WHAT TO EXPECT
HOW TO GET STARTED
The referral process can be daunting. There are many considerations such as what kind of insurance your child has, where you live in the state, and what level of care you are seeking.
While parents can self-refer for basic outpatient counseling, higher levels of care, like residential, require a referral from a treating mental health clinician with supporting clinical documentation. This can be difficult to hear if your child is in crisis and has never had mental health services.
This is why reaching out to our Access Department is often the first step for many families. On an initial call we’ll briefly review the behaviors that led to your query, what services you’re currently receiving, and/or what may or may not be available in your local area, either from Trillium or other providers.
Accessing care is, indeed, a process. We endeavor to be transparent and give you useful information as your family makes important decisions.
Contact the Access Department:
(503) 813-7760
services@trilliumfamily.org
*This email is for general inquiries only.*
**Do not send clinical information or secure email to this email address.
TREATMENT MODEL
Care is based on a personalized treatment plan that is reviewed regularly by the child’s treatment team. The plan of care may include a weekly schedule that includes individual therapy, family therapy, and medication support if needed.
Each child also has a safety plan to help them manage difficult moments and stay safe. Therapists check in often and adjust treatment based on feedback.
The child’s therapist is the main contact for families and helps coordinate communication with all members of the care team.
FAMILY INVOLVEMENT
Families are encouraged to take part in therapy, treatment meetings, and care planning. The team—including the child, family, therapist, and psychiatrist—works together to support progress toward goals.
All visitors to the residential campuses must complete a Contact Permission Form, receive approval prior to their visit, and sign in at the reception desk upon arrival.
COMMUNITY HANDBOOKS & EXPECTATIONS
Individual and family therapy, consultation, case management, treatment groups, assessments, medication management, and psychological testing.
The Equine Dialectical Behavior Therapy (DBT) Program is an innovative curriculum that enables youth of all ages to develop a deeper understanding of DBT skills, practicing specific lessons alongside horses.
A mental health program focused on mental health treatment, including individual therapy, family therapy, medication management, and skills groups.
FACILITY-BASED SERVICES HANDBOOKS & EXPECTATIONS
PSYCHIATRIC RESIDENTIAL
Short-term, on-site psychiatric services for young people requiring 24-hour support for emotional and behavioral challenges.
YOUNG ADULT PROGRAM (YAP)
A voluntary residential program for individuals struggling with significant mental health diagnoses as they transition to independent living.
TRANSITIONS & AFTERCARE
Our support goes beyond treatment. We are committed to helping youth successfully move from treatment back into their homes, schools, and communities. We work closely with youth, families, schools, and community partners to make sure supports are in place for academic, emotional, and behavioral needs during this transition.
Our services may include helping create transition plans together, supporting students as they return to school, and coordinating communication between treatment teams and community providers. We also help arrange needed supports across different settings and identify both formal and informal resources that build strong relationships and a sense of belonging.
Our goal is to help each youth build a strong foundation for success. We use a team-based approach that focuses on meaningful connections, community involvement, and access to ongoing support. By building a network of care that offers structure, guidance, and encouragement, we help youth and families move forward with confidence, resilience, and stability.
FREQUENTLY ASKED QUESTIONS
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You can find more information for referrals here or you can call our Access Department at 503-813-7760 to inquire. However, depending on the services you are seeking for your child, we will need current clinical information to make an admission determination.
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To begin the referral process, we will need your contact information, your child's legal name and date of birth, and your child's health insurance information. Depending on the services requested, we may also need to know your child's current needs, challenges, and any medical or safety risks. Learn more here
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Yes, we offer medication management services for children already receiving therapy services with us. If medications seem like a good adjunct to therapy, you can discuss that with your therapist, who will assist in making the referral to our psychiatry team. We are unable to provide stand-alone psychiatric medication management services at this time.
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Trillium offers therapy in several regions of Oregon. Many of our therapists are based in local schools in the Bend/La Pine, Salem, greater Portland Metro, Dalles, and Corvallis/Albany areas. We also have small clinic practices in Bend, Salem, Corvallis, and Portland. Please contact the Access Department at 503-813-7760 to see if we have services in your area.
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We offer both telehealth and in-person therapy services.
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Trillium bills your health insurance for all services. Depending on your plan, you may have a deductible or coinsurance. If you do not have health insurance, we offer a sliding-scale payment plan. Please contact the Access Department for details.
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Many children with developmental diversities also experience mental health challenges. We work with children who have co-occurring mental health and developmental challenges, but our therapeutic models are group- and talk-based. If a child struggles with learning and interacting within that type of model, we may not be the best treatment fit.
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All of Trillium’s therapy staff are credentialed with Oregon Health Plan and can provide services under that insurance. For children with commercial insurance, each insurer will have very specific requirements about how they credential therapists, so the short answer is: if your insurance plan has an existing approval in place for the therapist who will be treating your child, Trillium will be able to bill that insurance plan. Our Access Department can help answer that question for you.
For Trillium Family Services
FOR RESIDENTIAL
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Here are the packing guidelines. For more detailed information, please review the Residential Family Handbook provided above.
