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Medically Reviewed Content
Updated: May 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 2,287 long-term residential treatment centers across the United States.

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Casa Treatment Center

Casa Treatment Center, situated in Pasadena, CA, delivers a full spectrum of recovery solutions for women battling substance dependence. Their core offering is extended residential treatment, complemented by supportive housing and sober living accommodations. Utilizing proven methods like 12-step integration, emotional regulation training, and brief counseling, Casa Treatment Center guides individuals toward lasting sobriety. The center is particularly adept at addressing the specific challenges faced by adult women affected by domestic violence or sexual trauma, customizing care for each person. Casa Treatment Center is dedicated to providing excellent support for adult, senior, and young adult women in their pursuit of recovery.

CASA Trinity Inc
Dansville, NY

CASA Trinity Inc, situated in Dansville, NY, delivers a wide range of rehabilitation services tailored for both adults and children. The center specializes in detoxification and treatment for substance use disorders, along with addressing the unique needs of those dealing with co-occurring mental health conditions or emotional challenges. Available treatment programs consist of long-term residential care, outpatient options, and detox services provided on an outpatient basis. CASA Trinity adopts proven methods such as 12-step programs, anger management techniques, and brief interventions. Unique initiatives are available for adult women and those who have faced intimate partner violence or sexual trauma. Committed to exceptional care, this facility serves both male and female individuals on their journey to recovery.

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Somerville, MA

Caspar Inc, situated in Somerville, MA, provides a wide array of long-term residential services for adult men facing substance use issues. The center is adept in various methodologies, including 12-step treatment, anger management strategies, and short-term interventions. Caspar Inc also offers transitional housing, halfway houses, and sober living arrangements specifically designed for clients who have endured situations of intimate partner violence, domestic abuse, or sexual trauma. Catering to adult men across different age ranges, including seniors and young adults, this facility is committed to fostering a secure and nurturing atmosphere for those aiming to achieve sobriety. The exceptional care and focused programs available at Caspar Inc position it as an exemplary option for individuals striving to overcome their addictions.

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Somerville, MA

Located in Somerville, MA, Caspar Inc specializes in long-term and round-the-clock residential treatment programs for adult men dealing with both mental health and substance use disorders. The center employs evidence-based methodologies such as 12-step facilitation, brief interventions, and cognitive behavioral therapy to offer customized care for a diverse population, including adults, seniors, and young adults. By concentrating on the needs of male clients, Caspar Inc develops personalized treatment strategies and provides ongoing support for every resident. Their dedication to high-quality care and specialized treatment options positions them as a trustworthy option for individuals seeking thorough and effective addiction rehabilitation in a residential environment.

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Cambridge, MA

Caspar Inc, situated in Cambridge, MA, offers extensive residential and round-the-clock support for adult women addressing substance use disorders. The center excels in facilitating 12-step programs, managing anger, and employing brief intervention strategies for recovery. It features distinct programs tailored for adult women who have experienced intimate partner violence, domestic abuse, and sexual trauma. The facility welcomes adults, seniors, and young adults, providing a secure and nurturing setting for its female clientele who require targeted care. Emphasizing high-quality treatment and personalized assistance, Caspar Inc is committed to guiding clients through their recovery path with empathy and professional skill.

Catalyst
Lawton, OK

Catalyst, situated in Lawton, OK, is a premier facility dedicated to comprehensive recovery from addiction and co-occurring psychological conditions for individuals of all ages. They provide a spectrum of therapeutic options, including intensive outpatient, extended residential stays, and standard outpatient services, all designed to offer personalized support. The center employs distinct therapeutic methods such as 12-step integration, emotional regulation strategies, and concise intervention models. A notable aspect of Catalyst is its specialization in providing separate, tailored treatment tracks for adult men and women, as well as young adults, underscoring their dedication to effective, individualized care.

Cathedral Home for Children

Cathedral Home for Children, situated in Laramie, WY, provides a thorough array of recovery programs. This establishment focuses on treating addiction and dual diagnoses for all ages. Their approach includes intensive outpatient, extended stay residential, and standard outpatient services, tailored to each individual's needs. They utilize methods like anger management, cognitive behavioral therapy, and brief intervention. Special offerings are available for teenagers, those impacted by domestic violence, and survivors of sexual trauma. Catering to men, women, and young people, Cathedral Home for Children is committed to delivering excellent care and assistance for individuals on their path to wellness.

