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I attended this facility hoping for recovery and healing, but what I encountered was the exact opposite—a deeply toxic and unsafe environment that is not suitable for anyone genuinely seeking help. This rehab is run more like a prison than a place of treatment. Gangs do ...
About Duffy’s Napa Valley Rehab
They recommend that people first start with their residential program, which is an intensive 30-day program filled with different services. You’ll have 24/7 supervision.
After wrapping up inpatient care, you’ll move onto their partial hospitalization program, which is roughly 21 days long. Of course, all this depends on the individual and the severity of their addiction. Partial hospitalization is intensive as well, but you get the chance to return home after each day of programming. This would make it their most demanding outpatient program.
They’re a dual diagnosis center and can also treat mental health conditions such as depression or anxiety, which often goes right along with many people’s addictions. They also have medication assisted treatment, which usually involves medications like Vivitrol or Suboxone to help reduce withdrawal symptoms and cravings. They offer medication management services and have specialized programming for the LGBTQ+ community.
They follow the principles of the 12 Step program and have certain treatment styles such as dialectical behavioral therapy (DBT). Their counseling services include individual, group, and family therapy. They also have experiential therapy. All their options can help you on your journey by providing insight, helping you identify triggers, learn coping strategies, and deal with trauma from your past. These are all pillars of therapy that can really make a dramatic difference in your life.
Fact checked and written by:
Benjamin Cardenas
Edited by:
Peter Lee, PhD
Latest Reviews
Duffy’s is a great place to go and do what you need to do to better yourself. People say they only care about is money but that is clearly not true. It’s very clean, the food is great and plentiful, and you can tell the staff genuinely cares. There have been plenty instances when the staff cried or teared up when guest left because the relationships are real!
Response from the owner1 week ago
Thank you! We value your time and feedback and are so appreciative that you took a moment out of your day to share this with us. Abhishek S
Reviewed on 07/12/2025
I attended this facility hoping for recovery and healing, but what I encountered was the exact opposite—a deeply toxic and unsafe environment that is not suitable for anyone genuinely seeking help.
This rehab is run more like a prison than a place of treatment. Gangs dominate the social structure inside, and these groups openly intimidate and control other residents. If you don’t align with them—racially, socially, or otherwise—you’re targeted, isolated, or worse. Basic safety and dignity are not guaranteed here.
Staff complicity is a major concern. Instead of providing a neutral, professional environment for healing, many staff members seem to either turn a blind eye to the gang dynamics or actively support and protect certain groups. Rules are enforced selectively, and some residents are allowed to break them with no consequences, while others are unfairly punished.
There is little to no real therapeutic work being done—group sessions are often hostile, dominated by those exerting power over others, and facilitators do little to restore order or safety. Confidentiality is not respected. You quickly learn to keep quiet or say what the dominant clique wants to hear.
This place didn’t help my recovery. It made me feel more broken, more vulnerable, and more hopeless. I left worse than I came in. If you're a person from a marginalized background or someone looking for true healing, please stay away from this facility. There are better, safer places out there—this one is a trauma machine masquerading as a rehab.
Attended this facility hoping for recovery and healing, but what I encountered was the exact opposite—a deeply toxic and unsafe environment that is not suitable for anyone genuinely seeking help.
This rehab is run more like a prison than a place of treatment. Gangs dominate the social structure inside, and these groups openly intimidate and control other residents. If you don’t align with them—racially, socially, or otherwise—you’re targeted, isolated, or worse. Basic safety and dignity are not guaranteed here.
Staff complicity is a major concern. Instead of providing a neutral, professional environment for healing, many staff members seem to either turn a blind eye to the gang dynamics or actively support and protect certain groups. Rules are enforced selectively, and some residents are allowed to break them with no consequences, while others are unfairly punished.
There is little to no real therapeutic work being done—group sessions are often hostile, dominated by those exerting power over others, and facilitators do little to restore order or safety. Confidentiality is not respected. You quickly learn to keep quiet or say what the dominant clique wants to hear.
