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 scheduled Monday through Friday, beginning at 8 a.m. To make an appointment, please call: 515-243-4200.



Please allow 1.5 hours, 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).


With proper authorization, EFR will provide summary results of your evaluation to courts, DHS, or the DOT, upon receipt of full payment.


Upon completion of the evaluation, your counselor can assist you in getting connected with treatment resources.



Counseling + Substance Abuse Services

My addiction had left me homeless, mentally broken, abused and near death. I was afraid and confused. Lost and hopeless after 10 years of using meth. I couldn’t care for myself or be there for my two sons at all. Nothing else was important – just getting high.

I knew I wanted to get sober because I wanted to die every day while using this drug. Finally I couldn’t take it anymore. An overdose wasn’t the scary part; suicide was my reality to the end of this vicious turmoil that was my life.

I was arrested for a serious felony drug charge and sent to a treatment facility. When I began to feel my values coming back into perspective, to what I had been raised to know, my motivation and hope for my future began to take me to a life of happiness and hope that I’d never felt before.

You don’t get over an addiction by stopping using. You recover by creating a new life where it is easier to not use. If you don’t create a new life, then all of the factors that brought you to your addiction will catch up with you again.

While I was willing to do the work, I found organizations willing to invest in my progress and help me to gain responsibility and community connections, like EFR’s Access to Recovery (ATR) Program. Without such an intense two month inpatient treatment facility and transportation from ATR, I wouldn’t have made it this far.

I celebrated a year of sobriety this year and my moral compass is now facing the right direction. I am happy and continue to work hard and solve problems like a grown-up who knows how to function correctly. It’s very special and very real and very rewarding.

Life is worth living.

Fees for Services

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

If you do not have insurance, most fees are based on a sliding fee scale based on last year’s income and number of dependents living with you under the age of 17 — this scale ranges from $25-$165.

OWI evaluations are conducted for a fixed fee of $125. Pricing varies for out-of-state OWI evaluations; please ask the intake specialist at the front desk.

EFR protects the identity and confidential records of each client as required by its professional, ethical standards, Iowa state law, and the federal laws of the Health Information Portability and Accountability Act (HIPAA) and 42CFR, Part 2.

In most cases, EFR will not disclose information about you and your involvement with EFR’s counseling and treatment services verbally or in writing unless you provide signed, written authorization.

Exceptions may include:

  • Court order
  • A threat of harm to yourself or others requires us to ensure your safetyor the safety of others
  • Actual or suspected child or dependent adult abuse or neglect requires a report to child/adult protective services
  • A licensing or accrediting body requiring case auditing for program evaluation 

Additional Rights Related to Your Confidential Information

Exceptions may include:

  • Review and receive a copy of your records
  • Request limits to how your information can be used and disclosed
  • Identify the means by which we may communicate with you
  • Receive a list of all disclosures that have been made by EFR
  • Request to amend your records

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


Click here

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