According to the SAMHSA directory, there are more than 400 drug rehab centers in Washington State. This includes over 40 detox services, approximately 350 outpatient programs, just under 45 short-term facilities, and around 30 long-term programs in Washington State. Addicted.Org features a listing of the different services available in the state with their contact information. In addition to this, our addiction specialists are more than qualified to help you find the treatment program that is right for you.

When you call one of our counselors, they can ask you the appropriate questions to guide you and identify the best drug rehab in Washington that can answer your individual needs. They can then help you with anything else you need until you arrive at the facility. Their only goal is to ensure you receive the help that you need.

TIPS: If you feel you're going to use

  • Find a peer support group: Washington 12-step meetings and aftercare programs from the directory.
  • Stay active and distracted—become a member at the local community center, join a gym, or take long or short walks.
  • Utilize free or open behavioral health counseling or contact Washington 2-1-1.
  • Find an extroverted activity—experience backpacking, camping, Eastern Washington, Mount Rainer, and the outdoors.
  • Avoid risky situations that lead to relapse. Be aware of commonly used drugs and triggers.

TIPS: If you want to help someone

  • Refer them to local resources through or the Washington State Department of Social and Health Services.
  • Be aware of overdose risks—resources available through the Washington State Department of Health and Opioid Overdose Prevention.
  • Assessment and screening are vital tools. These resources are available at state and local levels.
  • Consider hiring a professional interventionist and plan a family intervention.
  • Avoid enabling anyone addicted to drugs or alcohol as it worsens the situation.

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Long-Term Drug Rehab in Washington

All forms of treatment can be successful and can help someone overcome their addiction, but it is our professional opinion that a long-term program is the most effective – here are several reasons why:

  • Such programs in Washington are ideal, especially for those who have had multiple relapses or for whom short-term programs have not been successful.
  • With the time allowed for the program, residents have the chance to build a healthy routine & structure, which can be beneficial both during and after treatment.
  • By living at the facility, they are taken away from the environment where they usually use alcohol or drugs.
  • Throughout the treatment, they are given the opportunity to build meaningful and lasting relationships with other individuals, so they can support themselves through the process.

Long-Term Drug Rehab for Specific Demographics:

  • 18 programs in Washington work with adult women.
  • 9 treatment facilities provide care for pregnant & postpartum women.
  • 12 rehab centers offer their services to adult men.
  • 9 programs serve the needs of adolescents.
  • 2 treatment centers provide services for seniors and older adults.
  • 7 facilities tailor programs for the LGBTQ+ community.

Payment Options for Long-Term Drug Treatment:

  • 27 programs in Washington accept Medicaid.
  • 26 rehab facilities take private health insurance.
  • 27 programs are self-payment or private pay.
  • 5 treatment centers provide a sliding fee scale as payment.

It is essential that you find the right program for you as this will greatly help your recovery. As we can see from the information below, there are various options available for anyone seeking out long-term rehabilitation services in Washington State.

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Different Rehab Options in Washington

Outpatient Rehab  
Detoxification Centers  
Faith-Based Programs  
Women-Only Treatment  

List of Rehabs in Washington

Here is a list of the different drug treatment programs in Washington. The list can be incomplete so please do not hesitate to contact one of our treatment specialists at 1-800-304-2219.


According to SAMHSA, there are 15 inpatient drug and alcohol rehab programs in Washington. Generally, when a treatment facility offers inpatient care, they are also providing comprehensive medical support. However, these drug rehab centers operate much of the same as any standard residential drug rehab center providing detox, therapy, and aftercare support.

Inpatient Drug Rehab for Specific Demographics:

  • Eight inpatient drug rehab centers are women-only facilities.
  • Eight treatment centers provide help specifically for adult men.
  • Only one inpatient center provides services for adolescents only.

Payment Options for Inpatient Drug Rehab Programs:

  • 11 inpatient drug rehab centers accept Medicaid health insurance.
  • 15 treatment centers take private health insurance plans.
  • Only one inpatient facility offers a sliding-fee scale for payment.

