Miller - gro.ssenllewrofretnecvw|rellim.nodnarb#gro.ssenllewrofretnecvw|rellim.nodnarb - (Full) - Closed to referrals - 5/25/2022
  • RTF - Pioneer Guest Home III (Enterprise): Brandon Miller - gro.ssenllewrofretnecvw|rellim.nodnarb#gro.ssenllewrofretnecvw|rellim.nodnarb - OPEN BED IS PENDING CLOSED TO REFERRALS 6/14/2022
  • RTH - Joseph House (Joseph): MILD MEDICAL-ENHANCEMENT Facility Brandon Miller - gro.ssenllewrofretnecvw|rellim.nodnarb#gro.ssenllewrofretnecvw|rellim.nodnarb - 1 open bed OPEN TO REFERRALS- 5/25/2022
  • RTH- Westgate RTH (Pendleton): Lexi Satterwhite- -gro.liameSCC|etihwrettaS.ixeL#-gro.liameSCC|etihwrettaS.ixeL*(Residential- *CLOSED to referrals* 4/4 Beds FULL ) - (Crisis/Respite/short stay-*Open to referrals* 1/1 Bed OPEN)- 12/17/2021

When sending referrals for Wallowa River House, Pioneer Guest Home or Joseph House, please be sure to include the following:
1. Oregon PRTS Application or CLAR
2. Oregon PRTS Program Referral Cover Sheet (Attach separately from the rest of packet)
3. Mental Health Assessment, current within the last year. If referring to Dual Dx please include A&D Assessment. Psych assessment.
4. Current Medication list or MAR
5. At Least 30 days of progress notes or more.
6. Current and hx of medical info.
7. Legal paperwork - if applicable.
8. // Please include a current within the last 6 months LOCUS//
9. Current (30 days) LSI.

Contact for Malheur County AFH:

Kristie Lyman, Sean Ross, Michelle Perez gro.syawefil|ccneruehlam#gro.syawefil|ccneruehlam

  • AFH - Valkyrie House (Malheur Co.): 5-Bed MH Home - *(Male Only) - Not Accepting referrals.
  • AFH - Martarano House #1 (Malheur Co.): 5-Bed MH Home (Full)(Female Only) -Not Accepting referrals.
  • AFH - Sandhu (Malheur Co.) MALE ONLY 5-Bed MH Home- (FULL) - Not accepting referrals
  • AFH - Spanish Villa (Malheur Co.): 5-Bed MH Home - (Full)(Male Only) - Not Accepting referrals.
  • AFH - 8th Ave. House (Malheur Co.) 5-Bed MH Home - (Full) - Not Accepting referrals
  • AFH - Kreftmeyer House (Malheur Co.) 5-Bed MH home (Full) - Not Accepting referrals
  • AFH - Fletcher House (Malheur Co.) 3-Bed MH Home ** (Full) - Not Accepting referrals
  • AFH - Porter House (Umatilla Co.) Jessica Dyer gro.liamescc|reyd.acissej#gro.liamescc|reyd.acissej - (Full) - Not accepting referrals - 12/07/2021
  • AFH - Liberty House (Hines): moc.cnieracyrtemmys|larreferpi#moc.cnieracyrtemmys|larreferpi - (FULL) - Not accepting referrals - 1/11/2021

When sending referrals, please be sure to include the following:
1. Oregon PRTS Application or CLAR
2. Oregon PRTS Program Referral Cover Sheet (Attach separately from the rest of packet)
3. Mental Health Assessment, current within the last year. If referring to Dual Dx please include A&D Assessment. Psych assessment.
4. Current Medication list or MARS
5. At Least 30 days of progress notes or more.
6. Current and hx of medical info.
7. Legal paperwork - if applicable.
8. // Please include a current within the last 6 months LOCUS//
9. Current (30 days) LSI.


