residential treatment

Residential Mental Health Treatment Program for Adults 18+

Residential treatment usually is the best level of care for individuals leaving a hospital or locked psychiatric acute care facility. Adult clients who admit to the residential treatment program typically stay at the residential level of care for about 8 to 12 weeks before stepping down to day treatment.


Please see our Covid-19 Information page for more information.

All adult and adolescent clients must be fully vaccinated prior to the day of admission.

A “fully vaccinated” person must meet one of the following criteria:

  • An adult 18+ who has received at least three doses of Pfizer or Moderna vaccine (in any combination) and their most recent vaccine (booster) was received at least 14 days ago
  • An adult 18+ who has received two doses of Pfizer or Moderna vaccine and their second dose was received more than 14 days ago and less than 5 months ago
  • An adult 18+ who has received one dose of Johnson & Johnson vaccine and a second dose of any FDA authorized Covid-19 vaccine (Pfizer, Moderna, or Johnson & Johnson)
  • An adult 18+ who has received one dose of Johnson & Johnson vaccine more than 14 days ago and less than two months ago
  • An adolescent age 14-17 who has received three doses of the Pfizer vaccine and their third dose (booster) was received at least 14 days ago
  • An adolescent age 14-17 who has received two doses of Pfizer vaccine and their second dose was received more than 14 days ago and less than 5 months ago

A Covid-19 screening is administered on the day of admission. Depending on the results of the screening, a negative Covid-19 antigen test may be required. Please see our Covid-19 Information page for more information.

Masks are optional unless required after a close contact exposure.  Off-campus passes are not permitted. All visitors must be fully vaccinated for COVID-19 (including booster vaccines if eligible) and provide proof of vaccination.

people in a private bedroom at residential mental health campus

We offer longer lengths of stay, giving our clients the time and space they need to recover, and a tailored mix of evidence-based and supportive therapies to help each client find his or her own unique path to wellness.

young woman writing in journal on wooden swing with flowers

Clients admit to one of two adult residences depending on bed availability. All adult residential clients come to the Rollins Campus and adjacent Charles B. West Campus Monday through Friday for treatment activities and meals.

Rollins Campus

The Rollins Campus has 32 private bedrooms and bathrooms and 24/7 nursing staff support. The facility is surrounded by gardens and recreational spaces.

South Campus

Skyland Trail South residential campus includes 24 units, each with a private bedroom and bathroom. An adjoining garden provides space for outdoor reflection.

Specialized Psychiatric Care

Our recovery communities provide individualized, evidence-based treatment by diagnosis. Together with our integrated wellness model and holistic approach, this powerful combination provides a unique path to recovery for each individual client.

Structured Daily Schedules

Residential clients living at South and Rollins participate in in-person group and individual therapeutic sessions from 10:00 a.m. to 4:00 p.m.

While multiple groups are offered each hour, counselors work with each client to develop an individualized schedule based on the client's diagnosis-based recovery community, as well as identified opportunities for growth and skill building.

adults participating in mental health therapy group as part of residential or day treatment

Some groups help clients establish foundational skills or healthy living routines. The clients who participate in these groups are a mix of ages, genders, and diagnoses.

Other groups are more specialized and focus on topics specific to smaller groups of clients who have similar challenges. These groups are often process or support groups and include, men's group, women's group, loss and grief, dual recovery anonymous, LGBTQ support group, healthy relationships in middle to late adulthood, and healthy relationships in young adulthood.

What does a treatment day look like?

View an example residential treatment schedule.

Reset to Healthy Living

On evenings and weekends, our residential staff help clients work on re-establishing healthy sleep and meal schedules, self care and hygiene, medication adherence, and healthy social and recreational activities. Our skilled and caring residential staff  ensure that our clients are safe, supported, and are taking their medications as prescribed.

Clients in our mental health residential treatment programs also participate in our LEAP program which offers structured evening activities on Tuesdays and Thursdays.

Although we have suspended client community outings due to the COVID-19 pandemic, our residential and recreational therapy teams organize fun activities on campus - from art activities to "screen on the green" outdoor movies - to encourage social engagement with peers and provide structured schedules on evenings and weekends. All activities ensure that physical distancing can be practiced at all times.

Residential activities are all focused on helping clients prepare for independence and life outside of treatment.

people in dining room at south mental health residential campus

Integrated, Holistic Approach

Complementary adjunctive therapy sessions – art, music, horticulture, and recreation – encourage client engagement in therapy and give clients opportunities to practice the skills they are learning in their individual and core group sessions.

Weekly schedules also include groups focused on workforce and school readiness, nutrition counseling, sober living, mindfulness, healthy relationships, exercise and sports, and positive use of free time.

Our integrated, holistic model is what makes Skyland Trail one of the best residential treatment centers in the country. All the components of our psychiatric, therapeutic and residential mental health programs work together to help our clients reclaim their lives. By helping them define who they are and who they want to be in addition to practical skills for managing their mental illness, we give our clients the best chance at long term and sustained recovery.

Our Continuum of Care

Chris Cline, LCSW, senior vice president of clinical services for adult treatment programs, explains how adult clients move through the continuum of care, beginning with residential treatment.

