Compare 34 addiction treatment centers in and around Spokane, reviewed against accreditation and licensing standards. Filter by level of care, insurance accepted, and specialty programs to narrow down drug and alcohol rehab options in Washington for yourself or someone you love.
800 Washington Avenue North · Long Beach, WA 98631Long Beach, WA 98631
Long Beach · Detox, Inpatient
Discover Recovery Treatment Center in Long Beach, Washington, provides substance abuse treatment for adults. They offer various services to fit your needs and include a young adult program that addresses the challenges this age group frequently faces with addiction. The…
2156 Pacific Ave · Tacoma, WA 98402Tacoma, WA 98402
Tacoma · Detox, Inpatient, Outpatient
Bayview Recovery Center in Tacoma, Washington, offered outpatient and inpatient treatment services for alcohol and drug addictions. They were accredited by The Joint Commission. While this location is now closed, other facilities in the area may offer similar addiction treatment…
7416 212th Street Southwest · Edmonds, WA 98026Edmonds, WA 98026
Edmonds · Detox, Inpatient, Outpatient
Northpoint Recovery Washington is an inpatient facility that provides substance use disorder (SUD) treatments to help people overcome addiction in Edmonds, Washington. It is part of the larger Northpoint Recovery Network which provides both inpatient and outpatient addiction treatment in…
1321 Martin Luther King Jr Way · Tacoma, Washington 98405Tacoma, WA 98405
Tacoma · Detox, Inpatient, Outpatient
Tacoma Recovery Cafe is a substance abuse treatment and recovery community provider in Tacoma, Washington, serving people affected by addiction, trauma and related life challenges. The program blends peer-led recovery circles, recovery coaching and professional clinical services with a holistic,…
12850 Lala Cove Lane Southeast · Olalla, WA 98359Olalla, WA 98359
Olalla · Detox, Inpatient, Outpatient
Olalla Recovery Centers - Olalla Guest Lodge in Olalla, Washington, overlooks Puget Sound’s Colvos Passage and offers views of Mount Rainier and wildlife. The lodge is a residential alcohol and drug treatment center with separate treatment locations for men and…
14525 North Newport Highway · Mead, WA 99021Mead, WA 99021
Mead · Detox, Inpatient, Outpatient
Located in Mead, Washington, Royal Life Centers at Cascade Heights offers true dual diagnosis care to individuals who are suffering from drug and alcohol addictions as well as mental health issues. They are part of the Royal Life Center's network,…
1700 Airport Way South · Seattle, WA 98134Seattle, WA 98134
Seattle · Detox, Outpatient
The Evergreen Treatment Services Seattle Clinic is a nationally recognized outpatient addiction treatment provider for adults situated in Seattle, Washington. Services include outpatient medication-assisted treatment (MAT), outpatient drug and alcohol rehab, outreach, integrated care management, housing assistance, harm reduction and…
5600 East 8th Avenue · Spokane Valley, WA 99212Spokane Valley, WA 99212
Spokane Valley · Inpatient
Located in Spokane Valley, Washington, is the The Healing Lodge of the Seven Nations. They focus on providing mental health and substance abuse services for teens and young adults. The facility serves as a supportive and safe place for Native…
1000 Southwest 7th Street · B, Renton, WA 98057Renton, WA 98057
Renton · Outpatient
Lakeside-Milam Recovery Centers is an outpatient rehab in Renton, Washington. It's for adults, and you live at home during treatment. Intensive outpatient runs on group sessions, so work, school or family duties can continue. Renton Office Service Area This center…
2815 Eastlake Avenue East Suite 100 · Seattle, WA 98102Seattle, WA 98102
Seattle · Detox, Outpatient
Lakeside Milam Recovery Centers Seattle is a rehab that offers day and night outpatient treatment for adults in the early or mid-stages of addiction to drugs or alcohol. Their Seattle, Washington branch is one of seven locations across the state,…
101 East Magnesium Road · Spokane, WA 99208Spokane, WA 99208
Spokane · Detox, Inpatient, Outpatient
Spokane Falls Recovery Center is a comprehensive addiction recovery center located in Spokane, Washington. They offer residential addiction treatment, a partial hospitalization program, an intensive outpatient program, detox services, and a standard outpatient program. Recovery care at Spokane Falls is…
2111 North Northgate Way Suite 101 · Seattle, WA 98133Seattle, WA 98133
Seattle · Detox, Outpatient
Northpoint Seattle offers outpatient addiction treatment from their convenient, modern facility in Seattle, Washington. They treat adults and teenagers. Their services include medical detox, partial hospitalization setups, medication assisted treatment, general outpatient treatment and a variety of aftercare and alumni…
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Riverside Recovery Center |
3710 North Monroe Street, Spokane, WA 99205 |
