In 1969, CODA, Inc. was established in Portland as an outpatient opioid treatment program, providing methadone services. Today, in addition to medication-assisted treatment, CODA offers detox, residential and outpatient treatment, as well as transitional care for adults at 10 facilities in Clackamas, Multnomah and Washington counties in Oregon.
Accommodations and Food
CODA has separate housing in the Portland facility for men and women. There is a 45-bed dwelling for men, and a 27-bed residence for women as well as a five-bed capacity in the women’s section for children whose moms are in treatment. Residents share rooms that are furnished with small dressers and closet spaces. While some rooms have private lavatories, those without attached bathrooms use a main restroom. Initially, up to four roommates share a room, and as residents advance in treatment, they are paired off.
Men and women dine at separate times in a cafeteria. A full-time cook prepares three meals and two snacks per day. The cook caters to residents’ dietary needs and vegetarians are accommodated. A salad bar stocked with fresh leafy greens is available during lunch and dinner.
Located in a few miles Southwest of Portland in the suburb of Tigard, the detox and men’s residential facility is a 28-person program. There are 12 detox beds in a private ward, available to both men and women. Upon completion of detox, women usually transfer to the Portland facility for inpatient treatment and men can move to the residential section.
Basic bedrooms, which feature minimal furniture and a bathroom, are shared between two clients. There is a large cafeteria that provides a comfortable gathering space for meals. Three meals a day are prepared and served on-site. The food is prepared by a cook who focuses on nutrition and dietary requests are accommodated on a case-by-case basis. Full-strength coffee and snacks are also available during the day. Designated areas around the building can be used for smoking during breaks.
Treatment and Staff
Since there is a waiting list for all the programs at CODA, potential clients are invited to a “waitlist group” held at the administration office at 10 am, Tuesdays and Thursdays. Individuals fill out assessment forms and speak with a counselor individually, then participate in a larger group discussion. This initial screening determines program eligibility. CODA does not accept those with violent criminal backgrounds or anyone taking benzodiazepines. Referrals are offered to those who are not eligible for treatment at CODA.
Upon admittance to treatment, clients undergo complete evaluations. Those who need to go through withdrawal from opiates or alcohol can enter the medically-supervised detox program at the facility in Tigard. The length of a detox stay is typically between five and 10 days. Medication-assisted treatment is provided, and physicians and nurses monitor residents.
Treatment length in all of the inpatient programs is typically between three and five months. During the first 30 days, residents aren’t allowed to leave their houses except for medical or legal appointments. After a month, they’re granted outside passes. Cell phones and other electronics are prohibited.
With an emphasis on evidence-based practices, CBT and DBT are the primary modalities used. The gender-specific curriculum includes group therapy for eight hours daily, individual therapy once a week and substance abuse education classes. Group topics include relapse prevention, coping skills and the 12 steps. While CODA does not offer dual diagnosis support, medical referrals are made available for those with co-occurring disorders.
Upon completion of the residential programs, clients can step down to one of the outpatient programs offered in Portland, Clackamas, Gresham, Hillsbor or Tigard. A typical Intensive Outpatient (IOP) plan includes at least three 90-minute group therapy sessions and one 60-minute individual visit with a counselor each week. Programs vary in length, and the duration depends on the individual. Usually after about 90 days of IOP, clients transition to regular outpatient, which includes two groups a week and individual sessions as needed. Groups focusing on alcohol and drug education, anger management, relapse prevention and coping skills are offered.
The outpatient opioid treatment program in Portland provides methadone and Suboxone to clients requiring medication-assisted treatment for opiate withdrawal. Clients come to the facility for daily dosing. CODA provides clients counseling, medical management and care coordination, including help with finding and maintaining employment and safe, stable housing. The duration of treatment is determined on an individual basis.
Staff includes a Master’s-level executive director, a medical director who is a physician, a Master’s-level director of residential services, a Master’s-level director of outpatient services and a professor of psychiatry, who serves as a clinical consultant. There are certified counselors (CADCs) and licensed rehab techs at each of the facilities as well.
Residents participate in supervised weekend outings.
Services such as assessments, drug screenings, family counseling, group therapy and individual therapy are made available to criminal justice clients recently released from the Washington County Community Corrections Center.
Aftercare is offered at CODA’s outpatient facilities in Portland, Clackamas, Gresham, Tigard and Hillsboro. Transitional housing is provided at two facilities in Aloha for women reuniting with their children who have left foster care.
CODA offers a comprehensive list of affordable substance abuse treatment services in the Portland area. Those seeking opiate or alcohol detox, residential and medication-assisted treatment will find this to be a great fit. Still, the waiting list and lack of on-site dual diagnosis support may be a deterrent for some.
CODA, Inc. Administration
1027 E Burnside St
Portland, OR 97214
CODA, Inc. Cost: Sliding scale (30 days). Reach CODA, Inc. by phone at (503) 239-8400 (main), (503) 761-6006 (men’s residential) and (503) 761-6005 (women’s residential). Find CODA, Inc. on Facebook, Google +, LinkedIn and YouTube
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