Find Your Rehab

24/7 Helpline:

(866) 899-1114
Cle Elum

Bipolar Disorder Treatment in Cle Elum, Kittitas County, Washington, Near Me

includes a range of rehab centers dedicated to supporting individuals dealing with bipolar disorder and its associated challenges. These rehab facilities offer a systematic and comprehensive approach to manage and treat bipolar disorder, ensuring that patients receive not only the medical attention they need but also the emotional and psychological support crucial for their recovery journey. The treatment modalities often include medication management, individual and group therapy, lifestyle modifications, and coping strategies tailored to individual needs. Historically, the establishment of bipolar disorder rehab centers in Cle Elum has been pivotal in transforming the treatment landscape for mental health conditions in the United States, enabling numerous individuals to regain control over their lives. Over the years, these facilities have evolved to incorporate the latest evidence-based practices, focusing not just on the disorder itself but on the holistic health of each patient. The importance of these rehab centers lies in their ability to create a safe space for recovery, lessen the stigma surrounding mental health disorders, and provide a tailored path to healing that can lead to lasting results.

Learn more about Bipolar Disorder Treatment centers in Cle Elum

Bipolar Disorder Treatment in Other Cities

DrydenDemingConconullyAirway HeightsPort OrchardNorth LakewoodSekiuEast OlympiaUskKirkland

Statistics of Bipolar Disorder Treatment in Cle Elum

Prevalence of Bipolar DisorderApproximately 2.8% of adults in the U.S. are diagnosed with bipolar disorder in any given year, indicating a significant need for specialized treatment.
Treatment Success RatesStudies suggest that about 40% of individuals undergoing treatment for bipolar disorder in specialized rehab centers experience substantial improvements in their symptoms.
Dual Diagnosis CasesRoughly 60% of individuals in rehab centers for bipolar disorder also struggle with addiction issues, highlighting the importance of integrated treatment approaches.
Length of StayThe average length of stay in rehab centers for bipolar disorder in Cle Elum is about 30 to 90 days, depending on the severity of the condition and the treatment plan.
Accessibility of CareAround 70% of individuals seeking help for bipolar disorder are unable to access treatment due to financial or logistical issues, making rehab centers a crucial resource.

Other Categories in Cle Elum

Opioid RehabCodeine RehabExecutive RehabIndividual TherapyAtivan DetoxPet friendly RehabCocaine RehabKetamine DetoxMental Health TreatmentOpioid DetoxAdderall DetoxMorphine RehabIntervention ServicesEating Disorder TreatmentInpatient Rehab

Browse Bipolar Disorder Treatment Centers in Cle Elum
105 facilities available

KVCH Rehabilitation Clinic

617 Power St, Cle Elum, WA 98922, United States

Comprehensive Healthcare

Comprehensive Healthcare provides a wide range of innovative behavioral healthcare services to meet ...

