Counseling and Treatment

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 20-bed facility that serves undocumented and unaccompanied boys between the ages of 13 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.
USDA Nondiscrimination Statement
usda_nondiscrimination_statement_.pdf
Read more on the USDA website HERE

Who is eligible
All individuals in need of substance abuse treatment, mental health care, housing, employment or any other local service.
Carnegie Calendar & Information
View our two-page March 2023 Carnegie Calendar of Events
HERE
Please note - the Carnegie Resource Center is OPEN and serving visitors but all will need to follow safety protocols including:
- Wear a mask (masks are available in center for those not wearing a mask)
- Agree to have temperature taken
- Use hand sanitizer
- Practice safe social distancing
The Carnegie Resource Center is a gateway to a multitude of resources and training opportunities related to mental health counseling and substance use disorder treatment, employment services, housing enrollment, veteran programs, health insurance navigation, and public benefit enrollments. All services at the center are coordinated by Pioneer Human Services.
The program offers a one-stop location where local residents can engage with several service providers. Partner agencies include: Washington State DSHS, Workforce Snohomish, Washington State Employment Security, Community Health Centers of Snohomish County, Volunteers of America Western Washington, Catholic Community Services, Seattle Goodwill, Housing Hope, Refugee and Immigrant Services Northwest, Center for Human Services and many more!

Who is Eligible
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Outpatient substance use disorder assessments must reflect an ASAM 3.3 Level of Care
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CORP Everett will work with outpatient providers across the state of Washington.
OUD Everett is a specialty program designed to serve individuals diagnosed by an agency as having an opioid substance use disorder.
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Outpatient substance use disorder assessments must reflect an ASAM 3.3 Level of Care
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OUD Everett will work with outpatient providers in the Washington state.
Payment Method
For both the CORP and OUD programs in the North Sound Behavioral Health Treatment Center, we contract directly with Medicaid insurance programs including:
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Molina
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Coordinated Care
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Community Health Plans of Washington
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Amerigroup
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.
The North Sound Behavioral Health Treatment Center in Everett hosts two residential treatment programs operated by Pioneer:
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Co-occurring Residential Program (CORP) - 16 beds
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Opiate Use Disorder (OUD) program - 16 beds
Both programs require a client assessment that reflects an American Society of Addiction Medicine (ASAM) 3.3 Level of Care.
CORP
This program is s a long-term residential treatment program for individuals dually diagnosed with a substance use disorder and mental health issues. The prescribed length of stay is from 60-90 days. A comprehensive range of services is geared to treat the needs of this population over a longer period of time. An inter- disciplinary team of licensed medical personnel, mental health and substance use disorder professionals, and case managers coordinate service delivery.
Specialty services are provided with a comprehensive assessment of a client's needs to include: substance use disorder treatment, mental health treatment*, opiate substitution treatment maintenance and medical treatment using research-based assessment tools. *Mental health treatment includes medication management instruction.
OUD
The OUD program is the only short term and long-term residential treatment program of its kind in all of Washington state and provides specialized residential treatment for men and women with a severe opiate use disorder. It offers a residential stay of 56 to 90 days. The program aims to address the complex issues that accompany recovery from opiate use.
This program provides a comprehensive assessment of a client's needs including: substance use disorder treatment, screening for mental health and providing referrals, opiate substitution treatment maintenance and medical treatment using research-based assessment tools.
Services for both programs include:
- Motivational programming within a therapeutic milieu
- Trauma intervention treatment
- Coping skills, grief and loss, self-esteem and DBT groups
- Relapse behavior and prevention groups
- Anger management classes and process groups
- Basic living skills, nutrition, health, recreation, and recovery lifestyle classes
- Discharge preparation group and comprehensive community transition planning
- Peer counselor available

Pioneer’s Co-occurring Residential Program in Seattle is no longer taking on new clients as it is closing at the end of April 2023. If you are seeking residential treatment, or looking to make a referral, please contact one of our other treatment programs listed on this page.
If you are a former client and need copies of your medical health record, please visit our Request Treatment Records page for directions and authorization paperwork. If an authorization has been completed, please fax to 206-768-8910. For any other questions or concerns, please call 206-768-1990.

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.)

