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Madrona Recovery, offering dual-diagnosis mental health and recovery services for adolescents aged 13-17. 

Frequently Asked Questions

What type of program and population does Madrona Recovery Program serve? 

We are a residential, dual diagnosis short term stabilization program. We work with youth of all genders who are struggling with mental health and substance abuse issues.  


What ages do you accept? 

Ages 13-17 


Is your program co-ed? 

Yes, we work inclusively with youth of all genders. 


Is your program LGBTQ inclusive? 



How long is your program?  

Each client’s progress is unique, depending on progress and safety, youth are in our program approximately 30-45 days.  

Is there an option for a shorter or longer than 30 days? 

Madrona Recovery Program is client centered and the length of treatment is tailored to stabilize both the client's mental health and substance abuse issues. Our program is a minimum of 30 days, and extension of up to 45 days depending on youth’s progress and readiness for discharge. The guardian always has the option to discharge their child from treatment early. However, this may be considered against clinical or medical advice.  


Is Madrona Recovery Program a secure facility?  

Yes, once youth are admitted they cannot discharge themselves. A guardian would need to approve of discharge and pick them up. 

What if my child does not want to come to residential treatment?  

Although we are a secure facility, we are a voluntary program. This means youth need to be willing to walk in the door on the day of admission and complete the admission with staff before walking on to the unit. We highly discourage not letting your youth know they will be admitting to our program.  


Do you have visiting hours?  

Madrona does not allow family and friends to visit in-person. This is due to the short-term nature of our program, as well as the risk of allowing visitors into a secure setting. 

Professional support people such as child welfare workers or probation officers can visit their clients in person as necessary.  


Will I be able to call my child?  

Calls are discouraged for the first 24 hours. This is to allow them to get used to their new environment. After 24 hours, youth can make 1 phone call per day to primary guardian(s) only. By participating in treatment programing, youth can earn additional phone calls (up to 4 per day) to approved contacts such as siblings, grandparents, friends, etc. Youth are always able to contact legal representatives such as a probation officer or attorney.  


Are families involved in therapy?  

Your child’s individual/family therapist at Madrona Recovery Program will facilitate family therapy over video chat with you and your child weekly. This is offered based on the client’s willingness to participate. If a client is refusing to participate in family therapy, the client's therapist will communicate with family regarding progress or concerns individually and separately from client. Also, the individual/family therapist can offer a parent therapy session.  Information that is shared will be in compliance with law surrounding age of consent and whether the client has signed a Release of Information. Our preference is for clients and families to leave Madrona with a home rules agreement and safety plan created with client and family at minimum.  

We do also offer a once-a-week drop-in family support group on Saturdays from 9am-10:30 for current and previous clients.  


Will they have their own bedroom?  

Most of our bedrooms are single occupancy. We have a few bedrooms that are shared between two youths. Upon admission, every youth will start in a single room. Staff will only assign roommates after getting to know your child and all parties would have to agree to the roommate assignment, to include guardians. It is possible your child could have their own room the whole time they are here. 


Do they have their own bathroom?  

No, the bathrooms are shared between the community, but are all single occupancy with one shower, one sink, one toilet. 


What is a typical day like?  

Wakeup up is 8:30am and bedtime is 9:45pm. Meals are around 9am, 12pm, 5pm. Clients are expected to attend structured groups from 10am-8pm. Groups vary from day to day but include clinically focused curriculum, life skills, recreation, substance abuse recovery skills, art therapy, community building and play based therapy.   


What can they bring with them?  

Packing List.docx  


What about school? 

Madrona does not require that youth engage in school while they are here. That decision is up to the youth and their family. If your child does want to continue with school, they would stay enrolled in the district they are currently in. We have an education coordinator staff who will reach out to your child’s school to help create a manageable workload for them. Schools will often send a packet of assignments or make assignments available to your child digitally. Youth can bring the laptop or tablet they currently use for school. These will be locked in our classroom and only available during school time and monitored by staff. There is typically one hour per day allotted for school time, if a client needs more time to keep up with school, we can do our best to accommodate this.  


What kind of therapy is offered?  

Weekly the client has one mental health, one substance abuse, and family therapy session.  Daily your child will have a holistic and evidenced best practice group counseling schedule. We also offer medication management. (We do not offer EMDR)  


How often will my child meet individually with their assigned therapist?    

Your child will meet with their therapist once a week for individual therapy, once a week for family therapy as well as their substance use counselor weekly.  


What qualifications do your staff have?  

Our staff are required to meet qualifications and requirements established by the Oregon health Department and Health Authority.   


Do you take my insurance?  

If your insurance company is out of network with us, we are sometimes able to create single case agreements with them. This would need to be addressed on a case-by-case basis, after we receive a referral.   

We cannot tell you how much you can expect to pay out of pocket until we do a benefit check with your specific insurance policy.  


How do I start the admission process?  

To be considered for admission, your child’s outpatient provider (therapist, substance use counselor, psychiatrist) needs to send us clinical records showing that your child needs a residential level of care. These records need to be less than 30 days old but should also include records that are older than that if they are relevant to your child’s current situation. We can also accept referrals from hospital and emergency room social workers if a youth happens to be seen at the hospital for their behavioral health. Once we receive this referral, our admissions staff will reach out to the guardian to discuss the next steps.  

***referrals cannot come from your child’s primary care doctor*** 

What if my child doesn’t have an outpatient therapist?  

More often than not insurance agencies want to see that guardians and professionals have attempted to engage clients in services within the least restrictive setting prior to authorizing residential level of care. These services include outpatient therapy, intensive outpatient and partial hospitalization.   

Depending on your child’s situation, they can sometimes get a one-time substance use assessment, also called an ASAM or CDA (Chemical dependency Assessment). The purpose of an ASAM is to determine what level or care your child needs. Madrona cannot provide this assessment prior to intake; it needs to be completed by an outpatient program.  


Many outpatients' behavioral health clinics can complete ASAMs. Based on our most recent knowledge these providers below have been able to assist with these assessments.  

  • Lifestance Health 

  • Lifeworks NW 

  • Hawthorn Walk-In Center (Washington Co residents only) 

  • Bridgeway Recovery 

  • NARA 

  • Rimrock Trails 

  • Center for Family Development 


If your child is assessed as needing a residential level of care, the ASAM can be sent to Madrona as a referral.  


What is the wait time for admission?  

The wait time can vary depending on a variety of factors. Call our admissions staff at 503.749.0200 ext. 528 for a current wait time estimate. 


What if my child needs to detox from drugs or alcohol?  

Madrona can only accommodate a certain severity of detox symptoms. Our licensing allows us to provide clinically assisted detox, but not medically assisted detox. This will be assessed by our admissions and nursing staff on a case-by-case basis based on your child’s current use patterns and type of substance.  


Do you have after care?  

Madrona does not offer outpatient services. Your child will have a case manager on their treatment team who will assist your family in finding appropriate aftercare services that are local to you and in-network with your insurance. Often youth will discharge to the same outpatient providers they had previously. Sometimes we’ll help find new or additional services such as outpatient mental health therapy, substance use counseling, family therapy, and/or psychiatric medication management.  


What’s your success rate?  

Substance use and mental health recovery can be a long-term process. Our piece of the process is to offer stabilization in a safe and secure setting. It is our goal that clients leave Madrona Recovery Program in a better place than when they came, but their long-term success is highly dependent on their own commitment, and willingness to apply methods of recovery and engage in aftercare services.  

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