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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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Freedom House Recovery Center in Durham, NC, is dedicated to providing extensive support for adult men battling substance use disorders, offering both treatment and transitional housing. The center emphasizes long-term residential care, utilizing proven therapeutic approaches such as 12-step facilitation, brief interventions, and motivational incentives. This specialized facility is designed to meet the distinct challenges faced by adult men in recovery. Serving a broad age range from young adults to seniors, the 24-hour residential program ensures continuous care and encouragement. By maintaining a male-only environment, Freedom House Recovery Center fosters a secure and supportive atmosphere conducive to achieving lasting sobriety.

Freedom Village
Sanborn, NY

Situated in Sanborn, NY, Freedom Village stands out as a leading rehabilitation facility focused on helping adult and senior men dealing with substance abuse issues. The center features long-term residential options and around-the-clock support, delivering personalized treatment plans that include 12-step programs, anger management techniques, and brief intervention strategies. Notably, it offers dedicated services for active military members and veterans, providing crucial assistance to those who have served. With a commitment to personalized care and a nurturing atmosphere, Freedom Village aims to empower clients toward sustainable recovery and enhanced well-being.

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Freeman Recovery Center LLC, situated in Burns, TN, provides extensive addiction treatment solutions. Their offerings include extended residential stays, inpatient detoxification, and round-the-clock residential supervision. Utilizing approaches such as 12-step facilitation, brief intervention, and cognitive behavioral therapy, the center serves adult men and women, as well as young adults. Specialized care is offered for adult men, adult women, and individuals with a history of trauma. Freeman Recovery Center LLC is committed to delivering excellent, tailored support for those pursuing lasting recovery.

Fresh Start Ministries of Central FL

Fresh Start Ministries of Central FL, located in Orlando, FL, provides extended residential care for men recovering from substance use disorders. Their focus includes transitional living, sober living, and halfway house services. The curriculum integrates 12-step principles, emotional regulation training, and brief therapeutic interventions. Specialized support is available for adult men, as well as those who have endured domestic abuse or sexual trauma. Catering to a broad age range from young adults to seniors, the center ensures continuous support within a nurturing atmosphere. Through personalized treatment plans and scientifically supported methods, Fresh Start Ministries of Central FL is committed to fostering sustainable sobriety.

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Fresh Start Treatment Facility located in Indianapolis, IN, provides a wide range of rehabilitation services designed for adults and young adults facing substance use challenges alongside mental health issues. The center offers various programs, including detoxification, intensive outpatient, long-term residential, and general outpatient treatment. Emphasizing 12-step support, anger management strategies, and brief therapeutic interventions, the facility is well-equipped to address the needs of those with histories of trauma, dual diagnoses, and pain management challenges. Catering to both men and women, Fresh Start Treatment Facility ensures that every client receives a customized recovery plan and exceptional care.

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Oakland, CA

Friendship House, situated in Oakland, CA, provides long-term residential services and around-the-clock support for women facing challenges related to substance use disorders. This center is known for its expertise in 12-step methods, anger management, and brief interventions. It offers customized programs aimed at adult women who have suffered from intimate partner violence, domestic violence, or sexual abuse. Catering to women of all ages, including seniors and young adults, Friendship House creates a secure and nurturing environment solely for females. With an emphasis on high-quality care and tailored services, this facility is an excellent option for individuals seeking thorough and empathetic treatment for addiction.

Friendship House
San Francisco, CA

Friendship House, situated in San Francisco, CA, provides long-term residential options and around-the-clock care for individuals undergoing substance use rehabilitation. The center excels in 12-step programs, anger management therapy, and brief intervention strategies. It serves both adult men and women, including individuals who have faced intimate partner or domestic violence. Catering to both adults and young adults, Friendship House offers tailored care for each gender. Committed to personalized treatment and high-quality support, this center stands as a vital resource for those in need of thorough rehabilitation services in a nurturing setting.

Friendship House Inc
Grand Island, NE

Friendship House Inc, located in Grand Island, NE, delivers dedicated substance abuse therapy and supportive transitional living accommodations specifically for adult males. This center delivers extended residential programs emphasizing 12-step principles, anger regulation strategies, and brief intervention techniques. Designed for men of all adult ages, this program cultivates a nurturing atmosphere conducive to healing. By concentrating on male individuals, Friendship House Inc commits to excellent care and personalized plans to foster sustained sobriety and a smooth return to community life. For individuals or their families searching for impactful addiction treatment within a structured residential environment, this establishment is committed to assisting in the attainment of long-term recovery aspirations.

Futures of Palm Beach

Located in Jupiter, FL, Futures of Palm Beach offers comprehensive addiction treatment for adults and young adults. This facility provides detoxification, substance use treatment, and specializes in co-occurring disorders involving serious mental health issues or emotional disturbances in children. With treatment options including intensive outpatient, long-term residential, and outpatient programs, the center employs approaches such as 12-step facilitation, anger management, and brief intervention. Futures of Palm Beach caters to both male and female clients, offering specialized programs for active duty military, trauma survivors, and individuals with co-occurring mental health and substance use disorders. Expect high-quality care and tailored treatment plans at this renowned rehabilitation center.

GAAMHA Inc
Gardner, MA

GAAMHA Inc, located in Gardner, MA, specializes in providing exceptional rehabilitation services with a focus on substance use treatment and transitional living for adult men. The center offers various programs, including inpatient hospital care, round-the-clock inpatient services, and long-term residential options. Notably, GAAMHA Inc employs effective strategies such as 12-step facilitation, anger management, and brief interventions. The facility is dedicated to supporting a wide range of clients, particularly adult men who have faced sexual abuse or trauma. Seniors, young adults, and men seeking high-quality care in a male-only setting can expect a nurturing and impactful environment during their rehabilitation process.

