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Medically Reviewed Content
Updated: September 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 2,186 long-term residential treatment centers across the United States.

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"Serving Children and Adults in Need" in Laredo, TX, is dedicated to assisting individuals with the complexities of addiction and concurrent serious mental health challenges. They provide various levels of inpatient care, including extended stays, round-the-clock support, and brief interventions. Their approach integrates proven methods like 12-step support, emotional regulation training, and cognitive restructuring. This center is particularly equipped to support adult men who have faced traumatic experiences. Their services are designed for men across different age groups—adults, seniors, and young adults—offering individualized pathways to recovery. The facility's dedication to excellence and bespoke treatment plans establishes it as a prime location for comprehensive healing and recovery.

Set Free Alaska
Wasilla, AK

Set Free Alaska is a prominent rehabilitation facility located in Wasilla, AK, dedicated to providing long-term residential treatment for substance abuse and concurrent mental health challenges in both adults and children. The center excels in methodologies such as 12-step facilitation, anger management, and brief intervention strategies. With a particular emphasis on adult women, including those who are pregnant or postpartum, Set Free Alaska offers targeted support for female clients. Their customized programs serve a diverse range of individuals, including adults, seniors, and young adults in need of thorough and empathetic care. Acknowledged for their exceptional services and innovative treatment options, Set Free Alaska is a reliable resource for those seeking effective and individualized addiction recovery solutions.

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Set Free Alaska, situated in Homer, Alaska, focuses on providing long-term residential care for adults facing substance use issues and co-occurring mental health disorders, as well as for children dealing with emotional challenges. The center utilizes proven methods, including 12-step programs, anger management techniques, and cognitive behavioral therapy. Specialized initiatives are designed for individuals who have undergone trauma and for those grappling with both mental health and substance abuse problems. Catering to adult, senior, and young adult males, Set Free Alaska emphasizes a thorough and personalized treatment process within a nurturing setting. Committed to promoting effective and lasting recovery, the center strives to meet the unique needs of each client.

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Seven Counties Services in Shelbyville, KY, provides comprehensive care for individuals struggling with addiction and co-occurring mental health conditions, serving both adults and children. The facility offers a range of residential options, including long-term, short-term, and 24-hour programs, all designed to deliver personalized support. Treatment methodologies employed include 12-step facilitation, brief intervention, and cognitive behavioral therapy. The center also features distinct programs developed specifically for women, alongside general services accessible to adults, seniors, and young adults. This specialized approach ensures dedicated and effective treatment for all seeking recovery from substance use disorders.

Seventy Times Seven
Baltimore, MD

Seventy Times Seven in Baltimore, MD, provides thorough addiction recovery services and supportive housing. This center excels in addressing dual diagnoses of substance abuse and significant mental health conditions in adults, along with severe emotional challenges in youth. Their offerings encompass inpatient hospital care, intensive outpatient therapy, and extended residential stays. The therapeutic approach combines cognitive behavioral techniques, motivational interviewing, and methods for preventing relapse. Designed for adult men, adult women, and individuals with co-occurring conditions, the center delivers customized support to adult men, women, and young adults. Clients can anticipate high-caliber treatment and specialized approaches to aid their path to wellness.

Shades of Hope Treatment Center

Shades of Hope Treatment Center, located in Buffalo Gap, TX, delivers a wide array of services for individuals battling substance use issues in a nurturing setting. The facility primarily emphasizes long-term residential rehabilitation, providing around-the-clock assistance through options like transitional housing, halfway houses, and sober living environments. The center adopts a variety of evidence-based methodologies, including 12-step programs, anger management, and cognitive behavioral therapy, addressing the needs of both adult men and women, including those who have faced sexual trauma. With a commitment to serving both adults and young adults, Shades of Hope Treatment Center ensures personalized care tailored to the unique experiences of male and female clients. Expect empathetic and efficient treatment designed to meet individual requirements at this center.

Shalom House
Dover, DE

Situated in Dover, DE, Shalom House provides extensive treatment for substance use and transitional housing aimed at adult males. This center excels in long-term residential support, ensuring clients receive assistance around the clock. Emphasizing strategies such as 12-step programs, brief interventions, and motivational rewards, Shalom House customizes its offerings to address the unique requirements of each individual. Specific initiatives are designed for active military members, adult males, and survivors of intimate partner violence. Catering to adult men of various ages, including seniors and young adults, this facility maintains a high standard of care within a nurturing setting. For those looking for a structured sober living environment, Shalom House is committed to supporting you throughout your recovery process.

Shalom House
Dover, DE

Shalom House, situated in Dover, DE, provides advanced substance abuse care within a long-term residential framework for adult males. The center excels in offering transitional living, halfway house services, and sober living options. Employing approaches like 12-step facilitation, brief intervention, and motivational rewards, Shalom House serves active military personnel, adult men, and survivors of domestic abuse. Catering to adults, seniors, and young adults, this facility delivers excellent, gender-focused recovery programs in an encouraging and organized setting.

ShareHouse Inc

ShareHouse Inc, located in Fargo, ND, provides an all-encompassing approach to substance abuse recovery, paired with transitional housing solutions including sober living facilities and halfway houses. Their services are designed for adults facing both substance use challenges and significant mental health concerns, as well as children dealing with emotional issues. With various options available, including long-term and short-term residential stays, the center utilizes proven methods such as 12-step programs, anger management techniques, and cognitive behavioral therapy. ShareHouse Inc is dedicated to offering tailored support for adult men, women, and individuals who have gone through trauma, ensuring high-quality, personalized care for all adults and young adults, regardless of gender.

ShareHouse Inc

ShareHouse Inc, situated in Fargo, ND, specializes in comprehensive care for adult men struggling with addiction and co-occurring mental health challenges. They provide both extended and brief residential stays, utilizing proven methods such as cognitive behavioral therapy and anger management. ShareHouse Inc is equipped to support individuals with a history of trauma, ensuring a secure and nurturing space for healing. Their approach includes strong emphasis on 12-step principles, offering complete services for adults, older adults, and younger adults. For individuals desiring a structured, gender-specific recovery program, ShareHouse Inc is committed to delivering exceptional, personalized treatment.

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 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.

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.

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 September 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)