Learn what residential treatment facility is like and when is residential treatment necessary.

What is Residential Treatment?

A loved one is experiencing mental health problems – or perhaps you are dealing with mental illness yourself.  As you look into treatment options – outpatient, inpatient, etc., one option that may be recommended is a residential treatment center.

Residential treatment is a specialized form of inpatient care. It typically includes 24-hour supervision and monitoring within a non-hospital setting, often aimed at providing an intensive therapeutic environment for clients with mental health and/or substance use issues. This type of care provides an extended stay with personalized, clinically informed interventions and services that can often be more beneficial than traditional outpatient care.

Additionally, residential treatment programs can offer a variety of activities designed for both the physical and emotional health of clients, ranging from recreational activities to individual and group therapies. Residential treatment is highly individualized to meet each person’s specific needs, helping them build life skills as they work on their emotional stability and overall well-being.

What is a Residential Treatment Center?

A residential treatment center provides intensive, comprehensive assessment and care for individuals dealing with complex mental health and/or addiction issues.

But is this type of program right for you or your family member? After all, any type of treatment approach isn’t right for everyone.  Consider the following information before you make a decision about whether residential treatment is the best choice.

Who Is the Best Candidate for Residential Treatment?

While a variety of individuals can benefit from the structured and supportive environment of a residential treatment center, some of the best candidates are those who:

  • Have complex diagnostic or treatment issues;
  • Need a more structured environment or do not have a natural environment ideal for supporting their treatment;
  • Have not responded sufficiently to previous treatments;
  • May have a higher risk of decompensation. (While stable, they may need a greater degree of watchful oversight to address potential suicidal risk, “acting out” behaviors, etc.).

When is Residential Treatment Center Necessary?

Residential treatment centers can be an important lifeline for those struggling with mental or emotional health issues and are in need of additional support for wellness. These establishments, providing short-term 24-hour care and a safe environment, often benefit those at risk of self-harm or suicide as well as those with severe emotional trauma that can’t be handled without a structured program.

It is often recommended to individuals when more traditional treatments such as therapy or medication have not been successful. A residential treatment center can also act as a bridge to prevent the person from having to go into a higher level of care such as hospitalization or long-term into the institution if their mental health condition worsens.

If you believe that you or someone you know might need residential treatment assistance, contact your healthcare provider who is best suited to assess the current level of care needed and guide you through this process.

What is Residential Treatment Like?

For an individual who meets one or more of the above criteria, a residential treatment center can provide many benefits, such as the following:

  • A supportive environment. The community and therapeutic milieu provided in a residential treatment environment can be treatment approach themselves. Many individuals with mental illness do not live in a naturally supportive environment and may easily become socially isolated or frustrated after an acute treatment episode.  Others lack the life skills necessary to function productively, and the therapeutic environment of a residential program provides a safe place to learn and practice them. It helps foster more responsible behavior, greater self-esteem, and positive relationships.
  • A greater degree of structure.  Residential treatment centers provide structured and stabilizing routines throughout the entire day.  These can be beneficial to individuals with impulsivity, compliance issues, medical problems, or high-risk behaviors.
  • More intensive, longer-term care. If a behavioral health problem is particularly severe or complex, outpatient treatment is not sufficiently intensive, and inpatient treatment is not long enough to help patients develop new coping and social skills. Ten- or 28-day programs are an increasingly popular option in many residential treatment centers today.
  • More extensive diagnostic assessment process and tools.   An estimated 85% of individuals with addiction are also dealing with a mental illness. Additionally, individuals with one type of mental disorder may also have other mental health issues.  Proper assessment and diagnosis is important to guide the best treatment plan possible.  Residential treatment programs typically provide more extensive assessment, often using sophisticated tools and technologies such as psychological tests, brain scans, and even genetic testing. Find out more about psychological assessments here.
  • Broader range of treatments. A residential treatment center typically offers a broader “menu” of services than other settings. Once assessment is completed, residential program offer a robust selection of therapies, from traditional psychotherapy to recreational therapy. The fact that the environment is more structured and supervised makes some treatments, such as medication adjustments, more feasible. The logistics of obtaining therapeutic assessment and high-tech treatments are also easier when services are provided literally under one roof. Finally, this environment is also ideal for implementing detailed protocols for specific disorders, such as obsessive-compulsive, substance abuse, and eating disorders.

There are many benefits to residential treatment. One way to remember the overall benefits is to think of the “4-S” approach to treatment: Supportive, Structured, Safe, and Sophisticated.

Alternative Options to Residential Treatment

Residential treatment is not appropriate for everyone.  Patients with short-term or milder disorders may benefit sufficiently from outpatient treatment, while individuals with critically acute problems or significant suicidal risk may need inpatient care.

