8 Best Long-Term Alcohol And Drug Rehab Centers

People with moderate to severe substance use disorders often need extended treatment beyond short-term programs to achieve recovery. Long-term residential rehab programs provide care over extended periods, allowing time to address underlying issues, develop coping skills, and establish sobriety before returning to daily life.

Long-term treatment programs typically last 60 to 90 days or longer, with some facilities offering stays of six months or more for people who need it. These programs provide evidence-based services including medical detoxification, medication-assisted treatment for opioid or alcohol addiction, individual and group therapy, behavioral counseling, relapse prevention training, and aftercare planning.

1. Anchor House, Brooklyn, New York

Anchor House provides gender-specific residential treatment in Brooklyn, NY, that may last between 12 to 18 months depending on the needs of the client.

This rehab facility is licensed by the New York Office of Addiction Services and Supports (OASAS) and features high ratings on Google.

2. Aspire Health Recovery Program, Orlando, Florida

Aspire Health is a gender-specific treatment center in Orlando, FL. The residential program here may vary in length from 60 to 90 days.

This drug and alcohol rehab center is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) and features positive client testimonials.

3. Community Resources And Self Help (CRASH), San Diego, California

CRASH is a residential treatment program in San Diego, CA that may last for up to 180 days. Treatment services may include cognitive behavioral therapy (CBT), counseling, and relapse prevention.

The top qualities of this facility include a 4.3-star Google rating and backing from the County of San Diego Health and Human Services Agency (HHSA).

4. Crest View Recovery Center, Asheville, North Carolina

Crest View Recovery Center offers long-term residential recovery services for up to 90 days. This facility features accreditation from the Joint Commission and a 4.5-star Google rating.

Addiction treatment services:

• • dual diagnosis treatment for co-occurring disorders
  • group therapy
  • holistic treatment
  • trauma-related therapy

5. Dawn Farm, Ann Arbor, Michigan

This facility offers an array of services spanning all levels of care including detoxification, long-term residential care, outpatient treatment, and sober living.

Dawn Farm features excellent testimonials from past clients and a 4.6-star Google rating.

6. Friendship House, San Francisco, California

Friendship House is an 80-bed treatment facility that offers residential care for up to six months. Treatment services may include CBT, substance use counseling, motivational interviewing, and more.

Top features of this drug rehab program:

• CARF accreditation
• a 3.9-star Google rating
• excellent testimonials from past clients

7. Liberation Programs, Stamford, Connecticut

This 90-day inpatient treatment facility offers clients evidence-based services such as MAT, counseling services, and treatment for co-occurring disorders.

Liberation Programs is backed by CARF accreditation and is supported by the United Way of Western Connecticut.

8. White Sands, Tampa, Florida

White Sands is a luxury addiction recovery program in Tampa, FL, that offers a long-term residential program for up to 90 days.

Treatment options:

• IOP
• detox
• MAT
• relapse prevention

This rehab program is accredited by the Joint Commission and is a member of the National Association of Addiction Treatment Providers (NAATP).

What To Look For When Choosing A Long-Term Rehab Center

Selecting a long-term residential treatment center requires evaluating factors specific to extended stays. Knowing what to look for helps you find a program that supports recovery over months rather than weeks.

1. Program Length and Flexibility

• Long-term programs range from 60 days to six months or longer depending on individual needs.
• Ask whether program length is predetermined or adjusted based on your progress and circumstances.
• Look for facilities willing to extend treatment when necessary rather than discharging on fixed timelines.

2. Phases of Treatment and Progression

• Quality long-term programs have structured phases moving from intensive treatment to increased independence.
• Ask how they transition clients through different stages and what milestones determine progression.
• Look for programs that prepare you gradually for life outside treatment rather than keeping restrictions constant.

3. Life Skills and Independent Living Training

• Extended treatment should teach practical skills like budgeting, job searching, cooking, and time management.
• Ask what life skills programming they provide to prepare you for independent living.
• Look for facilities that help you rebuild capabilities needed for functioning successfully after discharge.

4. Vocational and Educational Support

• Long-term programs should address employment and education goals during your stay.
• Ask about job training, resume building, interview preparation, or help continuing education.
• Look for facilities with vocational counselors or partnerships with employment services.

5. Family Involvement Over Extended Time

• Family relationships need attention during long treatment stays.
• Ask about family therapy frequency, visiting policies, and how they maintain family connections over months.
• Look for programs that work on repairing relationships and preparing families for your return home.

6. Mental Health Treatment Depth

• Extended time allows thorough treatment of underlying mental health conditions contributing to addiction.
• Ask about psychiatric services, therapy frequency, and how they address trauma or other diagnoses.
• Look for facilities that use the extended timeframe to treat root causes rather than just symptoms.

7. Cost and Financial Planning

• Long-term treatment is expensive, potentially costing tens of thousands of dollars for extended stays.
• Ask about total costs, what insurance covers for extended treatment, and payment options.
• Look for transparency about when insurance benefits end and what happens if you cannot afford continued care.

8. Real-World Integration and Passes

• As treatment progresses, supervised community outings and passes help transition back to normal life.
• Ask how they integrate real-world experiences and whether clients can eventually leave campus with supervision.
• Look for programs that gradually reintroduce outside activities rather than keeping you isolated for months.

9. Peer Community and Social Structure

• Living with others for months creates a recovery community that can be supportive or problematic.
• Ask about community structure, how they handle conflicts, and what social activities exist.
• Look for facilities fostering healthy peer relationships and positive social environments during long stays.

10. Discharge Planning and Aftercare Coordination

• Extended treatment should end with thorough planning for maintaining recovery after leaving.
• Ask when discharge planning begins and how they coordinate continuing care in your community.
• Look for facilities that arrange housing, outpatient treatment, support groups, and other resources before discharge.

Finding Long-Term Treatment That Provides Lasting Change

Long-term residential rehab centers offer extended support for people needing more than short-term treatment to overcome addiction. Whether you face severe addiction, multiple relapses, co-occurring disorders, or lack stable living situations, finding a facility that offers long-term care may be the most appropriate option.

Select a state below to find a long-term recovery center near you:

• Alabama
• Alaska
• Arizona
• Arkansas
• California
• Colorado
• Connecticut
• Delaware
• Florida
• Georgia
• Hawaii
• Idaho
• Illinois
• Iowa
• Indiana
• Kansas
• Kentucky
• Louisiana
• Maine
• Maryland
• Massachusetts
• Michigan
• Minnesota
• Mississippi
• Missouri
• Montana
• Nebraska
• Nevada
• New Hampshire
• New Jersey
• New Mexico
• New York
• North Carolina
• North Dakota
• Ohio
• Oklahoma
• Oregon
• Pennsylvania
• Rhode Island
• South Carolina
• South Dakota
• Tennessee
• Texas
• Utah
• Vermont
• Virginia
• Washington
• West Virginia
• Wisconsin
• Wyoming