First Step Home, Cincinnati, Ohio

Smale Riverfront Park in Cincinnati, Ohio

Table of Contents:

Overview of First Step Home

Located in along a tree-lined street in historic Walnut Hill, a suburb of Cincinnati, First Step Home is one of the best substance abuse treatment facility in that area. First Step Home founded since 1993 is one of the most reputable landmarks in Cincinnati Ohio.
First Step Home specializes in outpatient and residential substance abuse facility made specifically for adult women. They also offer special programs for both pregnant women and women with children, helping them keep their families together while providing substance abuse treatment for them. This facility is the only addiction treatment center in Cincinnati that allows children up to the age of 12 to live with their mothers while they receive treatments. First Step Home provides an entire continuum of care and treatment to women with addiction. They have a team of professional and committed staffs who work to assist women in rebuilding their families as they break the chains of alcohol and drug dependency.

Accommodation and Food at First Step Home

The inpatient program takes place in a three-story Victorian home with a capacity of about 16 beds. The house comes with exclusive features like a large kitchen, four full bathrooms, a living room with a TV, a dining room, and three rooms dedicated to group therapy. The house was recently remodeled with new carpetings, pieces of furniture and fresh paintings. Patients share rooms with about two or three assigned to each rooms depending on the number of kids present in the house, women without kids are also welcomed. There are three large rooms also present with adjoining bathrooms for patients with children. All rooms are furnished with closets, shared dressers and twin beds. Laundry privileges are made available while residents are responsible for keeping their rooms clean.
Although the staffs are responsible for buying produce, clients take turns working in the kitchen preparing the meals. A licensed dietician is present while supervising the preparation and menu planning also paying attention to the children’s nutrition. This facility accepts dietary requests, but this has to be discussed upon intake. Coffee is offered to residents till noon while snacks of yogurts, granola bars, fruits, and cereals are provided during the day.

Treatment Options at First Step Home

Client’s at this facility stay up to 30 days or longer. Detox is not offered, potential clients have to stay clean and remain sober for a minimum of 5 days prior to the time of admission.
The treatment options at First Step Home are flexible while aiming to satisfy every individual undergoing treatment at the facility. Upon admission, patients work with staffs to draft up an individualized plan corresponding with their stay or attendance in the facility. The treatment options are:

  • Women Program
  • LGBTQ Programs
  • HIV/AIDs Programs
  • Postpartum Programs
  • Outpatient Treatment
  • Intensive Outpatient Treatment
  • Inpatient Treatment
  • 12 step
  • Transitional Living
  • Co-occurring Disorders Treatment
  • Relapse Prevention

Therapy Choices at First Step Home

Therapy choices in First Step Home may vary. These programs are made possible to suit any client requiring any need. Each and every therapy organized by this facility is handled by a licensed professional. They have also been proven to be effective during the patient’s recovery process. The therapy choices at First Step Home are:

  • Trauma Therapy
  • Group Therapy
  • Individual Therapy
  • Cognitive Behavioral Therapy
  • Experiential Therapy
  • Art Therapy
  • Family Therapy
  • Nutrition Education
  • Medication Management

Payment Options and Insurances

This facility is a homely rehabilitation center which is accessible and affordable by just women. All fees paid are specifically used to pay staffs, provide foods, support programs, services and maintenance of the home.
First Step Home charges as much as $5,000 for a space of 30 days. First step home does not accept private insurance, but other payment options include:

  • Medicaid
  • Self-pay option
  • Payment Assistance


First Step Home is not a licensed facility.

First Step Home Advantages

Founded in 1993, First Step Home has been operating for over 25 years of service providing more than 2,900 women suffering from chemical dependency and 1,800 children with care and experienced services. It gives a chance to women to work in themselves both internally and externally to achieve a better personality and keep their family together.

Staff at First Step Home

The staff is an experienced and qualified team of professionals who handle addiction issues generally. They commit to their work and ensure that anyone who comes to First Step Home actually recovers. Some of the important staffs include:

Margo Spence – President and CEO

Margo Spence has been heading the First Step Home for over 15 years and so far she has been doing a great job. Before that, she acted as the director over the Women’s Halfway Houses and Jail Treatment Component at Talbert House. She also has an extensive experience in mental health and substance abuse through various leadership positions and her nine years of experience working at Hillcrest School.

Cindy Fischer – Director of Human Resources

As the Director of Human Resources, Cindy Fischer has been serving the First Step Home for over 11 years. Before her service to the facility, she also served as a Human Resources Manager at Continental PET Technologies for about 14 years. She also has an extensive Human Resources background in some non-profit organizations.

Disclaimer: Third-party reviewers provide all the reviews including photos, links, and phone numbers of facilities on a voluntary basis. is not affiliated with any of the centers and cannot take responsibility for the services provided as well as guarantee the effectiveness of treatment. In case you come across some incorrect information provided on our website please be sure to let us know using the contact us page.


Leave a comment

  • Antrice M. Thomas
    I myself and my three kids had the opportunity to be a part of the services First Step Home has to offer. It was a life changing experience. For the most part the staff there was great. Mrs. Donna, Ms. Jackie, Mrs. Gail (My favorite staff member) May she rest in heaven. Mrs. Gail always treated me with respect and made sure that once I left first house me and my kids had a place to live. I don’t know where I would be today if it wasn’t for her. I thank her so much for believing in me. The only negative experience I had was that some of the staff had their favorites and treated them better then the rest of the ladies and their kids. I feel we all should have been treated equally and helped in the same matter. It made it a lil harder to stay focused and positive on my treatment because I didn’t feel I had the support and care I needed specially having mental health issues and having to deal with that made me close myself off and shut down at times. I just felt like no one really cared about me there but Mrs. Gail, Mrs. Donna and Ms. Jackie. I did what I had to do in the program and I was able to move with my kids into our own home. I was to continue coming to group but I didn’t. I was tired of the favoritism so I felt like what was the point. I left and never looked back. I was hurt and just felt I needed to move on and put it behind me. When I called to get my money from my account, I felt they were angry with me for not continuing group they refused to release all my money from my account. What I recurved didn’t add up to what I should have received. I called the lady that was in charge of the clients accounts and she continued to blow me off. I learned later she had been fired for mishandling clients money. I just stopped calling. I hope the program has changed for the betterment of their clients.
2203 Fulton Ave
Cincinnati, OH, 44206