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FAQ
Questions about treatment and getting started
214 questions about care settings, insurance, family, daily life and the admissions process, in one searchable table. Type a word or filter by topic.
These answers can help you get started, but they cannot replace an assessment. Call us to talk about your own situation.
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Browse 20 topics, from the first call to daily life in the homes. Search by keyword, filter by topic or sort a column. Confirm program details and availability with Admissions.
| Topic | Question | Answer | More |
|---|---|---|---|
| Getting started | How do I get started? | Call Admissions. You don’t need to choose a program before calling. Tell us what has been happening and what you want help with, and we’ll explain your options. | Admissions |
| Getting started | What if I’m not sure which program fits? | That is a normal reason to call. We’ll listen to what has been happening and explain whether residential treatment, continuing care, outpatient treatment, or another kind of support may be right for you. | Levels of care |
| Getting started | Who can make the first call? | Say whether you are calling for yourself, a partner, a family member, or a patient you are referring. A brief description is enough to begin. | Admissions |
| Getting started | Do I need a diagnosis before I call? | No. Describe what you are noticing and whether substance use and mental health concerns are happening together. The whole picture helps the team clarify the most appropriate starting point. | Admissions |
| Getting started | What should I have ready when I call? | Begin with what you know: who is calling, what has changed, whether substance use and mental health concerns are happening together, whether withdrawal or immediate safety is involved, and an insurance card if you want benefits verified. | Admissions |
| Getting started | What happens on the first call? | Four steps: start with your concerns; understand the care options; know what insurance may cover; plan your next step. You can ask questions before deciding what to do next. | The first call |
| Getting started | How old do you have to be? | Tranquility Woods treats adults 18 and older. | Admissions |
| Getting started | Can I ask questions without committing to anything? | Yes. The conversation is confidential and carries no obligation to enter treatment. A benefits check is also confidential and obligation-free. | Admissions |
| Getting started | Is Tranquility Woods accredited? | Tranquility Woods is CARF accredited, LegitScript certified, and licensed in Maryland. | About |
| Getting started | Has Tranquility Woods been recognized nationally? | Tranquility Woods has been recognized in Newsweek’s America’s Best treatment center rankings from 2023 through 2026. | About |
| Admissions | What are Admissions hours? | Admissions answers 9 AM to 9 PM every day. | Contact |
| Admissions | What should I bring to residential treatment? | Ask Admissions for the current packing list, guidance on medication and prescriptions, required identification, and anything that should stay at home. Personal items must fit your assigned closet, dresser, and under-bed storage. | Before you arrive |
| Admissions | What should I not bring? | Cash, weapons, drugs, alcohol, and unsealed supplements or over-the-counter medicine. Razors, nail clippers, aerosols, and anything containing alcohol such as cologne are signed in and out through staff. Vapes cannot be brought in from outside. | Before you arrive |
| Admissions | How much money should I bring? | Clients may not bring cash. Bring a debit card, credit card, or Visa gift card with no more than $200 on it; wallets are kept in the safe and made available through staff. A card on site is also needed for pharmacy co-payments and approved purchases. | Before you arrive |
| Admissions | Can Admissions coordinate with my current provider? | With your authorization, the team can request records, speak with current providers, and gather collateral information from family or referring professionals. | Admissions |
| Admissions | What happens when withdrawal has already started? | Say this first. Physician-directed medical detox can be provided in any Pasadena residential home when clinically appropriate. In an immediate emergency, call 911. | Residential care |
| Admissions | What happens if someone is in immediate danger? | Admissions is not emergency care. If you or someone else is in immediate danger or having a medical emergency, call 911 or go to the nearest emergency department. For emotional distress or a suicidal crisis in the U.S., call or text 988. | |
| Admissions | How is the length of stay decided? | Residential planning starts at 30 days with a recommendation of 60. Discharge planning takes place throughout treatment, and the specific date is decided by the treatment team together with the client. | Admissions |
| Admissions | Can I leave treatment early? | Treatment is voluntary. Leaving without the Clinical Director’s authorization is considered discharge against medical advice; talk with your counselor first so the team can plan safely with you. | Admissions |
| Admissions | What happens to my belongings after discharge? | All belongings must be picked up within seven days of discharge. | Admissions |
| Insurance and cost | Which insurance plans are accepted? | The team checks many preferred provider organization (PPO) and point of service (POS) plans, including Aetna, Anthem, CareFirst, BlueCross BlueShield, Cigna, United Healthcare Choice Plus, Tricare Select, GEHA, Highmark and Horizon. Tricare Prime is no longer accepted. Every policy must be verified. | Insurance |
| Insurance and cost | Do you accept Medicaid or Medicare? | No. Tranquility Woods cannot currently accept Medicaid or Medicare from any state. | Insurance |
| Insurance and cost | Do BlueCross BlueShield plans work? | BlueCross BlueShield policies that have out-of-network benefits can be accepted. Admissions verifies the specific policy. | Insurance |
