Oregon Residential Treatment Facility License: RTH, RTF and SRTF

Oregon's adult mental health residential programs are licensed by the Oregon Health Authority under OAR chapter 309, division 35. The division covers three settings, and the one you build decides the license you apply for. This guide walks through the three types, what OHA's application asks for, the staffing and safety rules that changed in 2026, and the order that keeps an opening date intact.
One boundary first. Residential substance use disorder programs are a different license with different standards (OAR chapter 309, division 18), covered in our Oregon residential SUD licensing guide. Outpatient programs work through the Certificate of Approval. The overview of every Oregon license type is in our Oregon treatment facility licensing hub.

