Treatment Options : The Addiction Recovery Guide

Drug Abuse Books.com (drugabusebooks.com)
An extensive list of books on drug abuse and drug-related information, linked to Amazon.com for easy purchase.

Addiction, Recovery and Yoga (www.adyo.org)
In this professionally made documentary film people speak candidly and compellingly about their addictions, working the 12-step program, and how yoga helped them in various ways with their recovery. The film is made by a senior Iyengar Yoga teacher and yoga therapist.

HBO Addiction Films (hbo.com/addiction/thefilm/index.html?current=5)
You can view this feature-length documentary film, ADDICTION, online. It is the centerpiece of the HBO Addiction project. The film brings together the nation's leading addiction experts with award- winning filmmakers and consists of nine separate segments covering important aspects of addiction.

Mindful Solutions for Addiction and Relapse Prevention (drsgoldstein.com)
This audio CD is written by two licensed psychologists and mindfulness teachers who have combined the fields of mindfulness, psychology and addiction. Their CD explores what mindfulness is and how it works with triggers, cravings and urges. It provides 3 guided meditation practices to help people in recovery cope with addiction-related cravings.

Recovery Coast to Coast (recoverycoasttocoast.org)
This nightly addiction-related talk show is available nationally. Sponsored by the Alliance for Recovery, it runs from 10 p.m. to midnight, and is available via streaming audio. The show features in-studio interviews as well as listener call-ins and testimonials from people in recovery. "On-demand" and podcast versions of the show will be available in the near future.

StopAndThinkRadio (stopandthinkradio.com)
An addiction recovery site that features streaming interviews with the focus on 12-step-based recovery, hosted by an attorney who is in recovery.

SupportNet (www.supportnet.ca)
This user-friendly site provides online support for those in all stages of recovery through a variety of resources. These include Recovery Radio, streaming audio and podcasts, personal stories, online information, a new health and healing section that will have audio relaxation tools, and more.

Take 12 Recovery Radio Shows (khlt.homestead.com/home.html)
This online radio show broadcasts six shows a week on the 12-step approach to recovery and relapse prevention. All shows are archived on the site. Recovery talk and recovery music are featured.

Medical Detoxification is a process in which individuals are systematically and safely withdrawn from addicting drugs, usually under the care of a physician. Drinking alcohol or using drugs causes physical dependence over time in some people. Stopping the use of alcohol or drugs results in physical withdrawal from these substances in people with a physical dependence. The detoxification process is designed both to treat the acute physiological effects of stopping drug use and to remove residual toxins in the body left as a result of using the chemicals found in drugs and/or alcohol.

Detoxification prepares people to fully participate in an ongoing addiction recovery program. It is one component of a comprehensive treatment strategy.

Detoxification can be done on both an outpatient basis (mental health centers, addiction clinics or private clinics) or inpatient (hospital or residential treatment center). Inpatient detoxification allows the patient to be closely monitored, avoids exposure to the substance of abuse, and can speed up the process of detoxification. Outpatient detoxification has the advantage of being less disruptive to the patient's life and less expensive. The choice of setting depends on many factors such as the drug of abuse, amount and length of history of abuse, psychosocial issues, patient's age, and co-existing medical and/or psychiatric conditions among others.

While treatment centers often have their own detoxification facilities, others make arrangements for their patients with detoxification programs at nearby sites, including hospitals and clinics. There are licensed detoxification facilities in most areas of the United States.

To Find Detoxification Programs:
SAMHSA online treatment locator (findtreatment.samhsa.gov/facilitylocatordoc.htm)
On detailed search in the left hand menu, fill in the city and state, and then check detoxification and the type of care desired (Outpatient, Partial hospitalization/Day treatment, Non-hospital residential or Hospital inpatient).

To Find Rapid Detox Programs:
Recovery Resources Online (http://www.soberrecovery.com/links/detoxcenters.html)

Many patients experience mild to moderate symptoms during withdrawal and can undergo detoxification without medications if they receive supportive care and monitoring. Inpatient medical detoxification services are appropriate for alcoholics at risk for serious complications of withdrawal or those with co-existing medical conditions. These patients and those with previous alcohol withdrawal seizures, delirium tremens, or moderate to severe withdrawal symptoms should receive benzodiazepines to reduce the risk of adverse events. Other medications have also been used in the detoxification process including clonidine, an alpha-adrenergic agonist, and carbamazepine, an anticonvulsant used to prevent seizures or delirium.

More recently, outpatient detoxification has been shown to be as effective as inpatient treatment and less costly for people with less severe alcoholism. This requires daily follow-up and monitoring.

Outpatient detoxification is commonly performed by using a tranquilizer such as chlordiazepoxide 50 mg, oxazepam 15 to 30 mg, diazepam 10 mg, or lorazepam 2 mg every 6 hours for the first 24 hours. Additional medication can be provided as medically necessary and doses can be decreased as symptoms resolve. Supportive care for patients undergoing detoxification includes providing treatment for nutritional and electrolyte deficiencies, monitoring withdrawal severity and abstinence, and providing referrals to alcoholism recovery programs and self-help meetings.

While at the present time, no proven pharmacologic therapy for cocaine addiction exists, several kinds of pharmaceutical drugs have been used in the detoxification of cocaine. Withdrawal from chronic cocaine use produces anxiety, depression and intense cravings for the drug. Several types of pharmaceuticals address these issues in different ways.

Antidepressant drugs such as desipramine or a combination of phentermine and fenfluramine have been used to reduce cocaine withdrawal symptoms such as anxiety and depression. Benzodiazepines, tranquilizers such as Diazepam, have been used to reverse anxiety induced by cocaine withdrawal. Amantadine, an antidyskinetic used in Parkinson's Disease, may be an effective treatment for cocaine-dependent patients with severe cocaine withdrawal symptoms and may reduce cocaine craving. Bromocriptine, a drug that works on the brain's dopamine system, has been used to decrease the craving for cocaine during detoxification and to reduce mood disturbance.

Propanolol, a beta-blocker antihypertensive drug, may be useful for severe cocaine withdrawal symptoms, as it inhibits the effects of adrenaline, thereby calming the body's "fight or flight" response to stressful situations. Beta-blockers have been used clinically to treat general anxiety and anxiety associated with alcohol withdrawal. Propranolol's lessening of symptoms such as palpitations and sweating has helped to reduce cocaine craving associated with such symptoms . The use of beta-blockers in patients who have ingested cocaine, however, is not risk-free and can be associated with decreased coronary blood flow and increased coronary vascular resistance, predisposing patients to arrhythmia and triggering a hypertensive crisis. Delayed toxic effects are possible. Any use of beta-blockers in this setting requires careful monitoring and caution.

Rapid Detoxification: In this procedure drug withdrawal occurs while patients are asleep under general anesthesia. The patient is given intravenous injections of medications called opiate blockers which stop the action of narcotics and opiate drugs as well as injections of other medications that reduce the symptoms of withdrawal such as muscle relaxants or anti-nausea medications. This process results in rapid withdrawal from the physical effects of addiction. Through the use of opiate blockers such as naltrexone, naloxone, and nalmephine, physical detoxification is achieved within 4 to 8 hours. Rapid detox takes place in an intensive care unit of a hospital. Patients are usually discharged within 48 hours following recovery from anesthesia and assessment of their physical status.

Rapid detoxification helps reduce the distress of opiate withdrawal for people who are chemically dependent on narcotics such as heroin, Vicodin, Percocet, Demerol, Dilaudid, Darvocet, OxyContin, opium, morphine, codeine, oxycodone, hydrocodone, prescription painkillers, and all narcotic type drugs. It shortens the detoxification period and spares patients the pain and physical discomforts of withdrawal. It may be of great benefit to patients who suffer from severe withdrawal symptoms and who have failed repeatedly to complete conventional withdrawal programs . However, there are significant costs as well as risks associated with the use of general anesthesia. It is imperative that the procedure be performed by medical professionals who are highly trained in these procedures in a medical setting that is fully equipped to deal with any complications that may arise.

Stepped Rapid Detoxification: This alternative to rapid detoxification provides small doses of Narcan (Naloxone) subcutaneous and naltrexone orally every hour or so, together with reduced withdrawal management medications , mostly orally, as necessary. This approach using the slower oral and subcutaneous routes rid the body of the opiate more slowly than intravenous Rapid Detoxification . In addition the pacing can be controlled and responsive to any withdrawal symptoms that develop in the patient by having them quickly suck on Buprenorphine tablets under the tongue. There is less need for withdrawal management medications. The patient is alert and directly communicating with medical staff until the situation has been resolved. It is possible to be detoxified and stabilized on Naltrexone Maintenance Therapy with 2 to 4 small manageable bites. If someone tries to use any kind of opiate while they are on Naltrexone, they feel no effect because all of the receptors are completely blocked.

Ultra Rapid Detoxification: This procedure involves putting patients under general anesthesia and giving them a drug called Naltrexone which blocks all of their endorphin receptors. This accelerates the withdrawal process, pushing them into 100% detoxification within a 5-30 minute period. Although this is an extremely painful process it is tolerable under anesthesia. As with rapid detoxification, it is very costly and has significant medical risk.

Outpatient Detoxification
Outpatient medical detoxification is usually safe and effective for people who are more likely to have mild to moderate withdrawal symptoms. For instance, primary care-based opiate detoxification can be accomplished with a variety of medications such as buprenorphine-naloxone (BUP/NX) or clonidine alone or combined with naltrexone. Buprenex, newly approved by the FDA, can now be administered on an outpatient basis by physicians who receive a required eight-hour training. Using Buprenex, the detoxification can take between 7-14 days.

Methadone: The most common method of opiate detoxification is to use Methadone in an approved clinic and slowly taper the patient down from the usual dose to zero over a period of approximately 21 days. This process still entails an uncomfortable withdrawal period and patients often use drugs during the withdrawal period.

Self evaluation is a good starting point for those who are uncertain about their treatment needs.

Alcohol Screening.org (alcoholscreening.org)
This web site provides a brief, confidential alcohol use questionnaire to help people assess their drinking patterns. It also provides information on alcohol use and health issues and resource locators for treatment centers and support groups.

Drinkers Check Up (drinkerscheckup.com)
Developed under a federal grant from the National Institute of Alcohol Abuse and Alcoholism, this web site helps people develop a better understanding of their drinking through an online assessment. Through feedback, a person is given help with deciding whether to change their drinking behavior and the ways in which they can do that.

Phelps-Nourse Addictiveness Test (lapage.com/arr/phelps.htm)
This confidential online questionnaire was developed by two MD's and is based on their theory of the biochemical basis of addiction. It includes five parts (diet, family history, depression, alcohol use, and drug use) that represent risk factors for addictiveness. After each section, click Done at the bottom of the page to move on to the next section of the questionnaire.

Addiction Recovery Management Service (ARMS) (www2.massgeneral.org/allpsych/ARMS/index.asp)
The Addiction Recovery Management Service, offered by the Massachusetts General Physicians Organization, provides fast access to information and support combined with outreach and care management for youth aged 15 - 25 with substance-related problems and their families. ARMS supplements traditional inpatient and outpatient services and bridges the gaps in treatment with high quality care management to maximize the likelihood of recovery.

SAMHSA: Substance Abuse Treatment Facility Locator (findtreatment.samhsa.gov)
The Substance Abuse Treatment Facility Locator is a database of drug and alcohol treatment programs in the U.S. The Locator includes more than 11,000 addiction treatment programs, including residential treatment centers, outpatient treatment programs, and hospital inpatient programs for drug addiction and alcoholism. Organized by state, the database can then be searched by city or zip code. Under the “List Search” option, facilities can also be found in a specific city, a specific county, in one or more zip codes, in one or more States, in the entire United States, or by facility name.

Treatment Coordination and Advocacy (treatmentcoordination.net)
This specialized referral and placement service helps individuals find the most appropriate treatment providers for their individual needs. Services include assessments, national referrals, treatment recommendations, clinical case management and more. Rates vary between $75.00 and $125.00 per hour.

METHADONE LOCATORS

Addiction Treatment Forum (atforum.com)
This web site focuses on the use of methadone in treating opioid addiction. It features a Methadone Clinical Locator by state. Facility name, address, phone and fax are provided. It also includes reports on substance abuse and addiction research, regularly updated news reports, frequently asked questions, resources and links to related web sites.

Addiction Resource Guide (addictionresourceguide.com)
This online listing of licensed in-patient treatment facilities is organized by facility name, state, type of program (psychiatric, long term residential, etc) and special populations (age, gender, etc). It provides a good level of information on each facility and is updated regularly.

Alcohol and Other Drug Addiction Services (www.alcohol-drug-treatment.net)
Run by an experienced addiction counselor, this web site is designed to help people identify addiction problems and direct them to substance abuse programs. Through an online evaluation form, these factors are used in making a determination of treatment and placement. An answer will be returned within 24 hours with two-three referrals offered. Referrals are based on a variety of individual factors such as geographic location, financial ability, past history with recovery programs, and more. The web site also provides information on addiction, on specific drugs, and on the variety of treatment approaches that are available.

Drug and Alcohol Registry of Treatment (DART) (www.dart.on.ca) DART specializes in the provision of information and referral to treatment services related to alcohol and drugs in Ontario, Canada. It operates a toll-free, province-wide telephone service: the Drug and Alcohol Registry of Treatment Information Line (1-800-565-8603), available 24 hours a day, 7 days a week. It also has an online treatment locator, a searchable database of drug and/or alcohol treatment programs offered by organizations in Ontario, Canada.

It is helpful to have as much information as possible when trying to understand a substance addiction and to find ways to break that addiction. The following web sites provide specific information on the most common drugs of abuse including their risks, health effects, treatment approaches, and prevention.

Moyers on Addiction (wnet.org/closetohome/home.html)
This web site is based on the TV series produced by Bill Moyers (Moyers on Addiction: Close to Home). If you click on Science in the left hand menu, a selection of animated Flash presentations are available that illustrate in an easy to understand way how drugs work in the body and in the brain, including alcohol, cocaine, stimulants, opiates, nicotine and marijuana. The web site also has a Help and Resource section, a Discussion Forum, treatment information and more.

National Institute of Drug Abuse (NIDA) (nida.nih.gov/DrugPages)
This section of the NIDA web site provides information on specific common drugs of abuse including health effects, treatment, prevention, ongoing research and more. If you click on any of the listed drug categories you will find NIDA Research Reports, Infofacts, Therapy Manuals, articles from NIDA Notes, Research Monographs and other sources of information for each drug of abuse.

NIDA is part of the National Institutes of Health, charged with the scientific study of addiction. Their web site offers a wide range of information geared to specific groups: Students and Young Adults, Parents and Teachers, and Researchers and Health Professionals.

Addiction Search (addictionsearch.com)
This web site provides links to high quality articles and other web sites on various aspects of addiction. To learn more about drugs of abuse, click on Addictions in the left-hand menu and then click on Substances. Links include information on alcohol, tobacco, cocaine, marijuana, opiates, club drugs, stimulants, hallucinogens, inhalants, prescription drugs, steroids and caffeine. Information is also available on treatment approaches, finding treatment, and prevention.

Crackreality (crackreality.com)
This web site provides information on crack addiction and is geared to families, significant others and friends of crack cocaine addicts. It contains a Discussion Board for family and friends only, addresses basic questions on crack, comments on treatment centers for crack addiction, and posts stories submitted by readers via email on their experiences with crack addicts.

Drugs, Brains, and Behavior - the Science of Addiction (drugabuse.gov/scienceofaddiction/)
This new report by the National Institute on Drug Abuse is available in its entirety online. The report explains how drug addiction is a brain disease and covers strategies for prevention, treatment and recovery.

Freevibe.com (freevibe.com)
This web site provides a variety of information on drug and their risks.
The section on Drug Facts provides scientific information about illegal drugs and their effects including crack/cocaine, inhalants, ecstasy, marijuana and more in text and Flash format. The site also has a "Share your Story" message board, a multimedia presentation on 16 drugs including what they are, what they do and body facts, an "In the News" section, good links, and much more.

Learn-About-Alcoholism.com (learn-about-alcoholism.com)
Educational resource covering all aspects of alcoholism including signs and symptoms, diagnosis, treatment options, and where to go for help.

National Inhalant Prevention Coalition (www.inhalants.org)
This educational web site provides general information on inhalants including signs, risks, long term effects and how to get help. If you email or call them at 1-800-269-4237 they will provide information on treatment centers that treat inhalant use.

Project GHB (projectghb.org)
This educational web site was formed to increased awareness about the dangers of Gamma hydroxy butyrate, known on the street as GHB, "G", Liquid E, Fantasy, Liquid X, Liquid Ecstasy, Organic Quaalude, and Jib among other names. The site covers important facts about GHB including its effects, signs of overdose, and adverse reactions It also provides information on treatment, a section for reporting serious events, a newsletter, resource links, legal issues and more.

National Institute on Drug Abuse (NIDA) Report on Salvia (nida.nih.gov/infofacts/salvia.html)
This overview of Salvia, a hallucinogenic herb, highlights the physiological effects and potential dangers of the herb. Used mostly by young adults, the drug is not currently regulated by the Controlled Substances Act although several states and countries have passed legislation to regulate its use. The Drug Enforcement Agency has listed Salvia as a drug of concern and is considering classifying it as a Schedule I drug, like LSD or marijuana.

