Provides Evaluation and Treatment (ENT's) services to adults in Pierce County. Most adults enter the program involuntarily by court order. Many chose to change to a voluntary stay. Those in inpatient receive 24/7 access to nursing services, counseling and peer services.

Provides safe environment as an alternative to hospital emergency departments. Services include creating recovery plans, one-on-one group support sessions, substance use disorder and mental health evaluation, medication evaluation and monitoring, and connection to community resources. This is a voluntary program. The triage center includes 8 chairs for stays less than 24 hours and the stabilization center includes sixteen beds for 5-7 day stays.

Detox programs provide a monitored setting for the safe withdrawal from alcohol and other drugs. Whatcom Community Detox is provided in a 16-bed acute (medical) unit where intensive medical monitoring is required. Skagit Community Detox is a 16-bed sub-acute (non-medical) unit where intensive medical monitoring is NOT required. Ituha Stabilization Facility is a 10-bed facility providing acute medical detox where intensive medical monitoring is required along with stabilization services. In addition to stabilization and safety, the goal of these services is to assess people's mental health and chemical dependency-related needs and help them access the services they need to recover.  Services: -  Safe withdrawal from alcohol and drugs -  Counseling -  Motivational programming -  Referrals to mental health services -  Referrals to chemical dependency treatment   Medication Assisted Treatment Program Offers individuals addicted to opiates a tapering program, or induction for maintenance, for use at inpatient treatment and in the community based on successful completion of treatment. Offers case managers and uses a physician who prescribes Suboxone for a smooth transition so clients can move easier into a treatment program.

Provides a six-bed crisis stabilization program for individuals dealing with acute behavioral health issues that are willing to stay on a voluntary basis.

A dual diagnosis facility providing medical detox and psychiatric services. Offers a short-term stay, typically around 14 days, for stabilization.  Patients are withdrawn from drugs and alcohol in a safe environment monitored by medical staff.  Free assessment provided.

Provides short-term residential placement and 24-hour access to mental health professionals to address children's urgent mental health crises. Children receive a psychiatric assessment by a psychiatrist, individual and family therapy with a Master's-level clinician, and a physical health exam. Provides a calming, secure setting for children in crisis. Designed to resolve crisis situations and reduce the danger of aggression or self-harm. Specializes in working with children who have both developmental disabilities and a mental health diagnosis.

Offers a short-term 16-bed crisis stabilization alternative to inpatient hospitalization for adults who are experiencing a behavioral health crisis and require 24-hour support. Patients may stay up to 5 days on a voluntary basis, and will have an individualized discharge plan with post discharge follow-up. While in the triage center, each person will be offered the following in-house services: Daily living skills, Group activities, Case management, Peer counseling, Mental Health Professional assessment, Solution Focused Brief therapy, chemical dependency screening and full evaluation if needed, rapid referral to services and housing, as well as an assessment by a psychiatric medical provider for medication management. Patients of the Crisis Triage Center with co-occuring substance use disorders may be voluntarily admitted to the Pacific Hope Recovery Center after stabilization, if appropriate.