In our residential treatment facilities, we serve adult men, ages 18 and older, diagnosed with a substance use disorder. We specialize in helping people with co-occurring mental health conditions, Veterans, those involved in the criminal justice system, people with low to no income, and those who have unstable or no housing. 

Outpatient treatment 2

Highlights of our Residential Treatment program

We operate three residential treatment facilities in Salt Lake County, Utah, including: 

  • 70-bed residential treatment center located at 440 South 500 East with 34 beds designated specifically for Veterans and 36 beds designated for Veterans and non-Veterans 
  • 76-bed residential treatment center located at 411 North Grant Street 
  • 60-bed residential facility located at 950 East 3300 South in Millcreek dedicated to serving participants in our Pay for Success program, REACH (Recovery, Engagement, Assessment, Career, and Housing), aimed at reducing criminal recidivism for high utilizers of the Salt Lake County jail.

Our facilities include full amenities of dorm-style rooms, a professional kitchen, group rooms, common areas, and laundry facilities. Breakfast, lunch, and dinner are served daily, and coffee and snacks are available throughout the day.   

Core Treatment Components

The most important component of our program is our team of highly effective addiction specialists. Programs are administered by a team of professionals, many of whom are master’s-level clinicians with substance use disorder treatment experience. Our team utilizes evidence-based modalities during individual therapy, group therapy, and life skills classes.

Our Goal

Our goal is to create a community that allows people to engage in treatment on multiple levels. To accomplish this goal, we address the unique needs of each client by creating individualized treatment and case-management plans to address multiple domains of concern (e.g., physical health, environment, family relations).

Our Process

At the start of treatment, we do a thorough assessment to determine the appropriate level of care for each client. Clients referred to our residential facility are those whose pattern of substance use, and relevant behaviors, place them in imminent danger to themselves or others. At our residential facility, clients engage in treatment activities and supportive services throughout the day. Family members, friends, and other supportive individuals may visit clients during their stay. Our residential clients work to address both their substance use disorders and the secondary consequences of addiction, including unstable housing, barriers to employment, and untreated medical and dental conditions.

At a Glance

Treatment Methods

Rational Emotive Behavioral Therapy (REBT), Relapse Prevention Therapy, Moral Reconation Therapy (MRT), Shame Resiliency, Grief and Loss, Dialectic Behavior Therapy (DBT), Addiction Education, Client-Counselor Alliance, Motivational Interviewing, and Medication Assisted Treatment. 

Services Rendered

Substance use disorder and mental health treatment, including Individual therapy, group therapy, and life-skills classes; peer support services, comprehensive case management, supportive employment, primary care & coordination, recovery residence, housing support, and transportation. 

Continuum of care 2

Our Continuum of Care Addresses Your Individual and Whole Health Needs.

We offer a true continuum of care including evidence-based substance use disorder and mental health treatment, targeted case management, supportive employment, healthcare, and physical housing. We advocate for and case manage people from homelessness and triage to treatment completion, recovery housing, employment, permanent housing, and self-sufficiency. 

At First Step House, we recognize that treatment is necessary, but insufficient on its own for sustaining the long-term, whole health needs of an individual. Offering supportive services in conjunction with behavioral health treatment creates long-term positive outcomes for our target population. We are a research-based healthcare provider committed to transforming the cultural norms of our sector that contribute to health disparities and inaccessible or ineffective care. 


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What can I expect in the first two weeks?

We have designated 36 beds as our Orientation Unit where all new residential treatment admits are monitored for at least the first 14 days of treatment. Our Orientation Unit serves as an opportunity to slowly transition clients into treatment as the clinical team assesses and evaluates needs, while the resident stabilizes and acclimates to the rules and expectations. 

How long does the Residential Treatment program last?

Lengths of stay vary based upon the person’s treatment goals and individual needs. The length of stay will be determined by the client and the counselor as part of the client’s treatment plan. Treatment plans are updated regularly to ensure appropriate and responsive treatment. 

What are your hours & schedule?

Our doors are open 24 hours/day and 7 days/week. We are not a lockdown facility. The bulk of our groups and classes take place Monday through Friday from 8:00 am until early afternoon. Weekends, afternoons, and evening hours are reserved for case management, individual therapy, financial and employment counseling, job searches, service work, outside support groups, therapeutic homework, medical and legal appointments, family visits, house chores, and recreation. 

Administrative and Clinical Hours: Monday – Friday from 8:00 am – 4:00 pm 

How much does residential treatment cost?

Most First Step House clients receive funding for treatment through Medicaid, Salt Lake County Behavioral Health Services, or the U.S. Department of Veterans Affairs. We offer some of the lowest treatment costs in the nation and collaborate with civic and private organizations that provide funding assistance for those with little or no income. Contact our admissions office to see if you qualify for our variety of funding options. 

Who is eligible for residential treatment services?

Individuals eligible for our residential treatment services include adult males meeting DSM-5 (The Diagnostic and Statistical Manual of Substance Use Disorders) diagnostic criteria for a substance use disorder as the primary condition, a mental health disorder identified as a secondary condition, and clients identified as having High Prognostic Risk and High Criminogenic Need as determined through the administration of the Level of Service/Case Management Inventory (LS/CMI). Based on an ASAM dimensional assessment, FSH offers the following levels of care to eligible participants: (1) 3.5 Clinically Managed High Intensity Residential; (2) 3.3 Clinically Managed Population Specific High Intensity Residential; (3) 3.1 Clinically Managed Low Intensity Residential; (4) 2.1 Intensive Outpatient; and (5) 1.0 Outpatient.

Are your services trauma-informed and/or evidence-based?

Providing trauma-informed services that are evidence-based and outcome-supported is a high priority for First Step House. We implement practices based upon the best available research, improving clinical expertise, considering client characteristics, culture, and client preferences, ensuring external validity, and evaluating the feasibility of implementation. FSH utilizes evidence-based programs and recovery support services to help our participants achieve positive outcomes related to abstinence, treatment completion, self-efficacy, quality of life, stable housing, employment, reduced criminal justice involvement, and long-term recovery. These modalities include Trauma-informed Care, Moral Reconation Therapy (MRT), Cognitive Behavioral Intervention (CBI), Rational Emotive Behavior Therapy (REBT), Assertive Community Treatment (ACT), Dialectic Behavior Therapy (DBT), Motivational Interviewing (MI), Medication Assisted Treatment (MAT), Individual Placement and Support (IPS), Housing First, Critical Time Intervention (CTI), Service Prioritization Decision Assistance Tool (SPDAT), TALER (Tracking, Assessment, Linkage, Engagement, and Retention) Protocol, Contracts/Prompts/Reinforcement (CPR), and Freedom from Smoking. 

Is there support after residential treatment?

We offer outpatient treatment and a free long-term recovery management (LTRM) program. We offer a smooth transition for residential clients to outpatient, and upon graduation from outpatient treatment, there is a warm hand-off to our LTRM program manager where all clients are highly encouraged to enroll. 

Can I enroll in outpatient treatment without doing residential treatment?

Yes. For those entering our outpatient program, we do a thorough assessment to determine if an outpatient level of care is best suited for the individual’s needs.  

Take The First Step

Help is Waiting for You at First Step House

Visit our Admissions Department today to learn more about our treatment, case management, and housing programs. We provide comprehensive and client-centered services to help people build productive, meaningful, and healthy lives.