Behavioral Health

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

Adult Foster Homes

Adult Foster Homes (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.  

License authority: 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

• Adult Foster Homes – Overview & guidance
• AFH Providers – Training & forms
• Oregon Health Plan (OHP) Provider Enrollment
• Licensing & Certification – Behavioral Health programs
• Residential Provider Letter of Acknowledgment Request

Residential Treatment Program

• Residential Treatment Facilities – Licensing requirements
• Guide to applying for a Mental Health Residential License
• Oregon Health Plan (OHP) Provider Enrollment
• Licensing & Certification – Behavioral Health programs
• Residential Provider Letter of Acknowledgment Request

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

Clackamas County Crisis & Help Line: 503-655-8585 - Available 24/7

Youth and Young Adult Specific Resources

• Oregon Youth Line
  1-877-968-8491 (text “teen2teen” at 839863)
  Chat (adult support available 24/7; teens available 4–10 p.m.)
• Trevor Project for LGBTQIA2S+ Youth
  1-866-488-7386 (available 24/7)
• Youth Era: Youth Peer Support
  971-334-9295
  Available via chat or Twitch.
• Youth Era: Suicide Survivor Support Group
  Clackamas Drop In Center; Tuesdays at 4 p.m.

Substance Use Resources

• Craft Family Support Recovery Program
  For individuals affected by another’s substance misuse. CRAFT is an evidence-based, compassionate, and effective approach for engaging a reluctant loved one into treatment.
• Smart Recovery
   SMART Recovery has helped people beat their addictions and lead rich, happy, healthy lives. Their help is FREE and available to anybody with any addictive problem.
• Alcoholic Anonymous
  (sort for youth meetings)
• Al-Anon/Alateen
  (sort for youth meetings) For people impacted by other people’s drinking.

Resources Across the Life Span

• Clackamas County Crisis & Help Line
  503-655-8585 (available 24/7)
• Clark County/SW Washington Crisis Line
  800-626-8137 (available 24/7)
• Multnomah County Call Center
  503-988-4888 (available 24/7)
• Portland Street Response
  Call 911 and request PSR
  Email: psrinfo@portlandoregon.gov
  A program within Portland Fire & Rescue, assisting people experiencing mental health and behavioral
  health crises. The program is currently responding citywide.
• Washington County Crisis Line
  503-291-9111 (available 24/7)
• 988 Suicide & Crisis Lifeline
  988 or 1-800-273-TALK (available 24/7)
• Línea de vida nacional para la prevención del suicidio
  1-888-628-9454 (Disponible las 24 horas del día y los siete días de la semana)
  Spanish Crisis Text Line: Texto con la palabra “AYUDA” to 741741 (free, available 24/7)
• Clackamas Women’s Services
  503-654-2288 or 88-654-2288 (toll free, available 24/7)
  For domestic and sexual violence support. Confidential.
• Call to Safety
  503-235-5333 or 800-235-5333 (toll free)
  Text: 503-235-5333
  For domestic and sexual violence support.
• Parent Warmline for Oregon
  833-732-2467 (Noon – 7 p.m Tuesdays, Wednesdays and Thursdays, except holidays)
• Dave Romprey Oregon Warm Line
  1-800-698-2392 (toll free, 9 a.m. – 11 p.m.)
• Crisis Text Line
  Text HOME to 741741 (free, available 24/7)
• Racial Equity Support Line
  503-575-3764
  Peer support for individuals and families mentally and emotionally impacted by racism.
• Experiencing the trauma of racism Crisis Text Line
  Text “Indigenous” to 741741 (free, available 24/7)
• Native Crisis Text Line
  Text “Native” to 741741 (free, available 24/7)
• Alcohol & Drug Helpline
  800-923-4357 (available 24/7)
  Text “RecoveryNow” to 839863 (8 a.m. – 11 p.m.)
• National Alliance for Mental Illness
• Oregon Helpline
  503-230-8009; 800-343-6264 (toll free, Mon – Fri, 9 a.m. to 5 p.m.)
  For support from people who have experienced and understand mental health issues.
• Online Support Groups
• Community Education