Residential Inpatient Rehab in Sacramento

24-Hour Structured Addiction Treatment

Clinically reviewed by Daniel Lewis, MD, Board Certified Addiction Medicine

Residential inpatient treatment at Yellow Wood Recovery provides 24-hour structured, supportive care for adults whose current clinical needs, risks, or recovery environment require a higher level of therapeutic intensity and professional supervision. Located in Rancho Cordova, we serve individuals and families throughout the Sacramento region, including Folsom, Citrus Heights, Carmichael, Elk Grove, and surrounding communities.

This level of care is guided by medical necessity and ongoing, multidimensional clinical assessment rather than a fixed program pathway. As stability improves, services may step down to Partial Hospitalization (PHP) or Intensive Outpatient (IOP), or intensify when additional stabilization is clinically indicated.

  • Same Day Admission
  • Insurance Accepted
  • Joint Commission

Admissions: (916) 820-4747
12646 Thornberg Way, Rancho Cordova, CA 95742

What Is Residential Inpatient Treatment?

Residential treatment is a clinically managed, live-in level of care that combines medical oversight, daily therapy, and recovery-focused support within a structured environment. Unlike outpatient services, residential care provides round-the-clock professional supervision and therapeutic engagement, allowing people to build physical, emotional, and behavioral stability during a critical phase of recovery.

Treatment intensity and length of stay are not determined by a preset timeline. Instead, care is guided by ongoing clinical assessment, individual progress, response to treatment, and evolving recovery needs.

Why Residential Treatment May Be Needed

Residential inpatient treatment may be recommended when an individual’s current needs, risks, or recovery environment make lower-intensity services insufficient. This level of care provides additional structure, monitoring, and therapeutic support when safety, stability, or symptom severity require closer attention and consistency.

  • Substance use significantly interferes with daily functioning, responsibilities, or decision-making
  • The recovery environment is unstable, unsafe, or filled with ongoing triggers and access to substances
  • Co-occurring mental health symptoms require stabilization or consistent daily support and monitoring
  • Previous outpatient or day treatment services have not provided adequate stabilization
  • A structured, substance-free setting is needed to support early recovery efforts

Recommendations for residential treatment are based on ongoing assessment and clinical response rather than a fixed pathway, and may change over time as stability, coping skills, and functioning improve.

Comparing Levels of Care

Level of CareScheduleBest ForFocus
Detox24/7 medical monitoringWithdrawal managementMedical stabilization
Residential24/7 structured careHigh supervision neededFoundation building
PHP5 days/week, 4-6 hours/dayStep-down or intensive day treatmentStabilization & skills
IOP3-5 days/week, ~3 hours/sessionFlexible ongoing treatmentRelapse prevention
Outpatient1-2 sessions/weekStable recoveryOngoing support

Licensure, Accreditation, and Clinical Oversight

Yellow Wood Recovery is a licensed and accredited residential treatment provider, operating in compliance with applicable state and federal standards for addiction and mental health care.

Our programs are designed to meet medical necessity requirements and align with evidence-based practices and current clinical guidelines, including ASAM Criteria (4th Edition).

Licensure and Accreditation

  • Licensed by the California Department of Health Care Services (DHCS)
  • Accredited by The Joint Commission for behavioral health care services
  • Operates in accordance with state regulations governing residential substance use disorder treatment programs

Clinical Staffing and Medical Oversight

  • Multidisciplinary treatment team including addiction medicine physicians, psychiatrists, licensed therapists (LCSWs, LMFTs, LPCCs), certified addiction counselors, and nursing staff (RNs, LVNs)
  • Medical evaluation by addiction medicine specialists and psychiatric assessment by board-eligible or board-certified psychiatrists experienced in co-occurring disorders
  • Treatment planning guided by ongoing, individualized clinical assessment and medical necessity

Privacy and Confidentiality

  • Fully compliant with HIPAA and 42 CFR Part 2 confidentiality regulations
  • Patient information is protected and shared only with appropriate consent or as required by law

Frequently Asked Questions

In many cases, admission can be coordinated the same day after a brief clinical screening and benefits verification. If you have urgent safety or withdrawal concerns, let admissions know so we can help determine the safest next step.

