Four-Fold Passage

drug and alcohol treatment for womenWe think of recovery in terms of a journey we call the “Four-Fold Passage,” the components of which are biological, psychological, spiritual, and social. Each “fold” in the passage involves intense collaboration between the treatment provider and participant where each dimension of the Four-Fold Passage is thoroughly assessed so that comprehensive education and practice can be applied. Our participants move through the phases at their own pace. They must complete the phase tasks in order to move forward to the next phase of treatment.

Phase One: Biological

The first phase of the program is designated for assessment, stabilization, and treatment planning. It is in this phase where participants begin to feel healthier and clear as their body detoxifies and they become grounded in treatment. Participants will achieve and sustain abstinence from all illicit substances including alcohol, and will be randomly drug-screened throughout the treatment program.


  • Clinical Assessment (family, social, work, health, emotional, spiritual, legal, and recovery patterns)
  • Medical Assessment (dual diagnosis and/or mental health issues, medication assessment)
  • Begin to identify relapse risks
  • Treatment Planning; identifying core issues and establishing goals for treatment
  • Education on genetic predisposition/heritability factors of addiction and treatment
  • Education on neurobiological components of addiction and treatment
  • Education on medical consequences of addiction and relapse
  • Individual nutritional evaluations and nutritional plans
  • Individual fitness evaluations and exercise plans

Phase Two: Psychological

The next phase is dedicated to exploring psychological factors that contributed to substance abuse and mental health issues. Participants will continue to build on their treatment plan with their primary therapist and identify core issues to work on during their treatment stay.


  • Psychological assessment and stabilization period
  • Assessment for co-morbidity of psychiatric diagnosis
  • Ongoing treatment and parallel sobriety for other mental health issues including eating disorders
  • Begin Individualized family and/or couples work Assist participants to develop new, more effective problem solving and coping mechanism—teaching new modalities and self-soothing tools
  • Identify and restructure core beliefs
  • Explore identity awareness and transition from addiction to recovery
  • Establish therapeutic and behavioral skills and applications for relapse prevention
  • Maximize motivation for abstinence

Phase Three: Social

The last half of treatment is used to create a solid after-care plan that supports the long-term recovery and growth process of the individual. During this phase, we assist the participant in building an outside peer support group and community, similar to the one we created at Avery Lane.


  • Psychoeducation on relationships and dependency
  • Assess all earned freedoms and privileges as participant moves through the phases
  • Continue individualized assignments around core issues discussed with primary therapist
  • Rebuild drug-free relationships
  • Identify isolative impact of addiction on all relationships (e.g., familial, employment, social, communal)
  • Identify and heal dysfunctional relationships
  • Build and establish social and sober support within the therapeutic community and support and community for post-discharge

Phase Four: Spiritual

In the last phase of treatment, the participant will take on a leadership role in the Avery Lane community with assisting staff and mentoring peers. They will finalize their after-care plan and begin their transition into the world outside of Avery Lane.


  • Volunteer work and senior peer outlook
  • Education on addiction as a spiritual disorder
  • Creating individual spiritual program based on the tools and modalities provided during their treatment stay