| Insurance and cost | What about out-of-network benefits? | Tranquility Woods works with many commercial PPO and POS plans, including out-of-network benefits when the member’s plan permits them. Benefits must be verified. | Insurance |
| Insurance and cost | Does insurance verification guarantee coverage? | No. A benefits check is not an approval of every service, a reservation, or a guarantee that an insurer will pay. Ask about authorization requirements and any written cost estimate. | Insurance |
| Insurance and cost | What does verification check? | It helps the admissions team review your plan’s benefits and any requirements that may apply. Ask which services, location, and level of care the review covers. | Insurance |
| Insurance and cost | What might I pay out of pocket? | Ask about your deductible (the amount you pay before certain benefits begin), copayments (set charges), and coinsurance (your share of a covered cost). Your plan’s terms determine what applies. | Insurance |
| Insurance and cost | Is the same insurance policy used for every program? | Yes. Insurance verification applies across every level of care: residential, mental health residential, Extended Care, PHP, IOP and Virtual IOP. | Insurance |
| Insurance and cost | Can I check benefits without filling in the form? | Yes. Call Admissions. Do not enter medical details or insurance numbers into website search. | Insurance |
| Insurance and cost | What do I need for the insurance form? | The insurance provider name and member or policy number, along with the patient’s name, date of birth and phone number. Keep your card nearby. | Verify insurance |
| Insurance and cost | Is private pay available? | Ask Admissions. Private-pay arrangements can be discussed alongside the benefits check. | Admissions |
| Insurance and cost | Is a private room extra? | In residential care and Extended Care, rooms are shared by two clients. A private room is an additional cost when available. | Admissions |
| Insurance and cost | Which Tricare plan is accepted? | Tricare Select is accepted, subject to benefits verification. Tricare Prime is no longer accepted. Admissions verifies the policy before anyone travels. | Insurance |
| Levels of care | What levels of care does Tranquility Woods offer? | Dual Diagnosis Residential, Primary Mental Health Residential, Extended Care, PHP (day treatment), IOP, and Virtual IOP. | Levels of care |
| Levels of care | What is the difference between the two residential programs? | Dual diagnosis residential treats substance use and mental health together, in Original Home, River Glen One or River Glen Two. Primary mental health residential is for adults whose main concern is mental health, usually at River Glen Three. | Compare programs |
| Levels of care | What does ASAM Level 3.5 mean? | ASAM Level 3.5 is a category of intensive residential addiction treatment. All Pasadena residential homes are licensed for it. | Residential care |
| Levels of care | Are PHP and IOP ASAM Level 3.5 residential care? | No. PHP and IOP are distinct outpatient levels of care. They are not ASAM Level 3.5 residential treatment or medical detox. | PHP |
| Levels of care | Which programs are in person and which are virtual? | Residential care and Extended Care are in person. PHP is offered in person and virtually. IOP is in person or virtual, and Virtual IOP attends the same sessions online. Family sessions may be virtual in every program. | Levels of care |
| Levels of care | How long is each program? | Residential care is 30 to 90 days. Extended Care is 30 to 60 days. PHP is about 8 weeks. IOP and Virtual IOP are about 13 weeks. Admissions confirms the recommendation for you. | Levels of care |
| Levels of care | What comes after residential treatment? | Extended Care in Arnold, day treatment (PHP), or intensive outpatient care, depending on what you need next. Discharge planning starts during your stay. | Extended Care |
| Levels of care | Can I move between levels of care? | Yes. Many people step down from residential to Extended Care, PHP or IOP. The team discusses the next level before the current one ends. | Levels of care |
| Dual diagnosis residential | Who is dual diagnosis residential for? | Adults experiencing substance use and mental health concerns together, including people who may need ASAM Level 3.5 residential support. | Dual diagnosis residential |
| Dual diagnosis residential | Where does dual diagnosis residential take place? | Original Home, River Glen One and River Glen Two on the Pasadena campus. Care is overnight, in person and 24/7. | Pasadena campus |
| Dual diagnosis residential | How much individual therapy is included? | Three addiction sessions and one mental health session each week, 50 minutes each. | Dual diagnosis residential |
| Dual diagnosis residential | How is psychiatry handled? | An initial psychiatric appointment in the first week, then as needed, with medication management included. | Dual diagnosis residential |
| Dual diagnosis residential | Is medical detox available? | Yes. Physician-directed medical detox is available at all four residential homes on the Pasadena campus when the care team determines it is appropriate. Admissions can clarify whether detox is part of the appropriate starting point. | Dual diagnosis residential |
| Dual diagnosis residential | Do you use methadone? | Tranquility Woods uses Suboxone for detoxification when clinically appropriate. Methadone is not used for detoxification. | Opioid use disorder |
| Dual diagnosis residential | How long is residential treatment? | 30 to 90 days. Planning starts at 30 days with a recommendation of 60; the specific date is decided by the treatment team together with the client. | Dual diagnosis residential |
| Dual diagnosis residential | Are there groups every day? | Yes. Addiction and mental health groups run daily, with gender-specific groups twice a week and 12-step meetings during the week. | Dual diagnosis residential |
