Opioid Treatment Program

The Opioid Treatment Program (OTP) is a state-and federally-accredited agency that provides outpatient treatment, counseling and referral services for individuals, 18 years of age and older, dependent on opioids to provide medication-assisted treatment.

Program Overview

The Opioid Treatment Program provides services for adults dependent on opioids (heroin, morphine, hydrocodone, oxycodone, etc.). The program uses a medication assisted approach in which individuals experience a decrease in withdrawal symptoms and cravings typically associated with opioid use.

The work of the Opioid Treatment Program is important because it curbs the negative, community-wide effects of opioid dependency. Additionally, the Opioid Treatment Program promotes improved work,  school, and family life for those dependent on opioids.

Stipulations for enrollment in the program include: 18 years of age and older, an opioid dependency for at least one year, U.S. State or Federal photo identification, no illicit benzodiazepines. If you do not  have insurance, are unemployed, or have a low income – contact your local Community Service Office to see if you are eligible for publicly-funded treatment. Call 509-227-2200

Important Information for Patients

The FDA is warning patients and their caregivers about the serious risks of taking opioids along with benzodiazepines or other central nervous system (CNS) depressant medicines, including alcohol.

Serious risks include:        

  • unusual dizziness or lightheadedness        
  • extreme sleepiness        
  • slowed or difficult breathing   
  • coma        
  • death.

These risks result because both opioids sand benzodiazepines impact the CNS, which controls most of the functions of the brain and body. 

Opioids are powerful prescription medicines that can help manage pain when other treatments and medicines cannot be taken or are not able to provide enough pain relief. They are also approved in combination with other medicines to reduce coughing.

Common side effects include:        

  • drowsiness        
  • dizziness       
  • nausea       
  • vomiting       
  • constipation       
  • slowed or difficult breathing.

Opioids also carry serious risks, including misuse and abuse, addiction, overdose, and death.

Examples of opioids include:      

  • oxycodone       
  • hydrocodone      
  • codeine      
  • morphine 

Benzodiazepines are drugs prescribed for to treat conditions like anxiety, insomnia, and seizures.

Examples of these drugs include:        

  • alprazolam       
  • clonazepam      
  • lorazepam

Common side effects include drowsiness, dizziness, weakness, and physical dependence.If you are taking both opioids and benzodiazepines together, consult your health care provider to see if continued combined use is needed. For more information, please see the FDA Drug Safety Communication.

Overdose Intervention

Treatment Service Resources

Hours of Operation:

Business office hours are Monday - Friday, 6am to 3pm

Dose office hours are Monday - Friday, 5:30am to 2pm and Saturday, 6am to 10:30am


Private pay, Kaiser Permanente and Molina, Medicaid, and Veterans Administration, as funding is available.

Interpreter Services:

Available at no cost.

Patient Rights Document

Spokane Regional Health District Treatment Services

Among our individuals, after 6 months to one year of treatment:

  • Emergency room visits decreased from 80% to 9%
  • Hospitalizations decreased from 12% to 3%
  • Individuals charged with new criminal offenses decreased from 25% to 0%
  • Illicit drug use decreased from 100% to 20%
Opioid Prevention for Health Care Providers

Working closely with health care providers as they are a trusted source of information for patients suffering from opioid addiction.

Click Here

Weed to Know

If you choose to use marijuana, it's important to know the laws, potential risks and how you can help prevent underage marijuana use.

Click Here

Women, Infants & Children (WIC) Nutrition Program

WIC has an extraordinary record of preventing children’s health problems and improving growth and development. Locally, the health district supports this vision by offering WIC services in several convenient locations.

Click Here