Get help
Connecting people to health
Consistent Care walks beside people facing homelessness, mental illness and addiction, and helps them find a home, a job, treatment and the care that keeps them well.
Everyone needs safe, decent, stable housing. For people living with mental illness, addiction or chronic illness, a home is where treatment starts to work. We help people get there, and we stay until it holds.
Our programs
How we work
We take a person-centered approach. Our case managers and client advocates work directly with each person, and bring the whole community's resources into one plan.
Shelters, treatment centers, courtrooms, apartments. We meet people where they are instead of waiting for them to find us.
Every client gets an individual plan built around their own goals, not a checklist.
Homelessness, food, transportation, paperwork, a record. We work through whatever stands between a person and stability.
Getting housed or hired is the start. We keep showing up while it becomes a life.
2014
the year Consistent Care began
5
programs working together
25k+
COVID-19 vaccinations given at our Spokane clinic
1
person at a time
Success stories
It is our great joy to share what our clients have achieved for themselves.
After over a decade on sidewalks and under bridges, Brooke gets to rest her head on her pillow, in her home, behind her door that locks.
The following Friday he got a call to go be a firefighter.
Amber signed her lease on July 14, 2023, and couldn't be happier.
He is working hard on his recovery and as a returning adult student.
Tell us a little about the situation and we'll point you to the right program.
Foundational Community Supports
Foundational Community Supports (FCS) is a Washington Apple Health (Medicaid) benefit. It pairs you with a case manager who helps you find stable housing and work, and helps you keep them.
Two services, one case manager
FCS is Initiative 3 of Washington's Medicaid Transformation. It helps the state's most vulnerable Medicaid members get and keep stable housing and employment, in support of their broader health needs.
Supportive housing
Supported employment
FCS pays for the support, not for rent or wages. Your case manager helps you reach the programs that do.
Who can enroll
FCS is for Apple Health (Medicaid) members age 16 and older who face real barriers to housing or work. Consistent Care serves members with a history of mental illness or substance use disorder.
There is no cost to you. Not sure if you qualify? Ask us. We check eligibility and handle the referral.
Summary of Washington State Health Care Authority criteria. Final eligibility is confirmed at referral.
Getting started
Fill in our secure referral form or call us. A provider, family member or friend can refer you.
We confirm your Apple Health coverage and eligibility, and submit the FCS referral.
You and your case manager set housing and job goals, then start working on them together.
In their words and ours
She is a lot less anxious since she has a place to call home.
Luckily, they take on employees who have past criminal records too.
With the help of his care team and great communication, Carl now has an apartment.
Governor's Opportunity for Supportive Housing
GOSH helps people leaving Eastern or Western State Hospital, or diverted from a stay there, find independent housing and keep it, with a case manager at their side.
What GOSH is
Washington's State Hospital Discharge and Diversion program is a partnership between the Aging and Long-Term Support Administration (ALTSA) and Eastern and Western State Hospitals. Its purpose is to give people more ways to leave those institutions, or avoid entering them.
As part of that effort, GOSH contracts directly with Consistent Care to provide housing search and tenancy support for people who want to live independently. These are intensive services. We pull together community supports and resources around each person's move.
What we provide
Finding a place that matches your preferences and your needs, anywhere in the state.
Applications, deposits, furnishing and the practical work of a transition.
Ongoing visits and coaching so you can keep your lease and your home.
Someone to speak with landlords and neighbors when questions come up.
A personal plan for what you want, and for what to do on a hard day.
We stay connected with your case manager, providers and caregivers.
How the program is built
1:15
About one supportive housing specialist for every fifteen clients, so there is time for each person.
30%
With the GOSH rental subsidy, you pay 30 percent of household income toward rent. The subsidy covers the rest.
100%
State funded, and paired with long-term services that stay with you after move-in.
Program design as described by the Washington State Department of Social and Health Services.
Who qualifies
Referrals come through your DSHS Home and Community Services case manager or the hospital discharge team. If you are a case manager with a client in mind, send us a referral.
Spokane Hot Spotters
Hot Spotters guides people living with substance use disorder and mental illness into stability: detox, residential treatment, recovery housing, and a case manager who stays for every step.
Why it exists
In every city a small number of people cycle again and again between the street, shelters, jail, court and crisis care. Most are living with addiction, mental illness, or both. Each stop treats the moment. None of them changes the direction.
Hot Spotters identifies those people and assigns each one a case manager. We coordinate the detox bed, the medication, the treatment placement and the housing, and we make sure the hand-off from one step to the next actually happens.
The program serves up to 50 people at a time in Spokane and is funded by the City of Spokane with opioid settlement dollars.
The path
Not everyone needs every step, and few people walk it in a straight line. We stay with them either way.
This is where we usually meet. Referrals come from Community Court, police, the jail, hospitals and outreach teams, and we go to the person.
We arrange a withdrawal management bed and get the person there.
Methadone, buprenorphine or a long-acting injection, started as early as possible and continued through every later step.
From detox straight into inpatient treatment for substance use and mental health, with no gap in between.