But for many individuals, the “happy medium” provided by an effective residential treatment center offers the best head start on regaining a productive and enjoyable life. For more information about residential mental health and addiction treatment, view our in-depth guide.

There is HOPE. For more information, call 1-888-537-4229.

Lindner Center of HOPE’s Premiere Assessment Residential Programs have a private entrance to welcome patients and families. Both programs operate as private-pay programs.

If you or a loved one is suffering from mental illness or addiction, contact us for information on our residential treatment programs for mental health in adults.

One in four individuals are living with a mental illness, according to the 2012 National Survey on Drug Use and Health: Mental Health Findings1 conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA). It is a leading health problem in the United States, with approximately 61.5 million adults, or one in four, experiencing a mental illness in a given year.

Among adolescents, the same study found an estimated 20 percent of teens ages 13 to 18, and 13 percent of youth ages 8 to 15, experience a severe mental disorder in a given year.

Another major public health problem, according to the National Institute on Drug Abuse, is drug and alcohol abuse. The Closing the Addiction Treatment Gap (CATG) initiative2, created by the Open Society Institute, reports that 23.5 million Americans, or one in every 10 individuals over the age of 12, are addicted to drugs and/or alcohol.

The statistics bring to the forefront the importance of residential mental health facilities focused on comprehensive assessment and intensive treatment in a residential setting, as one effective tool in treating mental health conditions and addiction, including non-substance addictions like gambling.

But for most people, recognizing a mental illness or an addiction, finding the best help to treat it, and knowing what to expect from a residential treatment center can be an uncertain road without the proper guidance.

Click here for more information.

The statistics surrounding addiction are shocking and the impact is devastating.

In 2017, 70,000 people[i] in the U.S. died from drug overdoses – the highest number in history. Hamilton County accounted for 570 of those deaths[ii]. The City of Cincinnati alone saw a 79% increase in overdose deaths from 2014 to 2017.

The region, including Kentucky and Indiana, continues to be hit especially hard by the opioid epidemic. Overdose death rates[iii] here are among the highest in the country. As a result, children in our communities experience parental loss rates that nearly double the national average.

For someone with addiction, sobriety can be a long and painful process. As addiction becomes better understood as a mental illness[iv], new approaches are being implemented to help people maintain long-term recovery.

Lindner Center of HOPE recently unveiled a new 10-day, in-patient substance use disorder detox and evaluation program that increases our community’s capacity for treatment, and employs the latest  proven methods.

The approach includes a comprehensive evaluation for each person, and each visit is uniquely designed to meet that person’s needs. Upon completion of the program, patients receive an individualized plan-of-action to increase the odds of continued sobriety.

“Our expert addictions team found that a one-size-fits-all treatment approach doesn’t work for sobriety,” said Paul E. Keck, MD, president and CEO of Lindner Center of HOPE. “Each individual must have a personalized path to success. That’s what this program is designed to do.”

Treating the Whole Patient

According to the Substance Abuse and Mental Health Services Administration[v], 80 percent of people who have a substance use disorder also have a mental illness. So a personalized approach to recovery is vital.

Program participants first complete detoxification with close medical supervision. The in-patient portion of the program includes about nine hours of daily programming. The patient also participates in an additional 10 hours of internal addiction programming and access to community support groups.

While completing the inpatient portion, patients stay in Lindner Center’s Sibcy House – a one-of-a-kind facility dedicated to individualized, compassionate comprehensive care. Each patient resides in a private room, complete with a full bath. The program includes:

  • Sessions with a psychiatrist, social work and addictions therapist
  • Testing determined by an addictions therapist
  • Coaching sessions with a chemical dependency specialist
  • Patients also participate in additional programming tailored to their individual needs.

For more information about the program, visit Lindner Center of HOPE’s website or call 513/449-8415.

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Addictions Expertise

Lindner Center of HOPE treats most substance and behavioral addictions. Plans may include medication-assisted treatment, therapy or support groups, and screenings for underlying issues like depression and anxiety.


About Lindner Center of HOPE

Lindner Center of HOPE, located in Mason, OH, is a comprehensive mental health center providing patient-centered, scientifically advanced care for individuals suffering with mental illness. Learn more at LindnerCenterofHope.org.