| Dual diagnosis residential | Is family therapy part of it? | Yes. Family therapy is scheduled weekly through the client’s primary counselor, in person or by video. An optional 50-minute family session replaces one individual addiction session that week. | Family |
| Dual diagnosis residential | How many clients are on the campus? | The Pasadena campus serves a maximum of 40 clients across its four homes. | Pasadena campus |
| Dual diagnosis residential | Are the homes gender-specific? | Residential homes are gender-specific. Admissions explains the current arrangement when a date is set. | Pasadena campus |
| Dual diagnosis residential | What holistic services are included? | Weekly yoga, meditation, acupuncture groups, music therapy and art therapy, plus private massage (half an hour weekly in the first 45 days, an hour weekly after). | Dual diagnosis residential |
| Dual diagnosis residential | Is there a medical evaluation on arrival? | Yes. Medical staff provide a comprehensive history and physical on admission and monitor psychiatric and medical needs throughout the stay. | Dual diagnosis residential |
| Dual diagnosis residential | Can I leave the grounds during treatment? | Not in the first 72 hours, and not during days 4 to 7 while on detox medications. From day 8, clients are cleared for off-ground events when there are no medical, clinical or disciplinary restrictions. | Dual diagnosis residential |
| Dual diagnosis residential | Are there passes to see family later in the stay? | Privileges are phased: medical leave only in the first weeks, then an outside meeting with a sponsor, later up to six hours with family, and one overnight in the final phase. Your counselor explains the current phase. | Dual diagnosis residential |
| Mental health residential | Who is primary mental health residential for? | Adults who need more structure than home or traditional outpatient care and whose primary concern is mental health, including anxiety, depression, PTSD, bipolar and mood disorders, and complex thought disorders. | Mental health residential |
| Mental health residential | Where is the mental health residence? | River Glen Three on the Pasadena campus, an eight-client home dedicated to primary mental health. | River Glen Three |
| Mental health residential | How much therapy is included in the mental health program? | Three individual mental health therapy sessions each week, 50 minutes each, plus mental health groups. | Mental health residential |
| Mental health residential | How soon do I see a psychiatric provider? | The initial psychiatric appointment is within 24 hours, then weekly, with weekly psychiatric medication management. | Mental health residential |
| Mental health residential | How long is the mental health program? | A 30-day minimum stay, 60 days recommended, 90-day maximum. Admissions confirms the recommendation for you. | Mental health residential |
| Mental health residential | Is the mental health program an addiction program? | No. Mental health is the primary treatment focus. Substance use may still be understood as part of the clinical picture, and the team reviews each case for fit. | Mental health residential |
| Mental health residential | Is the mental health program virtual? | No. Residential care is in person at River Glen Three. Family sessions may be virtual. | Mental health residential |
| Mental health residential | Can families take part in the mental health program? | Yes. Family therapy is available weekly, in person or virtual, with the client’s consent. | Family |
| Mental health residential | How many clients are in the mental health home? | Eight. | Mental health residential |
| Extended Care | What is Extended Care? | Structured, supervised living in Arnold for people transitioning from residential treatment who need continued structure while building independence. It is not ASAM 3.5 and not medical detox. | Extended Care |
| Extended Care | Where is Extended Care? | The Extended Care House in Arnold, Maryland, separate from the Pasadena residential campus. | Extended Care House |
| Extended Care | How long is Extended Care? | 30 to 60 days as published; the outpatient handbook recommends a minimum of eight weeks of the clinical program. Admissions confirms the plan for you. | Extended Care |
| Extended Care | What are the clinical hours in Extended Care? | Weekday group therapy Monday to Friday, 8:00 AM to 1:00 PM (about 25 group hours a week), plus one to two hours of individual counseling weekly. | Extended Care |
| Extended Care | Is Extended Care coed? | Yes. Extended Care is coed. | Extended Care |
| Extended Care | How many people live in the Extended Care house? | Twelve. Rooms are shared by two residents; a private room is an additional cost when available. | Extended Care |
| Extended Care | Can I work or attend school during Extended Care? | Yes, with approval. Jobs must be approved and disclosed to management, hours are set by management, work may not interfere with programming, and pay stubs are reviewed. Full-time study counts as a job. | Extended Care |
| Extended Care | Can I have my car at Extended Care? | Personal vehicles may be used only to go to and from work. Keys are signed out from the house staff, vehicles may be searched, and residents using a vehicle sign up for location tracking. | Extended Care |
| Extended Care | Can I use my phone and computer in Extended Care? | Yes. Devices are used in common areas, may be searched by staff, and dating and gambling apps are not allowed. Social media activity is monitored. | Extended Care |
| Extended Care | What are the Extended Care visiting hours? | Sundays 11 AM to 7 PM. Two adults at a time, no visitors under 18, visitors stay on the main level, and visits begin after a resident’s first week. | Extended Care |
| Extended Care | Can I go off site with my family from Extended Care? | After the first week, with trip details, departure time and return time provided 48 hours in advance. | Extended Care |
