Crisis Services Around the Portland Metro Area and Beyond


If you or a loved one is at immediate risk, please go to the closest hospital emergency department or call 911*


Cascadia Urgent Walk-In Mental Health Clinic

  • 4212 SE Division St., Ste 100, Portland, OR 97206

  • 503-963-2575


Unity Center for Behavioral Health

  • 1225 NE 2nd Ave, Portland, OR 97232

  • 503-944-8000

Outside In Housing and Health Services

  • Downtown: 1132 SW 13th Ave., Portland, OR 97205

  • East Burnside: 16144 E Burnside St., Portland, OR 97233

  • 503-535-3800

Portland Street Response (only in Lents Neighborhood)

  • 503-823-3333

  • Can be requested when calling 911​


People's Crisis Line

  • 503-200-7993 (call or SMS)

Oregon Behavioral Health Support Line

  • 1-800-923-HELP(4357)

Trans Lifeline

  • 1-877-565-8860 (guaranteed answer 7:00am-2:00am PST)

  • Oprima 2 para hablar con unx operador en Español

Trevor Project Lifeline

RAINN National Sexual Assault Hotline

Sexual Assault Victims’ Emergency Medical Response (SAVE) Fund

  • 503-378-5348

  • (pays for medical exams, medications, and 5 counseling sessions) 

The Victim Rights Law Center

  • 1-855-411-5477 x6 or 503-274-5477 x6

Oregon Crime Victim's Law Center

  • 503-208-8160

Confederated Tribes of Warm Springs: Victims of Crime Services

  • 541-553-2293

Русская орегонская социальная служба (РОСС)

  • Программа помощи жертвам домашнего и сексуального насилия

  • 24-часовую кризисную линию: 503-381-7757

Oregon DHS Child Abuse and Neglect Reporting 24 Hour Hotline

  • 1-800-509-5439 or 503-731-3100

211 Community Information Center

  • 211

  • Can connect you with local resources to food, shelter, utility

      assistance, child care, benefit programs, medical support, etc.

Impact NW: Preventing Homelessness

  • 503-721-1740

  • Dancing Tree Family Center: 503-721-1740

  • Multicultural Service Center: 503-721-6760

  • Brentwood-Darlington Community Center: 503-721-6777

Native American Youth and Family Center

  • 5135 NE Columbia Blvd, Portland, OR 97218

  • 503-288-8177

Portland Street Medicine

  • 825 NE Multnomah St., Ste. 240, Portland OR 97232

  • 503-501-1231

For Reed College Students
Health and Counseling Center Walk-In Services

  • 3203 SE Woodstock Blvd., Portland, OR 97202

  • Medical: 503-777-7281  Counseling: 503-517-7349

  • Nurse Advice Line: 1-800-607-5501

  • After Hours Crisis Line: 1-866-432-1224

For Portland State University Students
Student Health and Counseling Services

  • 503-725-2800

For Lewis and Clark Students

The Counseling Service

  • 503-768-7160

  • Nurse Consultation Service: 1-844-915-2069

  • After Hours Crisis Line: 503-265-7804

  • Campus Safety: 503-768-7777

* Most mental health professionals are required to ask you to call 911 in a crisis.  However, there is no guarantee that your area offers mental health crisis services through their local police department.  Please use caution when using this as a resource and consider alternatives when possible, especially if the individual in crisis could be a high risk of being targeted for violence by the police.





Multnomah County Crisis: Project Respond

  • 503-988-4888

  • TTY: 503.988.5866


Clackamas County Crisis Line

  • 503-655-8585


Washington County Crisis Line

  • 503-291-9111


Clark County Crisis Line

  • 360-696-9560

  • TTY: 1-866-835-2755

Crisis Text Line

  • SMS: Text "HOME" to 741741

Oregon Youth Crisis Support

Crisis Text Line for Young People of Color (through the Steve Fund)

  • SMS: Text "STEVE" to 741741

Naseeha Mental Health (support for North American Muslims)

  • Call or SMS: 1-866-NASEEHA (627-3342) (9am - 6pm PST)

National Runaway Safeline

Aging and Disability Resource Connection of Oregon

  • 1-855-673-2372 or 503-988-3646

Oregon Senior Loneliness Line

  • 503-200-1633

Friendship Line for Seniors, and Adults with Disabilities (through the IOA)

  • 1-800-971-0016

Veterans Crisis Hotline


Sex Workers Outreach Project Community Support Line

  • ​1-877-776-2004

Call to Safety: All Gender Domestic Violence Support


  • Una línea de apoyo confidencial que provee asistencia las 24 horas del día para sobrevivientes de violencia interpersonal