Who is eligible
Incarcerated individuals in the Spokane County Jail and at Geiger Corrections Center.
The Innovative Project at Geiger Correction Center provides services for incarcerated individuals who intend to engage in substance use disorder services to include screening, assessment and referrals to community-based intensive inpatient services and to Geiger Corrections Services.
The Geiger Intensive Outpatient (IOP) program is available to post-conviction individuals (have been sentenced) currently incarcerated at Geiger Correction Center with approximately 3-4 month sentences in addition to pre-trial individuals who are interested in engaging in treatment prior to being adjudicated.
Services
Evidence-based curriculum is utilized in the IOP 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.(We do not use Thinking for a Change)
-
The Matrix Model provides a framework for engaging stimulant (e.g., methamphetamine and cocaine) abusers in treatment and helping them achieve abstinence.
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Seeking Safety is a present-focused coping skills model for clients with a history of trauma and/or substance abuse.

Who is eligible
- Applicants must be supportive of recovery-based housing
- See application for required documentation
- Pass background and credit screening (examples that may lead to denial include open warrants, level three sexual offenses, arson history, recent or multiple evictions)
- Please Note: We do not accept reusable tenant screening reports
How to apply to Pathway House
Please complete the Housing Application and submit it in-person with fee and required documentation at:
206 S. Post Street
Spokane, WA 99201
About
Pioneer Pathway House is an affordable multi-family housing complex located in a historic building. Studio and single-room occupancy apartments occupy the facility with permanent supportive housing services offered onsite. Pathway's promotes an environment conducive to recovery and provides low-barrier housing for individuals with criminal histories.
Amenities
- 39-units with 5 studios and 34 single-room occupancy apartments
- Smoke and vape free
- Secured access
- Utilities included in rent
- Coin-operated washers and dryers onsite
- Community television room with cable
- Units include bed, stove, refrigerator, dresser or nightstand
- All studios have private bathroom with tub
- On bus line and in walking distance to community services
Rents and Fees
- Application fee $35
- Rental amount for single-room occupancy apartments $400-$495 (2020 rates)
- Rental amount for studio apartments $545 (2020 rates)
- Refundable deposit equal to 1-2 times rent (based on screening); refunds are based on satisfactory completion of lease agreement and condition of unit
- Nonrefundable deposit $100 (for cleaning and administration)
- Pet deposit $50 non-refundable and $100 refundable per animal; exotic pets and dogs exceeding 50lbs prohibited
- Please Note: We only accept money orders or bank issued checks – no cash or personal checks

Who is eligible
For an applicant to qualify for the Phoenix Transitional Housing Program, the following is required:
- Supportive of recovery based housing
- Income to cover monthly service fee
- Pass background screening (examples that may lead to denial include open warrants, sexual offenses, arson history, violence against children or vulnerable adults)
- Eligible Medicaid or Non-Medicaid with income not exceeding 220% of federal poverty level
- Actively engaged in behavioral health treatment with housing supports
- Referrals must come from behavioral health provider; providers should review the Phoenix Transitional Housing Program suitability criteria.
How to apply
The behavioral health provider needs to complete the Phoenix House Referral Form crisis plan, treatment plan and any reasonable accommodation documents, and send them to our confidential fax at (509) 232-7085.
About
The Phoenix transitional housing program provides transitional housing (up to six months) for individuals with behavioral health conditions while they work on obtaining permanent housing. Participants at Phoenix Transitional Housing Program enter into a service agreement, not a lease. Spokane County owns the building and sponsors the program, and Pioneer Human Services operates the program.
The Phoenix is a weapons and drug-free facility, and marijuana is not allowed.
Amenities
- 40-units with 39 studios and one 1-bedroom apartment
- Smoke and vape free
- Family friendly property
- Secured access, staff present 24-7
- Coin-operated washers and dryers onsite
- Units include bed, stove, refrigerator
- All units have private bathrooms
- Walking distance to bus line
- Free parking
- Outdoor picnic area
Low monthly service fee in accordance with the resident agreeing to the following:
- Individuals must be actively looking for permanent housing
- Maximum stay is six months but we ask that residents work with their case manager to find housing as soon as s/he is able
- Weekly check-ins and room inspections
- Residents may earn a positive rental reference by timely service fee payments, neighborly conduct and following Phoenix transitional housing program community rules
Rents and Fees
- Monthly service fee of $350-$375 (2019 rates)
- There are no other fees

