I need a list of dual diagnosis (substance abuse/mental health)
treatment facilities.  Please list facilities that are long term (6-12
months) and have financial aid available. Search can include the
continental us but please sort by geographical location Ex: north,
south, east, west.  The facilities should accept 20 year old males and
have some outdoor component to the treatment.

Hello, flowerlady-ga

  This was a very challenging question that I have a special heart for
answering. My brother has suffered from severe mental illness and
substance abuse for over 30 years. I know the challenges, financial
obstacles, worries and frustrations that come with finding a good
facility. I have spent several hours trying to find some resources to
meet your needs. However, I must say that the major component I looked
for along with dual-diagnosis was length of treatment, age of patient,
and cost factors. The outdoor component took a backseat, and can be
considered an added plus if available. Even so, those facilities that
offered a sliding scale or were considered low-cost were hard to find.

 Here is what I have found:

 Dual Diagnosis Treatment Facilities with long-term residential stay,
sliding scale, male 20-year old, 6-12 months, as well as some outdoor
component:

Northeast

Renaissance Project, Inc.
250 Clearbrook Rd.
Elmsford, NY 10523
Phone: 914-345-1312 
 Average length of stay: 12-14 months
 Sliding scale self-pay accepted
 (You will need to contact them concerning outdoor activities)
Information: http://www.addictionresourceguide.com/listings/renaissancep.html

Kent House, Inc.
2020 Elmwood Ave.
Warwick, RI 02888
Phone: (401) 781-2700
 Average length of stay – 3 months but can stay longer, it seems
 Sliding scale
 (You will need to contact them concerning outdoor activities)
Information: http://www.addictionresourceguide.com/listings/kent.html


Midwest:

Self-Help Addiction Rehabilitation, Inc. (SHAR)
1852 West Grand Blvd.
Detroit, MI 48208
Phone: 313-894-8444  
  “SHAR provides intensive residential treatment of 3 to 6 months, to
persons who are severely debilitated by their addiction, regardless of
their ability to pay."
 (You will need to contact them concerning outdoor activities) 
Information: http://www.addictionresourceguide.com/listings/shar.html

Broe Rehabilitation Services
33634 W. Eight Mile
Farmington Hills, MI 48335
Phone: (248) 474-2763
  Average length of stay: 11 months
  Self-pay individually determined
  (You will need to contact them concerning outdoor activities)
Information: http://www.addictionresourceguide.com/listings/broe.html

Fellowship Club, St. Paul (Possibility*)
680 Stewart Ave.
St. Paul, MN 55102
Phone: 800-257-7810
  Average length of stay – no information on website, but considered
long-term residential
  Self pay cost – varies
  (You will need to contact them concerning outdoor activities)
Information: http://www.addictionresourceguide.com/listings/fellowship.html

Please see these other listings for similar Hazeldon Centers:
  http://www.addictionresourceguide.com/listings/hazelden.html
(Minnesota)
  http://www.addictionresourceguide.com/listings/hazeldenchicago.html
(Chicago)

A facility that sounds wonderful, with long-term residential treatment
that is “affordable,” as well as incorporating beautiful surroundings,
is somewhat questionable about their dual treatment component. It is
worth contacting the facility.
Dawn Farm
(Jim Balmer) 
502 West Huron 
Ann Arbor, Michigan 48103 
Phone: 734-485-8725 
 “Founded in 1973 by two recovering addicts, Dawn Farm has continued
to meet the needs of young men and women suffering from drug and
alcohol addiction. Based on a 74 acre working Farm, the program
combines honest farm work, group therapy and a strong emphasis on the
principles of Alcoholics Anonymous. Residents live in an active
community for six months, followed by a stay in our transitional
apartments and six months of aftercare. Over more than a quarter of a
century, Dawn Farm has been a leader-and has never turned a client
away for lack of funds.”
Information: http://www.dawnfarm.org/philosophy.php 

