ABHS American Behavioral Health Systems has provided addiction recovery and mental health care in Spokane, Washington since 1997. The facility offers a full continuum of services for adults and young adults, with an emphasis on dual diagnosis treatment that addresses co-occurring substance use and mental health disorders within a single, integrated program. Washington state recorded an estimated 3,167 opioid overdose deaths in 2024, underscoring the ongoing need for structured, evidence-based residential care in the region.
ABHS provides inpatient addiction treatment across one of the larger residential programs in eastern Washington, with 550 beds and an average length of stay exceeding 91 days. Residential stays range from 15 to 180 days and include 24-hour nursing supervision, physician oversight, and medically assisted detox for individuals withdrawing from alcohol, opioids, or benzodiazepines.
The clinical team delivers individual and group therapy using cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and motivational interviewing. Case management, psychoeducation, and 12-Step integration round out the residential track, giving residents a structured daily schedule and practical tools for long-term sobriety.
Beyond residential care, ABHS provides intensive outpatient and standard outpatient programs for those stepping down from inpatient or seeking flexible treatment while living at home near Spokane. All levels of care are designed to address co-occurring mental health conditions alongside chemical dependency, consistent with the facility’s dual diagnosis focus. ABHS holds CARF accreditation, reflecting its commitment to evidence-based clinical standards. For a broader look at options, explore rehab centers in Spokane.
ABHS accepts Apple Health (Washington Medicaid), Medicare, and a range of private insurance plans including UnitedHealth Group, Molina Healthcare, Regence, and others. Financial aid and sliding scale options are also available. Individuals seeking care can contact the facility directly to discuss enrollment and verify coverage.
550 
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Our Methodology
Medicaid is a state based program that helps lower-income individuals and families pay for healthcare. Medicaid covers addiction treatment so those enrolled can use their coverage to pay for rehab. When a program accepts Medicaid the client often pays very little or nothing out of their own pocket.
Private insurance refers to any kind of healthcare coverage that isn't from the state or federal government. This includes individual and family plans offered by an employer or purchased from the Insurance Marketplace. Every plan will have different requirements and out of pocket costs so be sure to get the full details before you start treatment.
Self-pay involves paying for treatment out of your own pocket. You can use savings or credit, get a personal loan, or receive help from family and friends to fund your treatment. If you don't have insurance or your insurance plan doesn't cover a specific program, self-pay can help ensure you still get the care you need.
Financial aid can take many forms. Centers may have grants or scholarships available to clients who meet eligibility requirements. Programs that receive SAMHSA grants may have financial aid available for those who need treatment as well. Grants and scholarships can help you pai for treatment without having to repay.
Medicare is a federal program that provides health insurance for those 65 and older. It also serves people under 65 with chronic and disabling health challenges. To use Medicare for addiction treatment you need to find a program that accepts Medicare and is in network with your plan. Out of pocket costs and preauthorization requirements vary, so always check with your provider.
American Behavioral Health Systems offers comprehensive outpatient care allowing clients to maintain daily responsibilities. This flexible level of care utilizes psychoeducation and emotional interviewing to continuously support ongoing addiction recovery while individuals live at home near Spokane.
Inpatient treatment at this Spokane facility provides 24-hour care for adults needing a structured recovery environment. Stays can last anywhere from 15 to 180 days, incorporating case management, group counseling, and emotional interviewing to build lasting sobriety.
The intensive outpatient program delivers structured therapy sessions tailored for lasting addiction recovery. Clients engage in cognitive behavioral therapy and valuable psychoeducation, empowering them to develop crucial coping skills while returning to their own residences every evening.
Dedicated staff provide extensive aftercare planning and relapse prevention strategies to ensure lasting success. This continued support helps clients smoothly transition from residential treatment back into daily life, emphasizing ongoing counseling and dedicated recovery coaching near Spokane.
ABHS integrates the 12-Step methodology into its intensive residential programming. This established approach offers clients vital peer support and structured recovery tools, building a robust foundation for sobriety while carefully addressing co-occurring mental health disorders simultaneously.
Before beginning rehab, clients with substances in their system undergo medically assisted detox with 24-hour nursing care. Physician supervision helps safely manage difficult withdrawal symptoms from alcohol, opioids, and benzodiazepines within a comfortable, fully monitored clinical setting.
Comprehensive alcohol addiction treatment is provided through intensive residential programs. Well-trained clinicians utilize cognitive behavioral therapy and insightful psychoeducation to deliver personalized support, helping clients build a stronger, healthier foundation for long-term recovery in Washington State.
Clients overcoming drug dependence receive structured care within an intensive therapeutic community. Experienced professionals conduct emotional interviewing and specialized individual counseling to support residents in developing critical coping skills necessary for lasting, sustainable independence from illicit substances.
Specialized opioid recovery programs incorporate essential medication management and thorough mental health assessments. Through dedicated case management in a supportive environment, clients learn practical recovery skills essential for overcoming severe physical and psychological opioid dependence successfully.
Tailored substance abuse programs directly address the complex challenges of co-occurring mental health and addiction issues. This comprehensive approach utilizes extensive group therapy and precise case management to support clients toward achieving lasting, sustainable wellness.
The adult residential track offers long-term, intensive care featuring thorough psychoeducation and emotional interviewing. This extended program thoughtfully supports mature clients in developing essential behavioral skills required for sustained sobriety and improved overall mental well-being.
