The Need for Long-Term Psychiatric Care
We provide long-term, psychiatry-driven mental health treatment for men and women living with severe mental illness, including schizophrenia, schizoaffective disorder, bipolar 1 disorder with psychotic features, and other complex psychiatric conditions. Clients begin care in separate primary programs, The Ranch for men or Casa Esperanza for women, where psychiatrists, Master’s-level therapists, peer support specialists, nurses, and behavioral health professionals work together to deliver highly individualized care. Rather than following a fixed timeline, treatment is guided by each client’s clinical needs, with a minimum commitment of 12 weeks and an average continuum of care of about one year.

Our Long-Term Mental Health Services
We provide separate long-term primary programs for men and women, ensuring each client receives individualized psychiatric care in an environment designed to meet their unique clinical needs.
How Alta Loma Is Different
Selecting a mental health treatment provider requires careful evaluation of clinical depth, continuity of care, and the ability to support complex psychiatric presentations. Alta Loma was built for clinical situations that cannot be responsibly managed in shorter or less structured settings.
Long-Term, Psychiatry-Driven Care
Individualized treatment led by board-certified psychiatrists ensures every resident receives expert guidance for complex mental health conditions. This approach supports lasting stability rather than short-term symptom relief.
Dual Diagnosis Support
Our programs are designed to treat mental health and co-occurring substance use disorders, addressing the unique challenges of dual diagnosis for more effective recovery.
Family-Focused Therapy
Families are integral to the healing process, participating in weekly sessions and intensive monthly programs that strengthen support systems and improve treatment outcomes.
High Staff Involvement
Residents benefit from a high staff-to-client ratio, with continuous, personalized care from therapists, psychiatrists, and peer specialists throughout the treatment journey.
Community Reintegration Model
We focus on real-world skills and gradual reentry into the community, helping residents transition confidently while maintaining mental health stability.
Holistic, Evidence-Based Approach
Our care combines psychotherapy, medication management, psychoeducation, and complementary therapies, creating a comprehensive, science-backed plan tailored to each resident’s needs.
Mental Health Disorders We Treat
We provide long-term, psychiatry-driven care for adults with severe mental illness. Every client receives a comprehensive psychiatric evaluation and an individualized treatment plan tailored to their diagnosis, symptom severity, and long-term clinical needs.

Schizophrenia
We provide comprehensive psychiatric care for those with schizophrenia, focusing on long-term stability, improved functioning, and community reintegration.
Schizoaffective Disorder
Our clinical team treats schizoaffective disorder through individualized medication management, evidence-based therapy, and ongoing psychiatric support.
Bipolar I Disorder With Psychotic Features
Treatment focuses on mood stabilization, psychiatric care, and functional recovery for those experiencing bipolar 1 disorder with psychotic features.
Personality Disorders
We provide individualized treatment for personality disorders, such as borderline personality disorder, when they occur alongside severe mental illness or contribute to complex psychiatric needs.
OCD
We help those with obsessive-compulsive disorder (OCD) build healthier coping strategies through evidence-based treatment methods, such as cognitive behavioral therapy (CBT), and holistic therapies.
Depression & Anxiety Disorders
We treat depression and anxiety disorders that coexist with severe mental illness, supporting emotional stability through individualized, long-term care.
PTSD
Treatment for post-traumatic stress disorder (PTSD) addresses the impact of trauma while supporting overall psychiatric stabilization and functioning.
Psychosis
Our program provides specialized care for psychosis, helping clients achieve lasting stability through psychiatry, intensive therapy, and medication management.
Dual Diagnosis
We provide integrated treatment for co-occurring mental health and substance use disorders through coordinated psychiatric and addiction-focused care.
(866) 457-3843

