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Gateway Community Services


Gateway Community ServicesGateway Community Services Review

Gateway Community Services provides outpatient substance abuse treatment for adults and adolescents living in central Montana. Located in the town of Great Falls near the Missouri River and Rocky Mountains, Gateway has been serving Cascade County since 1987.

Treatment and Staff

Potential clients are evaluated by an intake counselor prior to enrollment. Once assessed, clients are assigned to various groups and educational sessions along with a primary counselor. Intensive Outpatient Program (IOP) clients meet four times per week for two hours at a time. Clients typically work the IOP for six weeks.

On Mondays and Wednesdays, IOP clients attend educational classes with topics including addiction studies, family dynamics, setting goals and communication skills. Tuesdays and Thursdays are reserved for group therapy. Using CBT, clients discuss peer pressure, stress management and identifying triggers. An additional one hour per week is set aside for individual therapy. Group size varies but is limited to eight people.

To accommodate obligations like work and school, Gateway offers both morning and evening treatment options. Clients are encouraged to seek outside support services such as AA/NA—though attendance is not required.

Regular outpatient clients meet twice per week for two hours with one additional hour for individual therapy. Tuesday is an educational session and Thursday is group therapy. Topics are similar to IOP with less frequency and, as with IOP, there are daytime or evening options. Again, groups are limited to eight clients and, while the duration of outpatient varies based on the client’s progress, most attend groups for at least four weeks.

While individuals diagnosed with co-occurring disorders may be treated in the substance abuse program, counseling staff provide a referral to a facility that assists with issues such as trauma, grief, anxiety, depression and abuse.

Depending on the initial assessment, adolescents may attend groups anywhere from one to four times per week. Groups meet Monday, Tuesday, Wednesday and Friday from 3:30 pm to 4:30 pm and 30-minute individual therapy sessions are held on Fridays. Group therapy for adolescents is a mixture of CBT, educational sessions and peer-to-peer discussions with topics including the physical effects of addiction, brain development, peer pressure, family dynamics, process group and identifying triggers. While parental involvement is highly recommended, it is not required.

All Gateway treatment staff are CDACs.


Gateway also offers a family education program that provides a safe, supportive setting to help loved ones understand the recovery process and acquire tools for healing.

Additionally, Gateway works with young clients who have been charged as a minor in possession. This educational course works with the offender and their family to navigate the consequences of their choices.

Dual diagnosis clients are supported at Gateway, providing they are medically stable and able to function independently.

In Summary

Gateway’s substance abuse treatment for adults, adolescents and family members uses traditional methods including group and individual therapy to treat addiction in a comfortable and safe environment. While recovery programs like the 12 steps are not a required part of their curriculum, their individualized treatment plans are comprehensive with each client’s life goals and long-term sobriety in mind.

Gateway Community Services Location

Gateway Community Services
26 4th St North
Great Falls, MT  59401

Gateway Community Services Cost

Sliding scale. Reach Gateway Community Services by phone at (406) 727-2512 or by email at [email protected]. Find Gateway Community Services on Facebook

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