My Addiction (myaddiction.com)
MyAddiction.com is an online educational and informational web site on addiction and recovery. It provides information on a variety of addictions including nicotine, alcohol, cocaine, methamphetamine, heroin, prescription drugs, sex, gambling and eating disorders and describes different treatment approaches. It also offers a locator by state for treatment options such as detoxification, residential, continuing care and support groups.

Drugs-Forum (drugs-forum.co.uk/forum/forumdisplay.php?f=196)
An International Rehab index listing addiction centers in Asia, Australia, Europe, North America, South America and South Africa

Drug Rehab Centers - Canada (drug-rehab.ca)
A no cost drug and alcohol rehab center referral agency for treatment programs across Canada and the United States

European Association for the Treatment of Addiction (EATA)
(eata.org.uk/index.php?page=eata-directory)
EATA is the main representative body for voluntary and independent treatment services in the UK and internationally. To use their directory, under Region, select International, under Category, select Rehabilitative Treatment Provider.

UK- Drug Rehab - Alcohol Rehab (www.uk-rehab.com)
A directory of Addiction Treatment centers, organizations and service providers in the UK. Click on Addiction Services Directory.

12 Step Treatment Centres.com (www.12steptreatmentcentres.com)
Based in the UK, this 12-step treatment center guide provides a unique section on International Treatment Centers. It provides basic information on each center as well as web site and contact information.

Drug and Alcohol Registry of Treatment (DART) (www.dart.on.ca)
DART specializes in the provision of information and referral to treatment services related to alcohol and drugs in Ontario, Canada. It operates a toll-free, province-wide telephone service: the Drug and Alcohol Registry of Treatment Information Line (1-800-565-8603), available 24 hours a day, 7 days a week. It also has an online treatment locator, a searchable database of drug and/or alcohol treatment programs offered by organizations in Ontario, Canada.

wedorecover.com (wedorecover.com)
Toll free number in the UK is 0808-26-REHAB
We Do Recover is a service based in South Africa and the UK helping people to find the most appropriate addiction treatment resource for their needs, budget, age, specific addiction and treatment history.

Aureus: Restoring Lives, Families and Careers (aureusinc.com)
ARP is a professional network of alcohol and drug specialists focusing on assessments, interventions, treatment center selection and management and post-treatment recovery. Their expertise is in helping families through the recovery process, beginning with the intervention and continuing through post-treatment planning.

Inter-care (www.inter-care.com)
Inter-Care's approach to intervention is one that fully involves the whole family in the intervention process. All participating family members focus on both individual issues and shared concerns. Unlike earlier intervention models, there is no secrecy or surprise. Everyone is fully involved from the start and everyone receives help in the process. Inter-Care conducts interventions in all fifty states and all six continents. Their professionally-trained staff of clinicians works within all cultures, including those where English may not be the primary language spoken.

Carefrontations (www.carefrontations.com)
The intervention methods utilized by Care Confrontations are based on the positive expression of love and concern spoken in a compelling and truthful manner. The purpose is to present reality to a person who is out of touch with it. The intervention team provides instruction on how to begin the intervention planning process including who should participate, treatment options, and when and where the preparation and intervention will occur. The group is prepared through letter writing and role playing. The intervention team of licensed and registered chemical dependency specialists provides interventions all over the country and abroad. They facilitate interventions for the Betty Ford center, Sierra Tucson, Hazelden, and other treatment facilities in the U.S. and Canada.

Drug and Alcohol Interventions (www.druginterventions.net)
This site provides information and guidelines for performing an effective addiction intervention, including the intervention process, its goals and how it is conducted. It also offers a live chat option and a free telephone consultation. Interventions are conducted by a certified addiction practitioner and are available nationwide.

Family Interventions, Intervention Training (innervention.com)
Jeff VanVonderen is an intervention specialist offering family and corporate interventions.
He has worked as a counselor in both residential inpatient and out patient treatment settings, as well as in the religious community. He has been an Extended Adjunct Instructor at Bethel College in St. Paul, MN. and a Community Faculty Member for the University of Minnesota's Program for Individualized Learning. For over 15 years he was part of the Senior Leadership Staff at Church of the Open Door in Minneapolis, in the area of Recovery.

Intervention 911 (intervention911.com)
Headed by a certified alcohol and drug intervention specialist, Intervention 911 provides family and executive interventions. During this process, family members, friends, or employers learn how to deal with the addict who is in denial. The counselor and the significant others help the dependent person see their addiction and its consequences in order to move them to a point of beginning addiction treatment.

Lifeline Intervention (lifelineintervention.com/services.htm)
A nationwide intervention company with board certified specialists providing crisis and drug intervention services to families and their loved ones. Intervention specialists work confidentially with teenagers, adults as well as executives and busy professionals.

Love First (lovefirst.net)
Love First offers a full team of professional interventionists that work with families, adolescents, older adults and executives to provide intervention services for alcoholism and drug addiction. Services include selecting an appropriate treatment center, matching treatment options to family finances, making travel arrangements, facilitating the intervention, escorting the patient to treatment and post-treatment support. Information on the web site is based on the Hazelden Guidebook, Love First: A New Approach to Intervention for Alcoholism and Drug Addiction. It includes intervention resources, including extensive articles and links.

There are many psychological illnesses such as mood and anxiety disorders as well as psychological traumas such as physical and sexual abuse that often predispose a person to addiction. Optimal treatment for these persons includes psychiatric treatment and/or psychotherapy.

ADDICTION COUNSELORS
National Association of Alcoholism and Drug Abuse Counselors (NAADAC) (naadac.org/documents)
NAADAC is the professional membership organization and the nation's largest network of alcoholism and drug abuse treatment professionals. Click on Certification in the left hand menu, and scroll down the page to Testing Information. Click on State Certification Boards. This will provide a state-by-state listing of Certification Boards for alcoholism and drug abuse counselors. These Certification Boards will be able to make referrals to certified mental health practitioners in the U.S.

PASTORAL COUNSELING
Some people may prefer to seek help for their addiction problems from their pastor, rabbi, priest or other spiritual leader, rather than from a mental health practitioner or addiction counselor. Pastoral counselors work within traditional faith communities using counseling, prayer and spirituality to help in the addiction recovery process.

In addition, the American Association of Pastoral Counselors (AAPC) accredits Pastoral Counseling Centers throughout the U.S. that provide counseling and psychotherapy services. To Find a Certified Pastoral Counselor, visit the AAPC web site at www.aapc.org and select either Search online: the AAPC Clinical Registry or Locate a counselor with the AAPC Online Membership Directory.

PSYCHIATRISTS
AMA Physician Select (ama-assn.org/aps/amahg.htm)
To locate a psychiatrist in your area that specializes in addiction or to check practice and biographical details on a psychiatrist to whom you have been referred, please be patient and follow these instructions.

From the home page click on "Search for a Physician". Click on "Accept", and you can then search by either "Physician Name" or "Medical Specialty". If you select "Medical Specialty", Look down the page and click on "search from an expanded list of medical practice specialties, select "Addiction Medicine" from the list, and then fill in state, city and/or zip code and click on the "Search" button at the bottom of the page. This should provide a list of addiction psychiatrists in your selected area.

PSYCHOLOGISTS
The National Register of Health Service Providers in Psychology (findapsychologist.org)
This online guide provides a searchable directory of psychologists with various specialties and specialty board certifications by geographic area. The database covers psychologists who are certified in substance addiction by The College of Professional Psychology of the American Psychological Association Practice Organization. Click on Go to Advanced Search in the middle of the page. Then click on Qualifications. At Area of Expertise, use the drop down menu to select Substance-Related Disorder.

*If any of the terms are unclear, please follow the link to learn more about their meaning.

A message board is a place where you can post, respond to, or simply read messages posted by others. Typically, they are free to use, though some type of registration is usually required to access all features. Most message boards require a username (first name and initial, or fictional name), a password, and an email address.

Visitors can begin a new discussion by starting a "thread" on the board to which others can reply. These messages will often remain posted for an indefinite period time, so a thread begun today can help support others who visit the board months or even years from now.

Trouble Blog (troubleblog.com)
A useful blog covering a variety of issues related to drug and alcohol use and recovery.

SoberRecovery (soberrecovery.com/forums)
The message board in this directory of recovery resources has various categories: Newcomers, Ask the Experts, General Forums, Alcoholism (AA, Alanon, ACOA), Drug Addiction (NA, Nar-Anon), Family and Friends, Mental Health and more.

Buprenorphine (Suboxone)
Heroin-Detox.com (heroin-detox.com)
This series of recovery forums focuses on detoxing from opiates, alcohol, cocaine, amphetamines and benzodiazepines.

National Alliance of Advocates for Buprenorphine Treatment (naabt.org)
The web site of this non-profit organization includes ways of locating physicians who offer treatment with buprenorphine as well as informative educational material and an online
discussion board.

Codeine
Codeine Addiction Help Forum (mc2.vicnet.net.au/home/cahf/index.html)
This community aims to help those who have a Codeine Addiction or dependence. The online forum provides an opportunity to get advice and support from fellow sufferers who either have an active addiction or are in the recovery phase. The site offers a discussion forum, detox and treatment resource files, and links to support agencies and published reports.

Marijuana
Stop Marijuana Addiction Forum (forummatters.com/forums/forumdisplay.php?f=16)
This message board is dedicated to marijuana addiction and facts about marijuana, effects of cannabis, mental health, dependence, etc. This is a forum for people that consider cannabis use to be a problem.

Methamphetamine
Meth Madness (pub28.ezboard.com/bmethmadness)
The web site hosts its own message board and chat room and also provides links to others that are related to methamphetamine recovery. In addition, it provides other helpful recovery links, personal writings, articles, book recommendations, and other resources to help people educate themselves about Crystal Meth.

Methadone
Addiction Treatment Watchdog (readybb.com/watchdog/index.php)
This educational web site is geared to the needs of patients on medications for opiate addiction. It has a Clinic Report database and submittal form for reporting on the quality of treatment at specific methadone clinics, a section on clinic complaints, a resource section which includes Methadone Advocacy Organizations, a Methadone Watchdog section which answers questions on methadone maintenance, a chat room and two message boards (one for those in recovery and one for friends and families seeking information on opiate addiction).

A Sober Mind (asobermind.blogspot.com)
In her blog Dr. Rita Barsky, an addiction counselor for over 20 years, writes about recovery, sobriety, abstinence, and how to handle all the feelings that arise as you let go of addictions. This helpful resource is updated at least once a week.

Buddhist 12 Steps (the12stepbuddhist.com)
Blogs cover topics such as daily life, how-to, commentary and more.

Improve Our Conscious Contact (improveourconsciouscontact.blogspot.com)
This blog includes writings and discussions about Step Eleven from varied religious backgrounds.

Recovery Road (recoverystreet.blogspot.com)
A personal daily devotional recovery blog on the 12-step approach to sobriety from all addictions.

To join a chat room, users will typically select from a variety of rooms and are often required to register prior to logging on. To “chat”, users type and submit messages that are immediately sent to the chat room for others to view and reply to. Thus real-time chat meetings feel more like face-to-face meetings than communicating via message board, though some message boards integrate real-time messaging features as well.

Chat meetings are essentially chat rooms than include a chairperson who introduces topics that others in the room take turns providing feedback on. At some meetings, an opening and closing statement is also included.

The latest development in online meetings is "voice chat", where participants can actually hear each other discuss the meeting topics. With the use of a microphone and speakers, participants can talk and listen in real-tom to others in the room. Users who do not have microphones can participate in the standard chat room fashion by typing their messages in directly.

HAMS Harm Reduction Network (hamsnetwork.org)
HAMS is a free of charge peer led support group for people who want to reduce the harm in their lives caused by alcohol or other substances. HAMS offers support via a chat room, an email group, a forum and live meetings. HAMS supports every goal from safer use to reduced use to abstinence from alcohol.

Marijuana Anonymous Online (ma-online.org/chat.html)
This site hosts both chat rooms and online meetings for those recovering from marijuana addiction. Click on Online Meeting Schedule in the left menu bar for a list of ongoing online MA meetings. Click on MA Chatspace in the left menu bar for instructions on how to enter a chat room (specific instructions are provided for those using AOL).

NA Chatroom (nachatroom.org)
Based on the 12 step traditions of Narcotics Anonymous, this site offers online meetings seven days a week, open chats, forums and member stories.

NA Recovery (www.na-recovery.org)
NA-Recovery.org is a community of addicts coming together online to share their experiences. The chat room is open 24/7 and can help people find local meetings, Narcotics Anonymous literature, and local helplines. The chat room also hosts online meetings at 10 PM Eastern Standard Time, with a variety of meeting formats.

RecoveryBoard.com (recoveryboard.com)
They have two different chat rooms. One is a Java applet based chat (you should have at minimum a computer with a Java- enabled browser). You can download Chat Space Java Client from the web site. The second uses web TV or other ways to access the web and connects you to Talk City.

Recovery Chat (RecoveryChat.com)
Provides online recovery chat room services for those affected by any form of addiction. Multiple meeting rooms with scheduled meetings as well as user photos and a bulletin board are offered. The site uses a Java-based chat software called Digichat.

Sober24 (sober24.com/Chat/85/)
The SoberChat chat rooms are open 24 hours a day/7 days a week. They offer virtual meetings on a regular basis. SoberChat categories include an Emergency room, Recovery room, Family room, 12-step Recovery Meeting Room, Family Recovery Meetings, and Sponsor Rooms. Registration is required and is free for the first 24 days. After that there is a yearly membership fee of $32.00.

Earth Group of NA (earthgroupna.org)
Earth Group of NA is an internet-based group of recovering addicts who meet twice a week via email for support. The site also has a message board, a chat room with 25 real-time online meetings a week, and online articles posted on a variety of recovery topics.

LifeRing Secular Recovery (unhooked.com/meetings/index.htm)
Regularly scheduled online meetings are held 24 hours a day/7 days a week. There is no registration required and participation is free. A current Java-enabled browser is required such as Netscape 4.07 or Internet Explorer 4.0 or above. jIRC applet is available for download.

There are several different types of formal meetings conducted by recovering addicts on the Internet. This guide lists the following types of meetings: NA Email Meetings (members share by email and receive a comprehensive email each week with the correspondence details), NA Web Based Meetings (the communications are posted on a web page), NA Chat Meetings (real time group discussions with formal chat meetings), NA List Servers (unmoderated forum that posts all communications to subscribers via email), Links to Nar-Anon Family Groups (12-step support for the loved one's of addicts), Links to General Chat Program Downloads (mIRC, ICQ, AOL IM, and Powwow).

Marijuana Anonymous Online (ma-online.org/schedule.html)
This site hosts both chat rooms and online meetings for those recovering from marijuana addiction. Click on Online Meeting Schedule in the left menu bar for a list of ongoing online MA meetings. Click on MA Chatspace in the left menu bar for instructions on how to enter a chat room (specific instructions are provided for those using AOL).

Smart Recovery (smartrecovery.org/onlinemeetings.htm)
Provides regularly scheduled online recovery meetings (1 ½ hrs) based on the Smart Recovery approach to abstaining from addictive behavior. A meeting for new members is scheduled each Sunday at 3:00 PM ET. Each Meeting has a Moderator who is in charge of the tone and continuity of the meeting and may also have a Professional Advisor, Coordinator, or Facilitator to assist with the SMART approach.

SMART Online utilizes two different formats. Text Chat at ParaChat uses a format called Java Chat that allows you to talk with typed messages in real time to other Internet users around the world. ParaChat is organized in channels on a specific topic. You can also talk privately with someone.

Smart Recovery Voice/Text Meetings in LivVe provides interactive voice and text capabilities. Live downloads are available at smartrecovery.org/livve.htm.

Nicotine is a highly addictive drug. Smoking is not only a physical addiction, but also becomes linked with many social activities and coping needs, making it a difficult habit to break.

When someone addicted to nicotine stops smoking they may experience withdrawal symptoms such as increased anger, hostility, and anxiety. Nicotine replacement therapies combined with behavior change programs providing psychological support and skills training result in the highest long-term abstinence rates. Generally, rates of relapse for smoking cessation are highest in the first few weeks and months and lessen considerably after about three months.

NICOTINE REPLACEMENT PRODUCTS provide nicotine without smoking. This helps to lessen the body's craving for nicotine and to reduce withdrawal symptoms. Replacement products come in several forms: gum, patch, nasal spray, inhaler and lozenge. Nicotine gum, patch and lozenges can be bought over-the-counter. The nasal spray and inhaler (brand name Nicotrol) require a doctor's prescription.

BUPROPION (brand names Zyban or Wellbutrin) is an antidepressant drug that can be used to help some people stop smoking. It is taken as a pill and requires a doctor's prescription. Although it does not contain nicotine, it can help people resist the urge to smoke. Bupropion is often used for 7-12 weeks, beginning 1 or 2 weeks before smoking is stopped. It can be used for smoking cessation maintenance for up to six months. Side effects may include insomnia and dry mouth.

