Who We Serve
Oregon State Hospital serves adults who need intensive, psychiatric
treatment for severe and persistent mental illness. With our 24-hour, onsite nursing and
psychiatric care, we help patients gain the skills they need to successfully
transition back to the community.
Our patients have been committed by one of four ways:
- Civil — People who come to Oregon State Hospital through a civil commitment require 24-hour care that is not available through community programs. They have been found by the court to be a danger to themselves or others, or unable to provide for their own basic needs – such as health and safety – because of a mental disorder.
- Voluntary by Guardian — Working through the court system, legal guardians may commit their wards who meet civil commitment criteria: they must pose a danger to themselves or others and/or they must be unable to provide for their own basic needs due to their mental illness.
- Guilty Except for Insanity (GEI) — Oregon State Hospital serves people who have successfully pled Guilty Except for Insanity (GEI) to criminal behavior related to their mental illness. Depending on the nature of their crime, these patients are under the jurisdiction of the Psychiatric Security Review Board.
- Aid and Assist — Some people are ordered to Oregon State Hospital by the courts under Oregon law (ORS 161.370) for treatment that will help them understand the criminal charges against them and to assist in their own defense.
Oregon State Hospital serves people in the program that best meets
their individual needs. Each program is designed to treat a specific segment of our
patient population.
Our Programs
Salem Campus
Archways
Archways serves
people who have been committed under Aid and Assist court orders. In this program, we help patients stabilize, gain the ability to cooperate with attorneys, understand the charges against them, and participate in their own defense.
All patients are
enrolled in a legal skills group where they learn basic legal terminology.
Other treatment groups and resources include a law library, legal assistance,
symptom management, anger management, mindfulness such as tai chi, physical
fitness, medication management and drug and alcohol education.
Crossroads
The Crossroads Program serves people who have been civilly committed, were voluntarily committed by a guardian, and people who have been committed underAid and Assist court orders. Everyone has an individual treatment care plan and attends treatment mall every weekday.
People who have been civilly committed or voluntarily committed by a guardian attend group sessions to learn how to manage their symptoms and medications, develop coping and recreational skills, budget and manage their own money, plan and prepare meals, and work toward returning to the community. Treatment also includes educational support, psychotherapy and help for alcohol and drug abuse.
People who have been committed under Aid and Assist court orders receive treatment designed to help them prepare to return to court and move to a unit or program where they will have more choices. For more information on treatment, see the description for the Archways Program.
Harbors
The Harbors Program
primarily serves people who have been committed under Aid and Assist court orders or who have been committed under a Guilty Except for Insanity plea to criminal behavior related to their mental illness. Patients
each have individual treatment care plans and attend the treatment mall every
weekday. Groups help patients prepare to return to the community or move to
lesser levels of care within the hospital. During their stay, patients learn
how to manage their symptoms and medications and they develop coping,
recreational and legal skills. Programing may also provide educational and
employment assistance, psychotherapy, spiritual care and help for alcohol and
drug abuse.
Pathways/Bridges
Patients in our Pathways/Bridges Program have been committed under a Guilty Except for Insanity plea to criminal behavior related to their mental illness. Pathways serves patients from the Harbors Program and
have progressed in their recovery. Bridges serves patients who are preparing to
transition back to the community. The goal of the transition program is to help
patients achieve their highest level of health, safety and independence as they
prepare for discharge or conditional release to a less-restrictive community
setting. Individuals work on living skills through daily treatment mall
activities, classes and approved outings. They also participate in discharge
planning with their treatment team members.
Springs
The Springs Program mainly serves people 55 and older who have been civilly committed or voluntarily committed by a guardian. These
patients experience co-occurring mental and physical illnesses that often require
hospital-level care for dementia or organic brain injuries. Springs uses
treatments that feature sensory and behavioral therapy. Through these
treatments, patients learn daily living, coping and problem-solving skills via
group and individual therapy.
During their stay, patients are periodically evaluated to determine if they are able, never able or not yet able to stand trial.
Junction City Campus
Junction City
The Junction City Program serves people who have been civilly committed, were voluntarily committed by a guardian, or have been committed under a Guilty Except for Insanity plea to criminal behavior related to their mental illness. Patients are served through varied treatment mall and group therapy offerings. The program’s intent is to help
patients achieve their highest level of health, safety and independence as they
prepare for discharge or conditional release to a less-restrictive community
setting. Individuals work on living skills through daily treatment mall
activities, classes and approved outings. Patients also participate in
discharge planning with their treatment team. The Junction City campus most
often serves the seven southern counties – Lane, Curry, Klamath, Douglas,
Jackson, Coos and Lake.