Adult services


Established in 1994 in cooperation with the Pierce County Superior Court, County Prosecutor, and the Department of Assigned Counsel, PCA provides court-supervised drug treatment services for eligible, non-violent felony offenders.

The treatment regimen incorporates current, evidence-based practices to include trauma informed care, moral reconation therapy (MRT) and dialectical behavioral therapy (DBT). The program also incorporates mental health treatment services so that clients with co-occurring substance use and mental health disorders can be treated more effectively.

In 2010, a dedicated treatment track was added to serve veterans and now includes a mental health component to address PTSD and traumatic brain injury (TBI) issues. The program also works with local veterans associations and to provide mentoring and peer support.

Treatment lasts at least one year but more commonly, individuals need 18 -24 months to complete the program successfully. Interested persons should seek further information through their defense counsel.


The Family Recovery Court was developed specifically to deal with families with dependency filings in Pierce County where the children are under the purview of the state because of their parent's drug or alcohol dependency. The primary program goal is to attain family reunification by getting the parent through treatment, into recovery and able to support a functional family in a healthy and nurturing environment.

Besides providing substance dependency and mental health treatment services, to include co-occurring disorders, the program incorporates supportive ancillary services such as monitored visitation, assistance with shelter and transportation, parental skills training and family counseling.


The Alternative to Confinement (ATC) program provides case management and monitoring services for offenders in lieu of jail time where the court has authorized the individual's release.

ATC provides drug and alcohol assessments, referral to treatment and other support services as needed, as well as day reporting.

This alternative program provides a treatment opportunity for the offender as well as significant cost savings to the County in confinement costs.


AOP provides state certified drug and alcohol outpatient and intensive outpatient treatment services. As a government-subsidized program, AOP can provide services to low-income citizens of Pierce County on a sliding-fee scale.

Program services include assessment, individual, group and family counseling, gender specific treatment programs, and DUI assessment and treatment services.


In partnership with the Washington State Department of Corrections (DOC), PCA provides state certified drug and alcohol outpatient and intensive outpatient treatment services for individuals on parole.

The program includes case management and support services as well as monitoring through random urinalysis and breath analysis.