Addiction is complicated and is impacted by what happens around a person—stress, trauma, biology, where they live, and what supports they have. We're all part of something bigger: when one person heals, their family, friends, and whole community are lifted too. 

Addiction is a health condition. It’s a brain issue where substances change how a person’s brain works. Many things put someone at risk: difficult childhoods, long-term stress, not enough support, unfair systems. Having risk doesn’t mean addiction is certain. Just like cracks under the earth (fault lines) don’t always cause earthquakes, vulnerability plus stress can lead to addiction, but there is prevention and treatment. 

Recovery works best when many people help: health care providers, counselors, community programs, family and friends. Treatment can include medicine, talking with counselors, health care, and mental health support. What matters is caring, trust, safety, and giving people a chance to choose their path. 

If you or someone you care about is using opioids (like fentanyl, heroin, or pain pills), SRHD offers support that: 

✅ Combines medicine (like methadone or buprenorphine) plus counseling, one-on-one and in groups. 
✅ Offers health checkups and mental health care. 
✅ Accepts most insurance (including Medicaid, Medicare). If you can’t pay, SRHD helps. No one is turned away. 
✅ Operates in a place you can reach: 312 W. Eighth Avenue in Spokane. Open early on weekdays and Saturday mornings to get medicine doses. 

Call (509) 324-1420 to reach SRHD’s Opioid Treatment Program. 

Together you’ll do a first meeting to talk about your history, goals, and health while building a plan that fits your needs—including medicine, counseling, and support. Remember to keep going and stay connected. Recovery is a journey that happens one step at a time. 

When recovery is framed as something we can support—not just something that happens to someone—it brings hope. It makes space for solutions: programs, caring people, medicines. It reminds us that addiction is not the end. If you’re ready, or helping someone who is, SRHD can walk with you. Your first step could be the start of something real. Learn more about our Opioid Treatment Services program at: Opioid Treatment Program | Spokane Regional Health District