Treatment Services

Intensive In-home Behavioral Health provides community counseling to support families for up to 4 hours per week. This includes therapy, skills training, and medication management.

Kelly Avenue School provides a therapeutic educational environment designed to meet youth where they are—cognitively, emotionally, and socially. Our program integrates individualized instruction with therapeutic support to help students succeed academically while building the skills needed for long-term stability and growth.

We maintain a working relationship with the North Wasco County School District and accept referrals both directly from the district and from outside providers, agencies, and families. However, at this time, students must be eligible for enrollment with the North Wasco County School District in order to participate in our program. We serve both middle school and high school–aged students.

Our structured school day supports credit recovery and academic progress while offering electives and therapeutic skill-building throughout the day. Small, flexible classroom settings allow us to respond to each student’s unique educational, emotional, and social needs in a personalized and supportive way.

Students participate in daily skills-based and processing groups and meet individually with a therapist at least once per week. Comprehensive support services are integrated throughout the program, including mental health counseling, psychological and behavioral skill development, and addiction treatment services.

Klahre House is a day treatment and therapeutic school for teens age 13-18 years old in Hood River.  We offer a structured therapeutic program that combines education, behavioral and mental health treatment and skills training. 

We serve both local youth and youth from all over the State who live in our group home and therapeutic foster homes.  Youth are taught by highly qualified and trauma-informed  teachers and are offered core educational classes, fine arts, academic advisement and special education. Classes are live taught, and youth have an opportunity at credit recovery, experiential learning and guest speakers. The mental and behavioral health services focus on emotional regulation, communication, accountability, and life skills as well as individual therapy, family work and medication management with specialized services for substance use disorder and problematic sexual  behavior.  

Our mental health services are for the needs of young people ages 3 to 26. We work to empower our clients to see their strengths and overcome their challenges. To achieve this, we use Behavior Skills Training, Play Therapy, and more. We can also offer family therapy and medication management as needed. Our focus areas include depression, suicide and self-harm, anxiety and stress, trauma and post-traumatic stress disorder (PTSD), Attention Deficit and Hyperactivity Disorder (ADHD), behavior challenges, attachment difficulties, family relational challenges, alcohol and drug use, and grief. To make an appointment call 541-436-0338 or email counseling@nextdoorinc.org. Our counseling coordinator will get back to you. No one will be denied access to services due to inability to pay. There is a discounted/sliding fee schedule available based on family size and income. Additionally, we currently accept OHP insurance.

In-Home Safety and Reunification Services - Helps families in crisis become stable and keep children out of foster care.

Nurturing Visitations - Offers counseling during visitations for families in the child welfare systems. The goal is to help families reunite as quickly as possible.

There has been a growing number of foster children and a shortage of therapeutic foster homes. The Next Door saw this urgent need and we responded. The purchase of this new home allows us to care for youth in need by providing a safe and nurturing home, staffed by caring professionals.

Therapeutic Foster Care, also called Treatment Foster Care, is a higher level of foster care serving children and teens ages 6-18 who have emotional, behavioral, and/or medical needs. Most of our youth have been abused or neglected and function developmentally younger than their biological age. Through trauma-informed care, these youth can heal, grow and develop with the support from a caring foster parent. To learn more, email fosterinfo@nextdoorinc.org.