Pathways Behavioral Services Reviews, Cost, Complaints
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Pathways Behavioral Services


PathwaysPathways Behavioral Services Review

Pathways Behavioral Services has provided substance abuse and mental health treatment services for the residents of Black Hawk, Bremer, Buchanan, Butler, Chicksaw and Grundy counties in Iowa since 1967. Treatment is offered to men and women aged over 18, in both inpatient and outpatient capacities. Transitional housing services are also provided and are located in Waterloo, Black Hawk County.

Accommodations and Food

The Pathways residential facility accommodates 18 men and women. Clients are housed four to a room, with genders separated. There is no opportunity for private rooms, as the facility is usually full with a wait list of a few days to a few weeks.

Food is prepared by the techs with the assistance of the clients, from a menu pre-approved according to dietary requirements.

Treatment and Staff

Clients at Pathways complete a comprehensive medical and physical evaluation upon admission, and an individualized treatment plan is suggested. Detox is not provided, but Pathways partners with local hospitals to ensure a continuum of care for clients that require it.

The residential program consists of three levels of care. The most intensive includes 50 hours a week of treatment-based activities, with clients focusing on education, self-disclosure and problem solving. The second level consists of 30 hours of scheduled treatment, with clients having established 14 to 21 days of sobriety before entering this phase. The least intensive phase of the program includes five hours of treatment within a 32-hour weekly activity plan, and clients must achieve 21 to 30 days clean and sober to be eligible. Group and individual therapy at all levels includes focus on creating financial, personal and social stability. On-site 12-step meetings are held regularly, with attendance required for all clients.

Pathways offers strong dual diagnosis support for clients with co-occurring disorders by providing a staff that includes psychiatrists, registered nurses, CSWs and mental health counselors who can provide medication management as needed.

Clients who complete the residential program or don’t require as intensive treatment have the option to choose between the Intensive Outpatient Program (IOP), Extended Outpatient Program (EOP) and Continuing Care Outpatient Program. All group and individual sessions are available during morning and evening hours to allow clients to attend school or work and eventually resume regular activities.

The IOP consists of nine or more hours of group and individual therapy a week, the EOP is two to nine hours a week, and the continuing care program offers one hour of therapy each week. Clients continue through each level until they demonstrate an ability to remain sober.


The specialized adolescent outpatient program offers some services on-site at local high schools, as well as at the Pathways facility. The group and individual therapy sessions focus on phases of addiction, choices, emotions, relapse, responsibility, goals, self image, friendship, attitudes, independence, violence and problem solving, among others.

Pathways also has a 25-bed transitional housing unit called the Junkman-Knoebel Center located in Black Hawk County. It offers a structured environment for male court-ordered clients. The program requires a commitment to sobriety, with random urinalysis, employment and meeting of financial obligations.

In Summary

Pathways Behavioral Services provide comprehensive substance abuse and mental health treatment for communities in northern Iowa. The various levels of treatment allow for specialized care that caters specifically to the needs client at different stages of recovery. The prevention, intervention and treatment services provided for adolescents are also a valuable resource, as their treatment is inclusive of the client’s family and broader community.

Pathways Behavioral Services Location

3362 University Ave
Waterloo, IA 50701

Pathways Behavioral Services Cost

$3,200 (for 30 days). Reach Pathways Behavioral Services by phone at (319) 235-6571 or by email at Find Pathways Behavioral Services on Facebook

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