| Extended Care | Who cooks in Extended Care? | Residents prepare their own meals. The house has two refrigerators and freezers with labeled personal storage. | Extended Care |
| Extended Care | Is there drug and alcohol testing in Extended Care? | Yes. A breathalyzer every day and random drug tests weekly. | Extended Care |
| Extended Care | Are there chores in Extended Care? | Yes. Chores rotate on a weekly schedule, rooms are inspected, and laundry is limited to two loads a week. | Extended Care |
| Extended Care | What amenities does the Extended Care house have? | A seasonal pool, hot tub, on-site gym, fire pit, basketball hoop, ping pong and pool tables, TVs, washers and dryers, and Wi-Fi for residents who bring their own device. | Extended Care |
| Extended Care | Can I smoke at Extended Care? | Only outside in the approved smoking area near an ashtray. Vaping is not permitted in the house. Quiet hours outside are 9 PM to 9 AM. | Extended Care |
| Extended Care | What curriculum does Extended Care follow? | The shared 13-week Living in Balance schedule used across PHP, IOP and Virtual IOP; programs differ by time commitment, not by topics. | Extended Care |
| Extended Care | What is not allowed in the Extended Care house? | Drugs, alcohol, paraphernalia, firearms, knives with blades over three inches, pornography, medication outside its original container, and camera equipment (phones are fine). | Extended Care |
| PHP | What is PHP? | Partial hospitalization: daytime clinical structure through the Arnold outpatient office for adults who need more than standard outpatient care without an overnight stay. You return home or to supportive living after programming. | PHP |
| PHP | What days and hours does PHP meet? | Monday through Thursday, 8:00 AM to 1:00 PM. Friday to Sunday off. | PHP |
| PHP | How long is PHP? | About eight weeks; the handbook recommends a minimum of eight weeks, adjustable for clinical or legal need. | PHP |
| PHP | How much treatment is in a PHP week? | Four days a week (about 20 group hours) plus one to two hours of individual counseling. | PHP |
| PHP | Can PHP be done virtually? | Yes. PHP is offered in person and virtually. Admissions confirms which fits your needs. | PHP |
| PHP | Is transportation available for PHP? | Transportation may be available within a 30-mile radius for PHP. Ask Admissions. | PHP |
| PHP | Is there drug testing in PHP? | Yes. Two urine drug screens a week. | PHP |
| PHP | What comes after PHP? | Morning or evening IOP may be considered, and sober living can sit alongside outpatient care. | IOP |
| PHP | Do I stay overnight in PHP? | No. PHP provides focused daytime treatment, then you return home or to a supportive living setting. | PHP |
| IOP | What is IOP? | Intensive outpatient care through Arnold for adults who need structured support while living at home or in sober living and keeping work, school and family routines. | IOP |
| IOP | What are the IOP tracks? | Morning 8:00 to 11:00 AM or evening 5:45 to 8:45 PM, Monday through Thursday. There is no afternoon track. Friday to Sunday off. | IOP |
| IOP | How long is IOP? | About 13 weeks. | IOP |
| IOP | Can I keep working during IOP? | Yes. The morning and evening tracks are designed around work and school. Review the schedule with Admissions. | IOP |
| IOP | How much treatment is in an IOP week? | Four days a week (nine group hours) plus one to two hours of individual counseling. | IOP |
| IOP | Is there drug testing in IOP? | Yes. One urine drug screen a week, with telehealth rules by distance for virtual clients. | IOP |
| IOP | What therapies are used in outpatient care? | Cognitive behavioral therapy and motivational interviewing, with diagnostic assessment, individual, group, couples and family sessions, and EMDR available. | IOP |
| IOP | Does IOP involve my family? | Yes. At least one individual session with family and one family group, with a release of information on file. | Family |
| IOP | What if I’m late to an outpatient group? | Arriving more than 15 minutes late without prior notice means you are not admitted to that group, and leaving more than an hour early without permission is not allowed. Medical emergencies and documented appointments are excused. | IOP |
| IOP | How do I get to IOP? | Clients arrange their own transportation or participate by telehealth. Parking is outside the Arnold office. | IOP |
| IOP | What comes after IOP? | Virtual IOP with the same tracks, sober living alongside treatment, or a planned transition to independent life. | Virtual IOP |
| Virtual IOP | Is there a virtual option? | Yes. Virtual intensive outpatient care follows the same Monday–Thursday morning or evening tracks as in-person IOP. Call to confirm eligibility for your location and care needs. | Virtual IOP |
| Virtual IOP | What do I need for Virtual IOP? | A private, quiet space, working video and audio, and time without driving, working or other distractions. Join five minutes early; the camera stays on and you remain visible except at breaks. | Virtual IOP |
| Virtual IOP | Is Virtual IOP a separate program? | No. Virtual IOP joins the same live Living in Balance sessions as in-person outpatient care, through the Arnold program. | Virtual IOP |
| Virtual IOP | How does drug testing work for Virtual IOP? | Within 30 miles, screens are provided at the Arnold office. Farther away, third-party screens are arranged at the client’s cost, and a missed screen for two weeks means coming in person to stay enrolled. | Virtual IOP |
| Virtual IOP | Can I do Virtual IOP from outside Maryland? | Admissions confirms eligibility for your location and care needs before enrollment. | Virtual IOP |
| Virtual IOP | How long is Virtual IOP? | About 13 weeks, the same as in-person IOP. | Virtual IOP |
| Locations | Where is care provided? | Residential care is provided in Pasadena, Maryland, on a 40-acre wooded campus with four homes. Extended Care housing and the outpatient programs (PHP, IOP and Virtual IOP) are based in Arnold. | Locations |
