First Step 

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About us

What we are about… 

At First Step, we are primarily an Acceptance and Commitment Therapy based program. From the Association for Contextual and Behavioral Science website, the core of ACT is quoted as..

“Developed within a coherent theoretical and philosophical framework, Acceptance and Commitment Therapy (ACT) is a unique empirically based psychological intervention that uses acceptance and mindfulness strategies, together with commitment and behavior change strategies, to increase psychological flexibility.” 

 The underlying problems that we all face are rooted in the effort we expend to avoid, suppress, remove or simply numb unwanted thoughts, feelings and experiences. The problem is further compounded when we stray from living a life guided by our values, and instead, are led by thoughts and feelings which are often conflicting and lead to painful consequences. 

 With our clients, we work on learning to live with these troublesome thoughts and feelings through the use of mindfulness skills along with learning your values and how to focus on those being your guide. Mindfulness is not a relaxation technique, or way of avoiding thoughts and feelings. Mindfulness in ACT is learning to notice, observe, and live with those thoughts and feelings without being guided by them. 

 Learning and living according to a values guided life is not always easy, but ultimately leads to a more fulfilling life. 

 Our therapy is provided using individual, group or family therapy depending on your specific situation and need. We do not view our clients as broken or abnormal. In fact, we see what you are experiencing as part of the human condition. We are all in this together. Our goal is to work with you to learn these life changing skills.

Outpatient Substance Abuse & AddictionTreatment

We offer evaluation, individual, group and family therapy as indicated by clinical necessity.

First Step offers a specialized treatment program for opiate abuse/dependency. Our Medical Director will evaluate and determine if this approach is medically appropriate for you.

mental health

We are an outpatient facility providing individual, family, or group therapy to address the identified concern in as effective manner as possible.

First Step is unique in that we offer a broad range of group therapy options to include trauma, grief, depression, anxiety, group for those who have a loved one with a substance use disorder

that have either a substance use disorder, or mental health challenge. 



Treatment includes a broad range of individualized services designed to meet the specific needs of the client. We provide individual, group, and family as well as both mental health and chemical dependency evaluations. We provide counseling for both mental health and substance use disorders meeting medical necessity. 


Starting Monday September 11, 2017 we are beginning the ACT curriculum. This evidence based curriculum addresses negative emotions resulting from trauma, anxiety, depression, substance abuse, and leads toward making values based choices. Research supports the efficacy of ACT in helping individuals live a fulfilled life not held back by painful emotions and thinking patterns. 


First Step has partnered with the CAST program. This is a new organization, (Client Advocacy and Support Team), that will aid individuals in treatment at this agency toward accessing community supports they need to improve their lives. This can include various financial supports, housing guidance, medical, dental, vision, transportation, and other resources. 


  • First Step provides space for a young people’s NA meeting that meets currently on Tuesday evenings from 6-7 pm.

To attend this meeting, go to 112 N. Everest St.

Urinalysis testing

First Step uses Fortis Labs for our testing needs. They are a local state certified lab that provides very accurate results in a timely manner.

We also have available at low cost instant urine drug screening for immediate results. To inquire about our testing services, please call our main office at (503)538-7647.Type your paragraph here.

Minor in Possession/Tobacco

For individuals who receive an MIP citation, to include up to age 21, we offer an educational class that meets the requirements of the court. To schedule a class, please contact our main office at (503)538-7647.

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