Intervention or Crisis:
“The secret of crisis management is not good vs. bad; it’s preventing the bad from getting worse.”
Immediate Support
Call 911 for medical or mental health emergencies
Non-Life-Threatening Support
Have you contacted your child's physician or pediatrician? It’s important to talk with your primary care doctor. Encourage a physical and full blood workup.
Mental Health First Aid, Resources: General mental health, depression, suicide, anxiety, self-injury, psychosis, substance use disorder, help lines, support groups.
Crisis Text Line – Text 741741 from anywhere in the USA to text with a trained Crisis Counselor.
Lines for Life, Get Help NOW: 24/7 with free, confidential, and anonymous help! Call 800-273-8255, Text 273TALK to 839863, ALCOHOL & DRUG HELPLINE Call 800-923-4357 or Text Recovery Now to 839863
YOUTHLINE, A teen-to-teen crisis and help line. Contact us with anything that may be bothering you; no problem is too big or too small! Teens available daily from 4-10 pm PST (off-hour calls answered by Lines for Life). Call 877-968-8491. Text teen2teen to 839863
Clackamas County Mental Health and Addiction Services: If you are experiencing a mental health crisis, the Clackamas County Crisis Line is available 24-hours a day, 7 days a week by calling (503) 655-8585
Unity Healthcare Center, Mental Health Emergency. Currently, the Psychiatric Emergency Service is for patients 18 years of age or older. If you have a need for adolescent psychiatric emergency services, please refer to the Children’s Emergency Department at Randall Children’s Hospital at Legacy Emanuel or OHSU Doernbecher Pediatric Emergency Department.
Find local resources: dial 211, Mental Health Support 988
Where to Start
Time to Act! is an online resource consisting of science-based guidance when parents know or suspect their children are drinking or taking drugs. Follow important steps if You Think Your Child is using or if You Know Your Child is using.
Partnership for Drug-Free Youth. Creating a Plan. Realizing that your teen or young adult child needs help for his or her substance use can be scary and overwhelming.
Educational Consultants
Educational Connections helps families locate the most appropriate educational and therapeutic options for their children.
Substance Use Support and Resources
Oregon Health Authority: Behavioral Health Division. Addiction Services.
Call the Alcohol and Drug Help Line: 1-800-923-4357
Find your connection to recovery through the Oregon Hopeline: 1-833-975-0505 or OregonHopeline.org
Find a local treatment provider in the Substance Use Disorder Provider Directory.
You can use the Oregon Behavioral Health Provider Directory to find providers that accept your health coverage, including Oregon Health Plan.
Behavioral Health Resource Network Providers: Providers work together to connect you with the care and support that best fit your needs. Services are available to anyone living in Clackamas County; no insurance or referral required.
4D Recovery: Adolescent & Family Recovery Services: Support for teens and families navigating substance use and mental health challenges.
Services provide integrated, evidence-based treatment, peer mentorship, family counseling, and psychiatric prescribing services so everyone can move forward together. Treatment designed for adolescents (14-17). Integrated Psychiatric & Medication Services.
Madrona Recovery: Committed to serving youth and families struggling with mental health and substance use, navigating the path from crisis to opportunity (ages 13-17).
Insight Northwest Recovery: Offers addiction and mental health treatment. We support teens as they begin to identify these challenges, manage frustrations, and build coping skills. Each of our outpatient programs has a focus on mental health and real-life situations impacting this age group, such as school or college, family, peer pressure, and college binge drinking culture (Salem & Eugene).
Mental health treatment or co-occurring drug and alcohol treatment services for teens
Charlie Health: Intensive Outpatient Programs, from home (virtual). Real care for real life. Charlie Health provides specialized virtual behavioral health programs, including mental health and addiction treatment tailored for kids, teens, and adults.
Teen Mental Health and Addiction (ages 12-17)
Kids Mental Health (ages 8-11)
Morrison Child & Family Services. Mental Health and Substance Use Treatment.
Outpatient Services: Our Mental Health Therapists work with children and adolescents ages 0-18 with a variety of mental health disorders such as ADHD, depression, anxiety, and disruptive behavior. We provide support and treatment for children who’ve experienced abuse, neglect, and other traumatic experiences. Substance use treatment is also available when needed.
Community-Based Outpatient Services: These services are provided to children and adolescents with acute mental health needs that would benefit from more frequent services or services provided within their home or community. In addition to individual and family therapy, this level of care can involve skills training, case management, medication management, and after-hours crisis response and support. Please note that these services typically require prior authorization from the child’s insurance and may not be available with all insurance coverage.
School-Based Outpatient Services: Morrison partners with local school districts to locate therapists within schools to reduce some of the barriers to accessing treatment.
NARA NW: Provides education, social services, physical health, dental health, mental health, and substance use disorder services for American Indians and Alaska Natives and those who seek our care. Youth services are provided.