Seattle Indian Health Board Leschi Center

About Seattle Indian Health Board Leschi Center

Seattle Indian Health Board is a health organization in Seattle, Washington offering integrated substance use disorder and behavioral health services to the urban American Indian and Alaska Native population.

The International District clinic provides outpatient chemical dependency treatment, assessments, medication and dual diagnosis care for adults and young adults.

Rooted in cultural connection and community, the center blends care with traditional health practices to support whole-person healing for Native patients in the greater Seattle and King County area.

Culturally Grounded Care for Urban Native Communities

The center focuses on delivering substance use disorder care tailored to American Indian and Alaska Native individuals and families.

Services include outpatient and intensive outpatient programs, detox support, aftercare and medication-assisted treatment, all integrated with primary medical care, pharmacy and traditional health offerings.

Treatment includes family therapy, motivational interviewing, 12-step approaches, trauma therapy and relapse prevention.

Sessions emphasize culturally appropriate, trauma-informed care that honors Native identity while addressing the root causes of addiction alongside co-occurring mental health concerns.

Integrated Behavioral Health and Wellness

Beyond offering addiction care, the center integrates behavioral health into primary care and offers programs for elders, youth, families and survivors of domestic violence.

This whole-person model connects substance use treatment with medical, nutritional and social services, making sustained recovery more accessible within a single trusted community hub.

Edited by: Patti Croft, MBA

Addiction Treatment Programs

Alcohol Rehab
If you’re looking to break free of dependence on alcohol, a high-quality alcohol rehab in Washington can help. These treatment programs offer detox, inpatient treatment, and outpatient care. You may receive individual, group, and family counseling, peer support, and classes in essential life skills.
Dual Diagnosis
During dual diagnosis treatment in Washington, you’ll receive integrated care for your mental health and substance use concerns, helping you establish long-term recovery.Part of treatment will include managing your mental health symptoms so you aren’t tempted to use substances to self-medicate. This can be done without counseling and medication.
Opioid Addiction
A high-quality rehab in Washington helps people gain the skills they need to overcome opioid addiction and maintain long-term sobriety. The rehab program may use multiple approaches, including nutrition, psychology, holistic methods, and support groups. These tools help you build a substance-free lifestyle and move into long-term recovery.
Adult Program
When people join an adult program in Washington, they learn about topics such as employment and raising a family while receiving treatment. These treatment programs offer detox, inpatient treatment, and outpatient care tailored to the specific needs and challenges of adults.
Men's Rehab
Men’s rehabs in Washington address a wide range of substance use issues while also helping clients with gender-specific issues. These treatment programs offer detox, inpatient treatment, and outpatient care tailored to the unique needs and challenges men face, which may include questions about career, fatherhood, family relationships, emotional vulnerability, and more.
Women's Rehab
A women’s rehab in Washington helps clients build same-gender friendships, overcome substance use, and learn new life skills. These treatment programs offer detox, inpatient treatment, and outpatient care tailored to the unique needs and challenges of women. They generally also include life skills training tailored to the client’s needs.
Young Adult Rehab
Young adult rehab programs in Washington can help young people make healthier life choices and avoid common mistakes. These treatment programs offer detox, inpatient treatment, and outpatient care tailored to the unique needs and challenges of young adults.
Medication for Opioid Use Disorder (MOUD)
Seattle Indian Health Board offers medications for opioid use disorder, including buprenorphine (Suboxone) and naltrexone (Vivitrol), as part of outpatient treatment at the Leschi Center’s International District Clinic.
Culturally Responsive Care for Native Communities
The Leschi Center’s substance use program is designed for American Indian and Alaska Native people, integrating traditional healing practices such as talking circles and sweat lodge while serving all Seattle community members.
Harm Reduction Services
Harm reduction services are provided through Seattle Indian Health Board’s substance use disorder program, supporting clients with practical strategies to reduce risks associated with substance use at the International District Clinic.
Re-Entry Support
The Leschi Center coordinates re-entry support alongside primary care and behavioral health services, assisting individuals transitioning back into the community after residential treatment or other care settings.
Sliding Fee Discount Program
For clients without insurance, Seattle Indian Health Board offers a sliding fee discount program based on family size and income, making substance use disorder treatment accessible at the Leschi Center location.