JACKSON COUNTY

Contact:
1. Jennifer Watkins, MA, QMHP Choice ENCC | gro.ytnuoCnoskcaJ|AJniktaW#gro.ytnuoCnoskcaJ|AJniktaW | (541)774-7801 (office) | (541)841-2743 (cell) | Fax: (541)774-7979
2. Ray Millar, MSW, QMHP Choice Program Manager | (541)774-7957

Updated: 3/15/2020


KAIROS

Young Adult Facilities: Applicants must be 17 1/2-24 years old
Contact for Referrals:

  • Jessica Stout | su.ro.etats.ahoshd|tuots.l.acisseJ#su.ro.etats.ahoshd|tuots.l.acisseJ | (503)757-4722 | Fax: (503)947-5043
  • RTH - Momentum (Grants Pass): Young Adult 5-Bed MH Facility - (Full)
  • RTH - Tempo (Eugene): Young Adult 5-Bed MH Facility - (Full)
  • RTH - Cadenza (Salem): Young Adult 5-Bed MH Facility - (Full)

Updated: 01/16/2020


KLAMATH COUNTY

[CCO: Cascade Health Alliance]
Contact for Referrals:
Wendsday Cohen| gro.HBBK|nehoCW#gro.HBBK|nehoCW | (541)883-1030, ext. 2149 | Fax: (541)884-2338

  • RTF - Phoenix Place (Klamath Falls): 9-Bed MH Facility - (Full) - Not accepting referrals at this time

Updated:12/14/2021


LANE COUNTY

[CCO: Trillium / Trillium Behavioral Health and/or PacificSource]
Contact for Referrals:
ENCC: David Dodson (458) 221-0213

All referrals and referral related questions should be made to vog.roytnuocenal|ECIOHCIHMASHCL#vog.roytnuocenal|ECIOHCIHMASHCL

When sending referrals, please be sure to indicate the type of referral (Pre-RTT packet or Referral to Transition Packet). If the referral being made is a Referral to Transition Packet, the following needs to be included:
1. Oregon PRTS Application or CLAR (if referral to SRTF, send proof of SRTF approval), include signed ROI and PRTS Cover sheet
2. Level of Service Inventory for level of care being referred to (in last 30 days)
3. Mental Health Assessment
4. Treatment Plan
5. Psychiatric Assessment
6. Copy of all Incident Reports (last 30 days or more)
7. Progress notes for last 30 days or more
8. Prescriber notes for last 30 days or more
9. Income verification
10. Copy of current medication orders
11. SRTF approval letter (if applicable)
12. Legal documents/ Civil Commitment paperwork
13. Guardianship paperwork if applicable

If accepted:
1. TB results (results have to be provided before placement)
2. Recent crisis plan (if applicable)
3. Signed ROI for Lane County Behavioral Health and the referrer and/or hospital, all MH providers including county of responsibility, Payee (if applicable)
4. Recent physical (within last 60 days)
5. If client is being referred from another COR, how the COR intends on coordinating care (ensuring MH and medical services are authorized due to OHP captivation of COR and the return of the individual back to COR if desired by the resident).

PLEASE NOTE WAITLIST VS. ADMIT POTENTIAL

  • SRTF-RiverBridge (Eugene): (FULL) - Closed for referrals
  • RTF - Gateway 2 Community Living (Springfield): (FULL) - Closed for referrals
  • RTF - Alder Street (Eugene): Male only program (FULL) - Closed for referrals
  • RTF - William Ware (Eugene): (Full) - Waitlist Full
  • RTH - Danebo (Eugene): (FULL) - No Referrals being accepted
  • RTH - Myers (Eugene): (FULL) - closed for referrals
  • RTH - Tempo [YAT Program] (Eugene): (FULL) - Referrals Via OHA/Jessica Stout at su.ro.etats.ahoshd|tuots.l.acissej#su.ro.etats.ahoshd|tuots.l.acissej
  • RTH - ClearView (PSRB) - Referrals via PSRB only

