






1st Step Recovery Center - 5th Street
Treatment Focus
This center treats substance use disorders and mental health conditions. You'll receive individualized care catered to your unique situation and diagnosis, learn practical skills for recovery, and make new connections in a restorative environment.
Primary Level of Care
Offering intensive care with 24/7 monitoring, residential treatment is typically 30 days and can cover multiple levels of care. Length can range from 14 to 90 days typically.
Claimed
Recovery.com has connected directly with this treatment provider to validate the information in their profile.
Treatment Focus
This center treats substance use disorders and mental health conditions. You'll receive individualized care catered to your unique situation and diagnosis, learn practical skills for recovery, and make new connections in a restorative environment.
Primary Level of Care
Offering intensive care with 24/7 monitoring, residential treatment is typically 30 days and can cover multiple levels of care. Length can range from 14 to 90 days typically.
Provider's Policy
1st Step Recovery accepts Kentucky Medicaid only.
1st Step Recovery Center - 5th Street
1st Step Recovery Center - 5th Street
About 1st Step Recovery Center - 5th Street
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.
Strengthen Mental Well-Being and Develop Recovery Tools
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.
Feel at Home in a Safe, Women-Only Living Environment
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.

Center Overview
Treatment Focus
This center treats substance use disorders and mental health conditions. You'll receive individualized care catered to your unique situation and diagnosis, learn practical skills for recovery, and make new connections in a restorative environment.
Insurance Accepted
Cash Pay Rates
Estimated Cash Pay Rate
Center pricing can vary based on program and length of stay. Contact the center for more information. Recovery.com strives for price transparency so you can make an informed decision.
Levels of Care
Your Care Options
Specializations
Bipolar
This mental health condition is characterized by extreme mood swings between depression, mania, and remission.
Co-Occurring Disorders
A person with multiple mental health diagnoses, such as addiction and depression, has co-occurring disorders also called dual diagnosis.
Depression
Symptoms of depression may include fatigue, a sense of numbness, and loss of interest in activities. This condition can range from mild to severe.
Drug Addiction
Drug addiction is the excessive and repetitive use of substances, despite harmful consequences to a person's life, health, and relationships.
Who We Treat
Women only
Women attend treatment in a gender-specific facility, with treatment delivered in a safe, nourishing, and supportive environment for greater comfort.
Approaches
Evidence-Based
A combination of scientifically rooted therapies and treatments make up evidence-based care, defined by their measured and proven results.
Gender-Specific
Separate treatment for men or women can create strong peer connections and remove barriers related to trauma, shame, and gender-specific nuances.
Twelve Step
Incorporating spirituality, community, and responsibility, 12-Step philosophies prioritize the guidance of a Higher Power and a continuation of 12-Step practices.
Therapies
1-on-1 Counseling
Patient and therapist meet 1-on-1 to work through difficult emotions and behavioral challenges in a personal, private setting.
Psychoeducation
This method combines treatment with education, teaching patients about different paths toward recovery. This empowers them to make more effective decisions.
Trauma-Specific Therapy
This form of talk therapy addresses any childhood trauma at the root of a patient's current diagnosis.
Twelve Step Facilitation
12-Step groups offer a framework for addiction recovery. Members commit to a higher power, recognize their issues, and support each other in the healing process.
Languages
Conditions We Treat
Anxiety
Anxiety is a common mental health condition that can include excessive worry, panic attacks, physical tension, and increased blood pressure.
Bipolar
This mental health condition is characterized by extreme mood swings between depression, mania, and remission.
Depression
Symptoms of depression may include fatigue, a sense of numbness, and loss of interest in activities. This condition can range from mild to severe.
Schizophrenia
Schizophrenia is a serious mental health condition that causes hallucinations, delusions, and disordered thinking.
Trauma
Some traumatic events are so disturbing that they cause long-term mental health problems. Those ongoing issues can also be referred to as "trauma."
Substances We Treat
Alcohol
Using alcohol as a coping mechanism, or drinking excessively throughout the week, signals an alcohol use disorder.
Benzodiazepines
Benzodiazepines are prescribed to treat anxiety and sleep issues. They are highly habit forming, and their abuse can cause mood changes and poor judgement.
Co-Occurring Disorders
A person with multiple mental health diagnoses, such as addiction and depression, has co-occurring disorders also called dual diagnosis.
Cocaine
Cocaine is a stimulant with euphoric effects. Agitation, muscle ticks, psychosis, and heart issues are common symptoms of cocaine abuse.
Drug Addiction
Drug addiction is the excessive and repetitive use of substances, despite harmful consequences to a person's life, health, and relationships.
Ecstasy
Ecstasy is a stimulant that causes intense euphoria and heightened awareness. Abuse of this drug can trigger depression, insomnia, and memory problems.
Heroin
Heroin is a highly addictive and illegal opioid. It can cause insomnia, collapsed veins, heart issues, and additional mental health issues.
Methamphetamine
Methamphetamine, or meth, increases energy, agitation, and paranoia. Long-term use can result in severe physical and mental health issues.
Opioids
Opioids produce pain-relief and euphoria, which can lead to addiction. This class of drugs includes prescribed medication and the illegal drug heroin.
