Central City Concern Recovery Center

Central City Concern's Letty program offers residential treatment designed specifically for women, including pregnant women and those who are deaf or hard of hearing. Located at 523 NW Everett St in Portland, the program sits within one of Oregon's most established community-based recovery organizations — one that has been working to end homelessness and support long-term recovery in Multnomah County since 1979.

Residential treatment means participants engage with recovery programming within a treatment environment, a structure that supports women whose circumstances call for more than weekly outpatient appointments. For women navigating pregnancy, trauma histories, or co-occurring mental health conditions alongside substance use, this level of care provides the consistency that recovery work requires.

The Letty program explicitly treats co-occurring disorders and dual diagnosis, recognizing that mental health conditions and substance use disorders rarely travel alone. Trauma and PTSD are also named clinical priorities — a significant distinction for women whose addiction is tied to unresolved traumatic experiences that a purely substance-focused program would leave unaddressed.

Cognitive Behavioral Therapy (CBT) provides the clinical backbone of the program. CBT is a structured, skills-based approach that helps people examine how their thinking patterns connect to behavior — giving participants practical tools they can carry into life after residential treatment and into the longer recovery community beyond.

One of the most consistent barriers to residential treatment is cost. Central City Concern accepts Medicaid, state insurance, private insurance, self-pay and cash, and offers financial assistance — a range that reflects the organization's long commitment to serving Portland residents regardless of their economic situation.

Prospective residents and their families can reach the program by phone at (503) 235-3546 or by email at [email protected]. Administrative staff are available Monday through Friday, 8 AM to 4:30 PM. More information about the Letty program is available directly at centralcityconcern.org.

Central City Concern was founded in 1979 in direct response to Portland's need for community-anchored solutions to addiction and homelessness. The Letty program is one location within that larger network — meaning residents connect not just with clinical staff but with an organization that has spent more than four decades building recovery infrastructure in this city.

For women evaluating where to invest their effort in long-term recovery, the combination of population-specific residential programming, integrated trauma and dual diagnosis treatment, and deep roots in the Portland community makes Central City Concern a substantive option worth considering.