Foster Care Homes

  • AFH - Bohemia (Cottage Grove): (Closed for referrals)
  • AFH - Fillmore Lane (Eugene) Male Only home: (Closed for referrals)
  • AFH - Forest Ridge (Springfield) (Closed for referrals)
  • AFH - Stargazer (Eugene): (Closed for referrals)
  • AFH - Werner (Pleasant Hill) Male only home: (Closed for referrals)

Updated: 11/19/2021


LINCOLN COUNTY

[CCO: Intercommunity Health Network (IHN)]
Contact for Referrals:
Shelby Houston, Behavioral Health Administrative Supervisor, su.ro.nlocnil.oc|ccneytnuocnlocnil#su.ro.nlocnil.oc|ccneytnuocnlocnil

  • Oceanside (Lincoln City) MH Facility/ APD Facility- Full.

Updated: 1/13/2022


LINN COUNTY

//[CCO: Intercommunity Health Network (IHN)
Contact for Referrals:

Supervisor: Mia Schroer, LPC; su.ro.nnil.oc|reorhcsm#su.ro.nnil.oc|reorhcsm | 541-967-3866 ext.2522| Fax: 541-812-8804

  • RTH – Casa Rio (Albany): 5-Bed - (FULL) - Closed to Referrals
  • RTH - Colorado Lake (Albany): 3-Bed - (FULL) - Closed to Referrals
  • RTF - Northwest Premier (Lebanon): 9-Bed (FULL)-Closed to Referrals

Updated: 11/5/2021


bold textbold text+++ MARION COUNTY
[CCO: Pacific Source ]
Contact for Referrals:
ENCC: Kat Fox su.ro.noiram.oc|xofmK#su.ro.noiram.oc|xofmK 503-361-2654 or Fax: (503)361-2728

  • RTF - Carrolls (Salem): MALE Only Facility - (Full) - Closed for referrals
  • RTF - Royvonne (Salem): FEMALE Only Facility - (Full) - Closed to referrals
  • RTF - Horizon House (Salem): County operated; co-ed - (Full) - No Referrals at this time please
  • RTH - Chinook House (Keizer): Co-occurring - must be interested in recovery; co-ed - (Full)No referrals at this time.
  • RTH - Adams Lane (Jefferson): MH Facility - (Full) - No Referrals at this time please
  • RTH - Via Verde (Salem): PSRB Facility - (Full) - No Referrals at this time please
  • RTH - Sequoia House (Salem) co-ed -(Full) no referral's needed at this time

No referrals requested at this time

  • AFH - Dukes (So. Salem): co-ed - (Full) No referrals at this time please
  • AFH - Liberty Care Homes [2] (Salem): co-ed - (Full) No referrals at this time please
  • AFH - Star House (NE Salem): co-ed - (Full) No referrals at this time please
  • AFH - Meggie's Place (Aumsville): co-ed - (Full) No referrals at this time please
  • AFH - Hillside Ranch (Aumsville): co-ed - (Full) No referrals at this time please
  • AFH - Boxwood (SE Salem): co-ed - (Full) No referrals at this time please
  • AFH - Eastland Place (SE Salem): co-ed - (Full) No referrals at this time please
  • AFH - Amazing Grace [3] (SE Salem): co-ed - (Full) No referrals needed at this time
  • AFH - Hope Ranch (Keizer): co-ed - (Full) No referrals at this time please
  • AFH - LMC Group Home (South Salem): co-ed, Full - No referrals at this time. (Non-smoking home)
  • AFH - Better Together AFH (Salem) Co-ed, Full- NO referrals at this time please

Updated: 12/29/21


MULTNOMAH COUNTY

[CCO: Multnomah Mental Health (Part of HealthShare)]
Contact for Referrals:
Referrals should be sent directly to the Residential Provider by the Choice Model ENCC; however, please copy su.octlum|stsilaiceps.laitnediser#su.octlum|stsilaiceps.laitnediser when sending any referral to a contracted residential program.

