Cascade Behavioral Hospital Review

Cascade Behavioral Hospital offers substance abuse programs which include treatments such as inpatient stabilization, outpatient treatment and medical detox. The hospital was founded in 2013 in Tukwila, Washington. It is one of the Arcadia Healthcare facilities, which is an organization with locations spread around the world. Cascade Behavioral Hospital is part of the Cascade Behavioral Network.

Treatment and Staff

 When patients arrive at Cascade, there is an intensive assessment that is done by an intake coordinator. That coordinator determines what level of care the patient needs and assigns them accordingly. If the client is still drinking a lot, or taking drugs, the person is sent to Cascade's medical detox facility. If the client is not currently drinking or using drugs, they may be sent to Cascade's partial hospitalization program (PHP), or if the analysis warrants, the person could be enrolled in the intensive outpatient program (IOP).

The partial hospitalization program is two weeks, and is held Monday through Friday from 8:30 a.m. Until 4 p.m. Most patients get in this program after completing the medical detox program, or inpatient stabilization. A person may enroll in this program directly as well. When in this program, patients get a lot of group and individual therapy depending on what is needed.

Once clients complete the PHP, they may move on to Cascade's IOP program. The intensive outpatient program can last from three to six weeks. There are a total of 24 sessions of both group and individual therapy. The amount of time spent depends on the needs of the client. Group meetings last for three hours and are in the morning or evening. Individual meetings for therapy also last about three hours, and are scheduled to fit the needs of the client.

 Groups in both programs cover many topics. There are some that are CBT-Driven, and others cover the 12-step program. Other topics include relapse prevention, life skills, stress and anger management. Family education is also included. There is also a lot of time spent on substance abuse education. Group sizes can vary from five people up to 20 at different times.

Clients in the PHP or IOP programs may also attend weekly AA and NA meetings. Attendance is encouraged but not required.

 Cascade cannot currently treat dual-diagnosis clients. The hospital is growing and plans to add something like multiple disorders or dual diagnosis type programs in the future. The hospital is expanding and these could be added soon to the substance abuse programs.

The medical detox program is for clients who are currently using drugs or alcohol and need to get clean. This program lasts from three to five days. There is individual and group therapy while in this program. They also receive mediation to help with withdrawal symptoms. While in this program the patients stay in Cascade's 135 bed hospital and are monitored by doctors and nurses at the facility.

Inpatient stabilization lasts for 14 days. Clients continue to live in the hospital after going through the detox program, and enter the stabilization program. The clients are seen and treated regularly by the medical staff. Clients are assigned to a counselor who oversees their progress in battling chemical dependency. The schedule involves group and individual meetings. There are also classes throughout the day dealing with potential relapse issues. Preparing people to deal with this issue, and helping create a sober network for them, is the key focus. Family members are encouraged to attend some of the classes.

 LCDCs and CDPs lead the therapy sessions when in groups or when working with individuals. Doctors and a team of nurses run the medical detox program, and systematically check on patients in this program, and help them as needed.


There are several other things offered. There is a special group meeting for clients detoxing from having used Suboxone.

 Cascade helps clients find a sober, or clean, living environment after they finish their treatment. Cascade's outpatient treatment does not include an aftercare program.

Cascade also offers group meetings for clients and their families on Thursday evening. These meetings try to help family members learn how to help their family member who is struggling with drug abuse.

In Summary

Cascade Behavioral Hospital could be a good fit for clients in the Tukwila area who are struggling with substance abuse and looking for detox and emotionally before they are released from the hospital, and that is the medical approach of Cascade's medical approach. The PHP and IOP are both intensive and so they both serve as solid alternatives to in patient treatment. This could be good for people who do not have access to inpatient treatment, but who are in need of getting clean or sober.