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Long-term Residential Treatment Centers

Written by Penn Spine and Rehab Editorial Team, CADC, LPC
Medically reviewed by Dr. James Mitchell, MD, FASAM
Last updated: March 27, 2026

Long-term residential programs provide extended care typically lasting 90 days to one year, offering individuals with chronic relapse histories or complex needs sufficient time to develop lasting recovery skills, heal relationships, and build a solid foundation for independent living.

Found 1,574 long-term residential treatment centers across the United States.

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Showing 20 of 1574 long-term residential treatment centers

All Points North Lodge
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All Points North Lodge

Edwards, CO

Situated in Edwards, CO, All Points North Lodge offers a wide variety of rehabilitation services tailored for both adults and young adults. The facility provides detoxification, substance use treatment, and specialized support for individuals facing co-occurring substance use and significant mental health challenges or emotional issues. With a range of treatment options that include intensive outpatient, long-term residential, and outpatient programs, the center is equipped to meet various needs. It employs an approach that integrates 12-step facilitation, anger management, and brief intervention techniques. Additionally, there are specialized programs designed for active-duty military members, as well as separate tracks for adult men and women. At All Points North Lodge, the emphasis is on delivering high-quality care and personalized treatment for all clients striving to overcome addiction.

Alpine Recovery Lodge
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Alpine Recovery Lodge

Alpine, UT

Situated in Alpine, UT, Alpine Recovery Lodge provides a wide array of treatment options for adults and young adults facing substance use disorders alongside mental health challenges. The facility offers intensive outpatient, long-term residential, and standard outpatient services, all grounded in evidence-based practices like 12-step facilitation, anger management, and brief interventions. Special programs are designed for adult men and women, as well as for individuals who have faced intimate partner or domestic violence. By concentrating on personalized care and gender-specific treatments, this center is committed to delivering top-notch rehabilitation services aimed at supporting clients in their journey toward lasting recovery.

Alpine Springs
+9 photos

Alpine Springs

Linesville, PA

Situated in Linesville, PA, Alpine Springs stands out as a top-notch rehabilitation center that provides long-term residential support along with round-the-clock care for detoxification and substance use treatment. The facility emphasizes 12-step facilitation, anger management, and brief intervention strategies. Catering to adult men and women, it also welcomes clients who have faced intimate partner or domestic violence. Offering customized programs for both adults and young adults, Alpine Springs delivers exceptional care within a nurturing atmosphere, making it an excellent option for those in search of thorough and effective addiction treatment.

Alpine Springs
+9 photos

Alpine Springs

Jamestown, PA

Located in Jamestown, PA, Alpine Springs specializes in rehabilitation services tailored for adults and young adults facing substance use disorders. This facility provides a thorough long-term residential treatment program, which includes residential detoxification and round-the-clock care. Emphasizing a variety of approaches such as 12-step facilitation, anger management, and brief interventions, Alpine Springs serves both men and women, including those who have experienced intimate partner violence or domestic violence. The center's gender-specific programs prioritize individualized care, creating a nurturing environment for recovery. Committed to offering high-quality, personalized treatment, Alpine Springs aims to empower clients on their journey to lasting sobriety and overall wellness.

Alta Centers Inc
+9 photos

Alta Centers Inc

Los Angeles, CA

Situated in Los Angeles, CA, Alta Centers Inc provides a wide range of addiction treatment services. The facility focuses on detoxification and addressing substance use, offering long-term residential care, residential detoxification, and around-the-clock support. Their program combines various methods, including 12-step facilitation, brief intervention, and cognitive behavioral therapy. What sets Alta Centers Inc apart is its specialized programs for active duty military personnel, as well as tailored services for adult men and women. Catering to both adults and young adults, they ensure personalized care for all clients, regardless of gender. With an emphasis on quality and individualized treatment, this facility stands out as a premier option for anyone looking for effective and compassionate rehabilitation services.