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Worcester, MA

Catholic Charities, located in Worcester, MA, provides an extended residential program for men struggling with substance abuse in a nurturing atmosphere. This center implements tailored treatment methods, including 12-step programs, anger management strategies, and cognitive behavioral therapy. It features distinct services aimed at adult men, survivors of sexual trauma, and those affected by other traumatic experiences. Additionally, the facility offers transitional housing, halfway houses, and sober living arrangements. Catering to a range of male demographics, from young adults to seniors, Catholic Charities is committed to delivering effective support for those on their path to recovery from addiction. Its diverse range of services and focused programs position it as a key player in the field of rehabilitation.

Catholic Charities
Leominster, MA

Situated in Leominster, MA, Catholic Charities provides extended residential care aimed at addressing substance use issues, transitional living, and assistance for those dealing with concurrent substance use and significant mental health challenges. The center implements 12-step principles, anger management techniques, and cognitive behavioral strategies to deliver tailored services primarily for adult women who have faced intimate partner violence, domestic violence, or sexual assault. Emphasizing high-quality support, the facility serves adults, seniors, and young adults within a secure and nurturing space. Geared exclusively towards female participants, this initiative fosters a thorough pathway to recovery and emotional restoration.

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Catholic Charities Maine in Auburn, ME, provides comprehensive long-term residential care for adult men facing substance use disorders and co-occurring severe mental health conditions. This center delivers round-the-clock support through proven methods such as 12-step facilitation and anger management. It features distinct programs tailored for active military members, survivors of domestic abuse, and individuals needing short-term interventions. Serving adult, senior, and young adult males, the facility prioritizes personalized treatment plans and assistance for each client's recovery path. Catholic Charities Maine is committed to delivering excellent rehabilitation services in a secure and supportive setting.

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Situated in Cortland, NY, Catholic Charities of Cortland County delivers extensive services for substance use rehabilitation and transitional housing. This center features long-term residential programs that emphasize 12-step principles, anger management techniques, and short intervention strategies. With a strong focus on individualized support, it serves both adult and young adult clients of any gender. Those in need of a sober living environment, halfway house, or around-the-clock residential care can anticipate high-quality, tailored assistance. Catholic Charities of Cortland County is recognized for its dedication to personalized treatment approaches and comprehensive recovery solutions for individuals on their journey to sobriety.

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Situated in Cortland, NY, Catholic Charities of Cortland County provides extensive long-term residential treatment for substance use aimed at adults and young adults. This center features options such as transitional housing, halfway houses, or sober living within a 24-hour residential environment. Emphasizing personalized care, it incorporates 12-step guidance, anger management techniques, and brief intervention methods. The program is designed for both men and women, focusing on customized treatment plans tailored to each individual's needs. Catholic Charities of Cortland County is recognized for its wide-ranging services and dedication to delivering high-quality care, making it an excellent option for individuals seeking effective and individualized support for addiction recovery.

Catholic Charities of Miami

Catholic Charities of Miami, situated in Miami, FL, provides extensive addiction recovery services for adults and adolescents. This center excels in addressing dual diagnoses, treating individuals with both substance abuse and severe mental health conditions, alongside children experiencing significant emotional challenges. Offering extended residential stays, daily outpatient services, and medication-assisted treatment including methadone, buprenorphine, or naltrexone, the facility tailors each recovery journey with methods like 12-step encouragement, emotional regulation training, and short-term counseling. Special therapeutic offerings are available for those with trauma histories and co-occurring conditions. Emphasizing superior support, Catholic Charities of Miami serves both men and women in pursuit of successful recovery.

Catholic Charities of Utica/Rome

Catholic Charities of Utica/Rome, situated in Utica, NY, provides extended residential care for adult women battling substance use disorders within a nurturing atmosphere. This establishment offers interim lodging, structured recovery housing, and sober living arrangements for individuals managing both mental health and substance dependency issues. The program employs proven therapeutic methods, including techniques for managing anger, cognitive restructuring, and motivational strategies, to adeptly meet each person's unique challenges. Emphasizing support for those with a history of trauma, the center serves adults, older adults, and younger adults in search of all-encompassing support within a women-only environment. Catholic Charities of Utica/Rome is committed to delivering superior rehabilitative services to foster enduring recovery.

