In pursuit of leadership for behavioral health treatment and public policy.

The mission of the Pierce County Alliance is to be a leader in the provision of human services, specializing in substance abuse and mental health services for individuals, families, and the community. The organization strives for client satisfaction through continuous quality improvement of services that are cost efficient and have measurable outcomes.


The Pierce County Alliance was originally incorporated as “The Pierce County Drug Alliance” in 1972 to coordinate local drug treatment services. Its name was changed in 1981 to reflect the broader range of programs undertaken by the agency.

In 1991, PCA partnered with the Pierce County Superior Court to plan and implement one of the first Drug Court Programs in the country. Since then drug courts have expanded nation-wide. We now provide treatment services for the Family Treatment Drug Court and have incorporated mental health services into our programs and added specialty treatment tracks for veterans and persons with gambling problems.

Most recently, PCA has added a medication assisted treatment (MAT) component to help reduce the impact of withdrawal for persons who have a heroin, opioid, or alcohol dependency.

PCA continues to pursue evidence-base practices for its programs and will undertake other promising practices that show promise in providing improved and more cost effective outcomes for our clients.


The Pierce County Alliance meets or exceeds all federal, state, and local regulations for certification and licensing as a behavioral care provider. In addition, PCA is authorized by the State of Washington to license foster home. PCA facilities are in full compliance with the American Disabilities Act and PCA staff are sensitive to, and adept at working with ethnic and cultural minorities.

PCA’s qualified program services include:

Substance Use Dependency (SUD) treatment

  • Medication Assisted Treatment (MAT)
  • Felony Drug Court
  • Family Recovery Court
  • Veterans Treatment Track
  • Problem Gambling Treatment Track
  • of Corrections (DOC) Treatment
  • Outpatient Treatment
  • DUI Treatment

Mental Health Therapeutic Services and Co-occurring SUD Treatment


Youth Services

  • Foster Care Program (Foster Home Licensing and Case Management)
  • Independent Living Program
  • Independent Youth Housing and Family Unification Program
  • Supplemental Education Transition Planning Program (SETuP)


PCA has been certified to meet the high standards of the Committee on Accreditation of Rehabilitation Facilities (CARF) for its behavioral treatment services.

Pierce County’s Drug Court Program, for whom PCA provides drug and alcohol treatment, was awarded “The Community Transformation Award” in 2014 by the National Association of Drug Court Professionals.