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Erie, PA

Situated in Erie, PA, Gage House stands as a leading recovery center providing diverse, expert treatment options. This facility offers extended, brief, and round-the-clock inpatient care for adults and adolescents struggling with addiction and co-occurring severe mental health conditions. Emphasizing strategies for sustained sobriety and therapy for trauma, Gage House customizes its methods to suit each person's unique journey. Specialized tracks are available for adult men, adult women, and individuals with a history of trauma, fostering a personalized and nurturing setting. Gage House's dedication to high-standard assistance positions it as an excellent selection for those pursuing thorough and successful recovery programs.

Galax Treatment Center Inc

Situated in Galax, VA, Galax Treatment Center Inc delivers a wide array of services aimed at helping individuals overcome substance use disorders and simultaneous mental health challenges. The center features inpatient detoxification and treatment programs with round-the-clock support. Employing methods like 12-step programs, anger management techniques, and concise interventions, the facility addresses various client needs. It also offers specialized programs tailored for active military, as well as distinct options for adult men and women. Catering to adults, seniors, and young adults of every gender, Galax Treatment Center Inc is committed to providing high-quality care and personalized treatment strategies to facilitate enduring recovery paths.

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Narragansett, RI

Situated in Narragansett, RI, Galilee Mission Inc delivers extended residential care for adult males facing issues related to substance use and concurrent mental health challenges. This center provides targeted treatment for those who experience both chronic pain and substance-related problems, employing proven methodologies such as 12-step facilitation and anger management. Galilee Mission Inc prioritizes high-quality, personalized care for adults, seniors, and young adults who are looking for thorough support in a 24/7 residential environment. The program focuses on concise interventions and customized treatment strategies to facilitate a comprehensive recovery process for male individuals requiring specialized assistance.

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Springfield, MA

Situated in Springfield, MA, Gandara Center Inc provides an extensive selection of services designed for adult men and seniors facing challenges related to substance use disorders. Emphasizing 12-step programs, anger management, and short-term interventions, this facility offers options including hospital inpatient care, long-term residential stays, and transitional housing. With a particular expertise in helping clients with HIV or AIDS alongside co-occurring mental health issues, Gandara Center Inc is recognized for its exceptional care and tailored programs for adult males. This center is well-suited for those in need of a nurturing environment to tackle addiction, focusing on personalized treatment strategies to support enduring recovery.

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Situated in Holyoke, MA, Gandara Residential Services for Women delivers a diverse array of specialized programs designed for adult women in need of substance abuse treatment and transitional housing solutions. This center offers various levels of care, including intensive outpatient care, long-term residential treatment, and outpatient services that incorporate techniques such as 12-step programs, anger management, and brief interventions. Emphasizing support for both substance use and significant mental health challenges, the facility addresses the needs of individuals who have faced intimate partner and domestic violence. Customized programs are provided for active duty service women, adult females, and individuals from different age brackets, including seniors and young adults, ensuring personalized assistance in a supportive, women-focused setting.

Gary E Miller Candian County

The Gary E Miller Canadian County facility in El Reno, OK, provides extended residential care for adults and children battling substance abuse and co-occurring mental health issues. Employing specialized therapeutic methods like 12-step facilitation, anger management, and cognitive behavioral therapy, the center delivers thorough support for those on their recovery journey. Dedicated programs for young people and individuals with dual diagnoses guarantee personalized support. The facility serves both genders, prioritizing effective, scientifically-backed treatments to promote enduring recovery and health for children and adolescents requiring targeted assistance.

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Marietta, PA

Situated in Marietta, PA, GateHouse delivers extensive treatment for substance use within a nurturing setting specifically designed for women. This center features long-term residential services alongside transitional housing and sober living alternatives. GateHouse is adept at handling issues related to intimate partner violence and sexual abuse, providing customized support for adult females. With an emphasis on 12-step programs, anger management, and short-term intervention strategies, the facility guarantees personalized attention for each client. Catering to adults, seniors, and younger adults, GateHouse is committed to offering high-quality and empathetic care for women pursuing recovery and wellness.

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Lititz, PA

GateHouse, situated in Lititz, PA, provides distinguished addiction treatment and extended-stay transitional housing specifically for adult men. This program concentrates on 12-step principles, strategies for managing anger, and concise intervention methods. GateHouse is particularly well-equipped to assist individuals who have faced intimate partner violence, domestic abuse, or sexual trauma. It serves as a secure and nurturing environment for men pursuing thorough recovery. Emphasizing personalized care plans for seniors, younger men, and adults, GateHouse is a leading facility committed to fostering sustained well-being and sobriety.

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Mountville, PA

Nestled in Mountville, PA, GateHouse stands as a thorough rehabilitation facility dedicated to extended residential care for adult men battling substance use disorders. They excel in providing transitional housing, halfway house, and sober living options. GateHouse delivers tailored support by employing methods like 12-step facilitation, anger management techniques, and brief interventions. Their distinctive offerings are designed for adult men who have endured intimate partner violence, domestic abuse, and sexual trauma. Serving adults, seniors, and young adults, the center prioritizes male clientele. GateHouse is committed to delivering excellent, customized support throughout each person's recovery path.

Gateway Community Services Inc

Gateway Community Services Inc, located in Jacksonville, FL, provides an extensive array of services for those battling addiction. The center features programs for detoxification, treatment of substance use disorders, transitional housing, and sober living arrangements. Catering to various needs, treatment options encompass intensive outpatient, long-term residential, and outpatient care. The facility emphasizes 12-step facilitation, anger management, and brief intervention techniques. There are also specialized programs designed for adolescents and for adult men and women. This center welcomes all individuals, including adults and children/adolescents of any gender, offering dedicated care and support for those on their journey to 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)