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Medically Reviewed Content
Updated: November 2026
Sources: SAMHSA, NIDA

Long-Term Residential Treatment Programs Near You

Long-term residential programs extending 90 days or longer provide extended support for developing deep recovery skills and lifestyle changes. Therapeutic community models offer immersive environments where individuals heal together, building foundations for sustained long-term sobriety.

Found 2,511 long-term residential treatment centers across the United States.

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Sharehouse Grand Forks
Grand Forks, ND

Sharehouse Grand Forks, located in Grand Forks, ND, delivers extensive programs for individuals struggling with substance abuse and co-occurring serious mental health conditions. They serve adults and young adults, offering various care durations including extended, brief, and round-the-clock residential options. Their therapeutic methods are rooted in proven techniques such as 12-step recovery support, emotional regulation skills, and cognitive behavioral strategies. The center has tailored services designed for adult men, adult women, and those with a history of trauma. Emphasizing personalized treatment plans, Sharehouse Grand Forks is dedicated to providing effective recovery support for both men and women facing addiction and mental health concerns.

Sheehan Womens Program

The Sheehan Women's Program located in Tewksbury, MA, specializes in long-term residential care specifically for adult women dealing with substance use disorders and associated challenges. This center ensures a secure atmosphere that includes options for transitional living like halfway houses and sober homes. The program employs a range of methodologies, including 12-step support, anger management techniques, and short therapeutic interventions. It is designed for women who have suffered from intimate partner violence, domestic abuse, and sexual trauma. Catering to adult women, this program emphasizes the empowerment of its clients, promoting enduring recovery and overall well-being in a nurturing, gender-focused environment.

Shepherds Fold Ministry

Shepherds Fold Ministry in Wappapello, Missouri, offers long-term residential substance use treatment and transitional housing for adult men, along with regular outpatient care. No payment is accepted for services, and payment assistance and federal government funding support the program.

Shepherds House Inc
Lexington, KY

Shepherds House Inc, situated in Lexington, KY, is dedicated to providing targeted rehabilitation services for adult males facing challenges related to substance use disorders. This center offers various treatment options, such as long-term residential programs, outpatient care, and intensive outpatient services. Employing strategies like 12-step methods, anger management, and brief interventions, the facility supports clients recovering from intimate partner violence, domestic abuse, and sexual trauma. With its emphasis on adult men, including seniors and young adults, Shepherds House Inc fosters a nurturing atmosphere for those striving for recovery and a healthier way of life.

Shepherds Shelter/Ross Rehab

Shepherds Shelter/Ross Rehab, located in Mount Sterling, KY, is dedicated to addressing substance abuse issues and providing transitional housing for adult males. The center offers both long-term residential and outpatient services, with a strong emphasis on 12-step programs, anger management techniques, and short-term intervention strategies. This facility is equipped to serve active duty military members, adult males, and those who have faced intimate partner violence. With a focus on adults, seniors, and young adults, the center features a gender-specific program designed to meet the unique needs of male clients. Committed to high-quality, personalized care, Shepherds Shelter/Ross Rehab supports individuals on their path to recovery.

Shoemaker Center
Sykesville, MD

Shoemaker Center, part of Mountain Manor in Sykesville, Maryland, offers residential detoxification along with short-term and long-term residential treatment. The program treats substance use disorders with co-occurring serious mental illness and uses buprenorphine and naltrexone. Medicaid, government funding, and a sliding fee scale are among the payment options.

Siena Francis House Miracles Treatment

Siena Francis House Miracles Treatment, located in Omaha, NE, specializes in providing long-term and around-the-clock residential treatment for substance use issues, catering to both adult men and women, including individuals with trauma backgrounds. The facility emphasizes a holistic method to recovery, incorporating 12-step programs, anger management techniques, and cognitive behavioral therapy. They design customized treatment plans for both young adults and adults, ensuring that each person receives specialized attention. With a strong emphasis on gender-sensitive care, Siena Francis House Miracles Treatment fosters a nurturing atmosphere for clients of all genders aiming to conquer addiction. The center's dedication to high-quality service establishes it as a guiding light for individuals embarking on their recovery journeys.