South

Hanley-Hazeldon (Possibility)
5200 East Avenue
West Palm Beach, FL 33407
Phone: (800) 257-7810 
  Average length of stay – no information on website, but considered
long-term residential
  Self-pay cost varies
  (You will need to contact them concerning outdoor activities)
Information: http://www.addictionresourceguide.com/listings/hanleyhazelden.html

Challenges (worth a call)
5100 Coconut Creek Parkway
Ft. Lauderdale, FL 33063
http://www.challenges-program.com/ 
 No information on fees…however, costs might be able to be negotiated.
“In some cases, payment plans may be available.”
http://www.challenges-program.com/costs.htm 

Transitions Recovery Program (worth a call)
1928 NE 154th Street 
North Miami Beach, FL 33162 
LOCAL PHONE (305) 949-9001
TOLL FREE (800) 626-1980
 Length of stay – hard to determine
 Self-pay – “If you do not have insurance, our self-pay rate is very
reasonable. Please contact us for details.”
Information: http://www.transrecovery.com/  Follow links under
“Continuum of care” for residential program.
 “Our behavioral healthcare team comprised of psychiatrists,
addictionologists, psychologists and social workers can identify and
treat co-existing mental health problems that might complicate
treatment or impede recovery.”

Foundations Associates (worth a call)
220 Venture Circle, Nashville, TN 37228
Phone: 615/256-9002 or Toll Free: 888-869-9230  fax 615/256-9005
Contact: Michael Cartwright, Executive Director - Dick Clark, Intake
Counselor
 Length of stay: up to 3 months with additional halfway house service
of 2-4 months
 Costs: contact them to negotiate fees -
http://dualdiagnosis.org/foundations9.html
Information: http://dualdiagnosis.org/foundations.html 

West
Liberty House
10573 W. Pico Blvd. #83
Los Angeles, CA 90064
Phone: (310) 277-3017
 Average length of stay: 6 months
 Self-pay cost – varies
 (You will need to contact them concerning outdoor activities)
 "Dual diagnosis individuals are accepted on a case by case basis."
Information: http://www.addictionresourceguide.com/listings/liberty.html

Chapman House (this looks wonderful, but you may have to plead for
financial aid)
Locations through southern California
Phone: 714-288-9779
Length of stay – “Typical stay is 6-months”
 Cost – no information. 
 Information: http://www.chapmanhouseinc.com/residential.asp 
 “If a Dual Diagnosis problem exists with a Chapman House participant,
a consultation will be conducted by our licensed Psychiatrist. The
Chapman House Psychiatrist will evaluate the participant to determine
any additional problems that need to be addressed during treatment.
Our Psychiatrist may order medication to be dispensed throughout the
treatment program. In addition, the participant may be scheduled for
weekly visits with our Psychiatrist. This would be done to insure
ongoing medical/psychiatric management. Chapman House Staff monitors
all prescribed medications.

Serenity Lane
616 E. 16th Avenue
Eugene, OR 97401
Phone: 1-800-543-9905
 Average length of stay – varies
 Self-pay cost – varies with services utilized
 (You will need to contact them concerning outdoor activities)
“Serenity Lane is a specialty hospital, licensed by the State of
Oregon. We provide traditional 12 Step oriented treatment with
variable length of stay and an overall duration of 6-12 months
including 'Continuing Care.”
 "Combination of education, support and pharmacological intervention."
Information: http://www.addictionresourceguide.com/listings/serenity.html