VARENICLINE (Chantix) - is the first treatment that specifically targets the neurobiological mechanism of nicotine dependence. Studies show that the drug successfully stimulates dopamine (the brain's pleasure chemical) and blocks nicotine receptors. This reduces nicotine withdrawal symptoms and cravings, helping to prevent a full relapse. The drug also blocks the effects of nicotine if you begin to smoke again.

Chantix is a prescription medication sold in tablet form. It is generally prescribed for 12 weeks. If you quit smoking during that time, your doctor may prescribe Chantix for another 12 weeks to enhance long-term success. Side effects may include nausea, vomiting, gas, headache and insomnia.

Researchers found Chantix to be more effective than a placebo in helping people quit smoking. In two studies, Chantix helped more people quit smoking than did bupropion (Zyban) ‹ the only other nicotine-free drug used as a quit-smoking aid.

FDA 101: Smoking Cessation Products
(www.fda.gov/ForConsumers/ConsumerUpdates/ucm198176.htm)
A good discussion of the different smoking cessation products available, differentiating between products that contain nicotine and products that do not.

Quitnet (Quitnet.com)
Launched in 1995 by a smoking cessation counselor, this well-established online quit smoking community includes simple smoking cessation tips, an extensive online Quitting guide, message forums, chat rooms and Q-mail to share experiences, strategies and successes. It also provides listings of local counseling programs.

Local Quit Smoking Programs and Support Groups
Many local hospitals and clinics offer quit-smoking programs. You can also contact the American Lung Association (ALA) to find a "Freedom From Smoking" program in your area.

Freedom from Smoking Online (lungusa.org/site/pp.asp?c=dvLUK9O0E&b=22542)
Click on "Quit Smoking" tab at top of page to find the American Lung Association's web-based smoking cessation support program.

Nicotine Anonymous (www.nicotine-anonymous.org/)
Nicotine Anonymous is a 12-step fellowship program based on the recovery program of Alcoholics Anonymous. Their web site has a meeting locator by state or country and online information in English and five other languages.

SmokeFree.gov (smokefree.gov)
This National Cancer Institute web site provides detailed step by step guidelines on how to quit smoking. It also includes links to the smoking quit-line, to telephone support by state, and to instant messaging via a live chat service with a National Cancer Institute information specialist during specified hours of operation. The site also offers free online guides to quitting targeted to different populations.

Self Help Works (www.selfhelpworks.com/shw_free.aspx)
LivingFree is a cognitive-based online program consisting of 12 sessions over a period of 5 weeks. This step by step process includes Support Audio, Newsletter, RealTalkRadio Shows, a printable online manual, and exercises designed to help you integrate the principles into your life that can change your relationship with cigarettes and help you set your goals on becoming an ex-smoker. All that is needed is a 28.8k modem and you can call toll free, instant message, or e-mail. Personalized support in the form of audio coaching by your program instructor, immediate personalized advice and e-mails are also available as well as a private online journal and downloadable MP3 support audio to listen to while driving or walking.

The National Directory of Smoking Cessation Programs (quitnet.com/library/programs)
The National Directory of Smoking Cessation Programs maintains the largest database of local quit smoking programs in the U.S. Just enter your zip code or state to find the program nearest
you.

WhyQuit (www.whyquit.org)
WhyQuit combines three online approaches to smoking cessation: motivation not to start smoking and to quit smoking, education on risks, benefits and strategies, and support groups and online forums. The site was developed by a health educator and nicotine dependency counselor.

HAZELDEN FOUNDATION
The Next Step* Smoking Cessation Retreat
Dan Anderson Renewal Center

MANDALA WELLNESS RETREAT & SPA
A small retreat center run by a licensed clinical social
worker offering a 4-day and 7-day Quit Smoking Program.

AlcoholDrugSOS Services Addictions Counseling Online (alcoholdrugsos.com)
This site offers online answers to questions about drug and alcohol addiction for a fee based on the complexity of the question and online addiction counseling. All information and services are provided by a licensed addictions counselor with 27 years of experience, who is also in recovery himself.

AndemTherapy.com (andemtherapy.com)
Margaret Andem, LCSW provides psychotherapy and counseling on addictions and other issues via the Internet, phone and in-person. Fees for live online chat or a telephone session are $1.50 a minute, for detailed email responses $40.00. Reduced fees are available on a case by case basis.

Bright Eye Counseling (brighteyecounselling.co.uk)
This is an online counseling and psychology service for people having problems with drugs or alcohol, including those concerned about bingeing and those considering rehab. Rather than a 12-step approach, it uses a cognitive behavioral approach to help people develop their own solutions. There is a choice of individual or group work with email options available. These sessions are supported by extensive downloadable resources which you can work on in your own time. Meetings are held in a private online chatroom once a week or more. The first session is available at a reduced rate of £19.50 (US $32), further sessions are £32.50 (US $51.98), a package of four sessions is £110 (US $181).

Life Recovery Program (liferecoveryprogram.com)
Developed by a crisis/addictions/family counselor, this online addiction recovery support program consists of bi-weekly video/audio workshops, practical tools, an interactive anonymous peer support forum, easy to follow homework exercises to help build recovery, and weekly and monthly supportive email follow-up for up to 6 months after the program to help you stay on track. The cost is $129.00 a month. The program is providing a "pay what you can" option until April 30, 2009.

EGetGoing (egetgoing.com)
EgetGoing provides online chemical dependency treatment using advanced telemedicine and eLearning technologies. It provides online, real-time interactive audio- and video-based substance abuse treatment and has received accreditation from the two leading accrediting groups for behavioral health providers. In an interactive setting, group members talk to each other under the guidance of an experienced counselor who uses a treatment approach that is based on the 12-Step philosophy.

The Lifeline treatment program is designed for individuals who are seeking professional treatment for alcohol or drug dependency for the first time and those who need to strengthen their recovery. Experienced chemical dependency counselors provide an easy-to-understand introduction to the process of recovery and help clients establish building blocks for a sober lifestyle. Online sessions provide clients the opportunity to share and discuss personal feelings, ideas, and difficulties they may experience in early sobriety. The program includes an initial treatment period of 24 sessions over 12 weeks, an additional 52 weeks of aftercare through a weekly, counselor-moderated chat environment and one hour of individualized counseling, both at no additional cost. Fees are $399 per month for three months including on year of weekly aftercare groups.

Enterhealth (http://www.enterhealth.com/OnlineRecovery/)
Enterhealth's e-Learning courses cover different phases of recovery. The programs are compatible with 12-step group or private therapy. Advanced Recovery - 3 month commitment required - covers the coping skills necessary for long term sobriety.

Life Care - 3 month commitment required - ongoing post-rehabilitation support 24 hours a day 7 days a week.

They also offer support through certified coaches who work with clients on a one-on-one basis via telephone or email to support long term sobriety.

TeenGetGoing (teengetgoing.com)
This online substance abuse treatment program geared to the needs of adolescents was developed by the same clinical team that developed EgetGoing. In addition to educational information on alcohol and drugs, teens can join online treatment groups. Two programs are available. The Adolescent Group Treatment Program has 24 live group sessions online facilitated by an experienced counselor. These scheduled groups have 8 - 10 members and meet online twice a week to provide a full treatment program. The Awareness Program is a 12-session assessment and prevention program that teens can take on their own and does not have a live counselor or live group interactions.

Alcohol Help Center (www.alcoholhelpcenter.net)
The Alcohol Help Center is an interactive web site dedicated to helping those who have concerns about their drinking. The goal is to promote interaction between people who have drinking problems and health professionals. The site offers free tools such as a test for people to check their drinking, an interactive and personalized collection of exercises designed to help you make important decisions about your health, an online moderated support group and instant messaging between program participants around the world.

Outdoor Therapy involves the use of challenges found in nature (such as rock climbing, white water activities, and backpacking) to provide growth experiences that can help people make fundamental changes in their lives. These programs have been used for many years as an adjunct to addiction treatment (the first program was Colorado Outward Bound’s Alcohol and Drug Courses in 1978). Therapeutic benefits of these programs include establishing a deeper connection with the natural world, nurturing the ability to trust one’s community through the experience of teamwork, developing a healthier relationship with the issues of control, taking responsibility for one’s actions and how those actions impact others, and increasing feelings of self-esteem, joy and pleasure. The goal of these programs is to provide people with opportunities and skills to deal with difficult situations so that they can draw upon these experiences in the recovery process.

Outward Bound (outwardbound.org)
Outward Bound has been offering a variety of challenging wilderness programs for over forty years. While it does not provide a structured therapeutic recovery program, the emphasis on skills development and personal growth in areas such as self-reliance, responsibility, teamwork, leadership, confidence, and self-knowledge can have a positive impact on long term recovery.

HealingQuest LLP (wildernessthx.com)
HealingQuest offers wilderness therapy to connect with the balance nature provides. Trips can be day trips or multiple days and offers a variety of outdoor activities. They emphasize being present in the natural environment and sharing experiences and insight with other participants. The clinical director works with participant's therapists to support recovery and treatment plans. Healing Quest is based in Boulder Colorado and has field areas in Wyoming, Colorado, Utah, and New Mexico.

Passages to Recovery (passagestorecovery.com)
This innovative treatment and recovery program specializes in helping adults ages 18 to 50 with a variety of issues including substance abuse, anxiety, depression, difficulties with relationships, and others. The program integrates the philosophy of the twelve steps with traditional therapy and the healing power of the wilderness. They offer flexible lengths of stay with a minimum of 35 days.

ANASAZI Foundation (anasazi.org)
ANASAZI Foundation is a licensed and JCAHO-accredited outdoor behavioral healthcare provider for youth and young adults with substance abuse and other emotional or behavioral concerns. It offers a variety of programs including a 42-day outdoor treatment program for youths ages 12-17 and young adults ages 18-25, as well as outpatient counseling and community drug awareness and education forums. They offer significant financial assistance for those families in need.

ASCENT (ascent4teens.com)
A therapeutic outdoor program for teens between the ages of 13 and 17 who are experiencing destructive emotional and behavioral problems. It integrates a wilderness challenge experience with residential treatment. ASCENT is an initiative of The Brown Schools, a national provider of education, therapeutic and family support services for children with special needs.

Catherine Freer Wilderness Therapy Expeditions (cfreer.com)
This program combines behavior management therapy, a modified 12-step approach, individual and group psychotherapy and 21-day or 51-day wilderness trips in the Pacific Northwest for teens with drug, alcohol and behavioral problems. The program is accredited by the Joint Commission of Accreditation of Healthcare Organizations (JCAHO)

Lone Star Expeditions (lonestarexpeditions.com/philosophy.html)
Affiliated with the Aspen Education Group, this licensed outdoor treatment program designed by clinicians combines traditional therapy with a wilderness setting. Lone Star Expeditions specializes in helping adolescents ages 13-17 who are experiencing emotional, behavioral, attention, or learning problems.

Monarch Center for Family Healing (monarchfamilyhealing.com)
The Monarch Center is dedicated to working with families who are struggling with issues specific to the parent-adolescent relationship by utilizing both wilderness and relationship-based therapy in an intensive and transformative manner. These issues may include substance abuse, disrespecting authority, deliquency, academic struggles, emotional troubles, and peer conflicts. The long term wilderness therapy program for troubled teens is a minimum of 30 days and a maximum of 150 days, with the average length of stay between 60-80 days. Troubled teens and youths can earn academic credit in the wilderness therapy program.

Mountain Homes Youth Ranch (MHYR) (mountainhomesyouthranch.com)
Mountain Homes Youth Ranch is a therapeutic growth program in a wilderness setting. Licensed by the Colorado Department of Human Services as a resident camp, MHYR conducts a three-phase wilderness therapy program that provides the opportunity for emotional and physical challenge. The program includes daily group therapy and weekly individual therapy by a certified counselor. Tuition is $275 per day and covers the child's room, board, therapy, skills learning tools, 24-hour supervision, recreational activities, and therapy. The minimum stay is 42 days. The MHYR program is divided into three phases: 1) Beginning Wilderness phase which can be completed in 21 days 2) Advanced Wilderness phase which is also 21 days and 3) Ranch Phase which provides additional time to work on life skills, academics or work ethic. This typically lasts 63 days and is considered an excellent transitioning tool to the child's next living setting.

Pacific Quest (pacificquest.org)
This wilderness therapy program for struggling teens ages 13-18 is located on the Big Island of Hawaii. In addition to traditional wilderness therapy, sustainable life skills are taught. The wilderness program model provides students an opportunity to view the working farm, organic gardening and sustainable agriculture as a mirror for life’s challenges and rewards. Owned and operated by a veteran team of professionals with years of wilderness program experience, they offer a holistic, experiential, yet clinical approach to treatment that is individualized for each student.

SUWS Youth Program (suwsyouth.com)
This outdoor experiential program based in southern Idaho offers struggling teens between the ages of 11-13 and 14-17 a treatment program consisting of individualized treatment plans and flexible lengths of stay.

Trailhead Wilderness School (trailheadwildernessschool.com)
Trailhead Wilderness School is a wilderness therapy program providing help for youths between the ages of 10 and 18 who are struggling with a variety of issues including substance abuse, depression, ADD, delinquency, poor school performance, and anger management, among others. The program consists of wilderness therapy, individual and family therapy, and an educational program approved by the Colorado Department of Education. There are two main programs: long term (from 30-150 days) and weekend courses available continuously throughout the year. Trailhead is licensed as a Residential Treatment Center by the Colorado Department of Human Services.

Twelve-step programs have long been an important part of the recovery process and the basis for many recovery programs. Developed over 65 years ago by a small group of alcoholics, the AA program provides simple tools for living based on a set of spiritual principles and a reliance on the fellowship of men and women who share their experience and offer their support as part of a lifelong process of recovery. This approach has since been adapted for the treatment of many other addictions, and now includes other self-supporting fellowships such as CA and NA.

Alcoholics Anonymous (AA) (alcoholics-anonymous.org)
A twelve-step program for people in recovery from alcohol abuse. The site provides an online list of central offices and groups in the U.S. and Canada, meeting contact information, a description of the 12-steps and traditions, a listing of AA literature and a bulletin board.
Some drug addicts prefer AA to NA or CA.

Narcotics Anonymous World Services (NA) (na.org)
This twelve-step recovery program from addiction to drugs is based on the Alcoholics Anonymous model. The site provides basic information on the program and NA literature. Wse Find a Meeting and Local Phonelines and Websites to locate find registered NA meetings in the US and 35 countries worldwide.

Alcoholics Anonymous: 12 Step Programs for the Deaf (www.rit.edu/ntid/saisd/national_directory/states/12_Step_Programs_for_Deaf.htm)
Lists TTY equipped 12 Step offices available and other AA offices that rely on relay service for interaction with the Deaf. Information about ASL-interpreted AA meetings can usually be provided by local AA central or intergroup offices listed in the phone book. If there is no local AA office, the Alcoholics Anonymous General Service Office keeps an updated list of over 580 United States and
Canadian AA central offices.

All Addictions Anonymous (alladdictionsanonymous.com)
All Addictions Anonymous focuses solely on the 12 step program and how to work the steps. They allow only brief personal sharing about "war stories" in order to illustrate patterns of addiction and do not explore psychological issues. The program connects suffering addicts to recovered addicts who guide newcomers through a personalized one- on-one study of the original 12 step program described in the Big Book of Alcoholics Anonymous. The program is open to people with any addiction. Go to the Contact Us section and leave a confidential message on their 24 hour pager: 416-468-8603 or send an email. You will be contacted and connected with someone in your area or arrangements will be made to get you help by phone.

Big Book Sponsorship (bigbooksponsorship.org)
The purpose of this site is to show people recovering from all addictions precisely how to recover using the Big Book of A.A. It provides information about the original A.A. Program that produced recovery rates that were 50-75% successful and information resources on who, where, why, what and how to use the Big Book and its methodology for facilitating spiritual experiences that enable the addict to recover. The site helps connect people with Big Book sponsors who practice the original program format.

Cocaine Anonymous (CA) (ca.org)
This twelve-step program is for people in recovery from cocaine and other drugs. The site describes the twelve-steps and traditions and provides a self-test, a meeting starter kit and CA literature. Under "Local Phones & Links", referral phone numbers are listed by state in the US, with contact numbers provided for Canada, the UK and the Netherlands as well. To participate in online meetings click on "Online, all locations" at the end of the referral list.

CrystalMeth Anonymous (CMA) (crystalmeth.org)
This twelve-step program is for people in recovery from crystalmeth amphetamine and other related drugs. Based on the twelve-step model, the web site includes basic information on the CMA fellowship, the Twelve Traditions, CMA meeting schedules and information on how to start a meeting.

Marijuana Anonymous World Services (marijuana-anonymous.org)
Marijuana Anonymous uses the basic 12-step recovery program founded by Alcoholics Anonymous. Their web site covers the 12-steps and the 12-traditions, online pamphlets on various aspects of marijuana addiction, a meeting directory by geographic area and a list of online meetings.

