Counseling and Treatment

Awaiting Immigration Hearing

Contact:
Program Manager
Selma Carson Home
619 54th Avenue E.
Tacoma, WA 98424
United States
Phone:
Programs/services
  • Individual intake and assessment services
  • Access to routine and emergency medical care
  • Mental health care
  • Education and recreation
  • Classes on decision making and future planning skills
  • Individual and group counseling
  • Access to legal, religious and other social services
  • Educational assessment for future placements
  • Transition into community life

The Selma R. Carson Home (SRCH) is a 23-bed facility that serves undocumented and unaccompanied boys between the ages of 12 and 17 who are in the United States, and are, or will be, going through immigration proceedings. The youth have been apprehended by state or federal law enforcement and come from all across the country. The SRCH works with the federal Department of Health and Human Services’ Administration for Children & Families, and the Office of Refugee Resettlement to assist in family reunification efforts.

Who is eligible

This program serves boys between the ages of 12 and 17 who are in the country illegally.

How to apply

Youth are referred by the Division of Unaccompanied Children Services, within the federal Office of Refugee Resettlement.

Information for family members

For information about visitation, telephone calls, sending mail to residents, or any other questions, please call the program manager at 253-922-7005.

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Co-occurring Residential Program (CORP)

Contact:
Intake/Information
11900 Beacon Avenue S.
Seattle, WA 98178
United States
Phone:
Who is eligible

CORP is a specialty Medicaid program designed to serve individuals who are involved in the criminal justice system and have been diagnosed by an agency as having both a mental health and substance use disorder. We contract directly with counties and each county has specific guidelines of how admissions need to be processed. We also accept clients referred directly by their Tribe or through the Indian Health Services. Private pay (cash) clients will be considered on a case by case basis and require extra steps to ensure that we have enough information to adequately serve the client and their family. Apple Health and classic Medicaid are both accepted.

How to apply
  • Pierce and Skagit County clients need a referral from a their local behavioral health provider
  • King County clients can only be referred by Drug Diversion Court or via a regional Mental Health Court
  • Tribal and IHS clients need to apply through their behavioral health office
  • All other clients need to contact their local county Drug and Alcohol Coordinator to determine if they are eligible for the program

For more information, please contact our admissions coordinator at 206-772-6900. 

Pioneer’s Co-occurring Residential Program (CORP) is a 16-bed facility that provides specialized residential treatment for men and women with co-occurring mental health and substance use disorder issues. CORP is the only long-term residential co-occurring treatment program in Washington State, with a length of stay from 60-90 days (based on American Society of Addiction Medicine criteria).

Services
  • Comprehensive client needs assessment
  • CORP staff includes a licensed psychiatrist, licensed mental health professionals and chemical dependency professionals
  • Evidence-based practices
  • Integrated treatment planning and recovery-focused engagement to identify symptoms and warning signs related to relapse; daily active client self-monitoring of mood/symptoms, relapse triggers and client identification/practice of a range of appropriate coping skills
  • Life-skills and time management training by mental health professionals
  • Nutrition, health, recreation and recovery lifestyle classes
  • Interdisciplinary team weekly client reviews of medication compliance, attendance in groups and classes, client behavior, participation and engagement in substance use disorder and mental health counseling, and involvement in case management and aftercare planning
  • Family education pursuant to substance abuse and mental health issues
  • Intra-company access to continuing care and counseling services
  • CORP can continue serving clients on Methadone or other Opiate Substitution Therapies

Priority population will be given priority when they have satisfied all other contractual requirements. These priority populations are:

  1. Pregnant injecting drug users
  2. Pregnant substance users
  3. Injecting drug users
  4. Parenting women

 

 

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Dutch Shisler Service Center

Contact:
1930 Boren Avenue
Seattle, WA 98101
United States
Phone:
How to apply

Most of the people we serve at Dutch Shisler are self-referred. There is no application process. Many of our clients are brought to us from:
 

  • 911 Dispatched vans (emergency service patrol)
  • Hospital referrals
  • Police
  • Fire departments
  • Family/friend
  • Self Referral

The Dutch Shisler Service Center provides a safe setting for people who are chronically homeless and inebriated to get sober and sleep so they do not end up in local hospitals and jails.

