Open Access

Same Day Access

Readily Available Southern IL Substance Misuse Services for Adults and Youth.

No wait list. No phone tag. Just timely support.

Same Day Access is a first-come-first-serve, walk-in based counseling program. The purpose of this program is to provide readily available services to individuals seeking mental health and substance use counseling. When someone needs help and is ready to begin counseling, they can simply walk into our office and be seen the same day. First visits will no longer require appointments.

Same Day Access
Know before you go:
Expect your first appointment to last up to 2 hours.
Children must be accompanied by a parent or guardian.
Insurance card & list of current medications are required.
Sliding scale fee for those not covered by insurance.
You may seek counseling for mental health, substance use, or both.

*Though we are open and serving clients, we are advising those interested in Open Access services to partake in assessments via video and telephone.

At ComWell, we work to provide hope, healing and lasting recovery. We will continue to monitor this situation and remain steadfast in our commitment to the safety of our clients and staff. If you have questions or concerns, don’t hesitate to contact us for further information at 618-282-6233.


Substance Misuse Counseling in Randolph County IL, Washington County IL, and Southern Illinois

Our trained clinicians provide substance use counseling to assist others to live a life free of mood altering substances, rebuild their lives and deal with their past. Success looks different for each person and may be based on the harm reduction model or abstinence. We help others help themselves through education, counseling and support. This program allows them to gain a better understanding of their substance misuse, while also developing the confidence to make positive changes in their behavior and thinking.

DUI Services

Our certified and licensed clinicians offer DUI evaluations and education for individuals who have been charged with DUI offenses.


Recovery Oriented System of Care (ROSC) is an extension of our counseling services helping others to achieve recovery with supportive services.

SISSA Coalition

The Southern Illinois Substance Abuse Alliance

The Southern Illinois Substance Abuse Alliance (SISAA) is a community anti-drug coalition working in Randolph and Washington Counties.


Preventing substance misuse by youth and adults and supporting recovery activities in Southern Illinois.


Healthy communities in Southern Illinois focused on prevention and recovery free of stigma and without judgement.

Preliminary Randolph County data indicates that coalition strategies may have contributed to a 3% decline in tenth grade alcohol use.

Engaging and training high school student leaders in peer prevention.

More than 70 students from Chester, Coulterville, Okawville, Red Bud, Sparta and Steeleville have been trained and engaged in prevention efforts.

Partnering with Chester, Coulterville, Okawville, Sparta, Steeleville and Red Bud schools to deliver research based prevention lessons to middle and high school students.

Hoyleton Youth and Family services staff deliver the lessons in Okawville. School district staff deliver the lessons in the other schools.

Advocating to prevent teen marijuana use.

Evansville, Nashville, Okawville, Sparta, Steeleville, Red Bud and the county governments of Randolph and Washington Counties opted out of legal retail or marijuana sales because of concerns about potential increased use by teens. SISAA shared research indicating that legalization has contributed to increased use by teens in other states and communities that legalized retail marijuana.

Encouraging parents to talk with their children about not using drugs.

The coalition does this through social media, newspaper and radio ads as well as messaging via schools and other coalition partners.

Educating parents about how their children can hide drug-related items with our 'In Plain Sight' program.

The coalition uses mock teen bedrooms to show parents how their children can hide drugs.

SISAA has been recognized by Community Anti-Drug Coalitions of America for being effective.

Speakers present information about prevention and recovery at full coalition meetings.  Full coalition meetings are held at 8:00am on the third Wednesday of every month except July and December.  Presenters have addressed topics such as community health programming at Sparta Community Hospital, the Washington and Perry County Drug Court, as well as how to lead an ‘In Plain Sight’ mock teen bedroom event, and proposed Illinois legalization of retail marijuana.

Click here for more information You may also contact Dennis Trask at or (618) 282-6233.