http://www.comphc.org/
(509) 925-9861
220 West 4th Avenue Ellensburg WA, 98926

Prestige Post-Acute and Rehab Center - Kittitas

1050 E Mountain View Ave, Ellensburg, WA 98926, United States

Sundown M Ranch | Rehab Center in Yakima, WA

2280 WA-821, Yakima, WA 98901, United States

Olalla Recovery Centers - Olalla Guest Lodge

12850 Lala Cove Ln SE, Olalla, WA 98359, United States

Avamere Olympic Rehabilitation of Sequim

1000 S 5th Ave, Sequim, WA 98382, United States

Olalla Recovery Centers, Lala Cove Lane Southeast, Olalla, WA

12850 Lala Cove Ln SE, Olalla, WA 98359, United States

Craig Pigeon

112 W Railroad Ave, Cle Elum, WA 98922, United States

Olalla Recovery Centers - Gig Harbor Counseling Center

5122 Olympic Dr A-105, Gig Harbor, WA 98335, United States

Southeast Rehabilitation & Skilled Care Center

184 Lincoln St, North Easton, MA 02356, United States

Merit Resource Services

321 W 1st Ave, Toppenish, WA 98948, United States

Panorama Convalescent & Rehabilitation Center

1600 Sleater Kinney Rd SE, Lacey, WA 98503, United States

Prestige Post-Acute and Rehab Center - Kittitas

1050 E Mountain View Ave, Ellensburg, WA 98926, United States

Sundown M Ranch | Rehab Center in Yakima, WA

2280 WA-821, Yakima, WA 98901, United States

Merit Resource Services

200 E 3rd Ave, Ellensburg, WA 98926, United States

Sundown M Ranch | Rehab Center in Yakima, WA

2280 WA-821, Yakima, WA 98901, United States

Rainier Rehabilitation

920 12th Ave SE, Puyallup, WA 98372, United States

Royal Life Centers at The Haven

8649 Martin Way SE, Lacey, WA 98516, United States

Royal Life Centers at Puget Sound

1723 Bonney Ave, Sumner, WA 98390, United States

Avamere Heritage Rehabilitation of Tacoma

7411 Pacific Ave, Tacoma, WA 98408, United States

Avamere Rehabilitation of Issaquah

805 Front St S, Issaquah, WA 98027, United States

Beacon Hill Rehabilitation

128 Old Beacon Hill Dr, Longview, WA 98632, United States

Benson Heights Rehabilitation Center

22410 Benson Rd SE, Kent, WA 98031, United States

North Auburn Rehab & Health

2830 I St NE, Auburn, WA 98002, United States

Avalon Health & Rehabilitation Center

2004 N 22nd Ave, Pasco, WA 99301, United States

Avamere Heritage Rehabilitation of Tacoma

7411 Pacific Ave, Tacoma, WA 98408, United States

Shelton Health and Rehabilitation Center

153 John's Ct, Shelton, WA 98584, United States

Avamere Rehabilitation of Burien

1031 SW 130th St, Burien, WA 98146, United States

Enumclaw Health and Rehabilitation Center

2323 Jensen St, Enumclaw, WA 98022, United States

Northwell Health Stern Family Center for Rehabilitation

330 Community Dr, Manhasset, NY 11030, United States

Wesley Lea Hill Rehabilitation & Care Center

32049 109th Pl SE Suite A, Auburn, WA 98092, United States

SnoValley Wellness Therapy

3129 W Snoqualmie River Rd NE, Carnation, WA 98014, United States

STARS Rehabilitation - Manhasset

1554 Northern Blvd 4th Floor, Manhasset, NY 11030, United States

Experience Momentum

1100 N 35th St, Seattle, WA 98103, United States

Caldera Care

3220 Rosedale St NW #200, Gig Harbor, WA 98335, United States

Redmond Care and Rehabilitation Center

7900 Willows Rd NE, Redmond, WA 98052, United States

Avamere Rehabilitation of Issaquah

805 Front St S, Issaquah, WA 98027, United States

Prestige Post-Acute and Rehab Center - Kittitas

1050 E Mountain View Ave, Ellensburg, WA 98926, United States

Virginia Mason Franciscan Health Rehabilitation Hospital

815 S Vassault St, Tacoma, WA 98465, United States

Royal Life Centers at Puget Sound

1723 Bonney Ave, Sumner, WA 98390, United States

Rainier Rehabilitation

920 12th Ave SE, Puyallup, WA 98372, United States

Enumclaw Health and Rehabilitation Center

2323 Jensen St, Enumclaw, WA 98022, United States

Prestige Post-Acute and Rehab Center - Kittitas

1050 E Mountain View Ave, Ellensburg, WA 98926, United States

Merit Resource Services

200 E 3rd Ave, Ellensburg, WA 98926, United States

The Recovery Village Ridgefield Drug and Alcohol Rehab

