Who Inpatient Rehab is For
Inpatient rehab is the right level of care for adults who need 24-hour structure, supervision, and clinical support that outpatient programs cannot provide.
Residential treatment at Pathways Recovery is appropriate if you:
- Have physical dependence on alcohol, opioids, or benzodiazepines and need detox before beginning treatment
- Have tried outpatient treatment before and relapsed or could not complete it
- Are returning home to an environment with ongoing access to substances or active triggers
- Have a co-occurring mental health condition, including depression, anxiety, PTSD, or bipolar disorder, that requires daily clinical support
- Need to step down from medical detox into a structured residential setting before transitioning to outpatient care
- Are a working professional who needs a private, confidential residential setting away from colleagues and daily obligations
If your dependence is moderate, your home environment is stable, and you have not tried outpatient treatment before, PHP or IOP may be the more appropriate starting point. Our admissions team assesses your clinical picture during the intake call and recommends the right level before you commit.
Gender-Specific Inpatient Programs
Pathways Recovery runs separate men’s and women’s residential programs in Roseville, CA. Each program is intentionally small, clinically supervised, and designed around the specific needs of the gender it serves.
Small program size is not a limitation. It is the clinical model. Six men and eight women maximum means every person in residential treatment receives direct daily contact with clinical staff, not group-based oversight spread across a large census.
Men's Residential Program
The men’s program at Pathways Recovery accommodates 6 adults in a private residential setting in Roseville. Programming addresses substance use alongside co-occurring conditions including depression, anxiety, PTSD, and trauma. A personal fitness trainer develops an individualized exercise plan for each person in the program. Chef-prepared meals support physical recovery and nutritional stabilization throughout the stay.
Women's Residential Program
The women’s program at Pathways Recovery accommodates 8 adults in a separate private residential setting in Roseville. Programming is designed around the clinical and interpersonal dynamics specific to women in recovery, including trauma, relational patterns, and co-occurring mental health conditions. The same amenities apply: personal fitness training, chef-prepared nutrition, and trauma-informed yoga.
What Residential Treatment at Pathways Recovery Involves
Residential treatment at Pathways Recovery is structured around daily clinical programming, individual therapy, and recovery skill-building. The program runs 7 days a week for the duration of your stay.
A typical day in residential treatment includes individual therapy, group therapy, CBT and DBT sessions, brainspotting, art therapy, music therapy, mindfulness groups, fitness training with our personal trainer, chef-prepared meals, and trauma-informed yoga. Evening programming provides structured peer support and recovery skill-building. All clinical sessions are led by licensed clinicians under the direct supervision of our attending psychiatrist.
Length of stay runs 30 to 90 days. The clinical team reassesses your progress weekly and adjusts the care plan based on your response to treatment, symptom severity, and readiness to step down. You will not be discharged on a fixed calendar timeline – the recommendation is based on clinical progress.
Before you leave residential, our team coordinates your step-down intake. Most people transition into our PHP or IOP program on-site. Your schedule, insurance authorization, and clinical handoff are arranged before your last day in residential so there is no gap in care.
Substances We Treat in Residential
Pathways Recovery treats alcohol, opioid, benzodiazepine, methamphetamine, cocaine, and polysubstance use disorders in our residential programs. Most clients begin with medical detox before entering residential treatment.
Our residential programs in Roseville treat addiction to:
- Alcohol
- Heroin
- Fentanyl
- Opiates and prescription opioids
- Benzodiazepines (Xanax, Klonopin, Ativan, Valium)
- Methamphetamine
- Cocaine
- Adderall and prescription stimulants
- Methadone
- Marijuana
If you are unsure whether your substance or combination of substances is treated in our residential program, call (916) 735-8377. Our admissions team reviews your clinical history and confirms the appropriate level of care before you arrive.
Inpatient Rehab vs. Outpatient Treatment
Which level of care is right for you?
Inpatient residential treatment provides 24-hour clinical supervision in a live-in setting. Outpatient treatment, including PHP and IOP, allows you to return home each day. The right choice depends on the severity of your dependence, the stability of your home environment, and your treatment history.
If you have physical dependence on alcohol or benzodiazepines, medical detox comes before residential treatment regardless of which level of care follows. Our admissions team works through your clinical picture during the intake call and recommends the level that fits your actual situation, not a default pathway.
Insurance and Cost
We accept Kaiser Permanente and most major commercial insurance for residential inpatient treatment. Most commercial plans cover inpatient rehab when it is medically necessary, with prior authorization required. Initial authorizations typically run 3 to 5 days, with continued-stay reviews based on medical necessity and clinical progress.
To confirm your coverage before admission, call (916) 735-8377 or submit the form at pathwaysrecovery.com/admissions/insurance-coverage/. Insurance verification is free, confidential, and takes about 15 minutes by phone.
If you do not have insurance or your plan does not cover our facility, call our admissions team to discuss self-pay rates and financing options.
What Happens After Residential Treatment
Residential treatment is one phase of a continuing care continuum. Most people who complete residential at Pathways Recovery step down into PHP or IOP on-site, maintaining clinical continuity with the same team.
PHP is the right next step for people who still need full-day clinical programming but no longer require overnight residential supervision. PHP at Pathways Recovery runs five days a week with structured daily programming.
IOP is appropriate for people stepping down from PHP, or whose clinical picture after residential allows for a more flexible schedule. IOP at Pathways Recovery runs 3 sessions per week, 3 hours per session, with morning and evening tracks available in Roseville.
MAT is available for people with opioid use disorder who benefit from medication-assisted treatment as part of their continuing care plan. We prescribe Suboxone (buprenorphine/naloxone) and integrate medication management with ongoing counseling.
Your step-down plan is built during residential, not at discharge. You will have your next level of care confirmed and scheduled before your last day in the residential program.