Skip to content
Sai Treatment CentersResidential Care · Reno, Nevada
I’m here for

For parents of teenagers 12–17

You've done everything you know how to do. There is a safe place for what comes next.

A licensed residential home in Reno where your teenager lives with awake staff around the clock, sees a child and adolescent psychiatrist on site, keeps up with school, and comes home with a plan the whole family understands.

Is residential right for my teen?Call (775) 800-1136Text us instead

If someone is in immediate danger, call 911 or go to the nearest emergency room. For someone to talk to right now, call or text 988. We admit directly from ERs and hospitals.

Start here

Is residential the right level of care?

Five questions, two minutes. Nothing you enter leaves your browser. At the end you get an honest answer, and the words to use when you call.

This runs entirely in your browser. No answers are stored or sent anywhere. It is guidance, not a diagnosis; the screening call is where the real decision gets made.

Two minutes. Five questions. An honest answer.

We built this because the most common question we get is not “do you have a bed” but “is this bad enough.” You deserve a straight answer before you pick up the phone.

Insurance and cost

Straight answers about money, before anything else.

Pick a plan and see where you stand. Then read what to expect from the insurance process, because nobody explains it until it goes wrong.

Network status is current as of this page’s last update. Benefits vary by employer and plan; the verification call is the final word. Or call (775) 800-1136.

What to expect from the insurance process

Prior authorization
Most plans require it for residential care. We request it, supply the clinical justification, and handle the periodic reviews while the resident is with us. You do not call the insurer.
Your numbers, before you decide
Deductible remaining, copay or coinsurance, and out-of-pocket maximum for the year. We say them out loud and put them in writing.
If a plan denies or cuts a stay short
We appeal, including a physician-to-physician review with the plan's medical director. Most short-stay denials are overturned or extended. We tell you the moment a review is pending, not after.
No surprise bills
There are no separate facility, lab, or physician bills from other companies. One provider, one statement.

A note on honesty

We will never tell you a stay is covered when we do not know yet. We will tell you what we have confirmed, what is pending, and what the worst case looks like. Families have told us that is the first time anyone in the process spoke to them that way. It should not be.

What it actually looks like here

A real house, a real routine, and adults who do not leave.

No stock photos of strangers laughing on a beach. Here is what the two homes are, who they are for, and what a Tuesday looks like inside one.

Ages 12–17

Adolescent Residential

A licensed residential home for teenagers whose depression, anxiety, trauma, self-harm, or substance use has grown past what weekly therapy can hold. Teens live here with awake staff around the clock, see a psychiatrist on site, and keep up with school.

Setting
A real house in a Northwest Reno neighborhood, not a hospital unit
Staffing
Licensed clinicians, nurses, and mental health technicians, awake overnight
Psychiatry
On-site evaluation and medication management by a child and adolescent psychiatrist
School
Daily academic block coordinated with the teen's home school
Family
Weekly family therapy plus scheduled calls and visits

A Tuesday in the teen home

  1. 7:00Wake up, medications with the nurse, breakfast made in the kitchen
  2. 8:30Community meeting: how did last night go, what is today's goal
  3. 9:30Process group with a licensed therapist
  4. 11:00Individual therapy, or a psychiatry check-in
  5. 12:30Lunch, then downtime
  6. 13:30School block: assignments from the home school, tutoring support
  7. 15:00Art, music, or recreation; outdoor time in the yard
  8. 17:30Dinner together, chores, family phone call window
  9. 20:00Skills group or reflection, then wind-down; lights out by 21:30

Representative. Each resident’s schedule is set by their treatment plan, and weekends are lighter.

The first 72 hours

Fear of the unknown is most of the fear. So here is the unknown.

Hour by hour, this is what happens from the first phone call through the third day. Families tell us that reading this is the moment the decision got easier.

  1. Before arrival

    The phone call

    • You speak with an admissions coordinator, not a call center. Expect 15 to 20 minutes.
    • We ask what is happening, what has been tried, and what medications are involved.
    • We verify insurance, usually within 24 to 48 hours, and tell you what we learn in plain language.
    • We send a short packing list and an arrival time. If you need same-day help, say so.

