Since 1998, Skamania County Community Health has offered 12-step centric outpatient substance abuse treatment in the heart of the Columbia River Gorge, just miles from the Mt. St. Helens National Volcanic Monument. In 1994, Skamania County purchased and completely renovated the Rock Creek Hegewald Center in Stevenson, Washington and this is where counseling services take place in three large, attractive buildings with plenty of windows, overlooking majestic pine trees.
Treatment and Staff
The first step in seeking treatment for substance abuse is to attend orientation, which is every Monday from 11 am to 12 pm. Although no appointment is necessary, this one-hour presentation is required in order to schedule an assessment with a chemical dependency counselor. After the assessment, the counselor outlines a treatment plan and schedules an intake session. During intake, the counselor recommends treatment options, which vary depending on the client. For adults 18 and over, there is an outpatient and Intensive Outpatient (IOP) option. Clients with co-occurring disorders can be treated for substance abuse, but are referred to the mental health clinic for further assessment in addition to the basic substance abuse program.
Regardless of the treatment track, the staff utilizes CBT based therapy coupled with a 12-step focus in order to direct clients toward problem solving and changing destructive behavior.
The program is 12 weeks long and meets for group therapy once a week for 90 minutes. Clients have the option of morning or afternoon sessions. Group size is limited to 10 and facilitated by a LCDC. Topics change weekly, ranging from relapse prevention to grief counseling and conflict resolution. Once a month, educational videos are presented in the classroom, along with lectures on the physical affects of drug and alcohol addiction.
The IOP program meets three times a week for two hours. The duration of this option is 16 weeks, with a morning or afternoon option. As with the outpatient program, a licensed chemical dependency counselor facilitates groups, and topics change weekly. This component includes individual therapy twice a month. Both treatment options require two 12-step meetings per week and random urinalysis testing.
For those under the age of 18, the Youth Group meets once a week on Wednesdays from 1:30 to 2:30 pm. Also led by a chemical dependency counselor, this group focuses on substance abuse education and peer pressure. Clients have to meet with a marriage and family therapist at least once a month, but are not required to attend their own group therapy.
Currently, there are five counselors who rotate through the chemical dependency clinic, two of whom have extensive experience working with adolescents and all of whom utilize CBT as their primary treatment modality.
Skamania County Community Health provides an evidenced-based, 12-step approach to treating addiction. Reasonably priced to begin with, they also offer a sliding scale fee option. With flexible scheduling choices and tranquil surroundings, this center might be a good fit for those seeking help with substance abuse.
Skamania County Community Health
710 SW Rock Creek Dr
Stevenson, WA 98648
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Photo courtesy of Dcoetzee (Own work) [Public domain], via Wikimedia Commons (resized and cropped)