BIG SKY Treatment
Also known as Montana
OutpatientIntensive outpatientMATDual diagnosisMedicaidPrivate insuranceTRICARE / VASelf-pay
About BIG SKY Treatment
Set in northwestern Montana, BIG SKY Treatment delivers outpatient care for adults and adolescents dealing with mental health conditions such as anxiety, depression, PTSD, and trauma, as well as substance use disorders involving alcohol, benzodiazepines, cocaine, methamphetamine, or opioids including fentanyl, oxycodone, and kratom. The center provides cognitive behavioral therapy (CBT) designed to support relapse prevention and promote sustained recovery. BIG SKY Treatment holds multiple certifications, including those from the Joint Commission, the American Society of Addiction Medicine, NAATP (National Association of Addiction Treatment Providers), and SAMHSA.
The program can run from several weeks to a number of months. Therapists and clinicians determine the length of care by reviewing progress on a regular basis and adjusting treatment as needed.
BIG SKY Treatment also offers virtual therapy, along with sober living support. By leveraging its mountain setting near Glacier National Park, the center incorporates experiential approaches into its programming. Services may include equine therapy, rafting, hiking, sailing, powerboating, art therapy, and music therapy, with the focus on emotional healing and greater self-awareness.
BIG SKY Treatment is part of The Raleigh House, which provides experiential treatment for both mental health and substance use disorders. The organization changed the Montana site name from “Raleigh House Montana” to “BIG SKY Treatment.” In Colorado, The Raleigh House operates a ranch that offers inpatient and day treatment options and includes rock climbing as part of its programs.
Services reported to SAMHSA
- Levels of care
- Intensive outpatient treatment · Outpatient methadone/buprenorphine or naltrexone treatment · Regular outpatient treatment
- Treatment focus
- Substance use treatment · Treatment for co-occurring disorders plus serious mental illness (SMI) in adults · Treatment for co-occurring disorders plus serious emotional disturbance (SED) in children
- Opioid treatment
- Prescribes buprenorphine · Relapse prevention with naltrexone · Accepts clients using MAT but prescribed elsewhere
- Medications used
- Acamprosate (Campral®) · Disulfiram · Buprenorphine with naloxone · Buprenorphine without naloxone · Buprenorphine (extended-release, injectable) · Naltrexone (oral) · Naltrexone (extended-release, injectable) · Medication for mental disorders · Nicotine replacement · Non-nicotine smoking/tobacco cessation
- Treatment approaches
- Anger management · Brief intervention · Cognitive behavioral therapy · Motivational interviewing · Matrix Model · Relapse prevention · Substance use disorder counseling · Telemedicine/telehealth therapy · Trauma-related counseling
- Education and counseling
- HIV or AIDS education, counseling, or support · Substance use disorder education · Individual counseling · Group counseling · Family counseling · Marital/couples counseling
- Special programs
- Adolescents · Young adults · Adult women · Adult men · Veterans · Members of military families · Criminal justice (other than DUI/DWI)/Forensic clients · Clients with co-occurring mental and substance use disorders · Clients with co-occurring pain and substance use disorders · Clients with HIV or AIDS · Clients who have experienced sexual abuse · Clients who have experienced intimate partner violence, domestic violence · Clients who have experienced trauma
- Ages accepted
- Children/Adolescents · Young Adults · Adults · Seniors
- Genders accepted
- Female · Male
- Payment accepted
- IHS/Tribal/Urban (ITU) funds · Medicaid · Federal military insurance (e.g., TRICARE) · Private health insurance · Cash or self-payment · State-financed health insurance plan other than Medicaid
- Licensing and accreditation
- State substance use treatment agency · State department of health · The Joint Commission · SAMHSA certification for opioid treatment program (OTP)
- Ownership
- Private for-profit organization
- Recovery support
- Recovery coach
- Transitional services
- Aftercare/continuing care · Discharge Planning · Naloxone and overdose education · Outcome follow-up after discharge
- Other services
- Case management service · Mental health services · Suicide prevention services
Facility-provided information
- Accreditation
- Joint Commission
- Substances treated
- Alcohol · Benzodiazepines · Co-Occurring Disorders · Cocaine · Drug Addiction · Heroin · Methamphetamine · Opioids
- Conditions treated
- Anxiety · Depression · Post Traumatic Stress Disorder · Trauma
- Therapies
- 1-on-1 Counseling · Art Therapy · Cognitive Behavioral Therapy · Dialectical Behavior Therapy · Equine Therapy · Experiential Therapy · Family Therapy · Music Therapy · Relapse Prevention Counseling
- Approaches
- Evidence-Based · Experiential · Individual Treatment · Personalized Treatment
- Who it serves
- Adolescents · Men · Men and Women · Women
- Aftercare
- Ability to Call a Counselor · Support Meetings
- Amenities
- Access to Nature · Walking Trails
- Languages
- English
Before you call
- Have your insurance or Medicaid card ready and ask whether the facility is in network.
- Ask how soon they can do an assessment and whether there is a waitlist.
- Confirm the facility is licensed by Montana (this facility reports accreditation).
- If you are withdrawing from alcohol or benzodiazepines, ask about medical detox; do not stop suddenly on your own.
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Last reviewed 2026-10-06. Facility details come from SAMHSA's FindTreatment.gov locator and facility-provided information. Confirm services, availability and payment directly with the facility.