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Pathways Recovery is a Joint Commission accredited luxury drug and alcohol rehab in Roseville, CA. We provide substance abuse treatment in Sacramento, CA and across Northern California, serving men and women with gender-specific residential treatment, medical detox, intensive outpatient (IOP), dual diagnosis care, and medication-assisted treatment. Admissions answer 24/7 at (916) 735-8377.
About Us
Pathways Recovery is a private luxury rehab in Roseville, CA, serving Sacramento and surrounding areas. We provide gender-specific dual diagnosis care for men and women at one of the leading drug rehab centers in California. Our holistic approach combines inpatient drug rehab, outpatient programs, and comprehensive substance abuse treatment Sacramento CA to support long-term addiction recovery.
What We Treat
We treat addiction to alcohol, fentanyl and other opioids, heroin, methamphetamine, cocaine, benzodiazepines (Xanax, Klonopin, Ativan), prescription stimulants (Adderall), and prescription painkillers (Opana, methadone, opiate-based medications). Our Roseville facility offers medical detox followed by gender-specific residential and outpatient care for every named substance.
Treatment Programs
Pathways offers a holistic continuum of care from medical detox through outpatient, providing alcohol rehab in Sacramento, alcohol detox in Sacramento, and residential treatment for the broader Northern California region from our Roseville facility. After detox, most people we admit step into gender-specific residential treatment, then PHP, IOP (with an evening track for working professionals), and aftercare. Dual diagnosis and medication-assisted treatment are integrated at every level.
The Pathways Difference
Trauma informed clinical care team and 24/7 support staff
Many people enter treatment carrying underlying trauma, anxiety, depression, or PTSD that drives substance use. Our clinicians treat addiction and co-occurring mental health conditions together rather than separately, with EMDR, CBT, and DBT integrated into every level of care.
Gender-Specific Small-House Residential
Men and women live and recover in separate small houses (8 beds for men, 8 beds for women), not in a 30-bed mixed facility. The small-house model means 24/7 support, more clinical contact hours, and a recovery community that actually knows your name.
Family Inclusion Through Aftercare
Recovery doesn't end at discharge. Family education programming runs through residential treatment, and our alumni program continues after you leave with relapse prevention, community group meetings, and ongoing support for both you and the people who love you.
Starting your recovery journey with Pathways Recovery is simple and supportive. There’s no complicated process, just reach out to our caring team. We’re here to answer your questions, discuss treatment options, and help you take the first step toward lasting recovery!
Our Programs
Medical Detoxification
Safely manage withdrawal under 24-hour clinical supervision at the Roseville Detox Facility. Typical stay 5-7 days.
Inpatient Treatment
Structured residential care with 24/7 support, therapy, and a focused environment for recovery.
Dual-Diagnosis
Integrated treatment for co-occurring substance use and mental health conditions: anxiety, bipolar disorder, depression, PTSD.
Intensive Outpatient (IOP)
Therapy and group programming several times per week. You can live at home or in sober housing while attending.
Medication Assisted Treatment (MAT)
Evidence-based medications combined with therapy to reduce cravings and support long-term recovery.
See All Our Programs
Healing Begins at Pathways
For many people, substance use disorders sit alongside underlying mental health conditions: anxiety, bipolar disorder, depression, PTSD. Pathways Recovery treats both together rather than sequentially. Our dual diagnosis treatment centers Northern California approach integrates clinical psychiatric care, EMDR, CBT, and DBT into every level of care from detox through aftercare. Treating addiction without addressing the underlying mental health condition often leads to relapse.
Our Luxury Addiction Treatment Centers
Luxury Addiction Treatment Center for Women
Providing care for only 8 women at a time in a private gender-specific residential setting.
Luxury Addiction Treatment Center for Men
Providing care for only 8 men at a time in a private gender-specific residential setting.
Healing Spaces at Pathways
Testimonials
Posted on Google Sarah KearneyTrustindex verifies that the original source of the review is Google. Pathways changed my life! The staff really care about you, thank goodness for them! The food was amazing, even when the chef went heavy on the lentils. It's a beautiful property, complete with a pool and hot tub. They are not punitive, they guide and nurture. Support staff is equally amazing and compassionate. 90 days was not near enough time in paradise. And the curriculum was challenging. I love pathways!Posted on Google R LTrustindex verifies that the original source of the review is Google. Pathways is a very special place. The staff is absolutely wonderful. Everybody I met there was super dedicated and caring as well as knowledgeable and professional. Also, not as important, but I swear the most comfortable bed I’ve ever slept in and pretty tasty food. In addition to great staff and program, the accommodations are very comfortable. I went in feeling so hopeless. I was able to extended my time beyond how long I had intended to stay in treatment, which was great, because it was so beneficial. I left feeling stronger and with a recovery plan and resources. Also, Shelli is awesome!Posted on Google Akshaya SubramanianTrustindex verifies that the original source of the review is Google. Pathways Recovery Center truly saved my life. I’m deeply grateful to the counselors - Shelli, Renee, Allie, and Kristen - for their unwavering support and genuine commitment to every client’s recovery. The program offers a thoughtfully structured day, blending evidence-based therapies like DBT and CBT with activities such as yoga, CrossFit, and art therapy. It creates an environment that’s both disciplined and supportive - exactly what early recovery needs. The staff are not only kind, but incredibly knowledgeable, and they meet you with both compassion and accountability. A special thank you to Jen from admissions, whose warmth and empathy made a difficult first call feel safe and possible. If you are serious about getting sober and staying sober, I would absolutely recommend Pathways. It didn’t just help me - it changed my life.Posted on Google EmilyTrustindex verifies that the original source of the review is Google. I was on my last string. I did a Google search and saw Pathways Recovery. I really didn't know what I was getting myself into AND it was out of my insurance network. My phone calls to Pathways were met with compassion, understanding