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Crisis Help

What is a crisis?

A crisis or behavioral health emergency is:

  • When someone’s behavior puts them at risk of hurting themselves
  • When someone’s behavior puts them at risk of hurting other people
  • When someone can’t care for themselves
  • When someone can’t function effectively in the community

How can I get help from Trillium?

  • You do not need a referral or preapproval for behavioral health emergency services.
  • Behavioral health providers can help you get services for improving and stabilizing mental health. 
  • Trillium members can get crisis help and services after an emergency. 

Local Crisis Response 

Trillium supports counties in providing crisis services. You can get crisis services from local Community Mental Health Programs and from 988 Suicide & Crisis Lifeline.

  • Mobile Crisis Intervention Services (MCIS) teams offer community-based intervention to people in need wherever they are. This could be at home, at work or in the community.
  • Mobile Response and Stabilization Services are in-person interventions for youth and their families.
  • Crisis Stabilization Centers (CSC) are short-term, in-person services at facilities that address behavioral health crises, acute symptoms of mental illness, and substance use crisis.

988 Suicide & Crisis Lifeline

Call or text 988, or start an online chat, to reach a trained counselor who will listen to whatever you’re going through without judgment. Contact 988 if you’re feeling overwhelmed, sad, struggling with alcohol or drug use, have suicidal thoughts, or just need someone to talk to.

Help might be needed if you:

  • Can’t cope with daily life
  • Feel very sad, stressed, or worried
  • Are not sleeping or eating well
  • Want to hurt yourself or others or have thoughts about hurting yourself
  • Are troubled by strange thoughts (such as hearing voices)
  • Drink or use other substances more than usual
  • Have problems at work or at home
  • Seem to be having problems at school

For additional crisis services by county, visit the Oregon Youth Authority: Oregon Crisis Resources by County webpage. 

Declaration for Mental Health Treatment

Oregon has a form called a Declaration for Mental Health Treatment. This form is a legal document. It allows you to make decisions now about future mental health care in case you are unable to make your own care decisions. You make choices about the kinds of care you want and do not want. You can fill it out while you can understand and make decisions about your care. 

Only a court and two doctors can decide that you cannot make your own care decisions.

You may also use this form to name an adult who can make mental health choices for you when you cannot make them for yourself.

This person must agree in writing to represent you. The person you name must follow your wishes. If no one knows your wishes, the person you name must make them for you. They must make decisions that are in your best interest.

A Declaration of Mental Health Treatment is good for three (3) years. If you become unable to make decisions, this document will remain in effect until you are able to make your own decisions.

You may change or cancel your Declaration at any time as long as you are capable of making decisions for yourself.

It is important to give this form to your primary care provider, behavioral health provider, and a copy to the person who represents you.

The OHA Declaration for Mental Health Treatment Form 9550 (PDF) contains the instructions and form for making a Declaration for Mental Health Treatment.