  2. Day 1

    Arrival

    • A staff member meets you at the door. Belongings are checked for safety, respectfully and with the resident present.
    • A nursing assessment: vitals, medication reconciliation, withdrawal screening for adults.
    • A tour of the house and the bedroom, a meal, and an introduction to the other residents.
    • Families leave with the name and direct line of their point of contact.

  3. Day 2

    Evaluation

    • Psychiatric evaluation with the psychiatrist, including any medication changes.
    • A full clinical assessment with a licensed therapist.
    • First groups. Nobody is asked to share more than they are ready to.
    • For teens, we contact the school to arrange assignments.

  4. Day 3

    The plan

    • A written treatment plan with goals the resident helped set.
    • A first family update, and the first family session is scheduled.
    • An estimated length of stay, which we revisit every week with you and with the insurer.
    • The routine takes over. Most residents say the third day is when the house starts to feel like theirs.

Safety and accountability

The questions people are afraid to ask. Asked and answered.

You are handing us someone you love. You are entitled to know exactly how the house is run, who is awake, and what happens when something goes wrong. Ask us these on the phone, too. We will give the same answers.

Licensed and certified by the Nevada Division of Public and Behavioral Health. Physician-led. Complaints and inspection history are public record, and we will discuss ours with you directly.

Is someone awake at night?
Yes. Staff are awake and on the floor overnight, every night. Bedroom checks happen on a set schedule, more often for anyone on a safety watch.
Who handles medications?
Nurses. All medications, including over-the-counter ones, are stored securely and administered by nursing staff according to the psychiatrist's orders. Nothing is self-managed.
Is the home licensed and inspected?
Yes. Sai Residential Treatment Center is licensed and certified by the Nevada Division of Public and Behavioral Health, and is subject to state inspection and complaint investigation. We would rather you ask us about our record than wonder.
What happens if a resident tries to leave?
This is a home, not a locked facility, and we say that plainly. Staff follow a written protocol: verbal de-escalation first, immediate notification of the family or guardian, and coordination with local authorities when a minor's safety requires it. Elopement risk is assessed on day one and again whenever circumstances change.
How are staff screened?
Every employee passes a state background check and fingerprinting before working with residents, and completes training in crisis de-escalation, suicide prevention, medication safety, and mandated reporting.
How do I reach my person, or reach you about them?
Families get a named point of contact with a direct line. Residents have scheduled phone windows daily. If something happens outside those windows, we call you. We do not wait for you to call us.

Before you call

The practical part, for parents.

What to pack, what to say, what to do about work and school and phones. The stuff nobody writes down.

What to pack

  • Five to seven days of comfortable clothes; laundry is on site
  • Toiletries without alcohol as a listed ingredient; no aerosols or glass
  • Current medications in original pharmacy bottles
  • Insurance card and a photo ID if they have one
  • School login details and any current assignments
  • A few photos or a comfort item from home
  • Leave at home: phones, tablets, smartwatches, vapes, anything with a cord, hoodies with drawstrings

Telling your teen

  • Say it once, calmly, and do not negotiate the decision, only the details
  • "This is not a punishment. This is because I am not willing to lose you."
  • Expect anger. It usually is fear. You do not have to fix it in the driveway
  • Tell them the concrete things: it is a house, there is a yard, you will talk every day
  • If you need help with the conversation, call us first. We do this weekly

Your role during treatment

  • Weekly family therapy, in person or by video
  • Daily scheduled calls; we will tell you the window
  • Honest updates from a named point of contact, not a switchboard
  • A discharge plan you help write, including what changes at home
  • Aftercare with our sister practice, Sai Mental Health, so nothing restarts from zero

Levels of care, side by side

Residential is one step on a ladder. Here is the whole ladder.

The right level is the least disruptive one that is still enough. We will tell you which rung that is, even when it is not ours.

