Oregon Substance Abuse Treatment Centers

Oregon Drug and Alcohol Treatment Facilities

People seeking addiction treatment in Oregon can choose from more than 200 rehab programs, including

In 2019, the state had 234 treatment facilities serving 20,268 patients. Their services were designed for a wide variety of patients, and many facilities offer tailored services for specific demographics including the following:

• Active duty military members
• Pregnant and postpartum women
• Patients with co-occurring disorders
• Adolescents
• Members of the LGBT community
• Oregon Drug Rehab Breakdown
• Demographic Breakdown (By percentage of drug rehab facilities):
• Adult women: 61.5 percent
• Patients with co-occurring mental health disorders: 59 percent
• Adult men: 56.8 percent
• Patients who have suffered domestic abuse: 33.3 percent
• Adolescents: 29.1 percent
• Pregnant or postpartum women: 26.1 percent
• LGBT: 24.4 percent
• Seniors: 22.2 percent
• Veterans: 22.2 percent
• Payment Options Breakdown (By percentage of drug rehab facilities):
• Cash or self-payment: 94 percent
• Medicaid: 89.7 percent
• Private insurance: 87.6 percent
• Sliding fee: 73.5 percent
• Federal military insurance: 41 percent
• Medicare: 31.6 percent
• ITU funds: 32.5 percent
• Free treatment: 0 percent

These many programs and treatment options make treatment possible for a wide variety of patients within Oregon.

Treatment Approaches in Oregon

12 Step

12-step programs such as Alcoholics Anonymous and Narcotics Anonymous offer patients 12 principles, or actions, such as making amends, that structure their recovery. In addition, they provide regular meetings with other addicts in order to provide support for their recovery. These programs tend to be effective: One study of veterans found that 12-step participants achieved an 18-month abstinence rate that was twice as high as those who did not.

Dual Diagnosis/Co-Occurring

A co-occurring illness that includes both a mental illness and a substance use disorder (SUD) is a common occurrence, afflicting 17 million Americans in 2020. These mental illnesses can include everything from depression to bipolar disorder, and often drive a patient to try addictive substances as a way of getting relief from the symptoms of their mental illness. In Oregon, 59 percent of facilities offer specialized treatment designed to help manage both illnesses at the same time.

Detox

Patients often go through detox as the first step in recovery because these programs provide patients with medical supervision and support to ease the symptoms of withdrawal and keep them safe while the addictive substances leave their bodies. In Oregon, both inpatient and residential programs offer detox services, while only a few hospital-based programs include detox.

Short-Term Inpatient Rehab

Short-term inpatient rehab refers to treatment programs that last less than 30 days and provide patients with round-the-clock treatment and support to help them break severe addictions. About 10.3 percent of facilities in Oregon provide short-term inpatient rehab to patients.

Long-Term Residential Rehab

Inpatient programs that provide their services for longer than 30 days are referred to as long-term residential rehab. These programs give patients more time to break their dependence on addictive substances and make up 10.7 percent of the rehab programs in Oregon.

Rehab Costs In Oregon

Oregon treatment costs can vary from patient to patient, based on factors such as the following:

• Rehab program
• Therapy
• Aftercare
• Insurance coverage
• And more

However, Oregon's rehab centers accept many different forms of payment, and can offer patients accurate estimates of the costs of their care. Patients should not hesitate to reach out to their preferred addiction center for help understanding their costs and their payment options.

Medicaid and Medicare for Addiction Rehab

In Oregon, 31.6 percent of facilities accept Medicare, and 89.7 percent accept Medicaid as payment for their treatment services. These federal programs provide healthcare (including full coverage of rehab costs) for patients who are 65 and older (Medicare) and patients who are low-income (Medicaid). As a result, they make treatment more accessible for patients who might otherwise be unable to afford their rehab.

Private Insurance for Addiction Rehab

Private insurance is also an accepted form of payment at 87.6 percent of Oregon drug rehab facilities. Most insurance plans include coverage for drug rehab, though patients will need to consult with their insurance companies in order to determine the copays, deductibles, covered facilities, and other factors that can affect the overall costs they will be responsible for. They will also need to find a facility that accepts their specific insurance plan.

Uninsured Addiction Rehab

Patients who are uninsured still have access to drug and alcohol treatment in Oregon. Financial support, adjustable fees, and more make some of the state's rehab facilities available to financially needy patients.

Sliding Scale Payments

Almost three-quarters (73.5 percent) of drug rehab facilities in Oregon adjust their fees based on a patient's income, or ability to pay. Called sliding scale fees, these fees mean that patients who cannot otherwise afford their treatment can find a way to pay for the costs of their rehab.

Free drug rehab

While many states have at least a few facilities that offer free rehab to every patient, Oregon does not. However, the state does have a large percentage (55.1 percent) of programs that offer their services for free or for a minimal fee for patients who cannot otherwise pay for rehab.

Oregon's addiction facilities can help patients seeking guidance in paying for their rehab costs. No patient should refuse to seek treatment based on cost alone, thanks to the multiple options presented by the rehab centers in the state.

Oregon Drug Treatment Overview

Oregon's drug treatment options have pros and cons that patients should be aware of. These include the following:

Pros

Oregon's residential and hospital bed utilization rates are very low: 86.6 and 62.1 percent, respectively. As a result, the state tends to be a place where patients can quickly access treatment when they need it.

All of the hospital-based drug rehab facilities in the state offer detox programs.

Only one-third (32.5 percent) of drug rehab facilities accept ITU funds, which can make paying for treatment easier for the state's Native American population.

Cons

Oregon only has 6 hospital-based rehab facilities in the entire state.

Only 31.6 percent of drug rehab centers in Oregon accept Medicare, which could make it difficult for Medicare patients to find an available bed in a Medicare-accepting program.

Only 11.1 percent of facilities in the state provide specialized treatment to military veterans, which can be difficult for these patients to get support for their recovery.

Oregon Drug Use Statistics

Oregon struggles more than almost any other state with drug and alcohol abuse. Here is a look at some of its biggest drug use statistics:

From the OPB:

• In 2020, Oregon ranked 2nd in the national for drug and alcohol addiction.
• Oregon was first in the national for opioid and methamphetamine use in 2020.
• Wait times for residential treatment centers can be as long as 5 weeks.

From the SAMHSA:

• 20.7 percent of residents in the Portland area had used an illicit drug in the past year.
• 11.2 percent of residents in the Portland area had been diagnosed with a SUD in the last year.
• 7.1 percent had been diagnosed with a major depressive episode in the last year.