Methadone Anonymous Support (MethadoneSupport.org)
A twelve-step program for people using methadone in recovery from opiate addiction. The site provides an online meeting locator by state, methadone discussion lists, online meetings, a Methadone News section, a description of the 12-steps and traditions, and information on HIV, Hepatitis C and buprenorphine.

Nicotine Anonymous (nicotine-anonymous.org)
Nicotine Anonymous is a 12-step fellowship program based on the recovery program of Alcoholics Anonymous. Their web site has a meeting locator by state or country and online information in English and five other languages.

Pills Anonymous (pillsanonymous.com)
This web site is geared to the needs of those recovering from prescription drug addiction. It discusses the 12 steps traditions, sample stories and a meeting locator.

Recoveries Anonymous (r-a.org)
Recoveries Anonymous (RA) is a recovery fellowship that uses the 12 steps for a "Solution Focused Program of Recovery." It welcomes anyone with any kind of problem or self-destructive behavior including family and friends and those who are looking for spiritual growth. The goal of RA is to "restore one's sanity", not simply to remain abstinent. Their web site provides background information on their approach as well as a meeting locator and information on how to start a group. Free online recovery guides are available and downloadable PDF versions of RA's solution focused books (small contribution is requested).

Recovery Zone (recoveryzone.org)
This site on 12 step recovery presents both the complete audio version (in streaming audio) and text version of the original book "Alcoholics Anonymous" book written in 1939, the basis of all the 12-step programs.

The Spiritual River (spiritualriver.com)
This web site is based on the 12 step model of recovery. It is very clearly written, encouraging, and covers the basic issues related to choosing and maintaining recovery. The section dedicated to exploring spirituality addresses the role of religion and philosophy in the recovery process.

MEETING LOCATOR

Alcoholics Anonymous: Continental European Region (aa-europe.net)
AA meetings can be located by clicking on a map, a country name, or by entering the name of a city and country in a search box. The web site also lists events and offers a subscription online newsletter service.

CyberSober.com (cybersober.com)
CyberSober was founded in response to a need to find 12-step support group meetings and resources in unfamiliar areas. Licensed by Map Quest, CyberSober provides maps and door-to-door directions to over 200,000 12-step meetings in the U.S. and 72 other countries. The CyberSober meeting search tool allows you to search in a variety of ways, such as the closest 30 meetings to a specific address, all meetings in a certain city or state, or meetings in Canada and internationally. Click on Locator in the left-hand menu, then select Find Meetings. There is a small membership fee required for access to this information ($10.00 for 6 months and $19.95 for one year)

Substance and Alcohol Intervention Services for the Deaf (SAISD) (www.rit.edu/~257www)
SAISD publishes the National Directory of Alcohol and Other Drugs Prevention and Treatment Programs Accessible to the Deaf. This listing of 12-step programs for the deaf arranged by state is available free on this web site as well as other links to other resources on substance abuse and deafness.

RATIONAL AND SECULAR PROGRAMS

Many addiction professionals believe rational means (listed below), while useful, do not work by themselves for addicts and alcoholics because they do not fully address all the facets of the illness of addiction. However, professional organizations such as the American Society of Addiction Medicine and the National Institute on Drug Abuse have endorsed rational approaches such as Smart Recovery as constituting "evidence based practice."

Addiction Alternatives (addictionalternatives.com)
Science based solutions not 12-step based methods to help manage addictive behaviors for life. The site includes online self-assessment tests, useful information on the philosophy of behavior change, an extensive list of alternative treatment approaches to addiction, and a variety of addiction treatment professional services including Reduction Training and Abstinence Training.

Exposure Response Prevention (www.killthecraving.com)
ERP® is a behavior therapy technique that systematically exposes an addict to simulated versions of their drugs of choice and the equipment related to its use in order to elicit powerful cravings. It is believed that as the addict learns to handle these triggers and cravings without giving into them, the desire to use becomes extinguished. ERP® therapy increases self-control and confidence, resulting in a reduced likelihood of relapse. ERP® can be done through photo cards (using their book "Kill The Craving" and their web site) or with a trained therapist (call 1-888-8-CARE-4U for more information about this version of ERP®). An outcome study documenting the effectiveness of ERP® is available on their web site.

LifeRing Secular Recovery (unhooked.com)
This non-religious recovery network is based on a group process self-help system of recovery. The web site provides a national meeting list organized by state, news bulletins, online scientific articles, a chat room with daily online meetings, reviews of recovery books, and extensive links organized by topic such as recovery groups, government/academic sites, and various approaches to healing.

Rational Recovery (rational.org)
Rational Recovery is the concept of immediate self-recovery from addiction through the learned skill of planned abstinence. Abstinence is facilitated by using an easily-learned method called Addictive Voice Recognition Technique® (AVRT). The is no religious or spiritual component to this method of recovery. The web site offers an online course on AVRT, an online bookstore offering Rational Recovery books, audio tapes, videotapes, discussion forums, articles and essays.

Secular Organizations for Sobriety (SOS) (secularsobriety.org)
SOS provides a non-religious path to sobriety through a network of local group meetings. Their web site offers a 24 hour online real-time chat meeting using voice or type, a meeting locator for groups in the U.S. and Europe, a sobriety tool kit, recommended readings, and more.

SMART Recovery (Self Management and Recovery Training) (smartrecovery.org)
This nationwide not-for-profit organization provides free self-help support groups to people who want to abstain from addictive behavior. The program is based on cognitive, behavioral and educational methods that seek to change the beliefs and attitudes that can lead to addictive behavior. There is no religious or spiritual component to this method of recovery [remove this sentence]. The site has online recovery meetings, a message board, Internet discussion groups, a meeting list and recommended reading.

Sober24 (sober24.com)
This web site provides various interactive resources for managing one's addiction recovery online. Offerings include daily reflections, sober chat rooms, SoberFuse* (an online recovery tool for tracking your daily, weekly, monthly and yearly progress in sobriety, with a confidential "call for help" feature if you feel in danger of relapse), SoberPost discussion forums, a personal journal section, and a meeting locator.

RELIGIOUS-BASED PROGRAMS

Buddhist Recovery Network, UK (buddhistrecovery.org.uk)
The United Kingdom Buddhist Recovery Network supports the use of Buddhist teachings, traditions and practices to help people recover from the suffering caused by addictive behaviours. the site is open to people of all backgrounds, and respectful of all recovery paths. It promotes mindfulness and meditation, and being grounded in Buddhist principles of non-harming, compassion and interdependence. The site has a discussion list, a meeting finder in the UK, Canada, the US, Australia and Thailand.

Celebrate Recovery (celebraterecovery.com)
Started by a Church in Southern California over 8 years ago, this fellowship program provides a strong Christian spiritual orientation to the 12-step approach to the recovery process. The program welcomes people with any type of addiction or compulsion. There are now over 500 similar ministries across the U.S. that can be found by using the site's online locator.

Jewish Alcoholics, Chemically Dependent Persons and Significant Others (JACS)
(www.jacsweb.org)
JACS is dedicated to assisting Jewish people in recovery by promoting understanding of addiction as it involves the Jewish community, acting as a resource center and information clearinghouse on the effects of alcoholism and drug dependency on Jewish family life, and offering recovery opportunities in a nurturing Jewish environment. The web site posts a meeting list in the U.S., Brazil, Canada and Israel, program listings such as spiritual days, training programs and retreats, a teen network, and literature, articles and stories.

Reformers Unanimous International (reformu.com)
Reformers Unanimous is a Christ-centered addictions program that is based in local church programs. It is headquartered under North Love Baptist Church in Rockford, Illinois and has group meetings all over the U.S. and Canada. This ministry is available for any church, community, or loved one through a complete line of ministry curriculum and training to help a church or individual start this program. The program includes prayer, instruction in Biblical truth, and a working curriculum that includes lessons from an Addiction Program Guide, a series of workbooks, and the Ten Principles of Prosperity. The web site has an online locator organized by state, a blog and online forum.

OTHER PROGRAMS (Non 12-Step, Rational, Moderation and Christian programs)

For people with lesser problems of alcohol abuse, moderation management could have some benefit.

Devils Candy Ministry (devilscandy.com)
This non 12-step web site provides a variety of resources and information to help people recover from crack cocaine. These include an audioblog describing their programs and successes, a live radio broadcast on Thursday nights at 9:30 PM EST, book recommendations, online support groups, a personalized e-journal, and more.

Harm Reduction (harmreduction.org)
The Harm Reduction Coalition (HRC) promotes alternative models to conventional drug treatment through harm reduction education, interventions, professional training and community organizing. Harm reduction is a set of practical approaches to reducing the negative consequences of drug use, incorporating a spectrum of strategies from safer use, to managed use, to abstinence. Their web site describes the principles of harm reduction and offers an online newsletter on related issues, an education series that provides practical information to help people make informed decisions about their drug use, information on needle exchange, and other related national and international initiatives.

Moderation Management (www.moderation.org)
This program specifically addresses the needs of beginning stage problem drinkers with early intervention and harm reduction programs. Moderation Management (MM) is a behavioral change program and national support group network that promotes early self-recognition of risky drinking behavior. It is a nine-step professionally reviewed program that provides information about alcohol, moderate drinking guidelines and limits, drink- monitoring exercises, goal setting techniques, and self-management strategies.

Their web site provides a list of MM meetings nationally, an online alcohol dependence questionnaire, online group meetings, an online directory of therapists who are open to the Moderation Management approach, a worksheet for tracking progress, recommended reading list, and more.

ONLINE HELP RELATED TO 12-STEP PROGRAMS

Dryblog (dryblog.blogspot.com)
This online alcohol addiction recovery resource is updated daily with quotes, news, daily readings, meditations, stories, jokes, useful links and more.

Hazelden E-mail Newsletter
Approximately twice per month Hazelden publishes a brief free e-mail newsletter informing registrants of important information and insights on addiction and recovery, special events, and new features available on the Hazelden web site. You can register at the above address to receive this newsletter via your e-mail address.

Hazelden's Thought for the Day (hazelden.org/web/public/thought.view)
The Hazelden web site offers free daily meditations delivered by e-mail that offer inspiration and wisdom to support the recovery process. You can sign up for the "thought of the day" by visiting the link above.

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Residential Treatment

Residential treatment centers provide a multidisciplinary approach to facilitate recovery from addiction. Comprehensive chemical dependency treatment services offer a structured therapeutic environment that begins with the withdrawal/detoxification process and extends through aftercare planning following residential treatment.

Services often include both individual and group counseling, structured physical activities, nutritional counseling, stress reduction, holistic approaches such as yoga, acupuncture and neurofeedback, vocational training, relapse prevention support, social skills training, educational services and 12-step substance abuse programs.

LOW COST TREATMENT

While residential treatment can be a fairly costly form of treatment, some facilities are affordably priced. These include Better Way of Miami, Cri-Help, Day-Top,Odyssey House, Phoenix House, and Samaritan. Depending upon your insurance coverage, many of the centers in the mid and high range may become affordable. You can contact the customer service department at your insurance company and check your covered benefits. In-network benefits can be as high as 80 - 100%, out of network benefits are often 50%.

Another way to find low cost treatment is through the Treatment Options section of our web site. Select Inpatient and Outpatient to find information on treatment locators and instructions on using those resources. Several that are of particular help to those with financial issues are:
SAMHSA: Substance Abuse Treatment Facility Locator (findtreatment.samhsa.gov),
Addiction Resource Center (www.addict-help.com/statelisting.asp), and
Drug and Alcohol Rehab Services (drugandalcoholrehab.net/Drug_Info.html).

It is important that facilities are licensed by the state in which they are located and accredited by a health care accrediting body such as JCAHO or CARF.

BETTER WAY OF MIAMI

Location:  800 NW 28th Street Miami, Fl 33141
Phone:  305-634-3409
Website:  betterwaymiami.org
Email:  info@betterwaymiami.org
Licensed:  Florida Department of Children and Families
Accredited:  in process of being accredited by CARF
# of beds:  94

Cost:  $300.00/month walk-in; w/insurance or referred by state or county agency: $14.00/ day.
Insurance:  Public assistance coverage may
be accepted
Scholarships: NO
Exercise facilities:  Yes
Detox:  NO

Treatment programs are staffed using a multidisciplinary team approach Treatment is designed to develop each client's personal strengths and the abilities necessary for responsible and successful recovery. Individual, family and group modalities are employed. A complete curriculum of substance abuse education covering the disease concept and all aspects of pertinent recovery skills is presented.

In residential treatment the client has a Primary Counselor/Case Manager who helps in identifying areas that need change and developing plans to address them. Full day programs are structured to educate and support clients as they begin the process of change. The 12 Step recovery program is used as the foundation for sober living.

Social and recreational activities teach clients to have fun without the use of chemicals. Vocational staff provide vocational assessments and assist clients to prepare for the world of work as well as to explore the need for training or education for improved employability skills. Each client develops a plan for continuing treatment and housing which must be approved by the treatment team.

CRI-HELP

Location:  Los Angeles, CA
Phone:  (818) 985-8323
Email: Heather Edney, heathere@cri-help.org
Website:  www.cri-help.org
Licensed:  State of California Dept. of Alcohol and Drug Programs

Accredited:  CARF
Beds: 120
Cost:  $5,000/month
Insurance:  Private Only
On Site Exercise Facilities & Detox Unit

Cri-Help's residential program is divided into clinical phases ranging from a period of restriction to a gradual reintegration into the community. The program provides multidisciplinary treatment that includes a structured residential environment, drug and alcohol education including daily attendance of Narcotics Anonymous and/or Alcoholic Anonymous meetings, daily study groups on the 12-step recovery principles, life enrichment and socialization programs, problem solving and coping skills training, ongoing individual and group counseling, recreation, family support groups, remedial education and vocational assistance, and nutritional counseling. Acupuncture and neurofeedback services (a form of biofeedback found to be effective in addiction treatment) are also offered at the facility.

A 14-bed medically managed detoxification program is available for private pay or medically-insured patients. Outpatient treatment following residential treatment is offered in order to provide a continuum of care.

A gym is available on the premises. Facilities for the disabled include wheelchair access and assistance for the blind.

DAY TOP

Location:  (26 centers) Rhinebeck, Millbrook, Parksville, & Swan Lake, NY, Mendham NJ, Milford, PA, E. Palo Alto, Redwood City & San Mateo, CA
Phone:  1-800-2-daytop (32-9867)
Email:  webmaster@daytop.org
Website:  daytop.org
Licensed:  OASAS

Accredited:  JCAHO in New Jersey, not accredited in California
Beds:  Varies
Cost:  $70/day for adolescents + medical expenses
$60/day for adults + medical expenses
Insurance: Private & Public
On Site Exercise Facilities & Detox Unit

Day Top has 13 residential centers offering treatment for adolescents and adults. Programs emphasize peer support and feedback in a highly structured family-like environment known as a Therapeutic Community.

Day Top offers a multidisciplinary holistic treatment program including individual and group counseling, family therapy, art feelings workshops, informational seminars, medical and mental health services, relapse prevention support, vocational or job training, and recreational activities.

Exercise is available but not mandatory, with the larger centers having gyms and exercise facilities and the smaller ones having exercise rooms.

ODYSSEY HOUSE

Location:  LA, MI, NH, NY, TX, UT, Australia,
New Zealand
Phone:  (801) 596-1990 (Utah);
(212) 987-5100 (NYC)
Email:  Utah:  webmaster@odysseyhouse.org,
NY:  info@odysseyhouseinc.org

Website:  odysseyhouse.org (Utah)
odysseyhouseinc.org (New York City)
Accredited:  None
Beds:  Varies
Cost:  Utah $1,350/month, Others  $846/month
Insurance:  All

Odyssey House is a drug-free, residential therapeutic community. Services consist of group, individual and family therapy, medical services, recreation, social skills training, vocational training and educational services as well as treatment for specialized needs and aftercare and transitional living programs. Treatment programs are available for adults and adolescents.

The program in Utah has a work out facility but participation is strictly voluntary. Facilities for the disabled include wheelchair access and services for the blind and deaf.

PHOENIX HOUSE

Location:  CA, FL, MA, NH, NY, RI, TX, VT
Phone:   (800) HELP111
Contact Form: phoenixhouse.org
Foundation/ContactUs.asp
Website:  phoenixhouse.org
Licensed:  by each state

Accredited:  CARF
Beds:  Varies
Cost:  Covered by Medicaid, public assistance, government agencies and the Dept. of Corrections.
Insurance:  Full Coverage
On Site Exercise Facilities

Phoenix House includes both adolescent and adult treatment programs that are based on the traditional “Therapeutic Community” method of treatment. This emphasizes mutual peer self-help to support recovery in a structured environment.

There are three phases of residential treatment. Phase 1 is a 30-day orientation period and includes a full assessment. Phase 2 is the primary treatment period, usually between 9-12 months, consisting of intensive treatment including therapy groups and individual counseling and weekly seminars on various topics such as stress management, healthy relationships, family issues, life skills, and relapse triggers. In Phase 3 residents prepare to "reenter" society.

Phoenix House has a small exercise facility that is available on a voluntary basis. Facilities for the disabled include wheelchair access and services for the blind and deaf if they are self-sufficient.

