Camas has no treatment campus of ours. What it has is proximity. The Recovery Village Ridgefield Detox Center sits on NE 94th Avenue in Vancouver, about 10 miles northwest along SR-14 in a straight line, farther by road, and it is a detox-only site.
That matters, so it is worth stating twice. That address handles medically supervised withdrawal. The therapy, the beds and the step-down programs sit at our larger Clark County campus, The Recovery Village Ridgefield, further north. Most people from Camas use two addresses in sequence, not one. Below: where residents go, what each site does, who needs supervised withdrawal, what Premera Blue Cross or Washington Apple Health tend to do, and what the first call sounds like. Statewide context lives on our Washington page.
Where Camas residents actually go for drug and alcohol rehab
Camas sits at the eastern end of Clark County, along the Columbia between Washougal and Vancouver. SR-14 is the road that matters. The mill still shapes the town.
Portland is visible across the river, and plenty of Camas residents work there. That creates a quirk worth naming. Your employer may be in Oregon. Your insurance network, your Medicaid program and your treatment options are Washington ones. Check which state’s rules your plan follows before you assume.
Within Washington the pattern is straightforward. Withdrawal is handled in Vancouver. Everything after it happens at Ridgefield. Neither is far.
You will not find a list of other operators’ facilities here. Our nationwide directory is the broader map, and our facility directory shows where each of our own campuses is, grouped by state.
The Vancouver detox center, about 10 miles northwest of Camas
NE 94th Avenue in Vancouver is the nearest of our sites. From most of Camas that is a short run out SR-14, and it is one you can do at any hour.
Medical detox operates there. The center’s own page says it is accredited by The Joint Commission and licensed by the state of Washington, Chemical Dependency Services and the Department of Social and Health Services [9].
Because it is purpose-built for withdrawal, it concentrates on that stage with round-the-clock medical supervision. Federal protocol frames detox as three linked jobs, evaluation and stabilization followed by getting the patient into treatment [1], and that third job is exactly where a detox-only site has to hand over well.
Our Ridgefield campus is where that hand-off usually lands. It runs residential and inpatient care, a partial hospitalization program, an intensive outpatient program, dual diagnosis treatment and medication-assisted treatment.
Detox in Vancouver, and the levels of care that follow at Ridgefield
Start with what the Vancouver site offers, which is medical detox. Planning usually means two steps rather than one.
After withdrawal, the continuum opens up. The Surgeon General’s report describes an array of service options matched to need, rather than a single program everyone enters [3]. Residential care is defined there as offering organized services in a 24-hour setting outside a hospital, with support, structure and an array of evidence-based clinical services [3].
Below residential sit partial hospitalization and intensive outpatient care. The same chapter treats these together and describes them as running from counseling and education up to clinically intensive programming, often serving as the step down [3]. Lighter still is ordinary outpatient care, described as fitting a mild to moderate substance use disorder or as continuing care once something heavier has finished [3].
Residential care, partial hospitalization, intensive outpatient care, dual diagnosis treatment and medication-assisted treatment all run at Ridgefield. Where ordinary outpatient sessions happen once those are finished is a question for admissions on the first call. Our levels of care page works through what each one asks of you.
If someone is having a seizure, is unresponsive or has trouble breathing, call 911. For a mental health crisis, call or text 988.
Detox first: what happens in the first 72 hours
This is a medical question, not a preference. Federal protocol builds detox from evaluation, stabilization and entry into treatment [1]. It applies where physical dependence exists.
Certain withdrawals kill people. Severe alcohol dependence can produce seizures and delirium tremens with fatal outcomes [2]. So can loss of control over temperature, pulse and blood pressure [2]. That is why federal guidance says hospitalization, or some form of 24-hour medical care, is generally the preferred setting for withdrawal from alcohol, sedative-hypnotics and opioids [2].
Opioids invert the usual expectation. Unlike alcohol and sedative withdrawal, uncomplicated opioid withdrawal is not life-threatening [2]. The threat is what comes next. Anyone who has become drug-free or medication-free carries a raised overdose risk should they use again [2], because withdrawal reduces a person’s tolerance, so someone who has just come through it can overdose on a much smaller dose than before [7].
If someone is having a seizure, is unresponsive or has trouble breathing, call 911. For a mental health crisis, call or text 988.