This place didn’t help my recovery. It made me feel more broken, more vulnerable, and more hopeless. I left worse than I came in. If you're a person from a marginalized background or someone looking for true healing, please stay away from this facility. There are better, safer places out there—this one is a trauma machine masquerading as a rehab.
Response from the owner1 week ago
Thank you for taking the time to leave this review. We truly value any and all feedback. However, reading this was concerning, and we are committed to understanding the circumstances more fully so we can address any issues appropriately. Insights like yours help us continue to improve the care and support we provide. Thank you again for sharing your experience.
Rehab Score
Our Methodology
Scoring is assigned by a proprietary system which helps surface key metrics that determine quality. The 10-point scale factors in categories such as operations, customer satisfaction, and trust metrics. Read Full Methodology
8 / 10
Gallery
Accepted Insurance
Other Forms of Payment
Private insurance refers to any kind of healthcare coverage that isn't from the state or federal government. This includes individual and family plans offered by an employer or purchased from the Insurance Marketplace. Every plan will have different requirements and out of pocket costs so be sure to get the full details before you start treatment.
Self-pay involves paying for treatment out of your own pocket. You can use savings or credit, get a personal loan, or receive help from family and friends to fund your treatment. If you don't have insurance or your insurance plan doesn't cover a specific program, self-pay can help ensure you still get the care you need.
Addiction Treatments
Levels of Care
Clients receiving treatment at an outpatient rehab typically do not require hospitalization or intensive supervision and support. Outpatient addiction counseling and recovery education are often offered during the morning, evening, night, and weekend, allowing clients to tailor treatment to their own schedule. Partial hospitalization (PHP) and intensive outpatient (IOP) programs are the most time-intensive and are designed for clients who are at an increased relapse risk and/or who need more robust therapeutic support.
Residential treatment programs are those that offer housing and meals in addition to substance abuse treatment. Rehab facilities that offer residential treatment allow patients to focus solely on recovery, in an environment totally separate from their lives. Some rehab centers specialize in short-term residential treatment (a few days to a week or two), while others solely provide treatment on a long-term basis (several weeks to months). Some offer both, and tailor treatment to the patient's individual requirements.
Intensive Outpatient Programs (IOP) are for those who want or need a very structured treatment program but who also wish to live at home and continue with certain responsibilities (such as work or school). IOP substance abuse treatment programs vary in duration and intensity, and certain outpatient rehab centers will offer individualized treatment programs.
Rehab aftercare programs offer clients in addiction recovery a robust continuum of care after clients have completed active treatment. These services address recovery as a life-long process and are designed to evolve with clients' changing needs. Clients may partner with their case managers and/or addiction recovery team to identify the rehab aftercare services that are right for them. They may receive career counseling, housing assistance, peer coaching, 12 step program induction, among many other services.
12-step programs are addiction recovery models based on Alcoholics Anonymous (AA). A number of substance abuse programs (including some drug and alcohol rehab centers) use the 12 steps as a basis for treatment. Beginning steps involve admitting powerlessness over the addiction and creating a spiritual basis for recovery. Middle steps including making direct amends to those who've been hurt by the addiction, and the final step is to assist others in addiction recovery in the same way. 12-Step offshoots including Narcotics Anonymous (NA), Cocaine Anonymous (CA), Dual Recovery Anonymous (DRA), Sex and Love Addicts Anonymous (SLAA) and Gamblers Anonymous (GA).
Sober living homes in California offers an intermediate sober environment that has less structure than inpatient rehab but more than typical home environments. This makes it a good option for those who have concerns about transitioning back to the "real world" after treatment. Residents can typically live at the halfway house as long as they want, if they are willing to follow house rules. These may include a curfew, chores, and maintaining a job.
When an individual is in denial about their substance use disorder, their loved ones may organize a drug intervention in California. This effort involves gently but assertively confronting the individual about their substance use and sharing how it has affected those who care about them. A professional interventionist may also attend this gathering. Their expertise with intervention services can prove helpful in guiding the conversation to a positive result.