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Yes, they are encouraged to visit and call. Clients can only make calls and receive calls and visits from their guardian-approved contact list.
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Yes, each client has a room that locks from the outside to provide a secure environment.
For Outpatient Services
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Most of our outpatient therapists are embedded in dozens of schools in the Portland Metro, Salem, Bend/Redmond or Corvallis/Albany areas. We find that having our therapists go to where the children are improves attendance at therapy and decreases travel/time off work burdens on our families. We do have small clinic programs in Portland, Salem and Corvallis to meet the needs of children who don’t attend one of the schools we’re connected with.
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Wait times unfortunately vary widely depending on caseloads in specific schools or clinics, so this question can be difficult to answer and subject to change throughout the year. We will do our best to meet your family’s needs as quickly as possible but wait-times are often several months or more.
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Many of our clients present with issues with depression, anxiety, or managing anger/frustration that are impacting success in school, at home, and in the communities. We can help clients with trauma or psychosis manage those symptoms as long as they are not presenting with imminent risk to themselves or others. We do not specialize in eating disorders or sexually inappropriate behaviors, and do not provide court mandated services – we encourage you to seek a specialist in those types of issues.
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Yes, for pressing diagnostic issues, and for clients already in therapy with us. Psychological testing can provide an amazing wealth of information, but is a limited resource. Again, you can discuss the possibility with your therapist, who can assist in making that referral.
For Day Treatment/Partial Hospitialization Program (PHP)
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This is a model of mental health service delivery that provides a structured Monday through Friday program for your child to attend 6 hours per day. The goal of the program is intensive skills building over a 6-12 week period for both your child and your family, and will require your active participation in treatment and your child’s regular attendance. Programs run year round, and during the school year, educational enhancement will be provided by a local public school district, but the goal of the program is stabilization of mental health symptoms across home and community settings.
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Many of our clients present with serious symptoms of depression, anxiety, or managing anger/frustration that are impacting success in school, at home, and in the community. We can help clients with trauma or psychosis manage those symptoms as long as they are not presenting with imminent risk to themselves or others. Children are generally receiving active outpatient mental health services and still struggling with managing their symptoms at home, school, and in the community, and require a more intensive level of intervention than weekly outpatient appointments can provide. We do not specialize in eating disorders or sexually inappropriate behaviors, and we encourage you to seek a specialist in those types of issues. We do not have nursing supports available during the program day, so some children with serious medical challenges may not be appropriate for the program. Our Access department will be happy to talk through your child’s needs to help make the decision to apply for services.
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Trillium has five partial hospitalization/day treatment sites across Oregon – in Portland, Salem, Corvallis, The Dalles, and Bend. Most children will live in or very near one of those cities, but on occasion children will come to program from as much as an hour away – this will depend on assessment of a child’s ability to safely cope with a lengthy bus ride.
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Your child’s school district is required to transport your child back and forth from your home (or daycare site) to program each day. Each program will work with your school district to set up that transport in the days prior to admission. That said: each school district is faced with it’s own challenges in arranging a transport route for your child that doesn’t negatively impact the transport of other children in the district. At times we will see delays in transport getting started due to lack of available bus drivers, or lengthier than normal transport times if multiple children on the bus need to be dropped off at a number of different sites – this is unfortunately outside Trillium’s control. Our transition specialist will attempt to assist in obtaining alternate transport if possible, or you may be asked to transport your child for a period of time.
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Your child will be assigned a therapist and psychiatric medication manager as they admit to program and will temporarily stop seeing providers you may already have in the community. Throughout the 5 days per week of program, your child will receive individual, group, and family therapies, and either a psychiatrist or psychiatric nurse practitioner who will work with you around any medication needs/goals. In addition, a Transition Specialist will work with your school district and outpatient providers to warmly transition your child into services, and then help arrange return to outpatient services and your public school when treatment is completed.
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In general, referrals come from your current treating outpatient providers. In some cases a primary care physician or school will have completed the necessary clinical assessments to indicate appropriateness for this high level of mental health intervention. Our Access team is happy to talk this through with you and help guide how to make the necessary requests for clinical information.
For Youth
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Our programs, therapies, and medication are designed to support your unique strengths and needs. You can discuss your goals with staff or other trusted individuals to ensure they align with the program's objectives.
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Ask program staff about the expected length of stay and the factors that influence it.
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Learn about your rights to be involved in your treatment plan and express your preferences and concerns to your treatment team or a trusted staff member. Explore options such as youth advisory boards to enhance your engagement and satisfaction.
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Inform staff of your preferences and triggers to receive appropriate support and accommodations.
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Ask your treatment team about the opportunities for making choices regarding your treatment, education, and daily life.
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You will attend school at your grade level while in the program. Communication about credits earned will be sent to your home school upon discharge.
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Important people in your life are encouraged to call and visit. We will create an approved contact list.
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Our programs are designed to be equitable, inclusive, and respectful of diversity.
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You can address concerns directly with your treatment team or use the grievance process.