Throughout, staff watch rather than wait. Federal protocol asks for continuous medical surveillance, vital signs included [2]. It also asks for repeated reassessment, so deterioration is spotted early [2]. Read our medical detox page for the detail. Our inpatient rehab page covers the stage beyond it.
Cost and coverage in Washington: Premera Blue Cross, Washington Apple Health and self-pay
Three routes cover nearly everyone in Clark County.
Commercial insurance comes first. With a carrier such as Premera Blue Cross, expect a deductible, then a percentage share. Approval is usually required ahead of an inpatient admission. Parity law sets the ceiling. A plan cannot apply harsher copays, coinsurance or visit caps to substance use benefits than it applies to substantially all its medical and surgical benefits in the same category [6]. Restrictions aimed only at substance use benefits are not allowed [6]. Parity has a scope worth knowing. It applies to non-federal governmental plans with more than 50 employees, to private employer group plans with more than 50 employees, and to individual-market coverage. Small-employer group plans are generally outside it, although non-grandfathered small-group and individual plans must cover mental health and substance use disorder services as an essential health benefit under the Affordable Care Act [6].
Washington Apple Health is the second. Apple Health is the umbrella brand for the state’s medical assistance programs, Medicaid included [5]. The Health Care Authority integrates state-funded services for substance use, mental health and problem gambling [4]. It also funds and trains community providers [4]. Apple Health offers managed care plans in all regions statewide, and the agency says your plan coordinates physical health, mental health, and substance use disorder treatment services to provide whole-person care under one health plan [8]. It also offers Behavioral Health Services Only plans in all regions, for members whose physical coverage sits somewhere else [8].
Paying privately is the third. Our own cost page puts basic residential at $2,000 to $20,000 and detox at $250 to $800 a day; those are our published ranges rather than a quote for any particular stay. Ask for a written quote showing what the daily rate covers and what is billed on top. Our pages on insurance coverage and what rehab costs explain the components.
Commuting to outpatient vs staying on campus
For Camas residents this question arrives twice, because detox and treatment happen at different addresses.
Detox is not a commute. It means staying put, and the Vancouver site is set up to supervise a withdrawal overnight.
The second decision is the real one. Residential care at Ridgefield means living there. Four things argue for it. An unstable household. Attempts that collapsed at home. A psychiatric diagnosis needing daily attention. A substance still within easy reach.
Traveling in for partial hospitalization or intensive outpatient care makes the drive routine. That works when home is steady and transport is dependable. Its advantage is that you practice recovery in your actual life, not a protected one.
Weather is the local complication. Gorge wind, winter ice on SR-14 and the odd snow event all make an evening drive unreliable. Say so while the schedule is being built. Our outpatient rehab page describes the lighter tiers.
What the first phone call covers
Expect to talk rather than to fill anything in, and expect the call to end inside an hour.
The ground covered is predictable. What has been happening and over what period. Which substances, and whether more than one. Previous attempts. Medical history, current prescriptions, and any other diagnosis. Then withdrawal specifically: has stopping ever produced tremor, sweating, a seizure or hallucinations? If any of that is happening now rather than in the past, call 911 before you call admissions; for a mental health crisis, call or text 988.
Logistics follow. Whether you work across the river, who looks after children, and whether you can get to Vancouver.
Two endings are both normal. An assessment gets scheduled, or somebody tells you candidly that a different tier or a different provider suits you better. Insurance checking runs alongside it, so keep the card nearby. Someone else may call for you. The order of the whole process is on our how to get into rehab page.
Camas support and Washington public resources after discharge
Write the exit plan in the first week. It should name the next tier of care, a first appointment with a date on it, medication arrangements, and an address where you will sleep.
The natural route from the Vancouver detox site is straight into Ridgefield, where residential care, partial hospitalization, intensive outpatient care, dual diagnosis treatment and medication-assisted treatment all operate. Keeping the same clinical group through that transition is worth real effort.
Washington’s Health Care Authority funds and trains community-based providers [4]. Apple Health is the umbrella brand for the state’s medical assistance programs, Medicaid included [5].
Housing settles the rest. Returning to the same rooms under the same arrangements is how good work gets undone, so agree what changes while a clinician is still involved in the conversation.
