Drug and Alcohol Rehab Centers in Cathlamet, WA
This page lists the drug and alcohol treatment providers in and around Cathlamet, Washington, including those serving Longview, Castle Rock and Kelso. Scroll down to compare what each one offers, from assessment through to aftercare, and how to get in touch.
Listings for Cathlamet are reviewed against records held by the Washington State Health Care Authority, SAMHSA, The Joint Commission and CARF International. Washington expanded Medicaid in 2014, so checking eligibility is worth doing before ruling anything out on price.
1 Drug and Alcohol Rehab Treatment Centers in Cathlamet, WA
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Drug and Alcohol Rehabs in Cathlamet, Washington
Cathlamet is the seat of Wahkiakum County on the Columbia River, with around 500 residents.
The county is the second least populated in Washington and largely forested.
Longview is around forty minutes east.
Counties below a certain population do not get separate overdose counts published, so the state figures are the available guide.
Coverage in Washington is comparatively good at around 6 percent uninsured, following expansion and the Apple Health program.
Washington is going the other way from most of the country. While overdose deaths have fallen sharply across the Midwest and East since 2021, they have risen across nearly every Washington county. Fentanyl reached the West Coast later than the East, and the state is still on the upward part of that curve.
Recovery Navigators operate through the regional behavioral health organizations statewide, doing outreach and connecting people to services regardless of insurance status.
Neighboring Longview, Castle Rock and Kelso carry their own listings, with the wider picture across Washington.
Which Level of Care Do You Need
The figures below cover providers listed in Cathlamet and the surrounding parts of Wahkiakum County. Longview is the nearest substantial center. A question worth putting to every program: what proportion of people complete the course they recommend. Check whether an assessment is free and how long it takes. Ask whether the program has treated people in similar circumstances. Find out whether the program accepts people already taking prescribed medication.
Medically Supervised Detox
Medical detox covers the withdrawal period with clinical oversight, generally three to seven days. PeaceHealth St. John in Longview serves the region. The first three days are the dangerous part with alcohol and benzodiazepines.
Inpatient Residential Treatment
Residential placement means a live-in stay, most often thirty, sixty or ninety days. Wahkiakum County holds no residential capacity, and placement means Longview, Portland or further.
Outpatient, IOP and PHP Treatment
State licensing covers Washington providers and specifies what they may deliver. Washington has opioid treatment programs across the state, so medication is available; whether a specific program supports it is a separate question.
Dual Diagnosis and Co-Occurring Disorders Treatment
Treating an addiction alongside a mental health condition, rather than sequentially, is what dual diagnosis means. The regional behavioral health organization covering Wahkiakum County handles crisis provision and care outside Medicaid.
Sober Living Homes and Transitional Living
Sober living means shared substance-free housing for the months after treatment. State licensing covers Washington providers and specifies what they may deliver. State licensing covers Washington providers and specifies what they may deliver.
Addiction Treatment Cost and Insurance Coverage in Cathlamet
Cathlamet household incomes sit below the state median, with timber and fishing significant locally. Listings in Cathlamet itself are limited, so the practical search usually extends into the surrounding county and beyond. Wahkiakum County is small enough that annual overdose counts are not published separately, so the state picture is the better guide. Getting a specific date matters more than getting a yes, because the yes often comes with weeks attached.
How Much Does Addiction Rehab Cost?
Typical Washington figures are $1,650 to $5,400 weekly for medical detox, $6,800 to $27,000 monthly residential, $7,800 to $15,000 for PHP, $2,900 to $9,900 for IOP and $1,400 to $5,400 for outpatient care.
