First Step House - REACH Program

Evidence-Based Approach to Reducing Recidivism

REACH (Recovery, Engagement, Assessment, Career Development, and Housing) is a residential program operated by First Step House in Millcreek, Utah. Designed for adult men exiting jail with moderate to severe substance use disorders, the program uses the risk-need-responsivity model to target the key factors that contribute to recidivism. As a Pay for Success initiative, REACH is dedicated to reinforcing accountability through positive impacts on participants and the broader community.

Whole Health Treatment and Medical Integration

REACH delivers evidence-based therapies such as cognitive behavioral therapy (CBT), motivational interviewing, relapse prevention, and Cognitive Behavioral Interventions – Core Adult (CBI-CA). Medications for addiction treatment (MAT), including naltrexone, are available on-site along with primary care, medication management, and immunizations. Clients participate in individual and group counseling, life-skills classes, and trauma-informed care. This integrated model supports both behavioral health and physical wellness, addressing the full spectrum of recovery needs.

Housing, Employment, and Pathways to Stability

The program goes beyond clinical treatment to address real-world barriers to stability. Through housing support, case management, and vocational training, REACH helps participants secure safe housing and meaningful employment as they reenter the community. Transportation assistance ensures reliable access to appointments, court requirements, and job opportunities. This wraparound approach supports long-term independence and reduces the likelihood of returning to incarceration.

Accessible, Accredited, and Mission-Driven Care

Operated by the nonprofit First Step House, REACH accepts Medicaid, private insurance, federal military coverage, and self-pay, with sliding-scale assistance available. The facility maintains a smoke-free, vape-free environment. By integrating research-driven care with housing, employment, and health services, REACH provides a structured and restorative setting where participants can rebuild their lives with stability and purpose.