Table of Contents
Alcohol, Drug, and other Rehab Centers in Portland, OR


Getting Help

What to Consider When Choosing a Rehab Center

As you consider which rehab programs and treatment options might work best for you, you can ask yourself these questions:

Multiple factors will influence your rehab options, such as the severity of your addiction, your financial position, and your unique personal situation.

For more information on how to make all of these decisions, read our guide to Choosing the Right Rehab.

The Best Rehabs in Portland, OR

The cost of rehab varies by need and location and can be high in some cases. Whether or not you have insurance, there are several ways to find help to break free of your addiction. According to the Substance Abuse and Mental Health Administration (SAMHSA), there are 87 substance abuse treatment centers within 25 miles of Portland. Many of these organizations are on a mission to provide substance abuse recovery services to residents, regardless of their financial status. Out of these 87 rehabs, Yamhill County Family and Youth Programs received the highest overall scores based on our five core metrics.

Metrics Used to Evaluate Each Rehab

We used these five core metrics to evaluate the quality of each facility. For more information, feel free to read a full breakdown of our filtering process and ranking methodology.

1. Yamhill County Family and Youth Programs Addiction Treatment Services

Adolescent addiction treatment services from Yamhill County Family and Youth Programs scored 5.2 points out of 10 possible points in our rankings. This center offers compassionate outpatient services for adolescents, specializing in helping those with co-occurring mental illnesses. It does not prescribe medication-assisted treatment for opioid addiction, although it will accept patients who are already on medication to assist with their detoxification process.

The center utilizes ten different treatment approaches for substance abuse. Options include individual and group therapy, cognitive behavioral therapy, trauma-related counseling, brief intervention, and more. Special programs for specific groups range from members of military families to persons involved in the criminal justice system to victims of trauma and sexual abuse and more. Select services are offered in Spanish in addition to English. Helpful ancillary services include peer support, health and drug screenings, transportation assistance, and social skills development.

This facility accepts private insurance, as well as Medicaid, Medicare, TRICARE, IHS/Tribal/Urban (ITU) funds, and other forms of government assistance for substance abuse. Sliding scale fees are also available for those who must pay for their own care.

  • Rehabilitation Services Provided: 3.75
  • Treatment Approaches: 6.68
  • Cost: 7.5
  • Special Programs for Unique Demographics: 5.46
  • Ancillary Services: 1.06

2. Hilltop Behavioral Health Center

Hilltop Behavioral Health Center also scored 5.2 out of 10 points in our rankings. This outpatient services center provides special programs for adolescents, persons who are court-mandated to complete treatment and persons who have experienced trauma or have a co-occurring mental illness. Gender-specific programs are also available. An array of 23 ancillary services are offered, including health screenings and education, marriage counseling, tobacco cessation, employment counseling and training, and much more, ensuring that patients have every opportunity to succeed.

This center requires abstinence but helps patients with the detoxification process. Most treatment courses last between six months and a year, and positive community involvement is a cornerstone of the treatment. Rational emotive behavioral therapy, 12-step facilitation, relapse prevention, and seven other treatment approaches are employed.

With many payment methods accepted, including TRICARE, Medicaid, Medicare, IHS/Tribal/Urban (ITU) funds, Access to Recovery (ATR) vouchers, and a sliding scale for self-payment, most patients will find this facility an affordable option.

  • Rehabilitation Services Provided: 3.75
  • Treatment Approaches: 6.68
  • Cost: 6.25
  • Special Programs for Unique Demographics: 5.46
  • Ancillary Services: 3.18

3. Native American Rehabilitation Association of the Northwest, Inc. (NARA) Residential Treatment Center

The NARA Residential Treatment Center for adults scored third in our rankings, with 4.7 of 10 points. Although this center does not offer medication-assisted treatment, it does use a variety of proven treatment approaches, such as cognitive behavioral therapy, dialectical behavioral therapy, 12-step facilitation, and more.

Patients who are pregnant, suffering from co-occurring mental illnesses and those who have experienced trauma will find individualized help for their needs at this center. Perhaps the most impressive aspect of this residential program is the 39 ancillary services it offers clients, such as acupuncture, gambling addiction services, domestic abuse counseling, and childcare for children under five years old, among many other options.

NARA accepts multiple forms of payment, including private health insurance, Medicaid, Medicare, IHS/Tribal/Urban (ITU) funds, Access to Recovery (ATR) vouchers, and other forms of government funding. It also offers a sliding scale of payment for those who need to pay out of pocket.

