Madrona Recovery

Madrona Recovery occupies a specific and underserved space in the Pacific Northwest treatment landscape: residential addiction treatment built exclusively for teenagers. The center serves youth ages 13–17 in Portland, Oregon, drawing families from across Oregon and Washington who need more than a standard outpatient referral for their adolescent. When a young person requires medical detox followed by structured residential treatment, Madrona Recovery provides both levels of care within a single program.

The center operates 24 hours a day, which reflects the reality of what medically supervised detox and youth residential treatment actually require. Adolescents in active recovery from substance use need consistent clinical presence — not office-hours-only support. Families contacting the program can reach the team directly at (503) 749-0200 or visit madronarecovery.com to begin the intake process.

A significant portion of adolescents entering substance use treatment are also managing mental health conditions — anxiety, depression, trauma, and other diagnoses that interact with and often drive substance use. Madrona Recovery treats co-occurring disorders as a central part of its residential program, not an add-on. The clinical framework is built around Cognitive Behavioral Therapy (CBT), which gives adolescents concrete skills to examine and change the thinking patterns underlying both mental health symptoms and substance use behavior.

This dual diagnosis focus matters for families who have watched a young person cycle through treatments that addressed only one side of the picture. By holding substance use and mental health concerns in the same treatment frame, Madrona Recovery's residential program is designed to reach deeper into the factors sustaining a teenager's struggles — not just stabilize them through the acute phase and send them home.

Madrona Recovery offers two distinct but connected levels of care. Medical detox is the first stage, providing supervised withdrawal management for adolescents whose substance use requires a clinically monitored transition before residential treatment can begin. Medical Director Dr. Han-Chun Liang, MD, leads this aspect of the program, ensuring that the medical dimensions of early recovery are handled with appropriate expertise.

Residential treatment follows medical detox, shifting the focus from stabilization to the structured therapeutic work of recovery. In a residential setting, adolescents remain on-site in a consistent environment where CBT-based therapy, dual diagnosis treatment, and clinical support are woven into the daily structure. Together, these two levels of care create a continuum that takes a young person from the earliest, most physically demanding stage of recovery through the beginning of sustained behavioral change.

Madrona Recovery's program is specifically designed for adolescents ages 13–17, and the center explicitly serves youth who are Deaf or Hard of Hearing — a commitment that sets it apart from most residential treatment programs in Oregon and Washington. This inclusive scope reflects a program philosophy centered on meeting young people where they are, including those whose access needs are often overlooked in standard treatment settings.

On the financial side, Madrona Recovery accepts Medicaid, private insurance, and self-pay or cash, giving Oregon and Washington families a range of options when it comes to covering the cost of residential addiction treatment and medical detox for their teenager. Families can reach the admissions team directly at (503) 749-0200 to discuss coverage and next steps.