Where are you today?
Pick the one that feels closest. You can change your mind at any point.
I’m worried about my own use
A free, confidential call to the Oregon Alcohol & Drug Helpline is a good first step. They listen, and they can point you to treatment near you.
See who to callI’m worried about someone I love
Find words that open the door, ways to keep them safer, and support for you too.
Read the family guideI’m worried about overdose
How to spot an overdose, how to use naloxone, and where to get it in Oregon.
Learn what to doReaching out is the hardest part, and you’ve already started.
These lines are free and confidential. You don’t need to be sure about anything before you call.
If you think someone is overdosing
Fentanyl is now in much of the drug supply, including fake pills. Acting fast saves lives.
- Check for signs. Won’t wake up, slow or no breathing, blue or gray lips or fingertips, gurgling or snoring sounds, tiny pupils.
- Call 911. Say the person isn’t breathing or won’t wake up, and give your location.
- Give naloxone (Narcan). Spray it into one nostril. If they don’t respond in 2 to 3 minutes, give another dose.
- Support their breathing. Give rescue breaths if you know how, or roll them onto their side.
- Stay with them. Naloxone can wear off before the drugs do, so wait for help to arrive.
Getting naloxone in Oregon
- Buy it at most pharmacies without a prescription.
- Ask your doctor, clinic or treatment counselor. Many can give it for free.
- Syringe service and harm reduction programs give it out free.
- Your county public health office can tell you where to find free naloxone nearby.
Oregon’s Good Samaritan law gives some legal protection to people who call 911 for an overdose.
What help can look like
There’s no single route. Most people use a mix of these over time.
- Medical detox
- Supervised care to get through withdrawal safely. Withdrawal from alcohol and some drugs can be dangerous on your own.
- Medication
- Prescribed treatments like buprenorphine and methadone that ease cravings and withdrawal for opioids, plus options for alcohol.
- Therapy and counseling
- One-on-one or group sessions that build skills for cravings, stress and relationships.
- Outpatient care
- Treatment that fits around work, school and family, with regular visits.
- Residential programs
- Stay somewhere safe and structured for a few weeks or months while you focus on recovery.
- Peer support
- Peer mentors and groups led by people who’ve been there, in person or online.
When it’s someone you love
You can’t make someone change, but how you show up makes a real difference.
Start with care, not blame
Pick a calm, sober moment. Say what you’ve seen and how you feel: “I’ve noticed you seem exhausted, and I’m worried about you.”
Keep them safer
Keep naloxone at home and learn how to use it. Ask them not to use alone. Staying alive comes first.
Look after yourself
Family support groups, counseling and helplines are there for you too. Call 1-800-923-4357 even if your loved one isn’t ready.
Find treatment and services
Trusted, free places to search for care in Oregon.
- Lines for Life: Alcohol & Drug HelplineTalk with someone 24/7 about options for you or a loved one.
- 211infoSearch local treatment, housing, food and health services across Oregon.
- FindTreatment.govFederal search tool for licensed treatment programs by location, cost and type of care.
- Oregon Health Authority: Substance useState information on treatment, recovery and Oregon Health Plan coverage.
- YouthLinePeer support for teens and young adults by call, text or chat.