BENTON COUNTY
[CCO: Intercommunity Health Network]
Please send referrals to both of the following contacts when sending referral packets:
The ENCC Team | SU.RO.notneB.oC|maetccne#SU.RO.notneB.oC|maetccne
and
Tana Vogt | vog.roytnuocnotneb|tgov.anaT#vog.roytnuocnotneb|tgov.anaT | (541)745-4883 | Fax: (541)766-6186
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.
All referral packets must include the following:
1. Oregon PRTS Application or CLAR, please include signed ROI
2. PRTS Cover sheet (Attach Cover sheet separately from the rest of packet)
3. Level of Service Inventory for level (LSI) of care being referred to (in last 30 days) Form can be found at [https://comagine.org/program/oregon-behavioral-health-support/providers]
4. Mental Health Assessment, current within the last year
5. Treatment Plan
6. Psychiatric Assessment
7. Copy of all Incident Reports (last 30 days or more)
8. Progress notes for last 30 days or more MUST submit most current progress notes
9. Prescriber notes for last 30 days or more
10. Income verification
11. Current medication orders or MAR
12. LOCUS
13. Legal documents/ Civil Commitment paperwork if applicable
14. Guardianship paperwork if applicable
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.
If accepted:
1. TB results (results have to be provided before placement)
2. Recent crisis plan (if applicable)
3. Signed ROI for Benton 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 ( County of Residence), 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
RTF and RTH Homes
RTF - Janus House (Corvallis): MH Facility - (12/12) (Full) Not accepting referrals at this time for waitlist - Double Occupancy Rooms
RTH - Sequoia Creek (Corvallis): MH Home - (5/5) (Full) - Not accepting referrals at this time for waitlist- Single Occupancy Rooms
RTH- Lewisburg House- Renew (Corvallis/Lewisburg) MH Home (3/3) (Full)- Not accepting referrals for waitlist at this time – Single Occupancy Rooms- This home specializes in 1:1 services to complex care (Aging and People with Disabilities/Mental Health) and/or sex offender history (male beds)
Foster Care Homes
AFH- Fields of Care- Foster Home (Corvallis): MH Home - (3/4) (Full) Not accepting referrals for waitlist at this time- Double Occupancy Rooms
Updated: 06/24/2024
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: 10/10/2023
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
moc.1hmcc|noissimda_laitnediser#moc.1hmcc|noissimda_laitnediser
PSRB Monitor
moc.1hmcc|gnodnarb#moc.1hmcc|gnodnarb
- RTF- Cornerstone (St. Helens)(Columbia Co.) - 16-Bed MH Facility - *Accepting referrals for waitlist as of 10/1/2024, will close once 5 referrals have been received to process and screen.
- RTF- Alternatives (St. Helens)(Columbia Co.): 9-Bed PSRB Facility- 1 open bed- accepting PSRB referrals - Updated 9/12/2024
To submit referrals or request additional information:** Email moc.1hmcc|noissimdA_laitnediseR#moc.1hmcc|noissimdA_laitnediseRbold text 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:
(A) Written documentation that the prospective individual has or is suspected of having a mental health disorder;
(B) Background information including a mental health assessment, description of previous living arrangements, service history, behavioral issues, and service needs;
(C) Medical information including a brief history of any health conditions, documentation from a Licensed Medical Professional or other qualified health care professional of the individual's current physical condition, and a written record of any current or recommended medications, treatments, dietary specifications, and aids to physical functioning;
(D) Copies of documents or other documentation relating to guardianship, conservatorship, commitment status, advance directives, or any other legal restrictions;
(E) A copy of the prospective individual's most recent mental health treatment plan or in the case of an emergency or crisis-respite admission a summary of current mental health treatment involvement; and
(F) Documentation of the prospective individual's ability to evacuate the building consistent with the facility's designated evacuation capability and other concerns about potential safety risks.
Additionally:
income and insurance verification
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:
Bell Cove: Evelyn Keitel | gro.eracaibmuloc|letieke#gro.eracaibmuloc|letieke (541)469-0222
PSRB Case Monitor - Curry County Jennifer Eichlin - gro.nogerotpada|erefinnej#gro.nogerotpada|erefinnej - (541) 708-9582
PSRB Back Up Case Monitor Curry County Nathan Gotten - gro.nogerotpada|gnahtan#gro.nogerotpada|gnahtan - (541) 708-9582
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.
- RTH - Bell Cove (Brookings): MH Facility - PSRB - (0 openings ) - 1 on waitlist accepting referrals PSRB ONLY.