The Residential Specialist, assigned to the Multnomah County residential treatment program you contract with, will:
• Continue to provide waitlist management for structured care, in concert with the program Administrator and Choice Model
• Continue to provide regulatory oversight of residential treatment programs, for client health, safety and welfare
• Continue to facilitate community (non-Choice Model) referrals, screenings and placements
• Continue to maintain Adult Foster Care wait list

Please include the following with each referral:
-PRTS Application for Residential Services or CLAR if referral from OSH
-PRTS Program Referral Cover Sheet for each site referred to
-Guardianship papers if applicable
-LOCUS Scores
-Current LSI if currently in licensed residential placement
-Please include the DSO Prime # (AKA the OHP Medicaid #)
-Psycho / Social History &/or
-Current Mental Health Assessment
-Most recent admit & discharge summaries (Includes Hospitals, Sub-Acute, & Respite)
-Current progress notes (two months)
-Prescriber assessment & progress notes (two months)
-Typed summary, outlining housing history & need for housing.
-Current Mental Health Treatment Plan (ISSP) & assessment
-Occupational Therapy / Skills Assessment or other relevant assessments (as requested)

Multnomah County sites: Updated 6/17/2022

  • SRTF - Halsey St (Portland): CLOSED for Referrals
  • SRTF - 72nd Ave. Place (Portland): MALE Only Facility - (Full) - CLOSED to Referrals
  • SRTF - Arbor Place (Portland): MH Facility - (FULL) - CLOSED for Referrals
  • SRTF - Barbara Roberts East (Portland): MALE Only Facility - CLOSED to Referrals
  • SRTF - Barbara Roberts West (Portland): FEMALE Only Facility - (FULL) - CLOSED to Referrals
  • SRTF - Fairview Firs (Portland): POLYDIPSIA Facility - (Full) - Closed to Referrals

** SRTF Class 1 - Faulkner Place (Portland): MH Facility - (Full) -CLOSED to Referrals**

  • RTH Alta House (Gresham): Aid and Assist Only- (OPEN) Only accepting first 5 referrals (initially referrals must be from OSH)
  • RTF - CODA 8041 (Portland): Dual-Diagnosis Facility - (3 current vacancies) - CLOSED to Referrals
  • RTF - CEC (Portland): Intensive Medical Needs - (OPEN) - OPEN for 1 Female Referral
  • RTF - Andrea Place (Portland): MH Facility - (Full) - Closed to Referrals
  • RTF - Cameron Boise (Portland): MH Facility - (FULL)* Closed to Referrals
  • RTF - Cameron Garfield (Portland): MH Facility - (Full) - Closed to referrals (services offsite, shared rooms)
  • RTF - Cameron Powell (Portland): MH Facility - (Full) Shared rooms- CLOSED to Referrals
  • RTH - Court House (Portland): FEMALE only Facility - (Full) - Closed to Referrals
  • RTF - Columbia Rose (Portland): MH Facility - (Full) - Closed to Referrals
  • RTH - Estuesta (Portland): MH Facility (Full) - Closed to Referrals
  • RTF - Hoodview (Portland): MH Facility - (Full) - CLOSED
  • RTH - Hazelwood & Horizon (Portland): MALE only Facility - (Full) - Closed to Referrals (please submit two cover sheets, one for each house)
  • RTF - McCarthy (Portland): MH Facility - (Full) - Closed to Referrals
  • RTF - Nadine's Place (Portland): MH Facility - (Full) - Closed to Referrals
  • RTF - Pisgah (Portland): MH Facility - (Full) - Closed to Referrals
  • RTF - Rita May Manor (Portland): MH Facility - (Full) - Closed to Referrals
  • RTH - Rockwood (Portland): MH Facility - (Full) - Closed to Referrals
  • RTF - Stults House (Portland): MH Facility - (Full) - Closed to Referrals
  • RTF - Wallula Place (Gresham): MH Facility - (Full) - Closed to Referrals
  • RTF - Willamette Rose (Portland): FEMALE Only Facility - (Full) - Closed to Referrals
  • Adult Care Home (Full) Closed to Referrals