SAMARITAN

Location:  Briarwood, NY
Phone:  (800) 532-HELP; (718) 206-2000
Email:  jhaye@samvill.org
Website:  samvill.org
Licensed:  State Office of Alcoholism and Substances Abuse Services

Beds:  753
Cost:  Sliding Scale
Insurance:  Medicaid
On Site Exercise Facilities

Samaritan Village residential treatment services provide intensive, highly structured treatment environments using the therapeutic community model (the principle of one recovering person helping another) as their foundation. Samaritan offers a wide array of treatment services, including group and individual addiction-focused counseling, mental health services, employment skills training and basic education.

Treatment is usually between 12-18 months but is ultimately individually-based. In addition, short-term residential treatment ranging from 30 days to 6 months is also available for adults requiring structured support for recovery but who basically have stable home environments and employment or vocational skills.

Residential centers have small exercise facilities and when necessary rent space in local gyms for voluntary exercise programs. The program has no special services for the disabled.

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RESIDENTIAL TREATMENT CENTERS

Addiction Institute of New York	Day Top	Samaritan
Arms Acres	Fairview Recovery	Sierra Tucson
Ashley	Hazelden	Silver Hill
B.H. Palm Beaches	Marworth	Spencer Recovery
Better Way of Miami	Mountainside	Support Systems Homes
Betty Ford Center	Odyssey House	Turning Point
Caron Treatment Centers	Phoenix House	Valley Hope
Cri-Help	Pride Institute

ADDICTION INSTITUTE OF NEW YORK

Location:  New York City, NY
Phone:  (212) 523-6491 or (212) 523-1897
Website:  addictioninstituteny.org
Licensed:  State Dept. of Health; NYS Office of
Alcoholism and Substance Abuse Services
Accredited:  JCAHO

Beds:  44
Cost:  $600/day
Insurance:  Private, Medicaid, Medicare, no Scholarships
On Site Exercise Facilities & Detox Unit ($1600/day)

The Addiction Institute of New York (formerly Smithers Alcoholism Treatment and Training Center) is the Division on Substance Abuse within the Department of Psychiatry at St. Luke's/ Roosevelt Hospital in New York City. It has provided substance abuse treatment services for over 30 years. The program begins with a comprehensive assessment by a team of physicians, nurses, psychologists, social workers and substance abuse counselors. Detoxification/stabilization services are offered at both locations. The Addiction Institute In-patient Rehabilitation Unit offers a safe, supportive environment for discontinuing problematic alcohol and drug use through a variety of treatment options. These include motivational enhancement, intensive addiction counseling, medical & psychiatric services, cognitive/behavioral treatment, relapse prevention, exercise and nutritional guidance, self-help, and both vocational and family counseling services.

The treatment approach is based on an individualized clinical assessment, a collaborative working relationship with the client, and a cognitive-behavioral treatment model that addresses the whole person and a wide array of effective treatment strategies. Twelve step groups provide supplemental support to the formal clinical programs.

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ARMS ACRES

Location:  Carmel, NY
Phone:  (888)-227-4641
Email:  kpalmiero@libertymgt.com
Website:  armsacres.com
Licensed:  Office of Alcoholism and Substance Abuse

Accredited:  JCAHO
Beds:  129
Cost:  $350/day or $8,505/28 days
Insurance:  Private, HMO's & Medicaid
On Site Exercise Facilities & Detox Unit

This 129-bed residential alcoholism and substance abuse treatment center offers comprehensive services by a multidisciplinary treatment team of physicians, psychiatrists, nurses, certified alcoholism and substance abuse counselors, social workers, family specialists and activities specialists.

The Arms Acres approach encompasses the physical, mental and spiritual aspects of recovery with an emphasis on the needs of each individual patient. The philosophy and approach of Alcoholics Anonymous and Narcotics Anonymous are fully integrated into the program. They offer a 25-bed medical detoxification unit. At the conclusion of detoxification treatment, patients may be transferred to the Arms Acres Men or Women's Rehabilitative Programs or directly referred for outpatient follow-up.

Services include psychiatric evaluation, acupuncture, individual and group counseling, psychosocial evaluation, aftercare planning, family programming and support and 12 step meetings. Fitness and recreation programs, wheelchair access and treatment for adolescents, ages 12-18 are provided.

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ASHLEY

Location:  Havre de Grace, MD
Phone:  (800) 799-4763
Email:  admissions@fmashley.com
Website:  fathermartinsashley.com
Licensed:  State of Maryland, Dept. of Health and Mental Hygiene

Accredited:  JCAHO
Beds:  80
Cost:  $16,640/28 days
Insurance:  Private Only
On Site Exercise Facilities & Detox Unit

The Ashley program is based on a traditional approach to addiction treatment, addressing the physical, emotional and spiritual needs of the patient. Physical health is improved through fitness, diet and stress reduction. Spiritual and emotional health is supported through spiritual lectures, group and individual counseling, retreats and services as well as the use of the Twelve Step philosophy with nightly meetings and weekly step studies.

Services include primary, relapse and family treatment as well as continuing care. A gym is available but exercise is an optional, not formal part of their program. Facilities for the disabled include wheelchair access.

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BEHAVIORAL HEALTH OF THE PALM BEACHES

Location:  Lake Worth, FL
Phone:  (800) 251-9445
Email:  info@bhpalmbeach.com
Website:  bhpalmbeach.com
Licensed:  Florida Dept. of Children and Families,
Dept. of Alcohol and Drug Programs

Accredited:  JCAHO
Beds:  100
Cost:  $395/day
Insurance:  Private Only
On Site Detox Unit

This residential treatment center provides a structured healing environment for recovery through an intensive combination of therapy, education and life skills training. A variety of programs are offered including those geared to young adults, impaired professionals. They also offer focus programs for
mood disorders, pain management, trauma resolution and anger management. Facilities are primarily located on a campus setting and include a medical unit, residential housing, therapy facilities, classrooms, sober living, and a variety of recreational areas.

Each client is fully evaluated upon admission and an individualized treatment plan is developed by the clinical staff. A multi-disciplinary staff consists of board certified physicians and psychiatrists, psychologists, nurses, mental health counselors, clinical social workers, certified addiction therapists, nutritionists and fitness trainers.

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BETTER WAY OF MIAMI

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BETTY FORD CENTER

Location:  Rancho Mirage, CA
Phone:  (760) 773-4100; (800) 854-9211
Email:  admissions@bettyfordcenter.org
Website:  bettyfordcenter.org
Licensed:  State of California, Chemical
Dependency Recovery Hospital
Accredited:  JCAHO

Beds:  100
Cost:  $21,000/ 30 days (inpatient) ;
$33,000/90 days (residential)
Relapse extended care $25,000-$27,000
Insurance:  Private Only
On Site Exercise Facilities & Detox Unit

The Center was founded in 1982 by former First Lady Betty Ford and Ambassador Leonard Firestone to provide residential treatment services for those recovering from drug or alcohol addiction. All programs begin with an individualized assessment and are based on the 12 Step programs. Up to 100 patients live at the Center between 25 and 32 days to begin the process of recovery.

A structured program includes daily lectures, group therapy, and counseling sessions. Physicians, nurses, psychologists, spiritual care counselors, activity therapists, registered dietitians, and other staff work together to create individualized treatment plans for each patient and to evaluate their progress. Specialized support groups are available on an individual basis. The facility has a gym, pool and weight training which are used daily as part of the program.

Following discharge, patients receive a continuing care plan and participate in the Focused Continuing Care program, staying in close contact with the staff for a full year after leaving the Center. Facilities for the disabled include wheelchair access.

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CARON TREATMENT CENTERS

Location:  Wernersville, PA, Boca Raton, FL
Phone:  (800) 678-2332
Contact:  caron.org/contact.asp
Website:  caron.org
Licenses:  Office of Drug and Alcohol Programming,
Drug and Alcohol Rehab Facility

Accreditation: CARF
Beds : 226 in Wernersville, PA & 43 in Boca Raton, FL
Cost: $1,190/day 3 days & $720/day 4+ days
Insurance: Private Only
On Site Exercise Facilities & Detox Unit

The Caron treatment program offers complete chemical dependency treatment services. This includes gender-specific programs for adolescents and adults, relapse treatment, aftercare, and educational programs for family members and others whose lives have been impacted by addiction.

The Foundation treats people with chemical addictions of every type including alcohol, drugs such as heroin, cocaine, marijuana and prescription medicines, and substances such as inhalants and tobacco. Caron also provides extended care services at Renaissance Institute of Palm Beach, Boca Raton, Florida.

The Caron treatment program varies in length of stay according to each individual's needs and is based on the 12-Step model, with individual and group therapy, therapeutic activities, daily lectures and continuing care planning for each resident during their stay. Appropriate referral to an individual's next level of care is made following residential treatment. Caron staff stay in touch with former patients to track their progress and provide workshops and seminars to help them throughout their recovery. Facilities for the disabled include wheelchair access and services for the blind and deaf.

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CRI-HELP

Location:  Los Angeles, CA
Phone:  (818) 985-8323
Email:  Heather Edney, heathere@cri-help.org
Website:  www.cri-help.org
Licensed:  State of California Dept. of Alcohol and Drug Programs

Accredited:  CARF
Beds: 120
Cost:  $5,000/month
Insurance:  Private Only
On Site Exercise Facilities & Detox Unit

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DAY TOP

Location:  (26 centers) Rhinebeck, Millbrook,
Parksville, & Swan Lake, NY, Mendham NJ,
Milford, PA, E. Palo Alto, Redwood City &
San Mateo, CA
Phone:  1-800-2-daytop (32-9867)
Email:  webmaster@daytop.org
Website:  daytop.org
Licensed:  OASAS

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FAIRVIEW RECOVERY SERVICES

Location:  Fairview University
Medical Center, MN
Phone:  (612) 672-2222, toll-free - (800) 233-7503
Contact Form:
www.fairview.org/response /webresponseform.asp
Website:  www.uofmmedicalcenter.org/Services/
BehavioralHealth/ClinicalServices/ChemicalDependency/

Licensed:  State of Minnesota
Accredited:  JCAHO
Beds:  50
Cost:  $841/day first 3-5 days, $387/day next 20
Insurance:  Private & Medicare
On Site Detox Unit

Fairview's approach includes the treatment of chemical dependency as an illness; the use of a multidisciplinary staff to create individualized treatment programs; the use of group therapy and the 12-step programs as primary treatment methods; and the inclusion of the family or support network in education and therapy programs. The program is geared towards healing the whole person and helps clients to develop new patterns of living and thinking that support sobriety.

The length of treatment varies with each client. All will undergo an initial assessment and evaluation procedure. Following the intake process, the client is assigned to a treatment group and receives an individualized treatment plan including group therapy, individual counseling, family program, spiritual care, cultural services and education through lectures and selected readings.

Inpatient services is a five-day program focused on medically supervised detoxification and inpatient and outpatient evaluation and referral. The Lodging Plus residential program focuses on group and individual therapy and family therapy. There are no gym or exercise facilities on the premises.

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HAZELDEN

Location:  Center City & Plymouth, MN
and Newberg, OR
Phone:  (800) 257-7810
Email:  info@hazelden.org
Website:  hazelden.org
Licensed:  State of Minnesota, State of Illinois, State of New York, and State of Oregon

Accredited: Illinois - JCAHO; Oregon -CARF
Beds:  Varies
Cost:   $23,300 - $25,500/4 weeks in MN;
$22,200/4 weeks in Or
Insurance:  Accepted
On Site Exercise Facilities & Detox Unit

Hazelden provides both residential and outpatient treatment for adults and young people with substance abuse problems as well as programs for families affected by chemical dependency. They use the Minnesota Model treatment approach based on the Twelve Steps of Alcoholics Anonymous, and emphasize an individualized and holistic approach.

Services include assessment and rehabilitation for adolescents and adults, aftercare and family services, renewal services such as recovery retreats and relapse prevention programs, residential extended care services that offer additional time for recovery after a primary treatment program is completed, and continuing care.

Physical fitness is emphasized but not mandatory, with both facilities having a gym and the Minnesota location having a pool. Their web site includes bulletin boards and a chat room, a large selection of books, and videotapes on addiction, an online newsletter, daily meditations, twelve-step recovery information, and articles on drug and alcohol addiction.

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MARWORTH

Location:  Waverly, PA
Phone:  (800) 442-7722
Email:  jjdougherty@geisinger.edu
Website:  www.marworth.org
Licensed:  Pennsylvania Dept. of Health

Accredited:  JCAHO with commendation
Beds:  91
Cost:  $3150/week for a 4-week program, $450/day
Insurance:  Private
On Site Detox Unit

Founded in 1915, the Geisinger Health System is a physician-led health care system that consists of a variety of services, including the Marworth Alcohol & Chemical Dependency Center. Marworth offers a variety of specialized inpatient and outpatient treatment programs. Individual treatment plans are designed for each patient within the framework of the 12-step program. Special emphasis is placed on including the patient’s family in the recovery program. Recreation therapy is part of the daily program, but there is no physical work out equipment. Facilities for the disabled include wheelchair access. In addition they have specialized programs for Healthcare Professionals and Law Enforcement.

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MOUNTAINSIDE TREATMENT CENTER

Location:  Canaan, CT
Phone:  (800) 762-5433
Email:  admissions@mountainside.org
Website:  mountainside.org
Licensed:  State of Connecticut

Accredited:  None
Beds:  66
Cost:  $1855/week
Insurance:  Private; No Medicare or Medicaid
On Site Exercise Facilities & Off Site Detox Unit

Mountainside offers a wide variety of treatment approaches designed to help people discover their ability to heal themselves in mind, body and spirit and to continue self-healing as a lifelong process.

The program is tailored to each individual's needs and includes individual counseling as well as structured counselor-led group meetings, motivational counseling, therapeutic task-focused assignments, adventure-based initiatives, daily spiritual practice groups, yoga, 12-step education and meetings, meditation, drama, music and art therapy, writing workshops, weekly gender-specific group meetings, and family counseling.

Mountainside's innovative program has been recognized by the addiction community and the government for its contribution to the field of addiction recovery and prevention.

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ODYSSEY HOUSE

Location:  LA, MI, NH, NY, TX, UT,
Australia, New Zealand
Phone:  (801) 596-1990 (Utah);
(212) 987-5100 (NYC)
Email:  Utah:  webmaster@odysseyhouse.org
NY:  info@odysseyhouseinc.org
Website:  odysseyhouse.org (Utah)
odysseyhouseinc.org (New York City)

Licensed:  New York State Office of Alcohol and Substance Abuse Services
Accredited:  None
Beds:  Varies
Cost:  Utah $1,350/month, Others  $846/month
Insurance:  All

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PHOENIX HOUSE

Location:  CA, FL, MA, NH, NY, RI, TX, VT
Phone: (800) HELP111
Contact Form:  www.phoenixhouse.org
Foundation/ContactUs.asp
Website:  phoenixhouse.org
Licensed:  by each state

Accredited:  CARF
Beds:  Varies
Cost:  Covered by Medicaid, public assistance, government agencies and the Dept. of Corrections.
Insurance:  Full Coverage
On Site Exercise Facilities

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PRIDE INSTITUTE

Location:  Minneapolis, MN, Dallas,
TX, Ft. Lauderdale, FL, Chicago, IL, New York
City, NY, NJ
Phone:  (800) 54-PRIDE, (952) 934-7552
Email:  support@pride-institute.com
Website:  pride-institute.com
Licensed:  State-licensed

Accredited:  Minneapolis - CARF; all others - JCAHO accredited Beds:  8-19 beds
Cost:  $11,000/28 days
Insurance:  Third party insurance reimbursement
and state assistance
On Site Exercise Facilities & Detox Unit

Founded in 1986, Pride Institute specializes in addiction and mental health treatment for the gay, lesbian, bisexual and trans gender communities. Treatment centers at all sites offer in-patient, intensive out-patient, partial hospitalization and sober living programs. In-patient services include detoxification, daily group therapy, and educational groups. Based on the 12-step philosophy, they integrate a variety of treatment approaches such as cognitive-behavioral, motivational enhancement and dialectical behavioral therapy. Treatment is by a multidisciplinary team of nurses, psychiatric and medical physicians, and case managers.

Some facilities have gyms (Minnesota and Dallas), exercise classes and recreational outings. All are handicapped accessible. Systems for accessing interpreters for the deaf and information in braille are available.

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SAMARITAN

Location:  Briarwood, NY
Phone:  (800) 532-HELP; (718) 206-2000
Email:  jhaye@samvill.org
Website:  samvill.org
Licensed:  State Office of Alcoholism and
Substances Abuse Services

Beds:  753
Cost:  Sliding Scale
Insurance:  Medicaid
On Site Exercise Facilities

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SIERRA TUCSON

Location:  Tucson, AZ
Phone:  (800) 842-4487
Email:  outreach@sierratucson.com
Website:  sierratucson.com
Licensed:  State of Arizona as a Special Hospital and a Level 1 Psychiatric Hospital

Accredited:  JCAHO
Beds:  95
Cost:  $1,150 - $1285/day (minimum 30 days)
Insurance:  Insurance, Self-Pay, Finance
On Site Exercise Facilities & Detox Unit

Sierra Tucson is an accredited special psychiatric hospital and behavioral health center. The basis for treatment of alcohol and other chemical dependencies stems from the Sierra Model® that integrates philosophies and practices from the medical, psychological, and self-help communities. The 12-Step philosophy is a foundation of the program. The Sierra Model® addresses the mind, body, spirit and emotions and uses a combination of both traditional and innovative therapies.

