System of Care for Adults

MHASD endorses a recovery philosophy and believes that treatment should be community based as much as possible to incorporate the adult's existing support systems. The MHASD system of care for adults encompasses a variety of programs including outpatient treatment, intensive services such as assertive community treatment, crisis respite, and inpatient treatment.

We serve adult Oregon Health Plan members enrolled in Health Share of Oregon/Multnomah Mental Health as well as adults who need treatment but do not have health insurance.

If you want help finding the right treatment and Multnomah Mental Health is your mental health insurance plan, call Member Services at (503) 988-5887. If you don't have insurance and need help finding treatment, call the Mental Health Call Center at (503) 988-4888. Both of these numbers are 24 hours a day, seven days a week.

Visit the Cover Oregon web site to find out what insurance options are available to you beginning January 1, 2014. Enrollment starts October 1, 2013.

Outpatient Treatment

MHASD contracts with providers to serve consumers in the community as much as possible, amid their own support system rather than in a clinical environment.

Emergency Holds

When a county resident becomes dangerous to him- or herself or others, he or she may be placed on an "emergency hold" -i.e. be involuntarily hospitalized- while stabilizing. If the person cannot pay for the hospitalization, state law requires the county to cover the costs.

Involuntary Commitment Investigation

Every time a county resident is placed on an emergency hold, county staff investigate to ensure that the hold was appropriate. If they determine that it was, a hearing is held, and a court examiner makes an independent recommendation to a judge.

Commitment Monitors

County staff continually assess county residents who have been placed on emergency hold to make sure that they are not involuntary committed longer than necessary. They also work with hospital staff to develop treatment and discharge plans for committed individuals, monitor individuals' trial visits to the community, and help individual access financial and medical entitlements.

Transitional Housing

Transitional housing is for adults with a mental illness who have recently been discharged from an institution but still need intensive treatment. In transitional housing, staff provide mental health services and help residents find more permanent housing.

Residential Services

Residential services staff screen and place adults with a mental illness in facilities or housing where they can continue receiving treatment from licensed caregivers. Staff monitor these facilities, provide training and technical assistance to caregivers, and help develop new facilities.