LevelWhere they sleepTime in treatmentTypical lengthRight whenProvided by
ResidentialLives at our home24 hours a dayTypically 30–90 daysSafety is a concern, outpatient care has not been enough, or the home environment cannot support recovery right nowHere
Withdrawal managementLives at our home24 hours, nursing oversightUsually 3–7 days, then residentialAdults who will have physical withdrawal when they stop alcohol, opioids, or benzodiazepinesHere · adults
Partial hospitalization (PHP)Sleeps at homeAbout 6 hours a day, 5 days a week2–4 weeksStepping down from residential, or stable enough at night but needs a full clinical dayHere · adults
Intensive outpatient (IOP)Sleeps at homeAbout 3 hours a day, 3–5 days a week6–12 weeksCan keep school or work going, needs more than weekly therapySai Mental Health
Outpatient therapy and psychiatrySleeps at homeWeekly or biweeklyOngoingStable, safe, and building on progressSai Mental Health

What we treat

Most people who come here carry both an addiction and a mental health condition. Treating one and ignoring the other is why so many stays fail. One team, one plan.

Substance use

  • Alcohol
  • Opioids and fentanyl
  • Methamphetamine and stimulants
  • Cocaine
  • Cannabis
  • Kratom and emerging substances
  • Gambling and other behavioral addictions

Mental health

  • Depression and suicidal thoughts
  • Anxiety and panic
  • PTSD and trauma
  • Self-harm
  • Bipolar disorder
  • OCD
  • Borderline personality disorder
  • ADHD alongside any of the above

Guides

Written for the night you are searching.

Questions

What people actually ask us.

Will my kid hate me for this?

Some are angry on day one. Almost none are angry on day thirty. Teens who arrive furious usually settle within the first week once they realize the house is calm, the rules are consistent, and the adults are not going anywhere. Family therapy is where that anger gets worked through, with a therapist in the room.

What if they refuse to go?

Call us anyway. A parent or legal guardian can consent to treatment for a minor in Nevada, and we have admitted many teens who did not want to come. We will talk you through how to say it, what to expect at drop-off, and what we do in the first hours to lower the temperature. If the situation at home is unsafe right now, we can also help you decide whether the emergency room should come first.

Can they keep their phone?

No, not for the first stretch. Phones are secured on arrival. Contact with family happens through scheduled daily calls and visits, and phone privileges are reintroduced as part of the treatment plan. Every parent worries about this. Most tell us later it was the single most helpful rule.

Will they fall behind in school?

There is a school block every weekday. We contact the home school in the first days, receive assignments, and send work back. Credits continue. If the school has been part of the problem, that is something we can plan around together.

How often can I visit or call?

Scheduled phone calls daily and visits on set days each week, adjusted with the treatment team. You also have a family session with the therapist weekly and a named point of contact with a direct line.

How long will they be there?

Most adolescent stays run 30 to 90 days. Length is clinical, not fixed. We set an estimate in the first week and review it with you and the insurer regularly.

Is it locked? Is it safe?

It is a licensed home in a residential neighborhood, not a locked unit, and we say that plainly. Staff are awake overnight, medications are nurse-managed, and there is a written protocol if a teen tries to leave. See the safety section below for the specifics.

Admissions

Four steps. Usually within 48 hours. Same day when it has to be.

Getting someone into residential care should not feel like a second crisis. This is exactly what happens when you reach out.

  1. 01

    Call, text, or request a callback

    You reach a person who does this every day. Tell us what is going on. We listen first.

  2. 02

    A short clinical screening

    Twenty minutes, confidential, by phone. We confirm residential is the right level, and that we can genuinely meet the need. If we cannot, we tell you who can.

  3. 03

    Benefits verified and explained

    Usually within 24 to 48 hours. You hear the deductible, the out-of-pocket limit, and whether authorization is required, before you commit to anything.

  4. 04

    Admission

    A scheduled arrival, or same-day when safety requires it. We admit directly from emergency rooms and hospitals.

(775) 800-1136 Text the same number

Admissions line answered 24 hours a day, including holidays

Request a callback

Two minutes. We do the rest.

This is for
How urgent
Reach me by
Best time

Used only to contact you about admission, and handled under HIPAA. Sending this does not create a patient relationship. Texting is not fully secure; do not include medical details you would rather share by phone.