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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

Sana Lake Recovery
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Sana Lake Recovery

Dittmer, MO

Nestled in Dittmer, MO, Sana Lake Recovery offers a wide variety of rehabilitation services to meet diverse needs. The facility features long-term residential care, along with residential detoxification and around-the-clock residential support. With specialized programs designed for active duty military members, as well as adult men and women, the center emphasizes personalized treatment for every individual. Sana Lake Recovery employs methods like 12-step facilitation and anger management, all aimed at fostering holistic healing and promoting enduring recovery. Serving adults and young adults of all genders, the facility is dedicated to delivering high-quality care within a supportive atmosphere that is ideal for effective rehabilitation.

Sandstone Care LLC
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Sandstone Care LLC

Crownsville, MD

Sandstone Care LLC, located in Crownsville, MD, provides a wide range of rehabilitation services designed for different age groups and genders. The facility specializes in detoxification, treatment for substance use, and support for co-occurring disorders. They offer various programs, including long-term residential treatment, residential detox, and round-the-clock care. The center employs a variety of therapeutic methods such as 12-step facilitation, anger management, and brief intervention techniques. They also create customized programs specifically for adolescents, trauma survivors, and those dealing with mental health issues alongside substance use. Sandstone Care LLC is committed to high-quality care and aims to support adults, children, and young adults on their journey toward lasting recovery in a nurturing and therapeutic atmosphere.

Sanford West Behavioral Health Campus
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Sanford West Behavioral Health Campus

Marne, MI

Sanford West Behavioral Health Campus, situated in Marne, MI, delivers an extensive array of services designed for addiction treatment. The facility features a full spectrum of options, including detoxification, transitional housing, intensive outpatient, long-term residential, and outpatient programs. To support clients effectively, they employ methods such as cognitive behavioral therapy and motivational interviewing. This center is committed to serving adult men and women, including individuals who have faced intimate partner violence. With a specialization in care for both adults and young adults, Sanford West ensures that its services are thoughtfully tailored to meet the unique needs of both male and female clients, providing quality treatment in a nurturing environment.

Sanstone Care
+9 photos

Sanstone Care

Crownsville, MD

Sanstone Care, situated in Crownsville, MD, offers a wide array of treatment programs designed for those looking to overcome substance use issues as well as co-occurring mental health challenges. The facility excels in providing long-term residential care, residential detoxification, and round-the-clock residential treatment for both adults and younger clients, including children and adolescents. At Sanstone Care, there is a strong emphasis on 12-step facilitation, anger management, and brief intervention strategies, helping clients navigate trauma, co-occurring disorders, and significant emotional disturbances. The center features specialized programs tailored for adolescents, trauma survivors, and those facing dual diagnoses, guaranteeing personalized care for all clients, regardless of gender.

Santa Maria Hostel Inc
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Santa Maria Hostel Inc

Houston, TX

Located in Houston, TX, Santa Maria Hostel Inc specializes in offering a wide range of addiction treatment services tailored specifically for adult women. The center's offerings include detoxification, substance use treatment, transitional housing, and sober living arrangements. Emphasizing 12-step facilitation, anger management, and cognitive behavioral therapy, the facility is well-equipped to assist clients facing both mental health and substance use disorders, particularly those who have dealt with trauma. Treatment options are diverse, providing intensive outpatient, long-term residential, and traditional outpatient programs that are suitable for adults, young adults, and seniors. At Santa Maria Hostel Inc, the commitment to delivering high-quality, gender-specific care is unwavering, as they strive to support women on their personal journeys toward recovery.

Santa Fe Recovery Center
+5 photos

Santa Fe Recovery Center

Santa Fe, NM

Situated in Santa Fe, NM, the Santa Fe Recovery Center delivers a broad array of addiction treatment services tailored for both adults and young adults. The center offers detoxification, substance abuse treatment, transitional housing, and sober living arrangements. Various treatment options are available, including intensive outpatient programs, long-term residential stays, and traditional outpatient care. Santa Fe Recovery Center employs evidence-based methods such as 12-step facilitation, cognitive behavioral therapy, and the Matrix Model to support recovery. Additionally, they provide specialized programs for active duty military personnel, as well as distinct services for adult men and women. With a strong emphasis on personalized care, the facility is committed to offering high-quality treatment to clients of all genders who are seeking to overcome addiction.

Samara House
+3 photos

Samara House

Coatesville, PA

Situated in Coatesville, PA, Samara House provides long-term residential care and around-the-clock support for adult women who are seeking treatment for substance use issues. The center specializes in helping individuals who have faced intimate partner violence, domestic violence, and sexual abuse, offering tailored programs within a safe and nurturing environment. By employing methods such as 12-step facilitation, anger management, and cognitive behavioral therapy, Samara House addresses the needs of adults, seniors, and young adults alike. With a particular emphasis on female clients, the facility is dedicated to delivering personalized care and effective treatment for those requiring specialized assistance. Discover compassionate care and research-backed treatment at this esteemed rehabilitation center.