Who is eligible
Applicants need to agree to the following:
- Supportive of recovery based housing
- See application for required documentation
- Pass background and credit screening (examples that may lead to denial include open warrants, level three sexual offenses, arson history, recent or multiple evictions)
- Please Note: We do not accept reusable tenant screening reports
How to apply to Carlyle Housing
Sorry - we are not currently accepting applications for the Carlyle but will resume accepting them on March 5, 2020.
Please complete the Application Forms and submit them in-person with fee and required documentation at:
206 S. Post Street
Spokane, WA 99201
About
The Carlyle is an affordable multi-family housing program located in the historic and elegant former Carlyle Hotel. Studio and one-bedroom apartments occupy the building with permanent supportive housing services offered onsite. The Carlyle promotes an environment conducive to recovery and is a low-barrier housing program for individuals with criminal histories.
The Carlyle also houses an interim housing program for veteran experiencing homelessness; for more information please contact Healthcare for Homeless Veterans at 509-462-2500 or visit 504 E. 2nd Street in Spokane.
Amenities
- 74-units with 61 studios and 13 one-bedroom apartments
- Smoke and vape free
- Secured access; staff present 24-7
- Utilities included in rent; central air conditioning
- Coin-operated washers and dryers onsite
- Community television room with cable and phone services
- Units include bed, microwave, refrigerator, dresser, table and chair
- All units have private bathrooms with shower
- On bus line and in walking distance to community services
Rents and Fees
- Application fee $35
- Rental amount for studio apartments $545-$605 (2020 rates)
- Rental amount for one-bedroom apartments $650 (2020 rates)
- Refundable deposit equal to 1-2 times rent (based on screening); refunds are based on satisfactory completion of lease agreement and condition of unit
- Nonrefundable deposit $100 (for cleaning and administration)
- Pet deposit $50 non-refundable and $100 refundable per animal; exotic pets and dogs exceeding 50 lbs. prohibited
- Please Note: We only accept money orders or bank issued checks – no cash or personal checks

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:
Island, Snohomish, Skagit and Whatcom Counties
Contact Program Manager: 425-263-0430
Pioneer's Parental and Adolescent Counseling Services (PACS) provides 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 Island, Snohomish, Skagit and Whatcom 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
- Family reunification
- Parental skill building
- Individual and family counseling
- Increase home safety
- Problem solving

Who is eligible
Incarcerated individuals in the Spokane County Jail and at Geiger Corrections Center.
About
The Innovative Project at Geiger Correction Center provides services for incarcerated individuals who intend to engage in substance use disorder services to include screening, assessment and referrals to community-based intensive inpatient services and to Geiger Corrections Services.
The Geiger Intensive Outpatient (IOP) program is available to post-conviction individuals (have been sentenced) currently incarcerated at Geiger Correction Center with approximately 3-4 month sentences in addition to pre-trial individuals who are interested in engaging in treatment prior to being adjudicated.
Services
Evidence-based curriculum is utilized in the IOP 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.(We do not use Thinking for a Change)
-
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.

Acute Detox
Pioneer is offering acute detox treatment for individuals who experience severe withdrawal symptoms. This program provides wraparound services with a medical doctor available as part of the treatment team.
In addition, the center provides a medication regiment to help individuals with a safe and comfortable withdrawal to keep them engaged in their recovery progress.
Stabilization Services
Pioneer is offering stabilization services via a trained mental health counselor that will work with individuals to help assess next steps for mental health treatment, referrals to inpatient treatment and access to peer services.
Eligibility
Ituha Stabilization Facility serves individuals in mental health crisis and those who are intoxicated, or in withdrawal from alcohol, or other chemical substances.
Individuals can self-refer themselves to the center or law enforcement, hospital emergency departments, mental health agencies, and family or friends can refer the client to the clinic.
The Ituha Stabilization Facility in Island County offers a monitored and safe setting for individuals withdrawing from alcohol and drugs, and counseling for individuals experiencing a mental health crisis. All services are provided in a 10-bed facility where intensive medical monitoring is required along with stabilization services. The goal of these services is to assess a client’s mental health and substance use disorder related needs, and assist them in accessing the services they need to recover.
Treatment Provided
- Acute Medical Detox
- Medical Assisted Treatment (MAT)
- 24/7 Mental Health Crisis Treatment
- Inpatient Treatment Referrals
Clients are admitted voluntarily and the center serves as the first step toward accessing substance use disorder treatment or mental health stabilization services. The center provides 24/7 hour supervision, monitoring, and observation by a trained staff member. All clients are offered a clean and safe environment where they can recover from the transitory effects of intoxication, withdrawal or stabilization services from recent mental health crisis. The center’s staff work with clients in an attempt to motivate them to seek further treatment and to provide them with resources in the community and support through each step of the process.
Services also include:
- Counseling
- Motivational programming
- Assessments and referrals to substance