A substance-free place to live, alongside other people in recovery. About our recovery housing
Intensive outpatient treatment continues the work while the person settles into the house.
Employment and permanent housing through Foundational Community Supports.
If we can do anything, at the end of the day I want to give them hope. Because most of the people you deal with have given up.
Who we work alongside
Spokane has run versions of Hot Spotters for about two decades. Since late 2024 it has operated as the High Utilizers Initiative.
Recovery Housing
Shared housing for men coming straight from residential treatment for substance use disorder. A substance-free home, other men on the same road, and support for what comes next.
Why it matters
Finishing residential treatment is a real achievement. It is also the moment many people are sent back to the same street, the same couch or the same crowd that treatment was meant to get them away from.
Our recovery housing gives men a different next step: a shared home where everyone is working on the same thing, and where staying sober is the expectation rather than the exception.
What the house provides
A stable place to sleep, cook and rest, shared with other men in recovery.
Housemates who have just finished treatment too, and who notice when someone is struggling.
Residents continue intensive outpatient treatment and stay connected to their medication and case manager.
Help with work and with permanent housing when you are ready to move on.
Who it is for
Many residents come to us through Spokane Hot Spotters. When you are ready for work and your own place, our housing and employment team picks up from there.
To protect residents' privacy, we don't publish the address of the house.
New fall 2026 formula in stock
The updated 2026–2027 Pfizer COVID-19 booster and this season's flu vaccine — side by side, in one easy appointment at our Spokane clinic.
This fall's vaccines
Two vaccines, both in stock now, both given by our friendly nurses in clean, open clinic rooms.
Ages 12 – 64
Preservative-free, egg-free, standard-dose.
$55 without insurance
Free with in-network insurance, Medicare and Washington Medicaid.
Book a flu shotSave a trip
One appointment, one arm each, and you're set for the season. Ask for both when you book, and our nurses will take care of the rest.
2
vaccines in a single visit
12yrs+
the age we vaccinate from
8wks
since your last COVID-19 dose
20+
health plans accepted
Three quick questions
Answer three questions to see which vaccines you can get at our clinic today, and what they cost.
A general guide based on our clinic's eligibility information. Our nurses confirm everything at your visit.
Insurance & cost
We're in network with all Medicare and all Washington Medicaid plans, plus many private and marketplace plans. Your coverage is verified before your vaccine is given.
Free with your insurance
Vaccines are free with in-network insurance, and with Medicare and Washington Medicaid.
Prices without insurance. We accept credit cards, cash and checks.
Medicare & Medicaid
Private, marketplace & military
Don't see your plan? Call (509) 957-8639 — we're happy to check for you.
Your visit
An easy, stress-free way to get vaccinated — with friendly nurses and clean, open recovery rooms.
Choose your vaccine online and pick a time from the calendar — or call (509) 957-8639.
Please don't come to the clinic if you're ill. Give us a call and we'll find a new time.
There's no fee for parking in the lot. Come in through the south door.
Take the elevator or stairs to the second floor. We're just outside the elevator.
Check in, get your vaccine in our vaccine room, then rest a few minutes in the recovery room.
Common answers
Yes. You can receive your flu and COVID-19 vaccines at the same time — just ask for both when you book.
Our clinic vaccinates patients 12 years and older. For children under 12, please talk with your child's healthcare provider about flu and COVID-19 vaccines.
Everyone 12 years and older is eligible, as long as it has been at least 8 weeks since their last dose of COVID-19 vaccine. We carry the 2026–2027 Pfizer COVID-19 vaccine.
Adults 65 and older receive Fluad, a CDC-recommended flu vaccine for older adults. Everyone from 12 through 64 years receives Flucelvax, a preservative-free, egg-free, standard-dose flu vaccine.
Vaccines are free with in-network insurance, and with all Medicare and all Washington Medicaid plans. We verify your coverage before your vaccine is given. Without insurance, the prices are: COVID-19 booster $150, Flucelvax $55, Fluad $100. We accept credit cards, cash and checks. No insurance? .
You can retrieve your vaccination record online through WA Verify or MyIR Mobile.
Yes — interpreter services are available. Let us know which language you need when you call 509-392-6965.
Yes. If you are homebound, live in Spokane County or in Stevens County as far north as Deer Park, and have qualifying insurance, a registered nurse can give your COVID-19, flu and other vaccines at home. Call (509) 957-8639 and leave a message, or email vaccine@consistentcare.org. Read about in-home vaccination.
Please don't come to the clinic if you're sick. Call (509) 957-8639 and we'll help you find a new time.
Pick your vaccine, choose a time, and we'll see you at Suite 201.
In-Home Vaccination
A registered nurse brings this season's COVID-19 and flu vaccines, and other vaccines you may need, to your front door. For people who are homebound in Spokane County and southern Stevens County and have qualifying insurance.
If we're out on visits when you call, leave a message with your name, phone number and address. A nurse will call you back to set up your visit.