  • Rehabilitation Services Provided: 2.5
  • Treatment Approaches: 3.34
  • Cost: 7.5
  • Special Programs for Unique Demographics: 4.55
  • Ancillary Services: 9.54
Top-Rated, Low-Cost Treatment Centers in Portland
Rank Rehab Total Score Contact Information
#1 Yamhill County Family and Youth Programs Addiction Treatment Services  5.2 420 NE 5th Street McMinnville, OR 97128 Main Tel: 503-434-7462 Secondary Tel: 844-842-8200
#2 Hilltop Behavioral Health Center 5.2 998 Library Court Oregon City, OR 97045 Main Tel: 503-655-8401
#3 Native American Rehabilitation Association of the Northwest Residential Treatment Center 4.7 17645 NW St. Helens Highway Scappoose, OR 97231 Main Tel: 503-621-1069
#4 Central City Concern Recovery Center 4.6 726 W. Burnside Portland, OR 97209 Main Tel: 503-944-4410
#5 Community Services Northwest 4.1 1601 East 4th Plain Boulevard Building 17, Suite B-222 Vancouver, WA 98661 Main Tel: 360-397-8484
#6 A Season for Change Counseling and Hypnosis 3.7 532 N. Main Avenue Gresham, OR 97030 Main Tel: 503-997-7734
#7 Daybreak Youth Services Vancouver Outpatient Counseling 3.4 11818 SE Mill Plain Boulevard Suite 213 and 307 Vancouver, WA 98684 Main Tel: 360-750-9635 Secondary Tel: 888-454-5506
#8 Stewart Behavioral Health Center 1.8 1002 Library Court Oregon City, OR 97045 Main Tel: 503-655-8264

Finding a Substance Abuse Treatment Center in Portland

Start by determining your coverage

In order to determine the appropriate rehabilitation center for you, you’ll need to learn about your health coverage. You can reach out to your private or healthcare marketplace insurance provider to discover which centers your coverage includes. To learn if you qualify for low-income Medicaid services, and to determine eligibility, you can visit the Oregon or Washington Medicaid websites and reach out to the appropriate contacts for help. No matter the type of coverage you have, all insurance companies must cover substance abuse treatment for qualified individuals.

Use our database to find a treatment center near you

The tool below lists all of the treatment centers in the state of Oregon recognized by the Substance Abuse and Mental Health Services Administration (SAMHSA). Input your zip code and select the filter icon to find relevant treatment centers near you.

Schedule an assessment

For your drug or alcohol treatment to be eligible for insurance coverage, you’ll need to take the first step of having your needs assessed by a qualified therapist or counselor. Most facilities provide assessments, or your primary care provider may be able to refer you. Contact companies in our database above to find out if they will provide this service.

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Type Of Care
Treatment Approaches
Service Setting
Age Groups Accepted
Ancillary Services
Facility Operation
Facility Smoking Policy
Gender Accepted
Language Services
License Certification Accreditation
Payment Assistance Available
Payment Methods and Insurance Accepted
Special Programs Groups Offered

    What to Expect in Rehab

    Addiction treatment is a multifaceted industry, and there are numerous techniques and philosophies of recovery. As approaches are researched and implemented, the science of studying addiction shifts and improves. However, the core elements of rehabilitation in all programs remain very similar.

    Description of the Four Steps of the Rehab Process

    For more on what to expect in rehab, read our guide on the addiction rehabilitation process.

    Finding Aftercare in Portland

    The rehabilitation process can be a lifelong venture, and without proper aftercare upon release from a treatment facility, the chances of relapse increase. A variety of different aftercare options provide flexibility, such as follow-up visits for continued therapy, sober living homes, and group therapy. Research illustrates that long-term participation in aftercare activities dramatically improves the outcome of rehabilitation efforts.

    Alcoholics Anonymous created the 12-step process for recovering from alcohol addiction, and now many other organizations utilize the same type of recovery system. For example, NA, or Narcotics Anonymous, is the most prominent program that incorporates a 12-step process for those struggling with drug addiction.

    Basics of a 12 step meeting

    Contact the appropriate local organization to find an AA or NA meeting near you

    See our directory tool below to find local organizations that can help you find your local Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) group meetings. Meeting times and locations change periodically, it is best to call ahead to make sure the online information is accurate.

    Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) Database

    Name City Program Telephone Spanish Hotline

    Sober Living Homes

    Sober living homes, or recovery residences, help residents maintain sobriety while learning how to fulfill a positive role in society. The supportive and positive environment of these homes is particularly helpful to addiction recovery, and a zero-tolerance policy towards drugs and alcohol ultimately benefits the residents. These communities strongly encourage their residents to build employment and relationship skills. Research shows that people who integrate into such communities focus more effectively on breaking free of the cycle of substance abuse and, consequently, building a life outside of their addiction.

    Residents of sober living homes are expected to pay rent, do chores, and treat their surroundings respectfully. Support groups in each home are based upon house principles, and attendance is often mandatory. Residents may usually stay for a few months up to several years, as long as they maintain sobriety and follow other house rules.

