The 2026-2030 Comprehensive Plan

In 2025, the ADPC passed a five-year comprehensive plan that aims to achieve three, high-level goals, with the overarching theme of access:

1. Reduce the prevalence of substance use and substance use disorder (SUD)

2. Reduce substance use-related deaths

3. Reduce substance use-related disparities

This plan is called, "Opening Doors: Achieving access, belonging and connection across Oregon"

(Click here to track Oregon's progress achieving the plan's Big 3 goals)

As its title suggests, this plan is about opening doors for all Oregonians impacted by substance use and substance use disorder (SUD). The plan aims to open doors to new and existing services and supports, making it easier for people to get the right help at the right time. It aims to lift up services that create a sense of belonging for all Oregonians, lowering barriers created by culturally-specific needs, geographic differences or other factors across this diverse state. It aims to connect Oregonians to the right services, as well as to the communities that can help them lead healthy and fulfilling lives. 

Working Across the Continuum

To create the Comprehensive Plan, the ADPC assembled four committees to study solutions that fall within the substance use disorder (SUD) “continuum of care." The continuum comprises Prevention, Risk Reduction, Treatment and Recovery. The ADPC, in partnership with the Oregon System of Care Advisory Council, also helped establish the Oregon Youth Addiction Alliance, which developed its own youth-specific goals for the Comprehensive Plan. The Comprehensive Plan also includes Infrastructure goals specifically pertaining to the responsibilities of the ADPC. Click on the sections below to learn about each category's key strategic goals and implementation plans. 

Tracking the Big 3 Goals

1. Reducing the Prevalence of Substance Use and Substance Use Disorders

More than one out of five Oregonians had a substance use disorder in 2023, according to SAMHSA’s National Survey on Drug Use and Health. Compared with the national average (17.1%), Oregon's significantly higher figure demonstrates the need for all Oregonians to have timely access to adequate substance use services.

The ADPC's work across prevention, risk reduction, treatment and recovery aims to decrease the prevalence of substance use disorders. Each of these areas plays a necessary role in the reduction of SUDs.

Substance use disorders are often tracked using survey data, since this allows for the inclusion of individuals who have not been diagnosed with an SUD but still have symptoms consistent with an SUD. While these surveys provide essential information, changes in methodology and resources make it difficult to accurately measure over time.

The SUD picture is best supported by looking at several measures rather than any one alone.

Along with a high prevalence of substance disorders (21.6%), surveys show as many as 74.1% of Oregonians with an SUD were not receiving treatment, 12.1% of Oregonians were struggling with drug use disorder, and 11.7% suffered from alcohol use disorder. At the same time, binge drinking among youth has declined in recent years, according to the Oregon Student Health Survey.

Data from Goals 2 and 3 (reducing deaths and disparities, respectively) can also help demonstrated the magnitude of the SUD issue. Oregon saw 1,833 people die from an overdose in 2023, according to the Oregon Center for Health Statistics. Deaths from alcohol-related causes amounted to more than 3,000 in 2022, according to Oregon death certificates.

2. Reducing Substance Use-Related Deaths

This chart shows drug overdose deaths. It includes WHAT data from WHAT sources. What can this tell us? What CAN'T it tell us? What trends should we be looking for?

This chart shows deaths from chronic alcoholic liver disease. It includes WHAT data from WHAT sources. What can this tell us? What CAN'T it tell us? What trends should we be looking for?

3. Reducing Substance Use-Related Disparities

This chart shows drug overdose deaths by race/ethnicity. It includes WHAT data from WHAT sources. What can this tell us? What CAN'T it tell us? What trends should we be looking for?