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Children in crisis are provided temporary housing in the age-appropriate secure residential unit. They are admitted in situations in which they are unable to stay at home or in a restrictive placement due to the immediate risk of harm to self or others.
Criteria for admission-Children are admitted who pose an immediate risk of harm to themselves or others or show evidence of suicidal behavior.
Conditions of discharge- Conditions of discharge from residential crisis care are determined by one of the Pendleton Academies consulting psychiatrists.
Children in acute psychiatric distress in need of complex medical services are provided with secure psychiatric diagnosis and care of 30 days or fewer.
Criteria for admission-Children who have been approved for long-term psychiatric care are admitted for crisis assessment, if they are referred by a psychiatrist or psychiatric unit of a hospital, Department of Human Services Oregon Mental Health and Addiction Services (DHS OMHAS), or local Community Coordinating Committees. (Children with CASII scores of 23 to 27)
Stabilization and Transition Services (STS) provide enhanced Psychiatric Residential Treatment Services for adolescents 13 to 17 years of age that have been approved for long-term psychiatric care by Community Coordinating Committees. STS is an alternative to Secure Adolescent Inpatient Program or Secure Children's Inpatient Program (SCIP) services when an adolescent can be effectively treated in a Psychiatric Residential Treatment Services (PRTS) setting with enhanced services. Enhanced services may include 1:1 staff to child ratios and additional psychiatric services.
Criteria for admission-For admission criteria, see OAR 309-012-0130 through 309-012-1230, "Standards for Children's Intensive Mental Health Treatment Services".
Children are provided 2 to 24 months of diagnosis and intensive individual, group, and family therapy, medication management, behavior management, and life skills development and practice in secure and open settings. Treatment is directed by certified child psychiatrists and psychologists and delivered by Masters level clinicians and education staff. Treatment strategies include equine assisted therapy, art therapy, and recreation and activity therapy. A physician and registered nurse oversee the physical health of the children.
Criteria for admission-Children are admitted if they meet all of the following criteria:
- They have a primary diagnosis on Axis 1 or a DSM-IV 5-Axis diagnosis
- They have an appropriate function level
- They have an Individual Education Plan (IEP) or a Personal Education Plan, or have been screened for these plans
- They have been unsuccessful in a less restrictive environment.
(Children with CGAS scores of under 45 and/or CASII scores of 20 to 23)
Children are provided up to 120 days of multidisciplinary clinical evaluation and therapeutic stabilization and treatment in a secure residential setting. After the child's needs are assessed, recommendations are provided for the child's aftercare needs which may extend through a full continuum of care, from residential care to returning the child home with referrals to community-based care providers.
Assessment and evaluation services include:
Timeline from date of admission |
Services |
Responsible |
| Within 3 working days |
- Medical screening
- Initial assessment
- Provisional five-axes diagnosis
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Psychiatrist |
| Within 21 calendar days |
- Written psychiatric summary with five-axes diagnosis
- Written interdisciplinary individual plan
- Initial aftercare planning based on interdisciplinary assessments
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Clinical Team |
| Within 30 calendar days |
Referring source provided a written comprehensive mental health assessment, including discharge criteria and plan, and recommendations for continuing care. |
Case Manager |
Criteria for admission- Children are admitted if community-based crisis oriented outpatient services have proven unsuccessful, and an evaluation is needed to determine or confirm a primary diagnoses and decide what continuing services are necessary (children with CASII scores of 19 to 22).
A full array of services is provided to children for remediation of psychosocial, emotional, and behavioral disorders. These services include individual, group, and family counseling, individual and group skill building, equine assisted and art therapy groups, structured recreation, individual academic assistance and supervised study time. Children are placed with Children's Therapeutic Families who provide a wide range of in-home and community opportunities to practice positive behaviors, build coping skills, and practice life skills.
These combined services constitute an effective intervention to stabilize children and promote the development of appropriate coping skills, anger control and conflict resolution. Strengthening and building peer and family relationships, reducing effects from behavioral and emotional disorders are also a focus in our work to provide stability. Children are generally served under a contract with the Oregon Department of Human Services or an out-of-state agency that has legal custody of a child or a placement agreement signed by a child's parents or legal guardian.
Criteria for admission- Admission is based on a determination of a child's need for these services.
For children age 5 to 17 in a stable living situation within an hour of Pendleton Academies, we offer a non-residential accredited education program. Integrated psychiatric treatment; individual, group and family treatment; and therapeutic activities are provided as needed. Treatment is directed by certified child psychiatrists and psychologists and delivered by Masters level clinicians and education staff. Treatment strategies include equine assisted therapy, art therapy, and recreation and activity therapy. Services include crisis intervention, diagnostic clarification, stabilization and treatment, and medication management. Services are provided to the entire family to build on each family's strengths and to maximize the effect of treatment. The program is designed to keep a child with his or her family and facilitate the smooth transition and a successful return to the public school setting.
Criteria for admission-Children are admitted who are experiencing moderate emotional or behavioral problems in their school, home or community. (Children with CASII scores of 14 to 19)
For families of children who are leaving Pendleton Academies for other levels of care, or others seeking treatment and support, we offer assessment, individual, group, and family therapies and home-based aftercare services and consultation. These children usually live full-time at home, with a relative, or in a foster home setting.
ICTS, often referred to as outpatient care, includes:
- crisis prevention, intervention, and management
- care coordination and access to support services
- case management
- individual, group, and family therapy
- psychiatric services
- skills training
- family support services (assessment, education, and skill building)
- respite care
- team-driven service coordination planning
Services are delivered in the child's home, school, or other setting identified by the child and family.
Criteria for admission-Children are admitted who require less structure than a residential program, but who continue to need professional help (children with CASII scores of 10 to 14).
Children are provided three days or fewer short-term respite care.
Criteria for admission- Children are admitted who are acting out in their families or communities and/or are causing stress within their families... Parents are provided a brief, periodic respite, which can be arranged on a routine basis.
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