Frequently Asked Questions
Is there a drug rehab in Camas? No campus of ours operates inside Camas. The closest is The Recovery Village Ridgefield Detox Center on NE 94th Avenue in Vancouver, about 10 miles northwest along SR-14, and it provides medical detox. Residential care, partial hospitalization, intensive outpatient care, dual diagnosis treatment and medication-assisted treatment are at our Ridgefield campus further north in Clark County.
Do I go to Vancouver or to Ridgefield first? Vancouver, if a medical detox is the first step. The campus’s own what-to-expect page says patients completing a medical detox go to the detox center first, at 8114 NE 94th Ave in Vancouver, and not to The Recovery Village Ridgefield main campus, and that going to the wrong location will delay care. Confirm the address with admissions when the arrival time is set, because the answer changes once detox is behind you and treatment continues at Ridgefield.
Does Premera Blue Cross cover rehab for Camas residents? Frequently, but the answer depends on your particular policy, your deductible position and whether approval is granted in advance, so no one can promise it. Where parity law applies, a carrier may not impose harsher limits on substance use benefits than it applies to substantially all its medical and surgical benefits in the same category. Its scope is worth knowing: it reaches non-federal governmental plans with more than 50 employees, group health plans of private employers with more than 50 employees, and individual-market coverage, and it does not require a plan to offer the benefit at all. Ask admissions to verify.
Does an Oregon employer change where I go for rehab? Not by itself. Plenty of Camas residents work across the river in Portland, but where you live is what usually decides things: your insurance network, your Medicaid program and the campuses within reach are Washington ones. What an Oregon employer can change is the plan itself, because the employer picks the design and the network. So check which state’s rules your plan follows before assuming anything, and ask admissions to run the benefits check against the plan rather than against the address.
What happens if SR-14 is iced over on an evening I have intensive outpatient care? Say it out loud while the schedule is being built, not on the night. Gorge wind, winter ice on SR-14 and the odd snow event all make an evening drive from Camas unreliable, and a clinical team that knows this can weight the timetable toward daytime groups or plan for the sessions you will miss. It is also one of the arguments people weigh when they choose between traveling in and staying on campus for the residential phase.
Sources
- Center for Substance Abuse Treatment. (2006). Overview, Essential Concepts, and Definitions in Detoxification. Detoxification and Substance Abuse Treatment, Treatment Improvement Protocol (TIP) Series, No. 45, Chapter 1. Substance Abuse and Mental Health Services Administration. https://www.ncbi.nlm.nih.gov/books/NBK64119/
- Center for Substance Abuse Treatment. (2006). Physical Detoxification Services for Withdrawal From Specific Substances. Detoxification and Substance Abuse Treatment, Treatment Improvement Protocol (TIP) Series, No. 45, Chapter 4. Substance Abuse and Mental Health Services Administration. https://www.ncbi.nlm.nih.gov/books/NBK64116/
- Office of the Surgeon General. (2016). Early Intervention, Treatment, and Management of Substance Use Disorders. Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health, Chapter 4. U.S. Department of Health and Human Services. https://www.ncbi.nlm.nih.gov/books/NBK424859/
- Washington State Health Care Authority. Behavioral Health and Recovery. State of Washington. https://www.hca.wa.gov/about-hca/programs-and-initiatives/behavioral-health-and-recovery
- Washington State Health Care Authority. Apple Health (Medicaid). State of Washington. https://www.hca.wa.gov/about-hca/programs-and-initiatives/apple-health-medicaid
- Centers for Medicare & Medicaid Services. The Mental Health Parity and Addiction Equity Act (MHPAEA). CMS.gov. https://www.cms.gov/marketplace/private-health-insurance/mental-health-parity-addiction-equity
- MedlinePlus. Opiate and opioid withdrawal. U.S. National Library of Medicine. https://medlineplus.gov/ency/article/000949.htm
- Washington State Health Care Authority. Apple Health managed care. State of Washington. https://www.hca.wa.gov/health-care-services-supports/apple-health-medicaid-coverage/apple-health-managed-care
- The Recovery Village Ridgefield Detox Center. Medical Detox in Vancouver, Washington. The Recovery Village. https://www.therecoveryvillage.com/locations/vancouver/
This page is for general information and is not medical advice. Only a licensed clinician who knows your history can tell you what is right for you. If you or someone you know is in immediate danger, call 911. For free, confidential support 24/7, call or text 988.
Author
Chief Medical Officer,
The Recovery Village