Updated: 4/10/24
DESCHUTES COUNTY
[CCO: PacificSource Community Solutions]
Contact for Referrals: Carrie Nash | gro.setuhcsed|hsan.eirrac#gro.setuhcsed|hsan.eirrac| (458) 600-7058 | Fax: (541) 330-4642
- SRTF> Telecare: Deschutes Recovery Center (Bend): MH Facility (Full) - Not accepting referrals __Last Updated: 9/24/2024
- RTH > Telecare: 12th Street RTH (Bend): MH Facility (Full) - Not accepting referrals __Last Updated: 9/24/2024
- RTH > Telecare: Edgecliff RTH (Bend): MH Facility (Full) - Not accepting referrals __Last Updated: 9/24/2024
- AFH > New Flower AFH (Bend): MH Facility (Full) - Not accepting referrals __Last Updated: 9/24/2024
- AFH > Clubhouse Foster: "Breitenbush" (Bend): MH Facility (Full) - Not accepting referrals __Last Updated: 9/24/2024
- AFH > Clubhouse Foster: "Clairaway" (Bend): MH Facility (Full) - Not Accepting referrals __Last Updated: 9/24/2024
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: 9/24/2024
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: 8/30/2024
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): Jennifer Campbell - gro.liamescc|ekatnihvl#gro.liamescc|ekatnihvl —Closed to Referrals
- SRTF- McNary Place (Umatilla): Rory Schilling - gro.syawefil|gnillihcsr#gro.syawefil|gnillihcsr and Kristi Rodgers - gro.syawefil|sregdorK#gro.syawefil|sregdorK (FULL)- (accepting PSRB referrals only)
- SRTF- Juniper Ridge (Grant-John Day): Chris Northway- -gro.liamescc|yawhtron.sirhc#-gro.liamescc|yawhtron.sirhc Closed to referrals
- Class 1 SRTF- REACH (Hermiston): Savannah Marker- -gro.liamescc|slarreferhcaer#-gro.liamescc|slarreferhcaer Closed to Referrals
- REACH Acute Care (Hermiston): Savannah Marker- Fax referrals to 541-303-0005. Call for packet 541-656-1009
- RTF - Independence Place Dual dx (Hines): moc.cnieracyrtemmys|pi#moc.cnieracyrtemmys|pi - **(FULL) - CLOSED to referrals ** - 10/3/2021
- P/RTS Face Page Must have ENCC contact listed also.
- PRTS App Fill-In
- RTF - Columbia River Ranch (Boardman): Jayme Pettibone - gro.liamescc|enobitteP.emyaJ#gro.liamescc|enobitteP.emyaJ - Closed for referrals, (FULL)
- RTH- Westgate RTH (Pendleton): Lexi Satterwhite- -gro.liameSCC|etihwrettaS.ixeL#-gro.liameSCC|etihwrettaS.ixeL*(Residential- *CLOSED to referrals* 5/5 Beds FULL )
WALLOWA COUNTY PROGRAMS
ENCCS:
Jodie Weaver - gro.ssenllewrofretnecvw|revaew.eidoj#gro.ssenllewrofretnecvw|revaew.eidoj
Amy Kiesecker - gro.ssenllewrofretnecvw|rekceseik.yma#gro.ssenllewrofretnecvw|rekceseik.yma
Please send all Wallowa County referrals to: gro.ssenllewrofretnecvw|slarrefer.laitnediser#gro.ssenllewrofretnecvw|slarrefer.laitnediser
- RTF - Wallowa River House /(Wallowa): ENHANCED-MEDICAL: Facility Administrator - Becca Dickenson - gro.ssenllewrofretnecvw|nosnekcid.acceb#gro.ssenllewrofretnecvw|nosnekcid.acceb -*CLOSED TO REFFERALS*
- RTF - Pioneer Guest Home III (Enterprise): Facility Administrator - Jodie Weaver - gro.ssenllewrofretnecvw|revaew.eidoj#gro.ssenllewrofretnecvw|revaew.eidoj - CLOSED TO REFERRALS** 05/21/2024
- RTH - Joseph House (Joseph): MILD MEDICAL-ENHANCEMENT: Facility Administrator - Amy Kiesecker - gro.ssenllewrofretnecvw|rekceseik.yma#gro.ssenllewrofretnecvw|rekceseik.yma - CLOSED TO REFERRALS 4/15/2024
When sending referrals for Wallowa River House, Pioneer Guest Home or Joseph House, please be sure to include the following and email to gro.ssenllewrofretnecvw|slarrefer.laitnediser#gro.ssenllewrofretnecvw|slarrefer.laitnediser
