Substance Abuse Services (SAS)

Life Happens. We’re Here to Help.

Concerned about your drinking or drug use? EFR can help you! We offer Substance Abuse Services specializing in assessing and treating those affected by substance use disorders.

We Can Help If:

  • You are concerned about your drinking or drug use.
  • You are facing an OWI or other substance-related legal charge and have been court-ordered to complete a substance abuse assessment.
  • A health care professional recommended you talk with someone about your drinking.
  • Your teenager has gotten in trouble with the law or at school because of drugs or alcohol.
  • You need a Substance Abuse Professional (SAP) evaluation due to a Federal DOT violation.

EFR offers confidential assessments by certified substance use disorder counselors. With your permission and when appropriate, significant others and/or family members are invited to participate in the assessment.

Schedule an Appointment

Evaluations are available by appointment only on Thursdays and Fridays. To make an appointment, please call: 515-243-4200. In case of an emergency, please call 911.


Please allow 90 minutes, start to end, for the evaluation process. EFR substance abuse evaluations are accepted by the Iowa Court System, Department of Human Services (DHS) and the Department of Transportation (DOT).


Upon completion of the evaluation, your counselor can assist you in getting connected with treatment resources. With your signed authorization, EFR will provide summary results of your evaluation to courts, DHS, or the DOT, upon receipt of full payment.


To access the forms ahead of your appointment, please click here .

Fees for Services

EFR accepts Medicaid, cash, and credit/debit cards.


If you do not have insurance, the cost of your evaluation may be covered by a grant you are an Iowa resident and meet income eligibility requirements. Eligibility is based on last year’s income and the number of dependents living with you under the age of 17.


OWI evaluations are conducted for a fixed fee of $125. Pricing varies for out-of-state OWI evaluations; please ask the intake specialist by calling 515-243-4200.

Click here to access a copy of EFR’s full Notice of Privacy Practices.

If you believe your confidentiality has be violated, you may report this to EFR’s Privacy Officer, who will investigate and provide you a formal, written response:

Privacy Officer

Employee & Family Resources

505 Fifth Avenue, Suite 600

Des Moines, IA 50309


U.S. Department of Health and Human Services, Office for Civil Rights

200 Independence Avenue, S.W., Room 509F, HHH Building

Washington, D.C. 20201


Counseling and Evaluation Services Privacy and Confidentiality


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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