OPTIONS FOR SOUTHERN OREGON

[CCO: Primary Health and AllCare]
Contact for Referrals:
Jason Margulis | gro.enilnosnoitpo|silugramj#gro.enilnosnoitpo|silugramj | (541)472-9991 | Fax: (541)472-9974

  • SRTF - Hazel Center (Medford): MH Facility - (Full) - Closed to Referrals
  • SRTF - Ramsey Place (Grants Pass): MH Facility - (Full) - Closed to Referrals
  • RTF- Carnahan Court (Grants Pass): MH Facility - (Full) - Closed to Referrals

All referral packets must include the following:

1. Oregon PRTS Application or CLAR (if referral to SRTF, send proof of SRTF approval), include signed ROI and PRTS Cover sheet
2. Level of Service Inventory for level of care being referred to (in last 30 days)
3. Mental Health Assessment
4. Treatment Plan
5. Psychiatric Assessment
6. Copy of all Incident Reports (last 30 days or more)
7. Progress notes for last 30 days or more
8. Prescriber notes for last 30 days or more
9. Income verification
10. Copy of current medication orders
11. SRTF approval letter (if applicable)
12. Legal documents/ Civil Commitment paperwork
13. Guardianship paperwork if applicable

Updated: 6/24/22


POLK COUNTY

Contact for Referrals:
Jennifer Borland | su.ro.klop.oc|refinneJ.dnalroB#su.ro.klop.oc|refinneJ.dnalroB | 971.600.6414 |

  • AFH – Heise AFH LLC (West Salem) - (FULL) - Not accepting referrals
  • AFH - Hibbs AFH (Falls City) - (FULL) - Not accepting referrals
  • AFH – New Beginnings (West Salem) - (1 opening) In review, no new referrals pls
  • RTF – Fir Hill (Dallas) - (FULL) - Not accepting referrals
  • RTH – Linden Lane (Dallas) - (FULL) - Not accepting referrals

Please include ALL the following information in the referral packet:
1. PRTS Cover Sheet (Psychiatric Residential Treatment Services)
2. PRTS application
3. Psychiatric Assessment
4. Mental Health Assessment
5. Individual Service Plan
6. LSI
7. Locus if available
8. Progress Notes from the last 30 days
9. Additional OHA documentation such as doctors orders, physical, current med regimen if any, TB test, etc.
10. Other records which would be helpful for the residential facility to review and use to make a decision to approve or
deny the placement.

If referral packet is incomplete, ENCC will notify the referrer and request missing information. If missing information is not received within 7 days the referral will be cancelled.

Updated: 06-23-22


TILLAMOOK COUNTY

[CCO: CPCCO]
Contact for Referrals:

ENCC Brett Stanislao gro.ccft|StterB#gro.ccft|StterB

  • AFH - Cedar - MH - (FULL) - Not accepting referrals at this time.
  • AFH - Evergreen - MH - (FULL) - Not accepting referrals at this time.
  • AFH - Meadowcare - MH - (FULL) - Not accepting referrals at this time.
  • AFH - Stewart House - MH - All bedrooms upstairs - (FULL) - Not accepting referrals at this time.