1. Oregon PRTS Application
2. Oregon PRTS Program Referral Cover Sheet (Attach separately from the rest of packet)
3. Mental Health Assessment, current within the last year. 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.
10. Most recent Comagine Tier Scoring
Contact for Malheur County AFH: Updated 5/6/2024
Kristie Lyman, Sean Ross, Michelle Perez, Karina Renteria, Flora Martinez - gro.syawefil|ccneruehlam#gro.syawefil|ccneruehlam 541-889-9167 ext 2344
- AFH - Martarano House #1 (Malheur Co.): 5-Bed MH Home (Full) (Female Only) - Not Accepting Referrals.
- AFH - Sandhu (Malheur Co.) 5-Bed MH Home- (Full) (Male Only) - 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 - Fletcher House (Malheur Co.) 3-Bed MH Home (Full) - Not Accepting Referrals
- AFH - Arata House (Malheur Co.) 3-Bed MH Home (Full) - Not Accepting Referrals
- AFH - Leeway House (Malheur Co.) 4-Bed MH Home (Full) - Not Accepting Referrals
- AFH - Genies 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 Note: Jennifer is currently out of the office. Jerri LaFord is currently filling in: (541) 774 - 8023, Fax: (541) 774-7979.
Updated: 8/16/2024
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:
Melissa Roy| gro.HBBK|yorm#gro.HBBK|yorm | (541)883-1030, ext. 2003 | Fax: (541)884-2338
- RTF - Phoenix Place (Klamath Falls): 9-Bed MH Facility - (1 bed available)
Updated:
8/13/24
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. Most recent psychiatric prescriber note
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
14. Labs
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): (Female civil opening) - accepting female Choice/Civil referrals - PSRB referrals via PSRB only
- RTF - Alder Street (Eugene): Male only program (FULL) - Closed for referrals
- RTF - William Ware (Eugene): (FULL) - Closed for referrals
- RTH - Danebo (Eugene): (FULL) - Closed for referrals
- RTH - Myers (Eugene): (FULL) - Closed for referrals
- RTH - ARK77 (Blue River): (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)
Updated: 08/14/2024
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:
ENCC: Cord Reid, QMHA; gro.htlaehytnuocnnil|dierdroc#gro.htlaehytnuocnnil|dierdroc | 541-967-3866 ext.2753
Supervisor: Dr. James Clay, Psy.D; gro.htlaehytnuocnnil|yalcsemaj#gro.htlaehytnuocnnil|yalcsemaj | 541-967-3866 ext.2304
Updated: 08/23/2024
MARION COUNTY
[CCO: Pacific Source ]
Contact for Referrals:
ENCC: Please send all referrals to su.ro.noiram.oc|slarrefeRlaitnediseRnoiraM#su.ro.noiram.oc|slarrefeRlaitnediseRnoiraM
Do not contact providers directly.
- RTF - Carrolls (Salem): MALE Only Facility - (Full) - No referrals at this time please.
- RTF - Royvonne (Salem): FEMALE Only Facility - (Full) - No referrals at this time please.
- 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 - No referrals at this time please.
- 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 referrals at this time please.
- RTH - Greenhill (Salem): PSRB - County Operated; co-ed
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 at this time please.
- 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 please. (Non-smoking home)
- AFH - Better Together AFH (Salem) Co-ed, (Full) No referrals at this time please
Updated: 9/22/23
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 Lines for Life Capacity Reporting Database should be utilized for up to date Waitlist openings.
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 8/21/2023
- SRTF - Halsey St (Portland): CLOSED for referrals*
- SRTF Class 2 - 72nd Ave. Place (Portland): MALE Only Facility - (Full) - Closed for Referrals
- SRTF Class 2- Arbor Place (Portland): MH Facility - (FULL) - Closed to Referrals
- SRTF Class 2 - Barbara Roberts East (Portland): MALE Only Facility - CLOSED to Referrals
- SRTF Class 2 - Barbara Roberts West (Portland): FEMALE Only Facility - (FULL) - Closed to Referrals
- SRTF Class 2 - 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 - CLOSED to Referrals
- RTF - CODA 8041 (Portland): Dual-Diagnosis Facility - CLOSED for Referrals
- RTF - Andrea Place (Portland): MH Facility - (Full) - Closed to Referrals
- RTF - Cameron Boise (Portland): MH Facility - (FULL)* Closed for referrals. Shared Rooms. Case management offsite.
