Residential treatment for teens, in a family-owned house in Southern California

Choosing residential care is one of the hardest calls a family makes. Teens ages 12 to 17 live in one of our three houses, where staff know them by name and someone is awake all night.

The Joint Commission Gold Seal of ApprovalCalifornia Department of Social Services

Accredited by The Joint Commission, with insurance checked before you commit.

The Shasta house patio, with palms, a lawn, and the hills behind it
Four members of the Hillside Horizon team standing together, one holding a skateboard with the program logo
Four of our team, with the skateboard that carries the program’s logo.

From the family

Anthony Fletcher built Hillside Horizon because he struggled as a teenager himself

We are still family-owned, and we keep the program small enough that leadership stays in the house with your teen.

Your teen lives in a neighborhood house instead of on a hospital floor. There is a kitchen table, a bedroom with a door they can shut, and staff awake all night.

You stay part of the work. Family therapy is required here, calls with your teen begin in week two, and you get written updates every week.

The Hillside Horizon family

Read why Anthony started the program

4.7

4.7 out of 5 stars from 107 Google reviews

What parents write on Google

“A parent’s nightmare is watching their teen struggle and feeling like there was nowhere to go for help. Hillside Horizon came through.”

Tiffany Bolyard, in a Google review
  • “Words cannot describe my heartfelt appreciation to all Hillside staff, especially Team Richard.”

    Michelle Williams, in a Google review
  • “Saying that Hillside Horizon was an amazing experience was an understatement. I’d rate them a million stars if I could.”

    TheMirroredGirl, in a Google review

Your teen lives in one of three houses in Southern California

The houses are gender-specific, and each one has a kitchen table, a living room for groups and homework, and bedrooms with doors that shut.

Walk through all three houses
  • Ridgeview house at dusk with porch lights on and an empty brick-lined driveway

    Ridgeview from the street at dusk, the way families arrive for a tour.

  • Shasta house front walk with brick columns, iron double doors, and palm trees

    The front walk and iron doors families see when they arrive for a tour.

  • Richards fenced pool beside a paved patio and stone seating wall

    A single-story house and a yard you can actually use.

A day in the house, from wellness at 7 a.m. to lights out at 9:30

Covered terrace and deck overlooking the yard at a Hillside Horizon house
The terrace

7:00 a.m.

Wellness

Wellness time comes first, before breakfast and before the school block starts.

The conditions we treat, and the therapies we use

Most teens arrive with more than one diagnosis, sometimes with substance use alongside. We build one plan that treats them together instead of one label at a time.

  • Anxiety

    Panic, social fear, and constant worry, treated with skills your teen can use at school and at home.

  • Depression

    A set wake time, meals, school, and therapy, so your teen is not trying to get well alone in their room.

  • Trauma and PTSD

    EMDR and somatic work, with safety built first and no push for the story before your teen is ready.

  • ADHD

    Executive function, emotion regulation, and school supports that fit how your teen actually learns.

  • Bipolar and mood

    Careful assessment, psychiatry when medication is part of the plan, and a schedule that steadies sleep.

  • Self-harm

    Safety first, then DBT skills your teen can use in place of self-harm when the distress hits.

  • Insomnia

    We reset the night, so your teen is not doing therapy and school on almost no sleep.

  • More than one diagnosis

    One plan that treats everything together instead of chasing each label on its own.

A clinical week includes CBT and DBT skills, EMDR when trauma leads, breathwork, family therapy with you in the room, adventure therapy like art, horses, and surf, daily peer groups, and accredited school.

What 60 to 90 days looks like for your teen, and for you

Most stays run 60 to 90 days. Some finish closer to 30 and a few need longer, because we discharge on progress instead of a date.

  1. Weeks 1 to 2

    Stabilize

    Your teen

    • Safety and a daily rhythm come first, without piling on demands.
    • Your teen gets a full assessment and starts building trust with a primary therapist.

    You

    • The treatment plan and your first family session happen by the end of week two.
    • Calls with your teen begin in week two, and written updates come every week.
  2. Weeks 3 to 6

    Treat

    Your teen

    • Individual, group, and experiential therapy happen every day, with DBT, CBT, and somatic work.
    • School continues, coordinated with your teen’s home district.

