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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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Medford, OR

OnTrack Inc, located in Medford, OR, is dedicated to providing tailored substance use therapy and temporary living arrangements specifically for adult females. This establishment offers extended residential support, emphasizing strategies for managing anger, immediate counseling, and cognitive behavioral techniques. Designed to assist individuals with past trauma and those facing intertwined mental health and substance use challenges, OnTrack Inc delivers complete services for adults, older adults, and younger adults. The center's dedication to high standards and personalized care positions it as a premier option for women looking for a nurturing setting to conquer addiction and attain sustained well-being.

Ona Treatment Center
Browns Valley, CA

Ona Treatment Center, situated in Browns Valley, CA, delivers extensive care for adults and adolescents facing addiction and co-occurring mental health challenges. The center provides a range of program lengths, including extended, live-in, and brief durations, utilizing specialized therapeutic methods such as 12-step support, emotion regulation training, and brief counseling. Distinctive offerings are available for individuals with a history of trauma or dual diagnoses. Catering to both men and women, this institution is dedicated to offering high-caliber support and a secure, organized setting for those pursuing sobriety.

One Twelve
Hopkins, MN

Situated in Hopkins, MN, One Twelve delivers extensive treatment for substance use within a nurturing setting. This center is dedicated to long-term residential care and provides round-the-clock assistance to adult men dealing with addiction issues. Emphasizing the 12-step approach and relapse prevention, the program encompasses counseling for substance use disorders. One Twelve is notable for its specialized services aimed at active duty military members, adult men, and those who have gone through experiences of intimate partner violence. Catering to a diverse population that includes adults, seniors, and young adults, this facility focuses on high-quality care and a gender-specific strategy to support individuals in their recovery journey.

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Wooster, OH

OneEighty, situated in Wooster, OH, provides a wide range of addiction treatment options specifically designed for adult women. The center is known for its emphasis on long-term residential programs, detoxification services, and round-the-clock support for residents. Prioritizing methods such as 12-step work, anger management, and brief intervention strategies, OneEighty tailors its approach for clients who have faced trauma, domestic abuse, or intimate partner violence. Catering to women of all ages—including adults, seniors, and younger adults—the facility creates a welcoming and nurturing atmosphere for those seeking help with substance use issues. The center's exceptional programs and focused services position it as an outstanding choice for individuals in need of compassionate and effective rehabilitation.

Onward Behavioral Health

Onward Behavioral Health, situated in Hammonton, NJ, provides a wide array of addiction recovery services tailored for both adults and young adults. The center specializes in inpatient detoxification and treatment targeting substance use disorders alongside overlapping mental health issues. Onward Behavioral Health creates customized programs for various demographics, including active military personnel, men, and women. Utilizing evidence-based methods like 12-step facilitation, anger management strategies, and brief therapeutic interventions, the center prioritizes effective treatment. With an emphasis on personalized care and high-quality service, this facility stands out as an excellent option for individuals on their journey to recovery from addiction.

Open Door Missions

Long-term residential substance use treatment for adult men is provided at this Omaha, Nebraska mission program, which also operates transitional and sober housing. Services cover veterans and men with co-occurring mental health disorders. No payment is accepted, and payment assistance is available.

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Open Sky Community Services, situated in Douglas, MA, provides comprehensive, long-term residential and round-the-clock support for adults and young adults confronting addiction and complex mental health challenges. Employing a multi-faceted approach that includes anger management, cognitive behavioral therapy, and motivational interviewing, the facility delivers targeted interventions for individuals with a history of trauma, intimate partner violence, domestic violence, or sexual assault. The center offers distinct programs for male and female residents, emphasizing high-quality care and a complete approach to recovery in a nurturing setting.

