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Promises Behavioral Health - The Ranch Tennessee

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At a Glance

2 Accreditation(s)

Medication

Inpatient

Outpatient

Accepts Private Health Insurance

Accepts Public Health Insurance

Accreditations

The Joint Commission

Immersive Healing on a 2,000-Acre Horse Ranch

The Ranch Tennessee offers a treatment experience grounded in nature, community, and clinical depth. Located just outside Nashville, the facility sits on a sprawling 2,000-acre working horse ranch, where clients engage in equine-assisted therapy and other outdoor experiences. The natural setting isn’t just scenic—it plays a central role in helping clients regulate emotions, reconnect with their bodies, and rebuild a sense of calm and agency.

Trauma-Focused, Dual Diagnosis Treatment

This facility specializes in treating co-occurring mental health and substance use disorders, particularly for individuals with unresolved trauma. Modalities like EMDR, adventure therapy, and expressive arts are integrated into programming, giving clients a variety of ways to process and express their experiences. Treatment also addresses process addictions, eating disorders, and personality disorders, with dedicated clinical oversight for complex cases.

Gender-Specific Living in Rustic Cabins

Clients are housed in one of five gender-specific cabins designed to foster connection and safety. Shared kitchens encourage communal meals and bonding, while the rustic, cabin-style setting supports a low-distraction environment conducive to healing. The physical layout and structure of the campus reflect the facility’s emphasis on grounded, experiential recovery.

A Holistic Approach That Includes the Body, Mind, and Spirit

Alongside talk therapy and structured group work, clients participate in fishing, hiking, yoga, ropes courses, and volleyball. Both 12-Step and non-12-Step recovery paths are supported, along with spiritual recovery programs. This range of offerings reflects The Ranch’s commitment to treating the whole person, not just the symptoms of addiction.

Transition Support and Continued Connection

After treatment, clients can access structured aftercare that includes continued therapy appointments and participation in alumni recovery groups. This continuity of care helps individuals maintain progress and connection, which are key predictors of long-term recovery success.

What Patients Are Saying

Patient reviews describe the facility as a place of deep emotional healing, praising its compassionate staff and immersive therapeutic environment. Alumni frequently highlight equine therapy and outdoor programming as transformative. Some concerns have been raised about administrative communication and billing, but clinical care receives consistently high marks for its thoroughness and heart.

Insurance Accepted

Private

  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • United Medical Resources (UMR)
  • Other Private Insurance

Public

  • IHS-funded

Disclaimer: Additional insurance plans may be accepted. Please contact the provider directly to confirm current coverage details, as this information may change.

Financial Assistance

Provided Not Provided
Free
Payment assistance
Sliding fee scale

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Treatment

Treatment Setting

  • Residential inpatient
  • Outpatient
  • Telemedicine
  • Detox
  • Intensive outpatient treatment (IOP)
  • Long-term residential
  • Outpatient day treatment or partial hospitalization
  • Residential detoxification
  • Short-term residential

Treatment Approaches

  • 12-step program support
  • Anger control support
  • Brief intervention
  • Cognitive behavioral therapy (CBT)
  • Incentive-based therapy
  • Motivational interviewing
  • Relapse prevention support
  • Substance use counseling
  • Trauma-focused counseling

Additional Support and Services

  • Case management support
  • Domestic violence support
  • Help with transportation
  • HIV early intervention services
  • Mental health support
  • Social skills training

Counseling and Education

  • Couples counseling
  • Family therapy
  • General health education services
  • Group therapy
  • Hepatitis education and support
  • HIV/AIDS education and support
  • One-on-one counseling
  • Substance use education
  • Tobacco and vaping cessation counseling

Transition Support

  • Discharge and next steps planning
  • Ongoing recovery care
  • Overdose prevention and naloxone education
  • Post-discharge follow-up

Testing & Pre-Treatment

  • Breathalyzer testing for alcohol
  • Community outreach and support
  • Comprehensive health checkup
  • Hepatitis B testing
  • Hepatitis C testing
  • Mental health assessment
  • Mental health screening
  • Monitoring for metabolic syndrome
  • Oral fluid testing for drugs or alcohol
  • Substance use assessment
  • Testing for HIV
  • Testing for Sexually Transmitted Infections
  • Tobacco use assessment
  • Tuberculosis screening
  • Urine testing for drugs or alcohol
  • Substance use screening

Medication-Based Treatments

  • Buprenorphine (any)
  • Naltrexone (any)
  • Buprenorphine with naloxone
  • Buprenorphine without naloxone
  • Clonidine
  • Medication for mental disorders
  • Naltrexone (extended-release, injectable)
  • Naltrexone (oral)
  • Nicotine replacement
  • Non-nicotine smoking/tobacco cessation

Other Conditions Treated

  • Anxiety
  • Depression
  • Eating disorders
  • Personality disorders
  • Post Traumatic Stress Disorder
  • Sex addiction
  • Trauma

Amenities and Experiences

Amenities

  • Access to nature

Activities

  • Art therapy
  • Music therapy
  • Yoga

Setting

  • Country

Policies

  • Allows pets
  • Smoking allowed in designated areas
  • Vaping allowed in designated areas

Ownership Type

  • For-profit

Reviews

Summary

(408)

StartYourRecovery.org provides facility information using publicly available data from the Substance Abuse and Mental Health Services Administration as well as other sources. We cannot independently verify the accuracy of all data. StartYourRecovery.org does not guarantee the quality of care or results of working with any provider or treatment facility. Please contact us if you are the proprietor of a facility and have updates or corrections to site content.

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