Opioid treatment program moves toward completion


By Sue Cody

December 14, 2019

OTP Alispon Noice Seaside

To meet the needs of people recovering from substance use disorders on the coast, a new opioid treatment program (OTP) will open in Seaside in 2020. Currently, Oregon Health Plan (OHP) members are traveling to the Portland metro area for required medication-assisted treatment.

Columbia Pacific Coordinated Care Organization, which coordinates care for OHP members in Clatsop, Tillamook and Columbia counties, sought a clinic on the coast because of the high cost of transportation.

Why medication-assisted treatment?

“The road to recovery from substance use disorders is not a straight line,” says Alison Noice, Executive Director of CODA, Oregon’s oldest recovery program. CODA will run the OTP in Seaside.

Noice says recovery is complicated because many people are dealing with more than addiction. Housing, mental health, physical health, poverty and entanglement in the legal system can also be issues.

“Medication often helps stabilize the patient,” Noice says.

This outpatient clinic will dispense recovery medications such as methadone, naloxone, naltrexone and buprenorphine.

Treating the whole person

Noice says each outpatient will have a medical practitioner, doctor, nurse and counselor. Therapy, counseling sessions, group meetings and working with the community to reduce the stigma of substance use disorders is all part of the path to recovery.

CODA works with child welfare, law enforcement, medical partners, organizations and the community to help the patient heal, reunite with family, find employment and lead a productive life.

The facility

The clinic, located in south Seaside, is designed so people are not traumatized, says construction coordinator Sydney Van Dusen.

It is aligned with CODA’s beliefs of having a welcoming atmosphere, accessibility to easy exits and admissions that aren’t overly complicated, Noice says.

Van Dusen led a tour of the facility on October 28. One priority was designing the space for easy patient flow. The highlights:

  • Bright, open reception area
  • Windows for privacy while dispensing drugs
  • Easy exits
  • Four fully equipped medical site rooms
  • Group therapy rooms
  • Secured medical safes
  • Counseling rooms
  • Secure areas that require a card key
  • Nurses quarters
  • Open spaces for public meetings

CareOregon Behavior Health Medical Director John Bischof says, “The clinic is amazing. It is well laid out and trauma-informed, which is important in all aspects. Many people have experienced significant trauma and the easy entry, easy exit is brilliant.”


CODA is in the process of staffing the clinic.

“We need strong leadership here away from the mothership,” Noice says.

There will be a site medical director, medical operations manager with a nursing background, senior clinical manager, nurse practitioner, medical assistant and support staff.

“With this clinic, it is good to see daily how patients are responding to treatment,” Noice says. “As they get stable and quit using, they come to the clinic less often. When people are successful in treatment, they move back into the community, get jobs, reunite with family and get stable housing. We want to be good partners and good neighbors. We respect the community.”