IIBHT is a Medicaid level of care for youth ages 0-20 with intensive behavioral health needs. The program offers a variety of in-home and community-based services, including: case management, psychiatric services, skills training, individual and family therapy, crisis support, and peer support.  

Coordinated Care Organizations (CCOs) contract with community mental health agencies to provide IIBHT to their members. As of the end of 2025, 22 programs representing 34 counties and 16 CCOs have served youth. Visit OHA's website for an up-to-date list of certified IIBHT providers and to learn more about the program.

MCIS is the statewide mobile response service available to all children and adults at no cost. MCIS teams provide rapid, in-person response in the community when an individual is experiencing a mental health crisis. The two-person response team provides assessment, screening, and crisis intervention services. Additionally, the team identifies and refers individuals to follow-up services and supports. MCIS partners with the 988 Suicide and Crisis Lifeline, which launched nationwide in July 2022. Visit OHA's website for more information on the Behavioral Health Crisis Response System, which includes 988 and MCIS.

MRSS is an extension of Mobile Crisis Intervention Services (MCIS) that is only available to youth ages 20 and under. The program provides intensive care coordination, mental health treatment, skills training, crisis response, and peer support for up to 8 weeks after an initial crisis encounter.  Most referrals come from MCIS teams, but referrals can also come from hospitals and emergency departments, crisis centers, and schools. Visit OHA's website for more information on MRSS. 

PRTFs are secure, staffed facilities that provide mental health treatment services to youth with qualifying needs. These programs are accessed through a referral process from a variety of sources, primarily hospitals and mental health providers. PRTF programs provide 24-hour care which includes crisis intervention support, individual, family, and group therapy, psychiatric assessment and treatment, school instruction, and nursing services. Visit OHA's website for more information about these services.

Wraparound is a team-based planning process for youth with complex mental health needs. Families enrolled in Wraparound receive intensive case management, which includes bringing together providers, family members, and community supports to address the holistic needs of the youth and family. Wraparound is available to youth enrolled in Medicaid (Oregon Health Plan). Coordinated Care Organizations (CCOs) and OHA contract with community mental health agencies to provide Wraparound services. For more information about Wraparound, visit OHA's website.

Crisis and Transition Services (CATS)

Crisis and Transition Services (CATS) was the program that launched our work in 2017 with OHA and community partners. CATS provided transitional crisis and stabilization care for youth in mental health crisis. The DAETA Team developed a data system to track youth and program outcomes and to help inform program improvements.

In January 2023, CATS was replaced by Stabilization Services (SS), which is service for youth and families provided in Oregon's statewide Mobile Crisis Intervention Services continuum. CATS was instrumental to the development and launch of this new statewide program. In June 2023, a CATS Final Report, which chronicles the project, was published.

Funder: Oregon Health Authority
Project Timeline: 2017 - 2022

CATS Publications

Marshall, R., Ribbers, A., Freeman, I., Nguyen, S., Magers, J., Maitland, L., Sheridan, S. (2024). Youth emergency department and psychiatric recidivism after treatment in a community-based crisis program. Psychiatric Services, 76(3), 248-255.  

Ribbers, A., Laurie Lin, A., Sheridan, D., Marshall, R. (2021). Clinical and behavioral indicators associated with trauma history in children and adolescents enrolled in an emergency department diversion program. Emergency Psychiatry, 2021(1), 12-19. 

Ribbers, A., Sheridan, D., Jetmalani, A., Magers, J., Laurie Lin, A., Marshall, R. (2020). The Crisis and Transition Services (CATS) model: A program to divert youths in mental health crisis from the emergency department. Psychiatric Services, 71(11), 1203-1206. 

Magers, J., Ribbers, A., Nguyen, S., Marshall, R. (2020). Youth crisis and transition services (CATS): Incorporating family peer support specialists to assist families during crisis. Journal of Family Strengths, 20(2), 1-14.

Youth System of Care Evaluation

In 2024, the DAETA Team conducted a comprehensive assessment of the youth System of Care (SOC) in Oregon. Various components of the SOC, including behavioral health, juvenile justice, education, child welfare, developmental disability services, and other child-serving agencies, were evaluated. The resulting final report provides a comprehensive overview of Oregon's youth SOC, including areas where Oregon is leading and areas that need further development.  The results of this evaluation will be used to drive the System of Care Advisory Council's (SOCAC) 2025-2029 strategic plan. 

Funder: System of Care Advisory Council
Project Timeline: 2024-2025