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Situated in Utica, NY, Catholic Charities/Diocese of Syracuse provides high-quality substance abuse treatment in a long-term residential framework for adult males. This center delivers targeted care for individuals dealing with both mental health and substance abuse challenges, utilizing methods such as anger management, cognitive-behavioral therapy, and motivational techniques. Programs are customized for clients with a history of trauma. The center also features transitional housing and sober living options. Aimed at adult, senior, and younger adult males, this facility creates a nurturing atmosphere for individuals pursuing extensive rehabilitation support.

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Cayuga Addiction Recovery Services, located in Trumansburg, NY, provides extensive live-in treatment for adult males struggling with addiction and concurrent severe mental health issues. This establishment is particularly skilled in creating individualized plans for individuals with histories of intimate partner violence, domestic abuse, and sexual assault. Employing 12-step encouragement, emotional regulation strategies, and concise intervention methods, the center delivers holistic support to adults, older individuals, and younger adults. The round-the-clock residential atmosphere offers a nurturing space for men pursuing sobriety. Cayuga Addiction Recovery Services is dedicated to offering excellent services with a unique emphasis on tackling trauma and co-occurring conditions with empathy and efficacy.

Cazenovia Manor
Buffalo, NY

Cazenovia Manor, located in Buffalo, NY, is a premier rehabilitation facility dedicated to providing long-term residential treatment for adult men dealing with substance use issues. The center delivers extensive support for individuals who also face mental health challenges concurrently. By implementing proven strategies such as anger management, cognitive behavioral therapy, and motivational incentives, the program serves diverse age groups, including adults, seniors, and young adults in pursuit of recovery. Cazenovia Manor is distinguished by its commitment to addressing both substance use problems and significant mental health disorders, fostering an environment conducive to comprehensive healing. Renowned for its exemplary care and tailored programs, this center serves as a guiding light for those embarking on their path to sobriety.

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CED Fellowship House Inc, situated in Gadsden, AL, is a dedicated facility providing extensive care for substance use disorders. They offer varied residential durations, including extended stays, shorter programs, and round-the-clock services exclusively for adult men. The center employs specialized therapeutic methods such as 12-step encouragement, techniques for managing anger, and rapid intervention strategies. They are equipped to assist individuals facing concurrent mental health and substance abuse challenges, as well as those dealing with both pain and addiction. Primarily serving adult men, including seniors and younger adults, CED Fellowship House Inc prioritizes delivering effective treatment and assistance in a structured, encouraging setting for those aiming for recovery.

Cedar Mountain Center at

Situated in Cody, WY, Cedar Mountain Center offers an extensive range of addiction recovery services for both adults and young adults. With a focus on detoxification, treatment for substance use disorders, and addressing co-occurring mental health issues, the center provides round-the-clock hospital inpatient care. Utilizing evidence-driven methods such as cognitive behavioral therapy and 12-step support, clients benefit from care that is customized to meet their specific needs. The center also features specialized programs designed for individuals facing dual diagnoses. Committed to delivering high-quality and tailored treatment, Cedar Mountain Center fosters a nurturing atmosphere for all clients pursuing recovery from addiction and co-occurring conditions.

Celadon Recovery Center

Situated in Fort Myers, Florida, Celadon Recovery Center delivers extensive addiction treatment services for both adults and young adults. The center features long-term residential options, detox programs, and around-the-clock residential support. Its expertise lies in addressing substance use disorders, co-occurring mental health challenges, and emotional difficulties. By emphasizing 12-step approaches, anger management, and brief interventions, Celadon Recovery Center customizes its services to cater to the distinct needs of every individual. Specialized programs are offered for male and female adults, as well as clients who have faced intimate partner or domestic abuse. With a strong dedication to high-quality care, this center fosters a nurturing atmosphere conducive to healing and recovery.

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:

Find Long-term Residential by State

Browse long-term residential programs in states with the most treatment options.

Medically Reviewed Updated May 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)