In this section:

Need Help Now?

Call 911, go to the emergency room, or call the local crisis line services if you need them.

24/7 Suicide Prevention & Crisis Hotline: 1-800-273-8255

National Suicide Prevention Lifeline

Local Crisis Lines

Most counties in Oregon have their own local crisis line.

This list is arranged alphabetically by county

Baker County
(541) 519-7126
Benton County
1-888-232-7192
Clackamas County
(971) 244-4635
or EASA Participants:
(503) 496-3201
Non-EASA:
(503) 655-8585
Clatsop County
(503) 325-5724
Columbia County
(503) 397-5211
or 1-866-866-1426
Coos County
(541) 266-6800
Crook County
(541) 322-7500, #9
Curry County
1-877-519-9322
Deschutes County
(541) 322-7500, #9
Douglas County
(541) 440-3532
or 1-800-866-9780
Gilliam County
(541) 676-9161
Grant County
(541) 676-9161
Harney County
(541) 573-8376
Hood River, Wasco, & Sherman Counties
Weekdays:
Hood River
(541) 386-2620
The Dalles
(541) 296-5452
Evenings & Weekends:
1-888-877-9147 (all areas)
Jackson County
(541) 774-8201
Jefferson County
(541) 322-7500, #9
Josephine County
(541) 474-5360
Klamath County
(541) 883-1030
Lake County
(541) 573-8376
Lane County
(458) 205-7070
Lincoln County
Weekdays:
(541) 574-5960
Evenings & Weekends:
1-866-266-0288
Linn County
Weekdays:
(541) 967-3866
or 1-800-304-7468
Evenings & Weekends:
1-800-560-5535
Malheur County
(541) 889-9167
Evenings & Weekends:
(541) 889-9167
Marion County
(503) 585-4949
Morrow County
(541) 676-9161
Multnomah County
(503) 988-4888
or 1-800-716-9769
Polk County
Weekdays:
(503) 623-9289, #1
Evenings & Weekends:
(503) 581-5535
or 1-800-560-5833
Tillamook County
(503) 842-8201
or 1-800-962-2851
Umatilla County
(541) 240-8030
Union County
(541) 962-8800, #6
Wallowa County
(541) 398-1175
Washington County
(971) 244-4635
or EASA Participants:
(503) 684-1424
Non-EASA:
(503) 291-9111
Wheeler County
(541) 676-9161
Yamhill County
1-844-842-8200

For a complete list of crisis contacts within Oregon, please visit the Oregon.gov list of crisis services.

Refer to EASA

Are you or someone you know a young person experiencing psychosis? Please call these numbers to make an appointment with your nearest EASA team to receive information and support:

Baker County
(541) 519-3239
Benton County
(541) 223-4666
Clackamas County
(503) 496-3201, #1244
or (503) 710-8843
Clatsop County
(971) 704-4071
Columbia County
(503) 397-5211, #173
Coos County
(541) 266-6761
Curry County
(541) 813-2535, #3270
Deschutes, Crook, & Jefferson Counties
(541) 213-6851
Douglas County
(541) 440-3532
or (541) 530-2834
Grant, Gilliam, Morrow, & Wheeler Counties
(541) 625-1623
Harney & Lake Counties
(541) 589-5148
Hood River, Wasco, & Sherman Counties
(541) 296-5452, #4330
Jackson County
(541) 770-7768
Josephine County
(541) 244-3138
Klamath County
(541) 883-1030
Lane County
(458) 205-7070
Lincoln County
(541) 265-4179
Linn County
(541) 974-7946
Malheur County
(541) 889-9167, #350
Marion County
(503) 576-4690
Multnomah County
(503) 988-3272
Polk County
(503) 385-7417
Tillamook County
(503) 842-8201
or 1-800-962-2851
Umatilla County
(541) 567-2536, #723
Union County
(541) 962-8874
Wallowa County
(541) 426-0811
Washington County
(503) 705-9999
Yamhill County
(503) 583-5527

Find Help in the U.S.

If you or someone you know is a young person experiencing psychosis outside Oregon, you can find a program near you in the Early Psychosis Directory.

Search the Directory Spreadsheet here >> or search the Google Map here >>

To add, remove, or edit information in the Early Psychosis Directory, please use this form >>

If you are between the ages of 15-25 and are experiencing new mental health symptoms or unusual experiences and want to learn if EASA or another mental health program could be helpful to you, take this survey
PQ-B QR code

Assessment Process

What the Assessment Includes

The purpose of a good assessment is to help the person clarify whether they have a medical condition, how it is affecting their functioning, and what type of treatment or support may be needed. With this information, the person and their loved ones are able to make informed decisions about their medical care and personal goals.

Typically, an assessment will include medical tests, interviews, observation and collection of history. There are usually multiple people involved in the assessment process, including a psychiatrist or psychiatric nurse practitioner, your primary care physician, a qualified mental health professional, and, in some circumstances, other specialists such as a neurologist or occupational therapist. In order to complete a thorough assessment, close friends or family members are usually asked for their input, as they are likely to detect changes in information processing and behavior which are difficult for the person to detect. Also, families and friends are a great resource for identifying the person's strengths. Also, psychosis interferes with the person's ability to process information, and it may be difficult for them to report on their own medical situation. The following form was developed by EASA as a tool for families to provide input into the assessment process: Assessment Input Form (click to download PDF)

It is not uncommon for the diagnosis process to be ongoing over time. Some of the possible diagnoses require six months observation to confirm. You may be given a "rule-out" diagnosis, which means that additional observation or testing is needed to determine whether this diagnosis is correct.

Usually a preliminary diagnosis is made from the first interview, confirmed within approximately the first thirty days, and revisited periodically throughout treatment.

The following information will be important in any assessment:

Current situation:

How do you perceive what is going on- what do you observe? What changes or possible "symptoms" have you noticed:

Current illnesses and treatment you may be receiving
What medicines or supplements are you taking?
Physical changes with your body
Changes in your sleep and appetite
Changes in your moods
Changes in your thought process

History:

Illnesses that you or other family members have experienced
Injuries. Have you ever been knocked unconscious?
Allergies and adverse reactions to medicines
Drug use and reactions
Learning disabilities
Progression
What do others around you observe (sometimes with neurochemical changes others notice changes when the individual doesn't)

Current psychosocial situation:

How are these changes affecting your ability to focus at work/school and home?
How are they affecting relationships with others?
How are they affecting your ability to meet personal goals and priorities?
What information do you and your supporters have, and what do you need?
Do you have a strong support network?
Is your living situation stable and supportive of your healing process?
What are your personal goals and priorities, and are these changes interfering?

Medical tests:

Medical tests which EASA routinely recommends for people experiencing psychosis include:

CBC with differential
Chemistry panel (with liver enzymes, electrolytes, BUN, Cr, calcium)
Urine drug screen
Urinalysis, with microscopy
B-12 and folate
Thyroid screen (TSH, T4)
MRI or CT
Other tests indicated by additional medical conditions identified

The result of the assessment process is:

A clarification of preliminary diagnosis. In some cases, it may take a while to get a final diagnosis.
Identification of the type of treatment which is most likely to be helpful
Initial goals for treatment, based on your needs and priorities