Alta Mira Recovery Center LLC
+9 photos

Alta Mira Recovery Center LLC

Sausalito, CA

Alta Mira Recovery Center LLC, located in Sausalito, CA, provides an extensive array of treatment programs designed to address both substance use disorders and co-occurring mental health issues. The facility emphasizes long-term residential care, residential detoxification, and around-the-clock support. Utilizing evidence-based practices, they incorporate methods like 12-step facilitation, anger management, and brief intervention to enhance recovery outcomes. The center places a strong emphasis on specialized programs tailored for adult men and women, including those who have faced trauma. This ensures that both adults and young adults receive the personalized care they need. Recognizing the significance of gender-specific treatment, Alta Mira Recovery Center LLC is dedicated to offering customized services for individuals of all genders, creating a nurturing and inclusive atmosphere for every client.

Amity Foundation
+9 photos

Amity Foundation

Tucson, AZ

Situated in Tucson, AZ, the Amity Foundation provides extensive long-term residential treatment designed for adults grappling with substance use issues and serious co-occurring mental health disorders, as well as addressing significant emotional challenges in children. The facility employs a variety of therapeutic methods, including 12-step facilitation, anger management, and cognitive behavioral therapy, offering personalized care for active duty military personnel, along with adult men and women. With distinct programs tailored for both adult and young adult participants of all genders, the center fosters a nurturing and inclusive atmosphere for those seeking high-quality rehabilitation services. What sets the Amity Foundation apart is its dedication to evidence-based practices and a holistic approach, ensuring that individuals receive comprehensive support on their journey to recovery from addiction.

Amethyst House
+5 photos

Amethyst House

Bloomington, IN

Amethyst House, situated in Bloomington, IN, provides long-term residential treatment for adult men dealing with substance use issues. The facility has particular expertise in addressing co-occurring substance use disorders alongside serious mental health conditions in adults, as well as significant emotional disturbances in children. The program employs a range of therapeutic approaches, including 12-step facilitation, cognitive behavioral therapy, and motivational interviewing, making it suitable for adults, seniors, and young adults alike. With its emphasis on supporting male clients, Amethyst House is dedicated to delivering high-quality care in a nurturing environment, guiding individuals on their path to recovery.

Allegany County Health Deptartment
+3 photos

Allegany County Health Deptartment

Cumberland, MD

Situated in Cumberland, MD, the Allegany County Health Department provides a wide range of substance use treatment services within a nurturing setting. As a long-term residential facility, it offers transitional housing and sober living arrangements for both adults and young adults. The center focuses on personalized care, employing specialized programs that address individual needs. Utilizing evidence-based methods, their offerings include 12-step facilitation, anger management, and brief interventions. The facility serves both male and female clients, ensuring that care is tailored to be gender-specific. If you’re looking for effective addiction treatment that prioritizes personalized support, this center is committed to guiding you on your journey toward lasting recovery.

Amity Foundation
+3 photos

Amity Foundation

Los Angeles, CA

The Amity Foundation, situated in Los Angeles, CA, provides long-term residential treatment for adult men dealing with substance use issues, all within a nurturing atmosphere. They offer various options, including transitional housing, halfway houses, and sober living homes. Their program emphasizes 12-step facilitation, anger management, and brief intervention techniques, specifically designed for individuals who have faced trauma and those navigating the criminal justice system. Focusing on adult males, including seniors and young adults, the center is dedicated to delivering exceptional care to help individuals progress on their recovery journey. If you or someone you care about is searching for thorough substance use treatment, the Amity Foundation may be an excellent choice for achieving lasting change.

Alpha Home Inc
+1 photos

Alpha Home Inc

San Antonio, TX

Alpha Home Inc, situated in San Antonio, TX, provides an extensive array of long-term residential treatment programs designed to tackle substance use disorders alongside serious mental health issues in adults. Additionally, they cater to children dealing with significant emotional challenges. The center places a particular emphasis on offering specialized care for adult women, including those who have faced intimate partner violence, domestic abuse, and sexual trauma. With a strong commitment to approaches such as 12-step facilitation, anger management, and brief interventions, Alpha Home Inc guarantees quality care and support for women at every stage of life, from young adults to seniors.