and follow-up. I showed up and I really lucked out. I learned that this was a dual-diagnosis program ... let's get to the core of my addiction. I started in detox. The team was incredible kind, supportive and genuine. From there, I moved into inpatient treatment. The structure, education, meetings, coping skills, tools, individual counseling, therapy meetings, etc ... all by design and extremely beneficial. I can honestly say that I did not meet one staff member that was not caring. That may sound a bit surreal but it's true. I received unsolicited feedback from the majority of who I encountered telling me how much they love their job and their colleagues. That speaks volumes to me ... and it should for you as well. I am showing up for myself again. I am loving myself again. I will attend alumni days, write a review and stay in recovery. Thank you from the bottom of my heart, Pathways Recovery. I could not have done this without you.Posted on Google Donna RiversTrustindex verifies that the original source of the review is Google. I attended attended Pathways in September 2024. The staff at Pathways were compassionate, knowledgable regarding recovery and caring. The groups and individual sessions with my case manager and therapist laid the ground work for my continued soberity (18 months). Thank you!!!Posted on Google Nathan CoatsTrustindex verifies that the original source of the review is Google. This treatment center changed my life. 1st one I’ve ever been too & last one I’ll ever need. 100 stars outta 5. Whole staff there is amazing. Most of all Shelly, Justin, & especially Stephen are the best.Posted on Google Derek UglandTrustindex verifies that the original source of the review is Google. Pathways saved my life. I went there broken physically and mentally and left with hope and tools. The medical team was fantastic. Thank you to all of the nurses and staff. The leadership was present and accessible. The case managers were consistent, caring and knowledgeable. The food was great. Although cold, the pool served as a great wake up call in the morning and nightcap. The jacuzzi and outdoor shower were used consistently. The program works if you work it. I would recommend pathways to anybody close to me. The gym and breath work classes are great. Just a really well run, organized and caring environment.Posted on Google Kyle WheelerTrustindex verifies that the original source of the review is Google. There is no way to describe how grateful I am for the team at Pathways for the guidance and support they provided. The amount of care and empathy that was shown by each staff member was unparalleled, and the tools they provided will last a lifetime. Stephen was so much more than just a counselor. He is a mentor, a guiding light, and showed me a way to live and love myself that I had forgotten was possible. Thank you to everyone who helped me along the way and thank you for being a part of my recovery!Posted on Google TomTrustindex verifies that the original source of the review is Google. Pathways Recovery Gave Us Our Daughter Back When my daughter showed up at Pathways Recovery, she was drinking 10 Fireballs a day, plus gin. She was completely broken, emotionally, spiritually, and physically. As a parent, it’s heartbreaking to watch your child spiral like that and feel powerless to help. We were desperate for something or someone who could reach her. From the very first phone call, Jennifer in admissions was amazing. She treated us with kindness and compassion, and she made us feel like there was still hope. Getting our daughter admitted felt like the first step toward saving her life. The team at Pathways took her in, detoxed her safely, and showed her a new way to live, a life that doesn’t include alcohol. They didn’t just help her stop drinking; they helped her rediscover herself. They gave her tools, structure, and support to start healing from the inside out. What meant so much to us was how responsive and communicative the staff was. They kept us informed, answered every question, and genuinely cared about our daughter’s well-being. We could feel that she wasn’t just another client, she was someone they truly wanted to help. The facility itself is peaceful and comfortable, a large, beautiful home tucked into the foothills outside Roseville, with a pool and a calm, healing atmosphere. It was the perfect place for her to start over. Thanks to Pathways Recovery, we have our daughter back. She’s sober, she’s grounded, and she’s finally living again. We’ll be forever grateful to Jennifer and everyone at Pathways for helping our family find hope again
Verify your insurance coverage for treatment at Pathways Recovery today!
Have Any Questions?
Yes in most cases. Pathways Recovery works with Aetna, Cigna, Kaiser Permanente, Blue Cross Blue Shield, Anthem, and most other major commercial plans. Verify benefits by phone or through the form on this page, with no obligation to admit.
Pathways treats alcohol, opioids including fentanyl and heroin, benzodiazepines (Xanax, Klonopin, Ativan), methamphetamine, cocaine, prescription stimulants like Adderall, and prescription painkillers like Opana and methadone. Each treatment plan is built around your history, substance use, and clinical needs.
We offer a full continuum of care: medical detox, gender-specific residential inpatient treatment, partial hospitalization (PHP), intensive outpatient (IOP) including an evening track, and medication-assisted treatment (MAT). Dual diagnosis care is integrated at every level for co-occurring mental health conditions like anxiety, bipolar disorder, depression, and PTSD.
Medical detox is the first step in many recovery journeys. It safely removes drugs or alcohol from the body while managing withdrawal symptoms under 24-hour clinical supervision. Detox typically lasts 5 to 7 days at the Roseville Detox Facility before stepping into residential treatment.
Residential treatment at Pathways typically lasts 30 to 90 days, depending on individual needs and clinical recommendation. Medical detox runs about 5 to 7 days before stepping into residential. IOP and outpatient continue for 6 to 12 weeks after residential discharge.
Yes. Pathways offers integrated dual diagnosis treatment for substance use disorders alongside anxiety, bipolar disorder, depression, PTSD, and other mental health conditions, treated together rather than sequentially.
Aftercare and our alumni program keep you connected to recovery through continued individual therapy, relapse prevention planning, alumni group meetings, and community support resources. The transition from residential to outpatient to alumni is built into every treatment plan.
In many cases, yes. Detox admissions can often happen the same day after a phone screening and benefits verification; residential admissions usually happen within 24-72 hours depending on bed availability and clinical assessment. Call (916) 735-8377 for an immediate intake conversation.