Substance Use and Overdose Prevention

Clackamas County, like many communities in Oregon and across the nation, is in the midst of a substance use addiction and drug overdose crisis. This crisis is driven largely by pharmaceutical and illicit opioids, such as fentanyl, alongside other substances, including alcohol, methamphetamine, benzodiazepines and more recently, a drug called xylazine.  

The Clackamas County Public Health Division, in collaboration with community prevention partners, are working together to address the substance use and opioid crisis. We know this will require continue collaboration across systems and across the continuum of care – prevention, treatment and recovery. This work is focused on the following efforts highlighted in the Resolution to Support Efforts and Policies to Assist Those Dealing with Opioid Abuse and Addiction, which was adopted by the BCC in 2018 and updated in 2019: 

  • Ensuring timely access to behavioral health interventions 
  • Supporting safe preserving and alterative pain care 
  • Access to medications for opioid use disorder (MOUD)  
  • Harm reduction efforts 
  • Supporting a focus on education and prevention of opioid misuse and abuse; and 
  • Supporting innovative public health-public safety approaches that address the needs of our justice-involved population.

Opioid and Fentanyl Crisis

Nationally, drug overdoses have claimed over 932,000 lives over the past 21 years, and the drug overdose crisis continues to worsen everywhere, including Clackamas County.   Synthetic opioids, such as illicitly manufactured fentanyl, continue to contribute to the majority of opioid-involved overdose deaths.  Fentanyl is up to 50 times stronger than heroin and up to 100 times stronger than morphine, so even small amounts of fentanyl can cause an overdose.

Many illegal drugs, including counterfeit prescription opioid pills, heroin, cocaine, methamphetamine, and ecstasy, can be mixed or laced with fentanyl with or without a person’s knowledge. In addition, counterfeit pills are now being sold through illicit drug markets, and more recently on social media. Buyers or users may not even know the drug they’re purchasing contains fentanyl. Learn more about the dangers of counterfeit pills.

 

Naloxone and Harm Reduction

Narcan inhaler

Naloxone spray

Naloxone is a lifesaving drug that can reverse the effects of an opioid overdose when administered in time. Learn more about Naloxone.

Clackamas County Public Health and Northwest Family Services partner to offer ‘Not Just Naloxone’ trainings to the community to provide local perspective around drug use trends and more comprehensive naloxone training.

Trainings and Resources

Where to get naloxone in Clackamas County

U.S. Food and Drug Administration approved Narcan, 4 milligram (mg) naloxone hydrochloride nasal spray in March 2023 for over-the-counter (OTC), nonprescription use without a prescription. The timeline for availability and price of this OTC product is determined by the manufacturer, however. More information is available on the FDA's website.

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Community-based organizations  that serves people at-risk of overdose, please complete the Naloxone Kit Request Form to request kits.

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Clackamas

  • Outside In, (503) 771-7914
    • Clackamas Service Center: 8800 SE 80th Ave, Portland, OR 97206
    • Tuesday & Thursday 1-4p

Estacada & Sandy 

  • AntFarm, (503) 668-9955
    • Sandy location: 39140 Proctor Blvd, Sandy Oregon 97055
    • Estacada: 350 SW Zobrist St, Estacada, OR 97023 and 354 SW 2nd Ave, Estacada, OR 97023

Milwaukie 

  • Northwest Family Services, (503) 546-6377
    • 6200 King Rd., Milwaukie, OR 97222
  • Youth Era, (541) 214-6643
    • 11097 SE 21st Ave, Milwaukie, OR 97222
    • LoveOne Events: QED Laundry/Integrated Health: 
      • 18020 SE McLoughlin Blvd, Milwaukie (1st Tuesday and 3rd Wednesday of Month from 6-8pOm)

