Residential treatment, such as that offered at the Austen Riggs Center, is designed for people who need more support than outpatient treatment provides, but who do not need inpatient or an acute hospital setting. Residential treatment offers longer-term, in-depth care with the goal of building a foundation for lasting recovery.
At Riggs, we believe that families play a vital role throughout the recovery process—often initiating conversations about seeking help, participating actively during treatment, and staying involved beyond a patient’s stay.
Many Riggs patients have already tried inpatient hospitalization, outpatient therapy, or residential programs. For some families, these options have already been thoroughly explored with their loved one. For others, the conversation is just beginning. If you’re starting that dialogue, helpful resources are available through organizations like the
Substance Abuse and Mental Health Services Administration (SAMHSA), the
Anxiety & Depression Association of America (ADAA), and the
National Institute of Mental Health (NIMH).
How Does Residential Treatment Differ from Inpatient or Outpatient Treatment?
Inpatient care, often provided in hospitals, is typically for individuals in acute crisis who require a secure environment to ensure safety.
Outpatient treatment allows individuals to continue with work, school, or daily responsibilities while attending therapy or receiving medication management.
Residential treatment at Riggs offers a middle path: a structured, immersive environment for individuals who are not in immediate crisis but need more intensive support than outpatient care can provide. At Riggs, this includes a
therapeutic community,
24/7 nursing care,
clinical social work engagement, and intensive
psychodynamic psychotherapy, all in a voluntary, open setting that includes
a full continuum of care. Patients keep the same treatment team as they step down to lower levels of care, including day treatment. This continuity allows people to develop deepening treatment relationships where they are seen, heard, and understood as they move to more independent living situations.
Does Your Loved One Need a Residential Level of Care?
It can be difficult to know when outpatient therapy is no longer enough. A residential treatment program may be worth considering if your loved one is experiencing:
- Ongoing struggles with emotional regulation, relationships, or daily functioning despite outpatient treatment
- Repeated cycles of crisis or hospitalizations without lasting improvement
- Co-existing challenges such as trauma, mood instability, or substance use
- Difficulty managing school, work, or life transitions
- A lack of progress in understanding or addressing longstanding issues in therapy
- The need for a more immersive, structured, and supportive environment
At Riggs,
our admissions process includes a comprehensive evaluation to help determine whether a residential level of care is the right next step.
How Families Can Support the Decision to Enter Residential Treatment
Talking to someone about entering residential treatment can be challenging. Here are some ways to approach the conversation:
- Lead with empathy. Acknowledge your loved one’s struggles. Let them know you’re on their side and want to help them move toward recovery.
- Be specific and honest. Share your observations about how current challenges are impacting their life and well-being.
- Frame treatment as an opportunity. Describe residential care as a chance to step away from everyday stressors and focus deeply on healing and self-understanding.
- Respect autonomy. Riggs is an open, voluntary program. Your loved one must choose this treatment for themselves. Invite them into the decision-making process rather than pushing them.
- Encourage them to speak with one of our admissions clinicians. Speaking with clinical staff can help your loved one better understand what Riggs offers and whether it feels like the right fit.
- Work with their current treatment team. A trusted therapist or psychiatrist can help assess the need for residential treatment and support your loved one in the decision-making process. If providers would like more information about Riggs, they can contact our admissions team directly at 800.517.4447 (Monday-Friday, 8:30-5:00 p.m., Eastern) or you can direct them to our Refer a Patient page.
Who Riggs Serves
Austen Riggs may be a good fit for individuals who:
- Are motivated to engage in treatment and personal growth
- Can commit to safety and active participation in an open, voluntary setting
- Would benefit from intensive individual psychotherapy, medication management, casework, family work, and group work in a supportive therapeutic community
- Are interested in learning about patterns of thinking and behavior that impact functioning
- Are open to feedback and reflection in a therapeutic community
We are not typically a fit for those who:
- Require a locked or involuntary setting
- Have active, problematic substance use or eating disorders as their primary challenge
- Are currently unable to participate in psychotherapy
Why Families Choose Riggs
Open and Voluntary SettingRiggs is
an unlocked, open setting where patients choose to engage in their treatment. Patients are free to come and go and are expected to participate actively in their care. This autonomy is central to developing agency and self-direction. This autonomy is central to developing agency and self-direction.
- Immersive Therapeutic Community
Our therapeutic community is designed to build a sense of belonging, enhance patient authority, and foster interpersonal learning in ways that can help address isolation and disconnection. - Intensive Psychodynamic Psychotherapy
Four-times-weekly psychotherapy with a psychiatrist or psychologist forms the foundation of care, supported by 24/7 nursing care and a robust therapeutic community program. - Interdisciplinary Team Approach
Each patient works with a consistent team—including psychiatrists, psychologists, clinical social workers, nurses, and community staff—who meet twice weekly to coordinate care. This same team follows the patient from the first day of admission, through step-down programs, to discharge, providing consistency of care throughout the patient’s entire stay. - Family Involvement
Family members are invited to participate, with the patient’s consent, in treatment planning, family work, and ongoing communication with a clinical social worker. In addition, we offer biannual virtual multi-family education workshops designed to provide a forum for family members to learn more about Riggs, share experiences, ask questions, and develop a network of mutual support among other families.
What to Expect at Admission
- Admission Day
Includes a campus tour, admission consultation with admissions staff and clinical social workers, financial review, and initial conversations about treatment fit and family dynamics. - Initial Six-Week Evaluation
Includes a comprehensive psychological, psychiatric, and medical assessment, interviews with family members when appropriate, and full participation in the therapeutic milieu, culminating in a case conference, and treatment recommendations. Families are invited to actively participate throughout treatment (with the patient's authorization). - Duration of Stay
Many patients choose to remain at Riggs for several months beyond the initial six-week evaluation, depending on personal goals, clinical needs, and progress. At present, the median length of stay is approximately five months.