888 S Hillhurst Rd, Ridgefield, WA 98642, United States

Gig Harbor Health & Rehabilitation

3309 45th St Ct, Gig Harbor, WA 98335, United States

Rainier Rehabilitation

920 12th Ave SE, Puyallup, WA 98372, United States

EvergreenHealth Acute Rehabilitation Services

4-Purple, 12040 NE 128th St, Kirkland, WA 98034, United States

Avamere Heritage Rehabilitation of Tacoma

7411 Pacific Ave, Tacoma, WA 98408, United States

Birch Creek Post Acute & Rehabilitation

5601 S Orchard St, Tacoma, WA 98409, United States

Spokane Valley Health and Rehab of Cascadia

17121 E 8th Ave, Spokane Valley, WA 99016, United States

The Recovery Village Ridgefield Detox Center

5114 NE 94th Ave, Vancouver, WA 98662, United States

Prestige Post-Acute and Rehab Center - Kittitas

1050 E Mountain View Ave, Ellensburg, WA 98926, United States

Sundown M Ranch | Rehab Center in Yakima, WA

2280 WA-821, Yakima, WA 98901, United States

The Recovery Village Ridgefield Drug and Alcohol Rehab

888 S Hillhurst Rd, Ridgefield, WA 98642, United States

Colonial Vista Post-Acute and Rehabilitation Center

625 Okanogan Ave, Wenatchee, WA 98801, United States

Avalon Health & Rehabilitation Center

2004 N 22nd Ave, Pasco, WA 99301, United States

Prestige Care and Rehabilitation - Sunnyside

721 Otis Ave, Sunnyside, WA 98944, United States

Richland Rehabilitation Center

1745 Pike Ave, Richland, WA 99354, United States

Prestige Post-Acute and Rehab Center - Edmonds

21008 76th Ave W, Edmonds, WA 98026, United States

EvergreenHealth Acute Rehabilitation Services

4-Purple, 12040 NE 128th St, Kirkland, WA 98034, United States

The Recovery Village Ridgefield Detox Center

5114 NE 94th Ave, Vancouver, WA 98662, United States

Enumclaw Health and Rehabilitation Center

2323 Jensen St, Enumclaw, WA 98022, United States

Avamere Heritage Rehabilitation of Tacoma

7411 Pacific Ave, Tacoma, WA 98408, United States

North Cascades Health and Rehabilitation Center

4680 Cordata Pkwy, Bellingham, WA 98226, United States

Richmond Beach Rehab

19235 15th Ave NW, Shoreline, WA 98177, United States

EvergreenHealth Rehabilitation Services

12039 NE 128th St # 200, Kirkland, WA 98034, United States

Prestige Post-Acute and Rehab Center - Centralia

917 S Scheuber Rd, Centralia, WA 98531, United States

Vantage Health and Rehab of Wakefield

1 Bathol St, Wakefield, MA 01880, United States

Bayview Recovery

2156 Pacific Ave, Tacoma, WA 98402, United States

Vantage Health and Rehab of Westfield

60 E Silver St, Westfield, MA 01085, United States

Vantage Health and Rehab of Milford

10 Veterans Memorial Dr, Milford, MA 01757, United States

Vantage Health and Rehab of Chelmsford

40 Parkhurst Rd, Chelmsford, MA 01824, United States

Eating Recovery Center Bellevue

1231 116th Ave NE ste 350, 370, 800, Bellevue, WA 98004, United States

Jamestown Healing Clinic

526 S 9th Ave, Sequim, WA 98382, United States

Vantage Point Behavioral Health Hospital

4253 N Crossover Rd, Fayetteville, AR 72703, United States

The Recovery Village Drug and Alcohol Rehab

633 Umatilla Blvd, Umatilla, FL 32784, United States

MERIT Resource Services

MERIT Resource Services provides quality outpatient alcohol drug counseling services. MERIT Resource...

http://www.meritresources.org
(509) 925-9821
507 North Nanum Street Room 30 Ellensburg WA, 98926

Comprehensive Healthcare – North Pearl street

Comprehensive Healthcare – North Pearl street is a non-profit rehab located in Ellensburg, Washingto...

http://www.comphc.org/
(509) 925-9861
707 North Pearl street Suite E Ellensburg WA, 98926

Social Treatment Opportunity Programs – STOP

Social Treatment Opportunity Programs (STOP) is a state licensed Nationally and Internationally accr...

http://www.stopwa.com
(509) 925-7867
1206 North Dolarway Road Suite 118 Ellensburg WA, 98926

New Start Clinics – Ellensburg

New Start Clinics – Ellensburg is a private rehab located in Ellensburg, Washington. New Start Clini...

https://newstartclinics.com/
(509) 316-2438
2411 Dolarway Road Ellensburg WA, 98826

