
At a Glance
Location
4423 North Ravenswood Avenue, Chicago, IL 60640
Phone
773-432-6570Primary Focus
Treatment Settings
Treatment Approaches
About Heartland Health Centers Thresholds
Thresholds has served Chicago and four surrounding counties since 1959, offering outpatient and intensive outpatient substance use treatment for a wide range of individuals — including veterans, youth, and people experiencing homelessness. CARF-accredited and built around Cognitive Behavioral Therapy, the program addresses co-occurring disorders and trauma alongside substance use, making it a recovery center designed for the full complexity of long-term recovery.
Thresholds is a CARF-accredited substance use treatment center located at 115 North Parkside Street in Chicago, Illinois, with a service area that extends across four surrounding counties in the Chicago region. Operating since 1959, it is one of the city's longer-standing recovery-focused organizations, bringing decades of community presence to outpatient addiction treatment on the West Side of Chicago. For individuals and families evaluating recovery options that fit into everyday life, Thresholds offers structured programming without requiring residential placement.
The center's levels of care include an Outpatient Program and an Intensive Outpatient Program (IOP). The IOP provides a higher level of clinical engagement than standard outpatient, making it a meaningful option for people in early recovery or those stepping down from more intensive treatment who still need substantial support. Both tracks are designed to work within a person's existing schedule while addressing the underlying patterns that drive substance use.
Clinical care at Thresholds incorporates Cognitive Behavioral Therapy (CBT), a structured therapeutic method focused on identifying and reshaping the thought patterns connected to substance use. The program also addresses co-occurring disorders and dual diagnosis — meaning clinicians work with both substance use and mental health conditions like trauma and PTSD at the same time, rather than treating them as separate problems. This integrated approach reflects an understanding that sustainable recovery rarely involves just one diagnosis.
Thresholds serves a notably broad population: men, women, youth and young adults, veterans, individuals experiencing homelessness, and Deaf individuals. Payment options include Medicaid, state insurance, and financial assistance, which significantly lowers the access barrier for people who might otherwise go without care. For families looking for a recovery center in Chicago that reaches people others often miss — and that has been rooted in the community for generations — Thresholds represents a serious, long-term recovery partner.
Outpatient & IOP: Recovery That Fits Real Life in Chicago
Thresholds offers two levels of outpatient substance abuse treatment — a standard Outpatient Program and an Intensive Outpatient Program (IOP) — giving people in recovery the ability to choose a level of structure that matches where they are in their recovery journey. The IOP is particularly well-suited for individuals who need more clinical contact than weekly sessions provide, including those stepping down from residential treatment or navigating early recovery while managing family, work, or housing responsibilities.
Located at 115 North Parkside Street on the West Side of Chicago, Thresholds is accessible to residents across Cook County and four surrounding counties. Office hours run Monday through Friday, 8:30 AM to 5 PM, supporting consistent engagement with treatment for people building or rebuilding stability in their daily lives.
Dual Diagnosis & Trauma-Informed Substance Use Treatment
A meaningful portion of people seeking addiction treatment are also managing mental health conditions — and treating only one side of that picture rarely leads to lasting recovery. Thresholds formally addresses co-occurring disorders and dual diagnosis, integrating care for conditions like trauma and PTSD directly into its substance use treatment programs. Cognitive Behavioral Therapy (CBT) anchors the clinical approach, giving clients tools to recognize and redirect the thinking patterns that contribute to substance use and emotional distress alike.
This integrated model matters especially for people whose substance use developed in the context of trauma, chronic stress, or untreated mental health challenges. By treating the full clinical picture within one recovery-focused setting, Thresholds positions itself as a recovery center where complex cases are the norm, not the exception.
Who Thresholds Serves: A Recovery Community Built for Inclusion
Thresholds explicitly serves populations that many treatment programs overlook. Its substance abuse treatment programs are designed for men, women, youth and young adults, veterans, individuals experiencing homelessness, and Deaf individuals. This breadth of populations served is not incidental — it reflects a deliberate commitment to reaching people across different life circumstances and communities throughout the greater Chicago area.
Financial access is a core part of that mission. Thresholds accepts Medicaid and state insurance, and offers financial assistance for those who qualify. For families trying to find a recovery center that will actually accept their loved one and work within real financial constraints, these payment options make a concrete difference in whether treatment becomes possible at all.
CARF Accreditation & the Leadership Behind the Programs
Thresholds holds CARF accreditation, an internationally recognized quality benchmark for behavioral health and substance use treatment organizations. CARF accreditation signals that the center has undergone independent review of its programs, staff practices, and service outcomes — a meaningful credential for families weighing long-term recovery options in Chicago.
