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.
Location and contact information:
976 Park Pl.
Brooklyn, NY 11213
(718) 771-0760
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.
Location and contact information:
1405 W. Michigan St.
Orlando, FL 32805
(407) 875-3700 ext. 4646
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).
Location and contact information:
835 25th St.
San Diego, CA 92102
(619) 239-9691
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:
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- dual diagnosis treatment for co-occurring disorders
- group therapy
- holistic treatment
- trauma-related therapy
Location and contact information:
90 Asheland Ave.
Asheville, NC 28801
(866) 350-5622
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.
Location and contact information:
544 N. Division St.
Ann Arbor, MI 48104
(734) 669-8265
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
Location and contact information:
56 Julian Ave.
San Francisco, CA 94103
(415) 865-0964
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.
Location and contact information:
119 Main St.
Stamford, CT 06901
(203) 851-2077
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).
Location and contact information:
215 W. Verne St.
Ste. A
Tampa, FL 33606
(813) 213-0442
What To Look For When Choosing A Long-Term Rehab Center
Selecting a long-term residential program requires evaluating factors specific to extended stays lasting 60 days to six months or longer.
Key considerations include:
- Flexible Treatment Duration: Programs should adjust length based on individual progress rather than fixed timelines, with flexibility to extend treatment when needed instead of discharging before you’re ready.
- Treatment Phases: Quality facilities move clients through distinct stages from intensive early treatment toward increasing independence, with clear milestones determining when you advance to the next phase.
- Life Skills Training: Extended programs should teach practical capabilities like budgeting, cooking, job searching, time management, and household maintenance needed for independent living after discharge.
- Employment and Education: Look for vocational counseling, job training, resume building, interview preparation, GED completion help, and partnerships with employment services addressing career goals.
- Family Therapy Throughout Stay: Ask about family therapy frequency, visiting policies, and how the facility repairs damaged relationships and prepares families for your return home.
- Mental Health Treatment: Extended time allows deep treatment of underlying trauma, depression, anxiety, or other conditions driving addiction, so verify regular psychiatric care addresses root causes.
- Cost and Payment Information: Long-term treatment costs $30,000 to $100,000+, so understand what insurance covers, when benefits end, payment plan options, and what happens if you can’t afford to complete treatment.
- Gradual Reintegration: Programs should incorporate supervised community outings, off-campus passes, volunteer work, and activities gradually reintroducing normal responsibilities rather than complete isolation.
- Discharge Planning: The best programs begin aftercare planning early, coordinating sober living, outpatient therapy, support groups, employment, and other resources before you leave.
Choosing a long-term rehab with these features ensures extended treatment provides skill-building and preparation for maintaining sobriety after 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.
FAQs For Long-Term Substance Abuse Treatment Programs
The commonly asked questions below may help you narrow your search for a long-term drug and alcohol treatment center.
How Long Will Extended Residential Treatment Last?
Long-term drug rehab centers typically offer at least 60 days of inpatient rehab based on the needs of the client, but may last up to a year or longer for more severe cases of addiction.
What Are The Benefits Of Long-Term Rehab?
Research from the National Institute on Drug Abuse (NIDA) indicates that those who remain in treatment for at least 90 days show greater long-term results than shorter programs.
Will Long-Term Addiction Treatment Programs Accept Medicaid?
Many facilities will accept Medicaid health insurance for substance use treatment, but not all will.
Select a state below to find a long-term recovery center near you:
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- Substance Abuse and Mental Health Services Administration (SAMHSA) — Find treatment
https://findtreatment.gov






