According to SAMHSA, there are over 200 substance use treatment programs and behavioral health services for addiction in Oregon. Program options include over 25 detoxification programs and over 180 outpatient treatment centers. In addition, there are over 20 long-term residential facilities. provides an extensive directory listing of substance use treatment programs available throughout Oregon. It is important that you locate a program that meets your treatment and recovery goals.

Our qualified professionals help you narrow the search and find treatment options you can immediately contact. When you first contact, one of our trained counselors help you through the assessment. Based on the information, we recommend and refer you to the best possible treatment options within the state.

TIPS: If you feel you're going to use

  • Call your sponsor or a friend that doesn't use and would understand your situation.
  • Extrovert your attention. Walking and spending time outside can be very therapeutic. 
  • Find a hobby or activity take your mind off of using. (i.e. art, music, cooking, gardening)
  • Find a purpose in your life and pursue it. (i.e. school, career, volunteering)
  • Recognize the people in your environment, who affect you emotionally. They could be one of the reasons for your emotional problems.
  • Make sure to eat healthy foods. A deficiency in vitamins and minerals can create a drop in mental and physical energy.

TIPS: If you want to help someone

  • Don't enable the addict. This includes not giving him any money, not paying their rent, etc.
  • Encourage the person to seek help. This can be done by finding a treatment or a form of support.
  • Be aware of signs of overdose. If you see one of your friends blacking out, or showing other severe side effects, get help immediately.
  • Support the person while they look for rehab, since the process can be overwhelming.
  • Don't wait for rock bottom, it may be too late.

DRS femme2A Get help for veterans

Oregon Long-Term Rehab believes some of the best rehabilitation comes from long-term residential treatment. Our professional opinion is that it provides the best opportunities for life-long sobriety. Here are some reasons why:

  • Oregon's long-term rehabilitation programs spend months helping you develop structure, routine, healthy habits, and behaviors. All of which contribute to living a drug and alcohol-free life.
  • Long-term programs last 30, 60, 90 days or longer, providing extensive therapy and multiple methodologies.
  • Residential long-term programs offer more in terms of extended care and 24/7 support. Patients are connected with other sober like-minded people and develop lasting sober relationships.
  • More than one therapy methodology is utilized, such as behavioral therapy, experiential therapy, spiritual, or holistic therapy.
  • Long-term inpatient generally also provides 24/7 medical care, which is vital for patients experiencing difficult withdrawal or underlying medical problems.

According to SAMHSA and N-SSATS:

Approximately 10.7% of SAMHSA-listed substance use treatment centers in Oregon are classified as long-term residential programs. Below is a breakdown of some of the available services for specific demographics and payment options.

Long-Term Treatment Options for Specific Demographics:

  • Six programs provide specific treatment for adolescents.
  • 17 residential centers are women-only
  • Nine residential programs help pregnant or post-partum women.
  • 17 residential centers are men-only
  • Five treatment centers tailor programs for seniors and older adults.
  • Nine residential treatment centers provide help for the LGBTQ community.

Payment Options for Long-Term Rehab:

  • 25 rehab programs accept Medicaid.
  • 27 residential programs take private health insurance.
  • 27 treatment centers are cash or self-payment.
  • 12 residential programs provide a sliding fee scale for payment.

There are excellent long-term treatment options in Oregon for substance use. Regardless of your situation with your addiction or finances, and its qualified professionals will help you locate the best possible resources.

List of Different Substance Abuse Treatment Services in Oregon

Here is a list of the different drug treatment programs in Oregon. The list can be incomplete so please do not hesitate to contact one of our treatment specialists at 1-800-304-2219.

Drug Rehab Breakdown in Oregon

Detoxification Programs

Detoxification programs are severely limited in Oregon, with only 32 listed on the SAMHSA directory. Most of the detox services are located in the Portland area. Drug and alcohol detox is essential to manage withdrawal symptoms and alleviate cravings. The most common options are medical and clinical detox facilities.

Short-Term Inpatient Treatment

Short-term inpatient treatment is limited within the state. Per SAMHSA, 23 programs are operating throughout Oregon. Short-term means it provides services for less than 30 days. For example, a program may last two weeks or 28 days. Short-term treatment is effective, but more prolonged treatment is likely needed for more severe addiction.

Long-Term Residential Treatment

Long-term residential drug and alcohol rehabilitation is the most effective approach used to treat substance use and addiction. Per SAMHSA, there are 29 of these programs in Oregon. Long-term means treatment lasts for three to six months or longer. Programs include non-profit or for-profit private services and state-funded facilities.

Outpatient Substance Use Treatment

Overall, there are extensive outpatient substance use and addiction treatment services in Oregon. According to SAMHSA, there are 187 of these facilities and services in the state. Outpatient services include regular outpatient treatment, intensive outpatient programs, outpatient detox, day treatment, and partial hospitalization. Outpatient is appealing because the patient is not living at the facility.

Cost of Treatment in Oregon

The cost of addiction treatment in Oregon can vary greatly depending on factors like the type of program the person chooses. One of the most influential factors is the type of insurance the person has, if they have any, and if the facility accepts it.

According to SAMHSA:

  • Over 180 substance use treatment programs in Oregon accept Medicaid.
  • Roughly 180 programs in the state take private health insurance.
  • Over 200 substance use treatment programs accept cash or have self-pay
  • There are 220 facilities in Oregon that offer sliding scale payment options.