The Riverside Recovery Center (RRC) is an outpatient drug and alcohol rehab that specializes in providing medication assisted treatment (MAT). Located in the Garland District in Spokane, Washington, their mission is to make help that saves lives and families as accessible as possible. They accept patients on most major insurance plans, those insured with Medicaid and offer discounted fees and… |
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Spokane Falls Recovery Center |
101 East Magnesium Road, Spokane, WA 99208 |
Spokane Falls Recovery Center is a comprehensive addiction recovery center located in Spokane, Washington. They offer residential addiction treatment, a partial hospitalization program, an intensive outpatient program, detox services, and a standard outpatient program. Recovery care at Spokane Falls is individualized and holistic, addressing the mental, physical, emotional, and spiritual aspects of addiction. You can also receive court ordered treatment… |
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American Behavioral Health Systems Spokane Washington on Cozza |
44 East Cozza Drive, Spokane, WA 99208 |
American Behavioral Health Systems provides substance addiction and co-occurring mental health treatment in Spokane, Washington. Their Spokane Cozza site is for women. Your treatment begins with an assessment to determine your appropriate level of care. They offer withdrawal management services to help you remain comfortable while detoxing and have residential services where you can focus on healing without outside distractions.… |
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Breakthrough Recovery Group Mental Health and Substance Abuse Treatment |
11711 East Sprague Avenue Suite D-4, Spokane, WA 99206 |
Breakthrough Recovery Group provides substance abuse and mental health treatment in Spokane, Washington. They concentrate on a whole-person approach that includes the physical, mental, and spiritual aspects of addiction. They offer partial hospitalization, intensive outpatient, and general outpatient programs. Your recovery begins with an assessment to determine your level of care. All programs include therapeutic sessions, like cognitive behavioral and… |
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Colonial Clinic |
910 North Washington Street Suite 210, Spokane, WA 99201 |
Breakthrough Recovery Group is in Spokane, Washington. They provide treatment for substance addiction and mental health issues. They offer partial hospitalization, intensive outpatient, and general outpatient services. You’ll have access to medication management, individual and group therapy, and family support services to give you a complete continuum of care for your recovery needs. They also emphasize physical, emotional, and nutritional… |
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Daybreak Youth Services Outpatient Spokane |
200 North Mullan Road Suite 120, Spokane, WA 99206 |
Daybreak Youth Services Outpatient is a behavioral health program offering outpatient addiction and mental health treatment for adolescents and young adults in Spokane, Washington. The program serves teens ages 13 to 18 and young adults ages 18 to 24, treating substance use disorders, co-occurring mental health conditions and trauma-related concerns. Daybreak's mission centers on helping young people heal while staying… |
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Daybreak Youth Services Spokane Inpatient |
628 South Cowley Street, Spokane, WA 99202 |
Daybreak Youth Services Spokane Inpatient is a teen-focused addiction treatment center in Spokane, Washington, providing residential substance use and mental health care for adolescents. Located on South Cowley Street, this nonprofit program has served youth since 1978 with a structured, trauma informed approach that addresses both substance use disorders and co-occurring mental health challenges. Adolescent Treatment Programs at Daybreak Youth… |
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Frontier Behavioral Health Calispel |
1401 North Calispel Street, Spokane, WA 99201 |
Frontier Behavioral Health’s Calispel site on Calispel Street in Spokane, Washington, is part of Frontier Behavioral Health Facilities that help to meet the needs of young adults, adults and seniors who are dealing with a wide range of mental health and substance use disorders within the community of Spokane. Spokane is the largest city in Washington State and is located… |
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Frontier Behavioral Health Foothills Evaluation |
505 North Foothills Drive East, Spokane, WA 99207 |
Frontier Behavioral Health Foothills Evaluation provides trauma-informed inpatient Evaluation & Treatment services in Spokane, Washington for adults age 18 and older. The program provides 24/7 psychiatric stabilization, crisis intervention and substance use disorder evaluations alongside medical and nursing care. As part of a larger community behavioral health network Foothills delivers clinically and culturally appropriate care with a focus on high-risk,… |
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Gateway Counseling Services |
