2. Mission Our mission is to treat people whose health and quality of life are compromised by alcohol, drugs and mental health challenges. We do so through patient-centered care, partnerships with other healthcare providers and community partners, and through advocacy for effective public policy.

3. Vision We envision a society in which people with histories of and substance use disorder, mental health conditions, people at risk for these conditions, and people in recovery are valued and treated with dignity and respect. We envision a society in which stigma, prejudices, discrimination and other barriers to recovery are eliminated

4. Our History CODA is the oldest opioid addiction treatment program in Oregon. The agency was established in 1969 as part of a state effort to provide methadone to clients in need of treatment who could benefit from this medicine. CODA became an independent 501(c)(3) not- for-profit in 1979.

5. BAKER BENTON CLACKAMAS CLATSOP COOS CROOK CURRY DESCHUTES DOUGLAS GILLIAM GRANT HARNEY HOOD RIVER JACKSON JEFFERSON JOSEPHINE KLAMATH LAKE LANE LINCOLN LINN MALHEUR MORROW MULTNOMAH POLK SHERMAN TILLAMOOK UMATILLA UNION WALLOWA WASCO WASHINGTON WHEELER YAMHILL COLUMBIA MARION CODA’s Range

6. CODA’s Programs Outpatient Centers MAT Residential Centers Supported Housing Drug Court Detoxification MULTNOMAH WASHINGTON CLACKAMAS

7. Washington County Services Tigard Recovery Center Detox Tigard Recovery Men’s Residential Tigard Recovery Outpatient Treatment Hillsboro Recovery Outpatient Treatment Stepping Stones Transitional Housing

8. Tigard Recovery Withdrawal Management Services Staffed with trained medical professional 24 hours, 7 days a week Ability to take patients with complex medical needs-ADA compliant Medication-assisted treatment options Case management, referrals and assistance to next assessed level of care Ability to perform on-site inductions of several medicines used for medication assisted treatment, such as Vivitrol, Naltrexone, Buprenorphine, and Acamprosate.

9. Tigard Recovery Men’s Residential Treatment Individual and group counseling/Small caseloads Patients can be dually enrolled in residential and medication assisted treatment programs i.e. Methadone, Suboxone, and Vivitrol ADA compliant Evidence based Group curriculum Emphasis on transition planning and ability to transition patients within CODA’s system of care

10. Tigard Recovery Outpatient Treatment DUII Certified Program Outpatient Substance abuse treatment (all levels-monitoring, level I & II) Medication Assisted Treatment (Suboxone) Evidence based Group curriculum Individual Counseling

11. Tigard Recovery Outpatient Treatment Case Management Random urinalysis testing program Comprehensive substance abuse assessments Onsite Childcare

12. Hillsboro Recovery Outpatient Treatment DUII Certification Program Specialty Criminal Justice Programs (IRISS and drug court) Evidence Based group curriculum Individual Counseling

13. Hillsboro Recovery Outpatient Treatment Outpatient Treatment- all levels (monitoring, level I & II) Onsite Childcare Random Urinalysis testing program Peer mentoring services Comprehensive substance abuse assessments

14. Precontemplation ContemplationPreparationActionMaintenance Detox Residential IOP Outpatient Assessment LevelsOfCare Vertically Integrated System of Care Assessment Determines Level of Care & Stage of Change = ▲ Clinical Decision Point ▲ ▲ ▲ ▲ ▲ ▲ ▲ ▲ ▲

15. Precontemplation ContemplationPreparationActionMaintenance Detox Residential IOP Outpatient Assessment LevelsOfCare Vertically Integrated System of Care Assessment Determines Level of Care & Stage of Change = ▲ Clinical Decision Point ▲ ▲ ▲ ▲ ▲ ▲ ▲ ▲ ▲ Clinical Decision Points Client Staffing CODA PPC Data Stage of Change Readiness Scale

16. Precontemplation ContemplationPreparationActionMaintenance Detox Residential IOP Outpatient Assessment LevelsOfCare Evidence-Based Practices = ▲ Clinical Decision Point ▲ ▲ ▲ ▲ ▲ ▲ ▲ ▲ ▲ Medical Monitoring Harm Reduction AOD Education Motivational Interventions Motivational Group Series AOD Education Family Education Intensive Time-Limited Services Women’s Specific Treatment Co-Occurring Disorders Track Criminal Justice Track Clinical & Transition Planning Relapse Prevention Cognitive-Behavioral Treatment Transitional/Vocational Skills Community Recovery

17. The CODA Treatment Model Goals Create a vertically and horizontally integrated system of Care rooted in science that reflects the natural course of addictions Align technology and infrastructure with science and strategic partnerships Generate meaningful multi-dimensional integration – from neighborhoods to policy makers to universities Sensitive to Sub-populations

18. Critical Factors: Client Care Clients enter the system at a point consistent with their need. Treatment models must be flexible and adapt to client need – reflecting the current state of knowledge in the field. Each level of care must clearly understand its role, its relationship to other levels of care, its limitations and be disciplined to not exceed that role. Clinical services are transparent – engaging family and community.

19. Critical Factors: Staff Staff must identify with being part of a broader system of care, not a component part. Staff must share in the common value of doing whatever is necessary to move the client as efficiently and effectively through the system of care. Staff must provide all the care that is necessary and nothing more.

20. Critical Factors: Community Partners Services must be easily accessible. The intake must be thorough and comprehensive as it determines program placement and the course of treatment. Primary Care, Child Welfare, Probation, Parole and other community partners must be systematically engaged and included in the treatment process.

21. Thank You! Please follow us on Facebook If you would like to receive updates from CODA please fill out the e-mail sign up sheet we will pass around the room.