    You can find sober living homes in Portland by checking our database, or you can select the appropriate filter from our tool above. Alternatively, you can head to our guide on sober living homes to learn more about them, as well as search for a certified recovery residence in your area.

    Substance Abuse in Portland

    The underage marijuana usage rate is higher in Multnomah County than the state of Oregon

    Oregon and Washington legalized recreational marijuana in 2014 and 2012, respectively; although it remains illegal across the United States, according to federal law. Like alcohol, marijuana can be abused and produce both unpleasant and dangerous short- and long-term side effects. Persons under 21 years of age are restricted from legally using marijuana due to its negative impact on brain development during adolescence. In fact, youth who begin using marijuana before age 18 are four to seven times more likely to develop a marijuana use disorder than those who begin using as adults.


    of Multnomah County 11th graders currently using marijuana, 2017


    of Oregon 11th graders currently using marijuana, 2017

    The 2017 Oregon Healthy Teens Survey indicates that many students in the Greater Portland area do not grasp the importance of delaying marijuana use until their brain structures are more developed. Multnomah County, of which Portland is the county seat, reported both 8th graders and 11th graders using marijuana at rates higher than the state average. However, neighboring Clackamas County suffered from the highest rate of underage marijuana users, with 25% of 11th graders indicating they currently use marijuana. Furthermore, neighboring Columbia County reported the highest rate of 8th-grade usage at an alarming 10.4%. Conversely, both Washington County and Yamhill County fell well below the Oregon state average for usage among both 8th graders and 11th graders.

    Underage Oregon Students Currently Using* Marijuana, 2017
    Multnomah County  Clackamas County  Columbia County Washington County Yamhill County State of Oregon
    8th Graders 7.0% 9.2% 10.4% 3.1% 4.1% 6.7%
    11th Graders 21.9% 25% 20.1% 16.3% 17.5% 20.9%

    * “currently using” is defined as use within the past 30 days

    Source: 2017 Oregon Healthy Teens Survey

    The Greater Portland area also includes Clark County and Skamania County in Washington State. Skamania County did not publish youth health survey data in 2017, and Clark County collected its youth risk behavior data in a slightly different manner than Oregon counties did. However, the available data from Clark County reveals a similar story of high levels of underage marijuana use. In 2015, 19.8% of Clark County high school students reported current use of marijuana, and that percentage rose to 21.5% in 2017. Similarly, in 2015, 30.6% of Clark County high school students reported ever having tried marijuana, with that rate rising to 35% by 2017.

    Source: Clark County Combined Health District Youth Risk Behavior Survey: 2015, 2017

    Methamphetamine abuse is a growing problem in the Greater Portland area

    Data from syringe exchange programs in Multnomah, Clackamas, and Washington counties indicates that, while heroin is still more commonly injected than methamphetamine, intravenous use of methamphetamine is increasing while intravenous use of heroin is decreasing among clients utilizing these programs. From 2012 to 2015 in the Tri-County area, first-time visitors to syringe exchange sites reporting methamphetamine as the primary injected drug increased by 11%, while first-time visitors reporting heroin as the primary injected drug decreased by 10%. The data also reveals that, from 2010 to 2016, methamphetamine use among syringe exchange clients rose by a staggering 45%.

    Primary injected drug by first-time syringe exchange visitors, 2012-2015

    pounds of heroin seized by Portland law enforcement, 2018


    pounds of methamphetamine seized by Portland law enforcement, 2018

    Additional data from the Portland Police Department suggests that overall methamphetamine use is on the rise, as seizures of methamphetamine by the department rose by 73.49% from 2016 to 2018. In 2018 alone, Portland law enforcement officials seized over twice as many pounds of methamphetamine as they did heroin. Dried marijuana was the only drug that was seized in larger quantities since, despite legalization, marijuana may be confiscated by law enforcement if regulations are not followed. At 134,655.21 pounds, there was enough methamphetamine seized by law enforcement in 2018 to supply every resident of Portland with nearly a quarter pound of methamphetamine, and untold larger amounts of the drug circulate on the street without being seized by police.

    The percentage of fatal overdoses in Multnomah County is much higher than the national average


    of Multnomah County deaths are caused by drugs and alcohol


    of U.S. deaths are caused by drugs and alcohol

    In Multnomah County, where Portland is the county seat, a shocking 22.11% percent of residents died of a drug or alcohol overdose between 2008 and 2017, compared to just 12.71% of Americans nationwide. With a rate of overdose deaths that is 74% higher than the national average, Multnomah County has an overdose crisis. An astonishing 204 people per 100,000 in Multnomah County die from a drug or alcohol overdose annually.