Patients undergo an individualized treatment program which may include disease and recovery education, relapse prevention, 12-Step meetings, adventure and equine-assisted therapies, and grief and spirituality sessions. The hospital has a gym available for use. Facilities for the disabled include wheel chair access.

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SILVER HILL

Location:  208 Valley Road, New Canaan, CT
Phone:  (800) 899-4455;
(203) 801-2220
Email:  info@silverhillhospital.org
Website:  silverhillhospital.org
Licensed:  State of Connecticut

Accredited:  JCAHO
Beds:  113
Cost:  contact admissions for cost of programs
Insurance:  Private & Medicare
On Site Exercise Facilities & Detox Unit

Silver Hill is a psychiatric hospital that offers a full range of diagnostic and treatment services for psychiatric and addictive disorders (alcoholism & substance abuse). It is a fully accredited, not-for-profit hospital with 68 acute-care inpatient beds and 45 transitional living beds. The transitional living programs provide a bridge between acute inpatient care and outpatient treatment.

The integrated chemical dependency treatment program consists of inpatient detoxification and a rehabilitation program based on a 12-step model, including multidisciplinary assessment, crisis intervention, individual, group and family therapy, skills training, and a strong emphasis on education, family involvement and relapse prevention.

Silver Hill has an indoor gym with Nautilus equipment and an indoor pool. Facilities for the disabled include wheelchair access and services for the blind and deaf.

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SPENCER RECOVERY

Location:   Laguna Beach, CA, Clearwater, FL
Phone:  (800) 281-5133
Email:  info@spencerrecovery.com
Website:  spencerrecovery.com
Licensed:  State of California

Accredited:  Laguna Beach – JCAHO, others – none
Beds:  Varies
Cost:  $12,000 +/28 days
Insurance:  Private Only
On Site Exercise Facilities & Detox Unit

Spencer Centers offer a variety of treatment programs. The inpatient program consists of the three phases of medical detoxification, primary rehabilitation, and family days. Two types of detoxification programs are available: standard medical detox and rapid detox. Length of stay for this program varies based upon individual need.

Primary care is a 30-day inpatient program that encourages patients to recover physically, emotionally, and spiritually. In addition to individual, group, and family therapy, their approach includes exercise, meditation, and nutrition.

The Centers offer a gym, personal trainer and yoga classes. Extended care that can last for up to another 60 days and long-term sober living facilities are also available to support patients who have completed primary care programs. Facilities for the disabled include wheelchair access.

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SUPPORT SYSTEMS HOMES

Location:  San Francisco Bay, CA
Phone:  (800) 811-1800
Email:  Info@drug-rehabilitation.com
Website:  drug-rehabilitation.com
Licensed:  Dept. of Alcohol and Drug Programs,
County DA for court referral program

Accredited:  CARF
Beds:  53
Cost:  Approximately $375/day
Insurance:  All types
On Site Exercise Facilities & Detox Unit
Yoga classes also available

The Support System treatment philosophy is based on the belief that treatment of the whole being - mind, body, and spirit - is necessary for the lifelong process of addiction recovery. The program combines one-on-one and group counseling, medical treatment, a strong support network, 12-step work, recreational therapy, active involvement in the recovery community, alcohol and drug education and skills development in this process. Staff and program participants work together as a team to develop individualized treatment plans.

In addition Support Systems has 18 Sober Living/Transitional Housing Units that provide clean, safe, drug-free living environments. This extensive network is available to assist clients transitioning from residential treatment and other individuals seeking a supportive, drug-free sober living environment.

Customized programs and payment plans are offered in order to make the recovery program available to the largest number of clients. Most credit cards as well as most HMO's, Employee Assistance Plans and insurance plans are accepted.

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TURNING POINT

Location:  Tampa, FL
Phone:  (800) 397-3006
Email:  jdwyer@tpoftampa.com
Website:  www.tpoftampa.com
Licensed:  State of Florida

Accredited:  JCAHO
Beds:  50
Cost:  $695/day w/insurance; $8000/30 days w/o
Insurance:  Private Only

Turning Point of Tampa's inpatient program consists of three separate levels of residential treatment with special emphasis on a 12-Step approach to addiction as well as life skill education for successful recovery. Treatment is based on a holistic approach emphasizing the physical, emotional, medical, and spiritual needs of the whole person. Clients follow a treatment plan that is tailored to fit their own special needs and includes group and individual counseling.

While exercise facilities are not available on the premises, patients can use outside gyms after the detoxification period. The level of care and length of stay are decided on an individual basis. In addition, chronic relapse prevention techniques are an essential part of the clients' treatment recovery program. The program has no special services for the disabled and limited wheel chair access.

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VALLEY HOPE

Locations:  Chandler, AZ, Parker, CO, Atchison, Halstead, & Norton, KS, Boonville, MO, O'Neill, NE, Cushing, OK, Grapevine, TX
Phone:  (800) 654-0486 (information);
(800) 544-5101 (admissions)
Email:  recovery@valleyhope.com
Website:  valleyhope.com

Licensed:  Each State
Accredited:  JCAHO
Beds:  Varies on Location
Cost:  $4,000 - $10,000 depending on length of stay
Insurance:  Insurance, Managed Care &
Self Pay Accepted
On Site Exercise Facilities & Detox Unit

Eight treatment centers are freestanding residential facilities; the Halstead facility is a freestanding chemical dependency rehabilitation unit at Halstead Hospital with programs for alcohol, cocaine and heroin addiction. Residential services include subacute detoxification, residential inpatient care, and continuing care treatment services.

A medical, psychological and social assessment is completed at admission. A multidisciplinary team of certified addiction counselors, chaplains, physicians, nurses and psychologists work together to develop an individualized treatment program. This includes individual, family, couples, and pastoral counseling as well as group therapy settings totally approximately 47 hours per week of active treatment therapy. Participants attend educational and 12-step orientation lectures and local 12-step meetings.

Some of the centers have exercise facilities available. Facilities for the disabled include
wheelchair access.

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CENTER COMPARISON CHART

NAME	LOCATION	COST	INSURANCE	BEDS	GYM	DETOX
Addiction Institutes of NY	New York City, NY	$600/day	Private, Medicaid, Medicare	44	Y	Y
Arms Acres	Carmel, NY	$8,505/28 days	Private, HMO's & Medicaid	129	Y	Y
Ashley	Havre de Grace, MD	$18,000/28 days Financial Aid Available	Private Only	80	Y	Y
Behav. Health Palm Beaches	Lake Worth, FL	$395/day	Private Only	100	N	Y
Better Way of Miami	Miami, FL	$300/month walk-in $14/day referral	Public Assistance	94	Y	N
Betty Ford Center	Rancho Mirage, CA	$21,000/30 days; $33,000/90 days Financial Aid Available	Private Only	100	Y	Y
Caron Treatment Centers	Wernersville, PA	$1,190/day 3 days, $720/day 4+ days. Financial Aid Available	Private Only	223/ 46	Y	Y
Cri-Help	Los Angeles, CA	$5,000/month Financial Aid Available	Private Only	120	Y	Y
Day-Top	26 centers	$60/day	Private & Public	Varies	Y	Y
Fairview Recovery	Minneapolis, MN	$84/3-5 days $387 next 20 days	Private & Medicare	50	N	Y
Hazelden	MN, IL, NY, OR	$21,000/4 weeks Financial Aid Available	Accepted	Varies	Y	Y
Marworth	Waverly, PA	$2,750/week Full scholarships	Private	60	N	Y
Mountainside	Canaan, CT	$1855/week	Private	66	Y	off- site
Odyssey House	LA, MI, NH, NY, TX, UT	Utah $1,350/month Others $846/month	All	Varies	N	N
Phoenix House	CA, FL, MA, NH, NY, RI, TX, VT	Approx.$17,000 per patient	Full Coverage	Varies	Y	N
Pride Institute	MN, TX, FL, IL, NY, NJ	$11,000 for 28 days	3rd party ins. reimbursement & state assistance	Varies	Y	Y
Samaritan	Briarwood, NY	Sliding Scale	Medicaid	753	Y	N
Sierra Tucson	Tucson, AZ	$23,270/28 days	Not Accepted	79	Y	Y
Silver Hill	208 Valley Road, New Canaan, CT	contact admissions for cost of programs	Private & Medicare	113	Y	Y
Spencer Recovery	Laguna Beach, CA Clearwater, FL	$12,000 & up 28 days	Private Only	Varies	Y	Y
Supports Systems Homes	San Francisco, CA	Approximately $375.00/day	All	53	Y/ Yoga avail.	Y
Turning Point	Tampa, FL	$695/day Insured $8,000/30 days w/out	Private Only	50	N	N
Valley Hope	AZ, CO, KS, MO, NE, OK, TX	$4,000 -$10,000 depending on length of stay	Insurance, Managed Care & Self Pay Accepted	Varies on Location	Y	Y

Accessibility information for people with disabilities is included with each center description.

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INTERNATIONAL RESIDENTIAL TREATMENT CENTERS

A Home Away Retreat	The Victoria Program
The Orchard Recovery and Addiction Treatment Center	Addiction Recovery Centres at Malvern Private Hospital
Serenity Ranch	Fresh Start Recovery Programme

A Home Away Retreat

Location:  British Columbia, Canada
Phone:  866-337-3324
Email:  info@ahomeaway.org Website: www.ahomeaway.org
Licensed:  Not known
Accredited:  Not known

Beds:  8
Cost:  42-day program $12,850, pro-rated weekly up to 91 days; deluxe 42-day program $18,650
Scholarships:  Individualized
Exercise facilities:  Yes
Detox:  Yes

Located near Vancouver, British Columbia, A Home Away offers a customized, holistic alternative to traditional healthcare approaches to addiction treatment utilizing recreation, complementary therapies, psychological and psycho-educational services, and 12-step principles. Length of stays are flexible, from a 42 day minimum up to 91 days. Extended programs of up to six months are also available.

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The Orchard Recovery and Addiction Treatment Center

Location:  British Columbia, Canada
Phone:  866-233-2299 or 604-947-0420
Email:  info@orchardrecovery.com
Website:  www.orchardrecovery.com
Licensed:  Not known
Accredited:  Not known

Beds:  25
Cost:  28-day program $13,700 CDN, 42-day program $18,900 CDN, 10-day introduction to recovery $6,500
Scholarships:  Not known
Exercise facilities:  Not known
Detox:  Yes

The Orchard Drug Treatment Center offers a number of options for the treatment of alcohol and drug addiction. Care includes detox, primary care, extended care/sober living and ongoing alumni aftercare services. A full-range of programs address the physical, psychological and spiritual needs of clients using a holistic approach with a 12-step foundation. The 42-day program includes diagnostic assessment, a medical evaluation, peer and group therapy, life skills strategies, spiritual development, relapse prevention and six weekends of family programming. Orchard is a member of the National Association of Addiction Treatment Providers (NAATP) and the Association for Addiction Professionals (NAADAC).

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Serenity Ranch

Location:  Tees, Alberta, Canada
Phone:   (403) 784-3993 Email:  recovery@telus.net
Website:  www.serenityranch.ca
Licensed:  Yes
Accredited:  No

Beds:  24
Cost:  3 week program is $5,400.00 CAD + GST, full six-week program is $9,400.00 CAD + GST
Scholarships:  Yes
Exercise facilities:  Yes
Detox:  No

Offers structured three and six week residential treatment programs for men and women recovering from addiction to alcohol and/or drugs. The multi-faceted program is designed to create new understandings, tools for recovery which includes AA and NA meetings, preparation for new, healthy living and relapse prevention. One on one professional counseling encourages a balanced program that includes education on health and diet, physical exercise, social connection and spiritual healing.

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The Victoria Program

Location: Marbella, Spain
Phone: In the UK 01444 245 859

In Spain (+34) 902 240 097

Email:  info@thevictoriaprogram.co.uk
Website:  www.cop.es/colegiados/gr02556/treatment.htm
Licensed:  Spanish Ministry of Health
Accredited:  Spanish Ministry of Health

Beds:  4-8 people
Cost:  $3,500 Euros for 10 days
Scholarships:  Not known
Exercise facilities:  Not known
Detox:  No

Established in Spain in 1984, the residential phase of this program lasts ten days and is run from Mundatluz Hotel in Marbella, Spain. This intensive program helps clients learn how to live without drugs or alcohol. Based on the cognitive-behavioral model of relapse prevention, the program is conducted in both English and Spanish by clinical psychologists, physicians and specifically trained therapists. It consists of three phases: 1. Admission: A series of individual and family sessions focusing on information, motivation and assessment conducted local to the client's residence whenever possible; 2. Treatment: Ten days of intensive Residential Therapy including group and individual sessions, education, relaxation and stress management, cognitive therapy, goal setting and relapse prevention techniques; and 3. Follow-up: Individual and family sessions to consolidate the changes and prevent relapse. The client continues for at least a year with non-residential consultations, with the same therapist, if possible, who took care of their admission phase.

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Addiction Recovery Centres at Malvern Private Hospital

Location:  Malvern East, Melbourne, Australia
Phone:  (03) 9885 9621
Email:  info@addictionrecoverycentres.com.au
Website:  www.addictionrecoverycentres.com.au
Licensed:  Yes
Accredited:  Yes

Beds:  27-private bed hospital
Cost:  28-day residential program in most cases covered by private health insurance; special prices offered for those without insurance
Scholarships:  Not known
Exercise facilities:  Yes
Detox:  Yes

Addiction Recovery Program is an in-patient, abstinence based program, encompassing the elements of detoxification and rehabilitation. Services include addiction medicine specialists, psychiatrists, clinical counselors, specialized nursing, social work, family therapy, psychological services and others. The program has a 12-step focus.

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Fresh Start Recovery Programme

Location:  Subiaco, Western Australia
Phone:  (08) 9381 1333
Email:  info@freshstart.org.au
Website:  www.freshstart.org.au
Licensed:  Not known
Accredited:  Not known

Beds:  Not known
Cost:  $6,000 AUD for naltrexone implant and related processes
Scholarships:  None
Exercise facilities:  None
Detox:  Yes

Fresh Start Recovery Programs are focused on recovery from amphetamine, alcohol, benzodiazepine and opiate dependence. The program was developed by Dr. George O'Neil, who pioneered new medical procedures for addiction recovery for over 30 years including the use of naltrexone in Australia for opiate addiction. In the first few days after starting treatment on either naltrexone or flumazenil it is strongly recommend that clients stay at the Medical House where they receive 24-hour care and medical assistance for the acute stages of detoxification and withdrawal. They then move to Assessment Houses which provide a stable environment, supervision, medication if necessary, and rehabilitation assessment. Clients then move to one of the rehabilitation centers or another rehabilitation program for approximately 6 months to receive longer term education and training, work on relationships, and spiritual healing. This is followed by moving to a halfway house or return to a stable home environment. Fresh Start's approach is sometimes known as the PHREE model: Physiology, Housing, Relationships, Education, and Employment.

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FOR THE DISABLED

TREATMENT LOCATOR

Addiction Resource Guide: Special Populations (addictionresourceguide.com/specpop/special.html)
Lists centers that offer recovery services for the blind, deaf, and physically challenged with detailed information on admissions, payment, services, licensing and accreditation and contact information.

The National Directory of Alcohol and Other Drugs Prevention and Treatment Programs Accessible to the Deaf (www.rit.edu/ntid/saisd/national_directory/nat.directory.htm)
This treatment locator for the deaf is organized by state and city. A full description is given on each facility and program including number of staff, interpreters, services offered, number of deaf clients served, ages of clients served, populations served, and financial arrangements.

Several of the Centers in our Residential Treatment Guide include services for special populations. Please see Caron, Cri-Help, Odyssey House, Phoenix House and Silver Hill.

ADDICTION RECOVERY FOR THE DEAF

Location:  Chicago, IL
Phone:  (773) 227-8530 (voice);
(773) 227-8562 (TTY)
Email:  AskAnixter@anixter.org
Website:  anixter.org/ard
Licensed:  Illinois Office of Alcoholism and Substance Abuse

Accredited:  none
Beds:  10
Cost:  Sliding Scale
Insurance:  Various insurance accepted including Medicaid.
On Site Exercise Facilities, weight lifting equipment

Addiction Recovery of the Deaf is the first treatment program in Illinois designed exclusively to meet the needs of adults who are deaf or hard of hearing and chemically dependent on drugs and/or alcohol. Staff members (many themselves are deaf or hard of hearing) are competent in deaf culture, fluent in American Sign Language and knowledgeable and experienced in the field of substance abuse treatment and rehabilitation.

