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Youth Programs
Mental Health
Substance Use
Youth Programs
Mental Health
Substance Use
Youth Programs
Mental Health
Substance Use

Integrated Cognitive Therapies Program (ICTP)

Clinical Excellence - Counselling Training and Integrated Cognitive Therapies Program
ICTP Counseling Session

Substance use and emotional issues can happen at the same time. When a young person struggles with an emotional problem like depression or anxiety and turns to drugs or alcohol, they may have a co-occurring disorder.

Program Details

The core of our Integrated Cognitive Therapies Program (ICTP) is based on having one therapist who provides both mental health counseling and substance use therapy in each session. Specifically grounded in effective treatment models, ICTP can help young people improve focus in school, heal family relationships and achieve other personal goals.

ICTP is a research-based promising practice:

  • Individual sessions designed to meet the participant where they are
  • Participant defined goals
  • Skills taught in session and practiced in everyday situations
  • Prosocial activity focus


The Integrated Cognitive Therapies Team includes Licensed mental health professionals (MA, MSW or PhD prepared) Licensed and board-certified psychiatric practitioners (ARNP or MD). The ICTP program operates as part of our Center for Clinical Excellence.

“The skills I’ve learned will help me on a day-to-day basis; not just for sobriety, but with relationships and communications”

— 18-year old integrated cognitive therapies participant

Who Is Eligible For ICTP?

ICTP is a program designed for young people who have co-occurring mental health and substance use challenges. Call (425) 263-3006 to find out if this is the best program for you or your child. Snohomish County and King County have different, specific criteria for ICTP enrollment.

Snohomish County ICTP Serves:

  • 13-19 year old youth
  • Youth Residing in South Snohomish County
  • Youth Enrolled in the Edmonds School District

Cost of therapy and psychiatric care may be billed to insurance, but out of pocket expense is funded by a Verdant Health Commission grant.

If the Youth is Enrolled in Monroe, Stanwood-Camano or Sultan School Districts, the cost of therapy is funded through Snohomish County (psychiatric care will be billed through insurance and can be arranged through the ICTP therapist).

Seattle Office-Based ICTP Serves:

  • 13-26 year old youth
  • Individuals enrolled in services with THS
  • Youth & Family Services

Insurance Plans

ICTP accepts private insurance, Washington State Apple Health/Medicaid, private pay and in our Seattle Office on a sliding fee scale. Learn more about the health insurance plans we accept here.

What Happens In ICTP?


  • A comprehensive diagnostic evaluation of BOTH mental health and substance use is completed using “gold standard” assessment tools. The initial assessment requires a total of 2 appointments.
  • While engaged in therapy, standardized assessment tools are used to monitor progress.


  • 10-16 weekly, one-on-one appointments
  • Individually tailored sessions

Evidence-based practices:

  • Motivational Enhancement Therapy (MET) strengthens treatment engagement
  • Cognitive Behavioral Therapy (CBT) develops skills to manage difficult symptoms and circumstances
  • Contingency Management (CM)incentives celebrate participation and productive non-substance related activities

To get connected with an ICTP Therapist, please call: (425) 263-3006

Do You Know a Youth Who Needs Mental Health Treatment?
Click the button below to be connected to our Get Help form. From there we can connect you to care with our qualified clinicians and compassionate staff.

Integrated Cognitive Therapies Program (ICTP) Posts

Graph of percentage of US 12 grade students reporting daily marijuana use vs. perceived risk of regular marijuana use National Institute on Drug Abuse Data Reveals Changing Trends in Teen Substance Use

National Institute on Drug Abuse Data Reveals Changing Trends in Teen Substance Use

Every year the National Institute on Drug Abuse (NIDA) surveys 8th, 10th, and 12th graders across the country about their substance use The most recent results from 2017 show some interesting changes in the popularity and perceived risk of cigarettes, “vaping,” and marijuana. While cigarette use has shown a steady decline since the survey began in 1991, vaping is becoming more and more popular. In 2017, 27% of 12 graders said they had ever smoked a cigarette, while 36% said more..

Youth in the cognitive behavioral therapy program

Cognitive Behavioral Therapy for Co-Occurring Disorders

What is Cognitive Behavioral Therapy? Cognitive Behavioral Therapy (CBT) is based on the understanding that the way we think influences how we feel and the choices that we make. Cognitions (thoughts and beliefs) are the things we say to ourselves about the world around us. These thoughts can sometimes be unhelpful, negative, or distorted from reality. For example, Sam is walking down the hallway at school and tries to say hello to one of his classmates. The classmate barely looks more..

ICTP to Offer Parent Coaching Group in Spanish

ICTP is pleased to announce that our Spanish Parent Coaching Group starts April 23, 2018 Spanish-speaking parents and caregivers of youth with co-occurring mental health and substance use disorders are invited to attend this FREE 5-week workshop. Families can expect to learn about the teenage brain and why co-occurring disorders require a different set of strategies. We will also talk about skills to help develop healthy household rules, reduce conflict, build relationships, and maintain safety in the home. THS Psychiatric more..

ICTP Staff Featured at Sno-Isle Libraries Issues That Matter Forum: “Parenting a Troubled Teen”

ICTP Director Dr. Susan Caverly was a featured panelist at Sno-Isle Libraries Issues That Matter series on March 7, 2018. Other panelists were ICTP Therapist Rochelle Long, Co-Occurring Disorder Specialist for Stanwood-Camano School District and Megan Boyle, Director of Children’s Intensive Services at Compass Health. Dr. Caverly offered a unique perspective in this panel. She has seen the impact of co-occurring disorders in teens on a professional and a personal level. The panel discussed some of the treatment options for more..

young girl with co-occurring mental health and substance use disorders

ICTP – Frequently Asked Questions About Co-Occurring Disorders

What are co-occurring disorders? The term co-occurring disorder applies when someone has both a mental health and a substance use disorder. This is also known as dual diagnosis or dual disorder. For example, an individual with anxiety who is also struggling with alcohol use. For more information visit: How is the Integrated Cognitive Therapies Program (ICTP) different from other programs? Often youth with co-occurring mental health and substance use disorders see multiple providers, one who specializes in each area. Integrated more..