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Cascade Crest Transitions 


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Cascade Crest Transitions offers a variety of services as part of our young adult transitional program. Our program offers two distinct phases – the Belay Phase and the Ascent Phase - with our Summit Phase available to eligible Alumni. Services within our curriculum include:

  • Individual therapy

  • Group therapy

  • Family therapy

  • Recovery services

  • 3 Day Parent Workshop

  • Case management

  • Academic advising

  • College preparation

  • High School completion

  • GED preparation

  • Psychiatric consultation and medication management

  • Recreation activities

  • Webinars for families

  • Parent focused therapy sessions with specialist


Similar to the belaying technique used by rock climbers, the initial Belay phase of Cascade Crest Transitions supports young adults as they climb away from a restrictive environment to one with more independence. Our staff work closely with students to push towards growth, while providing a safety net to keep them from falling too far off course. During the initial three to four month phase, students are introduced to and practice healthy living habits in all dimensions of their lives.


Students in the Belay Phase live in our staffed home and follow a structured daily schedule. Most days begin with breakfast at 8am and a house meeting. After completing morning chores, students head to our Academic and Therapeutic Center (ATC) for academic advising, therapy, and independent living classes. In the afternoons, Belay Phase students participate in therapy appointments, CCT committees and recreational activities, they work out at local gyms, and they attend community-based AA/NA meetings.


As they progress through the program, students earn more unstructured time, which they can fill in a variety of ways. Students can seek out part-time work or an internship, attend classes at COCC, attend AA/NA meetings, and participate in community service or other community-based activities. Students begin to develop their own personal plan while still having access to therapy, academic/career coaching, case management and social interactions with the larger Cascade Crest community.


The Ascent Phase involves climbing towards more independence. Through the Ascent Phase students still have access to the support system they created during the Belay Phase, but move more towards independent living. This stage allows students to implement what they have learned so far, putting them in control of their own ascent towards a successful adulthood.


Students move into an apartment with another student and begin applying what they have learned about healthy living while remaining connected to the Cascade Crest community. Students continue to participate in committees, meetings with their therapist and academic advisor and recreational activities. Many students choose to either attend college full-time, work full-time or blend a combination of work and school. Each student’s days look different, as the Ascent Phase is modeled after everyday adult life.


The Summit Phase, just as when climbing a mountain, is the peak of the journey. Students have successfully worked through challenges by applying the skills learned in Belay and Ascent Phases. Once students have graduated from Cascade Crest, they usually move out on their own.


The resources they have had access to during their time at Cascade Crest are still available to them. Students can choose to continue working their Therapist or Academic Advisor, and all Summit students continue working with a Summit Case Manager. Random urinalyses are given to provide information to the student or to provide continued recovery support. Not everyone chooses or is suitable to participate in Summit Phase.

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