Outpatient Treatment

Yes, we do use medications to ensure that your detox is both safe and comfortable. The medications we use will be carefully chosen by our physicians, according to your medical history, medication allergies, and other information. We customize a detoxification protocol to meet your specific needs, the needs of your body, and choose from medications with minimal side effects for your comfort and long-term health.

The medications we use during your detox will vary based on the factors listed above, however, for alcohol detox we typically prescribe mild benzodiazepines and/or barbituates, along with non-narcotic medications for safety (anti-convulsant/anti-seizure medications) and comfort (“comfort medications” to address common, mild symptoms of withdrawal). Apart from our experienced doctors, we do operate with a full-time nursing staff who can and will distribute medications to address any needs you may have, at any point. Our number one goal during detox is your safety, followed by your comfort.

Yes, we treat a range of mental health conditions alongside substance use disorders. We provide or coordinate services for psychiatric appointments, psychiatric care, and mental health counseling. 

All guests who take medications to treat co-occurring disorders will regular visits with one of our medical providers on staff for medication management of any psychotropic medications.

The way our programs are structured allow for you to choose which therapy types you would like to use, as well as which group therapy courses you would like, based on your needs and goals.

Our therapies include, but are not limited to:

• rational emotive behavior therapy (REBT)
• cognitive behavioral therapy (CBT)
• dialectical behavioral therapy (DBT)
• eye movement desensitization and reprocessing (EMDR)
• motivational enhancement therapy
• accelerated resolution therapy (ART)
• acceptance and commitment therapy (ACT)
• music therapy
• equine therapy (therapy with horses)
• experiential therapy
• biofeedback

We do integrate our curriculum with 12-step support groups like Alcoholic’s Anonymous, Narcotics Anonymous, and 12-step themes, however we offer and support multiple programs of recovery. We use an abstinence-based, holistic model of addiction treatment.

Our alcohol detox program typically runs for 8 days in length. We also have a 4 day alcohol detox program, for those who are not chemically dependent on alcohol.

In some cases, and dependent on your personal medical history, detox can take longer than 8 days to safely and effectively bring your body back to equilibrium. A longer detox is common with cases of alcohol abuse that takes place over 30+ years of daily alcohol consumption. In most cases like these, we recommend beginning our inpatient program and attending this program for 2 weeks. During inpatient treatment at Royal, you will still have medical professionals 24/7, access to our resident physician whenever needed, a primary therapist and team of therapists, and can enroll in our medication-assisted treatment program for Campral (which addresses alcohol cravings).

Yes. We offer in-person outpatient treatment, as well as telehealth outpatient programs.

Our outpatient program is highly customizable, so you can choose how long you’d like to be in outpatient treatment and how often you participate in outpatient therapy sessions. 

To give you an idea, guests typically choose to stay in outpatient treatment for a couple of months with some guests choosing to stay in sober living while attending outpatient groups for a longer term. If you would like long-term support and to remain in a sober living environment long-term, you are free to stay in our sober living residences for over a year. 

Remember, being in outpatient treatment does not typically mean you attend therapy sessions every day. Usually, an outpatient schedule will look like a couple of group therapy sessions a week, and an individual therapy session once a week or bi-weekly. Your schedule will depend on what you need and want.

Medication-assisted treatment (MAT) has various studies and bodies of research showing its efficacy in treating two substance use disorders— alcohol use disorder (AUD) and opioid use disorder (OUD). 

Because of the clinical trials, research, and FDA-approval of various medications to be used in the manner of MAT, we only recommend medication-assisted treatment to treat guests who are recovering from the following substances:

• Alcohol
• Prescription Opioids 
• Fentanyl and other synthetic opioids
• Opiates (heroin, morphine, etc.)

For alcohol use disorder (AUD) – Campral, Vivitrol

For opioid use disorder (OUD) – Suboxone, Subutex, Vivitrol

The generic names for the medications listed above are acamprosate (Campral©), buprenorphine with naloxone (Suboxone©), buprenorphine (Subutex©), and naltrexone (Vivitrol©).