The organization's clinical and operational leadership includes Chief Medical Officer J. Wesley Cook, DO; Co-Chief Clinical Officer Peggy Flaherty, LCSW; and Chief Operating Officer Mark Furlong, LCSW. The presence of licensed clinical social workers in senior leadership roles reflects an organizational culture grounded in direct clinical practice and community-based care.
Why Choose Heartland Health Centers Thresholds
- Established in 1959 — one of Chicago's longest-standing substance use treatment organizations
- CARF-accredited IOP and outpatient programs designed to support long-term recovery without requiring residential placement
- Integrated dual diagnosis treatment addresses trauma and PTSD alongside substance use in the same program
- Serves historically underserved populations including veterans, individuals experiencing homelessness, and Deaf individuals
- Medicaid, state insurance, and financial assistance accepted — reducing financial barriers to sustained recovery
Frequently Asked Questions
What levels of care does Thresholds offer for substance use treatment?
Thresholds offers two levels of outpatient addiction treatment: a standard Outpatient Program and an Intensive Outpatient Program (IOP). The IOP provides a higher frequency of clinical sessions and is often a strong fit for people in early recovery or transitioning from a more intensive level of care. Neither program requires overnight stays, allowing participants to remain in their community throughout treatment.
Does Thresholds treat co-occurring mental health conditions alongside substance use?
Yes. Thresholds specifically addresses co-occurring disorders and dual diagnosis, including trauma and PTSD, within its substance use treatment programs. Rather than treating mental health and addiction separately, the program integrates both into a single coordinated approach. Cognitive Behavioral Therapy (CBT) is one of the clinical methods used to support this integrated care.
What insurance and payment options does Thresholds accept?
Thresholds accepts Medicaid and state insurance, and also offers financial assistance for qualifying individuals. These options are designed to lower financial barriers to treatment for people across different income levels in the Chicago area. For specific questions about coverage or assistance, the center can be reached at (773) 537-3219 or at [email protected].
What populations does Thresholds serve in its addiction treatment programs?
Thresholds serves a broad range of individuals, including men, women, youth and young adults, veterans, individuals experiencing homelessness, and Deaf individuals. This range reflects the center's commitment to serving diverse communities across Chicago and four surrounding counties. Services are provided in English.
Is Thresholds accredited?
Yes, Thresholds holds CARF accreditation — a recognized quality standard for substance use and behavioral health treatment organizations. CARF accreditation involves independent review of a program's clinical practices, outcomes, and service delivery, providing an external measure of program quality for families and individuals evaluating treatment options.
Where is Thresholds located, and what areas does it serve?
Thresholds is located at 115 North Parkside Street in Chicago, Illinois 60644, in Cook County. Its service area includes Chicago and four surrounding counties, making it accessible to a broad range of residents in the greater Chicago metropolitan region.
What therapy approaches does Thresholds use in its recovery programs?
Thresholds uses Cognitive Behavioral Therapy (CBT) as a core clinical method in its substance use treatment programs. CBT focuses on identifying and changing the thought patterns that contribute to substance use and related mental health challenges. The program also integrates care for trauma, PTSD, and co-occurring disorders within the same treatment setting.
What are Thresholds' hours of operation?
Thresholds is open Monday through Friday from 8:30 AM to 5 PM. The center is closed on Saturdays and Sundays. For inquiries about programs or to get started, you can call (773) 537-3219 or email [email protected] during business hours.
How long has Thresholds been providing substance abuse treatment in Chicago?
Thresholds was founded in 1959, giving it more than six decades of presence as a behavioral health and substance use treatment organization in the Chicago area. That long-standing community history is reflected in the breadth of populations the organization serves and the scale of its regional reach across Cook County and four surrounding counties.
Nearby Treatment Centers
Head and Heart Therapy Inc
Chicago, IL
- Outpatient
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Private health insurance

Symetria Recovery Lakeview
Chicago, IL
- Detox
- IOP
- MAT
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · SAMHSA-certified Opioid Treatment Program
Accepts: Cash or self-payment, Private health insurance
Head/Heart Therapy Inc
Chicago, IL
- Outpatient
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Private health insurance
Chicago Pride Center Uptown
Chicago, IL
- PHP
- IOP
Substance use treatment · Does not use medication for opioid addiction · Accepts clients on opioid medication but prescribed elsewhere
Accepts: Cash or self-payment, Medicare, Private health insurance

Howard Brown Health Center
Chicago, IL
- Outpatient
Substance use treatment · Accepts clients on opioid medication but prescribed elsewhere · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid, Medicare

Sundance Methadone Trt Ctr
Chicago, IL
- IOP
- MAT
Substance use treatment · SAMHSA-certified Opioid Treatment Program · Cognitive behavioral therapy
Accepts: Cash or self-payment, Medicaid