Using a multidisciplinary team approach to promote positive outcomes, staff and participants work together to develop comprehensive and individualized treatment goals. All materials are adapted for people whose primary mode of communication is American Sign Language. Services include both inpatient and outpatient services. All applicants must be 18 years of age or older; be deaf or hard of hearing and use sign language as a primary mode of communication; receive a primary diagnosis of chemical dependency through the program's assessment process; and voluntarily agree to participate in treatment.

Clients earning less than $18,000 annually are eligible for complete reimbursement (Eligibility
depends on the number of dependents; clients earning more than $18,000 may be eligible).

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Holistic Residential Treatment Centers

These residential treatment centers offer recovery programs with a strong holistic focus. We feel they are of interest because of their innovative approach to addiction recovery. Because many of these centers are new and small, however, we have not been able to evaluate their quality.

ALTERNATIVE TREATMENT INTERNATIONAL

Location:  Clearwater, Florida
Phone:  (727) 204-4341
Website: alternative2rehab.com
Licensed:  State of Florida
Accredited:  No

Beds:  12 beds, 5 apartments
Cost:  $9,500
Insurance:  private insurance only
Fitness and recreational activities on and off site
Detox: No

This non 12-step therapeutic program focuses on a combination of spiritual healing, alternative healing and clinical psychotherapy, specializing in Perception Therapy and Metaphor Therapy. It consists of daily individual psychotherapy, small group therapy, relapse prevention techniques, yoga and meditation, physical fitness and nutritional counseling, and alternative healing techniques including weekly massage.

ASCEND RECOVERY

Location:  Highland, Utah
Phone:  877-5-ASCEND
Website: www.ascendrecovery.com
Licensed:  State of Utah
Accredited:  No
Beds:  8
Cost:  $9,500, scholarship opportunities available

Insurance: will bill all insurances
Fitness and recreational activities on and off site: daily exercise group lead by personal trainer,
yoga; weekly recreation activities that include
hiking, fishing, fun parks, movies, etc.
Detox: Yes

www.ascendrecovery.com
Ascend Recovery synthesizes medical and holistic approaches to addiction recovery and underlying mental health issues. Therapeutic techniques include group and individual therapy, medical therapies and holistic healing techniques such as a specialized nutrition program, Rapid Eye Technology, Equine Assisted Psychotherapy, Art Therapies, auricular therapy, chiropractic, and a core family program to help families connected with the disease of drug addiction.

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Each person receives a physical and psychological evaluation that is used in the development of their individualized treatment plan. Treatment approaches include yoga, tai chi, group therapy, counseling, education sessions, therapeutic massage or acupuncture, sober fun activities, physical fitness at the gym, and more. There are also weekly creative therapy activities such as a Sweat Lodge Ceremony, psycho-drama sessions, EMDR, biofeedback, sailing, creative art therapy, and equine-assisted therapy. In the evenings clients attend self-help support group meetings, such as Alcoholics Anonymous, Narcotics Anonymous, SMART Recovery, or LifeRing.

Essence Recovery provides a 28-Day residential treatment program using all-natural nutraceutical substances (Orthomolecular Medicine, or Nutritional Gene Therapy) to correct bio-chemical imbalances that lead to addictions to alcohol, drugs, food and other substances. The program also therapeutic treatments such as Equine Assisted Therapy, Art Therapy, Music Therapy, Eco-Therapy and Experiential Therapy to name a few.

Orchard Recovery offers a client-centered holistic approach, integrating treatment from a variety of disciplines to address all aspects of the addiction problem (physical, mental, social and spiritual). They also treat underlying issues that preceded addiction, and all co-related addictions. Individualized treatment includes diagnostic assessment; individual and group counseling; cognitive behavioral, eclectic and experiential approaches; 12-step work; holistic therapies such as yoga, meditation and relaxation; recreation and physical activity; excellent nutrition; training in coping and life skills; and family counseling. Private arrangements can be made for acupuncture, shiatsu, massage, chiropractic, reflexology, physiotherapy or a personal fitness trainer. A variety of programs are offered including Phase II, Extended Care Residential living, Relapse Prevention and Aftercare programs. The facility is wheel chair accessible.

Primary residential treatment is based on social, cognitive and psychodynamic treatment models. Treatment is provided by an interdisciplinary team of psychiatrists, nurses, physicians, licensed therapists, mental health counselors, legal experts, and peer counselors. The approach includes individualized treatment and relapse prevention plans; group and individual counseling with professional therapists; family therapy; holistic therapeutic services including acupuncture, bodywork, yoga, homeopathy, stress reduction and bio-nutritional therapy; and fitness services with personal trainers. During early recovery, Promises provides sub-acute detoxification treatment. Promises Pacific House also offers extended care for transition from residential treatment back into the community. They offer are a variety of modalities that clients can choose from including family sessions, individual equine therapy sessions, body awareness/healing, health and nutrition education/support, eating and food issues, meditation classes, education and career coaching, parenting instruction, Step workshops, acupuncture, biofeedback, massage, and somatic therapy.

Sunshine Coast Health Center is a 20-bed treatment center exclusively for men and their families located on 5 acres of oceanfront 80 miles north of Vancouver, British Columbia. It includes a 4-bed medical detox, massage therapy, oxygen sauna, relaxation and music therapy, walking trails and fitness center. The program believes a focus on Step 1 of the 12-step program is the foundation for lasting recovery. Clients explore the medical aspects of their addiction and are provided wellness therapies and off-site recreation.

Although smoking cessation programs are usually run by local organizations or out-patient hospital programs, there are also several residential treatment programs available in the U.S. These include a combination of individual and group counseling, medications to relieve withdrawal, exercise such as yoga, walking and swimming, nutrition counseling and stress management.

HAZELDEN FOUNDATION
The Next Step* Smoking Cessation Retreat
Dan Anderson Renewal Center

MANDALA WELLNESS RETREAT & SPA
A small retreat center run by a licensed clinical social
worker offering a 4-day and 6-day Quit Smoking Program.

Addiction Resource Guide: Special Populations (addictionresourceguide.com/specpop/special.html)
Lists centers that offer recovery services for the blind, deaf, and physically challenged with detailed information on admissions, payment, services, licensing and accreditation and contact information.

Deaf and Hard of Hearing AA 12 Steps Recovery Resources (www.dhh12s.com/)
Meetings by telephone or video relay service enable people who are deaf, hard of hearing, speech impaired, deaf-blind, and people with mobility loss to have access to AA meetings via conference calling. The site gives instructions on these procedures.

National Directory of Alcohol and Other Drugs Prevention and Treatment Programs
Accessible to the Deaf (www.rit.edu/ntid/saisd/national_directory/nat.directory.htm)
This treatment locator for the deaf is organized by state and city. A full description is given on each facility and program including number of staff, interpreters, services offered, number of deaf clients served, ages of clients served, populations served, and financial arrangements.

A retreat creates a special period of time for prayer, silence, rest, simplicity and contemplation. It can be both a “time out” from life’s daily stresses as well as an opportunity to deepen one’s experience of self and the universal energy that surrounds and supports us. There are different types of retreat experiences, including silent retreats, directed retreats offered at many religious facilities, or secular retreats featuring experiential workshops.

Wisconsin Agape (wisconsinagape.org)
Located in a wooded rural setting near Milwaukee, weekend 12 step retreats for members of all recovery fellowships are held four times a year. Long format marathon meetings allow for in depth sharing. The suggested donation for the weekend is $50.

89 Acres Addiction Recovery Camp and Retreat (89acres.org/index2.html)
A living memorial to their son who died of addiction, 89-Acres is a weekend place for recovering addicts and grieving family members to deeply relax, to renew themselves in nature and to connect with others in a nourishing environment through prayer, reflection and conversation. Located in Hope, Missouri, 89 Acres is a not-for-profit organization. At this time their facilities are limited to brief stays of up to three days and two nights. Recovering addicts must be non-violent and have already gone through detoxification. Visits are through referrals only such as clergy, the courts and other sources. Use of facilities is free, but donations to help keep the camp and retreat in operation are welcome.

Casa Hamaca Guesthouse (www.casahamaca.com/Pages/Offer.Sober.html)
Casa Hamaca in the Yucatan of Mexico is geared toward sober travel. In early May, 2010 they will hold their first sober retreat called Recovery & Discovery Retreat Week, designed as a physical, mental, emotional and spiritual experience to facilitate meaning in one's daily life. The retreat includes fellowship, meetings, twelve step work and climbing pyramids. Quarterly retreats are planned.

Chrysalis R&R Outdoor Ministries Pennsylvania (chrysalisoutdoorministries.com)
Spiritual retreats in natural serene settings for persons in recovery from addictions. The work is based on the beliefs of Christianity and the principles of the 12 steps of recovery. All retreats run from Friday evening at 7:00 until Sunday at 1:00.

Dan Anderson Renewal Center at Hazelden (hazelden.org/web/go/renewalcenter)
Situated on Hazelden's 500-acre wooded campus in Center City, MN, the Renewal Center provides a peaceful setting for group interaction or private times of reflection. Retreat structures are flexible and can include one of their special Recovery Retreat programs or day, week or longer stays as part of one’s ongoing recovery program. These retreats are designed to meet the spiritual recovery needs of individuals who are actively involved in any Twelve-Step program. Guests do not have to be Hazelden alumni to participate.

Holistic Retreat Addiction Recovery (lorraineantine.com/hrar.html)
Developed by a licensed psychotherapist with certification in addictions and trauma resolution, this holistic retreat focuses on the physical, mental, emotional and spiritual aspects of recovery. It will be held July 18th to 23rd at Mt. Alvernia Monastery in Wappinger Falls, NY.

House of Principles (houseofprinciples.com)
Located in West Palm Beach, Florida, this sober housing facility for men in furnished apartments is based on the 12 steps and the 12 principles. The minimum lease is six to twelve months. Access is provided to 24/7 on site managers and staff to address any questions or concerns as well as to Intensive Outpatient Treatment Programs; family, legal, or individual counseling; group therapy sessions; educational groups about recovery and addiction; hands-on life skills training; transportation to and from 12-Step Meetings, and more.

Jesuit Retreat House (jesuitretreathouse.org/retreats.html)
This Catholic retreat house located in Oshkosh, Wisconsin welcomes people of all faiths to their four-day and eight-day retreats. Specific retreats are designated for men and women in 12-Step recovery programs.

New Beginning Ministry (newbeginningmin.org)
Located in Wayne County, PA, this retreat program is a faith-based twelve-step program for recovery. It offers a safe and structured environment for those with substance addiction to learn about the problem of addiction, the solution to addiction, and the program of action that leads to change. Recovery retreats are in a residential community for alcohol and drug dependence. New Beginning represents a non-medical approach to alcohol and drug addiction based on a spirit-centered community.

Open Door Retreat (opendoorretreat.com)
Run by a certified alcohol and drug counselor and certified equine therapist, this program for women in recovery offers week-long retreats in a peaceful setting in Mexico. Retreats are scheduled twice a month. The weekly rate is $1,900 double occupancy. The retreat focuses on a holistic approach to recovery and personal growth including meditation and relaxation, 12 step meetings, massage, yoga, the arts, cooking classes and other supportive activities.

Retreats Online (retreatsonline.com)
Covers a wide variety of retreat experiences including spiritual/religious retreats, nature retreats, health and wellness retreats and others in the U.S., Canada, Asia, Europe and the UK.

Serenity Retreat League (serenityretreatleague.org)
Founded by the late Father Frederick G. Lawrence in 1964 at the request of an Al-Anon group, Serenity Retreats now serve members of many Twelve Step programs. These retreats are an extension of the spiritual growth nurtured by all Twelve Step fellowships and pursued by each individual in his or her own way. Serenity Retreats are nondenominational, ecumenical and spiritual rather than specifically religious. The leaders may be Catholic, Protestant, Jewish ministers or laypersons. Only spiritual leaders familiar with Twelve Step programs lead Serenity Retreats. Click on Scheduled Retreats in the left menu bar for an online list of retreats organized by month or by location.

Total Health Recovery Program (totalhealthrecoveryprogram.com)
This holistic recovery program integrates spirituality, addiction and holistic treatment to provide the opportunity for profound healing. THRP offers a two week residential substance abuse program which is held at Sunrise Springs, a retreat center. Diagnostic, assessment and treatment protocols consist of live cell blood analysis, saliva and neurotransmitter assessments, massage, acupuncture, chiropractic, yoga, and meditation, among other approaches. Programs are held when enough people sign up for a recovery program.

Transformations Spirituality Center, Sisters of St. Joseph
(www.transformationscenter.org/12step-2.htm)
Located in southwest Michigan, this interfaith spiritual community offers retreats for men and women in recovery from alcohol addiction. The focus is to help those in recovery discover new levels of the 12 step philosophy in a quiet atmosphere led by experienced 12 step facilitators. There are evening long mini-retreats as well as full day and weekend retreats, all focusing on specific areas of recovery.

Yoga Farm Retreats (sivananda.org/farm)
Located in the Sierra foothills of Northern California, the Yoga, Ayurveda and 12 Step Recovery Retreat is offered two times a year. The retreat is based on the 4 Paths of Yoga, 5 Points of Yoga, Ayurveda, Svastha (being established in the self) and Meditation. The therapists are active members of 12 step programs and the retreat offers an opportunity to relate 12 step work to the ancient teachings of yoga and Ayurveda in order to provide a strong foundation for wellness and a deepening spiritual practice. Their other ashrams in the Bahamas, New York and Canada may also be offering this retreat in the future.

The Yoga Farm offers retreats year round on many spiritual areas - meditation, yoga, vegetarian cooking, vedic astrology, karma yoga, selfless service retreats, workstudy months and more.

Yoga Of Recovery (yogaofrecovery.com)
Yoga of Recovery offers retreats, workshops and certificate courses integrating the wisdom of Yoga and Ayurveda (the traditional medicine of India) with the tools of 12-Step recovery. These programs offer a holistic mind-body-spirit approach to addiction and recovery and are open to anyone working towards overcoming self-destructive or addictive tendencies.

Retreats are offered in various locations throughout the U.S. and internationally. Alcohol/ chemically dependent guests are required to have at least 3 months of continuous sobriety before attending a retreat.

Alternative View (www.alternativeview.eu)
Alternative View runs therapeutic respite breaks in Southern Spain that help parents, partners and care givers of drug and alcohol users take time out, relax and recuperate.

Support includes drug and alcohol awareness, coping strategies for dealing with drug and alcohol misuse, one on one support sessions, and an ongoing support strategy.

Oxford House (www.oxfordhouse.org)
Oxford House, a publicly supported, nonprofit corporation, is a network of drug free, democratically run and self-supporting houses or apartment complexes. It was established in 1975 to serve as the next step in the process of alcohol and drug recovery, focusing on sober community living as an effective and low cost method of preventing relapse. The web site provides an online state directory of all facilities, over 800 in the U.S. today.

Circle of Life, Home from Home (www.circle-of-life.co.za )
Located in Boskruin, Gauteng, South Africa, this sober living home provides a safe communal living environment for those recovering from an addiction. Weekly house meetings are held and residents are encouraged to attend self-help groups in the area including AA, NA, OA, GA, CA, and others. Group and individual counseling are also available within the house.

CD Recovery Services (cdrecoveryservices.org)
Located in Chaska, MN Sunshine House is a structured sober living environment for men, while Liberty house is for women. Residents must attend 12-step meetings and work with a 12-step sponsor.

Empire House
A women's sober house in Plymouth, MN focusing on community support and the 12-step program while residents work, volunteer, or continue their education. A minimum 90-day stay is required, as well as sobriety for at least 30 days.

Living The Principles.org
Located in Michigan (Southgate and Canton/Westland area), these two recovery homes for women in 12-step programs offer a supportive family environment with a focus on life skills and relapse prevention. There is a $100 deposit required and a rental fee of $125 a week. Financial assistance may be available.

Minnesota Association of Sober Homes
The Minnesota Association of Sober Homes is the only established organization of sober home owners in the state of Minnesota. Member houses have been inspected and certified to uphold health, safety and house management standards.

Sober MN (sobermn.com)
Provides12-step based sober living for gay, lesbian, bi, and transgender people recovering from alcoholism and drug addiction at two homes in Minneapolis, Minnesota.

Structured Living, LLC (soberooms.com)
Located in Ann Arbor, Michigan, these eight gender specific sober living facilities offer structured living after treatment that is monitored, nurturing and comfortable. Monthly charges are $465 including all utilities and services.

The Retreat (theretreat.org/residences.asp)
The Retreat operates three long-term residences in St Paul, MN that serve as transitional, self-governing sober living facilities for men and women. The Retreat Residences give individuals the opportunity to put into practice the principles of recovery embodied in the Twelve Steps of Alcoholics Anonymous and to become fully immersed in the recovery community. Men and women are housed separately and work closely with sponsors to create a safe and supportive environment, establishing a solid foundation for recovery. Each resident commits to living at The Retreat Residence for a minimum of six months. The fee is $450 per month.

Anew U, Inc. (anewuinc.com)
Located in Salisbury, Maryland, this facility for women over 18 serves those with both an addictive disorder and a mental health diagnosis. The program provides group and individual mental health/addiction treatment up to three times a week and teaches life skills training in the context of the 12-step philosophy.

