Detox and Inpatient Treatment Program Description

Schick Shadel Hospital is a multi-disciplinary treatment facility for substance use disorders.  We provide Detox and Inpatient Treatment services.  Our program combines counseling and group therapy with medically-supervised counter conditioning treatments and rehabilitation interviews.  We have successfully used this approach for more than 75 years to treat tens of thousands of people.  Our treatment program is based on a powerful scientific medical model that produces long standing results.

Established in early 1935 in Seattle, Washington, Schick Shadel Hospital is the oldest continuously operated chemical dependency treatment program in America.


PHILOSOPHY OF TREATMENT:    In working with adults with substance abuse disorders, it is our premise that the whole person suffers from these diseases, and that the whole person and his/her family can be restored to sound health.  Schick Shadel Hospital believes that it has a responsibility to aid and support, whenever possible, those who have emotional and physical problems due to substance use disorders. It is our belief that the problem of addiction is a medical problem and it can be treated, therefore, with medical approaches. We do, however, believe in the powerful relationships and emotional growth that can occur with effective counseling, so this is an important component of our program as well.



Schick Shadel Hospital provides a highly effective non-traditional medical based treatment that gives patients hope and confidence in a positive atmosphere while addressing their disease.



Schick Shadel Hospital’s vision is to lead as the premier organization in the country, dedicated to the treatment of those with substance use disorders.



We are committed to effective and compassionate patient care.  We believe in mutual respect, integrity, transparency, honesty, teamwork, and accountability.




POPULATION SERVED:  Schick Shadel Hospital is dedicated to the treatment and recovery of adults with substance use disorders.  We treat individuals 18and older, male and female, who present with a primary diagnosis of Substance Use Disorders (alcohol, cocaine, methamphetamine, opioids, and marijuana).  Schick Shadel Hospital serves people from throughout North America and the world.  The hospital does not discriminate against any person on the basis of race, color, national origin, sexual orientation, cultural/spiritual beliefs, disability, or age, in admission to, participation in, or receipt of the services.

PROGRAM CAPACITY:  Schick Shadel Hospital is licensed to serve 60 adults in treatment.

SETTING:  Schick Shadel Hospital is located in a quiet, peaceful environment just minutes from SeaTac Airport in Seattle.  We are a medium-sized, handicapped-accessible facility.  Patients are encouraged to enjoy the complex’s lovely wooded grounds, outdoor sitting areas, and adjacent walking trails for contemplation and reflection throughout their stay.

Schick Shadel Hospital offers private and semi-private rooms.  We have several common areas for games, dining, and exercise, a lounge for socializing and watching movies, a library, and any number of cozy spaces where the person served can spend time with visitors and with each other.  Our dining facility serves meals three times a day.  Coffee, tea, juice, crackers and fruit are available in our snack area.  Rooms have telephones and television, and Wi-Fi is available throughout the hospital.  Cell phones, tablets, laptops, and similar electronic devices are generally welcome.

HOURS/DAYS / FREQUENCY OF SERVICE:  Schick Shadel Hospital operates 24 hours a day, seven days a week.


  • DETOX: Detoxification for alcohol can generally be accomplished in 4 days; marijuana and cocaine in one day; opiates can be up to 7 days.  The physician’s documentation must substantiate the need for longer periods of detoxification.
  • INPATIENT TREATMENT PROGRAM: Alcohol, Alcohol/Marijuana Program, Alcohol/Stimulant Program, Marijuana Program, Stimulant Program, Marijuana/Stimulant Program, Alcohol/Stimulant/Marijuana Program, generally are accomplished in 14 days—10 days of initial hospitalization followed by two 2-day reinforcements.  The first reinforcement will occur approximately 30 days after initial discharge and the second approximately 90 days after initial discharge.

Opiate Drug Program generally is accomplished in 10-14 days, 10-14 days of initial treatment followed by 4 days of reinforcement treatments.  The first reinforcement treatment will be approximately 30 days after initial discharge with the remaining recap scheduled 90 days post discharge.   

FEES:  Fees for various services the hospital provides are disclosed prior to admission so that the person served has adequate financial data to make an informed decision about admission and treatment.  The hospital is a preferred provider for several insurance companies.  Patient responsibility can range from $0 to $10,000 or more, depending on plan design and the deductible/co-insurance responsibility met for the year.  Patients with insurance coverage are encouraged to contact their insurance company to inquire about their benefits and coverage availability for Schick Shadel’s programs.  An Admissions or Business Office staff member will assist in acquiring benefit information and providing an out-of-pocket estimate, should the insurance pay.  Discounts for cash-only patients are provided so that they may benefit from cost-savings in a similar manner as contracted insurance companies.  Prices vary depending on length of stay and services provided.  Detox services can range from $4,000 to $9,500, and Rehab services can range from $12,000 to $29,000, depending on substances being treated.  Patients may speak with an Admissions staff member to discuss financing options if needed.

SCOPE OF SERVICES:  Schick Shadel Hospital is an inpatient hospital that operates twenty-four (24) hours/day, seven (7) days/week.

Schick Shadel Hospital provides the following services to the persons served. All of the services are provided directly on site at the Schick Shadel Hospital with the exception of Lab services which are contracted out.

  • Medical Detox: For the persons served meeting medical criteria for detoxification, physicians will prescribe detox. Twenty-four hour/day RN care is provided.


  • Medical Assessment/Physical: The person served receives a full history and physical from a physician who then prescribes and monitors their inpatient care.


  • Nursing Services: The person served receives nursing care services twenty-four hours/day, seven days/week from licensed RNs, LPNs and CNAs.


