Daily living skills & personal care
Assistance with hygiene, household management, meal preparation, and nutritional planning — taught and practiced alongside residents rather than done for them, so skills carry forward.
Services & Care Model
What care looks like inside a five-bed home.
Continuous support, structured routine, and clinical documentation — delivered in a house on a residential street, not on a ward.
The setting
What is a Residential Treatment Home?
A Residential Treatment Home (RTH) is a home providing continuous support, supervision, and structured living for adults who need more than outpatient care but do not require hospitalization.
Ours is a five-bed home, currently completing the Oregon Health Authority licensing process. Staff are on-site around the clock. Residents have their own routines, take part in running the household, and come and go as their individual support plan provides for — because the goal is a life in the community, not a longer stay.
Core service domains
Four areas of daily support
Medication administration & health monitoring
Secure medication management via eMAR systems, routine health tracking, and proactive monitoring of vital health indicators — including protocols for hydration, nutrition, and vital sign oversight.
Behavioral support & de-escalation
Person-centered positive support practices, crisis prevention, and individualized growth strategies. Staff complete de-escalation training before working a shift and refresh it annually.
Community integration
Supporting residents in accessing recreational activities, social engagement, and personal enrichment while upholding Home and Community-Based Services rights.
HCBS rights
How support plans work
Individualized, written with the resident, revisited as things change
Each resident has a support plan built around their own goals — stability, independent living skills, work, family contact, community participation — alongside the clinical and safety measures their diagnosis calls for.
Plans are documented, reviewed, and updated as needs change, with progress notes recorded on every shift. Residents, and the representatives they choose, are part of that conversation.
Considering a placement?
We work with Community Mental Health Programs, hospitals, and case managers throughout the Willamette Valley.