Limited access to mental health care is a significant national problem, affecting millions across the United States. In Oregon, CareOregon has been committed to addressing this growing crisis – and making investments where they are needed most.
Behavioral health, which encompasses both mental health and substance abuse disorder, plays a critical role in overall well-being. Yet many Oregonians have faced challenges getting this vital care because of a shortage of treatment facilities and resources.
To address these challenges, CareOregon has invested millions in behavioral health initiatives to support new facilities, expand services and increase workforce capacity. These efforts aim to strengthen Oregon’s behavioral health system to meet our members’ diverse needs.
“We invest in behavioral health because it is essential to a healthier Oregon," said Cassi Sturtz, Behavioral Health Program Manager at CareOregon. "By strengthening infrastructure, expanding the workforce, and supporting innovative care models, we address critical gaps and help build a system that delivers effective, equitable care for all Oregonians.”
Building behavioral health infrastructure
Oregon faces a critical shortage of facilities equipped to meet the growing demand for mental health and substance use services, leaving individuals and families without timely access to care. CareOregon has recently made substantial investments in behavioral health infrastructure to help close this gap. Below are a few highlights:
- $1.5 million in the Addictions Recovery Center (ARC) in Medford to double the number of withdrawal management beds from 10 to 20. Once completed, this expansion will allow ARC to annually serve about 1,200 people, significantly reducing waitlists and improving access to timely treatment.
- $1.8 million in Cascadia Health’s Talbert Health Center to expand the facility’s capacity to provide integrated health services, including mental health, substance use treatment and housing support, for individuals in Clackamas County. The money also will help add exam rooms, a resource room and spaces for family support so more people can receive comprehensive care.
- $1.2 million in Bridges to Change to support the renovation of two East Portland housing locations. These homes are designed to provide individuals with high mental health and substance use needs safe, supportive environments and reduce barriers to recovery.
Expanding workforce capacity
In addition to infrastructure, CareOregon has invested in recruiting, training and retaining skilled professionals to expand effective care. Two recent examples:
- Addictions Recovery Center is using CareOregon’s investment to hire 20 new staff members. This will double their existing workforce, ensuring patients receive high-quality, consistent care.
- Ashland Community Health Foundation is using a $1 million investment to support scholarships and workforce programs designed to grow the behavioral health and nursing workforce in Southern Oregon, creating pathways for individuals to enter high-demand fields and meet community needs.
Improving access through innovative care models
Many community members rely on 911 services for behavioral health emergencies because they lack other care options, straining emergency resources and delaying appropriate treatment. In 2023 CareOregon invested $2.6 million in the Portland Fire and Rescue CHAT Program to provide triage and an immediate, appropriate response to individuals who call 911 during a crisis but do not have a life-threatening issue. The program helps redirect individuals to more appropriate, individualized care and support – such as that offered at primary care clinics or from behavioral health providers – instead of emergency services.
“During the first six months of 2024, the CHAT team was able to divert almost 30% of low acuity calls from the emergency department and over 15% from ambulances. This has helped reduce the overload on our emergency systems, so they can prioritize care and services for people who urgently need them,” said Jeremiah Rigsby, CareOregon Chief of Staff.
In addition to triage, the CHAT team can also help fill prescriptions, submit referrals for members and help clients get to their appointments. The program ensures community members receive the right care in the right setting while optimizing resources.
Creating and investing in a healthier future for everyone
CareOregon’s targeted investments in behavioral health infrastructure, workforce development and innovative care models are supporting the landscape of mental health and substance use services across the state. By doubling treatment capacity, expanding the health care workforce and co-creating programs like the CHAT initiative, CareOregon, alongside community partners, is addressing critical gaps. These efforts are projected to reduce wait times for access to services and expand resources for underserved communities.
"As we continue to expand behavioral health resources, we’re focused on building a future where every Oregonian can get the care they need when they need it," said Alison Arella, Vice President of Community Impact. "These efforts are about improving outcomes, addressing disparities and ensuring a stronger, more equitable health system for everyone."