What it is
Some of our patients can't get to the clinic. Leaving the house takes a lift van, a helper and a day of effort, or it isn't possible at all. So year after year the vaccines that would protect them most are the ones they go without.
Our in-home vaccination service changes that. A registered nurse from our vaccine clinic comes to your home, with the same vaccines we give at the clinic: this season's COVID-19 vaccine, the flu vaccine, and other vaccines you may be due for. Ask when you call.
If you are homebound and have qualifying insurance, such as Medicare and many other plans, the visit is covered. We confirm your coverage before we schedule, so there are no surprises.
How it works
Call the vaccine clinic at (509) 957-8639 and leave a message, or email vaccine@consistentcare.org. Family members and caregivers are welcome to call for someone.
We check that you qualify, confirm your insurance, go over which vaccines you need and any health questions, and find a day and time that suits you.
A registered nurse arrives at your home, gives your vaccines in your own chair, stays a few minutes afterward just as we would at the clinic, and leaves you with a record of what you received.
Why it matters
People who are homebound are usually older and often living with heart or lung disease, diabetes, dementia or a disability. Those are exactly the conditions that turn a case of flu or COVID-19 into a hospital stay, and for a frail person a hospital stay often means a lasting loss of strength and independence.
Staying home is not protection on its own. Family, caregivers, aides and visitors come and go, and respiratory viruses come with them. Vaccination is the one layer of protection that stays in place all season, and it protects the people who care for you as well.
70–85%
of seasonal flu deaths in the United States occur in people aged 65 and older.
3 in 4
COVID-19 deaths have been among adults aged 65 and older.
1 visit
is all it takes to get the COVID-19 and flu vaccines together, at home.
Figures from the U.S. Centers for Disease Control and Prevention.
Who qualifies
Not sure whether you qualify? Call anyway. If a home visit isn't the right fit, we'll help you find another way to get vaccinated, including an appointment at our Spokane vaccine clinic.
Interpreter services are available on request. Vaccination is subject to the nurse's assessment on the day of the visit.
About Consistent Care
Consistent Care began in 2014, founded by an emergency physician who wanted to create new systems of care for the people the old ones kept failing.
Mission and vision
Our mission is to serve and advocate for those most in need.
Our vision is a community where everyone is listened to, respected and cared for in a way that supports their ability to reach their human potential.
We take a client-centered approach to case management. Using a complex care model, we bring the community's social resources together into one comprehensive plan that addresses the health and social challenges each client faces. Our case managers and client advocates work directly with clients and their families to navigate the health and social care systems, improve access to care and improve quality of life.
Leadership
President, Founder and Medical Director
Darin started Consistent Care to build new systems of care after more than 15 years as an emergency room physician. He was inducted into the City of Spokane's Citizen Hall of Fame for bringing organizations across Eastern Washington together around homelessness, mental health and addiction.
“Crime and health are closely related by substance abuse and mental illness. We can build stronger communities by forming teams from medicine and law to help ill offenders help themselves.”
Chief Operating Officer
Paul brings more than 30 years of experience in business operations, development, industrial technologies and social services. His work centers on strategic planning, project management and operational efficiency, grounded in transparency and continuous improvement.
Chief Human Resources Officer
Aimee has more than 30 years of leadership in operations, organizational development and human resources. She has worked with Washington's tribes, with the Department of Defense to help disabled veterans find employment, and with the Department of Corrections on re-entry to the workforce.
Good to know
Interpreter services are available on request. Servicios de interpretación disponibles a pedido.
Equal opportunity. Consistent Care is an Equal Opportunity Employer.
Locations
From Puget Sound to the Yakima Valley, the Tri-Cities and Spokane, our teams work close to the people they serve.
Choose an office on the map to see its address and directions.
Our offices
Each office is listed with its address, a map you can move around, and a link for directions.
Tri-Cities · Benton County
Contact us
Looking for services, or referring someone to them? Use the referral form. Need our administrative office for anything else? Use the contact form.
Both forms are HIPAA compliant and open in a new tab on LuxSci, our secure messaging provider.
Referral form
Use this form if you want help from one of our programs, or if you are referring someone else: a family member, a friend, a client or a patient.
Applying for recovery housing? Use the recovery housing application instead.
Open the referral formContact form
Use this form to reach the Consistent Care administrative office about anything other than getting services.
Call
Interpreter services are available on request.
Visit
1235 N Post St, Suite 201Free parking in the lot. Enter through the south door and take the elevator or stairs to the second floor.
Get directions See all five officesVaccines
Book a COVID-19 booster or flu shot online. You choose the vaccine and the time.
Homebound? A nurse can come to you.
Schedule a vaccineIn an emergency, call 911. If you or someone you know is in crisis, call or text 988, the Suicide and Crisis Lifeline, at any hour.
Careers
We don't just fill positions. We look for exceptional people.
What we stand for
Join us
Contact our Chief Human Resources Officer, Aimee Hubbard, at Aimee@consistentcare.org. She'd love to meet you.
Consistent Care is an Equal Opportunity Employer.