Services
  • Medically monitored diversion center
  • Sleeping accommodations
  • Nourishment
  • Substance use disorder and mental health assessment referrals
  • Referrals for counseling offsite
  • Intensive case management
  • Help with housing, medical and social needs
  • Serves as an access point to other services needed
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Family Intervention

Contact:
Julia Armendariz
Family Intervention & Restorative Services
1211 East Alder Street
Seattle, WA 98122
United States
Who is eligible

This program serves both boys and girls between the ages of 8 and 17 who get arrested for DV3, DV4, and Assault 4.

Information for family members

For information about visitation, telephone calls, sending mail to residents, or any other questions, please call the program manager at 206-744-7373.

Family Intervention and Restorative Services (FIRS) is a non-secure 24/7 receiving facility with seven beds at the King County Youth Detention Center that eliminates the need for detention bookings on the majority of family violence cases. The program allows flexibility for families to receive respite services that are not tied to the criminal justice system and will greatly reduce formal charging.

The Step-Up team (Juvenile Probation Counselors and Social Workers) work with the families and youth resident in the center to determine when the resident will be eligible to go home and what services the family may need to continue a safe environment for the whole family. Residents in the center work with staff on coping skills, stress management, anger management and alternative communication styles. 

Groups/services
  • Coping skills
  • Stress management
  • Anger management
  • Alternative communication styles
  • Individual intake and assessment services
  • Meetings with social worker or juvenile probation counselor
  • Access to legal, religious and other social services
  • Transition into community life
  • Alternative shelters (Youth Care, Spruce Street and Friends of Youth.)
 
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In Crisis

Contact:
Intake/Information
Spruce Street Inn
1102 East Spruce Street
Seattle, WA 98122
United States
Phone:
Services for youth and their families
  • Intake assessment and screening
  • Substance abuse and mental health screening and referral
  • Evaluation of youth and family for protective and risk factors
  • Family intervention and reunification counseling
  • Community resource referrals to support reconciliation efforts
  • Behavior management and development programming
  • Coping skills, self-awareness and motivation groups

The program offers six Crisis Residential Center beds for the following:

  • Youth who are found in dangerous situations by law enforcement, or have a current runaway report made by their parent/guardian, or are in violation of a curfew ordinance
  • Youth who self-refer
  • Youth who are court ordered through the truancy process and there are safety concerns in the home
  • Youth who are dependents of federally recognized Tribes

And 12 Pioneer Receiving Center beds for the following:

  • Referred by a DSHS Social Worker because youth requires emergency placement outside of their home
  • Youth in state care who have a disruption in their placement 
Who is eligible

Youth between the ages of 12 – 17 are eligible who exhibit high-risk behavior, have a runaway report, are found by law enforcement in dangerous circumstances or are in violation of a local curfew ordinance. Also, children are brought in by state social workers due to family conflict or if they are in need of placement.

How to apply

For the crisis residential beds, youth can only be referred by law enforcement, self-referral, the courts for truancy, and federally recognized Tribes. Law enforcement must exhaust all other potential placements including attempting to return the youth to parents/guardian. For the emergent placement services, youth are referred by Department of Social and Health Services, Division of Children and Family Services and social workers. Initial screening is done by phone with Spruce Street Staff and the DSHS Gatekeeper. Please call the director with questions or for more information at 206-587-0992.

