January 29, 2026 3:20 a.m.
Aviva Health has begun providing child advocacy services in Douglas County, effective immediately, to ensure children and families continue to receive critical, trauma informed care following the suspension of services at Douglas C.A.R.E.S. earlier this month.
An Aviva release said since Douglas C.A.R.E.S. shuttered operations, January 1st, the Oregon Department of Human Services, local law enforcement and other agencies have worked to diligently maintain continuity for children and families involved in abuse investigations, ensuring reports continued to be received, assessed and investigated while preserving the integrity of the overall response system.
Aviva Health is now providing specialized child advocacy care services, including forensic medical exams and interviews delivered by trained professionals in a child-centered environment designed to support safety, privacy and healing.
The release said the mandatory reporting process for suspected child abuse does not change with the transition of child advocacy services to Aviva Health. Members of the public who suspect child abuse should continue to report concerns to local law enforcement or the Oregon Department of Human Services Child Welfare.
Aviva Health’s role within this system focuses on the delivery of forensic medical exams and forensic interviews, conducted in close coordination with partner agencies responsible for investigation, protection and justice. To support this work, Aviva Health has hired two specialized professionals, one to conduct forensic medical exams and one to conduct forensic interviews. Services are being provided at Aviva’s downtown Roseburg facility, located at 1128 Southeast Stephens Street.
Aviva Health is coordinating closely with Child Protective Services, local law enforcement, CHI Mercy Health Mercy Medical Center, Umpqua Health, the state Child Advocacy Center Authority, previous Douglas C.A.R.E.S. employees, a past program director for an Oregon coast CAC and other community partners to support a coordinated, trauma-informed response for children and families in Douglas County.
The release said additional updates will be provided as services continue to evolve.

