Crisis Resources

As an outpatient mental health provider, therapists at Birchwood Counseling, LLC are not available on a 24/7 basis. While we do encourage you to let your therapist know if you are having a crisis situation, please do not delay care while waiting for a call back. Below are some crisis resources for the Portland metro area as well as some national resources. Mental health emergencies are medical emergencies and you can always call 911 if you need immediate care. 

Crisis Hotlines

Multnomah County Crisis Line: (503) 988-4888

Clackamas County Crisis Line: (503) 655-8585

Washington County Crisis Line: (503) 291-9111

Marion County Crisis Line: (503) 585-4949 

Clark County (WA) Crisis Line: (360) 696-9560

National Suicide Prevention Hotline: 800-273-8255 (English)/ 888-628-9454 (Spanish)

Crisis Text Line: 741741

The National Domestic Violence Hotline: 1-800-799-7233 1-800-787-3224 (TTY) English/En Español

Walk In Care

Your Local Emergency Department--All hospital emergency departments are an option for emergency mental health care.

Unity Center for Behavioral Health

1225 NE 2nd Ave, Portland, OR 97232 

Phone: (503) 944-8000

Cedar Hills Hospital

10300 SW Eastridge St, Portland, OR 97225 

Phone: (503) 944-5000

Cascadia Urgent Walk-in Clinic

4212 SE Division St, Portland, Oregon 97206 

Phone: (503) 963-2575


Trans Lifeline: 877-565-8860

Trevor Project: 866-488-7386 (directed at youth)

LGBTQ National Hotline: 888-843-4564 


VA Crisis Line: 800-273-8255 (press 1)

Text: 838255

Online Chat:

Warm Lines

These services may not be available 24/7 and are not intended for emergency intervention. However, they can be a good resources for support in between your counseling sessions or when you need support but it is not an emergency situation. 

Senior Loneliness Line: 503.200.1633 or toll free at 1.800.282.7035

David Romprey Warmline: 1.800.698.8491 

Treatment and Community Resources

Mental Health Advance Directive

Much like a medical advance directive, you have an option to document your wishes for mental health treatment ahead of time in an emergency situation. These wishes would only go into effect if you were in a circumstance where you were unable to communicate your needs or lacked capacity to do so. Below is some information and a sample form for documenting those wishes. Although we provide the resources here, we encourage you to speak with an attorney if you need clarification on the laws or rules referenced.

Sample Form: Declaration for Mental Health Treatment

Oregon Health Authority Information Packet: OHA Information on Mental Health Advance Directives

Register to Vote

At Birchwood Counseling, we are dedicated to providing high quality care and being an engaged part of our community. As part of our certification with Oregon Health Authority (OHA), we offer information to all new clients about registering to vote.

Information on Registering to Vote in Oregon

Online Voter Registration

Social Services

Oregon 211 maintains a database of services, resources, and information for housing, healthcare, and other social needs. You can call 211 from your phone or look at their website.

Oregon Health Plan

OHA Application Information Site: Apply for coverage under OHP

CareOregon (Portland Metro Area CCO): You can find information about your plan and search for in network providers. 

Trillium Community Health (Portland Metro Area CCO): You can find information about your plan and search for in network providers.

Find your CCO: Available CCOs (Coordinated Care Oreganzations) are based on your home address. You can make a request to change CCOs if there is more than one that serves the area you live in.