Drug & Alcohol Rehab Centers in Portland, Oregon

Portland has outpatient and residential treatment available locally. Standalone medical detox can be harder to find in the city itself, which matters for anyone coming off alcohol, benzodiazepines, or opioids.

If you’re coming off alcohol, benzodiazepines, or opioids, medical detox with clinical supervision is the necessary first step, because stopping those substances without supervision carries serious physical risk. If a standalone detox isn’t available, a hospital with inpatient capacity can manage acute withdrawal. Stimulants like meth don’t carry the same physiological danger, but the psychological side of withdrawal is severe. Cannabis rarely needs clinical detox and is usually handled on an outpatient basis.

On the outpatient side, Portland has IOP and partial hospitalization (PHP), including DUI and court-mandated services and family programs, with intensity levels that can range from a few hours a day several days a week down to lighter schedules depending on need. Men’s short and long-term residential is available, though women’s residential can be harder to find locally. There are also culturally specific programs, including outpatient designed for the African American community and services for LGBTQ+ community members and low-income or uninsured residents, plus counseling offered through Employee Assistance Programs. Choosing a level of care depends on severity, whether withdrawal needs supervision, and how stable your living situation is. Outpatient works when there’s a stable place to live and support between sessions; residential makes sense when someone needs to step away from daily triggers or has relapsed through outpatient care.

Oregon Health Plan (OHP) is Oregon’s Medicaid program and covers substance use treatment at enrolled providers. Some private residential and outpatient programs bill commercial insurance or self-pay rather than OHP, so residents relying on Medicaid may need to look at providers within the Multnomah County behavioral health network. Some programs advertise lower fees with financing, and services exist specifically for low-income and uninsured residents. Private-pay costs vary widely by level of care, with outpatient much less expensive than residential.

The Multnomah County behavioral health system can point residents to OHP-enrolled outpatient and MAT providers. You can also reach the national SAMHSA helpline at 1-800-662-4357 or dial 211.

• Multnomah County Health Department provides information on overdose prevention as well as resources on how to access naloxone in the area.
• Project RED offers various resources along with the opportunity for residents to request a naloxone kit.