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Saint Petersburg, FL

Operation PAR Inc, located in Saint Petersburg, FL, provides a wide range of substance use treatment options, including long-term residential, 24-hour residential, and short-term residential programs. The center employs evidence-based methods like 12-step facilitation, brief interventions, and cognitive behavioral therapy to ensure effective care. Specialized programs are available for adolescents, LGBTQ individuals, and seniors, allowing for tailored treatment plans. Operation PAR caters to adults, children, and adolescents of all gender identities. Committed to delivering personalized care through diverse programs, this center focuses on aiding individuals in their journey to overcome addiction and attain sustainable recovery.

Operation PAR Inc

Operation PAR Inc, located in Largo, FL, delivers extensive treatment options for substance use within a nurturing setting. This center features a variety of programs, including long-term and short-term solutions, alongside round-the-clock residential care for adult clients, including those who have faced trauma. Emphasizing 12-step support, brief intervention strategies, and cognitive behavioral therapy, the facility assists both men and women, as well as young adults. Operation PAR Inc is distinguished by its specialized offerings that address the unique needs of different populations. The center prioritizes high-quality care and utilizes evidence-based practices, making it an excellent option for those in need of effective and empathetic addiction recovery services.

Operation PAR Inc

Operation PAR Inc, situated in Largo, FL, delivers exceptional addiction recovery services for adult women within a secure and encouraging setting. This institution features a range of treatment durations, encompassing extended stays, shorter programs, and round-the-clock residential care. Prioritizing personalized attention, the center employs scientifically validated methods including 12-step program integration, brief counseling, and cognitive behavioral techniques. Operation PAR Inc also extends its specialized services to diverse groups, such as LGBTQ individuals, expectant and new mothers, and older adults. For those pursuing substance abuse treatment with a customized plan and complete assistance, this center is committed to guiding you toward wellness.

Opus Health LLC
Costa Mesa, CA

Opus Health LLC, located in Costa Mesa, CA, provides extensive addiction recovery services in a compassionate atmosphere. This center offers long-term residency options, detox programs, and round-the-clock support for those aiming to conquer substance use issues. Emphasizing approaches such as 12-step support, anger management, and short-term interventions, they customize treatment strategies to fit each person's unique requirements. Opus Health LLC features specialized services for both adult men and women, accommodating individuals of all ages. Dedicated to delivering high-quality care, this center creates a secure and encouraging environment for healing and recovery.

Opus Health LLC
Costa Mesa, CA

Opus Health LLC, located in Costa Mesa, CA, delivers thorough care for addiction. Their services include extended stays in a residential setting, detox services on-site, and constant support for adults and young adults. The center focuses on methods like 12-step support, managing anger, and quick intervention to tackle substance abuse issues. They offer specific treatment plans designed for adult men and women, ensuring care is adjusted to the individual based on their gender and age. Clients will find excellent, proven treatments within a nurturing atmosphere that promotes healing. For individuals searching for effective, specialized help with addiction, this center is notable for its commitment to customized treatment and a wide array of services.

Orchard on the Brazos Recovery

Situated in Wallis, TX, Orchard on the Brazos Recovery delivers a wide array of addiction recovery services targeted at both adults and young adults. The center provides detox programs, addiction therapy, and focused support for co-occurring substance use disorders and serious mental health challenges in adults, as well as emotional issues in children. Treatment modalities available include intensive outpatient care, long-term residential options, and outpatient services. Orchard on the Brazos Recovery employs evidence-based methods like 12-step programs, anger management training, and brief interventions. The facility features specialized programs for adult men and women, along with support for those affected by domestic violence. Dedicated to providing exceptional care, this center develops personalized treatment strategies aimed at achieving sustainable recovery for all clients.

Oregon Trail Recovery LLC

Oregon Trail Recovery LLC, located in Portland, OR, delivers extensive support for substance abuse recovery, including integrated transitional living accommodations. Their offerings encompass intensive outpatient care, extended residential stays, and standard outpatient programs. Emphasizing 12-step guidance, emotional regulation techniques, and short-term counseling strategies, the center welcomes adult men and women, as well as individuals with trauma histories. This establishment, serving adults and young adults across all gender identities, is recognized for its high standards of care and customized treatment plans designed for each person's journey. Oregon Trail Recovery LLC provides a nurturing setting for individuals aiming to conquer addiction and foster personal growth.

