Adult Out Patient Services (including geriatric):  Person centered comprehensive treatment including psychiatric assessment, individual and group therapies, counseling, medications, and case management for community resource connections.

Medical:  Provides evaluation for medication, prescribing and medication management as well as psycho education about symptom management.

Child and Family Services:  Assessment and treatment for families and children, including infants and very young children.  CRMHS collaborates with local school districts for school based therapy.  Our nationally recognized mentor program offers positive adult role models and friends for children who need them.

Infant Mental Health:  Mental health child specialists provide dyadic relationship based services to infants/toddlers age 0-3 and their caregivers

Youth Options Program:  Serves young people age 14 to 25 who are out of the home or at risk of out of home placement.

Services for Older Adults: Mental health evaluation and treatment for the elderly in local nursing homes.

Supported Housing:  Many types of living arrangements to support recovery are available.

Center for Dual Diagnosis Recovery:  Chemical Dependency outpatient treatment program for clients age 18 and over with co-occurring mental health diagnoses.  Group and individual treatment.

NorthStar Clinic:  Opiate substitution dispensing clinic within a comprehensive specialized treatment program.

Clearview Employment Services:  Job development for individually tailored employment and placement with follow up support to get and keep a job.

Program of Assertive Community Treatment (PACT):  A multidisciplinary team provide intensive treatment to clients with severe and persistent mental illness.

Adult Residential Treatment Facility (Elahan Place):  A residential rehabilitation program with multi-disciplinary staff for psychiatrically impaired adults.

Medicaid, most insurance, self-pay.

Walk-in appointments are available. Call one of the following numbers, as appropriate:

  • (360)993-3000 Main Clinic (all services except where noted below)
  • (360)993-3000 NorthStar Clinic (opiate substitution)
  • (360)737-7012 Clearview Employment Services
  • (360)253-6019 Elahan Place (adult residential treatment)
  • Main Clinic: 6926 N.E. Fourth Plain Blvd., Vancouver, WA 98661
  • Hazel Dell Clinic: 9105 Hwy 99 STE 201A, Vancouver, WA 98665
  • Battleground Location: 18 NW 20th Ave Suite B, Battle Ground WA, 98604
  • Elahan Place: 7415 NE 94th Avenue, Vancouver, WA 98662

Mental illnesses are medical conditions that disrupt a person’s thinking, feeling, mood, ability to relate to others, and daily functioning. Just as diabetes is a disorder of the pancreas, mental illnesses are medical conditions that often result in a diminished capacity for coping with the ordinary demands of life.

Some of the more common disorders are depression, bipolar disorder, dementia, schizophrenia and anxiety disorders. Symptoms may include changes in mood, personality, personal habits and/or social withdrawal. When these occur in children under 18, they are referred to as serious emotional disturbances (SEDs). Mental illnesses can affect persons of any age, race, religion, or income.

Early identification and treatment is of vital importance. By ensuring access to the treatment and recovery supports that are proven effective, recovery is accelerated and the further harm related to the course of illness is minimized.

Substance use disorders include the misuse, dependence, and addiction to alcohol and/or legal or illegal drugs. Substance use disorders encompass a range of severity levels, from problem use to dependence and addiction.

Addiction is perhaps the most severe form of substance use disorder. Addiction is a chronic, often relapsing brain disease that causes compulsive drug/alcohol seeking and use, despite harmful consequences to the addicted individual and to those around him or her. Although the initial decision to take drugs/alcohol is voluntary for most people, the brain changes that occur over time challenge a person’s self control and ability to resist intense impulses urging them to take drugs/alcohol.

Remember, most people with mental illnesses who are diagnosed and treated, will respond well and live productive lives. Many never have the same problem again, although some will experience a return of symptoms. The important thing is that there is a range of effective treatments for just about every mental disorder.

Mental illnesses are very common; in fact, they are more common than cancer, diabetes or heart disease. According to the U.S. Surgeon General, an estimated 23% of American adults (those ages 18 and older) or about 44 million people, and about 20% of American children suffer from a mental disorder during a given year.

Millions of Americans experience substance abuse disorders but can and do recover.

Mental illness and substance use disorders can cause serious disruptions to your life, employment, relationships and family life. They can also cause legal problems if left untreated. Treatment can help you deal with the problems, symptoms and difficulties you are experiencing and bring stability back to your life. If you are experiencing problems that you feel you can’t handle, please give us a call.

Educate yourself about the symptoms and risks of substance abuse so that you are informed. If you feel it is appropriate, talk with the person and tell them your concerns and offer your support. This may be a one-on-one conversation, with other family or friends in attendance, or with the assistance of a therapist. If the person is willing to accept help, get them to a service provider or support group quickly. Express your concern and support, regardless of their decision. If they don’t accept help now, they may in the future.

It is important to watch for significant changes in the individual’s physical appearance, personality, attitude or behavior. Below are listed some but not all of the signs and symptoms of drug and alcohol problems.

Signs of Alcohol Abuse or Dependence

  • Poor work or school performance, absenteeism or tardiness
  • Reliance on alcohol to cope with stress
  • Experiencing blackouts after heavy drinking
  • Legal problems or arrests related to drinking
  • Causing harm to self or others while drinking
  • Drinking despite health problems made worse by alcohol consumption
  • Friends and family expressing concern about alcohol consumption
  • Hiding alcohol consumption from others
  • Craving alcohol
  • Experiencing withdrawal when cutting back on alcohol consumption
  • Needing to drink more alcohol to experience the same effect

Signs of Drug Abuse or Dependence

  • Poor work or school performance, absenteeism or tardiness
  • Changes in weight, appetite or physical appearance and grooming
  • Poor physical coordination
  • Change in sleep patterns
  • Extreme hyperactivity, excessive talking
  • Needle marks on body
  • Smell of substance on breath or clothing
  • Changes in personality or attitude, with no identifiable cause
  • Change in friends, social patterns
  • Secretive or suspicious behavior, need for extra privacy, paranoia
  • Change in usual activities and interest in things that used to be important
  • Moodiness, irritability
  • Stealing money, missing valuables, unexplained need for money

Recovery is a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.

Everyone entering treatment receives a clinical assessment. A complete assessment of an individual is needed to help treatment professionals offer the type of treatment that best suits him or her. The assessment also helps program counselors work with the person to design an effective treatment plan. Although clinical assessment continues throughout a person’s treatment, it starts at or just before a person’s admission to a treatment program.