Wahkiakum County is the second least populated in Washington, and annual overdose counts are not published separately for it.
| Level of care | Monthly | Daily |
|---|---|---|
| Medical detox (7–14 days) | $1,500 – $4,900 per week | $220 – $700 |
| Residential inpatient | $6,000 – $25,000 | $200 – $830 |
| PHP | $7,000 – $13,500 | $230 – $450 |
| IOP | $2,500 – $9,000 | $80 – $300 |
| Outpatient | $1,200 – $5,000 | $40 – $170 |
| Level of care | Monthly | Daily |
|---|---|---|
| Residential inpatient | $17,000 – $50,000+ | $560 – $1,650+ |
| PHP | $14,000 – $32,000 | $470 – $1,070 |
| IOP | $9,000 – $24,000 | $300 – $800 |
| Outpatient | $5,000 – $15,000 | $170 – $500 |
Does Insurance Cover Rehab?
Yes. Addiction treatment sits among the essential health benefits most plans are required to include. What a plan actually pays varies with the employer, the network and the level of care, so two people with the same insurer can face very different bills. Medicaid covers a large share of this area. Employer plans are very limited locally.
Coverage and approval are separate steps. Prior authorization is standard before detox and residential admission, and network status usually decides your share of the bill. For a county this small with no local provision, telehealth is often the only realistic form of ongoing contact.
Free and State-Funded Addiction Rehab in Cathlamet
Coverage in Washington is comparatively good at around 6 percent uninsured, following expansion and the Apple Health program. Programs covering rural catchments can often adjust schedules, provided they know at the start.
Washington is going the other way from most of the country. While overdose deaths have fallen sharply across the Midwest and East since 2021, they have risen across nearly every Washington county. Fentanyl reached the West Coast later than the East, and the state is still on the upward part of that curve. Regional organizations handle crisis provision across Washington, including in Wahkiakum County. Ask what the first week looks like in practice, because that detail is more revealing than the overall description. Find out who will be the point of contact after admission. It is reasonable to ask what happens at the end of the program. Ask whether evening or weekend sessions exist, since weekday daytime only rules out most working people.
Washington’s possession law was struck down in 2021 and rewritten with diversion at its center. Someone stopped for possession here is more likely to be offered a referral than charged. Recovery Navigators operate through the regional behavioral health organizations statewide, doing outreach and connecting people to services regardless of insurance status.
State licensing covers Washington providers and specifies what they may deliver. Whether someone can continue prescribed buprenorphine or methadone during a program is worth establishing before admission rather than after.
Naloxone is free across Washington under a standing order dating to 2019, distributed through health departments and community groups. Seeking medical help during an overdose carries protection from possession charges under Washington law.
Recovery housing in Washington can be registered through a state-approved body, which distinguishes assessed houses from unassessed ones. Getting a specific date matters more than getting a yes, because the yes often comes with weeks attached.
For tribal members, health services operated by Washington tribes may offer more accessible provision than the state system, and are worth asking about first. Peer support is a credentialed role in Washington, backed by state investment in peer-run recovery organizations.
Settlement funds in Washington are split between a state abatement account and direct local allocations to counties and cities.
More Help and Recovery Support
PeaceHealth St. John in Longview serves the area, with Level I trauma care in Portland and Seattle.
Longview, Castle Rock and Kelso carry further listings, with more across Washington.
Free and confidential, available now
Washington Recovery Help Line — 1-866-789-1511, free, confidential and 24 hours a day 988 Suicide & Crisis Lifeline — call or text 988
References and Citations
- Washington State Health Care Authority — Apple Health coverage, the Recovery Navigator Program and regional behavioral health organizations.
- Washington State Department of Health — treatment agency licensing and the statewide naloxone standing order.
- Washington State Opioid and Overdose Response Plan — settlement fund administration and the Tribal Opioid and Fentanyl Response Taskforce.
- CDC National Center for Health Statistics — VSRR provisional county-level drug overdose death counts, twelve months ending December 2021 and December 2025, data as of 5 July 2026.
- Rehab Seekers directory listings, Cathlamet and Cathlamet, August 2026, and market rate research, Washington, 2026. Ranges are indicative and vary by facility, length of stay and coverage.