ABOUT MILESTONES RANCH MALIBU
In the recovery hotspot of Malibu, Calif., luxury retreat Milestones Ranch provides residential treatment and aftercare for adult men and women struggling with dual diagnoses. Medical detox is not offered on-site. Milestones is among the 33.8 percent of California-based rehabs that operate as private, for-profit enterprises.
TREATMENT & ASSESSMENT
During the admission process, clients are assessed by a physician, an addiction psychiatrist, and other members of the multidisciplinary team, who together determine the best course of individualized treatment.
Milestones follows a multidisciplinary approach. Residents participate in three group therapy sessions a day and between four and six individual therapy sessions a week, as well as the opportunity to attend off-site sobriety fellowships off-site, such as 12-Step.
The center's therapeutic approach draws from evidence-based techniques such as eye movement desensitization and reprocessing (EMDR) to address trauma and dialectical behavior therapy (DBT), which is used at 50.3 percent of California-based facilities.
Outside of traditional therapeutic programming, clients participate in holistic practices such as equine therapy and yoga, acupuncture, music therapy, and outings such as beach cleanups and trips to the Getty Museum.
Graduates of the residential program are eligible for a free week-long "tune-up" when a bed is available. Alumni also have access to lifetime weekly alumni support group meetings.
All primary therapists are educated to master's or PhD level, and the center has a relationship with a board-licensed clinical psychologist, on a consulting basis, as well as a physician who's on call 24 hours. Clients' comfort and holistic needs are covered by executive chefs, a personal trainer, and a hypnotherapist, among others. The single individual polled by Rehabs.com to date on the level of staff support provided and the level of training found in individual counselors gave five stars in each category.
ACCOMMODATIONS & AMENITIES
Set in the beautiful Santa Monica Mountains, Milestones Ranch Malibu accommodates up to 12 clients at a time — making it significantly smaller than the state average of 30 beds for a residential rehab facility. Food is prepared by executive chefs, and the center boasts a swimming pool and a fitness center. The single alum polled by Rehabs.com to date on the center's exercise and leisure offerings and its cleanliness gave five-star ratings in each category.
WHAT ALUMNI SAY
The sole alum surveyed by Rehabs.com at the time of this writing gave very positive feedback. “Milestones changed my life!!!!” wrote the anonymous alum. “Without a doubt. It is truly a wonderful place and they truly care and want to help.” They awarded Milestones five-star ratings for its holistic offerings as well as the overall quality of its individual and group counseling.
Milestones Ranch also has mostly positive feedback on secondary sites at the time of this writing, with a four-star average rating based on five reviews on Google and a five-star average rating based on 18 opinions on Facebook (where the facility may manage its own page). On Yelp, Milestones Ranch has a five-star average rating based on four approved reviews, plus 14 "not recommended" reviews, 12 of which gave the center five stars and two of which give it one star.  
All three of the negative reviews complained of untrained or incompetent staff, and two complained of poor management. However, many other reviewers — some of whom identify themselves as local visitors and affiliated professionals rather than alumni — praised the center's staff and caring atmosphere. "Everything about Milestones is 10 stars, especially the quality care & the amazing staff!! ... As I healed mentally, physically and emotionally, they showed me unconditional love and support and showed me that there is hope," wrote Yada, one of the confirmed alumni, in a representatively glowing review.
WHAT FRIENDS & FAMILY SAY
The sole loved one polled by Rehabs.com, C.N., gave negative feedback on Milestones Ranch. “My husband has since passed but while at Milestones had only attended one therapy session and no one checked in on him,” C.N. wrote.
Milestones Ranch Malibu accepts insurance. The facility also works with a medical billing company to help clients access their maximum possible reimbursement, in exchange for a seven percent cut of that reimbursement.
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