About this facility
1st Step Recovery – 5th Street is a women-only treatment center in Louisville, KY, helping those receiving Kentucky Medicaid on their journeys to lasting wellness and resilience. 1st Step offers residential and outpatient care for co-occurring substance use and serious mental illness (SMI). This DOC-approved program helps women on probation or parole earn good time credit upon completion, supporting lasting recovery and second chances.
Their approach combines structure with compassion. Clients receive care through individual and group counseling, trauma therapy, peer support, and 12-Step groups. These therapies help women build healthy habits, understand their triggers, and grow emotionally. The goal is long-term healing, emotional stability, and readiness for life beyond treatment.
Women in the residential program live in a safe, women-only home with shared or private rooms and access to clean bathrooms. Nutritious meals are provided daily. The facility includes indoor gathering spaces and outdoor areas for fresh air and relaxation. Staff can assist with transportation, helping each woman get the support she needs to recover.
Services
A quick overview of services associated with this facility.
Type of Care, TC, Substance use treatment; Mental health treatment; Treatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Service Setting (e.g., Outpatient, Residential, Inpatient, etc.), SET, Outpatient
Facility Type, FT, Outpatient mental health facility
Treatment Approaches, TAP, Activity therapy; Cognitive behavioral therapy; Couples/family therapy; Dialectical behavior therapy; Eye Movement Desensitization and Reprocessing therapy; Group therapy; Integrated Mental and Substance Use Disorder treatment; Individual psychotherapy; Telemedicine/telehealth therapy; Abnormal involuntary movement scale
Facility Operation (e.g., Private, Public), FOP, Private non-profit organization
Payment/Insurance/Funding Accepted, PAY, County or local government funds; Medicaid; Federal military insurance (e.g., TRICARE); Other State funds; Private health insurance; Cash or self-payment; State welfare or child and family services funds
Payment Assistance Available, PYAS, Payment assistance (check with facility for details); Sliding fee scale (fee is based on income and other factors)
Special Programs/Groups Offered, SG, Young adults; Seniors or older adults; Veterans; Active duty military; Members of military families; Clients with co-occurring mental and substance use disorders; Clients who have experienced intimate partner violence, domestic violence; Clients who have experienced trauma; Persons with traumatic brain injury (TBI); Persons with eating disorders; Persons with post-traumatic stress disorder (PTSD); Persons 18 and older with serious mental illness (SMI)
Assessment/Pre-treatment, ASPT, Screening for tobacco use
Recovery Support Services, RSS, Housing services; Mentoring/peer support
Education and Counseling Services, ECS, Smoking/vaping/tobacco cessation counseling
Facility Smoking Policy, SMP, Smoking permitted in designated area
Age Groups Accepted, AGE, Children/Adolescents; Young Adults; Adults; Seniors
Facility Vaping Policy, FVP, Vaping permitted in designated area
Ancillary Services, AS, Court-ordered outpatient treatment; Case management service; Suicide prevention services; Education services