Washington Drug Rehab Centers Breakdown

According to SAMHSA:


According to the SAMHSA directory website, there are 46 detox facilities in Washington. Detoxes have become more heavily utilized as the drug epidemic has grown. But there is still a need for more addiction treatment services. There are 108 drug rehab centers in Seattle, Washington. The program options include clinical and medical detox centers, outpatient treatment, and residential drug rehab programs.

Short-Term Inpatient

Short-term treatment is anything 28 days or less. There are 43 of these programs in the state of Washington. Patients live at the facility until their treatment is complete.

Long-Term Programs

These are programs that are usually around 90 days in length but can go even longer. The SAMHSA website lists 35 long-term facilities in Washington. Long-term treatment may be more effective for those with severe addictions or who are relapse prone.


There are over 350 outpatient programs in Washington. These programs are often utilized to help patients stay involved in recovery after they complete an inpatient program.

Cost of Treatment in Washington

The cost of treatment in Washington can be anywhere from free to tens of thousands of dollars. And health insurance is usually the determining factor. If someone has health insurance, they can generally get into treatment somewhere covered and pay far less than the full cost.

According to SAMHSA:

  • There are 329 treatment centers in Washington that accept Medicaid for payment.
  • More than 350 programs in the state take private health insurance.
  • Washington has 369 rehabs that will accept cash as a form of payment.
  • Only 156 programs in the state offer sliding scale payment assistance.

Paying for Treatment with Medicaid in Washington

Medicaid can cover all treatment expenses where it is accepted, which is mainly state-funded programs. But because this option is so popular, these programs often have long waiting lists which can delay treatment for someone in need. But this is a trade-off when considering that Medicaid is provided for free to those who cannot afford private healthcare. Nearly 2 million residents have some form of Medicaid assistance in Washington.

Using Private Insurance to pay for Drug Rehab in Washington

Private health insurance can make rehab more affordable. The person must pay a monthly premium to keep a private health insurance policy unless it's provided by their employer. But it is accepted as payment by more facilities than Medicaid, improving one's chances of getting in somewhere without a waiting list quickly.

But for those that cannot afford private health insurance and don't qualify for Medicaid, it can seem like paying cash for treatment is their only option. Luckily, Washington has accepted federal aid and expanded its Medicaid program to cover more residents. And the state's exchange Marketplace offers access to certain policies at discounted rates to those who demonstrate financial hardship.

The following insurers are available through Washington's exchange marketplace:

  • BridgeSpan Health Company
  • Community Health Network of Washington
  • Coordinated Care Corporation
  • Kaiser Foundation Health Plan of the Northwest
  • Kaiser Foundation Health Plan of Washington
  • LifeWise Health Plan of Washington
  • Molina Healthcare of Washington
  • PacificSource Health Plans
  • Premera Blue Cross
  • Regence BlueCross BlueShield of Oregon
  • Regence BlueShield
  • UnitedHealthcare of Oregon

Paying for Treatment when Uninsured

Even with all the assistance available in Washington, many people are still faced with paying for treatment when uninsured. But there are still options for assistance even in this scenario. For example, over 150 programs in the state offer sliding scale payment assistance. So, the harder it is for someone to pay for treatment, the more significant discount they get.

This may be the best option since many people who struggle with addiction fail to maintain health insurance. It is never recommended to wait when treatment is needed to try and get insurance. The risks outweigh the potential financial savings.

For more information on how to pay for treatment, you can reach out to one of the treatment specialists at or contact the center directly.'s Evaluation of Washington Drug Rehabs

After reviewing state statistics and options available for Drug and Alcohol Rehabilitation in Washington, discovered the following pros and cons:


  • The Washington State Health Care Authority provides funding and oversight for substance use treatment services for people enrolled in Apple Health (Medicaid). However, treatment is limited to alcohol use treatment, involuntary treatment, medication for opioid use disorder, and opioid use treatment.
  • There are more private non-profit substance use treatment providers in the state than private for-profit, 47%, and 39%, respectively—this means more affordable access to treatment for most families. (source N-SSATS).
  • 75% of programs accept Medicaid, and 83% of services take private health insurance. In comparison, 42% provide treatment at no charge or minimal payment for clients who can not pay.