140 South Arthur Street Suite 665, Spokane, WA 99202 |
Gateway Counseling Services is in Spokane, Washington. They treat substance addiction and mental health issues. They offer intensive outpatient and general outpatient programs. Your recovery journey begins with an assessment to determine your level of care. All guests have individual therapy, which is crucial in their recovery services. You can explore past behaviors and solutions to issues in a safe,… |
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Ideal Option East Francis |
208 East Francis Avenue, Spokane, WA 99208 |
Ideal Option East Francis in Spokane, Washington is an addiction treatment clinic providing care for adults 18 and older. The clinic treats opioid, alcohol, methamphetamine and fentanyl use disorders using medications alongside counseling and relapse prevention support. Designed to feel more like a primary care visit than traditional rehab, Ideal Option offers a low-barrier path to recovery that fits into… |
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New Horizon Care Centers Isabella House |
2308 West 3rd Avenue, Spokane, WA 99201 |
New Horizon Care Centers Isabella House is a women's residential addiction treatment program in Spokane, Washington, offering specialized substance use disorder care for pregnant and parenting women. Isabella House provides a six-month inpatient program described as the only one of its kind in the Inland Northwest. The program takes a family-centered approach, integrating long-term recovery care with parenting support and… |
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Native Project Behavioral Health |
1803 West Maxwell Avenue, Spokane, WA 99201 |
The NATIVE Project is an addiction treatment center in Spokane, Washington. It's a community health center focused on care for Native people, and it serves every patient. Substance use treatment is for youth ages 9 to 18. Outpatient Levels in Spokane NATIVE Project runs two outpatient levels. The lower one is outpatient rehab at ASAM Level 1, a clinical label… |
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Partners with Families and Children |
106 West Mission Avenue, Spokane, WA 99201 |
Partners with Families and Children is a nonprofit addiction treatment provider in Spokane, Washington, offering outpatient and intensive outpatient substance use disorder services for adults working to strengthen their families and parenting. Located on West Mission Avenue, the program blends evidence based therapy with trauma informed care and family-centered support. Its mission centers on interrupting cycles of abuse and neglect… |
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Pioneer Center East |
3400 West Garland Avenue, Spokane, WA 99205 |
Pioneer Center East is in Spokane, Washington, and provides substance addiction treatment for men 18 and older. They offer residential services for those needing intensive care. PCE uses motivational programming to assist with changing behaviors from negative to positive actions. They also have medication assisted treatment and psychiatric medication management. Men will have access to anger management classes and process… |
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Royal Life Centers at Spokane Heights |
524 East Francis Avenue, Spokane, WA 99208 |
Royal Life Centers provides substance use treatment services for guests in Spokane, Washington. The program treats alcohol, opioid, benzodiazepine, cocaine and methamphetamine use, along with co-occurring mental health conditions, trauma and chronic pain concerns. The center's approach blends clinical care with holistic, peer-focused support to help adults build a strong foundation for lasting recovery. Medical Detox and Short-Term Residential Care… |
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Spokane Addiction Recovery Centers Outpatient Services |
1508 West 6th Avenue, Spokane, WA 99204 |
Spokane Addiction Recovery Centers (SPARC) provides substance use and co-occurring mental health services for adults in Spokane, Washington. The team delivers flexible treatment with DUI assessment and alcohol and drug information school, using approaches like cognitive behavioral therapy, motivational interviewing and motivational enhancement therapy. SPARC focuses on treating every client with dignity and respect, with a longstanding commitment to serving… |
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Spokane Regional Health District Opioid Treatment Program |
312 W. 8th Ave., Spokane, WA 99204 |
The Opioid Treatment Program at Spokane Regional Health District is delivered off the main College Avenue campus in a clinic on W. 8th Ave. in Spokane, Washington. It provides medication assisted treatment to individuals living with opioid use disorder. This combo of medication and therapy-based interventions promote sobriety and support your physical and mental well-being. To be eligible for the… |
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Spokane Treatment and Recovery Services |
105 West 3rd Avenue, Spokane, WA 99201 |