Drug and alcohol addiction often takes a heavy toll on one's body. Over time, a physical dependence can develop, meaning the body physiologically needs the substance to function. Detox is the process of removing drugs and/or alcohol from the body, a process that can be lethal if mismanaged. Medical detox is done by licensed medical professionals who monitor vital signs and keep you safe, healthy, and as comfortable as possible as you go through detox and withdrawal.
Treatments
Substance rehabs focus on helping individuals recover from substance abuse, including alcohol and drug addiction (both illegal and prescription drugs). They often include the opportunity to engage in both individual as well as group therapy.
Programs
Adult rehab programs include therapies tailored to each client's specific needs, goals, and recovery progress. They are tailored to the specific challenges adult clients may face, including family and work pressures and commitments. From inpatient and residential treatment to various levels of outpatient services, there are many options available. Some facilities also help adults work through co-occurring conditions, like anxiety, that can accompany addiction.
Young adulthood can be an exciting, yet difficult, time of transition. Individuals in their late teens to mid-20s face unique stressors related to school, jobs, families, and social circles, which can lead to a rise in substance use. Rehab centers with dedicated young adult programs will include activities and amenities that cater to this age group, with an emphasis on specialized counseling, peer socialization, and ongoing aftercare.
Clinical Services
Cognitive behavioral therapy in California is a method that therapists often use for the effective treatment of substance use disorders. It is based on the principle that substance abuse stems from unhelpful ways of thinking and patterns of behavior, which can be changed by helping the individual learn better ways of coping.
While participating in dialectical behavior therapy in California, you'll focus on four key areas of skill development: mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. Treatment includes weekly individual and group sessions.
Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.
In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.
For clients who are struggling with ambivalence toward change, motivational interviewing in California can help strengthen their commitment to change. Using a conversational method, the therapist helps you explore your motivations and empowers you to make the changes you desire.
Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.
Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation.
Life skills trainings involve all the skills a person must have in order to function successfully in the world. These include time management, career guidance, money management, and effective communication. Truly successful addiction recovery is based on the ability to not only live substance-free, but to thrive. Life skills teaches the practical necessities of functioning in society, which sets clients up for success in life, and therefore sobriety.
Substances can prevent the absorption of nutrients and cause damage to your body's systems. Nutrition therapy in California addresses the deficiencies in vitamins and minerals that are caused by substance abuse.
Recreational therapy is included in alcohol and drug addiction treatment to focus on engaging you in healthy activities that reduce your cravings and improve your overall health and well being. When you participate in group sports, art, or nature walks, you develop new interests and find a meaningful way to spend your time and reduce your cravings.
Amenities
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Private Transportation -
Gym -
Yoga Studio -
Residential Setting -
Private Rooms -
Mountain Views -
Gardens -
Walking Trails
Staff & Accreditations
Staff
John Keyes, MBA
CEO
Stephanie Watkins
CFO
Tyler Hart
Director of Operations
John Christian O’Neil, MD
Medical Director
Jillian Barna-Stephenson
Director of Clinical & Outpatient Services
Accreditations
The Commission on Accreditation of Rehabilitation Facilities (CARF) is a non-profit organization that specifically accredits rehab organizations. Founded in 1966, CARF's, mission is to help service providers like rehab facilities maintain high standards of care.
CARF Accreditation: Yes
Accreditation Number: 20857
The Substance Abuse and Mental Health Services Administration (SAMHSA) is a branch of the U.S. Department of Health and Human Services. Established in 1992 by congress, SAMHSA's mission is to reduce the impact of substance abuse and mental illness on American's communities.
SAMHSA Listed: Yes
State Licenses are permits issued by government agencies that allow rehab organizations to conduct business legally within a certain geographical area. Typically, the kind of program a rehab facility offers, along with its physical location, determines which licenses are required to operate legally.
State License: California
License Number: 280019AP
Contact Information
3076 Myrtledale Road
Calistoga, CA 94515
Get Help Now - 510-902-7592
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