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Washington Rehab: Drug & Alcohol Addiction Treatment in the Pacific Northwest

Substance use disorders affect many people in Washington state. Approximately 8.6% of people aged 12 and older, or roughly 523,000 people, have a substance use disorder.1 If you’re one of them and ready to get help, or if you’re looking for help for a loved one, this guide can help you locate treatment centers in Washington state to help you on your path to recovery.

Where Is Treatment Located in Washington?

There are numerous rehab centers in Washington state. However, these treatment centers tend to be clustered around the Seattle and Tacoma areas, with a few facilities in eastern Washington near Spokane and in southeastern Washington.2

In addition, you can look at out-of-state treatment options, many of which are just minutes away from the nearest city airport hub.

There may be benefits to seeking treatment away from home, including the:

  • Removal from toxic environmental triggers, such as the people, places, and things you associate with drug and alcohol use that might be tempting during the initial recovery.
  • Reinforcement of the idea of starting over alcohol- and drug-free.
  • Commitment—in terms of time and finances—required, making it harder to leave rehab early.
Our Treatment Centers by State

What Is the Cost of Rehab in Washington?

Around 85% of the 457 Washington rehab centers accept private insurance plans. However, if you do not have insurance, many of the rehab facilities offer ways to pay, including self-payments and sliding-fee scales. There are several centers that provide free or minimal-cost rehab for those who cannot pay.3

Many factors influence the total cost of rehab, including the type of treatment—inpatient, outpatient, or medically managed detox, for instance—location, and amenities.

Does Insurance Cover the Cost of Treatment in Washington?

Insurance may cover at least part of the cost of treatment. The Affordable Care Act (ACA) requires private insurance companies to provide its members with some form of substance abuse treatment. This means that, for the most part, insurers cannot deny coverage for a substance use disorder. The specific coverage, however, depends on the benefits and the details of the health care plan.

Many health insurance plans will help cover the cost of out-of-state residential treatment programs, too. For example, Laguna Treatment Hospital accepts Kaiser Permanente, United Healthcare, and Blue Cross Blue Shield insurance, to name a few.

For those without insurance, 89% of the alcohol and drug rehab centers in Washington state accept self-payment and 56% accept sliding-scale fees, which means that the cost of treatment is based on income.

In addition, 40% of the treatment centers in the state offer low- or no-cost treatment for those who cannot afford to pay.3 Furthermore, nearly two-thirds of the facilities in Washington state take state-funded insurance and more than three-quarters of them accept Medicaid to pay for treatment.3

What Forms of Substance Abuse Do the Rehab Centers in Washington Treat?

Most facilities treat nearly all substance use disorders. The most frequently treated SUDs in Washington state include (but are not limited to):4

  • Amphetamines.
  • Heroin.
  • Marijuana.
  • Alcohol.
  • Opioids other than heroin.

In addition, many people have co-occurring disorders, also known as dual diagnosis. When a person has a co-occurring disorder, they have a behavioral health disorder as well as a substance use disorder.5

Integrated treatment programs screen, assess, and provide services for substance use disorders and other mental health disorders, such as depression and PTSD. In fact, Laguna Treatment Hospital offers a co-occurring disorder treatment program.

We’re currently available to talk to you in private about finding addiction treatment near you. Give us a call at

Take Our Substance Abuse Self-Assessment

Take our free, 5-minute substance abuse self-assessment below if you think you or someone you love might be struggling with substance abuse. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder. The test is free, confidential, and no personal information is needed to receive the result.

Other Ways to Get Help and Washington State Rehab Resources

In Washington state, there are numerous groups to help with long-term recovery. These include:

In addition, you can call crisis lines to get help in Washington state.

Find Drug and Detox Treatment Centers Near You

FAQs About Drug and Alcohol Rehab Treatment in Washington


  1. Substance Abuse and Mental Health Services Administration. (2019). Behavioral Health Barometer: Washington, Volume 5: Indicators as measured through the 2017 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services.
  2. Substance Abuse and Mental Health Services Administration. (2018). National survey of substance abuse treatment services.
  3. Substance Abuse and Mental Health Services Administration. (2020). National Survey of Substance Abuse Treatment Services (N-SSATS).
  4. Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Treatment Episode Data Set (TEDS).
  5. National Institute on Drug Abuse. Part 1: The connection between substance use disorders and mental illness.
  6. University of Washington Addiction, Drugs, and Alcohol Institute. (2020). Drug-caused deaths across Washington state.
  7. Substance Abuse and Mental Health Services Administration. (2019). 2018-2019 National Survey On Drug Use And Health: Model-Based Prevalence Estimates (50 States And The District Of Columbia).
  8. National Institute on Drug Abuse. (2018). Principles of drug addiction treatment: A research based guide.
  9. Washington State Legislature. RCW 69.50.315. Medical Assistance—Drug-Related Overdose—Prosecution for Possession.
  10. Washington Courts. Drug Courts and Other Therapeutic Courts.
  11. Department of Corrections Washington State. (2020). Drug Offender Sentencing Alternative (DOSA): Improving public safety by positively changing lives
Last Updated on November 19, 2021
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