A few blocks south of Riverfront Park in Spokane, Washington, you’ll find Spokane Treatment and Recovery Services’ (STARS) outpatient treatment office. They offer a wide range of treatment options to help you overcome struggles with substance use and co-occurring conditions, as well as a number of support services that can help you in practical ways while in recovery. As a… |
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Spokane Comprehensive Treatment Center |
4305 East Trent Avenue, Spokane, WA 99212 |
The Comprehensive Treatment Center has a clinic in Spokane, Washington. It's an outpatient facility for adults 18 and older. They offer services for all genders experiencing opioid use issues. Medication assisted treatment is available to lessen withdrawal symptoms and reduce opioid cravings. Individual counseling sessions are included to give you one-on-one time with an experienced counselor to discuss thoughts and… |
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New Horizon Care Centers Sun Ray Court |
518 South Browne Street, Spokane, WA 99204 |
New Horizon Care Centers Sun Ray Court is a substance abuse treatment program in Spokane, Washington. The program offers long-term residential, short-term residential and intensive inpatient care using approaches like cognitive behavioral therapy, motivational interviewing, relapse prevention and 12-step facilitation. Sun Ray Court treats chemical dependency as a chronic, progressive condition and focuses on whole-person recovery, personal responsibility and respect… |
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Sun Ray Court Mens Program |
518 South Browne Street, Spokane, WA 99204 |
Sun Ray Court is a men's residential drug and alcohol rehab in Spokane, Washington. They're operated by New Horizon Care Centers. They're a nonprofit provider with roots in the Spokane recovery community dating to 1980. They're offering intensive inpatient and long term residential treatment and family counseling. You'll also get 12 step support and onsite primary care with medication management… |
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YFA Connections Adult Treatment Service |
22 South Thor Street, Spokane, WA 99202 |
YFA Connections in Spokane, Washington is a drug and alcohol rehab providing outpatient addiction treatment for adults through its STEPPS program. The center offers outpatient services with dual diagnosis support for clients managing co-occurring mental health and substance use disorders. Rooted in a health equity mission, YFA Connections delivers individualized care designed to reduce barriers and support long-term recovery. Personalized… |
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ADEPT Spokane |
1321 North Ash Street, Spokane, WA 99201 |
ADEPT Spokane is a rehab located in Spokane, Washington. ADEPT Spokane specializes in the treatment of addiction. |
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Catholic Charities Spokane |
12 East 5th Avenue, Spokane, WA 99202 |
Catholic Charities Spokane is a rehab located in Spokane, Washington. Catholic Charities Spokane specializes in the treatment of addiction. |
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No centers match all of these filters.
Treatment centers in nearby cities, closest to Spokane first. Filter by insurance, level of care, and who the program is designed for.
Expert insight
“We need to do more, and we need more treatment centers across the state if we have any hope of reducing deaths.”
At a time when addiction, particularly opioid addiction, is ravaging our nation, I cannot believe that it is easier to access medication-assisted treatment in a different country!
I just heard on the radio that methadone treatment is easier to find in Canada than in America, according to researchers at Washington State University. This makes me so sad, having lost so many friends to opioid addiction. It doesn’t make sense that a proven effective treatment is so hard to find when so many people are dying from opioid overdoses.
Fortunately, there is one methadone treatment clinic in Spokane, which is great for residents! But, if you live outside the area, you will have to return to Spokane to receive treatment.
Frequently asked questions
Every facility on this page is a licensed or accredited treatment provider serving the Spokane area. We organize listings to help you compare programs by the factors that matter most when choosing care: level of care offered, accepted forms of payment, accreditation status, and the specialty populations a program is equipped to serve.
Listings reflect verified program information, including state licensing and national accreditation from bodies such as the Joint Commission and CARF. We prioritize transparency so you can weigh your options based on treatment type, insurance fit, and location rather than advertising spend. When a program's details cannot be confirmed, we leave the field blank rather than fill it with assumptions. Facility data is regularly reviewed and refreshed to keep counts and program details current.