  • 503-232-4448

Bradley Angle Inclusive Domestic Violence Shelters and Programs

  • Emergency Shelter Line: 503-281-2442

Raphael House

  • 24 Hour Crisis Line: 503-222-6222

  • The Gateway Center: 10305 E Burnside St, Portland OR 97216

  • Gateway Center Phone: 503-988-6400

Domestic Violence Resource Center

  • 24 Hour Crisis Line: 503-469-8620 or 1-866-469-8600

  • 735 SW 158th Ave, Ste 100, Beaverton, OR 97006

Oregon Community Counseling Warm Line

  • 1-800-698-2392 (9am - 11pm)

Portland People's Outreach Project (mobile harm reduction services)

  • 503-765-7767

Multnomah County Harm Reduction Clinic

  • 12425 NE Glisan Street (in Menlo Park Plaza, behind Walgreens)

  • 503-988-0577

Portland Alcohol and Drug Helpline

  • 1-800-923-4357 or 503-244-1312

  • SMS: Text "RecoveryNow" to 839863 (M-F, 2-6pm PST)

  • Para Español: 1-877-515-7848

Cascades Abortion Support Collective

Q Center


"Q Center provides a safe space to support and celebrate LGBTQ diversity, equity, visibility and community building. There are dozens of events and groups that meet here, some focused on specific topics (like coming out or gender identity) and others aimed at fun social interactions (like sing-along piano cabarets or craft nights).


In addition their 5,000 sq/ft facility is also a safe and friendly place to spend an afternoon. With their monthly art exhibits, extensive library collection, Resource Wall, and free WiFi access, there’s always something to see and learn at Q Center."



"TransActive Gender Center provides a holistic range of services and expertise to empower transgender and gender diverse children, youth and their families in living healthy lives, free of discrimination.


TransActive's education program offers high-quality, affordable educational workshops and training to prepare and assist those who wish to effectively and respectfully meet the needs of children and youth who are gender diverse and/or transgender.  And their Advocacy Project offers grass-roots, non-legal representation and support to gender diverse children and youth age 23-and-under and their families."

The Equi Institute


"The Equi Institute provides affordable, excellent, culturally specific, patient empowering health care that fits the needs of the individual rather than trying to make people fit a cookie-cutter model.


The Equi Institute trusts their patients to make the choices they need to make for themselves, and respects those choices.  All providers and staff employed or volunteering at The Equi Institute are trained in the philosophy and practical application of the theories of Health at Every Size, Racial Justice, Economic Equality, and Non-Violent Communication, with a focus on community advocacy, education, and positive sociocultural change."

Northwest Gender Alliance

The NWGA is a non-profit social, support and educational group for trans individuals. The NWGA is open and affirming of all gender, sex, and sexual identities, and they welcome MTF / transwomen, FTM / transmen, androgynous or gender-variant individuals, and intersex community members. The group, traditionally a “club,” holds monthly open meetings and sponsors a variety of transgender social functions throughout the year. They provide educational forums for public and private organizations or individuals interested in learning more about trans experience and the gender spectrum. Their members find support, understanding and acceptance on a one-to-one basis from others who face the similar challenges in life. They welcome new and diverse members.



"SMYRC provides a safe, supervised, harassment-free space for sexual and gender minority youth ages 13-23 who participate in positive activities like art, music, community organizing, open mic nights, drag shows, and support groups and receive services including case management, counseling, education, and more.

SMYRC also offers mental health support services.  A Cascadia Behavioral Health LGBTQ Mental Health Specialist is in the SMYRC Drop-in Center on Mondays at the downtown location and Wednesdays at the East County location."

Brave Space LLC


Brave Space LLC is a collective of independent professionals dedicated to providing competent care to transgender clients, as well as their families and loved ones.  Brave Space offers counseling, resources, and referrals to clients of all ages.  This includes services for clients with OHP, a free clothing closet, and a scholarship for gender-related wellness services.


The Transgender Health Program at OHSU

  • Links to expert OHSU providers for any health care need: such as primary care, mental health care and gender-affirming services.

  • Free classes and events on topics such as gender-affirming surgery and fertility and reproduction options.

  • Information and support from professionals and peers.

  • One of the nation’s most comprehensive transgender health programs, with therapies not available elsewhere in the Northwest.

  • Access to family-centered services for children and teens.

Gender Pathways Clinic

The Gender Pathways Clinic at Kaiser Permanente Northwest provides culturally competent care to transgender and gender-expansive patients.  Their specialist team consists of providers from internal medicine, gynecology, psychiatry, surgery, social work, nursing, and community health navigation who provide high-quality, gender-affirming:

  • Hormone therapy

  • Sexual and reproductive health care

  • Mental health services

  • Surgical evaluations and procedures

Prism Health


Prism Health provides compassionate, affirming primary care for transgender and gender non-conforming folks in a safe, friendly, and culturally responsive space. 

Their patient-directed, trauma-informed approach to care provides for a variety of affirming healthcare needs including:

  • hormone therapy and management

  • referrals to gender affirming surgeries

  • coordination with behavior healthcare providers to provide letters of support for gender affirming surgeries

  • gender-affirming pap smears, pelvic exams, and prostate exams

  • STI screening and PrEP therapy