Hope | Transformation | Recovery

Hope | Transformation | Recovery

For over 50 years, Casa’s respected clinical approach has helped women on their recovery journey to a healthy, fulfilling life.


For over 50 years, Casa’s respected clinical approach has helped women on their recovery journey to a healthy, fulfilling life.

In 1967, Casa Treatment Center for Women opened its doors as Pasadena’s first 24-hour, non-medical substance abuse treatment program recovery center specifically tailored to the unique needs of women. Today, we continue to provide a compassionate, non-judgmental, home-like environment where the full continuum of care includes healing and self-exploration. Women of all ages (18+), socio-economic, and ethnic backgrounds are given the opportunity to regain the skills and confidence they need to live productive, healthy, and meaningful lives. We firmly believe that everyone within the therapeutic community contributes to creating an environment that fosters recovery in each woman. 

Casa’s treatment program emphasizes abstinence from all mind-altering substances. In addition, we employ individualized treatment plans and therapeutic approaches adapted to the needs of the individual woman, her family, and the group overall– we also dig into the precipitating issues that relate to the substance abuse problem. Physical, mental, and spiritual growth, as well as the exploration/treatment of co-occurring disorders is encouraged.


Individualized Care

Casa provides individualized treatment plans specifically designed for women to address addiction, trauma, and co-occurring mental health disorders or dual diagnosis. We educate clients on relapse prevention by identifying potential triggers to relapse, developing coping skills to deal with obsession and craving, and learning alternative responses to assist in making healthy decisions earlier in the obsession process.

Treatment Approach—Counseling & Therapy

Part of the treatment experience includes private one-on-one counseling with certified counselors specifically educated in addiction-specific college programs. Counselors help identify treatment goals and interactively create and track each client’s treatment plan.

Some therapeutic approaches we use:

Cognitive behavioral therapy (CBT) is a short-term, goal-oriented psychotherapy treatment that takes a hands-on, practical approach to problem-solving. Its goal is to change patterns of thinking or behavior that are behind people’s difficulties leading to a change in the way they feel.

Dialectical behavior therapy (DBT) is a specific type of cognitive-behavioral psychotherapy developed in the late 1980s by psychologist Marsha M. Linehan to help better treat borderline personality disorder. Since its development, it has also been used for the treatment of other kinds of mental health disorders as well.

Art therapy is a creative method of expression that is used as a therapeutic technique. Art therapy, as a creative arts therapy modality, originated in the fields of art and psychotherapy and may vary in definition.

Motivational interviewing (MI) is a counseling approach developed in part by clinical psychologists William R. Miller and Stephen Rollnick. It is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence.

Treatment Programs—Groups

Casa takes pride in highly effective and evidence-based groups that treat the whole person. Some of those groups include: 

These groups encourage women to develop the ability to listen to their own voices, often lost in the process of addiction. Groups help participants challenge false beliefs and low self-esteem issues and express their feelings, wants, and needs. For many, these are powerful new ways to look at themselves and their worlds while encouraging them to build relationships of trust and friendship with their fellow participants while practicing new behaviors.

Previously called “dual diagnosis,” a co-occurring disorder is when one has a substance use disorder that is present with other mental health disorders. Often, there is a connection between addiction and mental health disorders, with approximately 40% of adults with addictive disorders having a co-occurring disorder. Our Co-Occurring Disorders Group helps clients understand the link between mental health disorders, diagnosed or undiagnosed, and the way that substances are sought to treat the symptoms of those disorders. The group also educates clients about the importance of medication compliance and its role in relapse prevention.

Often, clients come to treatment feeling a sense of shame for their substance use disorder. Feeling shame about addiction is as useful as feeling shame about any other chronic disease like diabetes or heart disease. Our Addiction Education groups educate clients about the biopsychosocial model of addiction that involves environmental and biological impacts, the brain chemistry of addiction, and what drives relapse.

Craving and obsessing about using the drug of choice is “built in” to the recovery process, and as with any chronic disorder, relapse is sometimes part of the clinical journey. Education and preparation can help relapse to be avoided! Our relapse prevention groups help clients identify potential triggers to relapse, develop coping skills to deal with obsessing and craving, and learn alternative responses to assist them in making necessary and healthy decisions earlier in the obsession process.

Education and family groups examine dysfunctional family dynamics and how to develop new skills to improve family communication, conflict resolution skills, strengthen appropriate boundaries, embrace personal differences, and improve listening skills and acceptance of all family members. Addiction is a family disease that requires that all members of the family identify their own issues and develop the ability and willingness to change. When positive changes are embraced, sobriety is easier to maintain.

Domestic violence, emotional abuse, bullying behaviors, abuse among siblings, manipulative and inappropriate expectations of children, and other family issues often impact women’s choices. These behaviors also normalize dangerous and maladaptive behaviors that put women at risk, encourage addiction, and perpetuate the cycle of violence in women’s lives. Participants explore and process these issues, challenge the cycle of violence, and offer alternatives to violence.

Dialectical Behavioral Therapy (DBT) Mindfulness is an effective therapeutic strategy to assist with emotional regulation and daily stressors. In this group, we work with clients to help develop healthy and non-judgmental mindfulness skills that assist in day-to-day stress reduction. Stress reduction is often an effective relapse prevention tool.

Both of these issues deal with boundary violations, lack of self-care, and lack of assertion skills, all of which can manifest themselves in addicts/alcoholics and their families. Learning what is your responsibility and what is not, and how to appropriately assert your needs and set boundaries can be critically important. As you become healthier, so do your relationships.

Unresolved grief and loss are often major underpinnings of addiction. At Casa, participants are given an opportunity to explore these issues in their own lives and work through their grief, recalling unexplored losses and often transforming the focus of their processing from grief to loving memories and fond remembrances.

By the time someone arrives to treatment, they have often neglected their physical and nutritional health, creating a significant impact on how they feel in early recovery.  Our residential treatment program includes fitness groups that assist clients in starting a healthy routine. We also educate our clients about the importance of good nutrition and working with a physician to address any physical health problems.

The development and persistence of substance use is affected by environmental factors, and often, a client arrives with unhealthy relationships or relationship behaviors that have reinforced relapse and continued substance use. In this group, the clients learn about the healthy boundaries they may need to set with others to maintain their recovery and how to involve their family system in a healthy way so that the whole family recovers together.

Unfortunately, sexual, emotional, and physical trauma are a large part of most women’s stories. For many, these stories have never been shared and have been silenced by the fog of addiction. Removing the alcohol and drugs and creating a safe and open environment allows participants to share their stories and leave these experiences in the past, along with misplaced shame and guilt that may have underlined their addiction for years.

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