**Please note, medication-assisted treatment (MAT) is a specific term used to describe the use of “maintenance” medications under the supervision of a medical doctor who specializes in addiction medicine, and is only a viable option when alongside behavioral therapies. Some of the medications used for medication-assisted treatment are considered to be controlled substances. If you are considering this option, you can learn more here and follow the links to gather information from official state or governmental national organizations.

If you’d like to return home or just move somewhere else after completing treatment, we make sure you are completely prepared and set up for success! We will book your flight home, provide transportation to your home, or set up other logistics to make sure you get there safely. We will also collaborate to craft a comprehensive aftercare plan for you, and welcome you into our alumni community!

Aftercare Plan

Every guest will meet with their clinical team and discuss their preferences, goals, circumstances, and needs so we can prepare a detailed aftercare plan for you. An aftercare plan is a plan detailing continuing care options and resources that will enable you to build a strong sober support network. We will help you establish a care team (psychologist, psychiatrist, primary care physician, etc.) in the area you will be returning to. We will also compile a list of meetings and support groups for you to prepare building a sober support network at home.

Other services we will do for you, if you would like:  coordinate interviews with Oxford houses in any area where you would like to live, help you find housing, review your relapse prevention plan and communicate it with your loved ones, set a virtual family therapy session up to discuss your return (if you will be returning to your family home or living with a family member).

Alumni Community

Our alumni community is so much fun. We get together to do something at least once a month and your alumni coordinator will call or text you to check in time-to-time. We also have a private group on Facebook where you can post news, ask for support, plan to spend time together, and share things from your life!

Our locations in Washington include:

• Lacey, Washington (Medical Detox, Residential Inpatient, 12 Week Program, Outpatient + Sober Living)
• Sumner, Washington (Medical Detox, Residential Inpatient)
• Spokane, Washington (Medical Detox, Residential Inpatient)
• Mead, Washington (12 Week Program, Outpatient + Sober Living)

Our locations in Arizona include:

• Medical Detox in Prescott
• Men’s-only Inpatient Program in Prescott
• Women’s-only Inpatient Program in Prescott
• Co-ed IOP/OP in Prescott, Arizona

We are part of the Aliya Health Group network, which means we have sister facilities across the country, including the states of: California, Colorado, Nevada, Arizona, Illinois, and New Jersey.

During our 12-week step-down program, intensive outpatient program or outpatient program, family members and friends are permitted on our sober living campus for visits.

You are also able to request for overnight visits and vacations, where you will be able to leave our sober living campus for an extended period, to visit family/friends or attend important events.

During our lesser levels of care, you are not restricted to our campus by any means. You are free to go out and do things, in fact, we encourage it. If you are local, you can see your family members and loved ones, get a coffee with a friend, go rock climbing, go on a hike, kayak, go out to dinner, etc. 

We have rules aimed only to keep you and other guests safe and accountable.

Some of these rules include:

• remaining sober
• do not bring drugs or alcohol on our campus
• keep other guests’ confidentiality
• be back to your home/apartment in time for curfew

We do not have a blanket cost for treatment if you are using health insurance, since deductibles and/or co-pays are different for everyone. If you are using health insurance, cost is dependent on your coverage, policy plan and benefits.

The best way to find out your insurance coverage is by calling our admissions department with your insurance information in hand, our admissions coordinators will take a look at your specific policy and give you an accurate overview of any remaining deductible, active benefits, and any out of pocket expenses. Alternatively, you can check your coverage by filling out this form — one of our admission coordinators will call you to go over your specific plan’s coverage and will be able to provide an exact out-of-pocket cost if there is one.

If you do not currently have health insurance, we offer a private payment option which is one of the most affordable rates across the country for a private rehabilitation center.