Columbia River Mental Health Services

About Columbia River Mental Health Services

Columbia River Mental Health Services is a community mental health and addiction agency in Vancouver, Washington, serving people in the area since 1942. They offer outpatient care for adults dealing with substance use disorders, mental health conditions, or both, alongside counseling for children and teens ages 5 to 18 and their families. Their approach treats the whole person, with person-centered, trauma-informed care that takes into account how past experiences can shape both substance use and recovery. Same-day walk-in appointments are available on weekday mornings and early afternoons, which can make that first step easier for someone who is ready to start now.

Their SUD and co-occurring program treats addiction and mental health together under a single coordinated plan rather than in separate tracks. Depending on each person’s needs, care can combine individual therapy, substance use counseling, medication management, and case management. Master’s-level therapists work alongside peer support, medical, and case management staff, using approaches such as Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Motivational Interviewing. They also run a Mobile Health Response team that brings medical, mental health, and substance use support to unhoused adults in Clark County, plus an intensive, community-based PACT program for people living with serious mental illness, which includes a substance use provider on the team.