Fellowship House in Birmingham, AL

Overall Rating

(4.3 of 5)
Treatment Effectiveness
Accommodations & Amenities
Meals & Nutrition
1625 12th Avenue South
Birmingham AL 35205

Fellowship House Philosophy

Fellowship House is a non-profit addiction treatment facility designed to serve the needs of chemically dependent individuals and those struggling with co-occurring substance abuse and psychiatric disorders. Clients are provided personal, social, and vocational assistance in attaining sobriety. Services include case management, educational coursework, medication management, vocational counseling, peer support, housing assistance, continuing care, and more.

Areas of Specialization

  • Dual Diagnosis/ Co-Occurring Disorders Treatment
    These two terms describe a person who is not only addicted to drugs or alcohol, but also has a mental or emotional illness, such as depression, anxiety, bipolar disorder, etc. Facilities that treat patients with dual-diagnosis or co-occurring disorders provide psychiatric treatment in addition to drug and alcohol rehabilitation services.

  • Family Program
    Research shows that the odds of successful, sustained recovery from addiction are far higher when family members and loved ones are involved in treatment. Drug and alcohol addiction often have genetic roots, whether related to substance abuse, mental illness or both. Family dynamics also play a role and, often, family members are the first to realize a loved one has developed an addiction. Also, it’s important for family members to understand and embrace the lifestyle changes that are required to sustain recovery.

Facility Highlights

Medication Management

Peer Support

Vocational Counseling

Rehabs.com 360 Guide

Review by Rehabs.com Contributors


Founded in Birmingham in 1965, Fellowship House is a nonprofit organization providing residential treatment, transitional housing, and vocational preparation services for adults struggling with co-occurring substance use and mental health disorders. Families affected by addiction may also receive support. Fellowship House prioritizes services for women who are pregnant, individuals using drugs intravenously, and those facing legal challenges. Detox services are not provided.


To be admitted, clients must have received a substance abuse diagnosis along with a physical evaluation and be free from physical withdrawal symptoms. However, Fellowship House offers what the facility’s website calls pretreatment classes during which clients may receive referrals to detox or other necessary services.

Medium-intensity residential treatment involves more structure and individualized care than the transitional living program also operated by the facility. Treatment builds on a client’s strengths, incorporating education, group and individual counseling, peer support, medication management, and planning for employment and housing after rehab. The length of stay varies by individual client, and is assessed throughout treatment. Clients participating in the Fellowship House transitional living program are expected to provide mentorship to newer residents.

Support groups and self-help meetings such as Double Trouble are available for clients receiving dual diagnosis treatment. Family programming is based on a recovery oriented system of care, which prioritizes referrals and community networking as well as special events and shared activities.


There is currently no information provided by the facility regarding its treatment staff. However, the two individuals polled by Rehabs.com at the time of this writing indicated respect for staff credentials, rating the level of staff training and experience five out of five stars. One former client reported: “Counselors have been there and are in recovery.”


Besides a reference to daily visitation hours, the Fellowship House website provides no details regarding living arrangements or related offerings. However, two alumni provided positive ratings of four or five stars for Rehabs.com survey metrics measuring meals and nutrition and the facility’s cleanliness and upkeep. Opportunities for exercise and leisure received a slightly lower rating of three and four, respectively.

Photographs on the facility’s official Facebook page feature an apartment building on a tree-lined lot and images of volunteers freshening up paint and landscaping in December 2016.


Two alumni were polled by Rehabs.com on metrics measuring such features as the effectiveness of treatment, centrality of faith-based and 12-step treatment, opportunities for family involvement, availability of counseling options, and facility policies regarding connection with the outside. Both former clients rated each of those metrics highly, with four or five stars, and indicated they would strongly recommend the program to others.

Six alumni also provided mostly favorable written reviews to Rehabs.com. The life-saving effects of treatment and tools provided for ongoing recovery were commonly cited strengths. Two reported long-term sobriety following treatment, and another mentioned succeeding in the program at an older age of 55. One alum, J.S.B. identified dual diagnosis treatment as a strength while another wrote that they “did not enjoy” the spiritual talk.

In an especially positive review, Brian commented on the affordability of treatment.


The two former or current employees who reviewed Fellowship on Indeed and Glassdoor also provided overwhelmingly positive perspectives. Both represented the treatment staff as committed to helping clients, although one reported high workloads.[1]


According to the facility’s website, a $35 admission fee is charged and clients are asked to pay for treatment and accommodations according to a sliding fee scale based on income. Fellowship House receives funding support from the state of Alabama, the United Way, and donations.

Updated April 2017

  1. https://www.indeed.com/cmp/Fellowship-House/reviews?fcountry=US&floc=Birmingham%2C+AL, https://www.glassdoor.com/Reviews/Fellowship-House-Birmingham-Reviews-EI_IE709838.0,16_IL.17,27_IM93.htm

Published on June 2017

User Reviews

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The simple truth is Fellowship house is a very good place to regain your life. Addiction in my opinion is a choice to use or not to use. The fellowship house provides the individual with the tools needed to overcome addictive behavior. Int al, I give it a 10 out of 10. Where else can you get those services? For $30,000.00 you can or for $35.00 you can. You choose.

  • Accommodations & Amenities
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Was suggested by family and Pearson Hall. The aftercare program is as long as you want to be.

Currently in treatment for only 1 day, can't really give opinion yet.

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dual diagnosis activities i'm still sober four years later...

  • Treatment Effectiveness
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Your mind goes relaxation. However, I did not enjoy the spirit talking attitude. It's a very good experience to have and to be with.

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It was a great experience. Counselors have been there and are in recovery. 12 step meetings on site and close by. The place saved my life!

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  • Meals & Nutrition
The entry fee was affordable, I have been a addict since I was 15 or 16 and I entered the program at age 51. It taught me enough to get out of relapse and get my life back on track. I am grateful for the experience at fellowship house. They gave us the tools and taught us how to use them. I went back to my workbook and used the tools I was taught while I was there.

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There is a big need for this treatment..for myself included. I've observed it first hand. I try to stay willing to all options in my life. It was totally different..in a good way though. It saved my life.

  • Treatment Effectiveness
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This facility saved my life. Bottom line. I have 7 years clean and sober and the tools I was given at this facility is why.

  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
I was ready for a change. I became willing to listen to what people in recovery were trying to tell me. It took me to the age of 55 to know something had to change, but thank God I had enough willingness to try. My mom died in 2004 and I was there for my family.

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