CODA provides a continuum of care, from detox to outpatient services, for persons seeking treatment options for addiction treatment. For persons seeking mental health treatment, we have limited outpatient service in Portland, Oregon, in addition to structured residential services.
If you are seeking treatment, we recommend that you contact the nearest outpatient program. Since the waiting time for a residential bed can be two weeks to six months, we recommend that our patients begin an outpatient program while waiting for a residential placement. Your outpatient counselor can then assist you with a referral to a residential site.
The average wait time is two weeks to six months. Due to federal and state regulations, women who are pregnant; persons using drugs intravenously, or who are transferring from a higher level of care must be given priority for any openings in our residential programs. It’s very important if you are on one of our waiting lists that you maintain contact with that site.
The out-of-pocket cost for our outpatient or detox services depends upon the type and amount of insurance you have. If you do not have insurance, we have subsidies that allow people to pay reduced rates based on gross monthly household income. To be eligible for a subsidy, your household income must be below 200% of the Federal Percent of Poverty Income in the county of your residence. Most clients receiving residential services from us are eligible for no-cost residential care. The best way to find out how much treatment will cost is to review your individual situation with an intake specialist at one of our locations.
We accept a variety of insurance plans, both public (Oregon Health Plan) and private. Each insurance plan is very different in its coverage of addiction and mental health treatment. At your intake appointment, we will work with you and your insurance company to determine exactly what charges are covered. For outpatient mental health services, you must be enrolled in the Oregon Health Plan and hold Verity coverage for mental health treatment.
Our counselors want you to receive the best treatment available. If our services are not the best fit for you, we are happy to help you find services in the community that will better suit your needs. You can also call 211, a free directory of services in Multnomah, Washington, and Clackamas counties.
Each client’s treatment services are set up to meet their particular needs. The frequency and duration of your treatment will depend upon the severity of your symptoms and the goals that you set during your treatment episode with us.
Methadone is an opiate and will result in physical dependence; but unlike illicit or illegal opiates, methadone does not provide a “high.” This is extremely important because it means that methadone allows patients a healthy and safe way to regain stability in areas of health, employment, relationships and housing.
Patients are not allowed to take methadone home like other prescribed drugs unless they meet certain federal regulations. In order to qualify for initial take- home doses, a patient must demonstrate three months of abstinence from all illicit drugs and be actively participating in group and individual treatment services. Once a patient has demonstrated two years of abstinence from all illicit drugs and active treatment participation, they can take up to 30 doses home. Regardless of abstinence, no patient can take home more than 30 doses at a time. Take-home schedules are regulated by state and federal law and are the same in all methadone programs in Oregon.
It is strongly recommended that persons with chronic health conditions also work with their primary healthcare provider to assure a positive treatment outcome. You should speak with your physician if you have any concerns about your physical health that could affect your ability to participate in chemical- dependency services. Clients entering our residential programs must be medically stable to enter treatment.
Patients receiving an opioid-replacement medication are expected to register all active medications with the clinic so that the physician can review medications for safety. If you are prescribed a new medication or receive a medication renewal, you must report that change to a counselor or other medical personnel for physician review. All patients are requested to sign a release of information form for any health or mental health provider prescribing medications for them. The release of information allows our physician to maintain communication with each patient’s doctors so that care can be coordinated.
All sites, with the exception of New Directions Family Treatment Center, are handicap-accessible. If you are participating in the women’s program at New Directions, you must be able to negotiate stairs.
Antabuse is a medication used to help persons with severe alcohol dependency. Drinking alcohol after taking antabuse makes the experience physically unpleasant and helps some patients reduce cravings for alcohol.
The confidentiality of your healthcare record is a top priority at CODA. Federal regulations require that all information in your records be protected. Before any information is released, you will be requested to confirm in writing any and all information to be released and the purpose for the release. Please note that outside social-service programs and insurance companies that pay for your treatment services may require you to release your treatment records. At no time, will your refusal to release information negatively affect your ability to participate and access paid treatment. These situations are provided for by federal and state regulation and occur in cases when we have serious concerns about your safety or well-being.