A new locked, 10-bed residential treatment facility called Mountain View has opened in Southeast Portland, giving adults with serious mental illness a structured place to stabilize and build skills toward greater independence. The facility was built through a collaboration between Cascadia Health, Multnomah County, and the state of Oregon, and it's designed to offer round-the-clock therapeutic support for residents who need secure, 24-hour care.
According to Oregon Health Authority, Mountain View provides stability, treatment, and daily support intended to help residents build skills for better health and long-term independence. The agency describes the facility as a highly structured therapeutic residential setting, part of a broader effort to expand secure residential behavioral health bed capacity in Multnomah County.
The project traces back to House Bill 5024, a $130 million state and federal funding package enacted in 2021 to address severe shortfalls in licensed behavioral health housing statewide. The Oregon Health Authority dedicated $5 million from that bill specifically toward building Mountain View, part of a statewide initiative to add 172 new secure residential treatment beds, according to a state announcement.
A Ribbon-Cutting With High-Level Backing
Oregon First Lady Aimee Kotek Wilson attended the facility's ribbon-cutting ceremony on September 3, according to the state agency's announcement. Officials noted that turning years of behavioral health investment into a functioning 10-bed therapeutic home required multi-year work across design, licensing, and planning, framing the opening as part of a broader push toward community-based placements as a cornerstone of regional health system reform.
Referrals to Mountain View are expected to come primarily from hospital partners, including Oregon State Hospital, with the goal of reducing long-standing wait times for patients who are clinically ready for discharge but have nowhere in the community to go. Oregon State Hospital has remained under ongoing federal court oversight tied to patient admission and discharge timelines, the same announcement notes, making community step-down beds like these central to relieving pressure on the state system.
Still Thousands of Beds Short Statewide
Oregon Health Authority data from September show the state has added 1,660 licensed residential treatment beds since 2021, a more than 45% increase in total continuum-of-care capacity statewide. Yet a state-funded study commissioned by the agency and published in February 2024 by The Lund Report found Oregon faced a shortfall of roughly 3,000 adult behavioral health treatment beds, requiring more than $500 million in capital investment over five years to close the gap. That analysis found residential drug treatment and secure mental health facilities carried the largest relative capacity gaps in the state.
Mountain View is operated by Cascadia Health, Oregon's largest community-based behavioral health provider, which serves more than 18,000 residents annually across the Portland metro area under President and CEO James Schroeder, who has led the organization since March 2025. The nonprofit functions as both a Certified Community Behavioral Health Center and a Federally Qualified Health Center. In June 2025, Cascadia opened a similar facility, Treeline at 174th, another 10-bed residential treatment site for adults with serious mental illness, supported by $2.4 million in House Bill 5024 grant funding.
Legal Scrutiny Still Looms Over Cascadia
The expansion comes as Cascadia faces separate legal challenges tied to safety at its facilities. In July, the family of a 26-year-old mental health worker fatally stabbed in 2023 at Cascadia's McCarthy Place group home filed a $51.01 million wrongful-death lawsuit against the organization in Multnomah County Circuit Court, alleging severe staffing and security deficiencies. State workplace safety inspectors previously fined Cascadia $7,250 following that incident over single-worker overnight shifts and security lapses.
Facilities like Mountain View are classified under Oregon Administrative Rule 309-035-0100 as Secure Residential Treatment Facilities, meaning locked, licensed settings that provide continuous 24-hour care for adults under civil commitment laws or the authority of the Psychiatric Security Review Board. These facilities are meant for high-acuity individuals who require constant supervision and cannot be safely treated in open residential settings, according to the Oregon Secretary of State.
Part of a Broader Legislative Push
Mountain View's opening builds on continued state momentum to expand treatment capacity. In March 2025, Governor Tina Kotek introduced House Bill 2059, proposing $90 million to expand acute mental health and addiction treatment beds statewide, including $53.6 million earmarked for behavioral health workforce recruitment and retention, Hoodline previously reported in its piece on Kotek's $90M treatment bill. Kotek had also inaugurated a similar 16-bed facility elsewhere in Oregon in June 2025, part of the same statewide effort to bring small, community-integrated residential treatment sites online.
For now, Mountain View adds 10 secure beds to a system that state data show remains thousands of beds short of what's needed. The facility represents a concrete, if modest, step toward easing pressure on Oregon State Hospital and giving clinically ready patients a path into community-based care closer to home.
