Many believe that mental illness is rare or happens to someone else. However, 1 in 5 people suffer from a mental health challenge in a given year. Whether it’s you or someone you know, mental health challenges can have a dramatic effect on quality of life, including relationships, career, and physical health.

Speak Up for Mental Health strives to provide direct access to local resources for the help you need. There is hope and help and no one is alone.

Cascadia Behavioral Healthcare’s mission is to provide healing, homes and hope for people living with mental health and addiction challenges. Our services help those who face major health disparities and often experience chronic challenges, homelessness, poverty, trauma histories, and more. As Oregon’s community behavioral health partner for over 35 years, Cascadia’s services have been a vital resource for so many in need. Cascadia’s culture of caring is represented through our 900+ dedicated team members offering compassionate and personal care for more than 15,000 individuals each year. With over 75 locations in Multnomah, Clackamas, Washington, Lane and Marion counties, Cascadia provides a comprehensive range of innovative clinical and housing support programs.

The heart of Cascadia is our people. Those we serve, our co-workers, and our community partners.

Find out about Cascadia’s services.

Call Cascadia Access, Information & Referral (CAIR) at (503) 674-7777. (Monday – Friday, 9 a.m. to 5 p.m.)

Treatment & Support

Season Affective Disorder

Seasonal Affective Disorder (SAD) is a type of depression that comes and goes with the seasons, typically starting in the late fall and early winter and going away during the spring and summer. Risk factors include existing depression or a family history of depression.

Symptoms of SAD

  • Social withdrawal
  • Increased sleep
  • Weight gain

To get help now, click here


Depression is not a specific term for a single diagnostic condition. Depressive disorders generally consist of Major Depressive Disorder (MDD), dysthymia, minor depression, and Seasonal Affective Disorder (SAD), but not other conditions that include depressive features, such as bipolar disorder.

Consistently identified high-risk groups

  • Women
  • People with other psychiatric disorders, including substance misuse
  • People with a family history of depression
  • People with a chronic medical disease
  • People who are unemployed or of a lower socio-economic status

Facts about depression

  • In 2012, 16 million adults had at least one Major Depressive Episode (MDE) in the past year.
  • In 2012, the percentage of adults with past year MDE was higher among women than among men (8.4% vs 5.2%).
  • Among the 16 million adults who had MDE in the past year, 10.9 million (68%) received treatment of some form for depression.

Source: Substance Abuse and Mental Health Services Administration

Emergency Services

Mental Health Emergencies

Visit Cascadia’s Urgent Walk-In Clinic, serving all individuals residing within Multnomah County regardless of insurance, income, or age.

Open 7 days a week from 7 am – 10:30pm

4212 SE Division, Suite 100, Portland, OR 97206 (map) enter at corner of SE Division and 42nd Ave.

Suicide Prevention

Multnomah County

Multnomah County Mental Health Crisis Intervention - 24/7 crisis counseling by phone, with translation services for non-English speakers.

Toll-free: 800-716-9769
Hearing-impaired dial: 711

Clackamas County

Clackamas County Mental Health Crisis Line

Washington County

Washington County Mental Health Crisis Line

Clark County

Clark County Crisis Services

Housing Resources

Safe and affordable housing for those who need it most.

Please call 503-232-6971 or email to request a housing application.

More information about housing

Multnomah County’s A Home for Everyone provides resources for individuals affected by homelessness:

Youth Services

Cascadia’s Child & Family Program

Provides culturally responsive outpatient services to children and their families. Focuses on family preservation and work to strengthen families from diverse backgrounds to reach their potential.

Services available Monday-Friday 8:30am - 5:00pm

Intake Line: 503-674-7777

A&D Services: 503-230-9654

Albertina Kerr

Intensive Treatment Program

For youth with developmental disabilities and concurrent mental health challenges

Intensive Community-Based Treatment

Assists children aged 3 to 17 who are at risk of being unable to remain in their home or school due to a mental health challenge

Outside In Youth Services

Provides youth hope, confidence, and skills necessary to build stable lives

More information

Underserved Communities

Outside In Medical Services

Providing medical and behavioral care to those struggling with poverty, homelessness, and inadequate access


Specializes in health screening and basic medical services for African-Americans and low-income residents

Urban League

Provides a variety of health and community services for the African-American population

Central City Concern

Serves housing and healthcare needs of individuals and families impacted by homelessness

Addiction Treatment

Problem Gambling

Please call 503-239-5952. Treatment is free for gamblers and their family members or significant others.

More information on Problem Gambling Treatment

Substance Use or DUII Treatment

Individual and group treatment available. Please call 503-230-9654.

More information about alcohol and drug services

Trauma-Informed Care

Trauma-Informed approach to treatment and intervention.

Senior Services

Cascadia’s Older Adult Program

Welcomes disabled adults and older adults who have Medicaid coverage. This program benefits residents who are in need of services but are unable to leave their facility or home due to multiple medical concerns.

Referrals can be made through Cascadia’s Access, information and Referral line (CAIR line): 503-674-7777

Cascadia’s VIEWS Program

VIEWS is a volunteer program from Cascadia’s Older Adult Outpatient Services. It promotes the emotional well-being of seniors through peer counseling and social engagement through discussion of various subjects such as “Conversations on Aging”, weekly group support meetings, unconditional listening, and sharing of experiences at no cost to the participants.


LifeWorks Northwest

Services for older adults, including for individuals affected by Alzheimer’s and training for their caregivers. Help is also available for substance abuse and day services for adults with other mental health challenges.

Multnomah County

Aging, Disability, and Veterans Services Division – serves older adults to promote independence, dignity, and choice and offers a 24-hour helpline.

Healing Hurt People

Healing Hurt People Portland (HHPP) serves men of color (between the ages of 10 to 33 years old) that have experienced intentional trauma such as gunshot or stab wounds. To help reduce retaliatory violence, HHP responds to local emergency (trauma) centers to immediately acknowledge the trauma and find ways to connect the victim to resources. This may include emotional support, family support, housing, medical follow-up, substance abuse treatment, legal and educational support.

If you know anyone that is trying to cope with a traumatic incident of violence, call Healing Hurt People Portland: 503-889-2515.

Mental Health First Aid Training

Learn how to recognize and respond to mental health challenges in an interactive 8-hour course

Training available at Cascadia

More information

Garlington Center

Garlington Center

A renewal project offering HEALING, HOMES & HOPE for the people of Portland