  • Rehabilitation Interview Services: Sedation services during the rehabilitation interviews are provided by licensed CRNAs who provide assessment, monitoring and provision of the rehabilitation interview medications.


  • Inpatient Medical Treatment: Counter conditioning treatment is prescribed for a substance use disorder diagnosis using ASAM Criteria for Admission. The medical staff is available twenty-four hours/day. Treatment components include:
    • Counter Conditioning Therapy (Chemical or Faradic)
    • Counseling/Education (both individual and group)
    • Rehabilitation Interview
    • Relaxation Therapy
    • Hypnotic Covert Sensitization Aversion Enhancement Treatment (if ordered by the physician)


  • Patient Orientation: Each person served will receive an orientation to the treatment program, as well as a facility tour upon completion of detox. The orientation will include an overview of the treatments, rehabilitation interviews, flow of counseling sessions (individual and groups) and what to expect from the program.  Orientation also includes a review of the patient bill of rights, confidentiality policies, complaint and grievance policies, and safety procedures.


  • Pharmacy Services: A formulary of frequently used drugs is maintained at the hospital by a registered pharmacist.
  • Dietary Services: All meals and snacks are provided on a daily basis. A registered dietitian is available for consultations and education.  The hospital will work with the person served to accommodate special dietary requests.


  • Laboratory Services: Laboratory testing is provided by a contracted medical laboratory.  Waived testing is provided in-house.  All treating patients receive the diagnostic blood work needed to provide a thorough evaluation for treatment.


  • Housekeeping/Laundry Services: Housekeeping/laundry services are provided on daily basis.


  • Counseling/Education Program: Biopsychosocial-spiritual history, chemical dependency assessment, treatment plan development, individual and group counseling and education are provided to the person served. The counselors provide the necessary tools for the person served to learn about relapse prevention skills, self-soothing/ healthy coping skills, and reinforce the significance of expanding their sober support network.  The person served co-develops their Continuing Care Plan with a counselor prior to discharge to map out a concrete plan for sobriety.  Upon physician’s order, counselors also provide Hypnotic Covert Sensitization Aversion Enhancement Treatment until the person served achieves satisfactory aversion level.  A face-to-face family counseling session is provided as an option upon patient’s request.  A Family Roundtable Group aims to provide support to the patients’ family members and or friends in preparation for the transition post-treatment.


  • Consulting/Referral Services – The physicians will coordinate and make referrals for outside services that cannot be provided at Schick Shadel Hospital during the patients’ hospital stay. Upon discharge, the physicians may make referrals to medical specialists and PCPs for follow-up of medical issues identified during treatment as part of the discharge planning process.


  • Discharge Planning: Multidisciplinary discharge planning, development of a continuing care plan, identification of continuing care and follow-up needs are provided to all treating patients. During their stay, the person served will attend both group and individual counseling sessions and work one on one with Patient Services to help identify areas of need and improvement for continued physical, mental, emotional and social growth.  Patient Services works closely with the Medical and Counseling treatment teams to develop a strong recovery plan for all persons served with on-going support upon discharge from Schick Shadel Hospital.


  • Billing Services: Each person served meets with a Business Office staff member to discuss the billing process, address any specific billing questions the person served may have, and to ensure that all billing information is correct. The hospital’s various payment options (insurance, private pay, and deposit with financing) are explained to the person served.  Upon request, a member of Utilization Review will seek preauthorization for payment, for those with insurance coverage.  If services are preauthorized, the Business Office will bill the insurance.  The person served is sent an itemized statement of all charges incurred while in treatment for their review shortly after discharge upon request or when a balance is due.


  • CEO Roundtable Meeting: This meeting gives the CEO the opportunity to meet with the patients and “recappers” who are back for their reinforcement treatment in order to solicit feedback on the services provided to them; to help identify areas of growth, opportunities for improvement of services in terms of general hospital operations and in regards treatment efficacy. This is a formal venue wherein the patients have direct access to the CEO who reinforces an “open-door policy” with the person served.  This meeting is scheduled once a week for at least couple hours.


  • Performance Improvement/Activities: A Performance Improvement (PI) Committee meets once a month to discuss performance improvement issues. Patients have input into this process via the Patient Satisfaction Survey which is completed prior to a patient’s discharge, our CEO Round Table, and many of the ad hoc patient discussions with our CEO. Ideas or concerns gathered from both internal and external stakeholders such as employees, patient family members, contracted personnel, vendors, and other outside agencies, are treated as opportunities for change. We form sub-committees consisting of varying levels of staff, who will use Lean Six Sigma analytical tools to anchor changes that will improve the quality of patient care using Define, Measure, Analyze, Improve, and Control (DMAIC) to guide the change process. By identifying our performance goals, we are able to create an environment of continuous improvement.  Schick Shade Hospital values the input from all stakeholders and views each idea or concern as an opportunity for growth.


  • Confidentiality of Medical Records: All staff members adhere to the federal confidentiality guidelines governing drug and alcoholism treatment. Access to medical records is only allowed in compliance with the federal regulations governing the Confidentiality of Alcohol and Drug Abuse Patient Records (42 C.F.R., Part 2) and HIPAA Privacy Regulations (45 C.F.R. Parts 160 and 164).


Facility:   Schick Shadel Hospital is committed to providing a clean, sanitary environment by adhering to all OSHA/WISHA requirements for the prevention of infectious and communicable diseases.  Life Safety Codes are followed and staff members complete regular drills to ensure patients’ safety.  Regular inspections of hospital equipment/systems by outside inspectors and regulatory agencies as well as monthly in-house safety and infection control surveillance inspections ensure that patient care is provided in a safe physical environment and that facility safety is maintained.