New Start Clinics

2411 W Dolarway Rd Unit 1, Ellensburg, WA 98926, United States

Comprehensive Healthcare

402 E 1st St, Cle Elum, WA 98922, United States

Pioneer Center East

3400 W Garland Ave, Spokane, WA 99205, United States

James Oldham Treatment Center

201 Highland Dr, Buena, WA 98921, United States

Spine Rehab Associates

319 Washington Ave S, Kent, WA 98032, United States

Rehabilitation Services–Easton

2401 Northampton St Suite 110, Easton, PA 18045, United States

Kittitas County Community Assmnt

205 W 5th Ave, Ellensburg, WA 98926, United States

New Start Clinics

2411 W Dolarway Rd Unit 1, Ellensburg, WA 98926, United States

Rehab Ready

11358 River Bend Dr, Leavenworth, WA 98826, United States

Comprehensive Healthcare

402 E 1st St, Cle Elum, WA 98922, United States

James Oldham Treatment Center

201 Highland Dr, Buena, WA 98921, United States

Rehab Ready

11358 River Bend Dr, Leavenworth, WA 98826, United States

Raging River Recovery Center

9575 Ethan Wade Way SE, Snoqualmie, WA 98065, United States

New Start Clinics

2411 W Dolarway Rd Unit 1, Ellensburg, WA 98926, United States

Rehab Ready

11358 River Bend Dr, Leavenworth, WA 98826, United States

James Oldham Treatment Center

201 Highland Dr, Buena, WA 98921, United States

New Start Clinics

2411 W Dolarway Rd Unit 1, Ellensburg, WA 98926, United States

Comprehensive Healthcare - Crisis Triage Center (Detox)

505 S 4th Ave, Yakima, WA 98902, United States

Oakbrook Health & Rehabilitation

206 W Prospect St, Thorp, WI 54771, United States

Evergreen Recovery

4262 198th St SW, Lynnwood, WA 98036, United States

James Oldham Treatment Center

201 Highland Dr, Buena, WA 98921, United States

North Valley Health Rehabilitation

118 S Whitcomb Ave, Tonasket, WA 98855, United States

Vantage Health and Rehab of Hampden

34 Main St, Hampden, MA 01036, United States

Vantage Health and Rehab of Wilbraham

9 Maple St, Wilbraham, MA 01095, United States
View Nearby Rehabs
Bipolar Disorder Treatment

Other Categories

Anxiety TreatmentKlonopin Detox90 day Rehab ProgramAmphetamine DetoxFentanyl DetoxRitalin DetoxPartial Hospitalization ProgramCouples TherapyPrescription drug RehabHeroin RehabBipolar Disorder TreatmentCocaine DetoxAtivan RehabOpiate DetoxBenzo Detox

