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Pathways Behavioral Services Inc

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Overview

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Pathways Behavioral Services in Waterloo serves Northeast Iowa with 24/7 residential care, flexible outpatient programs, and medications for addiction treatment (MAT). Community prevention, transportation help, and a sliding fee scale make care accessible for working families and rural clients.

Address

3362 University Avenue
Waterloo, IA 50701

Directions

Ages Served

  • Seniors (Ages 65+)
  • Adults (Ages 26-64)

Genders Accepted

  • Female
  • Male

Languages Served

  • Spanish
  • Sign language
  • English

Treatment

  • Intensive outpatient treatment (IOP)
  • Long-term residential
  • Outpatient (methadone/buprenorphine or naltrexone treatment)
  • Regular outpatient treatment
  • Short-term residential

Special Programs

  • Adolescents
  • Adult women
  • Pregnant/postpartum
  • Veterans
  • Young adults

Making Care Accessible for Iowans

As a nonprofit and Certified Community Behavioral Health Clinic, the facility focuses on reducing barriers to treatment through transportation assistance, flexible scheduling, and a sliding fee scale. The center also offers education and prevention services through local schools, workplaces, and community coalitions.

Structured, Comprehensive Residential Care

Residential services include daily counseling, recovery education, and therapeutic activities designed to help clients develop the tools needed for sustained recovery. Clients participate in group, individual, and family counseling, and the program encourages the involvement of loved ones. The residential environment promotes personal accountability and connection, helping clients stabilize and prepare for community reintegration.

Outpatient Care That Fits Around Real Life Schedules

Intensive outpatient programming provides multiple weekly sessions of group and individual counseling, offered in both morning and evening time slots to fit different schedules. Extended outpatient services offer fewer hours per week and focus on maintaining stability, strengthening relapse prevention strategies, and supporting continued progress. Both programs emphasize flexibility and accessibility, allowing clients to stay engaged in recovery while meeting personal or family obligations.

Continuing Care Program to Make Recovery Last

After completing the program, clients attend weekly sessions that reinforce recovery skills, promote accountability, and maintain connection with counselors and peers. The focus is on identifying early signs of relapse, developing problem-solving strategies, and continuing personal growth in recovery. Flexible scheduling allows clients to balance treatment with work, family, or community responsibilities. Continuing care clients also have access to peer support, employment counseling, and other recovery resources that promote independence and stability.

Client Reviews

Clients often describe deeply supportive staff and meaningful treatment experiences that helped them achieve lasting recovery. While most praise the inpatient care, some mention concerns about the transitional or sober living program and occasional issues with medication or communication.

  • Staff & Care Experience (90% positive): Reviewers consistently highlight compassionate, dedicated counselors and nurses who go above and beyond to support recovery. Many say the staff genuinely care and create a safe, motivating environment. "Great counselors that really care. The nurses are the very best."
  • Treatment Quality & Outcomes (85% positive): Many describe the inpatient program as life-changing, leading to long-term sobriety and personal growth. "I owe a great portion of my life to this place."
  • Facility & Environment (75% positive): Clients mention clean, welcoming spaces and good food, particularly in the inpatient setting.
  • Access & Process (60% positive): Most found admission and care consistent, though some note challenges during discharge or peer-driven accountability processes. A few mention limited counselor access or administrative communication issues.
  • Medical Responsiveness (55% positive): While most felt well cared for medically, a few reviewers raised concerns about medication handling or nurse oversight errors.
  • Support & Community (70% positive): Long-term clients appreciate the sense of belonging and ongoing connection with staff and peers, noting friendships and encouragement even years after treatment. "I've been with Pathways for 7 years… this is the very best one."

Cost and Insurance

Insurance Accepted

  • Medicare
  • 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.


Cost

$ - Low Cost Facility

Cost ratings are our best estimates to help guide you, not guarantees. Actual costs may vary with treatment, insurance, and other factors. While we aim for accuracy, details may change.

Financial Assistance

  • Does not offer Free
  • Does not offer Payment assistance
  • Does offer Sliding fee scale

Treatment

Treatment Setting

  • Intensive outpatient treatment (IOP)
  • Long-term residential
  • Outpatient (methadone/buprenorphine or naltrexone treatment)
  • Regular outpatient treatment
  • Short-term residential

Treatment Approaches

  • Brief intervention
  • Cognitive behavioral therapy (CBT)
  • 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
  • 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
  • Intervention and education support
  • Mental health assessment
  • Mental health screening
  • Monitoring for metabolic syndrome
  • Oral fluid testing for drugs or alcohol
  • Substance use assessment
  • Temporary support for clients
  • Testing for HIV
  • Testing for Sexually Transmitted Infections
  • Tobacco use assessment
  • Tuberculosis screening
  • Urine testing for drugs or alcohol
  • Substance use screening

Amenities and Experiences

Room Amenities

  • Air conditioned rooms
  • Private rooms
  • Shared room options

Activities

  • Life skills workshops

Settings

  • City

Policies

  • No smoking allowed
  • No vaping allowed

Ownership Type

  • Non-profit

Quality and Trust

Commission on Accreditation of Rehabilitation Facilities

CARF reviews rehab programs to make sure they provide respectful, effective, and personalized care. For addiction treatment, CARF uses standards developed with the American Society of Addiction Medicine (ASAM), so this accreditation shows the program follows trusted, evidence-based guidelines for treating substance use.

Learn more

Reviews and Ratings

(17)
  • Counselors and nurses are deeply caring and supportive.
  • Many clients credit Pathways with significant life changes and long-term sobriety.
  • The facility is clean, with great food and a welcoming atmosphere.
Pathways Behavioral Services Inc
Call 319-235-6571

Start Your Recovery 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. Start Your Recovery 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. The information provided on this site is intended for educational purposes, and is not a substitute for professional medical guidance or treatment.