Paying for Treatment with Medicaid in Oregon

Medicaid is a program that provides health insurance to those who cannot afford it. In Oregon, Medicaid coverage is called the Oregon Health Plan, and more than 1 million residents are enrolled. When Medicaid is used to pay for treatment, it can cover all expenses.

Using Private Insurance to pay for Drug Rehab in Oregon

Private health insurance may provide patients with better access to substance use treatment options. The issue is that it can be quite expensive and many people who are not provided private insurance through their employer cannot afford it. For those who can, it can mean access to higher quality treatment options that don’t have waiting lists.

Another issue is that many people are at an income level where they don’t qualify for Medicaid but cannot afford private insurance. Thankfully, Oregon’s expanded Medicaid program helps with this problem. Depending on a person’s income, they may be eligible for assistance paying for the monthly premium of one of several participating insurer’s policies.

The following insurers are available at discounted rates through Oregon’s expanded Medicaid program:

  • BridgeSpan
  • Moda
  • PacificSource
  • Regence
  • Providence
  • Kaiser

Paying for Treatment when Uninsured

Despite all of the above options, someone can still wind up paying for treatment when uninsured. Often, the person hasn’t taken care of themselves and may not have health insurance when it comes time to needing treatment. And waiting to get them on a policy before starting treatment can be dangerous and unrealistic.

In these cases, there still may be help. Many programs understand this dilemma and are willing to work with patients to help them get treatment. Sliding scale payment options based on the person’s income may help lessen the cost of treatment by providing discounts to those who need them.

For more information on how to pay for treatment you can reach out to one of the treatment specialists at or contact the center directly.

Drug Use and Rehab Statistics in Oregon

On February 1, 2021, Oregon became the first state to decriminalize the possession of illicit drugs in small quantities.

  • Heroin – less than 1 gram
  • Cocaine and methamphetamine – less than 2 grams
  • LSD - less than 40 user units
  • Oxycodone – less than 40 pills
  • MDMA – less than 1 gram or 5 pills
  • Methadone – less than 40 user units
  • Psilocybin – less than 12 grams

On the federal level, these drugs are still against the law. Still, in Oregon, possession has been downgraded to a civil violation. Measure 110 increases access to health services, drug use treatment, and recovery housing.

According to the NSDUH:

  • Between 2017 and 2019, 3.8% of the population aged 12 and older had an illicit drug use disorder.
  • 7% of the population aged 12 and older had an alcohol use disorder.
  • 2% of the population aged 12 and older struggled with some form of a substance use disorder.'s Evaluation of Oregon 

After reviewing state statistics and options available for Drug and Alcohol Rehabilitation in Oregon, discovered the following pros and cons:


  • Mental health and substance use treatment services are covered by CareOregon. Individuals enrolled in the Oregon Health Plan have benefits for most mental health services, including substance use treatment, counseling, and detox.
  • Roughly 89% of SAMHSA-listed substance use treatment programs accept Medicaid, and 87% accept private health insurance.
  • Approximately 73% of substance use treatment centers offer a sliding fee scale. In comparison, 55% provide treatment at no charge or minimal payment for clients who cannot pay.


  • Detoxification programs are limited, with only 30 available per the SAMHSA directory. Roughly 8% are residential non-hospital, and 2% are hospital inpatient detoxification. (source N-SSATS)
  • Oregon has a backlogged substance use treatment system. Measure 110 passed, which takes drug users out of jails and places them into clinics, yet there is a significant strain on the system.
  • The state has had some of the highest rates of substance abuse in the country. State government spends about $236 million per year to prevent and treat substance abuse—63% of that is for addiction-related care through the Oregon Health Plan.
  • Only 14% of SAMHSA-listed substance use treatment centers in the state are classified as residential non-hospital programs.

Overall, there is affordable access to care, yet the state struggles to maintain adequate funding, causing wait times and backlogs. The COVID-19 pandemic had a significant role in this problem; however, Oregon has continually struggled to offer reliable substance use treatment outside of the private sector.


Marcel Gemme, DATS

Marcel Gemme, DATS


on January 19, 2022

More Information

Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people. He is a Licensed Drug and Alcohol Treatment Specialist graduate with Honours of Stratford Career Institute. Marcel has also received a certificate from Harvard for completing a course entitled The Opioid Crisis in America and a certificate from The University of Adelaide for completing a course entitled AddictionX: Managing Addiction: A Framework for Succesful Treatment.

Dr. Rohit S. Adi, MD, DABAM

Dr. Rohit S. Adi, MD, DABAM

Medically Reviewed

on January 19, 2022

More Information

Dr. Rohit S. Adi is certified in addiction medicine, through examination, by the American Board of Addiction Medicine. While in Louisiana, he worked as an emergency-room physician at Our Lady of Lourdes Regional Medical Center in Lafayette, Louisiana, but then transferred to Our Lady of the Lake Regional Medical Center in Baton Rouge, where he works to this day. Holding numerous positions throughout his medical career, Dr. Adi has seen the devastating effects caused by drugs and alcohol. Having the ability to do something about the problem, he co-founded a holistic drug rehabilitation center in Louisiana, where he serves as the facility's Medical Director.