Oregon City

  • LoveOne Events: Brax Laundry:   
    • 927 Molalla Ave, Oregon City (4th Wednesday of Month from 6-8pm)
  • Outside In, 503.535.3826
    • Father’s Heart: 700 Molalla Ave, Oregon City, OR 97045
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  • Clackamas County Public Health requires all school districts and private schools to approve and adopt a policy and procedure for storing, training staff, and administering Naloxone before our Health Officer can sign off for us to provide you with kits. 
    • Once you have adapted and the policy and procedure for your organization, please send to substancesafety@clackamas.us for review and approval. 
    • In addition to Naloxone kits, we can also provide you with other educational materials and resources about overdose prevention, fentanyl, and local resources for youth. 
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  • Store as directed in the original containers the medications come in
  • Lock medications in a safe and secure cabinet or drawer
  • Monitor medications and always know how much you should have at any given time
  • Properly dispose of any unused medications
     
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Medications should not be flushed down the toilet or drain because they can contaminate the local water supply. We have several drug take-back sites in our county to use and mail-back envelopes are an excellent resource if you don’t live near a take-back site. Go to Safe Drug Disposal to request a free mail back envelope.

If you are unable to use a disposal site, mix medications into undesirable waste, such as kitty litter, and throw it away. Make sure to remove identifiable patient information from labels before throwing away the medication containers.

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  • Clackamas County Prevention Coalition
    • Address: 112 11th St, Oregon City, Oregon
  • Community Living Above
    • PO Box 664, West Linn, Oregon
  • Northwest Family Services & Vibrant Future Coalition
    • 6200 SE King Rd, Portland, Oregon
  • Oregon City Together
    • Address: 1404 7th St, Oregon City, Oregon
  • Todos Juntos
    • Address: 126 S Knott St, Canby, Oregon
119761
  • Acadia Northwest, LLC
    • Address: 504 Main St. Ste A, Oregon City, Oregon
  • Bridges to Change
    • Address: 900 Main St. Ste 200, Oregon City, Oregon
  • Cascadia Health
    • Address: 17070 SE McLoughlin Blvd, Milwaukie, Oregon
  • Clackamas County Health Centers
    • Addresses:
      • 9775 Sunnyside Rd Ste 200, Clackamas
      • 18911 Portland Ave, Gladstone
      • 998 Library Court, Oregon City
      • 1002 Library Court, Oregon City
      • 110 Beavercreek Rd Ste 100, Oregon City
      • 38872 Proctor Blvd, Sandy
  • CODA, Inc
    • Address: 10822 SE 82nd Ste K, Clackamas, Oregon
  • Crossroads Treatment and Counseling Services, LLC
    • Addresses:
    • ▪ 8855 SW Holly Ln Ste 122, Wilsonville, Oregon
    • ▪ 501 Pleasant Ave Ste 4F, Oregon City, Oregon
  • Integrated Health Clinics
    • Address: 17882 SE McLoughlin Blvd, Milwaukie, Oregon
  • Kaiser Permanente
    • 9800 SE Sunnyside Road, Clackamas, Oregon
    • 9900 SE Sunnyside Road, Clackamas, Oregon
    • 10163 SE Sunnyside Road Ste 490, Clackamas, Oregon
  • LifeStance Health
    • 10151 SE Sunnyside Road Ste 480, Clackamas, Oregon
    •  870 SE 82nd Drive, Gladstone, Oregon
    • 880 SE 82nd Drive, Gladstone, Oregon
    • 890 SE 82nd Drive, Gladstone, Oregon
    • 5 Centerpointe Drive Ste 320, Lake Oswego, Oregon
  • LifeWorks NW
    • 4105 SE International Way Ste 501, Milwaukie, Oregon
  • Morrison Child and Family Services
    • 1713 Penn Lane Ste B, Oregon City, Oregon
    • 18905 Portland Avenue, Gladstone, Oregon
  • Neighborhood Health Centers
    • ▪ 178 SW 2nd Ave, Canby, Oregon
    • ▪ 10330 SE 32nd Ave, Milwaukie, Oregon
    • ▪ 728 Molalla Ave, Oregon City, Oregon
  • Northwest Family Services
    • 6200 SE King Rd, Milwaukie, Oregon
  • Northwest Treatment
    • 706 Main Street, Oregon City, Oregon
    • 336 N Holly, Canby, Oregon
    • 6523 SE King Rd, Milwaukie, Oregon
    • 511 Main St Ste 201, Oregon City, Oregon
  • Oregon Recovery Behavioral Health
    • 695 SE 1st Street, Canby, Oregon
  • Oregon Trail Recovery, LLC
    • 10600 SE McLoughlin Blvd Ste 102, Milwaukie, Oregon
  • Pacific Crest Trail Detox, Inc.
    • 13240 SE Rusk Rd, Milwaukie, Oregon
  • Parrot Creek Child & Family Services
    • 1001 Molalla Avenue Ste 209, Oregon City, Oregon
    • 22518 S Parrot Creek Road, Oregon City, Oregon
  • Providence Health System Outpatient
    • 1511 Division Street Ste 203, Oregon City, Oregon
  • Quest Center for Integrative Health
    • 112 Beavercreek Road, Oregon City, Oregon
  • Recovery Works NW
    • 12540 SW Main St Ste 202, Tigard, Oregon
  • Sandy Counseling Center, LLC
    • 39085 Proctor Blvd Ste E, Sandy, Oregon
  • VA Medical Center
    • 1750 Blankenship Road Ste 300, West Linn, Oregon
  • Volunteers Of America Oregon
  • Women’s Enrichment Counseling
    • 1300 John Adams Street Ste 103, Oregon City, Oregon
119761