    You

    • Family therapy and parent coaching continue, in person or over secure video.
  3. Weeks 7 to 10

    Practice

    Your teen

    • Skills get practiced in real situations, including therapeutic home visits when your teen is ready.

    You

    • Siblings join family sessions when it helps, and discharge planning starts.
  4. Weeks 11 to 14+

    Go home

    Your teen

    • Your teen steps down to outpatient treatment or virtual IOP, and the next team gets a clinical summary.

    You

    • You leave with a written aftercare plan, a parent workshop behind you, and alumni check-ins at 30, 60, and 90 days.

The first 30 days include setbacks

Resistance and hard days are common at the start. We stay with you through those weeks, and we keep you posted on how your teen is doing.

You will talk with the people who treat your teen

Anthony Fletcher, Alejandro Alva, M.D., and Stacia Ponce-Rodriguez are here every day. We stay small enough that you speak with the people doing the work.

Meet the whole team
  • Anthony Fletcher

    Anthony Fletcher

    CEO & Founder

  • Alejandro Alva, M.D.

    Alejandro Alva, M.D.

    Medical Director

  • Stacia Ponce-Rodriguez, LMFT

    Stacia Ponce-Rodriguez, LMFT

    Clinical Director

  • Aaron Earnest

    Aaron Earnest

    Admissions Manager

Questions parents ask before they call

If your question is not here, call admissions and a person will pick up.

Call (951) 498-5096
What is teen residential treatment?

It is a live-in level of care with 24/7 staff, daily therapy sessions, and a structured daily life. At Hillside Horizon that happens in gender-specific houses in Southern California for ages 12-17, with on-site school, not a locked ward.

When is residential treatment needed?

When weekly therapy or outpatient care has not produced a lasting change, or when safety at home is the question. Crisis intervention and intensive care belong in a house with trained staff, not in a bedroom at 2 a.m.

How long does residential treatment last?

Most stays run 60 to 90 days. Some finish closer to 30, and a few need longer. We discharge on progress and do not pick a date before the work is ready.

What are payment options?

Families use in-network benefits, out-of-network reimbursement, or self-pay. We verify most major insurance before anyone is asked to commit, and coverage varies by plan.

What should we pack?

Comfortable clothing, personal hygiene products, prescribed medications in their original packaging, and essential documents like ID and insurance information. A small amount of spending money and a journal are welcome, and a detailed packing list is provided upon admission.

What can we not bring?

For the safety of everyone in the house, leave behind drugs, alcohol, weapons, and anything that would disrupt treatment. Electronics, including laptops and certain personal devices, may be restricted, and a complete list of prohibited items is sent before admission.

Can I come with my teen to intake?

Yes, parents or legal guardians are encouraged to be present at intake to share history and support the first hours. After that, we talk through the best way for you to stay involved, because family work is part of the plan.

Can I tour the facility?

Yes, we schedule tours so families can see the house and how the day runs. Contact admissions to set a time. For privacy, some areas may be limited during a visit.

How often can I call my teen during their stay?

Connection with home matters. The exact schedule follows the teen's plan, and we set consistent call times so you stay close to their progress without flooding the day.

Do you offer family therapy on Zoom?

Yes. Family sessions happen in person or over secure video, so distance and work schedules do not keep you out of them. Family involvement is required here, not an add-on.

Are there family weekends or on-site visits?

Yes. Beyond weekly therapy we schedule family visits and participation days, so you can practice being a family again with clinical staff in the room.

Admissions

Aaron Earnest and the admissions team will tell you honestly whether we are the right fit

  1. 1

    The first call

    A real person answers, listens, and helps you decide whether residential care is the right next step.

  2. 2

    Your benefits

    We collect your plan details and confirm what it covers, so you know the cost before you decide.

  3. 3

    The assessment

    Our clinical team reviews history, safety, and fit, and tells you honestly when we are not the right program.

  4. 4

    Admission day

    We set a date, send a welcome packet, and walk you through packing, travel, and the first 48 hours.

Call (951) 498-5096

We work with Aetna, Anthem, Blue Cross Blue Shield, Carelon, Cigna, GEHA, and most other major plans. Benefits vary by plan, and we check yours before you commit.

Check my insurance

Send your plan details and admissions will call you back with what it covers.

01You

02Your teen

03The plan