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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

Sacramento Recovery Homes Inc
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Sacramento Recovery Homes Inc

Sacramento, CA

Situated in Sacramento, CA, Sacramento Recovery Homes Inc provides specialized treatment programs for substance use in an inviting and secure atmosphere. The facility offers a range of options including long-term residential, 24-hour residential, and short-term residential programs, all designed specifically for adult women facing addiction challenges. Their holistic approach features 12-step facilitation, anger management, and cognitive behavioral therapy. They also provide unique programs for adult women, individuals who have encountered trauma, as well as those dealing with both mental health and substance use disorders. Sacramento Recovery Homes Inc prioritizes quality care, catering to adults, seniors, and young adults who are looking for recovery in a supportive female-only environment.

Saint Annes Home
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Saint Annes Home

Chicago, IL

Saint Annes Home, situated in Chicago, IL, provides long-term residential care for adult women who are looking for substance use treatment in a nurturing and secure setting. The facility is dedicated to transitional housing and halfway house services, specifically designed for clients recovering from intimate partner violence, domestic violence, and sexual abuse. By employing evidence-based methods such as 12-step facilitation and contingency management, the center delivers thorough care for both young adults and adults. With an emphasis on empowering women on their journey to recovery, Saint Annes Home prioritizes quality treatment through tailored programs and heartfelt support.

SMA Adult Residential
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SMA Adult Residential

Ocala, FL

SMA Adult Residential, situated in Ocala, FL, provides long-term residential treatment for substance use, catering specifically to adult men and women. The facility operates around the clock, employing methods like 12-step facilitation, brief intervention, and cognitive behavioral therapy to support recovery. With customized programs designed for both adult men and women, SMA Adult Residential ensures each individual receives the specialized care they need. The center creates a nurturing environment for both adults and young adults, emphasizing quality care and thorough support for those pursuing effective treatment for substance use disorders.

Sacred Oaks Healing Center
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Sacred Oaks Healing Center

Davis, CA

In Davis, CA, you'll find Sacred Oaks Healing Center, a facility dedicated to long-term residential treatment for young people dealing with substance use issues. Specializing in areas such as anger management, cognitive behavioral therapy, and motivational incentives, this center is equipped to help both boys and girls. It creates a nurturing and secure atmosphere, ideal for adolescents facing addiction challenges. The center adopts a holistic approach to treatment, guaranteeing that each individual receives the comprehensive care and support they need on their path to recovery. What sets Sacred Oaks Healing Center apart is its unwavering focus on adolescents, along with its dedication to delivering effective and compassionate addiction treatment services.

STEP2
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STEP2

Reno, NV

Situated in Reno, NV, "STEP2" specializes in providing a wide array of substance use treatment services designed specifically for adult women. This facility features intensive outpatient treatment, long-term residential programs, and various outpatient services that utilize evidence-based methodologies such as cognitive behavioral therapy, the Matrix Model, and motivational interviewing. STEP2 is particularly focused on helping clients who have endured intimate partner violence, domestic violence, and sexual abuse, creating a safe and nurturing space for adults, seniors, and young adults alike. With an emphasis on serving female clients, the center also offers transitional housing, a halfway house, and sober living options, all aimed at delivering high-quality care and personalized support tailored to each person's unique path to recovery.

Safe Harbor Recovery LLC
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Safe Harbor Recovery LLC

Warren, OH

Safe Harbor Recovery LLC, located in Warren, OH, provides a broad spectrum of long-term residential substance use treatment programs specifically designed for adult men. The center is particularly equipped to assist clients who have faced sexual abuse or trauma, creating a safe and nurturing environment for their healing process. Employing a combination of 12-step facilitation, anger management, and cognitive behavioral therapy, Safe Harbor Recovery ensures a comprehensive approach to recovery. Residents benefit from continuous care, with services including residential detoxification and a 24-hour residential setting, making it a great choice for adults and young adults in need of personalized and effective addiction treatment. The facility is dedicated to delivering quality care and individualized support, setting it apart in the field of recovery services.

Safe Refuge
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Safe Refuge

Long Beach, CA

Nestled in Long Beach, CA, Safe Refuge provides a wide array of rehabilitation services tailored to meet diverse needs. This center specializes in treating substance use issues and also offers transitional housing and sober living options. Additionally, it addresses co-occurring substance use and serious mental health conditions for adults, as well as emotional disturbances in children. At Safe Refuge, you’ll find various treatment formats, including intensive outpatient care, long-term residential stays, and outpatient programs. The center is equipped with evidence-based strategies such as 12-step facilitation, anger management, and cognitive behavioral therapy. With dedicated programs for active-duty military personnel and for both adult men and women, Safe Refuge is committed to catering to a broad spectrum of individuals. Whether for adults or young adults of any gender, the facility aims to deliver exceptional care and support to those on their path to recovery.