Sierra Health and Wellness Center

Sierra Health and Wellness Center in Reno, NV, delivers a complete spectrum of care for addiction. Their expertise encompasses detox, substance misuse therapy, and dual diagnosis for both youngsters and adults. This establishment features extended stay housing, emphasizing tailored treatment plans. Catering to a diverse clientele including seniors and individuals of all genders, the center guarantees round-the-clock, premium residential support within a nurturing atmosphere. A dedication to integrated and customized care distinguishes the facility, positioning it as a prime option for individuals pursuing impactful and caring recovery services.

Sierra Health and Wellness Centers

Sierra Health and Wellness Centers, located in Concord, CA, offers an extensive long-term residential program that focuses on detoxification, substance abuse treatment, and co-occurring disorders for both adults facing significant mental health challenges and children experiencing serious emotional issues. This center provides residential detox services and around-the-clock support, emphasizing personalized treatment plans for each client. Individuals of all ages, including older adults, benefit from exceptional care through a holistic approach. What sets Sierra Health and Wellness Centers apart is their customized programs, which are designed to address the specific requirements of each person on their path to recovery.

Sierra Health and Wellness Centers

Sierra Health and Wellness Centers, located in Bangor, CA, offers a holistic approach to overcoming addiction, emphasizing detox, treatment for substance abuse, and specialized support for adults with severe mental health issues or children dealing with emotional challenges. This center provides various options including long-term residential programs, residential detox services, and 24-hour care for adults and seniors, regardless of gender. By focusing on personalized care and high-quality support, the facility strives to assist each person on their path to recovery and improved mental health. If you or someone you care about is in need of a nurturing treatment setting, Sierra Health and Wellness Centers may be an excellent option.

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Sierra Tribal Consortium Inc, located in Fresno, CA, offers extensive support for individuals battling substance use disorders. Their services encompass transitional housing and sober living environments, alongside long-term residential and various outpatient programs. Employing diverse therapeutic methods like 12-step facilitation, anger management, and brief intervention, they tailor treatment to individual requirements. The center features dedicated programs for adult men, adult women, and survivors of intimate partner violence, catering to adults and young adults of all genders. Sierra Tribal Consortium Inc is committed to delivering high-quality care and assistance for recovery and life transformation.

Sierra Tucson
Tucson, AZ

Sierra Tucson, situated in Tucson, Arizona, provides extensive support for adults and young adults dealing with substance use issues alongside mental health challenges. The center features inpatient detox services and various treatment programs, including targeted assistance for individuals with past trauma or experiences of sexual abuse. With an emphasis on 12-step programs, anger management, and short-term interventions, Sierra Tucson serves both men and women, including active military members. Renowned for its exceptional care and personalized treatment plans, this center stands out as a leading option for individuals in need of empathetic rehabilitation solutions.

Silicon Valley Recovery

Silicon Valley Recovery, located in San Jose, CA, provides a wide range of addiction treatment options for both adults and young adults. This facility features long-term residential programs, detoxification services, and around-the-clock residential assistance. Emphasizing 12-step methodologies, anger management strategies, and brief intervention techniques, the center customizes its treatment plans to meet the unique requirements of each individual. There are specialized programs designed for both adult men and women, fostering a nurturing and inclusive atmosphere. The committed team at Silicon Valley Recovery delivers high-quality support for clients of all genders, positioning it as an exceptional option for those in need of effective substance abuse treatment and detoxification in the Silicon Valley region.