Who is eligible
All applicants for Pioneer’s Roadmap to Success training program must be referred by a community corrections officer or case manager, or individuals can self-refer. Please complete and submit the online application. All Pioneer contact information is on the form.
Priority is given to people currently in a work release program, or in a Pioneer treatment or housing program. To be eligible for the training program, applicants must:
- Have a criminal background, and/or history with a substance use disorder
- Be interested in finding employment and physically able to work
- Pass a urinalysis (UA)
- Be willing and able to comply with classroom policy and procedures
About
Pioneer’s job-readiness training program, Roadmap to Success, is a three-week course that students attend five days a week. Individuals with criminal histories who are trying to successfully transition back into their communities in Washington state can be referred by their case manager, therapist, corrections officer or self-refer for the application process.
Once accepted into the Roadmap to Success training program, individuals learn the needed skills to find and retain employment. The course focuses on overcoming barriers to employment through cognitive thinking transformation, soft-skills development, professional communication, conflict resolution, time management, job search techniques, targeted resume building, interviewing techniques, handling different management styles and computer skills.
After graduation, students work with employment specialists to find full-time employment with one of the many employers, or they are referred to vocational or pre-apprenticeship/apprenticeship programs offered through partner agencies.

Who is eligible
All program participants are currently incarcerated in the Norm Maleng Regional Justice Center. Referrals are based on screening initially conducted upon entry to the facility and designating individuals with medium to high multi-dimensional Risk-Need factors. In response to these risk factors, further screening and assessment may be conducted to determine Risk-Need-Responsivity.
The King County Corrections-Based Substance Use Disorder Treatment Program at the Norm Maleng Regional Justice Center provides in-jail treatment to individuals incarcerated due to a substance use disorder (SUD). The program is comprised of a complex array of services that include established evidence-based curriculum and therapeutic community approach. Curriculum includes Living-in-Balance and Moral Reconation Therapy being facilitated within one of the medium security programming housing units. Participants are treated with dignity, respect, and consideration of the whole person in a trauma informed approach.
Counseling modes used incorporate individual client assessments of needs and progress, combined with the planning and delivery of interventions targeted to client readiness, engagement, life-skills building, and stages of recovery. In addition, Pioneer partners with the Asian Counseling and Referral Services in the delivery of Intensive-Outpatient treatment of SUD’s as well as the delivery of domestic violence services at the Community Center for Alternative Programs.
Services
Evidence-based curriculum is utilized in the outpatient program to include:
- Living-in-Balance is a comprehensive SUD treatment program that emphasizes relapse prevention delivering psycho-educational and experiential training designed to enhance program participant level of functioning in key life areas that are often neglected with prolonged substance use.
- Moral Reconation Therapy is a cognitive behavioral approach with a systematic treatment strategy that seeks to decrease recidivism in individuals who were formerly, or are currently, incarcerated by increasing moral reasoning. The therapy progressively addresses ego, social, moral, and positive behavioral growth.

How to apply
Most of the people we serve at the King County Diversion Center are self-referred. There is no application process. Other clients are brought to us from:
- 911 Dispatched vans (emergency service patrol)
- Hospital referrals
- Police
- Fire departments
- Family/friend
- Self Referral
The King County Diversion 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. The center's hours are 5 PM - 7 AM seven days a week.
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

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.
About
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 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.