Expected Length of Stay

Clients typically stay in residential treatment program level of care for about eight weeks. Most clients then step down to our day treatment program where they continue to work toward independence for several weeks before transitioning to our intensive outpatient program for another two to six weeks. The total average length of treatment for clients admitting to residential treatment is about 12 to 16 weeks (3-4 months). (Please note that clients in our DBT program enroll in a defined 90-day treatment program.)

Costs of Treatment

Total treatment costs depend on the level of care required and the number of days needed to complete treatment. Our residential treatment program is in-network with many plans offered by Aetna, Blue Cross Blue Shield, Cigna, and Magellan. It is non-contracted and private pay only for all other insurance carriers.

Next Steps After Residential Treatment

Most clients step down to our day treatment program after completing the residential level of care. Transitional housing may be available to day treatment clients if approved by the treatment team.

Clients in our dual diagnosis program are not eligible for our transitional housing program. When dual diagnoses clients step down to day treatment, they likely will be referred to a recovery residence or sober living community. These specialized living communities provide appropriate support to help clients maintain sobriety during treatment.

Frequently Asked Questions

To protect the health of clients and staff, effective December 28, 2021, visitors are not permitted on Skyland Trail campuses until further notice.

When clients admit to residential treatment, they must check in all smart phones,
smart watches, tablets, laptops, and all other devices. The residential level system
outlines expectations and privileges as clients move through treatment. Clients receive
their smart phones, smart watches, and ipods when they reach level 2. (Residential
clients are eligible for level 2 after two weeks.) They receive their tablets, laptops,
kindles, and handheld gaming systems at level 3.

Desktop computers and gaming systems that require a TV or monitor (e.g. Xbox or
playstation) are not permitted at any level.

Client access to devices may be limited if it interferes with treatment participation.

No. All residential facilities are mixed gender. However, each client receives a private bedroom with adjoining private bathroom. If you have a history of trauma or concerns in this area, please discuss them with your admissions counselor.

Skyland Trail continues to work to make our programs and campuses welcoming to clients and staff with diverse backgrounds and lived experiences. We have policies and specialized services in place to meet the needs of different groups and individuals. We are committed to fostering an inclusive community and recognize that our work in this area is ongoing. If you have questions or concerns about what being a part of our client community might feel like for you or your family, please talk openly about your concerns with your admissions counselor. We are happy to answer your questions or connect you with alumni graduates or families to learn more about their experience.

Yes. While 60% of clients are young adults ages 18 to 25, 40% are older adults ages 26 to 65 and older. During the day, you will participate in groups with clients of all ages, genders, and diagnoses. However, your primary counselor will also help select a weekly schedule for you that includes more specialized groups for clients with similar challenges. We offer process and support groups – including men's group, women's group, grief and loss, healthy relationships in middle to late adulthood, codependence, anger and acceptance, values-based ACT therapy, and others – that focus on skills and support to manage transitions and challenges often present in middle to late adulthood. Our vocational services team can also provide guidance in considering career changes or strategies to improve work-life balance.

Skyland Trail is an effective and welcoming environment for adults who identify as LGBTQ who are experiencing mental illness. Our clinical team helps each patient identify the best strategies for living a life true to their values, staying healthy, and achieving identified goals. Our weekly schedule includes groups and services specifically for LGBTQ adult clients. All staff members are comfortable and practiced at using clients’ correct pronouns and names throughout treatment. We’ve also taken steps to make our facilities welcoming, like offering all-gender restrooms. Adult clients reside in private patient rooms with private bathrooms. We are committed to fostering an inclusive community where all clients feel welcome.

Skyland Trail is a 100% Nicotine-Free Campus. The Nicotine-Free Campus prohibits all smoking, vaping and the use of all tobacco and nicotine products, except those approved for use in smoking cessation strategies. If clinically indicated, clients are enrolled in the nicotine cessation program as part of their treatment. Clients receive support to quit using nicotine products, including peer support, education, and mindfulness groups; educational materials; support to obtain and use nicotine replacement products; and prescriptions for medications as indicated.

All Skyland Trail clients are expected to maintain sobriety while enrolled in our treatment program. Use of alcohol and substances can interfere with the effectiveness of new medications and can be barriers to making progress in treatment. 

Alcoholic beverages, marijuana, and illegal drugs are not allowed on Skyland Trail property, and Skyland Trail clients should not use alcohol, street drugs, or non-prescribed medications while in treatment on or off campus. All clients are subject to random urine drug screens and/or alcohol tests (breathalyzer or swab).

Masks are optional at this time.

Skyland Trail may choose to require mask wearing for individuals or the entire Skyland Trail community at any time. Individuals may choose to wear masks if they prefer. Individuals who are immunocompromised should consult their physicians. Masks are required in the following circumstances:

  • Close Contact Exposure: If an employee or client who has received the booster vaccine has a close contact exposure and is not experiencing symptoms, they can come to campus but must wear a mask for 10 days after the exposure.
  • At the discretion of the Skyland Trail medical team: While following infection control protocols, the Skyland Trail medical team may require that certain individuals wear a mask while on campus for a period of time.

No. Residential clients in our adult and adolescent programs may not leave campus for therapeutic passes. Some community outings will be planned to visit outdoor venues.

Please see information on what to bring and what to leave at home here:

What to Bring


Contact our admissions team to learn how Skyland Trail can help you or your loved one.