Comprehensive Assessment Program
When a diagnosis is unclear, or past treatment hasn’t led to lasting improvement, our comprehensive assessment program provides an in-depth evaluation designed to help bring clarity before long-term treatment begins. Through advanced psychological testing, psychiatric evaluation, neuropsychological screening, functional assessment, and holistic wellness evaluations, our clinical team develops a comprehensive understanding of each person’s needs. This can also help with identifying co-occurring conditions and factors that could be impacting recovery.
At the conclusion of the assessment, clients and families receive a clear diagnostic profile, a written summary of findings, recommendations for the appropriate level of care, and a strategic treatment roadmap to guide future decisions with confidence. We are preparing to expand this program into a standalone service in the near future.
Our Approach to Long-Term Mental Health Care
Long-term recovery from severe mental illness requires individualized, evidence-based care that evolves over time. Our multidisciplinary team combines psychiatric expertise, therapy, skill development, and community-based support to help clients achieve lasting stability and greater independence.
Support Groups
At our facility, support groups provide opportunities to build healthy relationships, practice communication skills, and learn from others facing similar challenges. These shared experiences help to reinforce treatment goals and reduce isolation.
Life Skills Education
Life skills education helps clients develop the practical abilities they need for greater independence and successful community living. Training focuses on communication, problem-solving, healthy routines, and positive decision-making.
Community Reintegration
In our program, community reintegration is incorporated throughout treatment to help clients gradually apply new skills in real-world settings. This structured approach promotes confidence, independence, and a successful transition into life beyond the primary program.
Master’s-Level Individual Therapy
Clients participate in intensive individual therapy with Master’s-level therapists using evidence-based approaches, including cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT). Therapy focuses on building insight, strengthening coping skills, improving emotional regulation, and supporting long-term recovery.
Psychiatric Medication Management
Psychiatry is a core component of treatment, with ongoing evaluations to ensure medications remain safe, effective, and appropriate for each client’s needs. Medication plans are continuously adjusted based on clinical progress and evolving diagnostic understanding.
Long-Term Residential Care
Our primary program is designed for adults with severe mental illness who require a highly structured, long-term treatment environment that extends beyond traditional outpatient treatment or short-term care. Men begin treatment at The Ranch, while women receive care at Casa Esperanza, where individualized psychiatric treatment, therapy, and daily support help clients establish stability.
With a minimum commitment of 12 weeks and an average continuum of care of about one year, clients have the time needed to clarify diagnoses, optimize treatment, develop essential life skills, and prepare for successful community reintegration. As progress is made, clients may transition into gender-specific extended care and supportive living while continuing to receive comprehensive clinical support.


Family Involvement for Long-Term Recovery
Family involvement is an important component of treatment at our facility – lasting recovery is strengthened when loved ones are actively engaged in the process. Families receive ongoing support through regular communication with the clinical team, treatment updates, educational resources, and weekly family support groups that help them better understand what their loved one is going through.
Monthly family intensives provide opportunities for continued therapeutic work, improved communication, and healthier family dynamics. By equipping families with knowledge and practical tools, we help create a stronger support system that promotes long-term stability and improved outcomes after treatment.
Our Primary Mental Health Program
We provide long-term, psychiatry-driven mental health treatment for adults with severe mental illness in Georgetown, Texas. Clients begin care in one of two separate programs, The Ranch for Men or Casa Esperanza for Women, where treatment is tailored to the unique needs of each group.
Our primary program is designed for those who require a higher level of support than outpatient services or short-term treatment can provide. Through comprehensive psychiatric care, evidence-based therapy, medication management, life skills development, and family involvement, clients have the time and structure needed to achieve lasting recovery.
Treatment is individualized and progresses at a clinically appropriate pace, with a minimum commitment of 12 weeks and an average continuum of care lasting about one year. This long-term approach allows our team to refine diagnoses, adapt treatment plans, and support sustainable recovery.

Our Facilities & Programs
Men's Programs
Women's Programs

Signs Your Loved One Needs Mental Health Treatment
Persistent changes in thinking, mood, behavior, or daily functioning could be a sign that your loved one needs a higher level of mental health care. You may notice self-harm behaviors, hallucinations or delusions, or suicidal thoughts. Repeated hospitalizations for psychiatric problems, trouble maintaining relationships or keeping up with responsibilities, or worsening symptoms are all signs that further support may be necessary.
The best way to help is by encouraging your loved one to seek professional help through a program that is equipped to treat severe mental illness with long-term, individualized care. With the right support and active family involvement, recovery is possible.
Frequently Asked Questions
Alta Loma does not provide traditional inpatient care or operate as a short-term residential treatment center. Rather, we offer long-term, psychiatry-driven treatment through our primary program for adults with mental illness.
Alta Loma is not an outpatient therapy program, although clients may participate in outpatient services as they progress through the continuum of care. Treatment begins in our long-term primary program and provides a highly structured, clinically supervised level of support that goes beyond traditional outpatient care. As clients reach better stability, they may transition to gender-specific extended care and supportive living while incorporating PHP, IOP, or outpatient services when necessary.
Length of stay varies by clinical need. While the minimum commitment is typically several months, the average length of care is approximately one year.
Substance use disorder is addressed as a secondary concern within an integrated dual diagnosis model. Psychiatric stabilization remains the primary focus of care.
Contact Us
You understand your needs best. If you have found yourself at a crossroads in your treatment and feel like your program options don’t fully understand you or aspects of your recovery, it’s time to contact the specialists at Alta Loma.
phone
(866) 457-3843
Opening Hours
Open 24 Hours
Address
103 E 8th St, Georgetown, TX 78626
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