Located in the Capitol Hill neighborhood of Seattle, the Spruce Street Inn is a center for the co-located programs of the Spruce Street Crisis Residential Center (CRC) and the Pioneer Receiving Center (PRC). The Spruce Street CRC provides a safe place and residential services for at-risk youth who are in crisis and the PRC provides emergent placement services for youth that are short-term, emergent, and  temporary. The center offers services for up to 18 youth in coordination with Washington State’s Division of Children and Family Services and the Office of Homeless Youth within the Washington State Department of Commerce. Spruce Street is one of a few select programs in Seattle that provides services to “street youth”, chronic runaways, and commercially sexually exploited children.

The center was originally created as a result of the 1995 “Becca Bill” to increase protection for children, and to provide better tools for parents and law enforcement to manage at-risk youth. The bill created safe facilities where runaway teens could be detained for up to 15 days while efforts to reunite the youth with their families or a suitable placement could be found.

Youth between the ages of 12 through 17 are provided services at the Spruce Street Inn CRC for 360 hours (15-day limit) and 15 days (with the possibility of extending it to no more than 30 days) in the PRC. While at Spruce Street, a counselor works with the youth and his or her family to identify the source of conflict, rule out neglect or abuse, and develop a plan for reunification. During family mediation sessions, optional services are discussed to include an At-Risk Youth Petition, Child in Need of Services Petition, drug or alcohol treatment, or an alternate living arrangement with other family members. Community resources are also identified to help meet the family and the youth’s unique needs. The goal is to build a strong family and youth support system through the combination of staff support, family mediation efforts, and resource referrals that will lead to the youth returning home with a foundation to have long-term stability and positive change within their lives.

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Parental and Adolescent Counseling Services (PACS)

Contact:
Program Manager
United States
Phone:
Who is eligible

Children must be residing in the home or plan to reunify in the near future.

How to apply

Families must be referred by the Department of Social and Health Services, Division of Children and Family Services.  Please call the program managers for more information:

Snohomish and Skagit Counties

Contact Program Manager: 425-766-6019

Pioneer Human Services offers intensive services to preserve families that are at significant risk of having children removed from the home due to abuse, neglect or severe family conflict in Snohomish and Skagit Counties. We also support reunification of families that are currently separated due to an open dependency case. Our in-home counselors works with the parents and the children to identify specific barriers, challenges and needs. Each family learns to develop a plan and follow it. Goals are focused on specific issues the parents and/or youth need to address to realize positive change and move toward stability.

Focus areas
  • Placement prevention
  • Parenting assessment
  • Family reunification
  • Parental skill building
  • Individual and family counseling
  • Increase home safety
  • Problem solving
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Pioneer Center East

Contact:
Admissions Coordinator
3400 W Garland Avenue
Spokane, WA 99205
United States
Phone:
Who is eligible

PCE accepts voluntary and involuntarily individuals committed to the program, often because they have been unsuccessful in other treatment programs. Many residents have chronic medical conditions, including liver disease, seizures, ulcers, malnutrition and respiratory disease.  A large percentage of the residents also have difficulty following rules and struggle to stay motivated for change.

We also accept people who meet these criteria and are frequent users of hospitals and other public services, but do not have a court order.

How to apply

The application process varies depending on the individual situation:

  • Voluntary commitment (or self-stipulation) requires authorization through the individual's local Behavioral Health Organization (BHO).
  • Involuntary commitments require a series of steps, including petioning the court.
  • Native American tribes and drug courts may refer people directly.
  • Self-paying customers may apply directly.

For more information, please contact our Admissions Coordinator at 509-325-2355 or visit our Information for families page. 

Pioneer Center East (PCE) is a 53-bed facility in Eastern Washington that provides semi-secure, sub-acute detox service and intensive inpatient treatment for people who battle chronic substance use disorder. Located in Spokane County, PCE provides variable-intensity residential treatment for high-need, treatment-resistant individuals.