Prescription Drug Disposal and Storage

Sharing or saving medications is a bad idea. Over 80% of misused prescriptions are obtained from someone other than a doctor. People most commonly report they got drugs from a friend or family member. Please remember to store your medications in a safe location and dispose of them when they expire, or you are finished with the prescription.

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Community-based organizations  that serves people at-risk of overdose, please complete the Naloxone Kit Request Form to request kits.

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Clackamas

  • Outside In, (503) 771-7914
    • Clackamas Service Center: 8800 SE 80th Ave, Portland, OR 97206
    • Tuesday & Thursday 1-4p

Estacada & Sandy 

  • AntFarm, (503) 668-9955
    • Sandy location: 39140 Proctor Blvd, Sandy Oregon 97055
    • Estacada: 350 SW Zobrist St, Estacada, OR 97023 and 354 SW 2nd Ave, Estacada, OR 97023

Milwaukie 

  • Northwest Family Services, (503) 546-6377
    • 6200 King Rd., Milwaukie, OR 97222
  • Youth Era, (541) 214-6643
    • 11097 SE 21st Ave, Milwaukie, OR 97222
    • LoveOne Events: QED Laundry/Integrated Health: 
      • 18020 SE McLoughlin Blvd, Milwaukie (1st Tuesday and 3rd Wednesday of Month from 6-8pOm)

Oregon City

  • LoveOne Events: Brax Laundry:   
    • 927 Molalla Ave, Oregon City (4th Wednesday of Month from 6-8pm)
  • Outside In, 503.535.3826
    • Father’s Heart: 700 Molalla Ave, Oregon City, OR 97045
119736
  • Clackamas County Public Health requires all school districts and private schools to approve and adopt a policy and procedure for storing, training staff, and administering Naloxone before our Health Officer can sign off for us to provide you with kits. 
    • Once you have adapted and the policy and procedure for your organization, please send to substancesafety@clackamas.us for review and approval. 
    • In addition to Naloxone kits, we can also provide you with other educational materials and resources about overdose prevention, fentanyl, and local resources for youth. 
119736
  • Store as directed in the original containers the medications come in
  • Lock medications in a safe and secure cabinet or drawer
  • Monitor medications and always know how much you should have at any given time
  • Properly dispose of any unused medications
     
54766

Medications should not be flushed down the toilet or drain because they can contaminate the local water supply. We have several drug take-back sites in our county to use and mail-back envelopes are an excellent resource if you don’t live near a take-back site. Go to Safe Drug Disposal to request a free mail back envelope.

