Safety Standards FAQ


What Level of Supervision Will My Loved One Receive?

Our clients are supervised as outlined in our program manual by qualified staff members. The level of supervision 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 Your Staff’s Qualifications?

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 they have the proper experience and training, and are in compliance with all state regulations. Staff who are certified in First Aid and CPR 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 loved one and, as such, will provide you with a list of references for individuals who have given us permission to share their information. 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 loved one’s willingness to make positive changes. We have voluntarily participated in independent research studies to determine success rates and subsequent 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 Mountain, just 15 minutes from Asheville, NC. Our campus’s pristine surroundings serve as a tranquil and inspirational backdrop for your recovery.

What We Treat

What Types of Problems/Disorders do you Treat?

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


How Much Does Rehab at Four Circles Cost?

Addiction rehabilitation is a personalized experience, and the costs associated with treatment depend upon a number of issues, including the specific nature of the problem being treated, the amount of time you will need to remain in treatment, and the presence of any co-occurring disorders.

Our intake advisers 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 adventure-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 is evidence that Four Circles offers the highest quality of 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?

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

AA/NA & 12 Steps

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

Yes. The 12-Step philosophy is integrated into every aspect of our adventure-based 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 addiction, 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 on their unique needs and circumstances. Our clinical team creates a personalized treatment plan that adapts to the client’s pace and ensures that they receive no more and no less treatment than necessary.

Treatment Modalities

What Types of Therapies & Programs Does Four Circles Use?

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

Family Involvement

Will My Family Be Involved in My Treatment?

We strongly encourage family members to participate in our clients’ treatment process. 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. Our staff works closely with clients, their families, and referral sources to create detailed discharge and aftercare plans, 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