Services
  • A sub-acute detox and stabilization unit
  • Basic living skills, nutrition, health, recreation and recovery lifestyle classes
  • Relapse behavior and prevention groups
  • Anger management classes and process groups
  • Coping skills, grief and loss, self-esteem and trauma survivor groups
  • Motivational programming for the recidivist population
  • Meditation, pain management and relaxation exercises
  • Pre-vocational and vocational training
  • Discharge preparation group and comprehensive community-transition planning
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Pioneer Center North

Contact:
Information
1960 Thompson Drive
Sedro-Woolley, WA 98284
United States
Who is eligible

PCN accepts individuals who are 18 years and older who meet the criteria for medical necessity or intensive inpatient services.

How to apply

The application process varies depending on the individual situation:

  • Most individuals will need a substance use evaluation by a Chemical Dependency Professional and be authorized for substance use services by the  Behavioral Health Organization (BHO)
  • Find your BHO by clicking HERE
  • Involuntary commitments require a series of steps, including petitioning the court
  • Native American tribes and drug courts may refer people directly
  • Self-paying customers may apply directly

For more information, please contact Admissions/Scheduling at 360-856-3186 or visit our Information for families page.

Pioneer Center North (PCN) is a 141-bed facility in northwestern Washington that provides residential and intensive inpatient treatment for people who battle chronic substance use disorder. Located in Sedro-Woolley, PCN also provides evidence based programming for men and women. PCN accepts voluntary and involuntarily individuals committed to the program, often because they have been unsuccessful in other treatment programs. Many residents have chronic medical conditions, including liver disease, seizures, ulcers, malnutrition and respiratory disease. A large percentage of the residents also have difficulty following rules and struggle to stay motivated for change.

Services
  • A sub-acute detox and stabilization unit
  • Medication management
  • Evidence based programming for substance use disorders to include:
    • Living in Balance, Matrix, Seeking Safety, Dialectical Behavioral Skills, Motivational Enhanced therapy approaches, Mindfullness Meditation
  • Relapse behavior and prevention groups
  • Basic living skills, nutrition, health, recreation and recovery lifestyle classes
  • Coping skills, grief and loss, self-esteem and trauma survivor groups
  • Meditation, pain management and relaxation exercises
  • Vocational workshops include resume building, job interviewing skills and practice, professionalism, job search skills
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Pioneer Counseling - Emerson Clinic

Contact:
Program Information
910 W. Boone Avenue
Suite 201
Spokane, WA 99201
United States
Phone:
Who is eligible

To be eligible for the Spokane Counseling program, individuals need to have a felony charge linked to a substance use disorder. All patients are referred by their public defenders and cannot have violent or sexual offenses. 

Pioneer Counseling - Emerson Clinic currently provides intensive outpatient services to individuals who are in the pre-conviction Spokane County Therapeutic Drug Court program, eligible under the Criminal Justice Treatment Account, Revised Code of Washington (CJTA RCW), or on federal probation. Patients who attend the program have a felony linked to substance use and many also have mental health conditions.

In the pre-conviction Spokane County Therapeutic Drug Court program, counseling staff work with over 100 patients during the one-year long program. All patients are eligible to receive support services including housing, transportation funds, childcare and peer mentoring. Upon successful completion of the counseling program, their felony charges that are a result of their substance use disorder are dismissed.

Pioneer provides assessments, intensive outpatient and outpatient treatment to approximately 65 patients who are also on federal probation. In addition, we provide urine screening for over 100 patients who are on federal probation. The curriculum for U.S. Probation clients is Seeking Safety and Thinking for Change.

Services

Evidence-based curriculum is utilized in the program to include:

  • Thinking For A Change is a principle that thinking controls how people act, and that to change the way people act, they have to take control of their thinking.
  • The Matrix Model provides a framework for engaging stimulant (e.g., methamphetamine and cocaine) abusers in treatment and helping them achieve abstinence.
  • Seeking Safety is a present-focused coping skills model for clients with a history of trauma and/or substance abuse.
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Pioneer Counseling - Rainier Clinic

Contact:
Intake/Information
901 Rainier Avenue South
Seattle, WA 98144
United States
Phone:
Who is eligible

We serve adults with a broad range of mental health and/or substance use disorder issues.