Updated: 09/22/2021


WASCO COUNTY

[PacificSource Community Solutions - Columbia Gorge Region]
Contact for Referrals:

Ethel Marquez, ENCC
gro.lfccm|zeuqrame#gro.lfccm|zeuqrame
541-716-4120

  • RTF - Creekside (The Dalles): 9-Bed MH Facility: Closed to Referrals.
  • Referral Application Requirements

1. Cover Letter summarizing why you feel the client is appropriate for Residential Treatment, clinical or otherwise.
2. PRTS or CLAR, including your contact email
3. Attach the following items:
a. Mental Health Assessment
b. LSI: current within the last year. Contact Comagine for an updated assessment if needed Form can be found at https://comagine.org/program/oregon-behavioral-health-support/providers
c. Treatment Plan
d. Income Verification
e. 30 days of progress notes, direct care and clinical if applicable
f. Most recent LMP notes
g. Current Medication orders (if any)
h. TB/Hep B results (if not readily available, you can submit the packet and work on this with the clients, as it must be completed before move-in to any residential program)
i. Crisis plan (if applicable)
j. Signed ROI for Washington County Residential
k. Health and Physical (from PCP – if not readily applicable, you can submit the packet and work on this with the client, as it must be completed before move-in to any residential program)
l. Guardianship papers if applicable.

Updated:04/19/2022


WASHINGTON COUNTY

[CCO: Health Share]

Please note there is a change in how Washington County will be involved in the referral process.

All Referrals must be sent directly to the Residential Treatment Provider.

Sequoia Programs (Edwards RTF, Myrtlewood RTH, Rosewood RTH) Serving individuals 18+

  • Send all referrals to: gro.shmaiouqes|slarrefeRlaitnediseR#gro.shmaiouqes|slarrefeRlaitnediseR

New Narrative Programs (Sandvig RTF, Christopher RTH, Meusch RTH, Pathway RTH) Serving individuals 18+
Luke Dorf has now become New Narrative

  • Send all referrals for Christopher and Sandvig to Erin Petty: gro.xdpevitarranwen|yttepe#gro.xdpevitarranwen|yttepe
  • Send all referrals for Meusch to Scott Ellis: gro.xdpevitarranwen|sillecs#gro.xdpevitarranwen|sillecs
  • Send all referrals for Pathway House to Jenny Pliska: gro.xdpevitarranwen|aksilpj#gro.xdpevitarranwen|aksilpj

All referrals made to New Narrative must CC Al litell for referral tracking: gro.xdpevitarranwen|lletila#gro.xdpevitarranwen|lletila
** For questions or inquiries, regarding the specific programs, please reach out to Erin, Scott or Jenny. **

  • RTF - Sandvig (Tigard): MH 7-bed Facility: (Full) NOT accepting referrals
  • RTF - Edwards House (Aloha): MH 7-bed Facility: (Full) NOT accepting referrals
  • RTH - Christopher House (Tigard): MH 5-bed program: (Full) NOT accepting referrals
  • RTH - Matthews House (Beaverton): PSRB ONLY Facility: no vacancies
  • RTH - Meusch (Tigard): MH 5-bed program: (Full) NOT accepting referrals
  • RTH - Pathway House (Hillsboro): MH 5-bed program: (Full) ** NOT** accepting referrals
  • RTH - Rosewood House (Forest Grove): MH 5-bed program: (Full) NOT accepting referrals
  • RTH - Myrtlewood House (Aloha): MH 5-bed program: (Full) NOT accepting referrals
  • RTH - Zenith House (Tigard): Youth in Transition 5-bed program: (Full **) accepting Referrals (Must send all referrals through Jessica Stout)

Please Note: Washington County Criteria and Policy for all Referrals

Referral Application Requirements
1. Cover Letter summarizing why you feel the client is appropriate for Residential Treatment, clinical or otherwise.
2. PRTS or CLAR, including your contact email
3. Attach the following items:
a. Mental Health Assessment
b. LSI: current within the last year. Contact Comagine for an updated assessment if needed Form can be found at https://comagine.org/program/oregon-behavioral-health-support/providers
c. Treatment Plan
d. Income Verification
e. 30 days of progress notes, direct care and clinical if applicable
f. Most recent LMP notes
g. Current Medication orders (if any)
h. TB/Hep B results (if not readily available, you can submit the packet and work on this with the clients, as it must be completed before move-in to any residential program)
i. Crisis plan (if applicable)
j. Signed ROI for Washington County Residential
k. Health and Physical (from PCP – if not readily applicable, you can submit the packet and work on this with the client, as it must be completed before move-in to any residential program)
l. Guardianship papers if applicable.

