Kaiser Permanente/East Interstate

They offer outpatient and telemedicine. Which one fits is usually decided by how much structure the first few weeks need, and Portland has 8 other centers within 14 miles.

They do not offer one. Sorting detox out comes first, and Portland is the nearest place that does it, 2.9 miles away.

They prescribe buprenorphine and naltrexone, which is the part of treatment that is prescribed rather than attended. Of the 8 centers near Portland, not all of them do.

Veterans are one of the 14 groups they offer a program for.

They work in Spanish as well as English. Ask whether the group sessions in Portland are in Spanish too, or only the one to one ones.

The things worth comparing are the ones a program can answer with a fact rather than an adjective. The daily schedule is the most revealing document a program holds, and most will send it on request. Ask every place the same four questions and compare the answers side by side.

A mental health condition alongside substance use is the common case rather than the complicated one. A diagnosis made during active use often changes once withdrawal is behind somebody. Ask whether both conditions are handled by one team or passed between two.

Most residential programs are built around 30 days, which is a billing convention more than a clinical finding. The first two weeks are usually the most intensive part of whatever you choose. Ask what the criteria for leaving are, because some programs have them written down.