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228 COE House

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Overview

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228 Co-Occurring Enhanced (COE) House is a 16-bed short-term inpatient treatment program for women with co-occurring addiction and mental health disorders. Located in Massachusetts’ MetroWest region, the program offers a safe, structured environment and supports participation in vocational, educational, and social activities during treatment.

Address

228 Concord Street
Framingham, MA 01702

Directions

Ages Served

  • Adults (Ages 26-64)
  • Young Adults (Ages 18-25)

Genders Accepted

  • Female

Languages Served

  • Spanish
  • English

Treatment

  • Long-term residential

Special Programs

  • Adult women
  • Past domestic violence
  • Past trauma
  • Mental health disorders
  • Pregnant/postpartum
  • Young adults

Accessible Inpatient Care for Women

Operated by the nonprofit South Middlesex Opportunity Council (SMOC), this is a short-term, small-scale residential program serving women with both substance use and co-occurring mental health disorders. Located in the MetroWest region of Massachusetts, the program offers a safe and structured setting for early recovery. It accepts Medicaid, Medicare, and other state-financed insurance, making it accessible to women with limited financial resources. Smoking and vaping are permitted in designated areas.

Structured Support for Life After Treatment

Treatment includes cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), individual and group therapy, and integrated dual diagnosis care. Residents are supported in rebuilding daily routines by participating in vocational, educational, or social activities during treatment. Additional services include case management and tobacco cessation counseling.

Connection to Broader SMOC Support Services

As part of SMOC’s larger network, COE House is connected to an organization that also operates childcare services and peer recovery programs. SMOC Childcare offers early education and care for children from infancy through age 14, with options for subsidized tuition and some transportation assistance for qualifying families. For continued support after discharge, SMOC’s Anchored in Recovery center provides peer-led recovery coaching and flexible, community-based support for individuals pursuing long-term recovery. These services make treatment and sustained success more accessible for parents seeking treatment for themselves.

Cost and Insurance

Insurance Accepted

  • Massachusetts Behavioral Health Partnership
  • Medicare
  • Medicaid
  • State insurance

Disclaimer: Additional insurance plans may be accepted. Please contact the provider directly to confirm current coverage details, as this information may change.


Cost

$ - Low Cost Facility

Cost ratings are our best estimates to help guide you, not guarantees. Actual costs may vary with treatment, insurance, and other factors. While we aim for accuracy, details may change.

Financial Assistance

  • Does not offer Free
  • Does not offer Payment assistance
  • Does not offer Sliding fee scale

Treatment

Treatment Setting

  • Long-term residential

Treatment Approaches

  • 12-step program support
  • Anger control support
  • Brief intervention
  • Cognitive behavioral therapy (CBT)
  • Incentive-based therapy
  • Motivational interviewing
  • Relapse prevention support
  • Substance use counseling
  • Trauma-focused counseling

Additional Support and Services

  • Case management support
  • Help with transportation
  • Mental health support
  • Social skills training

Counseling and Education

  • General health education services
  • Group therapy
  • Hepatitis education and support
  • HIV/AIDS education and support
  • One-on-one counseling
  • Substance use education
  • Tobacco and vaping cessation counseling

Transition Support

  • Discharge and next steps planning
  • Ongoing recovery care
  • Overdose prevention and naloxone education
  • Post-discharge follow-up

Other Conditions Treated

  • Trauma

Amenities and Experiences

Activities

  • Gender-specific support groups
  • Job training
  • Life skills workshops

Settings

  • City

Policies

  • Smoking allowed in designated areas
  • Vaping allowed in designated areas

Ownership Type

  • Non-profit

Quality and Trust


228 COE House
Call 508-424-5066

How we research treatment facilities

Across the site, our team has conducted over 1,000 pre-admissions calls to better understand the patient experience, interviewed facility clinical leaders, performed facility background checks, and compared our information against trusted public data sources.

Our research process begins with data from the Substance Abuse and Mental Health Services Administration (SAMHSA), accrediting bodies including The Joint Commission and CARF, government licensing agencies, and other trusted sources. From there, our team conducts significant original research, including:

- Pre-admissions calls: We speak with admissions staff to get a candid picture of patient experience.

- Background checks: We review complaints from past clients, media reports, actions taken by accrediting bodies, and positive recognition from notable organizations.

- Clinical interviews: We have in-depth conversations with clinical leadership, often lasting up to one hour, that give us a better understanding of clinical care.

- Data partnerships: We ingest and analyze exclusive data that provides information about in-network insurance status, cost, and more.

Research varies by facility. Each facility profile shows which research steps we completed and when each step was last performed. Learn more about our research process and background checks.

How we evaluate treatment facilities

These data help us develop a Trust Score for each facility—a simple letter grade that helps you assess how much confidence to place in a facility based on the information available to us. Trust Score considers accreditation, operating history, notable recognition, and concerns identified during our background check. Our Trust Score is an objective rating that is never influenced by advertiser payment. Learn more about our Trust Score methodology.

Important disclaimer

We cannot guarantee the quality of treatment at any facility. We cannot independently confirm the accuracy of every data point, and some information may become outdated or change over time. A Trust Score is a starting point, not a guarantee of treatment quality or outcomes. Please contact us if you would like to update or correct facility information.