Life Happens. We’re Here to Help.

We support communities with relevant prevention, intervention, and treatment services.

No matter who you are, where you are, or what you’re going through, EFR can help. We have more than 50 years experience strengthening communities and supporting the individuals within those communities so they can reach their full potential.

Our Counseling program can help you through life’s challenges.

No matter who you are or what you’re going through, you can receive judgement-free and confidential counseling with masters-level counselors at EFR. We’re here to help.

Are you or a loved one suffering from a substance use disorder? We can help.

Our experienced counselors can provide judgement-free substance use disorder assessments and treatment for individuals seeking assistance.

Our dedicated Prevention Team serves four counties in central Iowa.

Our prevention specialists educate, provide resources for, and engage with our local community to create healthier, safer, and more-informed environments.


Student Assistance Program (SAP) & Outpatient Counseling

Maddox*, an elementary-aged student, struggled with anger outbursts, physical aggression, and difficulties with problem-solving. After spending years off-and-on in therapy seeking treatment with various providers only to remark that “none seemed to want to listen,” Maddox’s parents sought SAP services through their district. 

Today, Maddox is completing his SAP sessions and moving towards outpatient counseling. He has reduced his anger outbursts and has learned skills to help him successfully navigate challenging days.

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