1st Step is a voluntary Treatment Program offered to youth (under 25 years old) experiencing challenges with substance use throughout the Thompson – Cariboo region. This program consists of counselling and outreach services, utilizing a harm reduction approach that aims to ‘meet persons served where they are in their readiness for change.’ Individualized goals are then determined on a case-by-case basis using a biopsychosocial treatment plan to address the physical, emotional, and social needs of an individual. Treatment services can include one-on-one counselling, outreach services, substance use education, relapse prevention, group workshops, and recreational activities.