Pathways Inc - Crisis Residential Recovery Unit East

Accessible, Community-Based Care

This program helps adults in crisis begin recovery in a safe, structured environment. The program connects individuals to outpatient and intensive outpatient (IOP) therapy, telehealth, and recovery support without requiring long-term inpatient stays. Services are designed to help people stabilize quickly and stay connected to ongoing care in their community.

Evidence-Based Treatment and Medication Support

Treatment options include cognitive behavioral therapy (CBT), motivational interviewing, and trauma-related counseling for individuals with co-occurring substance use and mental health needs. Medications for addiction treatment (MAT), are available to support recovery from opioid and alcohol use. Clients also receive education on relapse prevention and overdose response.

Practical Support for Everyday Stability

The program offers transportation assistance, targeted case management, and peer recovery programs to reduce barriers to treatment. These supports can be especially helpful for individuals balancing work, childcare, or transportation challenges. Housing services and employment counseling are available to assist with stability during and after treatment.

Client Reviews

Clients describe Pathways Inc. in Ashland, Kentucky, as a vital community resource with deeply mixed experiences. Many credit the staff for their care and consistency over the years, while others express frustration with communication, organization, and intake processes.

• Staff & Care Experience (70% positive): Many long-term clients highlight caring, compassionate staff who “are always there” and make them feel supported through recovery. However, some describe encounters as unprofessional, suggesting inconsistency across departments. “They’re always there. Always consistent.”
• Treatment Quality & Outcomes (65% positive): Several reviewers report real progress and life changes, calling the program “tremendous”. Others, though fewer, felt services were ineffective or dismissive. “Thank you for helping me be the person I am today.”
• Access & Process (35% positive): While a few found admissions smooth, multiple reviewers cite disorganization, long wait times, and confusing intake decisions. Some described being turned away after hours of waiting due to staffing issues.
• Support & Community (75% positive): The 24-hour crisis line and peer support teams earn consistent praise for reliability and empathy, particularly from clients engaged for years.