Residential Treatment Programs and Adult Foster Home (AFH)

Interested in opening a Mental Health Adult Foster Home (AFH) or a Mental Health Residential Treatment Home or Facility?

Mental Health Adult Foster Homes (AFHs)

AFHs are single-family homes where up to five adults with significant mental health needs can live in a supportive, home-like environment. Providers either own or rent the home and run it as a small business.

AFH providers help residents with:

  • Meals
  • Medication support
  • Personal care
  • Transportation
  • Health and behavior monitoring

They work closely with behavioral health and medical professionals to support residents' independence, dignity, and meaningful living.

License authority: Oregon Health Authority under OAR Chapter 309, Division 40 – Adult Foster Homes

Learn more about licensing and resources on the Adult Foster Homes – Providers page

Mental Health Residential Treatment Programs

Oregon also offers several 24-hour staffed programs. These programs provide similar skills-building and support services as AFHs, but they also provide higher levels of staffing and may include onsite prescribing, case management, and therapy. The capacity of a Residential Treatment Home (RTH) is up to five residents, while the capacity of Residential Treatment Facilities (RTF), and Secure Residential Treatment Facilities (SRTF) is 6-16 residents.  

These programs are licensed under OAR Chapter 309, Division 35 – Residential Treatment Facilities/Homes

How to Get Started 

Review the links below to learn more about how to get started on becoming a provider.

Adult Foster home (AFH)

Residential Treatment Program

For questions or help, contact the Oregon Health Authority’s licensing and certification team: BHD.MH.Applications@oha.oregon.gov or email Clackamas County at: BH-QualityManagement@clackamas.us

Office Hours:

Varies by location, call us for office hours

24/7 Crisis and Support Line:
503-655-8585

Customer Service:
503-742-5335

Toll Free:
1-888-414-1553

TTY:
711 or 1-800-735-1232

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