If you are unable to use a disposal site, mix medications into undesirable waste, such as kitty litter, and throw it away. Make sure to remove identifiable patient information from labels before throwing away the medication containers.

54766
  • Clackamas County Prevention Coalition
    • Address: 112 11th St, Oregon City, Oregon
  • Community Living Above
    • PO Box 664, West Linn, Oregon
  • Northwest Family Services & Vibrant Future Coalition
    • 6200 SE King Rd, Portland, Oregon
  • Oregon City Together
    • Address: 1404 7th St, Oregon City, Oregon
  • Todos Juntos
    • Address: 126 S Knott St, Canby, Oregon
119761
  • Acadia Northwest, LLC
    • Address: 504 Main St. Ste A, Oregon City, Oregon
  • Bridges to Change
    • Address: 900 Main St. Ste 200, Oregon City, Oregon
  • Cascadia Health
    • Address: 17070 SE McLoughlin Blvd, Milwaukie, Oregon
  • Clackamas County Health Centers
    • Addresses:
      • 9775 Sunnyside Rd Ste 200, Clackamas
      • 18911 Portland Ave, Gladstone
      • 998 Library Court, Oregon City
      • 1002 Library Court, Oregon City
      • 110 Beavercreek Rd Ste 100, Oregon City
      • 38872 Proctor Blvd, Sandy
  • CODA, Inc
    • Address: 10822 SE 82nd Ste K, Clackamas, Oregon
  • Crossroads Treatment and Counseling Services, LLC
    • Addresses:
    • ▪ 8855 SW Holly Ln Ste 122, Wilsonville, Oregon
    • ▪ 501 Pleasant Ave Ste 4F, Oregon City, Oregon
  • Integrated Health Clinics
    • Address: 17882 SE McLoughlin Blvd, Milwaukie, Oregon
  • Kaiser Permanente
    • 9800 SE Sunnyside Road, Clackamas, Oregon
    • 9900 SE Sunnyside Road, Clackamas, Oregon
    • 10163 SE Sunnyside Road Ste 490, Clackamas, Oregon
  • LifeStance Health
    • 10151 SE Sunnyside Road Ste 480, Clackamas, Oregon
    •  870 SE 82nd Drive, Gladstone, Oregon
    • 880 SE 82nd Drive, Gladstone, Oregon
    • 890 SE 82nd Drive, Gladstone, Oregon
    • 5 Centerpointe Drive Ste 320, Lake Oswego, Oregon
  • LifeWorks NW
    • 4105 SE International Way Ste 501, Milwaukie, Oregon
  • Morrison Child and Family Services
    • 1713 Penn Lane Ste B, Oregon City, Oregon
    • 18905 Portland Avenue, Gladstone, Oregon
  • Neighborhood Health Centers
    • ▪ 178 SW 2nd Ave, Canby, Oregon
    • ▪ 10330 SE 32nd Ave, Milwaukie, Oregon
    • ▪ 728 Molalla Ave, Oregon City, Oregon
  • Northwest Family Services
    • 6200 SE King Rd, Milwaukie, Oregon
  • Northwest Treatment
    • 706 Main Street, Oregon City, Oregon
    • 336 N Holly, Canby, Oregon
    • 6523 SE King Rd, Milwaukie, Oregon
    • 511 Main St Ste 201, Oregon City, Oregon
  • Oregon Recovery Behavioral Health
    • 695 SE 1st Street, Canby, Oregon
  • Oregon Trail Recovery, LLC
    • 10600 SE McLoughlin Blvd Ste 102, Milwaukie, Oregon
  • Pacific Crest Trail Detox, Inc.
    • 13240 SE Rusk Rd, Milwaukie, Oregon
  • Parrot Creek Child & Family Services
    • 1001 Molalla Avenue Ste 209, Oregon City, Oregon
    • 22518 S Parrot Creek Road, Oregon City, Oregon
  • Providence Health System Outpatient
    • 1511 Division Street Ste 203, Oregon City, Oregon
  • Quest Center for Integrative Health
    • 112 Beavercreek Road, Oregon City, Oregon
  • Recovery Works NW
    • 12540 SW Main St Ste 202, Tigard, Oregon
  • Sandy Counseling Center, LLC
    • 39085 Proctor Blvd Ste E, Sandy, Oregon
  • VA Medical Center
    • 1750 Blankenship Road Ste 300, West Linn, Oregon
  • Volunteers Of America Oregon
  • Women’s Enrichment Counseling
    • 1300 John Adams Street Ste 103, Oregon City, Oregon
119761