Who is eligible
PCE accepts individuals who are 18 years and older who meet the criteria for intensive inpatient services or long-term residential treatment.
We accept the following payment methods to include: Medicaid, Washington state Apple Health, Fee for Service (Native American population) and private pay. We currently do not accept private insurance.
PCE accepts voluntary, as well as legally-motivated individuals to the program, often because they have been unsuccessful in other treatment programs. A large percentage of the residents have a co-occurring condition as well as difficulty following rules, and they struggle to stay motivated for change.
How to apply
The application process is simple:
- All applicants must have a current substance use disorder assessment and meet criteria for residential treatment.
- All applicants must complete the
admission screening form and fax it to 509-326-3370 or email it to [email protected].
- MCO referrals: Referring parties must obtain pre-authorizations. Pioneer is contracted with all five managed care organizations (MCOs).
- Criminal justice, Native American and drug court referrals may refer 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, intensive inpatient treatment for people who battle chronic substance use disorders. Located in Spokane County, PCE provides variable-intensity residential treatment for high-need individuals.
Services include:
- Basic living skills, nutrition, health, recreation and recovery lifestyle classes
- Relapse behavior and prevention groups
- Anger management classes and process groups
- Coping skills, self-esteem and trauma survivor groups
- Motivational programming and an MRT track for the recidivist population
- Medication assisted treatment and psychiatric medication management
- Pain management
- Discharge preparation group and comprehensive community-transition planning

Pioneer Center North closed on January 25, 2023. If you are seeking residential treatment, or looking to make a referral, please contact one of our other treatment programs listed on this page.
If you are a former client and need copies of your medical health record, please visit our Request Treatment Records page for directions and authorization paperwork. If an authorization has been completed, please fax to 206-768-8910. For any other questions or concerns, please call 206-768-1990.

Who is eligible
EMERSON CLINIC REQUIREMENTS
- Adults 18 and older
- Walk-in or call for an appointment
Referrals from law enforcement and other agencies are also accepted. Assessments for substance use disorders and mental health issues are held Monday through Friday from 9 AM - 5:30 PM. Medicaid is accepted for all services.
GEIGER CORRECTIONS CENTER (IN-JAIL TREATMENT)
- In-custody assessments for substance use disorders and treatment planning
- Intensive outpatient recovery services
- Innovative program for in-custody individuals includes assessments, treatment planning, transportation to treatment, outpatient counseling, peer support
GEIGER ELIGIBILITY
- In-custody adults
Pioneer Counseling-Emerson Clinic is open to serve all adults seeking recovery support. Walk-ins are always welcome!
The clinic provides intensive outpatient services to individuals struggling with substance use disorders and counseling for clients with mental health issues. The program also has a co-occurring program for individuals with concurrent mental health and substance use disorders. In addition, the clinic has a peer specialist to help clients with their needs in the community.
Walk-in services
- Substance use recovery supports including telehealth in the comfort of the client’s place of residency
- Assessments and treatment planning
- DUI assessments
- Intensive Outpatient Program (IOP)
- Outpatient program
- Peer support including supportive housing and employment
Drug Court
The clinic also serves individuals 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 Drug Court program, counseling staff work with over 100 patients over the course of the one-year long service. 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.
Drug Court Services
- Comprehensive substance abuse recovery support
- Mental health assessments and counseling
Mental Health Court
Through the Spokane County Therapeutic Felony Mental Health Court, we provide intensive outpatient substance abuse and mental health services to individuals in the pre-conviction Felony Mental Court program. Patients attending program have a felony linked to unmanaged mental health issues and potentially substance use issues as well.
U.S.Probation
Emerson Clinic provides assessments and intensive outpatient treatment to approximately 65 patients who are also on federal probation. In addition, we provide urine screening to over 100 patients who are on federal probation. The curriculum for U.S. Probation clients is Seeking Safety and Thinking for Change.
U.S.Probation Services
- Comprehensive substance abuse recovery support
- Drug Testing Onsite available for all clients
- Mental Health assessments and counseling services
- MAT services available on site through Abilia
- Full telehealth recovery program from the comfort of the client’s place of residency

Who is eligible:
- Persons who intersect with law enforcement due to simple drug possession
- Persons with frequent contact with the legal system due to unmet behavioral health needs.
- Persons at-risk of arrest
- Those falling through gaps in existing services.
How to access:
- Contact navigators and case managers by calling 509-385-4045.
The Pioneer Navigators (Recovery Navigator Program) provide outreach and engagement services for those who come into contact with law enforcement and other first responders. Our Navigators are alerted and come out to visit the individual in need to offer referral sources and support with entry into treatment services to help the person avoid further interaction with the criminal justice system. The primary function of the Navigators is connection and stabilization.
Services include:
- Access to substance use disorder (SUD) assessments
- Referral to SUD treatment programs including in-patient and outpatient
- Coordination and referral to wrap around services from the community
- Long-term case management and support follow-up
- Uber rides to court program (transportation for court related appointments)

