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First Step House - Fair Park Residential

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At a Glance

2 Accreditation(s)

Medication

Inpatient

Accepts Private Health Insurance

Accepts Public Health Insurance

Accreditations

The Joint Commission

76-Bed Residential Program with Orientation Unit

Located in Salt Lake City’s Fair Park neighborhood, First Step House – Fair Park Residential provides 24-hour structured care for adult men with substance use and co-occurring mental health disorders. The facility offers dorm-style housing, group rooms, laundry services, and daily meals. New residents begin in a 36-bed orientation unit during their first two weeks, giving staff time to assess needs and help clients stabilize before entering the full program.

Medical and Medication Support on Site

In addition to counseling, residents have access to health services like screenings, hepatitis vaccinations, and nicotine replacement therapy. The program also provides medications for addiction treatment, including extended-release naltrexone, to support relapse prevention. This integration of behavioral health and medical care helps address both substance use and related health concerns in one setting.

Vocational Training and Housing Assistance

Recovery extends beyond therapy sessions. Residents receive employment counseling, vocational training, and support in preparing for the workforce. Housing assistance and case management help stabilize living situations, while life-skills classes and peer mentoring prepare clients for independent living. Together, these services address barriers that often interfere with long-term recovery.

Trauma-Informed, Evidence-Based Therapies

Treatment incorporates a wide range of approaches, including cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), rational emotive behavior therapy (REBT), and moral reconation therapy (MRT). All care is trauma-informed, recognizing the role of past experiences in recovery. Through group and individual counseling, residents develop coping strategies, strengthen relationships, and build resilience.

Step-Down Care and Long-Term Recovery Support

First Step House ensures continuity of care after residential treatment. Clients can transition into outpatient programs and a free long-term recovery management program, which provides ongoing support with housing, employment, and health. This step-down approach helps residents maintain stability and independence as they move forward in recovery.

Client Reviews

Many people say this program gave them a second chance, with staff support and resources that helped them build stable lives. A few reviews raise concerns about communication and discharge processes.

  • Treatment Quality & Outcomes (85% positive): Dozens of reviewers credit the program with saving their lives and helping them sustain recovery. "First step gave me my sobriety and I cannot put a price on that."
  • Staff & Care Experience (75% positive): Many describe staff and counselors as caring, some with lived experience in recovery. "The therapists and staff here actually care."
  • Facility & Environment: Clients often call the facility a supportive stepping stone, with structured living that feels intentional.
  • Access & Process: Some reviews noted challenges with admissions communication or discharge paperwork, which at times created stress around benefits or continuity of care.
  • Support & Community: Alumni mention strong peer support, safe housing transitions, and help with life tasks like dental or vision care, which eased their return to daily life.

Insurance Accepted

  • Medicaid
  • TRICARE
  • State insurance
  • Some Private Insurance

Disclaimer: Additional insurance plans may be accepted. Please contact the provider directly to confirm current coverage details, as this information may change.

Financial Assistance

Provided Not Provided
Free
Payment assistance
Sliding fee scale

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Treatment

Treatment Setting

  • Residential inpatient
  • Long-term residential
  • Short-term residential

Treatment Approaches

  • Cognitive behavioral therapy (CBT)
  • Incentive-based therapy
  • Matrix Model program
  • Motivational interviewing
  • Relapse prevention support
  • Substance use counseling
  • Trauma-focused counseling

Additional Support and Services

  • Case management support
  • Help with transportation
  • Mental health support
  • Social skills training

Counseling and Education

  • Couples counseling
  • Family therapy
  • General health education services
  • Group therapy
  • Hepatitis education and support
  • HIV/AIDS education and support
  • Job training and educational support
  • One-on-one counseling
  • Substance use education
  • Tobacco and vaping cessation counseling

Transition Support

  • Discharge and next steps planning
  • Ongoing recovery care
  • Overdose prevention and naloxone education
  • Post-discharge follow-up

Testing & Pre-Treatment

  • Breathalyzer testing for alcohol
  • Community outreach and support
  • Comprehensive health checkup
  • Hepatitis B testing
  • Hepatitis C testing
  • Mental health screening
  • Monitoring for metabolic syndrome
  • Oral fluid testing for drugs or alcohol
  • Substance use assessment
  • Testing for HIV
  • Testing for Sexually Transmitted Infections
  • Tobacco use assessment
  • Tuberculosis screening
  • Urine testing for drugs or alcohol
  • Substance use screening

Medication-Based Treatments

  • Naltrexone (any)
  • Medication for mental disorders
  • Medications for Hepatitis C treatment
  • Naltrexone (extended-release, injectable)
  • Nicotine replacement

Other Conditions Treated

  • Anxiety
  • Bipolar disorder
  • Depression
  • Grief and loss
  • Post Traumatic Stress Disorder
  • Schizophrenia
  • Suicidality
  • Trauma

Amenities and Experiences

Amenities

  • Healthy meals

Room Amenities

  • Laundry service
  • Shared bathroom
  • Shared room options

Activities

  • Gender-specific support groups
  • Job training
  • Life skills workshops

Setting

  • City

Policies

  • No smoking allowed
  • No vaping allowed

Ownership Type

  • Non-profit

Reviews

Summary

(30)
  • The staff is highly praised for their genuine care and support.
  • Many residents report significant life changes and newfound purpose after completing the program.
  • First Step House is recognized as an effective and compassionate rehabilitation facility.

StartYourRecovery.org provides facility information using publicly available data from the Substance Abuse and Mental Health Services Administration as well as other sources. We cannot independently verify the accuracy of all data. StartYourRecovery.org does not guarantee the quality of care or results of working with any provider or treatment facility. Please contact us if you are the proprietor of a facility and have updates or corrections to site content.