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.
COVID-19 PROGRAM UPDATE
Residential Admissions to a Precautionary Facility
During this pandemic, instead of organizing our adult residential campuses by client age, all adult clients admit to the precautionary floor of South Campus and then transition to the residential floor of South Campus or Rollins Campus.
On the day prior to the scheduled admission appointment, all patients must receive a COVID-19 rapid antigen test. Clients must schedule a test with a testing site in the community that provides same-day results.
If test results of the first antigen test are negative, the client should return home or to local accommodations directly from the testing site. The client should have no close physical contact with any other individuals, including individuals in the same household before departing for the admission appointment the following day.
Adult residential clients receive a history & physical exam within 48 hours of the day of admission. As part of the exam, a swab will be taken to be submitted for a COVID-19 PCR test.
While waiting for PCR test results and medical clearance, clients are assigned to the precautionary floor and must remain isolated in their private rooms until medically cleared.
While on the precautionary floor, meals and medications will be delivered to the client’s private room. With approval, clients may leave their room to spend scheduled time individually in the gardens. Clients participate in individual and group therapy sessions remotely via zoom online video conferencing while in their rooms.
Typically, clients may expect to leave the precautionary floor on the Monday or Tuesday following the admission day. To leave the precautionary floor, clients must be medically cleared. A negative PCR test is required for medical clearance. Note that Skyland Trail sends samples for PCR tests out to a third party lab for processing. Lab processing times, though typically 2 to 3 days, may vary and may affect the length of a client’s stay on the precautionary floor.
When a negative PCR test result is received AND at least 72 hours have passed since the history & physical exam without the client developing any symptoms, Skyland Trail will administer a third COVID-19 test: an on-site rapid antigen test. Results of the on-site rapid antigen test will be available within an hour.
If results from the on-site rapid antigen test are negative, the client may be cleared to transition to the residential floor at South Campus or directly to Rollins Campus, depending on bed availability. Note that Skyland Trail is unable to conduct the on-site rapid antigen test or transition clients to a residential room on Saturdays or Sundays.
Clients at Rollins Campus meet in person for groups and individual primary counselor sessions while practicing physical distancing. Individual psychiatry sessions take place through zoom. All residential clients at South Campus and Rollins Campus reside in private rooms with private bathrooms.
Clients on the residential floor of South Campus are transported to Rollins Campus to participate in treatment Monday through Friday and to participate in LEAP on Saturday and Saturday. Clients on the residential floor of South Campus may transition to Rollins Campus as rooms become available.
*Clients who are traveling to Atlanta by plane must arrive in Atlanta, then quarantine in a hotel (or other local accommodations) for four days before the day of admission.
Moderna Covid-19 Vaccine
Effective January 4, 2021, all clients admitting to the adult residential treatment program will be required to receive the Modern Covid-19 Vaccine. (Skyland Trail is authorized to administer the Moderna Covid-19 Vaccine to enrolled patients as doses are available.) Exemptions may be requested by clients with medical contraindications by submitting a signed letter from a licensed internal medicine, infectious disease, or family practice physician. Exemptions may also be requested based on religious beliefs. Clients who have already received a COVID-19 vaccine should provide documentation of vaccination. Learn more about the Moderna Covid-19 Vaccine here. Clients admitting directly to the virtual day treatment program may choose to receive the vaccine.
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.
Skyland Trail South residential campus includes 24 units, each with a private bedroom and bathroom. All adult clients admit to the precautionary floor at South Campus and may move to Rollins Campus when medically cleared and a bed is available.
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. All clients and staff wear masks and practice physical distancing while in group and individual sessions.
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.
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.
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, Cigna, and Magellan. It is non-contracted and private pay only for all other insurance carriers.
Next Steps After Residential Treatment
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
No. Visitors currently are not allowed on any of our campuses.
When adult clients admit to our South Campus precautionary facility, they may have smart phones, laptops, tablets, and handheld gaming systems in their private rooms. They must turn in all devices nightly at curfew (10:00 PM Sunday through Thursday, 11:00 PM Friday and Saturday). They may check their phones and devices out again in the morning.
When adult clients move to the South Residential floor or Rollins Campus, they must check in all smart phones and devices. A level system outlines expectations and privileges as clients move through treatment. Clients receive their smart phones when they reach level 2. (Clients typically reach level 2 in their third week of treatment.) They receive their tablets, laptops, 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.
No “landline” phones are provided in client rooms. Residential clients will have access to a Skyland Trail cell phone for personal calls in a private space during designated hours.
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 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).
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.
Yes. Adult clients and staff must wear face masks at all times outside of their private residential rooms or staff offices. Face masks are provided.
No. Residential clients in our adult and adolescent programs may not leave campus. Residential clients who leave campus will have to return to a quarantine room until medically cleared to return to the residential community.