How to apply

People can self-refer to our program. We also accept referrals from law enforcement and other agencies. For more information, please call us at 206-470-3856 or fill out the Pioneer Counseling Request Form.

Pioneer Counseling - Rainier Clinic in Seattle supports clients in their recovery from mental health and substance use disorder issues.

Services
  • Outpatient individual and group counseling
  • Psycho-social assessments
  • Psychiatric evaluations
  • Medication management and monitoring
  • Emphasis on integration of mental health and substance use disorder treatment
  • Referral to treatment


Supported by United Way of King County

 

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Pioneer Counseling - Tacoma Clinic

Contact:
Intake/Information
758 St. Helens Avenue
Tacoma, WA 98402
United States
Phone:
How to apply

People can self-refer to our program. Referrals from law enforcement and other agencies are also accepted. Walk-in assessments for substance use disorder are held Monday through Friday at 8 AM. For more information, please call us at  253-274-0484 or fill out the Pioneer Counseling Request Form.

 

Pioneer Counseling - Tacoma Clinic supports clients in their recovery from substance use disorder issues.

Services
  • Brief intervention services
  • Intensive outpatient services
  • Outpatient counseling & treatment
  • Substance use disorder assessments
  • Housing location services
  • Family reunification services
  • Referrals to treatment
Who is eligible

We serve adults with a broad range of substance use disorder issues.

 

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Severe Behavior

Contact:
Director of Snohomish County Youth Programs
Pioneer Human Services
United States
Phone:
Who is eligible

Cypress House – 13-18 yr. old males, serves adjudicated sex offenders, and youth with extreme behavior and mental health issues

Sequoia House – 14-18 yr. old males, serves youth with behavioral/psychiatric/sexual aggression problems

Tamarack House – 15-18 yr. old males, serves adjudicated sex offenders, and youth with extreme behavior and mental health issues

How to apply

Youth must be referred by the Department of Social and Health Services, Division of Children and Family Services. Please call the Director of Snohomish County Youth Programs at Pioneer Human Services for more information at 360-659-9139.

 

The three Snohomish residential homes serve boys between the ages of 13 to 18 years-old who are struggling with emotional, behavioral and/or psychiatric problems. Residents may have demonstrated sexually aggressive or violent behavior, and in the Cypress and Tamarack Houses some youth are adjudicated sex offenders.

Treatment/services
  • Behavioral Rehabilitation Services (BRS) therapy
  • Counseling to help youth admit and take responsibility for actions
  • Classes to examine aggression, learn empathy and adopt appropriate responses
  • Structured daily schedule
  • Independent living skill classes
  • Individual and group therapy
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Skagit County Crisis Center

Contact:
201 Lila Lane
Burlington, WA 98233
United States
Phone:
Services Include
  • Sub-Acute Detoxification Services – ensures safe withdrawal from alcohol and drugs, provides substance use disorder assessment referrals, and  assists clients to ensure after care is arranged. The dedicated staff of SCCC also helps to coordinate treatment and the center offers a seven-day Suboxone Tapering program for opioid addiction.
  • Short Term Mental Health Stabilization – offers individual crisis counseling, medication stabilization, evidence-based  programming to identify strengths and personal goals for improved mental health, and referral service assistance for mental health issues through coordinating care with on-going mental health and substance abuse disorder providers.
  • Jail Transitions Case Management – promotes successful community reintegration from jail for Skagit residents using evidence-based treatment that teaches skills for independent living and employment post-release. The program works in conjunction with the North Sound Mental Health Administration and Skagit County Jail for clients who are not already receiving mental health services. Clients cannot be currently enrolled in mental health services.
  • Residential Substance Abuse Treatment (RSAT) – designed for inmates who are currently incarcerated at Skagit County Jail who disclose they have a substance use disorder and want to engage in a treatment program. Treatment is provided during the individual’s incarceration. If applicable, Pioneer staff work to develop a reentry plan in order to facilitate a successful transition from incarceration to becoming a productive member of society. The program is voluntary and acceptance is based on individuals being assessed while in custody.
  • Crisis Prevention Intervention Team (CPIT) – Compass Health subcontracted with Pioneer to provide substance use disorder services for the CPIT. CPIT is a community based outreach team with the ability to respond to and provide services in the community. It serves adults, adolescents and children who are located in Skagit County who are experiencing a behavioral health crisis or substance use disorder. For more information contact Compass Health at 360-419-3640.
  • Housing Case Management – helps individuals with mental illness and/or substance use disorder issues that have had a long history of being homeless to remain in a stable environment.