| Locations | What are the four homes on the campus? | Original Home, River Glen One and River Glen Two for dual diagnosis residential care, and River Glen Three for primary mental health. | Pasadena campus |
| Locations | How large is each home? | Original Home serves about 16 clients; each River Glen home serves about eight. The campus maximum is 40 clients. | Pasadena campus |
| Locations | Where is the outpatient office? | Arnold, Maryland, on Ritchie Highway. Admissions confirms the suite and arrival details. | Arnold outpatient |
| Locations | Is Extended Care on the Pasadena campus? | No. The Extended Care House is in Arnold, distinct from the Pasadena residential campus. | Extended Care House |
| Locations | Which home will I stay in? | Your program determines the home: dual diagnosis residential in Original Home, River Glen One or River Glen Two; primary mental health at River Glen Three. Admissions confirms your destination. | Pasadena campus |
| Locations | Is there a map of the campus? | Yes. The interactive campus map shows the homes, pools, pond and trails with photographs. | Campus map |
| Locations | Do you accept clients from outside Maryland? | Yes, subject to clinical fit and admission requirements. Admissions reviews travel planning, insurance and aftercare needs. | Admissions |
| Locations | Where do I find addresses and directions? | The contact page lists the Pasadena campus and the Arnold locations. Speak with Admissions before you travel; the team confirms your destination and arrival details. | Contact |
| Daily life in residential | What does a residential day look like? | Wake at 7 AM on weekdays (8 AM at weekends), breakfast, a morning process group, study hall and groups, lunch, afternoon groups, Healthy Habits from 3:45 to 4:45 PM, chores and free time, dinner, an evening meeting, and free time until lights out. | Your week |
| Daily life in residential | When are lights out? | 11 PM Sunday through Thursday and midnight on Friday and Saturday. Clients are not out of their rooms before 5 AM. | Your week |
| Daily life in residential | What is Healthy Habits? | A daily window, Monday to Friday 3:45 to 4:45 PM, for something healthy and productive such as journaling, exercising or a walk. Smoking, eating, showering and sleeping are set aside for that hour. | Your week |
| Daily life in residential | Do I have to attend every group? | Yes, unless excused by a nurse practitioner or management. Clients in their first five days who are working through acute withdrawal may be excused from groups but still attend clinical and medical appointments. | Dual diagnosis residential |
| Daily life in residential | Are the bedrooms locked during the day? | Bedrooms are locked from 8:30 AM to 3:15 PM and 3:45 to 4:45 PM on weekdays so the day is spent in treatment. Clients use only their own room. | Dual diagnosis residential |
| Daily life in residential | Can I decorate my room? | Rooms are kept clean with beds made daily. Nothing may be hung from the walls by any method, and windows stay closed. | Dual diagnosis residential |
| Daily life in residential | Is there a dress code? | Yes. Clothing covers the abdomen, sides and back; no drug, alcohol, sexual or offensive imagery; footwear at all times except at the pool; modest swimwear (one-piece suits or loose trunks). Clothing outside the code is stored until discharge. | Dual diagnosis residential |
| Daily life in residential | When can I watch TV? | Weekdays 7:00 to 8:30 AM and 4:45 to 11:00 PM; weekends at staff discretion. Shows unsuitable for treatment are turned off. | Dual diagnosis residential |
| Daily life in residential | Are there outings? | Regular outings are scheduled on Saturdays and are optional. Church services are offered on Sundays with a weekly sign-up, and barber and nail salon visits are offered every two weeks later in the stay. | Dual diagnosis residential |
| Daily life in residential | Are 12-step meetings part of the program? | Yes. AA, NA and similar recovery meetings are a cornerstone of the program and are attended during the week unless clinical or medical approval to stay back is given. | Dual diagnosis residential |
| Daily life in residential | Can men and women mix in the program? | Clients congregate during scheduled and supervised times such as meals, activities and community meetings. Romantic or exclusive relationships between clients are not permitted. | Dual diagnosis residential |
| Daily life in residential | Are there quiet hours? | Yes. The campus sits in a residential neighborhood, with quiet hours from 11 PM to 5 AM. | Pasadena campus |
| Daily life in residential | Who does the laundry? | Clients follow posted laundry times, and housekeeping keeps the homes in order. Each week clients are assigned a small task to help keep the house clean. | Dual diagnosis residential |
| Daily life in residential | Can I walk the trails? | Yes. Clients walk the trails at appropriate times with another client of the same sex; mixed-gender community walks take place with a program assistant. | Pasadena campus |
| Daily life in residential | Is my information confidential? | Yes. Clients and visitors sign a confidentiality agreement. Private information is shared only with the client’s consent, except where the law requires otherwise; the Notice of Privacy Practices explains client rights. | Admissions |
| Family and visitors | Can family members participate in treatment? | With the client’s consent and the care team’s agreement, family can join a session in person or by video. Ask your team about arrangements for your program. | Family |
| Family and visitors | How often is family therapy? | Family therapy is scheduled through the client’s primary counselor; when possible a weekly meeting is preferred. | Family |
| Family and visitors | What is Family Education? | A clinically run group offered weekly on Sunday mornings and afternoons, with family visitation immediately before or after. Visitors on Sunday take part in Family Education. | Family |
