First Step House

First Step House


First Step House is an organization that provides assistance to adult men facing substance abuse and co-occurring mental conditions in Salt Lake City, Utah. Our services include two residential units, outpatient treatment, and transitional living. We also have a specialized track for veterans, although on-site detoxification is not available.


At First Step House, we begin the admission process with an assessment to create a personalized treatment plan for each individual. While we do not offer detoxification services, we can provide referrals to other facilities that do. Our evidence-based treatment methods include dialectical behavioral therapy (DBT), motivational interviewing, rational emotive behavioral therapy (REBT), and moral reconation therapy (MRT).

The length of stay in our residential treatment program is determined on an individual basis. Throughout their time with us, clients participate in family, individual, and group therapies. We also offer classes on various topics such as anger management, relapse prevention, grief, shame resiliency, and relationships. Additionally, our facility provides cognitive process, case management, vocational training, GED educational programming, employment counseling, and job training.

Outpatient treatment is available for five to 15 hours per week, including two individual sessions each month. For program graduates and clients, we offer transitional living options.


At First Step House, we have a dedicated team of master’s level clinicians, counselors, therapists, case managers, nurses, veteran’s special needs programs managers, a medical technician, and other managers and administrators.


Our facility offers 61 beds with exercise rooms, a basketball court, a fully equipped kitchen, a laundry room, and an outdoor play area for visiting families. Clients share bedrooms, and meals are served three times a day with snacks and coffee readily available. For our veteran housing, we have 32 beds and similar amenities to the main residence. Transportation is provided for veterans to medical appointments, and our transitional living apartments can accommodate three clients.


While we have not yet received responses from former clients through a survey, secondary sources indicate positive experiences. On Google, we have received almost-perfect ratings of 4.9 out of five stars from nine reviewers. One reviewer, Joseph, praised our staff for helping clients solve their problems and putting them on the path to recovery. Another commenter, Stephen, expressed gratitude to First Step House for providing a new lease on life. Similarly, on our Facebook page, we have received an average rating of 4.5 out of five stars from 23 reviewers. Adam, one Facebook reviewer, commended our facility as a place for positive life change with caring and professional staff.


In a poll, two loved ones gave low ratings for our facility overall. Both reviewers mentioned that their loved ones experienced relapses following treatment and would not recommend treatment at First Step House. They also did not identify any strengths at our facility. One anonymous alum believed that patients were discharged too quickly, while the other commenter felt that the environment was too relaxed.


First Step House collaborates with civic and private organizations to offer financial assistance to individuals with little or no income. We also accept Medicaid for outpatient clients.

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Services provided by First Step House

Service Setting

  • Outpatient
  • Residential
  • Intensive Outpatient
  • Type of Care

  • Halfway House
  • Substance Abuse Treatment
  • Treatment Approaches

  • Anger Management
  • Brief Intervention
  • Cognitive Behavioral Therapy
  • Contingency Managementmotivational Incentives
  • Dialectical Behavior Therapy
  • Motivational Interviewing
  • Rational Emotive Behavioral Therapy
  • Relapse Prevention
  • Substance Abuse Counseling
  • Trauma-related Counseling
  • 12-step Facilitation
  • License/Certification/Accreditation

  • State Substance Abuse Agency
  • State Department Of Health
  • State Mental Health Department
  • Payment/Insurance/Funding Accepted

  • Medicaid
  • Payment Assistance
  • Genders Accepted

  • Male
  • First Step House Reviews

    • Treatment Effectiveness
    I don't know of any positives. I think that it was to relaxed, my loved one was released and relapsed with in a couple of days. I also am aware of many more patients that also relapsed soon after their release. I don't think that this particular place is worth anybody going through the program. It just seemed while patients are in house they don't use but as soon as they are released they all relapse
    • Treatment Effectiveness
    • Accommodations & Amenities
    Not sure To fast to discharge patients, think the patient should have spent longer, relapse happened the first week after release. I don't think this peticuler place is very effective.