Substance Use Treatment Services

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Community-based organizations  that serves people at-risk of overdose, please complete the Naloxone Kit Request Form to request kits.

119736
119736

Clackamas

  • Outside In, (503) 771-7914
    • Clackamas Service Center: 8800 SE 80th Ave, Portland, OR 97206
    • Tuesday & Thursday 1-4p

Estacada & Sandy 

  • AntFarm, (503) 668-9955
    • Sandy location: 39140 Proctor Blvd, Sandy Oregon 97055
    • Estacada: 350 SW Zobrist St, Estacada, OR 97023 and 354 SW 2nd Ave, Estacada, OR 97023

Milwaukie 

  • Northwest Family Services, (503) 546-6377
    • 6200 King Rd., Milwaukie, OR 97222
  • Youth Era, (541) 214-6643
    • 11097 SE 21st Ave, Milwaukie, OR 97222
    • LoveOne Events: QED Laundry/Integrated Health: 
      • 18020 SE McLoughlin Blvd, Milwaukie (1st Tuesday and 3rd Wednesday of Month from 6-8pOm)

Oregon City

  • LoveOne Events: Brax Laundry:   
    • 927 Molalla Ave, Oregon City (4th Wednesday of Month from 6-8pm)
  • Outside In, 503.535.3826
    • Father’s Heart: 700 Molalla Ave, Oregon City, OR 97045
119736
  • Clackamas County Public Health requires all school districts and private schools to approve and adopt a policy and procedure for storing, training staff, and administering Naloxone before our Health Officer can sign off for us to provide you with kits. 
    • Once you have adapted and the policy and procedure for your organization, please send to substancesafety@clackamas.us for review and approval. 
    • In addition to Naloxone kits, we can also provide you with other educational materials and resources about overdose prevention, fentanyl, and local resources for youth. 
119736
  • Store as directed in the original containers the medications come in
  • Lock medications in a safe and secure cabinet or drawer
  • Monitor medications and always know how much you should have at any given time
  • Properly dispose of any unused medications
     
54766

Medications should not be flushed down the toilet or drain because they can contaminate the local water supply. We have several drug take-back sites in our county to use and mail-back envelopes are an excellent resource if you don’t live near a take-back site. Go to Safe Drug Disposal to request a free mail back envelope.

If you are unable to use a disposal site, mix medications into undesirable waste, such as kitty litter, and throw it away. Make sure to remove identifiable patient information from labels before throwing away the medication containers.

