Residential Extended Care in Lancaster County

A Place to Call Home for those With Chemical or Alcohol Dependencies

At The GateHouse, our mission is to promote long-term recovery by re-dedicating ourselves every day to restoring the human spirit through recovery. With this as our guiding principle, our Residential Extended Care homes welcome clients to a safe, community-based program where licensed professionals apply their considerable insight and skills to advance the journey to recovery.

The average length of stay in our Residential Extended Care program is three to six months for those who have already completed primary detoxification or rehabilitation. During that time, residents learn about barriers to recovery while practicing life skills and connecting with local 12-step groups.

Look Inside

Our residences offer tranquil settings, supportive staff, and plenty of amenities.

Ready to Start?

We can’t wait to meet you! Click below to begin your journey to recovery.

Check Insurance

Our Residential Extended Care program is covered by a variety of insurance carriers.

Our Residential Extended Care Program

The Gate House Residential Extended Care programs follow a three-phase system. As clients move into the different phases, they are required to attend daily 12-step meetings, obtain a sponsor with regular contact, obtain a homegroup, attend all scheduled sessions with staff, attend two therapeutic groups weekly, complete treatment work, remain up to date on community meeting discussions, complete assigned chores, participate in the Sunday house meeting, and be present daily for dinner.


Phase 1 begins as the individual settles into their residence at The GateHouse after detox or rehab. Upon arrival, a daily schedule is created that includes individual and peer group counseling sessions, recreational activities, health and nutrition education, life skills, and spirituality lectures. During this initial phase, residents work to establish a relationship with their counselor, and together, they develop personal goals that will help guide treatment during this phase.

Following an initial 72-hour blackout period, privileges include:

  • Use of house phone
  • Pass approval to attend 12-step support meetings
  • Onsite visitation eligibility
  • 12-step meeting attendance with staff
  • Permission to walk to designated local shopping stores during designated times, with senior peers or staff
  • Pass approval to go to meetings, court hearings, child visits, and emergent doctor appointments with recovery support
  • Early job search eligibility, with completed early job search form and clinical approval.
After meeting their initial treatment goals, residents move on to Phase 2, where they begin venturing back into daily life activities. To fully prepare them for this all-important transition, we work on life skills, vocational skills, and locating valuable community resources that can be accessed once they’re out of residential treatment. Our specialists also delve deeper into personal priorities, values, and beliefs in order to further accountability, insight, and the prospects of a stable life in the outside world.

Upon successful completion of Phase 1, clients may enjoy expanded privileges, including:

  • Eligibility for two 12-hour weekend passes
  • Permission to attend meetings with sponsor/12-step support during house-scheduled meeting times without submitting passes
  • Pass approval to go out with sponsor/12-step support for coffee, meals, other activities, or meetings during unscheduled house meeting times
  • Ability to seek employment and begin working
  • Permission to leave thouse during the week to attend work, job-search and meetings, without staff or peers
  • Pass approval to go to meetings, court hearings, child visits, and emergent doctor appointments with recovery support
  • Eligibility for cell phone between the hours of morning medication time until 10:30pm, after submitting signed cell phone policy

During this last phase of Residential Extended Care treatment, our recovery specialists work with each client to plan for their future in the community. Applying the life and vocational skills gained in Phase 2, we assist each person in developing a discharge plan that incorporates relapse prevention skills, budgeting, housing, outpatient services, and support networks that are critical to long-term success.

Upon completion of on-site residential treatment, many residents move to one of our GateHouse Transitional Living homes in the Lancaster community, where they can benefit from continued support as they prepare to transition to independent living. 

Upon successful completion of Phase 2, clients may enjoy further expanded privileges, including:

  • Eligibility for two open weekend 23-hour or off-site passes
  • Increased independence regarding housing search and contact with sponsor/12-step support
  • Use of sign out logbook for daily coming/going. Passes must be submitted for 23-hour overnight visits and any permission to attend recovery related activities
  • Eligibility to have cell phone full-time with independent responsibility to follow phone rules the same as the house
  • Eligibility to have a car used on the property for work and meetings, after submitting a signed transportation policy
  • Pass approval to go to meetings, court hearings, child visits, and emergent doctor appointments with recovery support
  • Closed/open weekend pass approval for leaving the facility for non-house scheduled meetings, shopping, and any other activity.


Click below to learn more about our financial assistance options.

If you or a loved one is struggling with addiction, please contact us today, or click below to determine which services might be right for you.