Information for families
For more information, including hours and guidelines for visiting residents, please contact the Program Director at: 509-535-3572.
About
The Spokane Residential Reentry Center (SRRC) serves males who are in the custody of the Federal Bureau of Prisons, or under the supervision of the US Probation or the Pre-trial Services. The 35-bed facility houses males only, but supervises both males and females while on home confinement. Residents are required to be fully employed or enrolled in an education program, participate in recovery/counseling, complete in-house work details and meet all screening requirements for placement.
SRRC offers a comprehensive array of services focused on helping individuals safely and successfully transition from prison into the community. Programs include: risk/needs assessment, Moral Reconation Therapy (MRT), marriage/parenting classes, domestic violence counseling, GED classes, victim awareness education, anger/stress management, substance abuse assessment, intensive outpatient treatment/aftercare and relapse prevention education, and community transition skills.

Information for families
For more information, including hours and guidelines for visiting residents, please contact the Program Director at: 509-622-5600.
About
The Spokane Residential Reentry Center (SRRC) serves males and females who are in the custody of the Federal Bureau of Prisons, or under the supervision of the US Probation or the Pre-trial Services. The 35-bed facility houses both males and females and supervises both while on home confinement. Residents are required to be fully employed or enrolled in an education program, participate in recovery/counseling, complete in-house work details and meet all screening requirements for placement.
SRRC offers a comprehensive array of services focused on helping individuals safely and successfully transition from prison into the community. Programs include: risk/needs assessment, Moral Reconation Therapy (MRT), marriage/parenting classes, domestic violence counseling, GED classes, victim awareness education, anger/stress management, substance abuse assessment, intensive outpatient treatment/aftercare and relapse prevention education, and community transition skills.

Who is eligible
PCE accepts individuals who are 18 years and older who meet the criteria for intensive inpatient services or long-term residential treatment.
We accept the following payment methods to include: Medicaid, Washington state Apple Health, Fee for Service (Native American population) and private pay. We currently do not accept private insurance.
PCE accepts voluntary, as well as legally-motivated individuals to the program, often because they have been unsuccessful in other treatment programs. A large percentage of the residents have a co-occurring condition as well as difficulty following rules, and they struggle to stay motivated for change.
How to apply
The application process is simple:
- All applicants must have a current substance use disorder assessment and meet criteria for residential treatment.
- All applicants must complete the
admission screening form and fax it to 509-326-3370 or email it to [email protected].
- MCO referrals: Referring parties must obtain pre-authorizations. Pioneer is contracted with all five managed care organizations (MCOs).
- Criminal justice, Native American and drug court referrals may refer directly.
For more information, please contact our Admissions Coordinator at 509-325-2355 or visit our Information for families page.
About
Pioneer Center East (PCE) is a 53-bed facility in Eastern Washington that provides semi-secure, intensive inpatient treatment for people who battle chronic substance use disorders. Located in Spokane County, PCE provides variable-intensity residential treatment for high-need individuals.
Services include:
- Basic living skills, nutrition, health, recreation and recovery lifestyle classes
- Relapse behavior and prevention groups
- Anger management classes and process groups
- Coping skills, self-esteem and trauma survivor groups
- Motivational programming and an MRT track for the recidivist population
- Medication assisted treatment and psychiatric medication management
- Meditation, pain management and relaxation exercises
- Discharge preparation group and comprehensive community-transition planning

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 Skagit Community Detox also help to coordinate treatment and the center offers a seven-day Suboxone Tapering program for opioid addiction.
The Skagit Community Detox center is a 16-bed sub-acute detox program. The center serves North Sound region residents for detox and provides services for residents who are experiencing a crisis related to their substance use disorders. Most of the services are available 24 hours a day, 7 days a week.
This program receives funding from Skagit County Public Health; funding sources come from the North Sound BHO and Skagit County.
Who is eligible
We serve North Sound region adults in crisis including those who are:
- Intoxicated or in withdrawal from alcohol or other substances and are medically stable
- 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, substance use disorder providers and family or friends. For more information, call us at 360-757-7738.