Spokane is the county seat of Spokane County and, with roughly 231,000 residents, the second-largest city in Washington after Seattle. It anchors the Inland Northwest, drawing people from across Eastern Washington, North Idaho, and western Montana for medical and behavioral health care. That regional-hub role shapes local treatment availability. The 35 rehab facilities listed here in Washington's statewide directory serve not only city residents but a wide surrounding population.
Behavioral health care in the county is coordinated in part through the Spokane Regional Health District and Frontier Behavioral Health, the region's largest nonprofit behavioral health provider and operator of the 24/7 regional crisis line. The Spokane Regional Opioid Task Force, a collaboration between the health district and partners in health care, law enforcement, tribal communities, education, and people with lived experience, coordinates prevention, naloxone distribution, and connections to addiction treatment options across the community.
Fentanyl drives the local overdose picture. The Spokane County Medical Examiner confirmed at least 346 overdose deaths in 2024, with fentanyl present in roughly 78% of them. Spokane's position on the Interstate 90 corridor, a documented route for narcotics moving through Eastern Washington toward Idaho and Montana, has contributed to a sharp rise in fentanyl-related overdose risk over the past several years.
Local officials note that most people who died were housed and employed, a reminder that substance use disorders reach every part of the community. For people comparing options, the context matters in practical ways. For example, the demand for medication for opioid use disorder is high, detox and residential capacity fills quickly, and many residents in outlying parts of the county travel into the city for higher levels of care.
Treatment costs in Spokane vary widely depending on the level of care, program length, and whether you use insurance. Because published averages are compiled at the state level, the figures below reflect typical costs across Washington and are the most reliable anchor for what Spokane residents can expect. Spokane's cost of living sits near or slightly below the statewide average, so local prices tend to track close to these numbers rather than run well above them.
These are averages, not fixed prices. Your actual out-of-pocket cost depends heavily on your coverage and the specific program. Many Spokane facilities offer sliding-scale fees, financial assistance, or payment plans, and using insurance often reduces your costs to a copay or deductible. The factors below have the biggest effect on price.
Cost should not be the barrier that keeps you from care. Across the 35 Spokane-area facilities listed here, you have broad payment options. In these facilities, 33 accept self-payment, 32 work with private health insurance, 24 accept Washington Apple Health (Medicaid), and 13 accept Medicare. Many also offer sliding-scale fees, financial assistance, or TRICARE for military families.
The right payment path depends on your situation. Here is how the most common options work for Spokane residents.
Medicare covers addiction treatment for people 65 and older and for some younger adults with qualifying disabilities. Coverage includes inpatient care, outpatient services, and medication management, though specific benefits and copays depend on your plan and whether the provider participates in Medicare.
Thirteen of the facilities listed here accept Medicare. If you are dual-eligible for both Medicare and Apple Health, your behavioral health benefits are typically coordinated through a Behavioral Health Services Only plan. You can review how insurance covers addiction treatment before you call a program.
In Washington, Medicaid is called Apple Health, administered by the Washington State Health Care Authority. Apple Health integrates physical health, mental health, and substance use disorder treatment under a single managed care plan, which distinguishes Washington from states that handle behavioral health separately.
Twenty-four Spokane-area facilities accept Apple Health, and members generally have no copays for covered, in-network services. Covered benefits include withdrawal management (detox), outpatient and residential care, counseling, and medication-assisted treatment for opioid use disorder. Managed care organizations serving the region include Molina Healthcare, UnitedHealthcare Community Plan, Coordinated Care, Wellpoint, and Community Health Plan of Washington.
Ten Spokane-area facilities accept TRICARE, the health program for active-duty service members, retirees, and their families. Given the region's veteran population, which is well above the national average, several programs also offer treatment tracks built around military and veteran experiences. Veterans can also access care through the VA and community programs, and several local programs offer treatment tracks built around military and veteran experiences.
Thirty-two of the listed facilities work with private health insurance, and 33 accept self-payment. If you have coverage through an employer or the Washington Health Benefit Exchange, most plans cover at least part of addiction treatment under federal parity rules. Common carriers in Washington include the plans listed below. Verifying your benefits before admission helps you understand copays, deductibles, and which programs are in-network.