Safe Refuge
+1 photos

Safe Refuge

Long Beach, CA

Safe Refuge, situated in Long Beach, CA, offers a wide array of substance use treatment options for both adults and young adults. This center is dedicated to addressing co-occurring substance use disorders along with significant mental health challenges or emotional issues. Their treatment spectrum includes intensive outpatient care, long-term residential programs, and standard outpatient services. Safe Refuge employs evidence-based methods such as 12-step facilitation, anger management, and cognitive behavioral therapy to facilitate recovery. Additionally, they provide specialized programs designed for active duty military personnel, as well as tailored support for adult men and women, ensuring that individuals receive the care that best fits their unique needs. The facility takes pride in offering high-quality, gender-specific treatment, helping individuals navigate their path to recovery.

Safe Refuge
+1 photos

Safe Refuge

Long Beach, CA

Situated in Long Beach, CA, Safe Refuge provides a wide array of substance use treatment services designed for both adults and young adults. This facility is equipped to deliver specialized care to those grappling with co-occurring substance use and significant mental health issues. With options for long-term residential, short-term residential, and around-the-clock residential programs, Safe Refuge customizes its treatment plans to meet the unique needs of each person. The center utilizes evidence-based methods such as 12-step facilitation, anger management, and cognitive behavioral therapy. Additionally, Safe Refuge offers specialized programs for active duty military members, as well as separate services tailored for adult men and women. Committed to delivering high-quality care, this facility ensures a supportive atmosphere with gender-specific treatment, fostering an effective environment for recovery.

Saginaw Odyssey House Inc
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Saginaw Odyssey House Inc

Saginaw, MI

Situated in Saginaw, MI, Saginaw Odyssey House Inc offers a range of rehabilitation services designed specifically for adult women facing challenges with substance use alongside serious mental health issues. The facility emphasizes long-term residential care, outpatient services, and regular outpatient treatment options. Their specialized programs cater to individuals who have experienced intimate partner violence, domestic violence, and sexual abuse. By employing techniques such as anger management, brief intervention, and cognitive behavioral therapy, this center serves adults, seniors, and young adults alike. Exclusively providing a safe and nurturing environment for women, Saginaw Odyssey House Inc is dedicated to delivering high-quality care that addresses the unique needs of each resident.

SE Council on Alc and Drug Dep Inc
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SE Council on Alc and Drug Dep Inc

Norwich, CT

The SE Council on Alc and Drug Dep Inc, located in Norwich, CT, provides long-term residential treatment for adult men dealing with substance use issues. In addition to this, the facility also offers transitional housing and sober living options. It is particularly skilled in addressing co-occurring substance use disorders along with serious mental health conditions in adults, as well as emotional challenges in children. With an emphasis on relapse prevention and counseling for substance use disorders, the center serves a diverse group, including seniors, young adults, and older adults. At SE Council on Alc and Drug Dep Inc, individuals can expect quality care and support as they navigate their journey toward comprehensive addiction recovery in a structured residential environment.

SMA Outpatient and Womens Residential
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SMA Outpatient and Womens Residential

Bunnell, FL

Situated in Bunnell, FL, SMA Outpatient and Women’s Residential is dedicated to offering both long-term residential and outpatient programs specifically designed for substance use treatment. The facility emphasizes a blend of approaches, including 12-step facilitation, cognitive behavioral therapy, and motivational interviewing, which are tailored to meet the needs of adult women, pregnant or postpartum women, seniors, young adults, and men. This center prides itself on its ability to furnish individualized care, catering to both male and female clients. With its extensive range of services and a firm commitment to delivering high-quality treatment, SMA Outpatient and Women’s Residential is recognized as a premier option for those in search of effective and personalized support for addiction recovery.

SMOC Behavioral Healthcare
+1 photos

SMOC Behavioral Healthcare

Framingham, MA

Nestled in Framingham, MA, SMOC Behavioral Healthcare specializes in substance use treatment within a nurturing environment. This facility features both long-term residential and around-the-clock residential programs tailored for adults and young adults. By employing strategies such as 12-step facilitation, brief intervention, and cognitive behavioral therapy, the center serves adult men, women, and those who are pregnant or postpartum. With an emphasis on personalized care, SMOC Behavioral Healthcare is committed to delivering quality treatment for all clients, regardless of gender. If you're on the lookout for comprehensive addiction treatment with diverse specialized programs, this facility might just be the ideal fit for your recovery path.