Alpha Home Inc
+1 photos

Alpha Home Inc

San Antonio, TX

Situated in San Antonio, TX, Alpha Home Inc is dedicated to offering a variety of specialized treatment programs for substance use and co-occurring disorders, catering to both adults and children. Their services include intensive outpatient treatment, long-term residential care, and outpatient options, all designed to deliver personalized care. The facility employs diverse approaches, including 12-step facilitation, anger management, and brief intervention. Alpha Home Inc is focused on supporting adult men and women, along with those who have faced intimate partner or domestic violence. With a commitment to serving adults and young adults of all genders, this center strives to provide quality care that addresses each person's unique needs.

Align Group Homes

Align Group Homes

San Tan Valley, AZ

Situated in San Tan Valley, AZ, Align Group Homes is dedicated to providing long-term residential treatment for substance use in a nurturing atmosphere. The facility features transitional housing, halfway house, and sober living options designed for both adult men and women. They also offer specialized programs specifically for active-duty military members. With an emphasis on 12-step facilitation, anger management, and brief intervention techniques, this center serves young adults as well as older individuals who are in need of quality support. Align Group Homes is committed to assisting individuals of all genders on their path to recovery, ensuring a personalized approach to treatment.

Alpha II Womens Program

Alpha II Womens Program

Secaucus, NJ

Situated in Secaucus, NJ, the Alpha II Women's Program stands out as a premier rehabilitation center focused on treating substance use disorders and co-occurring issues in adult women. This facility offers long-term residential care, ensuring around-the-clock support for its residents. It employs a variety of evidence-based methods, including 12-step facilitation, anger management, and brief intervention strategies. The program specifically serves adult women, seniors, and young adults who have faced intimate partner violence, domestic violence, or sexual abuse. Committed to delivering quality care and personalized support, this center creates a safe and empowering space for women on their journey to recovery and healing.

Alternative Counseling Associates

Alternative Counseling Associates

Pottstown, PA

Alternative Counseling Associates, located in Pottstown, PA, provides long-term residential treatment for adult men struggling with substance use. They offer transitional housing along with sober living arrangements. This facility is dedicated to 12-step facilitation, anger management, and brief interventions, specifically addressing the needs of those who have endured intimate partner violence, domestic violence, and sexual abuse. Catering to a diverse clientele that includes adults, seniors, and young adults, Alternative Counseling Associates emphasizes personalized care and support. With a program tailored specifically for men, they foster a safe and nurturing environment for clients in need of comprehensive rehabilitation services.

Amethyst House

Amethyst House

Bloomington, IN

Situated in Bloomington, IN, the Amethyst House offers exceptional long-term residential rehabilitation programs specifically designed for adult women facing substance use issues alongside serious mental health conditions. The facility employs a unique treatment strategy that blends 12-step facilitation, cognitive behavioral therapy, and motivational interviewing. Catering to a wide range of adult women, including seniors and young adults, these programs provide a supportive atmosphere conducive to recovery. The center is distinguished by its dedication to quality care and personalized treatment plans, all aimed at empowering clients to attain enduring sobriety and mental well-being.

Amethyst House

Amethyst House

Staten Island, NY

Amethyst House, situated in Staten Island, NY, is a dedicated rehabilitation center that focuses on providing long-term residential care for adult women facing substance use challenges. The facility creates a nurturing atmosphere that welcomes seniors, young adults, and individuals from all walks of life. Emphasizing a combination of 12-step facilitation, anger management, and cognitive behavioral therapy, Amethyst House customizes its methods to cater to the distinct needs of every resident. Its strong commitment to delivering quality care and specialized programs for adult women positions it as a reliable resource for those in search of compassionate and effective addiction treatment services.

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Allegiance Rehabilitation Center

Sidman, PA

Allegiance Rehabilitation Center, situated in Sidman, PA, offers an extensive array of treatment options for those facing addiction challenges. The facility features long-term residential care, detoxification services, and around-the-clock residential support. Their approach skillfully integrates 12-step facilitation, anger management, and brief intervention techniques to effectively tackle issues related to substance use disorders. With specialized programs tailored for adult men, adult women, and clients who have endured sexual abuse, Allegiance Rehabilitation Center embraces a wide diversity of individuals. The center is committed to providing personalized care and support to adults and young adults of all genders, guiding each person on their unique path to recovery.

