Safety Standards FAQ


What Level of Supervision Will My Loved One Receive?

Your young adult will be supervised as outlined in our program manual by our qualified and caring staff. The level of supervision our clients receive is in direct correlation to the level of severity of their behavioral issues and as required by applicable laws and regulations.

Staff Qualifications

What are the Qualifications of the Staff Caring for my Loved One?

Our clinical team is fully licensed and knowledgeable in the field of addiction and co-occurring mental health issues. Many of the program therapists are pursuing or have already earned multiple licenses, and have both personal and professional experience with addiction and recovery.

We conduct background checks on all employees prior to hiring to ensure that we hire quality individuals and in compliance with all state regulations. At least one staff member who is First Aid and CPR certified will be available to your loved one at all times. Our staff also receives ongoing training to enhance our quality of care.


What Happens if there is an Emergency?

We have established best practices and risk management procedures which include emergency preparedness training and response. Should there be an emergency situation, such as a natural disaster, you will be notified by someone within our organization with as much detail as possible, as soon as possible. Your loved one’s safety is our number one priority, and we will do everything it takes to keep our clients out of harm’s way.

Program References

May I Speak with Another Parent Who Sent their Loved One to Your Program?

Of course! We appreciate the fact that you are doing your due diligence when it comes to selecting the right program for your young adult and, as such, will provide you with a list of references. Just contact us by clicking here.

Success Rate

What is Your Success Rate?

Your loved one’s success is dependent on many factors, the most important being the level at which you and your family choose to participate throughout the therapeutic process and your young adult’s willingness to make positive changes. We have voluntarily participated in independent research studies to determine outcome success rates and behaviors. These study results can be found here.


Where is Your Program Located?

We are located in Horse Shoe, North Carolina, amid the beautiful Blue Ridge Mountains of just 15 minutes from Asheville, NC. The pristine wilderness of the Carolinas serves as a beautiful and inspirational backdrop for your recovery.

What We Treat

What Types of Problems/Disorders do you Treat?

We provide state of the art wilderness-based treatment services for young adults (ages 18 to 28) who are struggling with addiction, substance abuse, and co-occurring emotional or behavioral issues.


How Much Will Rehabilitation Cost?

Addiction rehabilitation is a highly personal experience, and the costs associated with treatment depend upon a number of issues, including (but not necessarily limited to) the specific nature of your problem being treated, the amount of time you will need to remain in treatment, and the presence of any co-occurring disorders.

Our intake advisors will be happy to work with you to develop an accurate picture of what your treatment will cost.

Program Accreditation

Is Your Program Accredited?

Yes. Four Circles is one of the few wilderness-based substance abuse treatment programs for young adults that is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). CARF is an independent, nonprofit organization that performs an in-depth review of program services using some of the most rigorous standards in the field. CARF accreditation assures you that Four Circles offers the highest quality services available and is focused on delivering the most favorable results for our clients.

We are also a member of the National Association of Addiction Treatment Providers (NAATP) and the National Association for Alcoholism and Drug Abuse Counselors (NAADAC).

Dual Diagnosis Treatment

Does Your Program Treat Dual Diagnosis Clients?

As our name indicates, our holistic treatment program addresses the four circles of recovery: physical, mental, emotional and spiritual. We address co-occurring emotional and mental health issues by using research-based clinical interventions that have proven effective with young adults who are recovering from substance abuse.

AA/NA & 12 Steps

Does Four Circles Support AA/NA and Similar 12-Step Programs?

Yes. The 12-Step philosophy is integrated into every aspect of our wilderness rehab program. Clients attend daily 12-Step meetings, complete assignments based on the 12 Steps and learn to apply the 12-Step principles to daily life.

The 12-Step principles are an important tool for anyone struggling with substance abuse, as they teach clients healthy coping skills and provide them with a support network that improves their chances for a lasting recovery.

Program Length

How Long Will I Need to be in Treatment?

Every client’s length of stay at Four Circles depends upon his or her unique needs and circumstances. Our clinical team will create a personalized treatment plan that adapts to the client’s pace and ensures that every individual receives no more and no less treatment than necessary.

Treatment Modalities

What Types of Therapies and Programs does Four Circles Use?

Personalized treatment at Four Circles involves the following therapies and programs: individual counseling, group therapy, family therapy, wilderness therapy, 12-Step education, substance abuse/addiction education, daily AA/NA meetings, career/vocational/psychological testing, psycho-educational work, art therapy, expressive arts and various rites of passage. Learn more on our Program Highlights page.

Family Involvement

Will My Family be Involved in my Treatment?

We certainly hope they will, and we strongly encourage their participation. Substance abuse impacts the entire family – and at Four Circles we believe it is essential to include the family and significant others in the recovery process.

Family members have the opportunity to participate in weekly family therapy sessions by phone and weekly support conference calls with other families who have a loved one in treatment. In addition, we offer two-day family workshops, and we have put together an informative family workbook and reading list. Learn more on our “Role of the Family” page.

Continuing Care

Do You Offer a Continuing Care Program?

Yes, we do. We understand that getting sober is just the beginning of the recovery process. The staff works closely with clients, their families and referral sources to create a detailed discharge and aftercare plan, which includes helping clients develop a support system and identifying appropriate continuing care programs and support groups in their home communities. Learn more about our aftercare program.s.

We are affiliated with the following organizations, which provide accreditation, education, and training to ensure quality behavioral health and addiction treatment.
  • Commission on Accreditation of Rehabilitation Facilities (CARF)
  • National Association of Addiction Treatment Providers (NAATP)
  • National Association of Therapeutic Schools and Programs (NATSAP)
  • Outdoor Behavioral Healthcare Council
  • The Jason Foundation