First Steps

First Steps

In the 2025 National Directory of Drug and Alcohol Use Treatment Facilities.

Type of Care

Substance use treatment (SA)

Service Setting

Outpatient (OP); Intensive outpatient treatment (IOP); Regular outpatient treatment (ORT)

External Opioid Medications Source

Other contracted prescribing entity (RPE)

Type of Alcohol Use Disorder Treatment

Accepts clients using medication assisted treatment for alcohol use disorder but prescribed elsewhere (ACMA)

External Source of Medications Used for Alcohol Use Disorder Treatment

Other contracted prescribing entity (AURPE)

Type of Opioid Treatment

Accepts clients using MAT but prescribed elsewhere (MOA)

Treatment Approaches

Anger management (ANG); Cognitive behavioral therapy (CBT); Motivational interviewing (MI); Matrix Model (MXM); Relapse prevention (RELP); Substance use disorder counseling (SACA); Trauma-related counseling (TRC)

Facility Operation (e.g., Private, Public)

Local, county, or community government (LCCG)

License/Certification/Accreditation

State substance use treatment agency (SSA); State department of health (STDH)

Payment/Insurance/Funding Accepted

Federal, or any government funding for substance use treatment programs (FSA); Medicare (MC); Cash or self-payment (CASH); SAMHSA funding/block grants (SAMHSA)

Payment Assistance Available

Sliding fee scale (fee is based on income and other factors) (SS)

Special Programs/Groups Offered

Pregnant/postpartum women (PW); Clients who have experienced trauma (TRMA)

Assessment/Pre-treatment

Comprehensive substance use assessment (CSAA); Interim services for clients (ISC); Outreach to persons in the community (OPC); Complete medical history/physical exam (MHPA); Screening for tobacco use (STU); Screening for substance use (SSU)

Testing

Drug and alcohol oral fluid testing (DAOF); Drug or alcohol urine screening (DAUT)

Transitional Services

Aftercare/continuing care (ACC); Discharge Planning (DP); Outcome follow-up after discharge (OFD)

Education and Counseling Services

HIV or AIDS education, counseling, or support (HAEC); Substance use disorder education (SAE); Individual counseling (ICO); Group counseling (GCO)

Facility Smoking Policy

Smoking not permitted (SMON)

Age Groups Accepted

Young Adults (YAD); Adults (ADLT)

Sex Accepted

Female (FEM)

Language Services

Sign language services for the deaf and hard of hearing (ASL); Spanish (SP)

Facility Vaping Policy

Vaping not permitted (VAPN)

Ancillary Services

Case management service (CM); Child care for clients' children (CCC); Mental health services (MHS); Social skills development (SSD); Transportation assistance (TA); Integrated primary care services (IPC)