| Family and visitors | When are residential visiting hours? | Visitation is on Sundays. The time depends on the client’s house and group; clients and families are told when to arrive. | Family |
| Family and visitors | How are visitors approved? | Clients sign up visitors by noon each Wednesday for their counselor to review against the treatment plan. Visitors need an active release of information on file, bring ID, sign a confidentiality form, and leave purses and phones in the car. | Family |
| Family and visitors | How many visitors can I have? | No more than two guests per client. Guests must be 18 or older. No pets. | Family |
| Family and visitors | Where can visitors go in the house? | Main living areas only, not bedrooms or the basement. | Family |
| Family and visitors | Can visitors bring food or packages? | Packages are checked by staff. Food must be factory sealed or shelf stable, with no homemade food or glass containers, and must fit in the client’s snack bin. | Family |
| Family and visitors | Can a recently discharged client visit? | No. Clients discharged fewer than 30 days ago may not visit, call, or take part in leave events. | Family |
| Family and visitors | How does the family hear from the program in the first days? | The client’s counselor updates the family during the first 24 hours after admission. | Family |
| Family and visitors | What can family members ask Admissions? | What to expect, how to take part, what permissions the client controls, and how to support the transition home. Admissions can explain what can be discussed before a release is signed. | Family |
| Family and visitors | Can family sessions be virtual? | Yes. Family sessions may be held in person or by video in every program. | Family |
| Phones, mail and money | Can I use my phone in residential treatment? | Not during the first 72 hours after admission. After that, clients are assigned three days a week with 30 minutes of phone access, with a fourth day on Sundays for clients without visitors. Phone use is a privilege tied to good standing. | Dual diagnosis residential |
| Phones, mail and money | What if I arrive without a phone? | Supervised calls of 15 minutes on assigned days, to people on the approved list; 20 minutes for clients past day 38. | Dual diagnosis residential |
| Phones, mail and money | Who can I call? | Only people approved by your primary counselor and listed on the approved call list, or covered by a signed consent. | Dual diagnosis residential |
| Phones, mail and money | Can I send and receive mail? | Yes. Clients supply their own envelopes and stamps. Incoming mail and packages are reviewed with the client by the primary counselor. | Dual diagnosis residential |
| Phones, mail and money | Can I order things online? | Clients may place one Amazon order a week after approval, for sealed snacks that fit the snack bin, hygiene items and approved supplements. Orders are placed by clients on site, not by family. | Dual diagnosis residential |
| Phones, mail and money | How is money handled? | No cash. Bring a debit card, credit card or Visa gift card with no more than $200; wallets stay in the safe and access is granted through staff. Clients may not give gifts or gift cards to other clients. | Before you arrive |
| Phones, mail and money | Can I use my phone in outpatient care? | Phones are not used during group and stay silent and away during telehealth sessions. | IOP |
| Phones, mail and money | Can I take photos or post about treatment? | No client-to-client photos, and no posting about Tranquility Woods or other clients on social media. Clients are welcome to talk about their own experience in general terms. | Admissions |
| Meals and amenities | Who prepares the meals? | In residential care, chef-prepared meals are served family style: three meals and snacks daily, with a continental breakfast and prepared lunch and dinner at weekends. Extended Care residents prepare their own meals. | Pasadena campus |
| Meals and amenities | Can the kitchen handle allergies or religious restrictions? | Yes. The chef works with clients who have food allergies, sensitivities and religious restrictions. | Pasadena campus |
| Meals and amenities | What are the meal times? | Breakfast 7:45 to 8:20 AM, lunch 12 to 1 PM, and dinner 5:30 to 6:00 PM on weekdays (5:00 to 5:30 PM at weekends), subject to the daily schedule. | Your week |
| Meals and amenities | Can I bring my own snacks? | Sealed snacks in their original packaging that fit your snack bin, bought a week at a time. Supplements need clearance from a nurse practitioner. | Dual diagnosis residential |
| Meals and amenities | Is coffee available? | Coffee is provided from 5 AM until the last scheduled meeting of the night. | Dual diagnosis residential |
| Meals and amenities | What amenities are on the campus? | Seasonal pools, hot tubs, infrared saunas, an on-site gym, walking trails, fire pits, a basketball hoop, pickleball and cornhole, ping pong, TVs with premium cable, and washers and dryers in each house. | Pasadena campus |
| Meals and amenities | Do all clients have the same amenity access? | Yes. All clients have access to the same campus amenities; they are not gated by house or program. | Pasadena campus |
| Meals and amenities | Can I use the gym? | Yes, once the day’s therapy is complete, after clearance by the nurse practitioner, and while following program rules. Gym time is a privilege and may not happen every day. | Pasadena campus |
| Meals and amenities | When can I use the pool? | During scheduled times in the season, with a program assistant present, after medical approval and a signed waiver. The pool closes during storms and lightning. | Pasadena campus |
| Meals and amenities | Are there fireplaces and fire pits? | Yes. Fireplaces and fire pits are operated by staff only. | Pasadena campus |
