In the spring of 1976, the Foothills Alcohol Action Committee was established, comprising representatives from the Piegan Reserve, Blood Reserve, and the Town of Fort Macleod. Over the next two years, this group conducted research to assess the actual needs, available facilities, potential funding sources, and the feasibility of integrating a detoxification centre into the continuum of care for those struggling with alcoholism. Fort Macleod, due to its central location in Southern Alberta, was chosen as the recommended location.

The Alberta Alcohol and Drug Abuse Commission (AADAC), actively involved from the project’s inception, granted funding in July 1978. The Town of Fort Macleod offered a choice of land at no cost: either two lots at the corner of 5th Avenue and 12th Street or approximately four lots on 18th Street west of 8th Avenue. The latter location was selected, where Foothills Centre currently stands.

In September 1978, a director was hired, and a construction mortgage was secured from the Macleod Savings and Credit Union. Kainai Industries of Standoff was contracted for the construction, which involved seven modular units. By spring 1979, the building was placed on its foundation, and construction was completed.

On October 5, 1979, representatives from provincial and local governments gathered to officially open Foothills Centre, marking the culmination of four years of effort by many individuals committed to supporting the community and providing a safe, caring environment for those suffering from addiction.

On October 18, 2019, the Foothills Centre Board of Directors, staff, representatives from the Town of Fort Macleod, Alberta Health Services, and many community friends celebrated Foothills Centre’s 40th Anniversary.