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Silo Mision Christiana Inc, located in Vega Baja, PR, provides long-term residential care for adult males dealing with substance use issues in a nurturing atmosphere. The center emphasizes techniques like anger management, cognitive behavioral therapy, and short-term interventions, specifically addressing the needs of individuals who have faced sexual abuse. Focused on adult men and active military personnel, this facility also offers transitional housing and sober living arrangements. Catering to a diverse age range, including young adults and seniors, the program delivers personalized care aimed at meeting each client's specific requirements. Experience effective rehabilitation services in a well-organized and safe environment conducive to healing and recovery.

Silver Hill Hospital Inc

Silver Hill Hospital Inc, located in New Canaan, CT, offers dedicated inpatient services aimed at detoxification, treatment for substance use, and addressing co-occurring mental health issues for both adults and children. The center emphasizes 12-step approaches, anger management, and short-term interventions, providing thorough care for those facing trauma, substance use challenges, and mental health concerns. With specialized programs for teenagers and individuals with dual diagnoses, they ensure that treatment is personalized. Silver Hill Hospital Inc is committed to delivering effective, gender-sensitive care that promotes recovery and holistic well-being for all clients, regardless of age or gender.

Silver Maple Recovery

Situated in Lorain, OH, Silver Maple Recovery stands out as a premier rehabilitation center dedicated to providing hospital inpatient detox and treatment services specifically for adult males. The facility emphasizes 12-step support, anger management strategies, and short-term intervention methods to assist clients dealing with both mental health issues and substance use disorders, including those who have faced trauma. Silver Maple Recovery serves a diverse demographic of adult men, ranging from young adults to seniors. With a strong emphasis on personalized care and high-quality treatment, this center fosters a nurturing atmosphere for individuals looking to address their substance use difficulties.

Silver Ridge
Mills River, NC

Nestled in Mills River, NC, Silver Ridge provides a complete suite of substance abuse recovery services for adults and adolescents. The facility excels in addressing dual diagnoses, offering intensive outpatient care, extended residential stays, and standard outpatient programs. Employing proven methods such as cognitive behavioral therapy and anger management techniques, Silver Ridge customizes recovery journeys to suit each person's unique requirements. Featuring dedicated programs for active military members, adult males, and adult females, the center cultivates a nurturing atmosphere for everyone. Committed to superior care centered on comprehensive well-being, Silver Ridge stands as a reliable choice for individuals pursuing effective and empathetic addiction recovery.

Simonds Detox
Granada Hills, CA

Hospital inpatient and residential detoxification, plus short and long-term residential care, are provided at Simonds Detox in Granada Hills, California for adults and seniors. Buprenorphine and naltrexone are used in treatment. TRICARE, private insurance, and self-pay are accepted, with a sliding fee scale based on income.

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Sitka Counseling and Prevention Servs, located in Sitka, AK, delivers an all-encompassing treatment program for adults dealing with substance use issues alongside significant mental health challenges, as well as for children facing serious emotional difficulties. The center offers various options, including intensive outpatient services, long-term residential care, and standard outpatient treatments, all based on proven methods like 12-step facilitation, brief intervention, and cognitive behavioral therapy. The facility also features specialized programs for active military members, adolescents, and adult men, serving a wide range of age groups and genders, including seniors and both male and female clients. With its focus on high-quality, personalized care, the center stands out as an essential option for individuals seeking effective rehabilitation support.

Skylake Recovery Center
South Lake Tahoe, CA

Skylake Recovery Center, situated in South Lake Tahoe, CA, delivers extensive addiction rehabilitation solutions. This center provides long-term sober living, detox services, and round-the-clock residential care for adults and young adults. Their treatment methods incorporate 12-step support, emotional regulation training, and short-term therapeutic interventions. Skylake Recovery Center is equipped to assist adult men and women, including those with a history of trauma. The facility’s expert guidance and individualized treatment plans offer superior care for individuals pursuing detoxification and recovery from substance dependence in a nurturing setting.