Who is eligible
Homeless individuals are admitted that are experiencing substance use disorders and behavioral health issues. The individuals must be amenable to treatment and identified by law enforcement or embedded social workers.
The Snohomish County Diversion Center is a 44-bed facility offering short-term placement and shelter to homeless adults with a substance use disorder and other behavioral health issues, diverting them away from incarceration and toward treatment.
Treatment
During their stay, residents are assigned a case manager who will help enroll them in an assortment of treatment options, including medication assisted treatment, inpatient/residential treatment, and other social services to address their individual needs. The process is resident-driven based on their needs and specific circumstances.
Services
The center is staffed twenty four hours a day by Emergency Medical Technicians (EMTs) and resident monitors. Staff on site provide medical and behavioral health screenings at intake and medical monitoring throughout a client's stay. Residents will also undergo a thorough needs assessment and assertive engagement into available services, medication assisted treatment options, and individualized support and recovery plan development.

Program Support
This program is a voluntary alternative for individuals to break the cycle of the revolving door of the criminal justice system. Participants in the program are eligible to have their charges dropped if the program is completed.
All services at the center are coordinated by Pioneer Human Services and partner with a variety of community-based agencies to ensure each person’s full range of individual needs is addressed.
This program is supported by a broad group of community stakeholders including:
- Spokane Police Department
- Spokane County Sherriff
- City of Spokane and local municipalities
- Spokane County
- Spokane Regional Law and Justice Council (SRLJC)
- Spokane County Regional Interlocal Leadership Structure (SCRILS)
Referral Sources
- Law enforcement
- First responders
- Co-deployed teams
The Spokane Regional Stabilization Center is Spokane’s pre-booking jail diversion option for eligible individuals to offer a full range of medical, mental health and substance use treatment services all at a single location. Watch a news video on the program HERE.
Diversion Program
The center is a safe transitional treatment alternative for individuals experiencing a mental health or substance use crisis who interact with law enforcement. When a person comes into the center, they receive the following:
- Thorough needs assessment
- Assertive engagement into mental health counseling and substance use disorder treatment services
- Medication assisted treatment options
- Individualized support and recovery plan development
Other services include:
- Housing enrollment
- Veteran programs
- Health insurance navigation
- Public benefit enrollments
- Primary care connection
- Case management

Services
- Safe withdrawal from alcohol and drugs
- Counseling
- Motivational programming
- Referrals to mental health services
- Assessments and referrals to substance use disorder treatment, once admitted
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.
Clients are admitted voluntarily and the center serves as the first step toward accessing substance abuse treatment. Whatcom Community Detox provides 24/7 hour supervision, monitoring, and observation by a trained staff member. Clients are offered a clean and safe environment where they can recover from the transitory effects of intoxication and withdrawal. Whatcom staff work with clients in an attempt to motivate them to seek further treatment. Staff provides clients with resources in the community and support through each step of the process.
We work with each client and can help place them into inpatient treatment or refer to outpatient, depending on outcome of assessment.
Whatcom Community Detox provides a monitored setting for the safe withdrawal from alcohol and other drugs. The detoxification is provided in a 16-bed acute (medical) unit where intensive medical monitoring is 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.
Medication Assisted Treatment Program – Working with Whatcom County, Pioneer is offering individuals addicted to opiates a tapering program, or induction for maintenance, for use at inpatient treatment and in the community based on successful completion of treatment. The Medication Assisted Treatment (MAT) program was created to help individuals with a safe and more comfortable withdrawal and keep them engaged in the recovery process. The goal is to assist people addicted to opiates in getting back to a healthy lifestyle. The MAT program has case managers and utilizes a physician who prescribes Suboxone for a smooth transition so clients can move easier into a treatment program.
Please contact the MAT program professional, Kelly Stenson, at 360-410-4168.
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 on Whatcom Community Detox, call us at 360-812-7220.

If you were a client of any of the following former Pioneer outpatient clinics and need access to your records or behavioral health resources, please see contact information in links below:
Fawcett Clinic - Tacoma
Fawcett Clinic Client Letter
Phoenix Recovery Services - Mount Vernon
Client Letter
Rainier Clinic - Seattle
Rainier Clinic Client Letter