[i] WKRC. (2018, November 30). Acting Attorney General addresses the opioid epidemic during Cincinnati visit. https://local12.com/news/local/acting-attorney-general-to-address-the-opioid-epidemic-during-cincinnati-visit

[ii] WCPO Staff. (2018, July 30). Staggering numbers in Cincinnati’s opioid crisis, but health officials see progress. https://www.wcpo.com/news/local-news/hamilton-county/cincinnati/staggering-numbers-in-cincinnati-s-opioid-crisis-but-health-officials-see-progress

[iii] Demio, T. (2018, Aug. 3). Children here experience parental loss at higher rate than national average

[iv] National Institute of Mental Health. (2016, May). Substance Abuse and Mental Health. https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health/index.shtml

[v] Substance Abuse and Mental Health Services Administration. (2019, Jan. 30). Mental Health and Substance Abuse Disorders. https://www.samhsa.gov/find-help/disorders


Mason, OH, November 24, 2014 – Lindner Center of HOPE staff psychologist, Charles Brady, PhD, ABPP, is a finalist for the 18th annual Business Courier Health Care Heroes awards in the provider category. Dr. Brady is one of 19 total finalists and one of five in the provider category.

Winners will be announced at a dinner on Thursday, February 12, 2015.

Dr. Brady directs the Center’s Obsessive Compulsive Disorder and Anxiety treatment program and oversees the Supported Employment program. He leadsCharles Brady Ph.D_0027 the research and development of the Center’s psychiatric rehabilitation programming. He also currently serves as the president of the board of managers of Lindner Center Professional Associates.

Dr. Brady is a clinical psychologist with more than 20 years of experience on the staff and faculty of the University of Cincinnati’s Department of Psychiatry. In addition to providing clinical service to thousands of patients at UC, he trained and supervised numerous psychology interns, doctoral students, post-doctoral fellows, psychiatric residents, psychiatric fellows, and psychiatrists.

Approximately 2 to3 million adults and ½ million children in the United States have OCD, but more than any other psychological conditions, individuals with OCD encounter obstacles that are estimated to cause an average of 14-17 years between the onset of symptoms and accurate diagnosis and effective treatment. Common obstacles include a shortage of properly trained health professionals and inaccurate or insufficient public awareness. On many levels, Dr. Brady works to address these challenges.

Dr. Brady’s positive impact as a provider is not limited to merely the population of patients he works with directly, instead his focus has always been on devising the best and most efficient ways to reach as many individuals as possible. Having established a well-respected reputation as one of the nation’s Obsessive Compulsive Disorder experts, Dr. Brady’s unique understanding of OCD and his experience in achieving positive, measurable progress is highly sought after by patients and families across the country.

It was obvious to Dr. Brady early on that, individuals suffering with OCD were underserved. To that end, Dr. Brady made it his personal mission to address the need of those struggling with OCD, seeking specialized training on his own and rising to among the most respected OCD specialists in the country.

With a keen understanding of the rarity of his training and expertise, Dr. Brady has devoted his career to sharing his knowledge and talents with those who can take it forward and multiply the impact on the suffering caused by OCD.

Heath Care Heroes is the Business Courier’s recognition of those who have made an impact on health care in our community through their concern for patients, their research and inventions, their management skills, their innovative programs for employees and their services.

Lindner Center of HOPE provides excellent, patient-centered, scientifically-advanced care for individuals suffering with mental illness. A state-of-the-science, mental health center and charter member of the National Network of Depression Centers, the Center provides psychiatric hospitalization and partial hospitalization for individuals age 12-years-old and older, outpatient services for all ages, diagnostic and short-term residential services for adults and adolescents, intensive outpatient program for substance abuse and co-occurring disorders for adults and research. The Center is enhanced by its partnership with UC Health as its clinicians are ranked among the best providers locally, nationally and internationally. Together Lindner Center of HOPE and UC Health offer a true system of mental health care in the Greater Cincinnati area and across the country. The Center is also affiliated with the University of Cincinnati (UC) College of Medicine.


Adolescence is a critical time when physical, cognitive, and social changes allow a teenager to develop the identity that will serve as a basis for their adult lives. Unfortunately, research indicates this is also the time when psychiatric illness develops and becomes more present. The significant impact of these illnesses in the developmental years, makes finding the right care environment even more critical.

Struggles with mental health and addiction issues can be complex and complicated, so much so that typical inpatient and outpatient assessment and treatment options may not be able to get to the root of the issues.

The Adolescent Comprehensive Diagnostic Assessment and Intensive Treatment Program, which opened May 12, 2014, offers a specialized and intimate treatment setting within the Lindner Center of HOPE, focusing on intensive assessment and treatment of patients, age 11 through 17, suffering with complex, co-morbid mental health issues. As adolescence is such a tender time, accurate diagnosis, effective treatment planning, and the development of a solid blueprint for treatment success and realistic future focus is even more crucial. A 21-day diagnostic stay for adolescents results in a detailed but concise diagnostic picture, which includes the results of genetic testing for the development of the optimal psychopharmacologic treatment plan. Additional treatment weeks, beyond the diagnostic assessment, feature a strengths-based approach to treatment helping adolescents build skills readying them for next steps in treatment and life.