SCADD Lebanon Pines

SCADD Lebanon Pines

Lebanon, CT

SCADD Lebanon Pines, located in Lebanon, CT, provides extensive long-term residential treatment designed specifically for adult men facing challenges with substance use and related serious mental health issues. The facility emphasizes key therapeutic approaches including 12-step facilitation, brief interventions, and cognitive behavioral therapy, ensuring that clients receive specialized attention to their unique situations. Tailored programs cater to adult men, individuals with co-occurring disorders, and those navigating the criminal justice system, all within a supportive recovery-focused environment. By offering services to adults, seniors, and young adults alike, this center is dedicated to delivering high-quality care and employing evidence-based methods to foster lasting sobriety and improved mental health.

SE Council on Alc and Drug Dep Inc

SE Council on Alc and Drug Dep Inc

New London, CT

Situated in New London, CT, SE Council on Alc and Drug Dep Inc offers a wide range of substance use treatment options and transitional housing specifically designed for adult women. This facility holds expertise in addressing co-occurring substance use disorders along with serious mental health conditions in adults, as well as emotional challenges faced by children. Prioritizing long-term residential care, the center delivers round-the-clock support and utilizes proven methods such as 12-step facilitation, brief interventions, and motivational interviewing. Their specialized programs cater to adults, seniors, and young adults, ensuring that each individual receives personalized care. Moreover, the center provides unique services for female clients, fostering a compassionate and supportive atmosphere conducive to those on their journey to recovery.

SPARC Halfway House

SPARC Halfway House

Albany, NY

SPARC Halfway House, situated in Albany, NY, provides a wide range of substance use treatment and transitional housing options specifically designed for adult men. The center offers various programs, including intensive outpatient, long-term residential, and standard outpatient care. Their approach combines 12-step facilitation, anger management, and brief intervention techniques. This facility specializes in assisting individuals battling co-occurring mental health and substance use disorders, as well as those dealing with pain and addiction issues. SPARC Halfway House welcomes adults of all ages—seniors and young adults alike. With a strong commitment to quality care and personalized treatment plans, the center fosters a supportive atmosphere for male clients who are working towards recovery and re-entering society.

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SE Council on Alc and Drug Dep Inc

New London, CT

The SE Council on Alc and Drug Dep Inc, situated in New London, CT, offers a wide array of services designed for adult men and seniors dealing with substance use disorders. This facility specializes in treating co-occurring substance use issues alongside serious mental health conditions through its long-term residential programs. Employing methods like 12-step facilitation and motivational interviewing, the center emphasizes personalized care to foster sustainable recovery. Additionally, it provides transitional housing and customized programs specifically for seniors, creating a nurturing environment for those aiming to overcome addiction. For adult men and seniors in search of high-quality care and specialized assistance, this facility truly shines as a supportive resource on the path to sobriety.

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SMA Adolescent Residential

Daytona Beach, FL

Situated in Daytona Beach, FL, SMA Adolescent Residential specializes in long-term residential treatment for children and adolescents grappling with substance use issues. The center provides around-the-clock residential care, featuring customized programs that cater to each individual's unique needs. By concentrating on anger management, brief interventions, and cognitive behavioral therapy, SMA Adolescent Residential prioritizes personalized care to effectively tackle substance use challenges. The facility is inclusive, welcoming both male and female clients, and fosters a nurturing environment that supports recovery. If you're looking for high-quality addiction treatment for your child or adolescent, this center offers thorough programs aimed at facilitating healing and encouraging lasting sobriety.

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SMOC Behavioral Healthcare

Framingham, MA

Located in Framingham, MA, SMOC Behavioral Healthcare provides targeted treatment for adults dealing with substance use and co-occurring serious mental health issues, as well as addressing serious emotional disturbances in children. The center offers long-term residential services and around-the-clock care, featuring a variety of therapeutic approaches, including 12-step facilitation, anger management, and brief interventions. What sets this facility apart are its specialized programs designed for active duty military personnel, adult women, and individuals who have faced intimate partner violence or domestic abuse. Catering to adults, seniors, and young adults, the center pays particular attention to the unique needs of female clients. With a strong dedication to providing quality care, SMOC Behavioral Healthcare fosters a comprehensive and nurturing environment for those on their journey to recovery and healing.

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STEPS Inc

Apopka, FL

STEPS Inc, situated in Apopka, FL, provides a wide range of rehabilitation services specifically designed for female adults, seniors, and young adults facing challenges related to substance use disorders and co-occurring serious mental health issues. The facility offers a variety of programs, including intensive outpatient, long-term residential, and outpatient services. Their approach incorporates 12-step facilitation, anger management, and brief intervention techniques. What sets STEPS Inc apart is their commitment to addressing the unique needs of adult women, especially those who have experienced intimate partner violence, domestic violence, or sexual abuse. With an emphasis on quality care and personalized treatment plans, this center is fully dedicated to guiding clients as they navigate their recovery journeys.

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