54766
  • Clackamas County Prevention Coalition
    • Address: 112 11th St, Oregon City, Oregon
  • Community Living Above
    • PO Box 664, West Linn, Oregon
  • Northwest Family Services & Vibrant Future Coalition
    • 6200 SE King Rd, Portland, Oregon
  • Oregon City Together
    • Address: 1404 7th St, Oregon City, Oregon
  • Todos Juntos
    • Address: 126 S Knott St, Canby, Oregon
119761
  • Acadia Northwest, LLC
    • Address: 504 Main St. Ste A, Oregon City, Oregon
  • Bridges to Change
    • Address: 900 Main St. Ste 200, Oregon City, Oregon
  • Cascadia Health
    • Address: 17070 SE McLoughlin Blvd, Milwaukie, Oregon
  • Clackamas County Health Centers
    • Addresses:
      • 9775 Sunnyside Rd Ste 200, Clackamas
      • 18911 Portland Ave, Gladstone
      • 998 Library Court, Oregon City
      • 1002 Library Court, Oregon City
      • 110 Beavercreek Rd Ste 100, Oregon City
      • 38872 Proctor Blvd, Sandy
  • CODA, Inc
    • Address: 10822 SE 82nd Ste K, Clackamas, Oregon
  • Crossroads Treatment and Counseling Services, LLC
    • Addresses:
    • ▪ 8855 SW Holly Ln Ste 122, Wilsonville, Oregon
    • ▪ 501 Pleasant Ave Ste 4F, Oregon City, Oregon
  • Integrated Health Clinics
    • Address: 17882 SE McLoughlin Blvd, Milwaukie, Oregon
  • Kaiser Permanente
    • 9800 SE Sunnyside Road, Clackamas, Oregon
    • 9900 SE Sunnyside Road, Clackamas, Oregon
    • 10163 SE Sunnyside Road Ste 490, Clackamas, Oregon
  • LifeStance Health
    • 10151 SE Sunnyside Road Ste 480, Clackamas, Oregon
    •  870 SE 82nd Drive, Gladstone, Oregon
    • 880 SE 82nd Drive, Gladstone, Oregon
    • 890 SE 82nd Drive, Gladstone, Oregon
    • 5 Centerpointe Drive Ste 320, Lake Oswego, Oregon
  • LifeWorks NW
    • 4105 SE International Way Ste 501, Milwaukie, Oregon
  • Morrison Child and Family Services
    • 1713 Penn Lane Ste B, Oregon City, Oregon
    • 18905 Portland Avenue, Gladstone, Oregon
  • Neighborhood Health Centers
    • ▪ 178 SW 2nd Ave, Canby, Oregon
    • ▪ 10330 SE 32nd Ave, Milwaukie, Oregon
    • ▪ 728 Molalla Ave, Oregon City, Oregon
  • Northwest Family Services
    • 6200 SE King Rd, Milwaukie, Oregon
  • Northwest Treatment
    • 706 Main Street, Oregon City, Oregon
    • 336 N Holly, Canby, Oregon
    • 6523 SE King Rd, Milwaukie, Oregon
    • 511 Main St Ste 201, Oregon City, Oregon
  • Oregon Recovery Behavioral Health
    • 695 SE 1st Street, Canby, Oregon
  • Oregon Trail Recovery, LLC
    • 10600 SE McLoughlin Blvd Ste 102, Milwaukie, Oregon
  • Pacific Crest Trail Detox, Inc.
    • 13240 SE Rusk Rd, Milwaukie, Oregon
  • Parrot Creek Child & Family Services
    • 1001 Molalla Avenue Ste 209, Oregon City, Oregon
    • 22518 S Parrot Creek Road, Oregon City, Oregon
  • Providence Health System Outpatient
    • 1511 Division Street Ste 203, Oregon City, Oregon
  • Quest Center for Integrative Health
    • 112 Beavercreek Road, Oregon City, Oregon
  • Recovery Works NW
    • 12540 SW Main St Ste 202, Tigard, Oregon
  • Sandy Counseling Center, LLC
    • 39085 Proctor Blvd Ste E, Sandy, Oregon
  • VA Medical Center
    • 1750 Blankenship Road Ste 300, West Linn, Oregon
  • Volunteers Of America Oregon
  • Women’s Enrichment Counseling
    • 1300 John Adams Street Ste 103, Oregon City, Oregon
119761
Contact
Department Staff
Substance Use Prevention Program

Phone:503-742-5300
Fax:503-742-5352

2051 Kaen Road Suite 367 Oregon City, OR 97045

Office Hours:

Monday to Thursday
7 a.m. to 6 p.m.

Related News
Public Health, Board of County Commissioners