    Drug and Alcohol-Induced Deaths Between 2008 and 2017
    0-17 18+ All Ages
    Drug-Induced Deaths in Multnomah County 4 13,173 13,177
    Alcohol-Induced Deaths in Multnomah County 2 2,418 2,420
    Total Deaths in Multnomah County 691 69,850 70,541
    Percentage of Drug & Alcohol-Induced Deaths in Multnomah County 0.87% 22.32% 22.11%

    Source: CDC Wonder

    Distressingly, other counties in the Greater Portland area have similarly grim overdose percentages, all falling between 18.17% and 23.23% during the same timeframe. Of the seven local counties, Columbia County’s overdose rate was the highest at 23.23%.

    Percentage of Overdose Deaths for All Ages in Portland Area Counties, 2008-2017
    Clackamas Clark Columbia Multnomah Skamania Washington Yamhill
    19.15% 20.17% 23.23% 22.11% 21.85% 18.17% 20.74%

    Source: CDC Wonder

    Key Indicators of Substance Abuse

    While it may not be obvious at first glance exactly how many people in a community are struggling with substance abuse and its effects, we can study several related areas to see the larger impact of substance abuse in Portland. We located statistics from FBI crime reports, traffic accidents, and suicide rates across the area that provide a broader view of the consequences of substance abuse in and around Portland.

    Portland’s overall number of drug and narcotics crimes rose between 2016 and 2017

    One way to gauge changes in a city’s substance abuse issues is to look at relevant crime rates. Over the last several years, Portland police agencies have participated in an FBI crime-tracking system called the National Incident-Based Reporting System (NBIRS). In both 2016 and 2017, publicly-released NBIRS data revealed increases in drug and narcotic-related crimes in Portland.

    From 2016 to 2017, drug and narcotic offenses increased by 7.62%; drug and narcotic violations rose by 7.27%, and drug equipment violations doubled in number. However, it should be noted that although drug equipment violations increased by 100%, these incidents are still uncommon with a total of only 12 violations reported in 2017.

    The differences among these three categories of drug and narcotic-related crimes are subtle and contain a great deal of overlap. Drug and narcotic offenses mainly involve production, distribution, or use of certain controlled substances, while drug and narcotic violations is a broader category of drug crime that not only encompasses the definition of an offense but also includes the cultivation, possession, transportation, manufacture, and importation of any controlled drug or narcotic. Drug and narcotic equipment violations include the unlawful sale, manufacture, or distribution of equipment used in the drug trade, but some drug equipment violations may also be categorized as drug and narcotic offenses.

    Drug and Narcotic Offenses and Violations in Portland, 2016-2017
    2016 2017 Percentage Change
    Drug and Narcotic Offenses 1574 1694 7.62%
    Drug and Narcotic Violations 1568 1682 7.27%
    Drug Equipment Violations 6 12 100%

    Sources: NIBRS 2016 , NIBRS 2017

    Suicide is less common in Multnomah County than it is in Oregon


    suicides per 100,000 residents in Multnomah County, 2011-2017


    suicides per 100,000 residents in Oregon, 2011-2017

    While a significant number of Portland area residents struggle with substance abuse issues, suicide-related statistics for the area are better than regional, state, and national averages. Between 2011 and 2017, there were 15.6 suicides per 100,000 residents in Multnomah County, a figure significantly lower than many other Oregon counties whose prevalences ranged from 20 to 40 suicides per 100,000 residents. In Oregon as a whole, urban counties like Multnomah County had lower rates of suicide than what are termed “frontier” and “rural” counties. The state average was 17.7 suicides per 100,000 residents during the same time period.

    Most Portland area counties have elevated rates of alcohol-related driving deaths vs. national and state averages


    of Clackamas County driving deaths involved alcohol impairment


    Oregon driving deaths involved alcohol impairment

    Nationally in 2016, 10,497 people died in alcohol-related driving accidents, accounting for 28% of all traffic deaths in the United States. 2019 county health rankings for the Portland area, which rely on data collected from 2013 to 2017, reveal that only Yamhill County reported a rate of alcohol-impaired driving deaths lower than the national average. Furthermore, Clackamas County’s rate of alcohol-impaired driving deaths is 6% higher than the Oregon state average while, in the state of Washington, the rate of alcohol-impaired driving deaths in Skamania County is a whopping 26% higher than the state average.

    Percentage of Alcohol-Impaired Driving Deaths in Portland Area Counties, 2013-2017
    Clackamas Clark Columbia Multnomah Skamania Washington Yamhill
    37% 35% 35% 34% 59% 28% 20%

    Take Action

    Many resources in the Portland area are available to assist residents struggling with substance abuse. By using the tools within this guide, you can find a rehabilitation center near you that will help you determine your insurance coverage and your rehab needs. Many low-cost centers can provide help, even if you don’t have insurance or feel like you are unable to afford treatment.