Serving patients ages 11 to 17 with:

  • Depression & Bipolar Disorders
  • Anxiety & Obsessive Compulsive Disorders
  • Disorders of Thinking & Related Conditions
  • Complex, Co-morbidity
  • Eating Disorders
  • Addictive and Co-Occurring Psychiatric Disorders

The Adolescent Comprehensive Diagnostic Assessment and Intensive Treatment Program, a private pay program, features:

  • A quick and smooth referral and intake process.
  • A safe and welcoming environment that meets the adolescent where they are.
  • A highly credentialed treatment team, with access to 45 clinical consultants.
  • Specialization in complex mental health and addictive disorders.
  • An evidence-based compilation of psychological and neuropsychological testing.
  • A comprehensive assessment resulting in a detailed but concise diagnostic picture.
  • Genetic testing for developing the optimal psychopharmacologic treatment plan.
  • A structured milieu model with CBT and DBT as a foundation.
  • A strengths-based approach to treatment recommendations and development of future focus.
  • A licensed teacher collaboratively working with the treatment team and home school contacts.
  • Parent and family involvement and education.
  • Follow-up support for up to 3 months after discharge.
  • A network of HOPE for further treatment referrals for patients and families.

When the subject of disabilities surfaces in our thoughts or conversations, it is common to first consider those caused by some type of physical ailment or affliction. Conditions such as arthritis, heart disease and back problems are certainly primary causes of long-term disabilities in our nation. However, mental illness is the leading cause of disability in U.S. citizens ranging in ages from 15 to 44, according to National Institute of Mental Health (NIMH) statistics.

What these numbers show is that many Americans and people around the world are affected by illnesses such as depression, bipolar disorder, schizophrenia and a host of other mood and anxiety disorders in the prime of their working lives. Unfortunately, these numbers show no sign of subsiding anytime soon. In fact, they continue to rise, as do the number of filings with the U.S. Social Security Administration (SSA) for disability benefits due to mental illnesses.

The SSA and Mental Illness Claims

The SSA has established specific criteria that qualify those suffering with mental disorders for disability benefits. Basically, it must be determined that an existing mental condition limits or impairs one’s ability to fulfill their work obligations. In most situations, assessments and evaluations must be performed by mental health professionals. Additionally, evidence must be submitted to the SSA that indicates the individual in question is unable to perform their assigned job duties as a consequence of their condition.

Getting Back on their Feet

It is important for those with mental health issues to make their employers aware of their situation. All too often, workers are hesitant or afraid to address their condition with their employers for fear of negative repercussions. But behavioral or productivity problems could lead to termination, which also often results in the loss of insurance, creating even more problems for these individuals in regard to receiving treatment.

When documented mental health issues are reported to an employer, they are obligated under Americans with Disabilities Act (ADA) regulations to accommodate that employee with whatever they need to successfully perform their job duties, or to make their working situation as comfortable as possible. In lieu of applying for disability benefits, this can allow an employee to continue to work while receiving mental health treatment and take measures that will eventually enable them to effectively manage their condition.


This blog is written and published by Lindner Center of HOPE.

Addictions come in many forms. But those suffering with develop an uncontrollable urge to revisit a substance, activity or behavior in order to satisfy a need or desire. An addiction may fill a void in one’s life, or act as a salve for a festering emotional wound.

Those at the mercy of their addictive behaviors often experience gradually increasing levels of emotional pain and deteriorating mental or physical health. Another byproduct of serious addiction is the tendency to eschew responsibilities and neglect important aspects within one’s life, such as friends, family, school and career. Many suffering with addictions are also prone to struggles with depression.

Treating Addictive Disorders

Addictive personality disorder is a condition where an individual carries traits making them more susceptible to addictive behaviors. However, anyone at any stage or walk of life can develop an addiction.

People can become addicted to eating, gambling, smoking, exercise and countless other activities that offer comfort or what they determine to be an “escape.” But the most pervasive and widely-publicized addiction in our society involves alcohol and drugs.

Alcoholism and drug addiction are serious health problems in the U.S. and around the world. Those who become dependent on alcohol and drugs subject themselves to a life full of difficulties ranging from relationship and legal problems to homelessness and destitution.

Addiction recovery is often a long-term and sometimes arduous process. But with proper medical care and support from friends and family, addiction treatment can be successful.

Inpatient addiction centers such as Cincinnati, Ohio’s Lindner Center of Hope and Sibcy House are examples of facilities providing environments conducive to success in treating addictive disorders. Using a team of experienced mental health specialists and an intensive, cutting-edge treatment plan focusing on detoxification and stabilization, Lindner Center of Hope sets the standard for addiction treatment. Its reputation for helping those with addictive disorders go on to live fulfilling, productive lives continues to grow.