Substance Misuse

(stigma alert) The use of a substance for unintended or intended purposes in improper amounts or doses. Term has a stigma alert, as some people believe it implies negative judgment and blame. Instead, many recommend using the terms “substance use” or “non-medical use.”

Substance Use Disorder

Substance Use Disorders (SUDs) are treatable, chronic diseases characterized by a problematic pattern of use of a substance or substances leading to impairments in health, social function, and control over substance use. It is a cluster of cognitive, behavioral, and physiological symptoms indicating that the individual continues using the substance despite harmful consequences. Patterns of symptoms resulting from substance use (drugs or alcohol) can help a doctor diagnose a person with a SUD or SUDs. SUDs can range in severity from mild to severe and can affect people of any race, gender, income level, or social class.


According to the American Society of Addiction Medicine (ASAM),addiction is a primary, chronic, neurobiologic disease with genetic, psychosocial, and environmental factors influencing its development and manifestation. Addiction is characterized by behaviors that include:


Addiction Help Finder

Nobody should have to fight addiction alone. To support those struggling with drug use and their families, we are building a central online hub to find and access prevention, treatment, recovery, and family support resources in the Spokane area.
[Learn more…]

Dead on Arrival video:

Suicide & Crisis hotline

  • Call the National Suicide Prevention Lifeline
    988 OR Text GO to 741741 to reach a trained Crisis Counselor through Crisis Text Line, a global not-for-profit organization. Free, 24/7, confidential.

Al-Anon Family Groups Locator
This website offers information about Al-Anon, as well as a Family Group Locator. Al-Anon family members have the opportunity to gather and learn from the experiences of others who have faced similar issues with someone else’s alcoholism.

Al-Anon Teen Groups Locator
This website offers an Alateen Group Locator, by state, as well as Alateen meetings, and chat, in the Mobile App. It also offers general information about Alateen. Alateen is for young people aged 13 to 18 who have been affected by someone else’s drinking. Teens are invited to share experiences, strength, and hope with other teens.

Alcoholics Anonymous AA Group Locator
Spokane: Mon – Thurs: 9am – 6pm | Fri: 9am – 4pm

Narcotics Anonymous NA Group Locator
This website offer links, by State, to regional Narcotics Anonymous Groups as well as information and resources concerning the NA approach to recovery.

National Council on Alcohol and Drug Dependence Information and Support
This informational website provides support to those who need assistance confronting the diseases of alcoholism and drug dependence.

Assisted Living and Addiction
This informational website provides insight into situations regarding those who may need to consider assisting living while addressing addiction.

Washington State Department of Health
This website provides informational resources for a range of physical and mental health issues.