Orenda Center for Wellness LLC

Situated in Sabillasville, MD, the Orenda Center for Wellness LLC delivers targeted assistance for adult women dealing with substance use issues within a nurturing and secure atmosphere. This center features a range of options including long-term, short-term, and 24-hour residential treatment programs that utilize research-backed methods such as cognitive behavioral therapy and 12-step support. The facility particularly addresses the needs of those who have undergone intimate partner violence, domestic violence, and sexual abuse, ensuring that clients with co-occurring substance use and significant emotional challenges receive tailored care. It serves seniors, adults, and young adults alike, offering exceptional support and comprehensive treatment solutions.

Orenda Center of Wellness

Situated in Buckeystown, MD, the Orenda Center of Wellness delivers exceptional rehabilitation services aimed at adult males facing challenges related to substance use disorders alongside concurrent mental health issues. The facility presents various treatment options, including long-term, residential, and short-term programs, emphasizing 12-step methods, cognitive behavioral therapy, and motivational incentives. Tailored programs are available for those who have encountered intimate partner violence, domestic violence, and sexual abuse. This center is recognized for its commitment to providing attentive care to adults, seniors, and young adults, creating a nurturing atmosphere for male clients in pursuit of thorough and impactful treatment.

Origins Recovery Centers
South Padre Island, TX

Origins Recovery Centers, located in South Padre Island, TX, provides a wide range of addiction treatment options designed for both adults and young adults. The center emphasizes detoxification, treatment for substance use disorders, and addressing co-occurring mental health issues, all within a nurturing long-term residential setting. The facility utilizes customized strategies including 12-step programs, anger management techniques, and brief intervention methods to support men and women, as well as those who have faced sexual abuse. By prioritizing individualized treatment plans and gender-specific services, Origins ensures each client has a unique and effective rehabilitation experience. Discover exceptional care in a tranquil environment at Origins Recovery Centers.

Oro House
Los Angeles, CA

Oro House, situated in Los Angeles, California, is dedicated to providing high-quality addiction recovery services for both adults and young adults. The center specializes in detoxification, treatment for substance use disorders, and addressing co-occurring issues. It features a long-term residential care model that emphasizes 12-step programs, anger management, and brief intervention techniques. With specifically designed programs for active duty military personnel, as well as adult men and women, Oro House prioritizes personalized treatment for each individual. Clients can expect extensive services aimed at fostering sustainable recovery, whether they are looking for residential detox or around-the-clock assistance. The center is recognized for its commitment to promoting sobriety and mental health in a nurturing atmosphere.

Oro House
Malibu, CA

Nestled in Malibu, California, Oro House delivers premier recovery solutions for individuals of all ages facing addiction and associated mental health challenges. Their offerings encompass extended residential stays, beginning with detox and continuing with continuous round-the-clock support. Oro House also features tailored programs designed for active service members, adult men, and adult women. Emphasizing 12-step integration, emotional regulation skills, and concise therapeutic interventions, Oro House guarantees effective, gender-tailored care for all. Those pursuing thorough and individualized addiction care can rely on Oro House for proven methods and skilled guidance within a peaceful Malibu environment.

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Oshki Maaji New Beginnings in Lanse, MI, is a dedicated facility providing extensive support for individuals addressing substance use challenges and requiring temporary accommodation. The center features extended-stay residential treatment grounded in proven methodologies like cognitive behavioral therapy and motivational interviewing. Emphasizing 12-step program integration, Oshki Maaji New Beginnings serves adult men and women, accommodating those with co-occurring psychiatric disorders. This establishment is particularly adept at assisting clients with intricate requirements, fostering a nurturing atmosphere for both adults and young adults, and delivering personalized care designed for each person's distinct path to wellness.

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 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)