  • Through the State Health Care Authority, drug and alcohol treatment services are covered by Behavioral Health Organizations and Apple Health fee-for-service programs—this may impact the quality of service as providers are paid for patient turnover.
  • There are over 400 substance use treatment programs in the state. Yet, only 14% are classified as residential non-hospital programs. Generally, inpatient treatment is the best option for addiction.
  • Detoxification programs are relatively limited, with only 5% as residential non-hospital and 3% as hospital inpatient detox. Most are situated in the larger metro areas.
  • There are limited in-house support programs that include transitional housing, halfway houses, and sober homes, with only 17 listed by SAMHSA.

Overall, there is affordable substance use treatment in the state. More is being done to address the opioid epidemic through prevention and treatment. However, there is a lack of aftercare support options, and families or addicts face wait times and barriers to accessing certain therapies.

Substance Use Statistics in Washington

According to the NCDAS in 2020:

  • 61,000 teenagers aged 12-17 reported using drugs in the last months.
  • 0.55% of them reported using cocaine in the last year.
  • 2.55% reported misusing painkillers.

Based on NIDA in 2018:

  • Approximately 63% of drug overdose deaths during that year involved opioids.
  • Of this number, 328 deaths involved heroin and 301 involved prescription opioids.
  • Additionally, 221 fatalities involved synthetic opioids other than methadone, mainly fentanyl & fentanyl analogs.

The Washington State DOH is aware of opioid addiction's impact on their community. On their website, they have a page with information listing what they have done to combat opioid misuse & abuse. They implemented a State Opioid Response Plan for 2021-2022, which lists out their efforts to fight the opioid epidemic in their area. They have also put in place a Prescription Monitoring Program in order to improve the care and stop overprescribing practices from happening within their state.

What's new in Washington

3 May 2022

The Latest News on Addiction and Recovery in Washington

Washington doctor imprisoned for selling opioids—

A doctor in the Tri-Cities was sentenced to four years in prison for her role in a pill mill. The doctor hired addicts and then gave them blank prescription scripts she had signed. The Drug Enforcement Administration agents raided her office.

The receptionist and office manager would fill out prescription orders for highly addictive drugs, which include fentanyl and oxycodone. The prescriptions were given to fake patients and the doctor's regular patients.

Washington wants to decriminalize drug possession—

An organization has introduced a ballot initiative that would decriminalize simple drug possession. Overall, it would decriminalize personal drug possession and fund the expansion of prevention, treatment, and recovery services using marijuana tax revenue.

Looking at what is happening in Oregon, legislatures said the same thing would happen regarding new funding. Still, it was not the case, and drug addiction and overdose have increased significantly.

Frequently Asked Questions

What are the marijuana laws in the state of Washington?
How has marijuana use impacted Washington state?
What drug and alcohol addiction trends are seen in Washington State?
Why is heroin a popular drug in Washington?


Marcel Gemme, DATS

Marcel Gemme, DATS


on May 17, 2022

More Information

Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people. He is a Licensed Drug and Alcohol Treatment Specialist graduate with Honours of Stratford Career Institute. Marcel has also received a certificate from Harvard for completing a course entitled The Opioid Crisis in America and a certificate from The University of Adelaide for completing a course entitled AddictionX: Managing Addiction: A Framework for Succesful Treatment.

Dr. Rohit S. Adi, MD, DABAM

Dr. Rohit S. Adi, MD, DABAM

Medically Reviewed

on May 17, 2022

More Information

Dr. Rohit S. Adi is certified in addiction medicine, through examination, by the American Board of Addiction Medicine. While in Louisiana, he worked as an emergency-room physician at Our Lady of Lourdes Regional Medical Center in Lafayette, Louisiana, but then transferred to Our Lady of the Lake Regional Medical Center in Baton Rouge, where he works to this day. Holding numerous positions throughout his medical career, Dr. Adi has seen the devastating effects caused by drugs and alcohol. Having the ability to do something about the problem, he co-founded a holistic drug rehabilitation center in Louisiana, where he serves as the facility's Medical Director.