Placement is guided by a multidimensional clinical assessment that considers medical stability, mental health symptoms, safety risks, daily functioning, prior treatment response, and the recovery environment. The care team reassesses throughout treatment to support the right intensity at the right time.

Transition planning begins early. Depending on your needs and progress, next steps may include step-down to PHP or IOP, ongoing therapy, psychiatric follow-up, and community recovery supports.

These terms are often used interchangeably. Both refer to 24-hour structured treatment in a live-in setting. At Yellow Wood Recovery, residential treatment provides medical oversight, daily therapeutic groups and activities, individual therapy, and recovery support in a supervised environment. The level of medical intensity may vary based on individual needs, and some people may begin with medically monitored detox before transitioning to residential care.

Yes. Many people entering residential treatment experience co-occurring mental health symptoms such as anxiety, depression, trauma-related concerns, or mood instability. Our integrated approach addresses substance use and mental health needs together through psychiatric evaluation, medication management when appropriate, evidence-based therapies like CBT and DBT, and ongoing therapeutic support throughout your stay.

Our admissions team will provide a detailed packing list during the intake process. Generally, you’ll need comfortable clothing for daily activities and exercise, personal hygiene items, any prescribed medications in their original containers, and your insurance information. Leave valuables, excess cash, and non-prescribed substances at home. If you have questions about specific items, our admissions team can clarify before you arrive.

With appropriate consent, family members and loved ones may be involved in the treatment process. Family involvement can include education sessions, family therapy, and guidance on communication and healthy boundaries. Visitation policies are designed to support recovery while maintaining the therapeutic structure of the program. Your clinical team will work with you to determine when and how family involvement can best support your treatment goals.

Transition planning is an ongoing part of residential care, not a last-minute decision. As you build stability, coping skills, and readiness, your clinical team will assess whether you’re prepared for a lower level of care. The step-down to PHP (Partial Hospitalization Program) or IOP (Intensive Outpatient Program) allows you to continue structured treatment while gradually returning to daily responsibilities. Many people transition within our continuum of care, maintaining continuity with the same clinical team and treatment approach.

Residential treatment is often covered by insurance when it is medically necessary and clinically appropriate. Our admissions team verifies benefits, explains your coverage, and helps determine your out-of-pocket costs before admission. For individuals whose insurance plan does not include Yellow Wood Recovery in-network, we may be able to arrange a single case agreement, which allows your insurance to cover treatment at our facility at in-network rates. Contact our admissions team 24/7 at (916) 820-4747 to discuss your specific insurance situation.

Multidimensional Assessment and Individualized Care (ASAM 4th Edition)

Admission to residential treatment is guided by a comprehensive, multidimensional clinical assessment that looks beyond substance use alone. This assessment considers medical stability and withdrawal risk, mental health symptoms and co-occurring conditions, safety concerns, daily functioning, prior treatment response, and the recovery environment.

Assessment is not a one-time event. The care team reassesses throughout treatment to ensure the appropriate intensity of services at each stage of recovery. Care recommendations are reviewed and adjusted as needs, stability, and readiness for change evolve.

What Residential Treatment Includes

Residential treatment at Yellow Wood Recovery integrates medical, clinical, and supportive services into a structured daily program designed to promote engagement, accountability, and long-term recovery skills.

  • Individual counseling and therapy sessions focused on personalized goals
  • Group counseling and therapeutic processing with peers
  • Educational sessions focused on recovery skills, coping strategies, and relapse prevention
  • Specialized groups addressing trauma, grief, emotional regulation, and healthy relationships
  • Mental health assessment and ongoing therapeutic support
  • Relapse prevention planning and coping skills development
    Wellness, fitness, and mindfulness-based activities to support overall health
  • Creative and expressive therapies that encourage self-reflection and engagement
  • Family involvement and education, when clinically appropriate and with consent
  • Continuing care planning and discharge coordination

A Typical Day in Residential Treatment

Residential treatment follows a structured daily rhythm designed to support stability, engagement, and accountability while allowing space for reflection and personal growth. While schedules are individualized, a typical day may include:

  • Morning check-ins, goal setting, and orientation to the day
  • Individual therapy sessions and group counseling
  • Educational and skills-based groups focused on recovery and emotional regulation
  • Time for wellness activities, movement, or mindfulness practices
  • Meals shared in a supportive community environment
    Evening reflection, therapeutic groups, or recovery planning

This predictable structure helps people establish healthy routines, build coping skills, and remain engaged in treatment while focusing on recovery in a safe and supportive setting.