Sanctuary Sober Living LLC
+3 photos

Sanctuary Sober Living LLC

Phoenix, AZ

Sanctuary Sober Living LLC, based in Phoenix, AZ, specializes in long-term residential treatment for adults dealing with both substance use issues and co-occurring mental health disorders. This facility is dedicated to providing customized care for individuals facing challenges related to substance abuse and significant emotional difficulties. With an emphasis on approaches such as 12-step facilitation, anger management, and cognitive behavioral therapy, the program is designed for adult men and women, including those who have experienced intimate partner violence. Catering to both adults and young adults, Sanctuary Sober Living LLC fosters a nurturing atmosphere for all clients seeking comprehensive rehabilitation services within a residential framework.

Sanctuary Sober Living LLC
+3 photos

Sanctuary Sober Living LLC

Phoenix, AZ

Sanctuary Sober Living LLC, situated in Phoenix, AZ, provides long-term residential programs designed for both adults and young adults dealing with substance use issues and co-occurring serious mental health conditions. The facility emphasizes a supportive recovery environment through various methods, including 12-step facilitation, anger management, and cognitive behavioral therapy. They offer specialized programs tailored for adult men and women, including those who have faced intimate partner violence or domestic violence. With a strong commitment to personalized care and evidence-based practices, Sanctuary Sober Living aims to deliver high-quality treatment for clients of all genders who are striving to overcome addiction and mental health obstacles.

San Fernando Recovery Center
+2 photos

San Fernando Recovery Center

San Fernando, CA

Located in San Fernando, CA, the San Fernando Recovery Center specializes in various substance use treatment programs, offering options like hospital inpatient care, long-term residential stays, and 24-hour residential support. The center emphasizes evidence-based methods, integrating strategies such as 12-step facilitation, anger management, and community reinforcement with vouchers into its treatment plans. Understanding the unique needs of its clients, the facility has developed specialized programs for adult men as well as for criminal justice and forensic clients, ensuring that individuals of all ages—including adults, seniors, and young adults—receive personalized care. Dedicated solely to male clients, the center fosters a supportive atmosphere conducive to effective recovery. The San Fernando Recovery Center is committed to providing high-quality care and effective treatment for those on their journey to recovery from addiction.

Sanctuary Incorporated of Guam
+2 photos

Sanctuary Incorporated of Guam

Hagatna, GU

Sanctuary Incorporated of Guam, located in Hagatna, GU, provides a wide range of substance use treatment options, including intensive outpatient, long-term residential, and outpatient programs. The facility is well-equipped to handle various needs, specializing in methods like anger management, brief interventions, and cognitive behavioral therapy. They offer unique programs designed specifically for adolescents, along with support for clients who have faced intimate partner violence, domestic abuse, and sexual assault. Serving adults, children, adolescents, and young adults of all genders, this center fosters a safe and nurturing environment for healing. With an emphasis on high-quality care and personalized treatment plans, Sanctuary Incorporated of Guam is committed to assisting individuals in overcoming addiction and moving forward in their lives.

San Joaquin County Behavioral Health
+1 photos

San Joaquin County Behavioral Health

French Camp, CA

San Joaquin County Behavioral Health, located in French Camp, CA, is a premier rehabilitation center dedicated to assisting individuals on their journey to recovery from substance use and mental health issues. The facility offers a variety of specialized services, including long-term residential care, detoxification, and 24-hour residential treatment, all designed for both adults and young adults. What sets this center apart is its commitment to effective treatment methods such as 12-step facilitation, anger management, and brief interventions. They provide thoughtfully designed programs tailored specifically for adult men and women, as well as individuals who have faced intimate partner violence or domestic violence. Additionally, the center takes pride in offering gender-specific care, ensuring that all clients receive high-quality and comprehensive support throughout their treatment process.

San Poil Treatment Center
+1 photos

San Poil Treatment Center

Keller, WA

San Poil Treatment Center, situated in Keller, WA, provides specialized programs for substance use treatment in various formats, including hospital inpatient care available around the clock and long-term residential options. Emphasizing approaches like 12-step facilitation, anger management, and brief interventions, this facility is designed for adult men and women, as well as those who have gone through intimate partner or domestic violence situations. The center is committed to offering comprehensive care that meets the unique needs of both adults and young adults, regardless of gender. San Poil Treatment Center is focused on delivering high-quality rehabilitation services to help individuals on their path to recovery.