Sixteen Spokane-area programs offer financial assistance, 13 use sliding-scale fees that adjust to your income, and 5 offer financing to spread payments over time. These options can make private-pay or partial-coverage care manageable when insurance alone does not cover the full cost.
Some care in Spokane is available at no cost. Community behavioral health agencies, faith-based residential programs, and publicly funded services provide treatment regardless of ability to pay, and some nonprofits offer scholarships. If cost is your main obstacle, practical first steps include learning about rehab scholarships and reaching out to the free and low-cost resources listed further down this page.
Spokane offers a full continuum of care, including 13 medical detox facilities, 17 inpatient rehab programs, 23 standard outpatient clinics, and 25 dual diagnosis programs for co-occurring conditions. The right starting point depends on the severity of the substance use, medical needs, and whether mental health conditions are also present.
Medical detox is often the first step for people with alcohol, benzodiazepine, or opioid dependence, since withdrawal from these substances can be dangerous without supervision. Spokane's 13 detox providers offer medically monitored withdrawal management. Learn more about what to expect from supervised detox.
Inpatient and residential rehab provides 24-hour care in a structured setting, typically for 30 to 90 days. With 17 programs in the area, this level suits people who need to step away from daily triggers and focus fully on recovery. Read more about residential treatment.
Outpatient and intensive outpatient care lets people live at home while attending scheduled treatment. Spokane's 23 outpatient clinics range from standard weekly counseling to more structured programs, making this the most flexible and affordable option for many. See how outpatient rehab compares.
Dual diagnosis programs treat substance use and mental health conditions together. With 25 programs offering co-occurring care, this is one of the deepest specialties locally, which matters given how often substance use overlaps with co-occurring depression and anxiety. Medication for opioid use disorder is also widely available through the health district's opioid treatment program and community providers offering medication-assisted treatment.
Because Spokane has only one partial hospitalization program and three sober living homes, people who need those specific levels may want to call ahead about availability or ask programs about continuing care planning as they step down from higher levels.
Many Spokane-area programs tailor treatment to specific populations and substances. Young adult programs are especially common locally, and both alcohol and opioid treatment are widely available, reflecting the substances most present in the community.
Alcohol remains one of the most common reasons people seek treatment in Spokane, and 28 programs treat alcohol use disorder. A matching 28 programs focus on opioid use disorder, the area's most urgent concern given fentanyl's role in local overdoses.
Five programs offer LGBTQ+ affirming addiction care, and three offer dedicated tracks with rehab resources for veterans and military. Programs designed for young adults, men, and women are broadly available for those who prefer age- or gender-specific treatment settings.
Cost and insurance status should never keep someone from getting help. Spokane and the surrounding region offer crisis lines, harm-reduction services, community health centers, and publicly funded programs that provide support at little or no cost. If you or someone you love is in immediate danger, call 988 for the Suicide and Crisis Lifeline or dial 911. The resources below are verified and were current at publication.
Spokane County recorded its deadliest year on record for overdoses in 2024, when the Spokane County Medical Examiner confirmed at least 346 overdose deaths, up from 301 the year before. Fentanyl continues to drive the crisis, appearing in roughly 78% of those deaths, and local officials note the county has tended to lag, rather than mirror, the national decline in overdose deaths.
These numbers reflect a community where opioids, and fentanyl in particular, account for the large majority of fatal overdoses. If you are weighing treatment for yourself or a loved one, the wide availability of local opioid use disorder programs and medication-assisted treatment reflects how the region has organized its response. For national context on how these trends compare, see our overview of national substance use statistics.
Medical reviewer
Libby Pelligrini, MMS, PA-C
Libby Pellegrini, MMS, PA-C, is a professionally-trained physician assistant. She has worked in numerous emergency healthcare settings, ranging from the rural United States to large metropolitan areas. Her experience helping patients suffering from acute crises related to intoxication and substance…
Read bioPhysician Assistant & Medical Writer. Read bio
Author
Olivia Pennelle
Located in Portland, OR, Olivia Pennelle (Liv) is an author, journalist & content strategist. She's the founder of Liv’s Recovery Kitchen, a popular site dedicated to providing the ingredients for a fulfilling life in recovery. Liv also co-founded the podcast…
Read bioCounselor, Expert Author, Podcaster. Read bio
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