The Skagit County Crisis Center is a 16-bed crisis, mental health stabilization and sub-acute detox program. The center serves Skagit County residents for detox and North Sound County residents who are experiencing a crisis related to their substance use disorder and/or mental health challenges. Most of the services are available 24 hours a day, 7 days a week.

This program receives funding from Skagit County Community Services; funding sources come from the North Sound BHO and Skagit County.

Who is eligible

We serve Skagit County adults in crisis including those who are:

  • Intoxicated or in withdrawal from alcohol or other substances and are medically stable
  • In need of stabilization due to mental health concerns
  • Assessed as having co-occurring mental health and substance use disorder issues
How to apply

People can self-refer to our program if they are in crisis. We also accept referrals from law enforcement, hospital emergency departments, mental health agencies, and family or friends. For more information, call us at 360-757-7738.

 

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Whatcom Community Detox

Contact:
Whatcom Community Detox
2030 Division St, #B
Bellingham, WA 98226
United States
Phone:
Services
  • Safe withdrawal from alcohol and drugs
  • Counseling
  • Motivational programming
  • Referrals to mental health services
  • Referrals to substance use disorder treatment

Whatcom staff work with clients in an attempt to motivate them to seek further treatment. Staff also provides clients with resources in the community and support through each step of the process. 

Whatcom County Involuntary Treatment Services – Whatcom Community Detox is the referent for involuntary treatment commitments to Pioneer Center North (PCN) in Sedro-Woolley and Pioneer Center East (PCE) in Spokane, Washington. As the only involuntary treatment provider in the state, PCN and PCE specialize in treating people who are battling chronic addiction and have been unsuccessful in other treatment programs. Under state law, people may be committed to treatment if they are found to be at risk of serious harm or gravely disabled as a result of chemical dependency.

Whatcom Community Detox provides a monitored setting for the safe withdrawal from alcohol and other drugs. The detoxification is provided in a sub-acute (non-medical) unit where intensive medical monitoring is not required. In addition to stabilization and safety, the goal of these services is to assess people’s mental health and substance use disorder-related needs and help them access the services they need to recover.

Whatcom Substance Abuse Protective Custody –  The center works with Whatcom County and St. Joseph Medical Center to provide protective custody duties for persons who are a threat to themselves or others due to substance use disorder/intoxication.

Medically Assisted Opioid Addiction Tapering Program – Working with Whatcom County on a pilot program, Whatcom County Detox is assisting individuals with opioid addiction to access treatment and to keep them engaged in the recovery process. The tapering program has an Engagement Case Manager and utilizes a physician who prescribes Suboxone for a smooth tapering so clients transition easier into a treatment program.

Who is eligible

Whatcom Community Detox serves individuals who are intoxicated or in withdrawal from alcohol, or other chemical substances, but are medically stable.

How to apply

Individuals can self-refer themselves to the center. Whatcom also accepts referrals from law enforcement, hospital emergency departments, mental health agencies, and family or friends of the client.

For more information, call us at 360-676-2020 Ext. 5.

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