Substance Abuse & Mental Health Services Administration

The Substance Abuse and Mental Health Services Administration (SAMHSA)

Columbia River Mental Health Services: 4Results Mentoring

4Results Mentoring provides committed, consistent, high-quality mentors to youth ages 7-18 who are enrolled in mental health services, have a parent in prison, are in the foster care system, or have been identified as a high risk youth for any other reason. Most of these children are Medicaid eligible, from low-income families, and have met the access to care standards of the mental health system. These young people are considered at high-risk for substance abuse based on the underlying factors of mental and behavioral health problems.

When youth are abusing substances they are at a high risk for a host of behavioral health problems. There are links between mental health problems and substance abusing youth such as depression, conduct problems, personality disorders, suicidal thoughts, attempted and completed suicide, developmental lags, apathy, and withdrawal. 4Results addresses these problems by facilitating meaningful relationships between caring adults and young people, empowering them with hope and encouragement to recognize their value and purpose in life and to learn to make healthy choices, furthering their individual growth. 

The mentor and youth schedule weekly activities in the community for 2-4 hours, for a minimum of 12 months.  Because risks and benefits to the mentored child are proportional to how long the relationship lasts, 4Results encourages matches beyond 12 months.  Mentors are carefully selected and provided in-depth training followed by extensive follow-up support, supervision and recognition.

With funding from SAMHSA’s Service to Science Subcontract to Build Evaluation Capacity of Evidence-based Interventions,4Results will first refine the measurement tools and a protocol for evaluating program outcomes. This process will include the following three steps:

  1. Collect all the current surveys and assess what variables to retain given the 4Results Mentoring logic model and expected impact
  2. Determine whether items that are currently being used appear to be satisfactory for measuring these targets or if new items/scales need to be identified.
  3. Develop a new measurement protocol that outlines the tools and timeline for implementation. 

4Results will then conduct a feasibility study of this protocol to prepare for more rigorous research.



Elizabeth Higley
Program Manager
Columbia River Mental Health Services
P.O. Box 1337
Vancouver, Washington 98666
Phone: (360) 993-3184

Lynn Samuels
Executive Director
Columbia River Mental Health Services
P.O. Box 1337
Vancouver, Washington 98666
Phone: (360) 993-3195