- RTF - Cameron Garfield (Portland): MH Facility - (Full) - Closed for referrals. (services offsite, shared rooms)
- RTF - Cameron Powell (Portland): MH Facility - (Full) Shared rooms - Closed to referrals (services offsite)
- RTH - Court House (Portland): FEMALE only Facility - (Full) - Closed to Referrals (Private Rooms, Case Management Offsite)
- 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) - Private Rooms - Closed for referrals (Case Management Offsite)
- RTH - Hazelwood & Horizon (Portland): MALE only Facility - (Full) - Closed to Referrals (please submit two cover sheets, one for each house)
- RTF - Jade House (NE Portland): MH Facility - Closed to Referrals
- 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 for 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. Comagine SRTF Preauthorization Form showing SRTF preapproval for Hazel Center SRTF and Ramsey Place SRTF to accompany those referral packets.
2. Oregon PRTS Application or CLAR (if referral to SRTF, send proof of SRTF approval), include signed ROI and PRTS Cover sheet
3. Level of Service Inventory for level of care being referred to (in last 30 days)
4. Mental Health Assessment
5. Treatment Plan
6. Psychiatric Assessment
7. Copy of all Incident Reports (last 30 days or more)
8. Progress notes for last 30 days or more
9. Prescriber notes for last 30 days or more
10. Income verification
11. Copy of current medication orders
12. Legal documents/ Civil Commitment paperwork
13. Guardianship paperwork if applicable
Updated: *10/31/24**
POLK COUNTY
_PLEASE SEND ALL REFERRALS DIRECTLY TO su.ro.klop.oc|slarrefer.hb#su.ro.klop.oc|slarrefer.hb_
Contact the Residential Care Coordinator Jennifer Borland via email or phone with any questions or coordination needs su.ro.klop.oc|refinneJ.dnalroB#su.ro.klop.oc|refinneJ.dnalroB | 971.600.6414 |503.585.3012
Please send a separate Coversheet for each facility the individual is being referred to
RTH/F Referrals
Due to changes in accessing and updating the RTH/F facilities state-wide via the Residential Capacity Report the wiki page will no longer be updated for RTH/F vacancies in Polk County. Refer to the Capacity Report for this information.
If referral packet is incomplete, PCBH OS or ENCC will notify the referrer and request missing information.
If missing information is not received within 7 days the referral will be cancelled.
- AFH – Heise AFH LLC (West Salem) - (FULL) - Closed to referrals (Staff & residents communicate via ASL)
- AFH - Hibbs AFH (Falls City) - (FULL) - Closed to referrals
- AFH – New Beginnings (West Salem) - (FULL) Closed to referrals - (Shared Rooms, stairs)
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.
Updated: 09-18-24
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 - (Temporarily Closed) - Not accepting referrals at this time.
Updated: 1/1/24
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) Serving individuals 18+
Luke Dorf has now become New Narrative
- Send all referrals for Christopher and Sandvig to Georgette Vigil: gro.xdpevitarranwen|ligivg#gro.xdpevitarranwen|ligivg, Stephanie Weaver: gro.xdpevitarranwen|revaews#gro.xdpevitarranwen|revaews and Kim Galindo: gro.xdpevitarranwen|odnilagk#gro.xdpevitarranwen|odnilagk
- Send all referrals for Meusch to Dani Smith: gro.xdpevitarranwen|htimsad#gro.xdpevitarranwen|htimsad
** For questions or inquiries, regarding the specific programs, please reach out to Dani, Stephanie, Kim or Georgette. **
- RTF - Sandvig (Tigard): MH 7-bed Facility: (Full) ** NOT** accepting referrals
- RTF - Edwards House (Aloha): MH 7-bed Facility: (Full) **NOT accepting referrals for waitlist
- RTH - Christopher House (Tigard): MH 5-bed program: (one shared room) NOT acceptingreferrals
- RTH - Matthews House (Beaverton): PSRB ONLY Facility: no vacancies
- RTH - Meusch (Tigard): MH 5-bed program: NOT Accepting Referrals
- RTH - Pathway House (Hillsboro): MH 5-bed program:PERMANENTLY CLOSED*
- 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: 2/3/23
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. Anticipating an opening sometime in September**
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 08/22/24
YOUNG ADULT TRANSITIONAL
https://www.oregon.gov/oha/HSD/BH-Child-Family/Pages/Youth.aspx
UPDATED 2/9/23
For problems with editing or this Wiki page, contact: Matt Vinson | moc.liamg|3121nosnivm#moc.liamg|3121nosnivm | Phone: (541)891-9841