With a large capacity facility, this tailored residential program helps young adults overcome specific generational challenges. Cognitive behavioral therapy and targeted psychoeducation guide youth through substance dependence, ultimately building their resilience for a healthier independent future.
American Behavioral Health Systems utilizes cognitive behavioral therapy to modify self-destructive thoughts and behaviors. This highly proven method effectively strengthens a patient’s emotional self-awareness, reducing stress and eliminating the underlying urges to engage in dangerous substance abuse.
This modified CBT approach assists clients struggling with severely out-of-control emotions or self-harming tendencies. Dialectical behavior therapy proves clinically essential for individuals facing co-occurring conditions like borderline personality disorder during their complex addiction recovery journey.
Clients participate in extensive peer sessions encompassing support groups, targeted psychoeducation, and experiential modalities. These interactive, structured environments allow individuals to carefully process social interactions while receiving communal encouragement throughout their intensive residential treatment stay.
Residents meet privately with trained counselors to explore the foundational root causes of their addiction. These pivotal one-on-one sessions deeply address unique personal, social, family, and occupational challenges, fostering a highly tailored pathway toward lasting recovery.
Clinicians implement this goal-oriented clinical approach to gently resolve personal ambivalence toward recovery. By directly encouraging positive behavioral changes, counselors empower clients to freely make their own healthy, sustainable choices throughout the challenging rehabilitation process.
Private Transportation 
Residential Setting 
Private Rooms 
The Commission on Accreditation of Rehabilitation Facilities (CARF) is a non-profit organization that specifically accredits rehab organizations. Founded in 1966, CARF's, mission is to help service providers like rehab facilities maintain high standards of care.
CARF Accreditation: Yes
44 East Cozza Drive
Spokane, WA 99208
Sponsored Helpline
Spokane’s crime problem thats going on in 2025 is places like this. The Women’s and men’s centers they run are just a daycare!!!! It’s a joke. Staff members are unprofessional. I don’t even know if they really have degrees. They just want a paycheck. They aren’ ...
Very good structured schedule. It really helped me to get back to having a routine and to break up the day so it goes by faster. Great food. And plenty of it. Had schedule time for supervised smoke breaks. Most rehabs don't allow smoking. Wonderful knowledgeable medical sta ...
i only spent 30 days there and i found the staff wonderful. even when i picked up a bully they handled it very well. however one thing you should tell your new people that they cannot trade, or borrow. i was given some clothes from aborted client and they took them away from ...
If you could have kept my mom by treating her like a person she may be alive today. Your councilors should try and get people to stay and battle their demons. You let her go and she became worse than before she was put in your care and died because of it. Do not let a loved one rely on this place.
This place is so unorganized. The games the staff play with people’s meds. They can’t get it right for the life of them. Some of the employees look as if they are high on something themselves. One person says one thing then another says something different. It’s a joke. They cram the facility so full how does one expect to get treatment? Half the employees are just pissed off and treat the patients like crap. If they don’t like there job move along. Fix your phones also. 3 phones for more than a hundred patients and you guys can’t afford to fix the others that are broken. The employees treat there patients like there all criminals. Regardless if someone’s a self admitted or court ordered they are there to get help not be treated like crap. Future patients beware, if you’re looking for a treatment facility and want to be treated like crap, like a criminal, or not even as a human being this is your place. The staff will lie to you they will play games with your meds. He’ll the staff doesn’t even run the groups the other patients do. When I find out who looks over this place they will get the full detailed report. I think all the employees need to be re-evaluated, even more so the supervisors. Avoid going here at all costs. If you’re serious about getting help this place isn’t gonna do it. Not with out games and bs. Someone needs to actively look into this place. Something just isn’t right with management. Beware you’ve been warned. Avoid this place there staff needs to be overhauled!
A truly great facility filled with wonderful people ❤️
Cozza has an excellent group of people!! The care team, clinical, TC coordinator, case managers, kitchen staff! Everyone! Always kind, consistent, helpful, understanding. These people aren't getting enough credit. They go above and beyond.
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ABHS Spokane provides comprehensive addiction treatment including inpatient alcohol rehab, outpatient services, and medical detox. Their outpatient rehab programs are flexible and designed for those seeking alcohol use disorder treatment without overnight stays. They also offer specialized detox from alcohol and drugs, as well as therapies like CBT and trauma counseling to support lasting recovery.
At ABHS, alcohol detox is conducted in a safe, hospital-like environment with medically assisted detox options to manage alcohol withdrawal symptoms effectively. Their medical detox process helps ensure comfort and safety during alcohol withdrawal, typically taking several days depending on the individual’s condition and severity of alcohol dependence
Yes, ABHS Spokane accepts Medicare, Medicaid, and private health insurance plans. They also offer payment assistance and a sliding fee scale based on income to make addiction treatment more accessible for all clients seeking help for alcoholism and substance abuse.
While ABHS primarily serves adults and young adults, they focus on providing a non-faith-based, holistic approach that is suitable for diverse populations, including women and those with co-occurring mental health disorders. For teen rehab or LGBTQ rehab, it’s best to contact the facility directly to see if tailored programs are available.
The duration of detox from alcohol or drugs at ABHS varies depending on individual factors such as substance use severity and health. Medical detox usually lasts a few days, but the overall process can extend if additional treatment or dual diagnosis care is needed to address underlying mental health issues.
Yes, ABHS offers comprehensive dual diagnosis treatment centers that address both mental health and substance use disorders. Their evidence-based therapies, like CBT, DBT, and trauma counseling, are designed to treat co-occurring conditions in a supportive, integrated environment.
