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Sai Treatment CentersResidential Care · Reno, Nevada

Ages 18+ · Reno, Nevada

Adult residential treatment where addiction and mental health are treated together.

An eight-bed home in Northwest Reno for adults with alcohol or drug addiction, behavioral addictions, and the depression, anxiety, trauma, or bipolar disorder that so often travel with them. Withdrawal is managed on site by nurses under a physician's protocol. A psychiatrist who has actually met you manages medication. Someone is awake all night.

Residential treatment (ASAM level 3.5) is for adults who need more than an hour a week: safety has become a concern, outpatient or intensive outpatient care has not held, or home is part of the problem right now. The day is structured from 7 a.m. to lights out with groups, individual therapy, psychiatry, and the ordinary work of a household. Typical stays are 30 to 90 days, followed by a step-down to partial hospitalization or intensive outpatient care so the return to daily life is gradual.

We keep the home small on purpose. Eight beds means every staff member knows every resident, and a change in someone's mood on a Tuesday afternoon is noticed on that Tuesday afternoon. We are certified by the State of Nevada for residential treatment, clinically managed withdrawal management, and partial hospitalization, and we admit directly from Reno-area emergency rooms and hospitals.

Is residential right for me? (775) 800-1136

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 18+

Adult Residential

An eight-bed home for adults with alcohol or drug addiction, behavioral addictions, and the depression, anxiety, trauma, or bipolar disorder that so often travel with them. Withdrawal management is available on site, so the first days are supervised and safe.

Setting
Eight beds. Small enough that every staff member knows every resident
Withdrawal
Clinically managed residential withdrawal management (ASAM 3.2-WM) with nursing oversight
Psychiatry
Psychiatric evaluation and medication management on site
Therapy
Daily groups, weekly individual sessions, family sessions when wanted
Step-down
Partial hospitalization (ASAM 2.5) before returning to daily life

A Tuesday in the adult home

  1. 7:00Wake up, vitals and medications with the nurse, breakfast
  2. 8:30Community meeting and daily intentions
  3. 9:30Process group: relapse prevention, DBT skills, or trauma-informed work
  4. 11:00Individual therapy, psychiatry, or case management (work, legal, housing)
  5. 12:30Lunch and free time
  6. 13:30Psychoeducation or skills group
  7. 15:00Recreation, exercise, or recovery meeting
  8. 17:30Dinner, chores, phone window
  9. 20:00Evening reflection or 12-step / SMART meeting; lights out by 22:00

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

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.

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 you.

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

What to pack

  • A week of comfortable clothes, plus something for exercise; laundry is on site
  • Toiletries without alcohol as an ingredient; no aerosols, no glass
  • All current medications in original pharmacy bottles
  • Insurance card, photo ID, pharmacy and doctor contact information
  • A notebook. Most people are glad they brought one
  • Leave at home: electronics with cameras, vapes, weapons, anything containing alcohol, valuables

Before you come in

  • Work: ask us about FMLA and short-term disability before you tell anyone; the paperwork is ours to handle
  • Children and pets: we will help you think through coverage; do not let this be the reason you wait
  • Court or probation: we coordinate with officers and provide attendance documentation
  • Bills: set up autopay or a trusted person for the month; phone windows exist for the rest
  • If you are drinking or using daily, do not stop abruptly on your own. Call us first

What you are agreeing to

  • Daily groups and weekly individual therapy; attendance is expected, not optional
  • Nurse-managed medications, including over-the-counter
  • Random drug screens, which protect the community you are joining
  • Chores, meals together, and a schedule that starts at 7:00
  • A discharge plan you help write, and continuing care afterward

Questions

What people actually ask us.

Will I lose my job?

Most people do not. If you have worked for a covered employer for at least a year, the Family and Medical Leave Act protects up to 12 weeks of job-protected leave for treatment, and your employer is not entitled to know the diagnosis. We complete the paperwork with you in the first days. Many people also use short-term disability. Ask us before you say anything to HR.

Do I have to detox somewhere else first?

Usually not. Our adult program is certified for clinically managed residential withdrawal management, with nursing oversight and a physician directing the protocol. If your history includes seizures, delirium tremens, or serious medical conditions, we may arrange hospital-level detox first and admit you directly from there.

Can I keep my phone?

Phones are secured on arrival and returned in stages as part of your plan. You have daily phone windows from day one and can make arrangements for children, pets, or work before you come in. We are honest that this rule is hard for the first few days, and honest that it works.

What does it cost?

With in-network insurance, your cost is your deductible and copay or coinsurance up to your out-of-pocket maximum, and we tell you those numbers before you admit. With Nevada Medicaid it is usually nothing. Without insurance, we give you a written private-pay quote up front. No surprise bills.

How long is a stay?

Typically 30 to 90 days, then a step-down to partial hospitalization or intensive outpatient. Insurers authorize in blocks and review progress; we handle those reviews and tell you where things stand every week.

Is this a 12-step program?

It is an evidence-based clinical program: DBT, CBT, motivational interviewing, trauma-informed care, and psychiatry. Twelve-step and SMART Recovery meetings are available because they help many people. They are not a requirement.

What if I relapse after?

Relapse is a signal, not a verdict. You leave with a written plan, a therapist and psychiatrist at Sai Mental Health, and a number to call. People come back. We do not make them start over.

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.

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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.

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