About
About Terrace House
Terrace House is one of Horizon Health Services’ residential addiction treatment facilities, located on the first and second floors of 291 Elm Street in downtown Buffalo. The program is part of the largest behavioral health nonprofit in Western New York, which means residents at Terrace House have direct access to Horizon’s full continuum of mental health services, outpatient addiction clinics, prevention and community programming, and Certified Community Behavioral Health Clinic resources.
Clinical services begin with medical detoxification for residents who require monitored withdrawal management from alcohol, opioids, benzodiazepines, or other substances. From detox, residents enter the residential phase, where the clinical team uses cognitive behavioral therapy, group and individual counseling, trauma-informed care, and medication-assisted treatment for clients with opioid use disorder. Horizon’s broader CCBHC infrastructure allows for psychiatric assessment and ongoing medication management when residents present with co-occurring depression, anxiety, PTSD, or other behavioral health conditions.
Terrace House serves a notably broad population: veterans, pregnant women, young adults, older adults, men, women, clients living with HIV/AIDS, and court-ordered referrals from the Erie County criminal justice system are all part of the resident mix. This reflects Horizon’s mission as a community-based safety-net provider serving anyone in Western New York who needs behavioral health care, regardless of resources or background.
The program is CARF accredited and operates as a CCBHC, which means it accepts Medicaid, Medicare, TRICARE, private insurance, and self-pay, with sliding-scale fees and assistance programs for clients without coverage. After residential treatment, clients can step directly into Horizon’s network of outpatient mental health and addiction clinics across Erie and Niagara counties, providing the continuity of provider relationships that improves long-term outcomes.
- 24/7 medical detox operations for immediate crisis intervention
- CARF accreditation ensuring quality withdrawal management protocols
- Specialized dual diagnosis detox for co-occurring mental health disorders
- Comprehensive insurance acceptance including Medicaid, Medicare, and TRICARE
- Downtown Buffalo location with full continuum from medical detox to outpatient care