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Monday – Friday
8:00 AM – 4:00 PM

What does Steadfast Supported Living do?

Steadfast Supported Living Holds two separate contracts with Washington state. One contract is with the Division of Developmental Administration (DDA). This is a Licensed Residential Services contract (LSR). Residents living in these homes qualify for DDA services and are found accommodations voluntarily by their legal guardians The other contract is with the Washington State Department of Children and Family Services (DCFS). This is a Behavioral Rehabilitation Services (BRS) contract. Residents placed in BRS homes have extreme emotional and behavioral issues related to their history of abuse, neglect, trauma, and diagnosis.

We dedicate each home location to either DDA or BRS residents–not both. Up to five residents live in each home, and each resident has their own bedroom. Each home is staffed 24/7 with staff rotations; staff do not live onsite. Staff are trained to use evidence-based models to provide the most effective interventions. Steadfast Supported Living Has chosen to provide homes for residents rather than a facility. This makes it possible to provide highly structured services in an environment that promotes a home setting, making the transition back to family or foster care a more lateral one.

How does Steadfast Supported Living Measure success?

When people ask us this, they are typically looking for statistics. However, we measure success on an individual basis. As with everything part of our program, we look at each person individually. When measuring success, we reflect on the support and interventions, and we consider every small step along the way a success!

How Are people placed in Steadfast Supported Living Programs and homes?

Residents in our DDA programs are voluntarily placed through the DDA system. Residents go through a qualification process with DDA and are then referred to our programs.

Residents placed in our BRS programs are placed by their Washington state social worker and their region’s group care coordinator.

What does Steadfast Supported Living staff do?

Great question! Staff is trained to use evidence-based models and skills to process with residents through daily issues that arise. These tools are built into everything staff do throughout their shift to provide constant and consistent treatment. Likewise, skills are used during specific treatment events, as well as throughout the day while staff engages the kids in daily activities. A significant piece of treatment is Steadfast Supported Living staff engaging residents in “normative” types of daily activities. We use our tools to help residents internalize and build their own skill sets, whether that be to gain more independent skills or to gain safety skills to move into a less restrictive setting.

Throughout any given shift, staff will assist residents with daily living skills, independent living skills, social skill building, occupational and speech skills, community inclusion activities, and any daily or event activities that support the growth of the resident. Steadfast Supported Living staff assists residents with various needs, from basic needs of daily self-care to more progressed assistance with independent living skills. We serve all kids and tailor their treatment plans and positive support interventions to their needs.

Mental Health and Behavioral Health Resources

Middle-Way: Behavioral Health

Sean Smitham, Owner
(509) 252-0446
sean@middle-way.com505 W. Riverside Ave, Suite 524, Spokane, WA 99201

Northwest Autism Center

Dana Stevens, Clinical Director
Dawn Siddell, Executive Director
(509) 328-1582
528 E. Spokane Falls Blvd, Spokane, WA 99201

Lutheran Community Services

(509) 747-8224
210 W. Sprague Ave, Spokane, WA 99201

Frontier Behavioral Health

(509) 838-4651
107 S Division St, Spokane, WA 99202

Native Project

(509) 325-5502
1803 W Maxwell Ave, Spokane, WA 99201

Volunteers of America

(509) 624-2378
525 W 2nd Ave, Spokane, WA 99201

Occupational/ Speech/ Sensory Processing Disorder Resources

Achieve Center

(509) 435-0481
528 E Spokane Falls Blvd #401, Spokane, WA 99202

Milestones Pediatric Therapy Services, PLLC

(509) 835-4404
1206 N Lincoln St #101, Spokane, WA 99201

St. Luke’s Rehabilitation

(509) 473-6000
711 S. Cowley St., Spokane, WA 99202

Clinical Assessments and Evaluation Resources

Kootenai Medical Center

Dr. Alan Unis, Medical Director
(208) 765-4800
2003 Kootenai Health Way, Coeur d’Alene, ID 83814

Sacred Heart Medical Center

Psychiatric Center for Children Adolescents
(509) 474-3213

Behavioral Education Skills Training (BEST Program)
(509) 474-2112

Greenleaf Psychology & Counseling

Gregory J. Charboneau, EdD, BCN, BCB
(509) 838-8066
3157 E. 17th Ave. Spokane, WA 99223

We specialize in psychological and neuropsychological testing,evaluation and treating autism disorders as well as depression, anxiety, trauma, ADD/ADHD and learning disorders. We employ Cognitive Behavior, Behavioral and Interpersonal and Social Rhythm Therapies.

Sandra Dexter, MD

Meds Diagnosis Treatment / Intervention Children
(509) 458-5889
906 W. 2nd Ave. Suite 600, Spokane, WA 99201

Christine R. Guzzardo, Ph.D.

Northwest Neurobehavioral Institute
(509) 456-3600
421 W. Riverside Ave. Suite 310, Spokane, WA 99201

Assessment Diagnosis Children: 2+ Adults

Dr. Guzzardo offers comprehensive neuropsychological assessment of children and adults. Services include assessment, referral, intervention recommendations, and IEP assistance.


Liz Pechous, PhD (Clinical Child Psychologist)

Marie Pechous, MA, CCC-SLP (Speech-Language Pathologist)
701 W. 7th Ave., Suite 130 Marycliff Hall, Spokane, WA 99204
(509) 838-3932
Fax: (509) 838-1163

ICARD, P.L.L.C. offers comprehensive services to young children, teens, adults and their families using best practices in autism spectrum disorders.

Diagnostic evaluation and psychological assessment; speech-language assessment & therapy; individual & family counseling services; school and agency consultation; training workshops; and clinical supervision.

We have a Teen & Parent Support group which meets on Thursdays from 4:30 -5:45 (September thru May) and on alternating Thursdays an Adult Group from 4:00-5:15. Contact for more information.

Dr. Pechous is licensed in Washington and Idaho. Most insurance accepted. Molina & CHPW accepted.


Pat Sharp, Ph.D., Clinic Director
(509) 747-0165
905 W. Riverside, Suite 208, Spokane, WA 99201

The licensed psychologist can diagnose, assess and improve behavior challenges. The Learning Clinic teachers can provide one on one tutoring in academic areas for children diagnosed with asperger’sand/or autism.

We also offer neurofeedback for treatment of frustration and improving focus and attention.

We have provided services to this community since 1978.

Tri-Cities Neuropsychology Clinic, P.S.

Scott D Grewe, Ph.D. ABPP/CN
(509) 946-5515
303 Bradley Boulevard, Suite 100, Richland, WA 99352

Diagnosis 2-18

Comprehensive neuropsychological assessment services for preschoolers, children, adolescents and young adults.

Other Community Resources

ARC of Spokane

(509) 789-2247
320 E 2nd Ave, Spokane, WA 99202

Craig Smith, Attorney at Law

(509) 328-5550
1519 W. Broadway Ave., Spokane, WA 99201

Mark Lupton

(509) 459-9121
705 W. 7th Ave., Spokane, WA 99204