Time Frame Criteria
1. If an application does not have all the above mentioned components to be adequately screened, the residential program will contact the referring party via email for the missing items. The referring party then has 14 days from the email to send in the requested information; if the needed documents are not received the packet will be considered inactive.
2. Once the referral has been accepted, the client screened, and placed on a wait list with one or more of our providers, it may be necessary for the referrer to send in updated notes and information if the referral has been on the wait list for more than 30 days. The providers will notify the referring party who will then have 7 days to respond to the email, answering any and all questions requiring the client’s current status and providing updated documentation. If the email is not returned in the time frame, then the referral will be placed in the inactive file.
3. If a referral has been placed inactive, but the referring party sends the information in after the time frame and contacts the residential specialist regarding restarting this referral, a new PRTS with updated information and updated notes will need to be sent in and the time frame will reset.

Please contact the providers directly for all things related to referrals.

Updated: 2/24/22

LWNW: (Zenith RTH) Serving individuals 17-24

  • Send All Referrals to: Jessica Stout su.ro.etats.ahoshd|tuotS.L.acisseJ#su.ro.etats.ahoshd|tuotS.L.acisseJ//

YAMHILL COUNTY

[CCO: YCCO]
Contact for Referrals:
Referrals to Parkside Living RTF are sent to both ENCC and Parkside Coordinator:
ENCC: Cassidy Brons | su.ro.llihmay.oc|csnorb#su.ro.llihmay.oc|csnorb (971) 267-0892
Parkside Coordinator: Christine Cazares | su.ro.llihmay.oc|cserazac#su.ro.llihmay.oc|cserazac | (503) 474-4162

  • RTF - Parkside Living (McMinnville): 16-Bed MEDICALLY-FOCUSED Facility;(FULL, Accepting Referrals for waitlist)- Please read the entire entry prior to sending referral packets.

In order to qualify for this facility a person must have a medical condition for which they need direct assistance to manage and/or a need for hands on physical care. Priority given to individuals with a COMAGINE LSI score of 4 or higher. The culture at Parkside is not supportive of tobacco use. Our residents typically are unable to access the community without staff assistance due to mental health or physical limitations, those who are able to go into the community on their own typically do not do well at Parkside since we are in a residential neighborhood where there are no nearby stores or other places to walk to. Unfortunately this results in frustration and discontent for those who are able to be more independent. Please consider this before sending a referral packet. Please send a Cover Letter with a description of the individual's current baseline symptoms and behavior and the specific needs (such as needing assistance with insulin injections or needing hands on assistance in the shower) that make this person require a medically focused facility. Please send this cover letter as well as a current Assessment, Treatment Plan, Physician's orders and/or MAR, COMAGINE LSI, PRTS and 30 days of progress notes. If you are unable to send these documents please indicate why in the cover letter. We do not serve people who are approved for APD facilities. We seldom have empty beds and people who are on our waitlist may wait a year or more before there is a bed available.

Updated 09/02/21


YOUNG ADULT TRANSITIONAL

For placements that require referrals to be screened by Jessica Stout at Oregon Health Authority.

  • Jessica Stout | su.ro.etats.ahoshd|tuots.l.acisseJ#su.ro.etats.ahoshd|tuots.l.acisseJ | (503)757-4722 | Fax: (503)947-5043


For problems with editing or this Wiki page, contact: Matt Vinson | moc.liamg|3121nosnivm#moc.liamg|3121nosnivm | Phone: (541)891-9841

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