First Step House

First Step House


First Step House serves adult men dealing with substance abuse and co-occurring mental conditions in Salt Lake City, Utah. First Step offers two residential units, outpatient treatment, and transitional living. A specialized track for veterans is available, though on-site detoxification is not.


First Step begins admission with an assessment used to develop an individual treatment plan. Though detoxification is not offered at the facility, First Step will refer clients to other facilities for the service. Clients will participate in evidence-based treatment that includes dialectical behavioral therapy (DBT), motivational interviewing, rational emotive behavioral therapy (REBT), and moral reconation therapy (MRT).

Length of stay in residential treatment is determined on an individual basis. Clients participate in family, individual, and group therapies Classes on anger management, relapse prevention, grief, shame resiliency, and relationships is available. Though 12-Step programming isn’t offered, cognitive process, case management, and vocational training is.

GED educational programming is offered to clients, as is employment counseling and job training.

Outpatient treatment is offered for five to 15 hours each week with two individual sessions each month.

Transitional living is available for program graduates and clients.


First Step House employs master’s level clinicians, counselors, therapists, case managers, nurses, veteran’s special needs programs managers, a medical technician, among other managers and administrators.


The 61-bed facility consists of exercise rooms and a basketball court, a fully equipped kitchen, laundry room, and an outdoor play area for visiting families. Clients will share bedrooms. Meals are served three times per day and snacks and coffee is readily available.

First Step’s veteran housing has 32-beds and has similar amenities to the main residence. Transportation is provided for veterans to medical appointments. Transitional living apartments accommodate three clients.


Though former clients have not yet responded to a survey, secondary sources reveal positive experiences. Nine Google reviewers gave an almost-perfect 4.9 out of five stars. Five-star reviewer Joseph wrote: “the staff here are great. They will get to the root of your problems, help you solve those problems and put you on the path to recovery.” Commenter Stephen added: “I have a new lease on life, and I owe it all to First Step House.” [1]

Similarly, 23 reviewers gave an average 4.5 out of five stars on First Steps Facebook page, which the facility can manage. “This is the place for positive life change! The Staff here truly care and are very professional,” wrote commenter Adam. Many alumni praised staff and thanked the facility for saving their lives. [2]


Two loved ones responding to a poll gave low ratings for the facility overall. Both reviewers indicated that their loved ones relapsed following treatment and that neither would recommend treatment at First Step. Neither loved ones suggested any strengths at the facility. “To fast to discharge patients, think the patient should have spent longer,” wrote one anonymous alum. The other commented: “I think that it was to relaxed.”


First Step works with civic and private organizations to provide financial assistance for those with “little or no income.” Medicaid is accepted for outpatient clients.


Reviews about First Step House

  • 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.