Raise the Bottom Training and Counseling Services LLC

Raise the Bottom Training and Counseling Services LLC is one of southern Idaho's few outpatient clinics holding both CARF accreditation and Opioid Treatment Program certification. Located in Nampa and extending services to Boise and Pocatello, the clinic is built specifically for people working toward long-term recovery from opioid addiction — including fentanyl and heroin dependence — while managing co-occurring disorders such as trauma and PTSD.

Medication-assisted treatment is central to the clinical model here. Methadone, Suboxone, and Vivitrol are all available, supported by ongoing medication management. This range of MAT options reflects a practical recognition that no single medication works the same way for every person in recovery. The outpatient program structure means that treatment fits around a person's life — employment, family, and community commitments — rather than requiring a residential stay.

Beyond medication, the clinic integrates Cognitive Behavioral Therapy, individual therapy, and group therapy into the outpatient program. CBT helps individuals identify and reshape the thought patterns that drive addictive behavior, while individual sessions allow for focused work on personal history and trauma. Group therapy brings peer connection into the recovery process — a dimension that matters especially for people who will be building community outside the clinical setting.

Co-occurring disorders and trauma are treated alongside opioid addiction, not deferred to a separate system. This dual diagnosis capability is meaningful for people whose substance use is entangled with PTSD or other mental health conditions. The whole-person approach and family-centered care built into the program reflect a philosophy that recovery doesn't happen in isolation — it involves the people and systems around the individual as well.

The clinic's population scope is broader than most outpatient providers in the region. Veterans and active-duty families can access care through TRICARE/VA coverage. Pregnant women, young adults between 18 and 25, and older adults are all explicitly served. The clinic also accepts court-ordered referrals and provides HIV/AIDS support services, reflecting a commitment to meeting people where they are regardless of how they arrive at treatment.

This breadth matters for families supporting a loved one in recovery, because it means the clinic has structured experience with populations that often face additional barriers to care. Having that range of clinical experience within a single outpatient program reduces the chance that someone will fall through the cracks due to a complicating factor in their background or circumstances.

Financial access to ongoing addiction treatment is one of the most common reasons people delay or interrupt care. Raise the Bottom accepts Medicaid, Medicare, TRICARE, and a wide range of private insurance plans — including Aetna, Blue Cross of Idaho, Regence BluеShield, Cigna, United Healthcare, Molina Healthcare, Pacific Source, Select Health, and others. Self-pay and state insurance options are also available.

The clinic operates Monday through Friday from 6:00 AM to 12:00 PM, an early-morning schedule designed to allow clients to attend treatment before work or other daytime obligations. With multiple locations and a service area covering Nampa, Boise, and Pocatello, the program is positioned to be a realistic long-term recovery partner for people across a significant portion of southern Idaho.