Adult Services

Adult Outpatient (AOP) – The Adult Outpatient Services department at Cascade Community Healthcare provides individual, group, and family counseling services for adults who are experiencing a wide-range of mental health challenges. Adult Services clinicians are trained in a variety of evidenced-based practices including but not limited to Cognitive Behavioral Therapy, Motivational Interviewing, EMDR, Dialectical Behavioral Therapy, and Case Management services which connects clients with the local and state resources. Our hope is to empower clients to learn and utilize the tools they will need to be successful in the community and reach their goals.

Expanded Community Services (ECS)

Participation in this program requires a referral from Home and Community Services.

The Expanded Community Services (ECS) program serves individuals who reside in Adult Family Homes who hold the Expanded Community Services contract in Lewis, Thurston, Cowlitz and Grays Harbor County. The Behavior Support Specialists work directly with the individual, Adult Family Home staff, behavioral health providers, PCPs, Home and Community Services, Crisis teams, and other contacts to support the individual in their community placement. A Behavior Support Plan and Crisis Plan is used to manage challenging behaviors to decrease the risk of hospitalizations and ensure community placement is successful.

Assertive Community Treatment (ACT) – Assertive Community Treatment is an evidenced based treatment model meant to work with some of our most vulnerable citizens who suffer from chronic and severe mental health disorders and substance use disorders. This program is community based, we meet the clients where they are at and assist them with a variety of tasks, including compliance with the legal system, medication monitoring, counseling and assisting with activities of daily living. Caseloads for this program are small and clients have multiple contacts throughout the week by multiple team members. The team has a shared caseload, where almost all clients know every staff member.  The clients have a 24/7 phone that can be utilized by our Mobile Crisis Team to contact ACT Staff to prevent hospitalizations and incarcerations by having a familiar face while they are in crisis.

Offender Re-entry Community Safety Program (ORSCP): In the Offender Re-entry Community Safety Program clients are referred by the Department of Corrections prior to release from Prison to receive extra help with housing and basic needs, which reduces the recidivism of these clients returning to prison. Clients are often also supported by the ACT Team while in this program. They receive assistance with housing and activities of daily living and receive assistance in remaining compliant with court ordered activities.

Clubhouse – Our new Clubhouse is taking off. Members join the Clubhouse and shape it into a place where we improve outcomes of members finding employment and build skills to make them more employable. The Clubhouse is a gathering place. We have daily tasks which need to be completed and we have leisure activities at designated times. On Wednesdays, we organize food donations and have our Free Store open, where you can find clothing, shoes and hygiene products. The Clubhouse is set up to be member driven and meet genuine needs of clients such as; being more employable, socializing, support and a sense of community that belongs to the members.

Jail Services – Cascade’s Criminal Justice Program consists of jail based behavioral health services that are provided to individuals who are incarcerated free of charge. Services are provided both at the Lewis County Jail and Lewis County Juvenile Detention Center.  Mental health services include; counseling, crisis services, therapy, and intake assessments. The Criminal Justice Program provides an option for psychiatric evaluations and psychiatric medications. Substance use disorder treatment is available for people that are experiencing incarceration, which includes assessments, groups, and individual based services.  Resource services include connecting individuals with education, employment, and community based resource opportunities. For individuals releasing from jail there are services to assist that person with their transition back into the community while supporting individuals with behavioral health engagement. Family members of someone incarcerated can contact the Criminal Justice Program with concerns for their loved one.