Different Services Offered by Bipolar Disorder Treatment in Cle Elum

DetoxificationDetoxification is often the first step in the treatment process for those with bipolar disorder, especially when substance abuse is a factor. This medically supervised process ensures that individuals can safely withdraw from drugs or alcohol that may be exacerbating their symptoms. During detox, clinicians monitor patients for withdrawal symptoms and provide necessary medications to ease discomfort. Understanding the importance of detoxification helps patients recognize that this phase not only stabilizes their physical health but also serves as a crucial foundation for progressing to therapeutic interventions, allowing for a clearer mind to engage in recovery.
Inpatient TreatmentInpatient treatment programs provide a structured environment where individuals can immerse themselves in their recovery free from external distractions and stressors. Patients reside at the facility, participating in daily therapy sessions, group discussions, and wellness activities that promote emotional and psychological healing. This immersive approach allows for constant support from a team of mental health professionals, fostering an atmosphere of accountability and safety. Inpatient treatment is designed specifically for those experiencing severe symptoms of bipolar disorder, ensuring that individuals receive comprehensive care during critical phases of their recovery.
Outpatient TreatmentOutpatient treatment options offer flexibility for individuals who may not require round-the-clock care but still need structured support for their bipolar disorder. These programs typically include therapy sessions, medication management, and educational workshops, allowing patients to integrate their treatment into their everyday lives. This model encourages independence while still providing a solid support system, ensuring that individuals remain accountable for their recovery and can apply the tools and strategies learned in therapy to real-world challenges they may face outside the rehab environment.
Therapy and CounselingTherapy and counseling play a pivotal role in treating bipolar disorder, addressing the psychological aspects and helping patients develop coping strategies. Individual therapy sessions provide a safe space to explore personal challenges and triggers, while group sessions foster a sense of community and shared experience. Evidence-based therapeutic approaches, such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), are commonly employed to assist patients in modifying unhelpful thought patterns, improving emotional regulation, and cultivating interpersonal skills. The therapeutic relationship with licensed professionals is instrumental in sustaining motivation throughout the recovery process.
12-Step and Non 12-Step ProgramsRehab centers for bipolar disorder in Cle Elum often offer both 12-step and non 12-step treatment models, catering to varying patient preferences and needs. While 12-step programs focus on spiritual growth and community support in recovery, non 12-step approaches may adopt more secular or evidence-based practices. Each of these frameworks encourages personal responsibility and connection to a support network, which is essential for maintaining long-term sobriety and health. Tailoring the treatment approach to align with an individual's beliefs and comfort level bolsters engagement in the recovery process, improving the likelihood of positive outcomes.
Aftercare ServicesAftercare services are critical in ensuring that individuals transition smoothly from rehab to everyday life, reducing the risk of relapse. These services may include continued therapy, support groups, and sober living arrangements. Aftercare is designed to maintain the progress achieved during rehabilitation, offering ongoing support as individuals navigate new challenges in their recovery journey. Creating a structured plan for aftercare helps individuals establish a routine, build resilience, and stay connected to a supportive community, ultimately paving the way for lasting change and improved mental health.
Cost of Bipolar Disorder Treatment in Cle Elum
Insurance CoverageMany rehab centers for bipolar disorder in Cle Elum accept various insurance plans, which can significantly alleviate the financial burden associated with treatment. Insurance companies often cover a portion of the costs related to mental health services, including inpatient and outpatient care. It is crucial for individuals seeking treatment to verify their coverage details beforehand, as benefits can vary widely among different providers. Understanding insurance coverage provides individuals with clarity and assurance about their financial responsibilities, thus encouraging them to seek the care they need without the stress of unexpected expenses.
Payment PlansMany rehab facilities offer flexible payment plans that allow patients to pay for their treatment over time. These arrangements can make it more feasible for individuals to access necessary services without completely draining their financial resources. Payment plans can be tailored based on income level and personal financial situations, ensuring that individuals can maintain their focus on recovery without the burden of immediate, large financial obligations. This option fosters a sense of financial security, encouraging patients to commit fully to their treatment journey without added stress.
Government GrantsCertain state and federal programs offer grants aimed at making mental health treatment more accessible for those in need. These grants may be available to individuals who are financially disadvantaged and can help cover treatment costs associated with bipolar disorder. Eligibility and availability can vary based on numerous factors, including income and state residency. Understanding the options provided by government grants opens additional avenues for those seeking treatment, allowing them to access the care they need and improve their lives.
Financial Assistance ProgramsMany rehab centers recognize the financial challenges associated with seeking treatment and may offer financial assistance programs specifically designed to help those in need. These programs may come in the form of scholarships, sliding scale fees, or reduced rates based on income. Such initiatives ensure that treatment remains accessible to individuals regardless of their financial situations. Exploring financial assistance options can significantly enhance an individual's ability to undergo necessary treatment without the crippling worry of costs, thereby prioritizing health and recovery.
Self-Payment OptionsFor those who prefer not to go through insurance or do not have coverage, self-payment is another viable option. Many rehab centers for bipolar disorder allow individuals to pay for their treatment directly out of pocket. This can involve lump-sum payments or a structured payment schedule that aligns with one’s budget. Opting for self-payment can offer flexibility, enabling individuals to choose the treatment that best fits their specific needs without financial constraints imposed by insurance providers. Being proactive in financial planning using self-payment options empowers patients to take charge of their recovery.
Crowdfunding and Community SupportSome individuals seeking treatment for bipolar disorder explore crowdfunding platforms or local community support initiatives to help fund their rehab expenses. These avenues allow friends, family, and the community at large to contribute financially to a loved one’s recovery journey. While not a conventional method, crowdfunding can relieve financial burden and create a supportive network encouraging recovery. Utilizing these resources can highlight the community’s shared investment in mental health, promoting a sense of belonging and shared purpose for those undergoing treatment.

