Addiction Medicine Residential Treatment Facility

Addiction Medicine Residential Treatment Facility (AMRTF)

Physical Address

Madigan Army Medical Center
8th Floor, Hospital Tower
9040 Jackson Ave.
Tacoma, WA 98431

Business Hours

General business hours are Mon-Fri 7:30 a.m. - 4:00 p.m.

The Addiction Medicine Residential Treatment Facility
  is staffed 24 hours, 7 days a week.

Contact Information

Phone: (253) 968-3793
(253) 968-4065

Addiction Medicine Residential Treatment Facility (AMRTF) Brochure


The Addiction Medicine Residential Treatment Facility (AMRTF) is located in Madigan Army Medical Center and can be reached by taking I-5 Exit 122, traveling straight on Jackson Avenue and then turning onto Madigan Avenue to enter the Hospital Tower East Yellow Parking Lot. The Addiction Medicine Residential Treatment Facility is on the 8th Floor of the Hospital Tower.


Substance abuse is a serious medical concern, adversely impacting the readiness and health of 2% of Service Members. Residential inpatient care (i.e. “rehab”) is an effective treatment for substance abuse disorders but there is limited availability and high costs of these programs in the civilian network.

The Addiction Medicine Residential Treatment Facility (AMRTF) is 12-bed unit that provides 28 days of inpatient residential drug and alcohol substance abuse recovery to active duty Service Members struggling with addiction. The AMRTF admits Service Members from the west coast of the U.S., Hawaii, Korea, and Japan. When availability allows, the AMRTF will accept Service Members form anywhere in the world.

The AMRTF staff consists of a comprehensive multidisciplinary team of professionals which includes psychiatrists, psychiatric nurses, clinical psychologists, occupational and recreational therapists, nurse practitioners, licensed clinical social workers, a nurse case manager, administrative leadership and support staff and more. The treatment program incorporates participation of family members and unit members to enhance success.

Treatment at the AMRTF includes evidence-based individual, group, family, and medication treatments for substance abuse. The treatment team uses a multi-disciplinary approach to develop each Service Member’s plan of substance use recovery, including addressing needs for Service Members with multiple psychological health concerns.

AMRTF services do not include acute drug and alcohol detoxification. Service Members currently under the influence of substances will not be admitted to the AMRTF for treatment.

Rehabilitation Scope of Services

The AMRTF provides comprehensive biopsychosocial intake evaluations, psychological testing and medical evaluation to patients during a 28-day inpatient treatment program. This includes the following services:

  • American Society of Addiction Medicine (ASAM) Level III.7
  • Management of withdrawal symptoms
  • Rehabilitation team meetings with Command
  • Specialized individual therapy
  • Group counseling
  • Motivational enhancement therapy
  • Relapse prevention
  • Referrals to ancillary services
  • Military milieu therapy including physical therapy
  • Spiritual counseling
  • Recreational and occupational therapy
  • Community reintegration

Addiction Medicine Residential Treatment Facility Objectives

  • Increase Service Member fitness for duty and impact overall unit readiness.
  • Provide inpatient treatment services that focus on the needs and the individual Service Member, treating unique co-morbidities that may contribute to substance abuse dependencies, as well as emphasizing alcohol and drug abuse deterrence.
  • Return to duty those personnel struggling with alcohol and substance use disorders who have the potential for continued military service.
  • Provide therapeutic support to Service Members and their families to enhance a sober lifestyle within the family system.

Addiction Medicine Residential Treatment Facility Philosophy

Substance addiction/dependency is a progressive and chronic disease which is treatable. AMRTF treatment is focused on evidence-based behavioral interventions for reducing substance use, including motivational interviewing, 12-step recovery models, and other adjunct support therapies for treating addictions. This disease affects couples and families; therefore, our treatment approach emphasizes the importance of involving significant others together on the journey toward recovery.

Substance use disorders are detrimental to the military’s operational readiness and command climate, and are inconsistent with the Army Values and the Warrior Ethos. The Army strives to be free from all effects of alcohol and drugs. Alcohol and drug use can seriously damage physical and mental health, jeopardize the safety of individuals and others, and can lead to criminal, disciplinary, and other administrative actions.

At the Madigan AMRTF, we offer military personnel the opportunity to engage in an intensive inpatient treatment regimen to become better educated about the disease and participate in treatment, while accepting responsibility for one’s behavior.

Referral Source

All referrals to the AMRTF must come from the service-specific program for alcohol and drug treatment (e.g., ASAP, ADAPT, NADAP). This ensures appropriate Command notification of potentially duty-limiting conditions and administrative requirements.

Command Information

Rehabilitation team meetings are conducted with Command on all admitted personnel while keeping in mind limitations on confidentiality. Our staff is prohibited from contacting family members without written consent. All patient visits and contacts are coordinated and approved in advance by the nurse case management team and documented in the patient’s electronic medical record.

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