Outpatient Program · ASAM Level 1.0
Outpatient Substance Abuse Treatment in Lakewood & Tacoma
Weekly drug and alcohol treatment that fits around work and family — group and individual counseling, in person in Lakewood or by secure telehealth anywhere in Washington.
Outpatient treatment is the version of recovery that fits inside a working life. You come in weekly, do real clinical work, and go home to your own bed — no leave of absence, no explaining a month-long absence to an employer.
Who outpatient treatment is for
Level 1.0 care suits people who are stable enough to live at home and hold a routine, but want structure around their recovery rather than willpower alone. That includes people early in the process, people stepping down from more intensive care, and people whose court paperwork asks for treatment at this level.
What the work looks like
Weekly group counseling is the core, supported by individual sessions and a treatment plan built around your actual circumstances. The focus is practical: relapse prevention, coping skills, and the specific pressures that make using feel necessary.
Our clinicians bring professional training and their own lived recovery to the room. Nobody here is going to be surprised or scandalized by anything you say.
When substance use isn't the only thing
Anxiety, depression, and trauma frequently sit underneath a substance use problem, and treating one without the other rarely holds. We handle co-occurring conditions in the same place rather than sending you somewhere else to start over — see mental health evaluations for how that assessment works.
Reporting, if a court is involved
We send compliance and progress reports to courts, attorneys, and probation officers on the schedule they set, filed on time. If you're here on your own initiative, nothing leaves this office without your written consent. Not sure which applies to you? Call (253) 279-7992 with your paperwork and we'll sort it out on the phone.
What's included
- ASAM Level 1.0 outpatient treatment
- Weekly group counseling
- Individual counseling and treatment planning
- Relapse prevention and coping-skills development
- Co-occurring (substance use + mental health) support
- Progress reporting for courts, probation, and attorneys
- Secure telehealth and in-person attendance options
Common questions
- What is outpatient substance abuse treatment?
- Outpatient treatment is ASAM Level 1.0 care — weekly group and individual counseling you attend while living at home and keeping your job. It is the foundational level of structured recovery support, and it is what most people mean by outpatient drug or alcohol treatment.
- How is outpatient different from IOP?
- Outpatient (Level 1.0) is a lighter weekly commitment. Intensive outpatient (Level 2.1) involves several sessions a week and more total hours. Which one is appropriate is decided by a substance use evaluation using the ASAM criteria, not by preference — though people often step down from IOP into outpatient as they stabilize.
- Can I attend outpatient treatment online?
- Yes. Sessions are available by secure telehealth to anyone in Washington, in person at our Lakewood office, or a combination. Courts in Washington routinely accept telehealth attendance, and we document it identically either way.
- Do you treat mental health alongside substance use?
- Yes. Co-occurring substance use and mental health conditions are treated together rather than referred out — anxiety, depression, and trauma very often sit underneath a substance use problem, and treating only one of them tends not to hold.
- Will the court know I'm attending?
- If your case requires it, we send progress and compliance reports to the court, your attorney, or your probation officer on their schedule. If your treatment is entirely your own decision, nothing is shared without your written consent.
- How much does outpatient treatment cost, and do you take insurance?
- We are in network with most major Washington health plans, including Aetna, Wellpoint, Community Health Plan of Washington, Cigna / Evernorth, Coordinated Care / Ambetter, Kaiser Permanente, Washington Apple Health (Medicaid), Medicare, Regence / HMA, TriWest / VA, TRICARE for Life, and Wellcare. Self-pay rates are available. Call (253) 279-7992 with your plan details for current rates and a coverage check.
This page is general information about our program, not legal or medical advice. Level-of-care recommendations are made through an individual assessment, and court requirements vary by court, county, and case — confirm the specifics with your attorney, the court, or your clinician.
Related services & guides
- Intensive Outpatient (IOP)Level 2.1 care when weekly outpatient isn't enough structure.
- Substance Use EvaluationsThe assessment that determines which level of care fits.
- Mental Health EvaluationsFor the anxiety, depression, or trauma often sitting underneath.
- Court-ordered evaluationsWhat to expect when a court or probation officer sent you.
Start with a conversation, not a commitment.
Call and tell us what's going on. We'll explain what treatment would actually involve and what your insurance covers before you decide anything.
Prefer we contact you? Skip voicemail. Submit an appointment request online and our team will contact you as soon as possible—often the same business day.