Other Cities

TekoaOlallaGlenomaPullmanAcmeBremertonWinthropMcchord AfbFairchild Air Force BaseSeattle
Guidelines for seeking Bipolar Disorder Treatment in Cle Elum
1
Researching Rehab CentersWhen seeking treatment for bipolar disorder, one of the best practices is to thoroughly research available rehab centers in Cle Elum. Look into their treatment methodologies, staff qualifications, and success rates. This information equips individuals to make informed decisions, ensuring that they choose a rehab center that aligns with their specific needs and treatment preferences. Given the significant investment of time and resources that rehab entails, being diligent in research can dramatically enhance the probability of a successful recovery journey.
2
Preparing for TreatmentPreparation for entering a rehab center should be a proactive process. Individuals should take time to gather necessary documents, medications, and emotional support systems. It may also include informing close family or friends about the treatment plan. Preparing mentally and emotionally is equally crucial; visualizing the transition into rehab helps ease anxiety associated with the unknown. This preparation creates a mindset ready to embrace change and can significantly impact the overall success of the treatment experience.
3
Staying Committed to RecoveryRemaining committed to recovery can often be the most challenging aspect post-treatment. Establishing ongoing routines, support systems, and accountability measures are essential after leaving the rehab center. Developing a relapse prevention strategy, which includes recognizing triggers and implementing coping mechanisms, reinforces the commitment to maintaining mental health. Continually engaging with support groups or aftercare services fosters connections and shared experiences which act as pillars of support throughout the recovery journey.
4
Setting Realistic GoalsSetting achievable and realistic goals during treatment and post-rehab is crucial for fostering motivation and self-efficacy. Whether it involves small daily accomplishments or broader life ambitions, having tangible goals helps individuals stay focused on their recovery journey. Utilizing the SMART criteria—Specific, Measurable, Achievable, Relevant, and Time-bound—can aid in goal setting, ensuring that individuals have a structured way to track their progress. Celebrating even small achievements fosters a positive mindset and reinforces commitment to the path of recovery.

Other Insurance Options

WellCare Health Plans

Explore

CareFirst

Explore

Group Health Incorporated

Explore

Excellus

Explore

Health Net

Explore

BHS | Behavioral Health Systems

Explore

Aetna

Explore

Ambetter

Explore

MHNNet Behavioral Health

Explore

Meritain

Explore

Highmark

Explore

Private insurance

Explore

Carleon

Explore

Kaiser Permanente

Explore

Absolute Total Care

Explore

Access to Recovery (ATR) Voucher

Explore

Magellan

Explore

UMR

Explore

MVP Healthcare

Explore

Medical Mutual of Ohio

Explore

Key Considerations for Bipolar Disorder Treatment in Cle Elum

1
Types of Treatment OfferedWhen seeking treatment from rehab centers for bipolar disorder in Cle Elum, understanding the types of treatment offered is paramount. Different facilities may specialize in varying therapeutic methodologies, such as cognitive-behavioral therapy or medication management. Assessing the range of treatments available enables individuals to select a center that complements their specific needs, thus increasing the likelihood of a positive experience and outcomes. Tailoring treatment approaches plays a vital role in addressing the unique aspects of bipolar disorder, addressing individual challenges effectively.
2
Qualifications of StaffThe qualifications of staff at rehab centers can directly impact the quality of care received by patients. It is essential to ensure that the clinical team consists of licensed professionals with specialized training in treating bipolar disorder. The number of years of experience, credentials, and areas of expertise should all be taken into consideration. A knowledgeable and supported staff creates an environment that fosters healing and growth, thereby enhancing the overall effectiveness of the treatment program.
3
Success Rates of Rehab ProgramsEvaluating the success rates of various rehab programs in Cle Elum can help individuals make informed choices about their treatment. Many facilities offer statistical data regarding their success in treating bipolar disorder, including the percentage of clients who complete their program and report improved mental health outcomes. High success rates often correlate with comprehensive care and ongoing support measures, which are vital in maintaining lasting recovery. Understanding these metrics encourages individuals to choose programs that prioritize effective treatment approaches and success.
4
Duration of Treatment ProgramsThe duration of treatment programs offered at rehab centers for bipolar disorder can significantly influence recovery. Programs typically range in length based on the specific needs and circumstances of each individual. A longer treatment duration often allows for deeper engagement with therapeutic practices, fostering a more thorough understanding of the disorder and developing coping skills. Prospective patients should consider their personal situations when evaluating the treatment duration, ensuring that they choose a center offering adequate time to heal and grow.

Common Questions about Bipolar Disorder Treatment in Cle Elum