Release to Other Levels of Care
Most youths will leave the emergency
department with a doctor’s advice to follow
up with a community doctor, therapist
or psychiatrist.
Many Levels of Care Exist to Meet Your Child's Clinical and Behavioral Health Needs.
Safety is the most important factor in deciding the next steps for your child. Understanding the possible treatment levels will help you in making the best decisions.
If your child’s condition is not stable enough for this option, you and the doctors may decide you need a higher level of care to further assess and stabilize your child. If this is the case, they will look for an available space in an inpatient care facility, which will be referred to as a “bed.” If there are no available beds, your child may be sent home until one is open or they may stay in the emergency department. If a bed is available while you are in the emergency department, the staff there will discuss transportation with you.
Be sure to ask the emergency department staff and the place where your child is going and what they will be allowed to have at the new location. Each place has rules about clothing, personal belongings, cell phones, etc.
Outpatient Services
There are outpatient programs with different intensities or specialties. Some, like Early Assessment and Support Alliance (EASA) and Wraparound, specialize in early intervention with a psychotic episode or intensive community treatment services. These can include treatment and skills training in your own home several times a week. There are specialists for substance use disorders, trauma, eating disorders, etc.
Acute Care
Short-term, inpatient hospital care with the goal of stabilization. Hospitals in Oregon that have psychiatric inpatient units for children under 18 years old are Unity Center for Behavioral Health in Portland and Providence Willamette Falls in Oregon City.
Outpatient Services
Brief, intensive services provided in a residential setting. Youth receive a psychiatric assessment and have access to mental health professionals. The goal of this type of care is achieving behavioral health stabilization to prepare them for the next phase of care. Facilities in Oregon that offer subacute care are Trillium Children’s Farm Home, Trillium Parry Center and Albertina-Kerr.
Residential Treatment Services
There are other residential treatment centers that may not accept Medicaid, but do accept commercial insurance or private payment. They involve outdoor programs, non-medical programming, or specialized therapeutic or medically supervised treatment. Talk to a Family Support Specialist or your child’s provider for more information about these services.
Substance Use Disorder Treatment
Short-term, inpatient care for youth recovering from alcohol and drug use. These programs provide a variety of treatment methods including recovery skills, life training skills, self-help, group and individual therapy, and relapse prevention.
Psychiatric Residential
Treatment Services (PRTS)
Short-term, residential services for children and youth that require 24-hour support emotional and behavioral challenges. Children and youth participate in therapy, therapeutic activities, and school. There are several of these facilities in Oregon, including Jasper Mountain, Trillium Children’s Farm Home, Trillium Parry Center and Kairos New Beginnings.
Secure Children’s Inpatient Program (SCIP)
and the Secure Inpatient Adolescent Program (SAIP)
State hospital level of care for children and youth who need longer term care and intensive therapy services. Children and youth participate in individual and family therapy, therapeutic skills groups and go to school at that location. SCIP is a section of the Parry Center that accepts children 12 years of age or younger. SAIP is a section of the Children’s Farm Home that cares for youth age 13-18 years.
Outpatient Services
There are outpatient programs with different intensities or specialties. Some, like Early Assessment and Support Alliance (EASA) and Wraparound, specialize in early intervention with a psychotic episode or intensive community treatment services. These can include treatment and skills training in your own home several times a week. There are specialists for substance use disorders, trauma, eating disorders, etc.
Acute Care
Short-term, inpatient hospital care with the goal of stabilization. Hospitals in Oregon that have psychiatric inpatient units for children under 18 years old are Unity Center for Behavioral Health in Portland and Providence Willamette Falls in Oregon City.
Subacute
Brief, intensive services provided in a residential setting. Youth receive a psychiatric assessment and have access to mental health professionals. The goal of this type of care is achieving behavioral health stabilization to prepare them for the next phase of care. Facilities in Oregon that offer subacute care are Trillium Children’s Farm Home, Trillium Parry Center and Albertina-Kerr.
Residential Treatment Services
There are other residential treatment centers that may not accept Medicaid, but do accept commercial insurance or private payment. They involve outdoor programs, non-medical programming, or specialized therapeutic or medically supervised treatment. Talk to a Family Support Specialist or your child’s provider for more information about these services.
Substance Use Disorder Treatment
Short-term, inpatient care for youth recovering from alcohol and drug use. These programs provide a variety of treatment methods including recovery skills, life training skills, self-help, group and individual therapy, and relapse prevention.
Psychiatric residential treatment services (PRTS)
Short-term, residential services for children and youth that require 24-hour support emotional and behavioral challenges. Children and youth participate in therapy, therapeutic activities, and school. There are several of these facilities in Oregon, including Jasper Mountain, Trillium Children’s Farm Home, Trillium Parry Center and Kairos New Beginnings.
Secure Children's Inpatient Program (SCIP) and the Secure Inpatient Adolescent Program (SAIP)
State hospital level of care for children and youth who need longer term care and intensive therapy services. Children and youth participate in individual and family therapy, therapeutic skills groups and go to school at that location. SCIP is a section of the Parry Center that accepts children 12 years of age or younger. SAIP is a section of the Children’s Farm Home that cares for youth age 13-18 years.