Fresh Start Recovery Coalition (fsrconline.org)
Fresh Start Recovery Coalition provides structured sober living, counseling, medical and career services for recovering substance abusers, individuals with mental disabilities, homeless individuals, those transitioning from incarceration back into society and individuals living with HIV/AIDS. It is based on a "family of choice" concept that promotes family responsibility, personal integrity and accountability. Fresh Start currently has six homes located in Malden, Everett and Lynn Massachusetts. Separate homes are available for men and women.

Fresh Start Recovery Residence(website unavailable)
phone: 516-771-6586
The Fresh Start Recovery Residence is a not for profit organization that serves the homeless and other persons suffering from substance abuse. Located in Nassau County, NY the program uses a holistic approach to support, motivate and encourage clients in need of transitional housing so they can acquire the skills they need to hold a job, re-enter the community, find and secure housing, and work on their personal and emotional issues. By providing a sober, safe and clean supportive and healing environment, the program is committed to enhancing the healing process of recovery that leads to living a responsible, productive and constructive life, free of alcohol and/or drugs.

Haley House (www.haleyhousewomen.org)
Haley House is a 14-bed transitional living home located in Blairstown, NJ. It offers a self-pay, 12 step-based program for women 18 years and older in recovery who make a 3 month minimum commitment. The program is designed to help residents transition smoothly to a full and sober life.

New England Transitions (NET) (http://netransitions.org/)
NET runs five sober homes in Malden, Everett, and Dorechester, Mass (3 for women and 2 for men). It provides a sober supportive environment of peers with an emphasis on physical and emotional safety, self-reliance and personal accountability along with respect for oneself and others. Cost is $145 a week plus an initial processing fee of $200.00.

St. George's House (http://stgeorgeshouse.webs.com)
A men's clean and sober community located in Staten Island, NY for working men who have completed in-patient treatment and are in early recovery. Prospective members should be willing to make a minimum three-month commitment, attend self-help meetings and out-patient aftercare, and accept a reasonable curfew and a Zero-Tolerance Policy toward drug and alcohol use. Because St. George's House receives no government funding, there is no time limit on residency.

Turning Point Foundation (tpfoundation.com)
Located on the outskirts of New Haven, Connecticut, the Turning Point Foundation provides private, upscale housing alternatives for people with substance abuse issues. They offer two separate sober living programs: a three-month Residential Program for males ages 16 and over and a traditional sober house for recovering adult male alcoholics and addicts. These houses are staffed with live-in staff members who are present 24 hours a day. All staff members are recovering addicts and alumni of therapeutic living environments. In addition to providing a safe and structured environment, Turning Point offers an array of services to help the recovering addict repair his life.

Breakthrough Recovery Outreach, LLC (breakthroughrecoveryoutreach.com)
Located near Atlanta, Georgia, Breakthrough Recovery Outreach is a transitional living facility for persons recovering from alcohol and substance abuse based on a 12-stp, structured environment. Residential programs last from 3 months to one year, with rental rates starting at $725/month.

Footprints Recovery (www.footprintsrecovery.org)
This residential program for recovering male alcoholics and drug addicts in Charlotte, NC provides a safe, structured living environment with an emphasis on education, rehabilitation, and reunification of families. They also provide an outside additional option of Suboxone maintenance therapy with a physician who is an addiction specialist and who offers services to clients at no additional cost for being followed on Suboxone.

Herb's House, Inc. (www.herbshouse.net)
Located in western North Carolina, Herb's House is a structured transitional living home that helps male adults recoving from alcohol and substance abuse develop life skills and healthy coping methods. All guests are required to work, attend school or volunteer five days a week. After a one-time $100 entry fee, house charges are $150 a week plus $75 a week for food and household supplies.

Herb's House, Inc is a sober living group home in western North Carolina for adult males recovering from alcohol and drug abuse. You will find a structured and supportive environment that builds on traditional treatment and 12-step programs for men transitioning from a treatment facility into positive and productive lives.

Hope Homes, Inc. (hopehomesinc.com)
Located in Atlanta Georgia, these homes provide a safe, community-based sober living experience for adult men and women that is designed to bridge the gap from early recovery to independent living. The program is based on 12-step principals and is supervised by professional staff. Their goal is to empower those in recovery by teaching healthy life skills that can support their ongoing progress.

Horizon House LLC (horizonhousellc.vpweb.com)
Horizon House has two structured transitional sober houses in Tampa, one for men and one for women. Residents must attend 4-5 meetings per week, have a sponsor, turn in weekly paper work and submit to random drug testing to ensure commitment to the recovery process.

Mission Unity Recovery Housing (missionunity.org)
Located in Port Charlotte, Florida, this sober housing program directed by an addiction specialist offers different levels of housing. First Step housing is dormitory style living in a supervised environment for the person newly in recovery. In Three Quarter Way housing residents share a single family home with two residents in each room with minimum supervision. In Graduate Housing residents live in a single family home with one person per room and mentor a newly recovering person. The program is based on the 12 Step program and focuses on both the physical and spiritual aspects of addiction and recovery.

Next Step Recovery (www.nextsteprecovery.com)
This structured sober housing in Asheville and Weaverville, North Carolina for adult males and females offers stays anywhere from 3 to 12 months, although at least 6 months is recommended to support the recovery process. The program provides supervision, addiction recovery support, life skills training, and a strong social support network. A licensed staff counselor is available onsite Monday through Friday and mandatory relapse prevention group meetings are held twice weekly. Costs include a $2,000 non-refundable entrance fee and $150.00 a week.

Pathways To Peace - Recovery Residence (www.pathwaystopeacefl.com)
Located in Palm Beach County, Florida this sober living home for women provides a safe and supportive environment for recovery. Residents are required to attend 12-Step meetings of either Narcotics Anonymous or Alcoholics Anonymous, work with a sponsor, gain employment or perform volunteer work, and be responsible for house chores. These requirements are considered keys to recovery. A $300 deposit is required and weekly rent ranges from $100 - $200 a week.

The HERO House (Higher Education Recovery Option) (theherohouse.org)
Located in Atlanta, Georgia, the HERO House is a 12 step based recovery house specifically for individuals in recovery who want to attend college or go back to college while living in a safe and sober environment. Residents must have at least 28 days of sobriety prior to admission to the program and be currently or recently enrolled in a college or university.

Care Community Center Transitional Housing (carecomcenter.com/Housing.html)
Los Angeles, CA
Provides culturally diverse transitional sober housing for people recovering from substance abuse and dual diagnosed individuals. The program offers a safe, structured environment that incorporates a program to help residents recover and regain necessary life skills. Currently there is a 60 bed facility for men only. They are in the process of converting a 100 year old church into a 150 bed facility for women.

Choices Sober Living (choicessoberliving.com)
Choices Recovery Community provides sober living options to both men and women over 18 years old in Lubbock Texas. Attendance and participation in 12-step programs in the community is required. Weekly education classes in financing, vocational and educational goals, relapse prevention and more are provided.

Come Rest Awhile (CRA) (comerestawhile.org)
Located in Lake Oswego, Oregon, Come Rest Awhile offers a safe and supportive environment in a family setting for women 18 years and older in recovery. Women may have recently completed a treatment program for substance abuse but are not yet ready to live independently, may be new to recovery and desiring strong support and involvement with a 12-step program, and/or experiencing a life crisis and are in need of a safe supportive environment. A monthly fee covers a shared room, food, utilities, and use of a house phone. Each resident is expected to follow the Plan of Action as outlined for them upon entering CRA, based on what recovery looks like to them.

Conscious Contact Inc. (consciouscontact.org)
This nonprofit sober living facility located in Dana Point, CA provides a clean and safe drug-free living environment with experienced staff who are certified drug and alcohol counselors. Clients work and/or attend school, attend 12-step meetings and engage in recovery activities in the evenings. Recreation and leisure activities are highly encouraged and available at the home to support a healthy and well-balanced lifestyle.

Domus Retreat (domusretreat.com)
This sober living aftercare facility is located in Anaheim Hills, California and is geared toward early recovery. The program offers comprehensive care to address the problems associated with substance abuse or chemical dependency, as well as other personal challenges such as depression, anxiety or exhaustion. The programs consist of various types of therapy, wellness activities and spiritual relaxation, with each person designing a program that best fits his/her needs.

Liberty House (www.libertyhouse.org)
Liberty House is a men's sober living home located in the Century City area of West Los Angeles. It provides a structured facility with 12-step support for young men to help them transition back into society and employment. Liberty House charges $1600 a month with a sliding scale to about $1300 a month depending on ability to pay. This fee includes food and regular meetings with peers, family and 12-step.

Sober College (sobercollege.com)
Located in Woodland Hills, California, this residential transitional living option for young adults focuses on education, 12-steps, therapy and physical fitness. It is approved by the Los Angeles Sober Living Coalition. The program builds core competencies in life skills, employment, academics, emotional well-being and fitness.

Stages of Recovery (stagesofrecovery.com)
Stages of Recovery is a sober living facility for young men in Lubbock Texas designed to guide them in their efforts to achieve long-term recovery and to realize their educational and career goals.

The Sober Living Network (soberhousing.net)
This nonprofit organization identifies and quality assures sober living homes in coordination with local county sober living coalitions in Southern California. Coalition member homes are inspected to assure they are healthy, safe, well managed, ethical and are good neighbors. The Network offers a Sober Living Referral Service (Toll-Free) and resource links to quality recovery homes and sober houses in Los Angeles County, Orange County, Riverside County, San Bernardino, San Fernando and Antelope Valleys including the cities of West Los Angeles, Dana Point , Hollywood, Costa Mesa, Long Beach, Torrance, and Newport Beach.

Third Step Residence (http://thirdstep.bbnow.org)
This sober living home for women in Los Angeles provides 3 bedrooms with two beds per room for $495 a month. They are part of the Sober Living Network of Southern California.

Center for College Alcohol Recovery (CFCAR.org)
The Center For College Alcohol Recovery serves as an information clearinghouse for recovering students and their parents, assisting with college selection by providing information on schools that offer a sober living environment supported by 12-step abstinence-based programs and academic assistance. CFCAR provides a list of colleges currently offering recovery programs on campus, the program name, its director, all pertinent contact information and a summary outlining the history and structure of each program. Current tuition, room & board and other fees for each school are also listed. All information is updated twice a year. The cost of this service is $75.00.

Bubble Monkey.com (bubblemonkey.com)
This web site is designed to provide teenagers with accurate information on drugs using Flash presentations in both English and Spanish.

Day-By-Day.org (day-by-day.org)
This site is geared to providing online resources for young people with addictions. The web site features Super Sober Sites (sites that motivate and support young people to get clean and sober and to maintain their sobriety), online recovery tools such as Young People in AA, Poetry for Recovery, Fun and Leisure for Recovery and Listen for Recovery, chat rooms and forums for young people, and much more.

Online Teen Recovery (onlineteenrecovery.com)
A message board for teens seeking help with recovery issues, spiritual issues and general teen concerns.

Project GHB (projectghb.org)
This educational web site was formed to increased awareness about the dangers of Gamma hydroxy butyrate, known on the street as GHB, "G", Liquid E, Fantasy, Liquid X, Liquid Ecstasy, Organic Quaalude, and Jib among other names. The site covers important facts about GHB including its effects, signs of overdose, and adverse reactions. It also provides information on treatment, a section for reporting serious events, a newsletter, resource links, legal issues and more.

Resolution Ranch (www.resolutionranch.com)
Located on a 450-acre Texas ranch, this therapeutic camp and private school for troubled teen boys ages 13-17 is based on an individualized therapeutic program for each child. The approach consists of activities in nature, the 12-steps, a leveled experiential program emphasizing introspection and self-evaluation, individual therapy, counseling and academics. There are a variety of educational options and high school credits can be provided through a number of Independent Study Programs.

There have been many credible allegations of abuse made against boot camps and several have been closed down. Because boot camps are not regulated by the government or any certifying body, you should carefully investigate any boot camp you are considering for your child.

Teen Boot Camps (www.teenbootcamps.com)
This service provides parents with information on teen boot camps, including what they are and what problems they are appropriate for. It also makes recommendations of programs located throughout the U.S. for boot camps, outdoor programs, residential treatment and specialty boarding schools.

TeenGetGoing (teengetgoing.com)
This online interactive substance abuse treatment program is geared to the needs of adolescents.

Gatehouse Academy (gatehouseacademy.com)
Located in Wickenburg, Arizona, Gatehouse Academy is a drug and alcohol rehab and long-term residential program for young adults ages 17-25. With an average stay of 9-12 months, this extended care treatment center focuses on life skills, 12-step living, individual and group therapy, recreational opportunities and academics (accredited high school completion and college level course work are available).

T.E.A.C.H. (soberliving.com/college_prog.htm)
Drug and alcohol abuse often interfere with the process of education. In 1997, Sober Living by the Sea Treatment Centers established TEACH (Transitional Education Action Career Help), an innovative education program that focuses on student clients earning their G.E.D., a high school diploma from their own school, or attending an accredited college in the area to work toward a graduation goal.

As part of the TEACH Program, all student residents are required to attend daily 12-step meetings both on and off the premises. Ongoing treatment includes relapse prevention and education on developing sober leisure skills and sober college friendships. The program includes monitored study periods, computer equipment and tutorial services, if needed. College credits are transferable to most accredited colleges and universities in the United States. This program was first developed with Saddleback Community College, creating a fully supervised and accredited education program. Now residents are also enrolling at other area colleges and universities, including the University of California Irvine and California State University, Fullerton.

Residents at Sober Living by the Sea self-pay, though they may be able to recoup some costs through insurance, and a foundation has been established to help defray the costs for some.

202 Teen Programs (202teenprograms.com)
This resource for parents of troubled adolescents offers a unique method of finding professional help. You complete an online form on the child's behavior and it is sent to over 202 different types of agencies. You specify how and when you wish to be contacted, and the providers contact you. This program provides information on a variety of treatment options including residential treatment centers, wilderness therapy programs, Christian based programs, boarding schools, boot camps, military schools, and psychiatric hospitals. The goal is to help parents become familiar with the different treatment choices available and select programs that are best suited to the child's needs. The cost is $79.

Boarding Schools for Troubled Teens (boardingschools-troubledteens.info)
Provides referrals to boarding schools appropriate for teens struggling with substance abuse, learning disorders, and other behavioral issues. The schools are thoroughly checked for their credentials, staff background, substance abuse counseling services, and other relevant information.

Drug Strategies: Treating Teens (drugstrategies.org/teens/programs.html)
Drug Strategies is a non-profit research institute supported by major foundations. This web site is a companion to the publication Treating Teens: A Guide to Adolescent Drug Programs designed to help parents, teachers, judges, and counselors make better choices about teen substance abuse treatment.

This section provides a searchable database with extensive information on 144 teen substance abuse treatment programs across the U.S. that implement the nine key elements of effective adolescent treatment determined by the Drug Strategies' panel of specialists.

ECHO MALIBU (echomalibu.com)
ECHO MALIBU is a private residential facility for youth ages 12-18 with chemical dependency or co-occuring disorders. ECHO's program concentrates on enhancing physical health through nutrition, biofeedback, acupuncture and yoga; on building emotional health through individual, group and family therapy, animal-assisted therapy, and expressive therapies such as drama, music and art provided by licensed and certified therapists; on supporting spiritual growth; and on developing the interpersonal skills necessary to lead healthy social lives. ECHO's individualized educational plan consists of on-site therapeutic classrooms in a safe, sober environment and one-on-one tutoring offered by The University of California Los Angeles.

National Youth Network (nationalyouth.com/substanceabuse.html)
Since 1990 the National Youth Network has served as a resource for youths, parents and professionals by providing education and information on programs and services available for adolescents with substance abuse and other emotional/behavioral problems. Their wide range of services include online self help and assessment information, telephone assessments with a masters level clinician, and directories of therapeutic options including wilderness programs, outdoor therapy, boarding schools, therapeutic boarding schools, residential treatment centers, nonpublic day schools, outpatient and day treatment, and summer camps and programs.

Newport Academy (newport-academy.com)
Newport Academy is a comprehensive, residential treatment program for adolescents with substance abuse and co-occurring disorders. With separate programs for both girls and boys, the complex issues involved in treating adolescents are dealt with through a multi-disciplinary approach that is highly individualized and holistic, addressing psychological, biological, spiritual, social and educational needs. Residents continue their education in a tailored and structured academic program that consists of class room instruction for 4 hours each day.

SAMHSA Locator (findtreatment.samhsa.gov/list_search.htm)
Select the geographical area of interest (a particular city, county, zip code, state, or the entire U.S.), then click on "To select facilities according to services offered", then scroll down to Special Programs/Groups, and choose Adolescents.

To locate residential treatment centers appropriate for adolescents you can log on to The Addiction Resource Guide at addictionresourceguide.com/specpop/adolescent.html. This will list centers that have separate programs or special tracks for teens.

To find a comprehensive list log on to SAMHSA at findtreatment.samhsa.gov/list_search.htm. First select a particular city or state, then click on "Select facilities in these states according to services offered", then scroll down the page to Special Programs/Groups and select "Adolescents".