Clinical Work

Continuum of Care

The Inn Residence

Located on the Main Campus, the Inn is our primary residence, with 24-hour nursing availability and accommodations for about 40 patients. All new patients are admitted into an Inn program to give them close proximity to nursing staff while we get to know them and they develop their alliance with us. After the case conference, the treatment team may recommend a lower level of care, but many patients remain in an Inn program beyond six weeks.

Many Riggs patients suffer from major mental illness or personality disorders; however, our programs are structured around people’s differing medical and social needs rather than being organized by diagnostic category.  Some people need more nursing support, others are interested in the interpersonal aspects of living together, while others wish to focus their work on integration with the community outside of Riggs. Residential programs outside the Inn place a greater focus on developing the skills necessary to live independently, to return to school or work and to engage in more fulfilling relationships.

Inn Programs: Resembling a New England historic inn more than a hospital, there are three floors that include mostly single rooms (a few doubles), some with private baths, others with shared bathrooms. The medication closet and nurse's station are located on the second floor. Community space includes a dining hall offering gourmet buffet-style meals, a library, a fully-equipped modern gym and many relaxing common areas where one can find nursing staff or other patients, day or night.

Inn Residential Program-Nursing (IRP-N): For those who are not quite ready for more intensive group involvement and who need more individual attention, this program offers daily meetings with the nursing staff and close proximity to the Community Center. Patients have access to a program group in which they develop their ability to turn to peers for support.

Inn Residential Program-Group (IRP-G): Patients who are capable of using peer support to help manage symptoms have access to two groups per day, making this the most group-intensive residential program. Though nursing support is always available, it is less intensive in this program.

Crisis Support: Patients at any level of care can access nurses 24/7.  There are always beds available at the Inn if someone in a step-down program needs more immediate nursing support. 

Step-Down Programs

Residential programs outside the Inn provide a small group environment for patients to develop self-management, interpersonal ability and independent living skills as they rejoin the social, educational and occupational communities outside Riggs.

Elms Residential Program
Located on the Riggs campus, the Elms offers two programs in a relaxed but structured home environment.  With access to the offerings of the IRP-G program at the Inn, patients in the Elms Transition Program continue to develop peer relationships and personal resources that help them learn from their experience. The Elms Residential Program emphasizes  self-management, interpersonal ability and the development of more independent living skills.

Lavan Hall Programs
Lavan Hall includes two residential programs in apartments one block from the Riggs campus. Lavan Residential Program encourages patients to function as a working unit and develop interpersonal and relationship skills. In the Lavan Apartment Program patients share an apartment with minimal staffing and focus on consolidating the skills required to live independently.


Lenox Residential Program
Located in the nearby town of Lenox, this program helps patients develop social role competence through experiential learning.  Patients have opportunities to take up involvement in the community in which they live by attending school, working, volunteering, or taking on family responsibilities as they move closer to returning home. Over time, patients can taper their days of involvement and participation in Therapeutic Community Program. This results in a lower cost per day, while still continuing in four-times-weekly individual psychotherapy.

Day Treatment: This program provides groups, activities and a supportive interpersonal network for patients who can live independently in the local community while maintaining their treatment at Riggs. Patients volunteer, attend school or work. Over time they can taper their days of involvement and participation in the Therapeutic Community and Activities Programs, while continuing in four-times-weekly intensive psychotherapy and other individual services.

Aftercare: A transitional program for patients in the process of ending their treatment at Riggs, Aftercare offers individual treatment services, but patients no longer participate in the Therapeutic Community or Activities Programs.