Samaritan Inns

Samaritan Inns

Washington, DC

Samaritan Inns, located in Washington, DC, provides a wide variety of long-term residential treatment programs designed for adults facing substance use issues as well as serious mental health challenges. They also address emotional disturbances in children. The facility emphasizes 12-step facilitation, anger management, and brief intervention strategies, targeting adult men who have dealt with intimate partner violence, domestic violence, and sexual abuse. Catering to a diverse population that includes adults, seniors, and young adults, Samaritan Inns takes pride in its specialized programs, particularly its gender-specific treatment for male clients. Their dedication to offering high-quality care and personalized support positions them as a key resource for individuals seeking to overcome addiction and mental health struggles.

Samaritan Inns Inc

Samaritan Inns Inc

Washington, DC

Samaritan Inns Inc, located in Washington, DC, provides a wide range of addiction treatment services within a nurturing residential environment specifically for adult women. This facility excels in addressing substance use issues, offering transitional housing and assistance for those dealing with both substance use disorders and serious mental health challenges. The emphasis is on long-term residential care, featuring 12-step facilitation, anger management strategies, and brief interventions. They also have specialized programs designed for women who have faced intimate partner violence, domestic violence, or sexual abuse. At Samaritan Inns Inc, both adults and seniors can expect high-quality, gender-specific care aimed at fostering lasting recovery and promoting holistic healing.

San Diego Freedom Ranch Inc

San Diego Freedom Ranch Inc

Campo, CA

San Diego Freedom Ranch Inc, situated in Campo, CA, offers long-term residential programs designed to assist with detoxification and substance use treatment, as well as addressing co-occurring substance use issues alongside serious mental health conditions in adults and emotional disturbances in children. This facility specializes in providing dedicated care for adult men, active duty military members, and adolescents. Emphasizing 12-step facilitation, anger management, and brief intervention strategies, San Diego Freedom Ranch Inc guarantees high-quality, comprehensive support for its male clients. Catering to adults, seniors, and young adults alike, this center stands out as a trustworthy option for anyone in need of effective, tailored rehabilitation services.

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Samaritan Daytop Village Inc

New York, NY

Samaritan Daytop Village Inc, located in New York, NY, specializes in long-term residential treatment for both substance use issues and co-occurring mental health disorders among adults and children. The facility employs a variety of evidence-based methods, including anger management, cognitive behavioral therapy, and motivational incentives to support its clients. This center particularly focuses on adult women, those who have experienced intimate partner violence or sexual abuse, and individuals requiring trauma-informed care. By serving adults, seniors, and young adults alike, Samaritan Daytop Village Inc fosters a safe and nurturing environment for female clients who are seeking thorough rehabilitation services with an emphasis on recovery and healing.

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Samaritan Daytop Village Inc

Richmond Hill, NY

Located in Richmond Hill, NY, Samaritan Daytop Village Inc offers a wide range of substance abuse treatment options, including long-term residential, 24-hour residential, and short-term residential programs. The facility emphasizes crucial areas such as anger management, brief intervention, and cognitive behavioral therapy, ensuring each client receives personalized care tailored to their needs, whether they are adults or young adults. With services designed for both men and women, the center is dedicated to crafting individualized treatment plans that cater to the unique circumstances of every person. Samaritan Daytop Village Inc is distinguished by its commitment to high-quality care and focused attention, making it a trusted resource for individuals seeking effective and compassionate support in their journey toward recovery.

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Sands Freedom Center

Sioux Falls, SD

Nestled in Sioux Falls, SD, Sands Freedom Center provides a variety of evidence-based treatment options for both substance use disorders and co-occurring mental health challenges in adults and children. The center’s offerings include intensive outpatient programs, long-term residential care, and outpatient services. These programs feature approaches like cognitive behavioral therapy, contingency management, and the Matrix Model. Sands Freedom Center serves adult men and women, young adults, and individuals who have undergone trauma, ensuring that care is customized to meet each person's unique needs. With an emphasis on high-quality, personalized treatment, this facility creates a nurturing environment for those on the journey to recovery and healing.

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Santa Fe Mountain Center Inc

Pena Blanca, NM

Located in the tranquil mountain landscape of Pena Blanca, NM, Santa Fe Mountain Center Inc offers an extensive array of addiction treatment services. The center features hospital inpatient and long-term residential programs that specifically address the needs of adult women facing substance use issues alongside co-occurring mental health conditions. By employing evidence-based strategies such as cognitive behavioral therapy and motivational interviewing, the facility emphasizes individualized care and supports clients in preventing relapse. Moreover, it has tailored programs for individuals who have experienced trauma, fostering a nurturing environment conducive to healing. With a commitment to serving adult, senior, and young adult female clients, this center is devoted to delivering high-quality, comprehensive care for those on their journey toward recovery from addiction.

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