Ryther provides an array of programs designed to address the individual needs of teens using drugs and/or alcohol and their families, as well as those with co-occurring mental health issues. We offer: Standard Drug and Alcohol Assessments, Outpatient Counseling (Level 1), Seven Challenges Groups for those engaged in substance use disorder treatment at Ryther and Co-Occurring Program for those struggling with both a mental health and substance use disorder. For information or to make an appointment, call 206.517.0218. 


When you call us we will: Determine if an assessment is needed, check your insurance coverage and let you know of any restrictions or limitations. Ryther bills most insurance plans directly. Ryther accepts clients ages 10-18 with Medicaid coverage for assessments and treatment in King County. Schedule the first appointment to include evening hours (Monday-Thursday).

Standard Drug and Alcohol Assessment

Ryther’s targeted assessments for adolescent substance use disorders fulfill school and legally-based requirements for alcohol and drug assessments. Performed by Substance Use Disorder (SUD) Specialists and master’s level clinicians with training in SUD and mental health, the assessment includes a urine toxicology screen. Assessments are offered at our Seattle location.

Outpatient Counseling (Level 1)

Individualized counseling is provided by a SUD or Co-Occuring therapist experienced working with teens. Substance abuse and addiction for adolescents present a unique challenges requiring a special emphasis through counseling on the development of refusal skills, examination of life choices and consequences, along with education based on the latest information about the impact of drugs on the developing brain. Ryther’s program meets all requirements for Level I chemical dependency treatment. This program is offered in Seattle. The intake number for this is: 206-517-0218.

Ryther’s Co-Occurring Program

Our program is for adolescents and young adults with substance use and mental health issues. It is designed based on the latest research to identify and treat mental health challenges such as depression, anxiety or ADHD in adolescents with substance use. Treatment is guided by an adolescent psychiatrist and licensed clinicians experiences in addressing mental health and substance use issues. Our program is individualized and varies in length to achieve client goals. Ongoing monitoring included urine toxicology. This program is offered at the Seattle location. The intake number for this is: 206-517-0218.

ENROLLING NOW – Ryther’s Seven Challenges Group

Change is a process, not an event. Designed to meet youth where they’re at in this process, Seven Challenges is a research-based treatment approach for teens with substance-related problems and co-occurring disorders. In this group, we use journals, experiential activities, and discussion to encourage teens to honestly evaluate their life and choices, explore the pros and cons of substance use, develop problem recognition skills, and create effective long-term plans. 


Ryther’s Seven Challenges Group meets weekly on Ryther’s Seattle campus at 2400 NE 95th Street. The group is available to Ryther clients enrolled in Co-occurring Substance Use Disorders or SUD services. Participants must have completed a substance use disorders assessment prior to attending their first group session, and are encouraged to attend 10 sessions in order to provide time to genuinely explore the process of change. This group is ongoing so participants can join at any time. Please inquire for availability.


Ryther accepts Medicaid for King County residents. Unfortunately, we cannot accept Medicaid for residents outside of King County unless the individual is or was a ward of the state. For commercially insured clients Ryther will submit claims on your behalf. Review the list below regarding costs.


In-network: Beacon Health, Blue Cross/Blue Shield, Cigna, First Choice Health, Kaiser Permanente, Multiplan, NPN, PacMed, Premera, Regence, and United Behavioral Health


Out-of-network: Aetna, Healthnet (Tricare), Magellan, Molina Marketplace


Out of pocket costs: 

Drug and Alcohol Assessment: $190

Mental Health Intake Appointment: $190 

50 minute individual therapy: $110

50 minute family therapy: $150



Volunteering enhances the lives of Ryther children as well as one’s own life.


Every day, each Ryther staff member helps children and their families find their path to healing and hope.

en_USEnglish es_MXSpanish