Pioneered in Alaska in the mid 1970's, Akeela House was the first treatment program in Alaska to use the Therapeutic Community modality as a means of addressing the self-destructive behavior of the severely addicted that were often thought to be beyond recovery. Akeela House, a long-term residential treatment program, is the oldest program Akeela operates and is the anchor for all their other programs.

Parenting Inside Out (PIO) is an evidence-based cognitive-behavioral parent management skills training program. The program was created for incarcerated parents through a six-year collaboration of scientists, policy makers, practitioners, and instructional designers. PIO is based on the best practices Parent Management Training program. PIO is an outcomes-based program focused on helping parents promote healthy child adjustment, preventing child problem behavior, and interrupting the cycle of inter-generational criminality.

There are two kinds of transitional housing—one is for Free At Last’s day reporting center participants who are on parole and the other is for participants transitioning from Free At Last’s residential treatment housing. There are seven houses in operation and the shared supportive environment houses participants up to 18 months.

The Residential Treatment Program provides an intensive substance abuse treatment programs, six to nine months in duration, with group sessions 5-days a week, individual counseling, 12-step meetings, and life skills education classes. To graduate clients must meet program goals, rebuild family relationships, secure stable housing, and be employed and financially stable. An education class, called the 130, covers various health and wellness topics such as harm reduction, HIV/AIDS, and mental health issues.

The Outpatient Drug Free program is an intensive substance abuse treatment programs, six to nine months in duration, with group sessions 5-days a week, individual counseling, 12-step meetings, and life skills education classes. Women in outpatient treatment are generally more stable than women in transitional and residential treatment. They are typically employed and have stable housing. There are day and evening outpatient services available in both English and Spanish. There is a weekly Women’s Meeting on the premises; a 12 step mentoring/support group.

Free at Last treatment programs reverse the self-destructive process, and clients gradually regain self-respect and awaken to possibilities they didn't conceive of before. It takes discipline, self-reflection, counseling, group discussion and mutual support, but clients turn around to help others. Their programs serve over 4,200 people each year, predominantly African Americans, Latinos, and Pacific Islanders living in East Palo Alto, Belle Haven, North Fair Oaks, and Redwood City.

Criminal Conduct and Substance Abuse Treatment is a cognitive-behavioral treatment for changing the behaviors of women who have both histories of substance abuse and criminal justice system involvement. The purpose is to effectively prevent recidivism and substance abuse relapse. The program provides operational guidelines for a 9 to 12 month curriculum, specifically designed for substance abusing offenders.

Women entering the Residential Treatment Center must first detoxify. Crossroads Mission has a detoxification center that is open 24 hours 7 days a week that allows for a safe and supervised detoxification monitored by qualified medical technicians. The Residential Treatment Center follows the 12 step method and Christian principles. They provide individualized counseling, group meetings, and spiritually/religious oriented meetings activities. Evidence-based practices: Trauma Informed Care, Motivational Interviewing, Methamphetamine Matrix

The Home of Reawakening for Women has a comprehensive program that offers a continuum of reentry services designed specifically for women. Program elements combine to create a safe and supportive residential community, skill building achieved in “real world” settings, and a gradual transition--freedom with structure and support. The residents must demonstrate responsibility and meet personal and employment goals. They earn privileges and increased freedom, gradually helping them transition back to independent living.

The Center for Women in Transition's mission is to respond to, reduce, and prevent domestic and sexual violence against women. This mission will be achieved through education, collaboration, and advocacy, with crisis and supportive services to victims and survivors. Services include: a 24-hour crisis line, emergency shelter, transitional housing, sexual assault therapy, therapy for children who have witnessed domestic violence, Sexual Assault Nurse Examiner program (SANE), domestic violence case management, education and support groups, Wardrobe for Work, and legal advocacy.