| Meals and amenities | Do the outpatient programs have these amenities? | No. Campus amenities belong to the residential campus and Extended Care house; PHP, IOP and Virtual IOP take place at the Arnold office or online. | Arnold outpatient |
| Meals and amenities | Is Wi-Fi available? | Extended Care has Wi-Fi for residents who bring their own device. Ask Admissions about connectivity in the residential homes. | Extended Care |
| Medications and medical care | How are my medications handled? | All prescriptions, supplements and over-the-counter medicine are stored by staff behind two locked doors and self-administered in the presence of a program assistant, nurse or medical staff at scheduled times. | Dual diagnosis residential |
| Medications and medical care | Can I keep taking my current medication? | Current prescriptions continue at their prescribed intervals once approved by the admitting medical provider. Bring an up-to-date medication list and your prescriptions in their original containers. | Before you arrive |
| Medications and medical care | Can I bring supplements or over-the-counter medicine? | Only factory-sealed products, and only with approval or medical orders from the admitting medical provider. Supplements ordered during care are cleared by a nurse practitioner. | Before you arrive |
| Medications and medical care | How are refills filled? | Tranquility Woods uses a local pharmacy; staff fill prescriptions and refills. Clients supply a card for medication payments or co-payments at admission. | Dual diagnosis residential |
| Medications and medical care | Can I discuss my medications with other clients? | No. Medication questions are raised privately with medical staff, not in front of other clients. | Dual diagnosis residential |
| Medications and medical care | Is there a nurse or doctor on site? | Medical staff provide a history and physical on admission and monitor clients throughout the stay. Psychiatric nurse practitioners provide medication management, and residential homes have 24/7 staff. | Dual diagnosis residential |
| Medications and medical care | What happens in the first days if I’m detoxing? | Clients on a detox protocol are monitored by medical staff and may be excused from groups during the first five days while still attending clinical and medical appointments. Some areas may be restricted for safety. | Dual diagnosis residential |
| Medications and medical care | Can I smoke or vape in residential treatment? | Cigarettes, cigars and vapes are allowed in designated outdoor areas between 5 AM and 11 PM. Vapes are purchased in treatment through an approved distributor, and weekly cigarette runs are made. Chewing tobacco and pipes are not permitted. | Dual diagnosis residential |
| Medications and medical care | Can I use nicotine pouches, gum or patches? | There are specific limitations; medical staff review them with you. | Dual diagnosis residential |
| Medications and medical care | Can I buy tobacco if I’m under 21? | No. Tranquility Woods does not purchase nicotine products for any client under 21. | Dual diagnosis residential |
| Medications and medical care | What if I have a medical condition? | Tell Admissions. Clients under a medical provider’s care continue their medication, and the team reviews medical needs to make sure the setting can provide the right care. | Admissions |
| Conditions | What conditions do you treat? | Alcohol, benzodiazepine, cannabis, inhalant, opioid and stimulant use disorders; co-occurring and dual diagnosis; grief and substance use; generalized anxiety disorder, major depressive disorder, bipolar and mood disorders, PTSD, and complex thought disorders. | Conditions |
| Conditions | Do you treat alcohol use disorder? | Yes, through dual diagnosis residential care, Extended Care, PHP, IOP and Virtual IOP. | Alcohol use disorder |
| Conditions | Do you treat opioid use disorder? | Yes, through dual diagnosis residential care, Extended Care, PHP, IOP and Virtual IOP. For detoxification, Tranquility Woods uses Suboxone when clinically appropriate; methadone is not used for detoxification. | Opioid use disorder |
| Conditions | Do you treat benzodiazepine use disorder? | Yes, through dual diagnosis residential care, Extended Care, PHP, IOP and Virtual IOP, with physician-directed detox when appropriate. | Benzodiazepine use disorder |
| Conditions | Do you treat stimulant use disorder? | Yes, including cocaine and methamphetamine, through dual diagnosis residential care, Extended Care, PHP, IOP and Virtual IOP. | Stimulant use disorder |
| Conditions | Do you treat cannabis use disorder? | Yes, through dual diagnosis residential care, Extended Care, PHP, IOP and Virtual IOP. | Cannabis use disorder |
| Conditions | Do you treat inhalant use disorder? | Yes, through dual diagnosis residential care, Extended Care, PHP, IOP and Virtual IOP. | Inhalant use disorder |
| Conditions | What does dual diagnosis mean? | Care that addresses substance use and mental health concerns together, in the same plan and the same home. | Co-occurring and dual diagnosis |
| Conditions | Do you treat grief alongside substance use? | Yes, through dual diagnosis residential care, PHP and IOP as clinically appropriate. | Grief and substance use |
| Conditions | Do you treat depression? | Yes. Major depressive disorder is treated in primary mental health residential care, and in dual diagnosis residential care when substance use is also present. | Major depressive disorder |
| Conditions | Do you treat anxiety? | Yes. Generalized anxiety disorder is treated in primary mental health residential care, and in dual diagnosis residential care when substance use is also present. | Generalized anxiety disorder |
| Conditions | Do you treat PTSD? | Yes. PTSD is treated in primary mental health residential care, and in dual diagnosis residential care when substance use is also present. | PTSD |
| Conditions | Do you treat bipolar and mood disorders? | Yes, in primary mental health residential care, and in dual diagnosis residential care when substance use is also present. | Bipolar and mood disorders |
