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At the Crossroads


At the Crossroads Review

At the Crossroads (ATC) is a St. George, Utah based substance abuse treatment organization. ATC started in 2004 to fill a need in the community for a transitional living program that teaches life skills to those leaving detox, wilderness therapy or residential treatment programs. ATC specializes in helping young adults between the ages of 18 and 25 stay sober, find jobs and learn to live independently.

Accommodations and Food

ATC runs four beautiful, gender-specific homes on the same street—one for women and three for men. Each house has three bedrooms and clients have the option for private rooms at an additional cost, based on availability. The homes can each sleep up to nine clients at a time. Every house has an updated kitchen and dining room and a private patio on well-manicured grounds. The women’s house features sleek hardwood floors, marble counter tops and a beautiful outside lounge area with a pool.

The homes all have full or queen beds with luxury linens provided. There’s free WiFi, Netflix, cable TV, barbecue grills and an executive chef who serves several healthy, organic dinners each week to the clients. As part of the life skills training, residents receive a food card each week and are provided transportation to and from the grocery store to buy the rest of their food.

Treatment and Staff

When clients enter the program, an intake counselor designs an individualized treatment plan. The young adult program emphasizes building practical life skills to help clients have a successful, sober life. A case worker, a consulting psychiatrist and medical staff are available when needed. A stay at ATC usually lasts nine months to a year, depending on the client’s treatment goals. Residents can attend school, go to work and also participate in therapy while living in a structured environment

ATC uses a strength-based relational approach to treatment. Counselors work hard to identify each client’s personal strengths and design a program that emphasizes their assets, while helping them grow in the areas that need improvement. Based on the individual, a variety of therapeutic techniques are used, including CBT, DBT and relapse prevention. Clients are evaluated by a psychiatrist, who provides individual therapy that addresses co-occurring disorders and medication management, if needed.

Clients participate in specialized group therapy that addresses basic life skills, career readiness and gender-specific issues. These groups teach things like how to grocery shop with nutrition and budget in mind, resume writing, job interview skills and healthy communication. All clients are also encouraged, but not required to attend AA/NA meetings and are provided transportation to meetings several times a week. Those who don’t want to work the steps are given suggestions for other peer-support alternatives.

The staff at ATC is entirely comprised of Master’s-level or higher therapists. They include LMFTs, a psychiatric nurse practitioner, case managers, nutritionists and CADCs.


Holistic treatments like mindfulness and yoga are available. Additional amenities include weekend adventure therapy excursions. Transportation to meetings, appointments and activities is provided.

For program graduates who choose to stay in the St. George area, ATC offers a specialized Graduate Program track. This allows them to live independently, while still taking advantage of the support they may still need. This program can include life coaching, drug testing, therapy as needed, case management and access to group outings and adventures.

In Summary

At the Crossroads offers a luxury long-term transitional living experience for young adults that does much more than just help them stay clean and sober. With an emphasis on each client’s personal recovery needs, this is a very specialized program. For young adults seeking a safe, upscale structured living environment that will give them the tools for a successful sober life, this is a great choice.

At the Crossroads Location

139 North 100 West
St. George, UT 84770

At the Crossroads Cost

$10,000-$16,500 (30 days). Reach At the Crossroads by phone at (435) 627-1788 or by email at Find At the Crossroads on Facebook, Twitter and YouTube

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