Enhanced Care Outreach Services (ECOS)

Enhanced Care Outreach Services (ECOS) is a program that provides individualized wrap-around rehabilitative behavioral health services to individuals residing in APD-licensed community settings. Services generally include assessment, service planning, individual therapy, consultation, individual skills training, medication management, facilitation of quarterly treatment team meetings, 24-hour crisis coverage, and provider staff training. People served in ECOS must meet Enhanced Care eligibility.

The following criteria are generally considered to determine eligibility for Enhanced Care Outreach Services:

  • An individual must be determined by Aging and People with Disabilities to be financial and service eligible for community-based care services and must be determined by the Statewide Enhanced Care Services Coordinator as eligible for Enhanced Care Services based on specific diagnostic criteria (which typically includes a diagnosis of serious mental illness with challenging behaviors that impact overall functioning).
  • An eligible individual generally exhibits two or more of the following: self-endangering behaviors, physically aggressive behaviors, intrusive behaviors, severe and persistent psychiatric symptoms, complex medication needs, sexually intrusive behaviors, or elopement behaviors.
  • An eligible individual typically has a history of unsuccessful community placements or is currently an inpatient at a psychiatric hospital and ineligible for placement in a non-enhanced setting.

If you have questions about ECOS or would like assistance with referring someone for services, please contact the Program Supervisor at yonkerk@yamhillcounty.gov or the Program Manager at pendletonk@yamhillcounty.gov.  The Statewide Enhanced Care Coordinator can be reached by calling 503-947-5537.