Evidence-Based Therapies Used in Residential Care

Treatment is grounded in evidence-based practices supported by current research. Therapeutic approaches are selected based on individual needs, clinical presentation, and treatment goals rather than a one-size-fits-all model.

  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • Motivational Interviewing (MI)
  • Internal Family Systems (IFS)
  • Acceptance and Commitment Therapy (ACT)
  • Contingency Management
  • Trauma-Informed Therapy
  • Mindfulness-Based Interventions

Addressing Mental Health Needs During Residential Treatment

Many people entering residential treatment experience co-occurring mental health symptoms such as anxiety, depression, trauma-related concerns, or mood instability. Residential care allows these needs to be addressed alongside substance use treatment in an integrated and coordinated manner.

Treating substance use and mental health needs together allows residential care to support stabilization, insight, and long-term recovery planning in a coordinated way. Psychiatric evaluation, medication management when appropriate, and ongoing therapeutic support may be incorporated to promote emotional stability, improve functioning, and support long-term recovery planning.

Medical and Psychiatric Support

All residents receive a medical evaluation by an addiction medicine specialist. Ongoing care is provided by a multidisciplinary team that may include addiction medicine physicians, psychiatrists, master’s level therapists, certified addiction counselors, registered nurses (RNs), and licensed vocational nurses (LVNs).

Our Residential Environment

24-Hour Support, Safety, and Structure

Residential treatment provides continuous staff presence and supervision in a structured, substance-free environment. This level of care supports safety, emotional regulation, and consistent engagement throughout the day and night. The residential setting allows for ongoing observation of symptoms, timely clinical and medical support, and immediate response to emerging needs during a critical phase of recovery.

Small Census, Individualized Attention

Yellow Wood Recovery maintains a small census residential environment, allowing for individualized attention, meaningful therapeutic engagement, and consistent staff support. This intimate setting helps foster safety, connection, and accountability while reducing overstimulation and distractions that can interfere with early recovery. A smaller residential program enables clinical staff to understand each person’s unique needs, strengths, and challenges so treatment remains personalized and responsive throughout the residential stay.

Nutrition and Wellness Support

Physical health and wellness are essential components of residential treatment. Chef-prepared meals and nutritional support are designed to promote physical stabilization, energy restoration, and overall well-being during recovery. Proper nutrition supports the body’s healing process and can contribute to mood regulation and resilience. Access to exercise and movement spaces supports physical activity, stress reduction, and healthy routine-building. Regular movement can help regulate mood, reduce anxiety, and reinforce daily structure.

Family Involvement and Support

With appropriate consent, family members and loved ones may be involved in the residential treatment process. Family involvement can support understanding, improve communication, and strengthen long-term recovery planning.

Family education, therapy sessions, and guidance on healthy boundaries may be offered when clinically appropriate and aligned with treatment goals.

Transition to Ongoing Treatment

Residential treatment is part of a broader continuum of care. Transition planning begins early and is informed by ongoing assessment, functional improvement, and recovery supports to support continuity beyond residential services.

As stability improves, individuals may transition into PHP or IOP services based on ongoing assessment, progress, and readiness for the next phase of treatment.

Why Choose Yellow Wood Recovery for Residential Treatment

  • Multidisciplinary clinical team with addiction and mental health expertise
  • Individualized treatment plans guided by ongoing, multidimensional assessment
  • Structured, supportive residential environment focused on safety and stability
  • Integrated continuum of care from detox through outpatient services
  • Calm Rancho Cordova setting serving the greater Sacramento area
  • Small census, chef-supported nutrition, integrated mental health care, and access to exercise spaces within a structured residential setting

Insurance and Admissions

Residential treatment is often covered by insurance when clinically indicated. Our admissions team is available to verify benefits, explain coverage, and assist with next steps.

Start Your Recovery Journey

If you or a loved one needs residential addiction treatment in Rancho Cordova, Sacramento, Folsom, Citrus Heights, Carmichael, Elk Grove, Roseville, or anywhere in the greater Sacramento area, our structured residential program provides the safety, support, and clinical expertise needed for lasting recovery.

Confidential. We’re here when you’re ready.