| Conditions | Do you treat complex thought disorders? | Selected presentations are treated in primary mental health residential care, and in dual diagnosis residential care when substance use is also present. Admissions reviews current symptoms and the level of supervision needed. | Complex thought disorders |
| Conditions | Do you treat nicotine or tobacco dependence? | Not as a standalone condition. Nicotine use is addressed within residential programming and by medical staff. | Conditions |
| Conditions | What if my condition isn’t listed? | Call Admissions. The team reviews each situation for clinical fit and can point you to a more suitable setting if needed. | Admissions |
| Groups and curriculum | What groups are part of residential treatment? | A morning process group at least five days a week, study hall, spirituality, wellness and yoga groups, gender-specific groups, DBT and skills groups, and 12-step meetings. | Your week |
| Groups and curriculum | What is the morning process group? | The major working group, held at least five days a week and led by a clinician or program staff: a safe place to present assignments, hear perspectives, and start the day with a meditation. | Your week |
| Groups and curriculum | What is a gender-specific group? | A same-sex group, twice a week, where clients examine beliefs about gender roles, relationships and behaviors affecting recovery. | Your week |
| Groups and curriculum | What is Living in Balance? | The shared 13-week outpatient curriculum used by PHP, Extended Care, IOP and Virtual IOP. Clients in these programs attend the same sessions; programs differ only by time commitment. | PHP |
| Groups and curriculum | What topics does Living in Balance cover? | Triggers and cravings, relapse prevention, stress and emotional well-being, anger and communication, self-help groups and the Twelve Steps, co-occurring disorders and medications, family matters, nutrition and physical wellness, money management, grief and loss, and trauma awareness. | PHP Lesson: Identifying Triggers |
| Groups and curriculum | Is there a family education track in outpatient care? | Yes. Each week has a family education topic, from understanding addiction and triggers to setting boundaries, rebuilding trust, recognizing relapse signs and supporting a loved one in recovery. | Family |
| Groups and curriculum | What are the Friday groups? | Rotating topics such as music group, stress management, sleep hygiene and nutrition, gratitude, mindfulness, grounding techniques, self-esteem, cognitive distortions, creative expression and codependency. | PHP Lesson: Cognitive Distortions |
| Groups and curriculum | Where can I read about the lessons? | The lessons hub explains individual group lessons in plain language. | Lessons |
| Groups and curriculum | Is yoga part of treatment? | Yes. Yoga is offered weekly in residential care and appears on the mental health schedule as a session type. | Your week |
| Safety | Is Admissions an emergency service? | Admissions is not emergency care. If you or someone else is in immediate danger or having a medical emergency, call 911 or go to the nearest emergency department. For emotional distress or a suicidal crisis in the U.S., call or text 988. | |
| Safety | What if someone is suicidal right now? | Tranquility Woods is not an emergency service. A person in immediate danger or unable to remain safe should call 911, call or text 988, or go to the nearest emergency department. | 988 Lifeline |
| Safety | Has withdrawal started, or is there an immediate safety concern? | Say this first when you call. Physician-directed medical detox can be provided in any Pasadena residential home when clinically appropriate. In an immediate emergency, call 911. | Admissions |
| Safety | What if I’m worried a peer may self-harm? | Report it to a staff member without delay. Staff are trained to assess what action is needed and will act where there are clear signs of imminent danger. | Admissions |
| Safety | Is there staff overnight? | Yes. Residential homes and the Extended Care house have staff 24/7; an overnight staff member is available in illness or crisis. | Pasadena campus |
| Safety | What is the policy on violence? | Tranquility Woods is a zero-tolerance program for violent behavior, including threats and bullying, and for drugs, alcohol or weapons on the premises. | Admissions |
| Safety | Are clients tested for drugs and alcohol? | Yes, across programs: random screens in residential care, a daily breathalyzer and random weekly tests in Extended Care, two screens a week in PHP and one a week in IOP. | Levels of care |
| Safety | What happens after a relapse in outpatient care? | A first relapse brings a warning and a meeting with your clinician; a second, a team decision about staying in the program or moving to a higher level of care; a third, discharge to a higher level of care before returning. | IOP |
| Contact | How do I reach Admissions? | Call Admissions at 410-849-6516, 9 AM to 9 PM every day, for programs, insurance and all questions about care. | Contact |
| Contact | Is there a main office number? | The facility main line is 410-360-6600, Monday to Friday 9 AM to 5 PM, for administrative matters. Admissions questions go to the Admissions line. | Contact |
| Contact | How do referring facilities send records? | By fax to 410-255-0450, with the client’s authorization. Admissions can coordinate directly with a referring professional or facility. | Contact |
| Contact | Where are you located? | Residential care in Pasadena, Maryland; Extended Care and the outpatient office in Arnold, Maryland. Addresses and directions are on the contact page. | Contact |
| Contact | Can I visit before deciding? | Ask Admissions. Tours depend on program operations, client privacy and current availability. | Contact |
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21 Oct 2026
Dual diagnosis or primary mental health treatment: what is the difference?
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