Personal Counseling from Licensed Mental Health Therapists 

Our Mission Statement


Offering help for today and inspiring hope for tomorrow through outstanding personalized care, support, and education.


Our Philosophy Statement


Pathways Behavioral Services is dedicated to providing a welcoming, client-centered approach to prevention, early intervention and treatment.  Hope will be cultivated through a relationship- oriented, empathic first response to promote the best interests of our consumers.  Consumers, family members and staff will work together to provide an integrated strengths based approach to treatment.   All individuals that come through our door will be treated, or referred for treatment whether they are seeking help for mental health, substance abuse, gambling, or other conditions.  Consumers and staff will work together to provide the level of care necessary for success.

Pathways encourages and expects all staff to use their initiative and creativity to promote the best interests of our consumers. In support of this philosophy, opportunities will be made available to staff through trainings, change project committee, and other means to offer their individual input in our pursuit of an open door policy.


Why our Staff Love it Here


Pathways offers a fun, collaborative, and team-oriented atmosphere. Benefits included regular raises and bonuses, health/dental/vision insurance, flexible spending account, health savings account, retirement matching, an employee assistance program, paid training, licensure/certification reimbursement, and mileage reimbursement. Pathways was a 2022 Employer of Choice (WCF Courier). Current employees nominated the agency for this honor in recognition of Pathway’s flexible, compassionate, and staff-oriented leadership and policies. Pathways also offers paths for promotion and opportunities to further education and seek advanced degrees. Pathways boasts many long-term employees; 40% of our staff have been with Pathways 5+ years.

Licensed mental health counselor welcoming patients at Pathways in Iowa.Pathways Behavioral Services is a nonprofit corporation licensed by the Iowa Department of Public Health and accredited by the Department of Human Services.

Founded in 1967 to serve clients solely in Black Hawk County, Pathways’ expanded team of mental health therapists and clinicians now offers diagnosis, counseling and addiction treatment services to people in six northeast Iowa counties — Bremer, Buchanan, Butler, Chickasaw, Grundy and the largest county, Black Hawk.


Working Together for Community Wellness


Mental health therapists meeting at Pathways in Waterloo, Iowa.Improving and enriching the lives of families in our community is at the core of Pathways. The Pathways behavioral health staff members provide high-quality, research-based and outcome-driven mental health counseling and addiction treatment programs for a wide range of clients in northeast Iowa. As a Certified Community Behavioral Health Clinic, Pathways works together with the communities we serve, handling referrals from the Department of Juvenile Court Services, schools, employers, the Department of Human Services and other agencies.

Pathways staff members include psychiatrists, nurse practitioners, clinical social workers and licensed mental health counselors. We offer a full continuum of specialized behavioral healthcare for individuals and families, marital counseling, school-based programming, medication management and 24-hour emergency service. Translation services are also available in over 200 languages including American Sign Language.

The path to community wellness starts today with Pathways. Visit our locations page to find the services offered at each office location or to schedule an appointment with one of our mental health therapists. Face-to-face and virtual services are available.

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