Long-term recovery from severe addiction often requires extended treatment beyond standard 30-day programs. Los Angeles features luxury facilities offering 60, 90, or even 120+ day programs designed for complex cases needing comprehensive care.
Why Length of Stay Matters
Research consistently shows longer treatment produces better outcomes. Thirty days might suffice for mild cases, but severe addiction, co-occurring disorders, multiple relapses, or complex trauma often require 60-90 days minimum. Brain healing takes time. Behavioral patterns need replacing. New coping skills require practice.
Quality extended programs provide continued intensive therapy throughout the stay. Clinical programming remains robust at 60 days as at 30 days. Extended treatment also allows gradual step-down: 60 days residential, then 30 days PHP, then 60 days IOP.
1. Hollywood Hills Recovery
Hollywood Hills Recovery commonly treats clients for 60-90 days, recognizing that complex cases need extended care. Unlike facilities rushing people out after 30 days, they accommodate clinically appropriate stays based on individual needs and progress.
Why extend treatment? Someone with severe trauma underlying addiction might need two months just processing traumatic experiences before they can focus fully on recovery skills. Someone with treatment-resistant depression requires time finding effective medication combinations. Someone with multiple relapses needs extended practice with new coping strategies.
The clinical team determines length of stay collaboratively with each client. Initial treatment plans project duration based on assessment, but plans adjust based on progress. Clinical needs drive decisions, not arbitrary timelines or insurance pressure.
Extended treatment allows relationship depth impossible in 30 days. Your therapist truly knows your story after seeing you 4-5 times weekly for three months. This depth enables profound therapeutic work changing lives.
Programming remains intensive throughout extended stays. Some facilities front-load therapy then taper to group meetings. The facility maintains therapeutic intensity—individual therapy, groups, psychiatric care, holistic activities—throughout 90-day stays.
Extended stays also allow practice with real-world challenges while still in treatment. Someone in for 90 days might practice managing triggers, test coping skills, and receive immediate therapeutic support when difficulties arise.
2. Studio City Recovery
Studio City Recovery‘s continuum model is perfectly designed for extended treatment. Instead of one long residential stay, many clients benefit from progression: 60 days residential, 4 weeks PHP (6 hours daily), 12 weeks IOP (9 hours weekly). Total time in treatment: six months, but with gradual reintegration into normal life.
This stepped approach has advantages. Clients practice recovery skills at each level with safety net support. The transition from residential to PHP tests abilities while maintaining daily therapeutic structure. Moving to IOP allows work or school resumption while continuing therapy.
The same clinical team follows clients through levels—psychiatrist, therapist, case manager. This continuity prevents common gaps causing relapse. No starting over with new providers. No breaks in medication management.
Dual diagnosis cases particularly benefit from extended treatment. Stabilizing severe mental illness takes time. Medication adjustments require weeks to assess effectiveness. Therapy for complex trauma proceeds gradually over months. Rushing discharge before both conditions stabilize dramatically increases relapse risk.
The facility accommodates 90-120 day stays when clinically indicated. Their philosophy: recovery timelines are individual, not universal. Some people need three months. Others need six. Clinical appropriateness determines duration.
3. Passages Malibu
Passages Malibu offers extended stays with their intensive one-on-one therapy model continuing throughout longer programs. Someone staying 90 days receives the same multiple daily private sessions in month three as month one. Their underlying cause philosophy requires time—identifying root issues, processing trauma, resolving mental health conditions, building new life patterns.
4. Cliffside Malibu
Cliffside Malibu accommodates 60-90 day stays particularly for executive clients needing extended treatment while maintaining some business oversight. Their model balances thorough recovery work with professional realities. Young adults also benefit from extended programming addressing developmental challenges alongside addiction: launching into adulthood, building careers, developing relationship skills.
5. The Hills Treatment Center
The Hills specializes in extended boutique treatment for professionals. Their small size (under 10 clients) enables long-term stays without institutional feel. Clients staying 90+ days appreciate the intimate, personalized environment. Extended treatment for professionals allows time for addressing work-related stress, practicing healthier work patterns, processing career-related trauma, and planning sustainable work-life integration.
Bottom line: Extended treatment (60-90+ days) produces significantly better outcomes for complex cases. Look for programs maintaining therapeutic intensity throughout longer stays, offering step-down continuum with same clinical team, accommodating individual timelines versus rigid duration, and creating comfortable environments for extended residence.
