Cascade Crest Transitions 

Programs and Services

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 appropriate 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, work out at local gyms, participate in recreational activities and 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, participate in community service or other community based supported 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. They can choose to continue working their therapist, meeting with their academic advisors and can access time to meet with their case manager when appropriate. Random UA’s 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.

Matching Client Needs

At Cascade Crest Transitions we work with young adults who have struggled due to a myriad of different challenges. Our students often present with a mental health diagnosis of learning challenges, trauma, anxiety, and/or mood difficulties. Some of our students have utilized drugs and alcohol as a means to cope, self-medicate, or socialize. This use may have grown to the point of being it’s own stand-alone issue needing clinical attention and support. Other students have not used drugs and alcohol but resorted to isolation, avoidance, internalizing behaviors, or other process addictions such as technology (gaming, tv, social media, etc). In order to provide a tailored experience for all clients there are two tracks at CCT: the Recovery Track and the Wellness  Track.

Recovery Track

Students on the Recovery Track have a history of problematic drug and/or alcohol use. Recovery Track students have specific assignments and psycho-education to complete that encourages them to reflect on their past use, address underlying causes of their use, and to make informed, healthy decisions about their future. Recovery Track students attend both in-house and community Alcoholics and Narcotics Anonymous meetings. In addition, Recovery Track students are encouraged to nurture connections and healthy passions through sober activities and opportunities in Bend.

Wellness Track

Students on the Wellness Track are working on addressing other problematic behaviors and treatment challenges that do not include drug and/or alcohol use. These students are asked to clearly articulate the behaviors they are addressing, and to complete assignments and activities that support healthy choices and a balanced lifestyle. Furthermore, students on the Wellness  Track are required to connect with activities and communities within Bend such as yoga, art, martial arts, outdoor clubs, volunteer positions, or support groups. Staff assist in planning activities and getting students set up in the community, and students are also encouraged to find their own passions and healthy outlets as they launch into adulthood.