Substance Abuse Foundation of Long Beach
3125 East 7th Street
Long Beach CA 90804
(562) 439-7755
  Average length of stay – 90-180 days
  Sliding Scale
  (You will need to contact them concerning outdoor activities)
 "Since 1988 the agency has been providing residential rehabilitation
treatment for the multi-diagnosed. The agency also addresses these
issues in support groups."
Information: http://www.addictionresourceguide.com/listings/long.html
   Further information on their Dual Diagnosis Treatment Program can
be found at http://www.safinc.org/dual.htm
  Length of Program: An individual can receive services for up to one
year. The first 6 months consists of an intensive treatment program
where individuals participate in a variety of classes and Individual
Counseling sessions followed by 3 months of supportive outpatient
treatment and is based upon the individual needs of the clients as
determined by their assigned counselor. The final 3 months of
treatment is provided on an as-needed basis.
Eligibility: Individuals that suffer from a chemical dependency, and a
mild psychiatric disorder
 Costs: The agency has a variety of funding sources including
Medi-Cal, CalWorks, Veterans of the Armed Forces, Persons living with
HIV/AIDS,Parole Services Network, and other funding may be available
Contact: Arthur Romo
3125 East Seventh Street, Long Beach, CA 90804
(562) 987-5722 or (888) 476-2743

Bonita House
Berkley, CA
Average Stay: no information – “based on individual needs”
 Cost – no information, but works with clients on SSI disability.
 “Bonita House, Inc., (BHI) offers intensive residential treatment,
supported independent living and case management services for adults
dually diagnosed with severe and persistent psychiatric disabilities
and substance use disorders.”
Website information: http://www.bonitahouse.org/about.html 
Read article about Bonita House (including some financial information
) at http://www.thomastthomas.com/Mental%20Illness%20and%20Substance%20Abuse,%20Crispino-Hanis-Post,%20111595.PDF

The listed treatment centers were gleaned from the following
resources. Explore the lists further to consider those which do not
specify longer length of stay, and if you feel comfortable contacting
them about the possibility of financial help.
Please refer to other listings on the Addiction Resource Guide at
http://www.addictionresourceguide.com/programtype/therapeutic.html  .
Addiction Resource Guide – Long Term Residential Listings
http://www.addictionresourceguide.com/programtype/longterm.html

The Dual Diagnosis Website at http://users.erols.com/ksciacca/ has a
link to a database of treatment centers. The only useful way to search
it, it seems, is to go to the comprehensive database and take the time
to click through each link. Unfortunately, most centers listed do not
provide any information on length of stay, payment options, etc.

The Substance Abuse Facility Locator provides a method for you to
search for facilities by state. Go to the website at
http://www.health.org/dbases/  and click on “Treatment Facility
Locator,” or go directly to the US map at
http://findtreatment.samhsa.gov/facilitylocatordoc.htm
  
 I also recommend calling the National Alliance for the Mentally Ill
at:
 Phone: 703-524-7600; NAMI HelpLine: 1-800-950-NAMI [6264]. Their
website is www.nami.org. They may be able to refer you to the closest
facilities to your area.
  
 I sincerely hope that these recommendations will give you a starting
point. I suggest that with each contact, you ask for for
recommendations for other facilities that provide long-term services
at low cost.

 Please let me know if I can be of any further assistance. I hope,
with all my heart, that find a treatment center to help the person
with whom you are concerned.

umiat-ga  

Google Search Strategy
+dual treatment +long-term +residential treatment

For researchers who take this question:
Such long-term facilities will be known,
in most locations, as "long-term residential"
"dual diagnosis" treatment centers, in the 
parlance of the trade. My guess is that, since
the trend is toward "rapid therapies" and 
managed-care treatment, that 6 months and 
more may be a rarity, outside of centers 
which are private and only accept full-coverage
insurance. Even these have been on the decline,
since managed-care has stepped in.
Public centers are more likely to expect
completion in 2-3 months, seeing any more than
that as a poor outcome.

Another bonus would be to find a "young adult"
program, which would focus more on the issues
related to a 20 year-old's agegroup, but these
are increasingly rare, as well.

sublime1-ga

Suggestion: See your local Telephone Directory for the Office of
Subsatnce Abuse and /or other facsimlarly in your locality. They will
usuall have a 800 toll free number. They can give you a list they have
localy ( as ordered by mandate to do because they give them monies )
or outside of your area if preferred with a little research on their
part.  They can also tell you who to contact and length and cost if
low income you may have to meet certain criteria to get on a sliding
fee scale for services.