Insurance Coverage

Medicaid
Seattle Indian Health Board accepts Apple Health, Washington’s Medicaid program, as coverage for substance use disorder services provided at the Leschi Center’s International District Clinic location.
Private insurance
Most private insurance plans are accepted at Seattle Indian Health Board, helping clients access outpatient SUD services and medications for opioid use disorder at the Leschi Center.
Self-pay options
In Washington, you can pay for rehab in many ways, including self-pay. With self-pay, also known as private pay, you write a check, use a medical loan, or electronically transfer money to the center. Check on the payment structure, which may vary depending on the level of care.
Financial aid
Trying to see if you qualify for financial aid programs can be a great way to pay for rehab in Washington. Getting a scholarship or grant can help you pay for any level of treatment, from detox to inpatient to outpatient care.
Financing available
When you’re planning to look for financing options to pay for rehab in Washington, there are a few details to keep in mind. You can use financing to pay for detox, inpatient rehab, outpatient care, and more. Options include grants, scholarships, and medical loans.
Sliding scale payment assistance
Don’t let the cost of rehab keep you from getting care in Washington. Instead, find a program that has a sliding scale payment plan. With a sliding scale, you’ll pay less depending on your income and family size. This makes it much less stressful to get the care you need.
Medicare
Medicare coverage is accepted for substance use disorder treatment services at Seattle Indian Health Board’s International District Clinic, serving adults in the Seattle community.
Military insurance
When you’re planning to use military insurance to pay for rehab in Washington, there are a few details to keep in mind. Keep in mind that you’ll save the most using a center that’s in-network with your plan, and you might have out-of-pocket costs such as a deductible or copayment. Contact the insurer for more details.

Levels of Care

1
Detox Treatment
Outpatient withdrawal management services are offered at the International District Clinic, allowing clients in Seattle to receive medically informed detox support alongside medications for opioid use disorder like buprenorphine and naltrexone.
2
Outpatient Rehab
Seattle Indian Health Board Leschi Center provides outpatient substance use disorder treatment for adults from its International District Clinic, combining assessment, counseling, case management, and culturally responsive support services.
3
Aftercare Support
The Leschi Center provides re-entry support and ongoing coordination with primary care and behavioral health services, helping clients maintain recovery progress after completing initial substance use disorder treatment.

Therapies

Family Therapy
During family therapy in Washington, clients and their loved ones can address dysfunctional relationships, resentments, and conflicts in order to create healthier relationships that support the client’s recovery. Family therapy can mean addressing uncomfortable and challenging issues, but having a professional therapist facilitating the sessions makes it easier for everyone to share honestly and improve their relationships.
Group Therapy
During group therapy in Washington, each client has a chance to share their unique experiences and feelings about the discussion topic. This creates accountability and support. Some of the topics covered in group therapy include overcoming shame and guilt, improving communication, developing healthy coping skills, and building a support network.
Individual Therapy
You’re not alone as you work through addiction in Washington. Individual therapy gives you a professional who’s on your side to help you build a new life. Individual therapy sessions generally last 60 minutes and may include discussing a specific issue, education about specific topics, or developing life skills.
Trauma Therapy
During trauma-informed therapy in Washington, you’ll be given the tools you need to manage your emotions and understand what happened in a healthier way. Trauma-informed therapy is a normal part of evidence-based treatment programs and may be a part of inpatient treatment, outpatient care, or both. Methods include sharing of experiences, peer support, mindfulness practices, and more.
Individual Counseling
Seattle Indian Health Board Leschi Center provides individual counseling as part of its outpatient substance use disorder services at the International District Clinic, supporting adults working through withdrawal management and recovery goals.
Group Counseling
Group counseling sessions are offered through the Leschi Center’s substance use disorder program, giving clients in Seattle a peer-supported setting to address addiction alongside case management and other outpatient services.
Case Management
Case management services help coordinate care for clients at Seattle Indian Health Board, connecting individuals to primary care, behavioral health, peer support, and referrals to residential treatment when needed.
Culturally Grounded Healing Practices
The Leschi Center incorporates talking circles, sweat lodge ceremonies, and traditional Native healing practices into substance use treatment, reflecting Seattle Indian Health Board’s culturally responsive approach for Native communities.
Peer Support
Peer support services are integrated into the outpatient SUD program at the International District Clinic, offering clients guidance from individuals with lived recovery experience alongside counseling and case management.