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Alpha House Inc

Pittsburgh, PA

Situated in Pittsburgh, PA, Alpha House Inc provides extensive substance use treatment options for both adults and young adults. The facility features long-term residential, outpatient, and regular outpatient programs that are designed to meet the unique needs of each individual. Emphasizing 12-step facilitation, anger management, and brief intervention strategies, Alpha House Inc serves adult men and women, including those living with HIV or AIDS. Additionally, with specialized programs tailored for both male and female clients, this center is committed to delivering high-quality care to a wide variety of individuals in search of effective rehabilitation services.

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Altus Rehab

Encino, CA

Altus Rehab, located in Encino, CA, provides a wide range of addiction treatment services designed for both adults and young adults. The facility is particularly focused on long-term residential programs, along with residential detoxification and around-the-clock support for individuals dealing with substance use disorders. At Altus Rehab, a variety of therapeutic approaches are utilized, including 12-step facilitation, anger management, and brief interventions. Understanding that each person has unique needs, the center offers specialized programs tailored for adult men, adult women, and clients who have gone through trauma. By maintaining separate programs for male and female clients, Altus Rehab fosters a supportive atmosphere that caters to everyone. Discover quality care and customized treatment options at Altus Rehab, where your journey to recovery is guided with compassion and understanding.

About Long-term Residential

Long-term residential treatment provides extended care for individuals who need more time to develop recovery skills, heal from trauma, and build a foundation for lasting sobriety. At Penn Spine and Rehab, we help you find programs offering 90 days to a year or more of structured support.

Who Benefits from Long-Term Care

Long-term residential is often recommended for individuals with:

  • Chronic relapse histories despite previous treatment
  • Long-standing addiction (years or decades of use)
  • Severe co-occurring mental health conditions
  • Limited or unsafe living situations
  • History of trauma requiring extended therapeutic work
  • Need to rebuild life skills and vocational abilities

What Makes Long-Term Treatment Different

Beyond standard residential treatment, long-term programs often include vocational training, educational opportunities, work therapy, and gradual reintegration into community life. The extended timeframe allows for deeper therapeutic work and more lasting behavioral change.

Types of Long-Term Programs

Options include therapeutic communities, extended care facilities, faith-based programs, and sober living with integrated treatment. Some programs offer transitions from intensive treatment to outpatient care while maintaining residential housing.

Key Statistics: Long-term Residential

90+ days

minimum recommended for chronic relapse cases

Source: NIDA

65%

abstinence rate at 5-year follow-up for therapeutic community graduates

Source: Journal of Substance Abuse Treatment

40%

reduction in criminal recidivism from long-term treatment

Source: National Institute of Justice

3x

improvement in employment outcomes vs. short-term treatment

Source: SAMHSA

Conditions Best Suited for Long-term Residential

Extended treatment allows time for brain recovery and building coping mechanisms

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Meth-related cognitive deficits require months of recovery before effective therapy

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Complex mental health conditions need extended integrated treatment

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Breaking deep-rooted stimulant patterns benefits from prolonged structured support

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What to Expect: Long-term Residential Process

1

Orientation Phase

Weeks 1-4

Medical stabilization, program orientation, community integration, initial treatment planning, and establishing daily routines.

2

Primary Treatment

Months 2-3

Intensive individual and group therapy, trauma processing, skill development, educational assessments, and beginning vocational exploration.

3

Reintegration Phase

Months 4-6

Work therapy, educational programs, increasing community involvement, family reconnection, and practicing independent living skills.

4

Transition Phase

Months 6-12

Job placement support, sober living transition, outpatient care setup, alumni community connection, and comprehensive aftercare planning.

Frequently Asked Questions: Long-term Residential

Medical Disclaimer

This information is for educational purposes only and does not constitute medical advice. The appropriate level of care depends on individual circumstances and should be determined through a professional assessment. Always consult a qualified healthcare provider or addiction specialist before making treatment decisions.

Long-Term Residential Rehab Programs | Penn Spine and Rehab