Downtown Emergency Service Center (DESC) in Seattle, WA, primarily focuses on addressing homelessness, substance use disorders, and serious mental illness. Founded in 1980, DESC operates under the Housing First model, with a range of comprehensive services designed to meet the complex needs of its clients.
DESC's mission is to help individuals with complex needs achieve their highest potential for health and well-being through comprehensive services, treatment, and housing. Licensed by the state in 1980, DESC also received the National Alliance to End Homelessness non-profit sector achievement award in 2012.
- Integrated mental health and substance abuse services are available to support overall well-being.
- Crisis diversion and respite care offer immediate, short-term solutions for those in acute distress.
- The Program of Assertive Community Treatment (PACT) assists adults transitioning from long-term institutional settings.
- An innovative supported employment program helps clients gain meaningful employment.
DESC treats substance use disorders and serious mental illnesses, particularly aiding those experiencing homelessness. The services mainly benefit individuals with complex, overlapping health and social challenges.
- 3 Conditions Treated
- 4 Levels of Care
- Speaks English
- 15 Therapies & Programs
Conditions and Issues Treated
Substance Abuse + Addiction Treatment
Using both legal medications and illegal substances in order to maintain an addiction is substance abuse. Illegal substances can become addictive after a single use. If you are obtaining legal medications illegally, you may be suffering from substance abuse.
Fortunately facilities like Downtown Emergency Service Center - Clinical Services in Seattle, WA are here to help.
Opioid + Opiate Addiction Treatment
Opioid addiction treatment facilities in Washington, like Downtown Emergency Service Center - Clinical Services cover both illegal and prescription opioids abuse. Most plans include detoxification and subsequent medications to ease the process. Behavioral therapies and counseling are also necessary to resolve the root cause of addiction.
Levels of Care
This center offers a variety of custom treatment tailored to individual recovery. Currently available are Aftercare Support, Drug Rehab, Intensive Outpatient, Outpatient, with additional therapies available as listed below.
An outpatient treatment program is set up to help with alcohol or drug addiction, or a co-occurring disorder. The patient must attend the Washington facility for their therapy and other programs but are able to return home each night. The frequency of mandatory attendance decreases after much of Downtown Emergency Service Center - Clinical Services‘s program is complete.
Treatment is just the first step to maintaining sobriety. After treatment, aftercare support at Downtown Emergency Service Center - Clinical Services helps the individual adjust to a life without substances. This support may involve a sober living home in or near Seattle, WA, career counseling, or educational assistance. This is when a relapse prevention plan begins to take shape.
Downtown Emergency Service Center - Clinical Services‘s Therapies & Programs
Treatment programs include individual therapy for the greatest chances of success. Customized individual therapy is counseling involving you and your Downtown Emergency Service Center - Clinical Services counselor. Individual therapy leads to greater peace and understanding about your triggers for addiction.
It has been said that unhealed trauma is the root of most addictions. Trauma therapy is a way of addressing trauma while in a safe situation in order to heal. Healing past traumas and introducing coping strategies are strong foundations for sustained recovery from addiction. This may involve individual or group counseling or both, in a Seattle, WA facility. Other forms of therapy have been proven to assist in healing past traumas.
Dialectical Behavior Therapy (DBT) helps those who attend Downtown Emergency Service Center - Clinical Services understand how their feelings, beliefs, and thoughts affect their behaviors. DBT is particularly useful for people with self-harming behaviors, as well as those with substance abuse disorders. DBT teaches people how to tolerate distress, regulate their emotions, and how to become mindful.
Cognitive Behavioral Therapy (CBT) is a type of psychotherapy that focuses on the underlying thoughts and behaviors that caused the problem of addiction in the first place and may cause a relapse. Negative feelings are common in substance abuse disorders, and if not recognized, they can cause co-occurring disorders.
CBT involves strategies that help to change the thinking and behavioral pattern by cognitive restructuring. In simple terms, it helps to remove negative thoughts and provides long-term benefits. Also, CBT promotes self-awareness, self-control, and healthy ways to respond to negative thoughts. It can be administered as a mono-therapy as well as a part of combination therapy.
Payment Options
For specific insurance or payment methods please contact us.
Location & Contact

216 James St
Seattle, WA 98104
Phone Number
(206) 464-6454
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Seattle, Washington Addiction and Treatment
Washington's substance use, abuse, and addiction rates have followed the trends of the rest of the over the past years. Methamphetamine abuse is the biggest threat to Washington. Heroin-related overdoses increased by almost 450% from 2006 to 2016. 20% of all annual deaths in Washington are somehow drug and/or alcohol-related. Drugs are widely abused in Washington because they are easily trafficked in and out of the state.
Seattle, an isthmus city between Puget Sound and Lake Washington, offers diverse outdoor activities like hiking in Olympic National Park and kayaking on lakes. The city boasts a thriving arts scene, from the Seattle Opera to cutting-edge galleries, and a vibrant music culture as the birthplace of grunge. In King County, there were 141 opioid-related deaths from January 2022 to October 2023, with 90% involving Fentanyl.
Treatment in Nearby Cities
- Mountlake Terrace, WA (12.9 mi.)
- Elma, WA (65.3 mi.)
- Ridgefield, WA (124.9 mi.)
- Bothell, WA (12.4 mi.)
- Sequim, WA (48.6 mi.)
Centers near Downtown Emergency Service Center - Clinical Services
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