Frequently Asked Questions

What is long-term residential treatment?
Long-term residential programs extend beyond typical 30-90 day programs, offering treatment lasting 90 days to one year or longer. These programs provide extended time for healing, skill development, and lifestyle changes in therapeutic community environments. Long-term care benefits individuals with chronic relapse history, complex trauma, severe addiction, or those needing extended support to build solid recovery foundation.
Who benefits from long-term residential programs?
Long-term care particularly helps individuals with chronic, severe addiction; multiple failed shorter treatments; complex trauma requiring extended therapeutic work; co-occurring mental health conditions; homeless or unstable living situations; lack of support systems; need for vocational or life skills development; or those who simply need more time to develop sustainable recovery skills and healthy lifestyle patterns.
What are therapeutic communities?
Therapeutic communities (TCs) are structured residential environments where the community itself becomes the primary therapeutic tool. Residents progress through phases with increasing responsibility and privileges. Peer accountability, communal living, work assignments, group therapy, and self-governance teach social skills, responsibility, and healthy relationships. TCs emphasize "right living" and personal accountability as pathways to recovery and behavioral change.
How long do long-term programs last?
"Long-term" typically means 90 days to one year, though definitions vary. Some programs are exactly 90 days, others 6 months, some a full year or longer. Duration depends on program structure, individual needs, insurance coverage, and progress. Many programs have phases where individuals can graduate to less intensive settings within the same program as they demonstrate stability and skill development.
Does insurance cover long-term residential treatment?
Insurance coverage for long-term residential is more limited than short-term care. Most plans cover 30-90 days if medically necessary. Extended stays may require appeals, demonstrating medical necessity, or transitioning to different funding sources. Some long-term programs accept Medicaid, offer sliding scale fees, or are grant-funded. State-funded programs provide free or low-cost long-term residential care for eligible individuals.

About Long-term Residential

Long-term residential programs extending 90 days or longer provide extended time and support for developing deep recovery skills, processing trauma, addressing co-occurring conditions, and building sustainable lifestyle changes. Therapeutic community models create immersive healing environments where individuals recover together, developing the foundation for sustained long-term sobriety.

Who Benefits from Long-Term Care

Long-term residential particularly helps individuals with chronic severe addiction and multiple relapses, complex trauma requiring extended therapeutic work, co-occurring mental health conditions, unstable or unsafe living situations, lack of family or community support, need for vocational or life skills development, or those who simply need more time to develop solid recovery foundation before returning to independent living.

Therapeutic Community Model

Many long-term programs use Therapeutic Community (TC) approach where the community itself becomes primary therapeutic tool. TCs emphasize peer accountability, self-governance, hierarchical responsibility structure, communal living and work, confrontation of negative behaviors, and "right living" principles. Residents progress through phases earning increased privileges and responsibilities, teaching accountability and social skills essential for recovery.

Extended Time for Deep Work

Longer programs allow:

  • Trauma Processing: Extended time for trauma-focused therapy addressing underlying issues
  • Behavior Pattern Change: Months to establish new habits replacing old destructive patterns
  • Relationship Repair: Family therapy, communication skills, rebuilding trust over time
  • Vocational Development: Work skills, resume building, interview practice, career planning
  • Life Skills: Budgeting, cooking, time management, healthy relationships
  • Gradual Responsibility: Practicing independence within supportive structure before full independence

Research Supporting Longer Treatment

Studies consistently show longer treatment duration correlates with better long-term outcomes. The 90-day threshold is particularly significant, with research demonstrating substantially improved abstinence rates, employment outcomes, criminal justice involvement reduction, and overall functioning for individuals completing 90+ days compared to shorter programs. Extended time allows neurobiological healing, behavioral change consolidation, and development of recovery lifestyle.

Practical Considerations

Long-term residential requires significant time commitment away from work, family, and normal life. However, for individuals with chronic relapse patterns, this investment often proves more effective and ultimately less disruptive than repeated short treatment episodes. Family involvement, employer FMLA protections, and careful planning help manage practical logistics. Many find the extended healing time transformational.

Long-term treatment information:

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Medically Reviewed Updated November 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)