Frequently Asked Questions

Read on for some of our most common questions and answers. If you’re curious about anything at all, please Contact Us.
Which addictions are treated at the Ranch? What if I have multiple addictive behaviors? What if I have concurrent mental illness issues?
The clinical professionals at the Ranch have designed a program that is effective and appropriate to treat all forms of addictive behavior. Although we focus primarily on chemical addictions (i.e., alcohol and drugs), our program also addresses behavioral addictions such as gambling, sex and romance addiction and other dependencies. Our program also recognizes that there are often concurrent mental health disorders that accompany addictions, such as depression, trauma, anxiety, and ADHD. On admission a full evaluation utilizing a biopsychosocial interview is conducted, and as indicated follow-up screening or assessment tools (e.g., the Addiction Severity Index, Substance Abuse Subtle Screening Inventory) are used.
What methods of treatment are used at the Ranch?

Treatment at the Ranch is provided by fully trained professionals who work as a multidisciplinary team. We work on a case managed basis, where a professional counsellor is assigned to each client and an individualized program is designed. Our counsellors provide individual and group counselling, as well as group psychoeducational counselling. Each client also works closely with an aftercare counselor throughout their stay in treatment, and develops an individualized and comprehensive plan for supporting their recovery once they return to their home community.

Clients are given informative seminars, education on the nature of addiction, homework on insight into their addiction and how it impacts their lives, as well as self-care techniques. We emphasize relapse prevention and recovery strategies, the development of healthy lifestyles, and encourage a balanced return to recovery, emphasizing the importance of social support, work and/or volunteer activities, physical activity and stress management, healthy eating, meditation and mindfulness practice, enjoyment of nature, and the nurturing of client spirituality. The intensive and comprehensive nature of the services that we offer clients makes Top of the World Ranch one of the most thorough recovery centers in the world.

What is the weather like?
We have four beautiful seasons of weather here in Northwestern Illinois. The summers are usually sunny, warm, and beautiful. The autumn is usually gorgeous with temperatures very moderate and comfortable. The many trees on the ranch begin show their colors throughout the fall the birds begin their migration (although some stay these days) and the sunlight is very calming. Winters are cool, calming and peaceful. We seem to get quite a variety of weather in the winter. Sunny warm spells coupled with snowy Midwestern winter weather. We offer a great experience any time of the year. In winter the fireplace in our great room becomes a central focal point, as well as a great place to relax and read some inspiring literature. Spring is a favorite with flowers blooming and the return of the migratory birds. Every season offers something unique. The ranch overlooks the lake and out into the forest where many deer and other critters are present year round. We hike and do other outside activities year-round. There is no unpleasant time to be at Top of the World Ranch Treatment Center in Milan IL.
Do I need a referral to access this program?
The Ranch does not require a referral. Potential participants are required to complete a comprehensive admissions application form. It is important that there is a good “fit” between a client and their treatment needs and our program. Because of this we often spend time following up the information that is captured on the Admission Information Record with phone calls from the Intake Coordinator, Ranch Nurse or Clinical Director, to gather additional information, clarify client needs, or answer questions about our program. In addition, clients who have complex medical conditions, or who are currently in treatment for substance abuse or mental health conditions may be required to provide additional information prior to an admission decision.

Note that while a referral is not necessary for admission to our program, for your own benefit we highly recommend that incoming clients obtain a referral letter from a medical practitioner indicating a diagnosis of addiction, and a recommendation of detoxification and/or residential treatment. Our past clients have found this useful when it comes time to file their tax returns. Upon discharge from our program, Top of the World Ranch will supply our clients with receipts, and a letter which confirms dates of attendance, the cost of treatment, and the name of both client and payor.

How secure is the facility?
The facility is relatively secure in that it is protected from urban activity by distance and remoteness. It is not a locked facility. Clients are discouraged from leaving the facility during the first two weeks of treatment unless authorized by their counsellor and/or accompanied by Ranch personnel. This measure is to ensure each participant’s safety and to enhance the potential for successful accomplishment of your recovery goals. All Ranch personnel are committed to the rigorous confidentiality policy of the facility. Your identity may be exposed to other clients who are bound by written contract to respect your privacy, as you are bound to respect theirs. In short, every measure is taken to ensure the highest possible level of discretion and respect for client privacy. Unauthorized visitors are not admitted. Authorized visitors must sign confidentiality agreements.
Will I have access to persons outside of the facility?
Your first week here is a time of retreat. You will make and receive no calls. After this time and after consultation with your counsellor, you will have access to our client phone during certain times of the day and evening. *Note to our clients, their family, friends and associates: It is Ranch policy that we neither confirm nor deny a client’s presence here unless a Release of Information has been completed. We realize that this practice might appear unusual, but this is necessary to protect client confidentiality. Clients will not have personal access to computers or e-mail during their stay, except by permission of the Clinical Team. Phone calls to clients are screened to ensure the safety of our clients; messages will be passed on when appropriate.
Do I need spending money?
All extra or adjunctive services that take place on the ranch – including massage, store purchases etc. – will be charged to the credit card that we have on file. Items such as off-Ranch store purchases, or off-Ranch services that you may use, will require that you have the appropriate funds available. If you require a cash advance from the Ranch using your credit card on file, you will be charged a 3% surcharge to cover our transaction fees. It is best to bring with you any spending money you feel you will require while here. We do provide secure storage. All personal belongings that require safe keeping (wallet, purse, keys, etc.) will be locked away in your storage box here at the Ranch.
Will I have a private room?
The residence has two floors, each of our private rooms are soundproof insulated, equipped with very comfortable queen bed, nightstand, granite desk with reclining executive chair, and a storage ottoman to prop up your feet when reading or relaxing.

The Ranch’s accommodations are first class. All rooms in our brand new purpose built residence are private. We did this for you. We did this to make the decision to attend treatment an easier one. We did this so that you have some time to decompress and let this all sink in. To be contemplative and at peace.

Is drug testing done at the Ranch?
Yes, the Ranch has provisions for testing both blood and urine. During the admission process you will be required to consent to random testing for drug and alcohol use. The use of drugs and alcohol is prohibited during the treatment program. Use of drugs or alcohol during treatment may result in immediate dismissal from the program.
Can I take my prescribed medication while in treatment?
All prescriptions must be pre-approved by the Ranch Nurse in consultation with the Ranch physician; this may also involve your primary care physician. Your medications will be in your personal safe that is accessible only under supervision of the clinical staff. No prescription or over-the-counter medications, or herbal remedies or supplements are permitted to be in your direct possession while in treatment. Ranch personnel will not dispense medication. They supervise your access to your meds as per your physician’s directions.
If I leave treatment before it is completed do I get a refund on my fee?
Your $5000 deposit is non-refundable but can be used up to 6 months if you must cancel for any reason. If a client chooses to leave treatment prior to the completion of their program OR a client is asked to leave treatment for not adhering to their treatment agreement, such as rule breaking and lack of participation, a prorated refund will be issued for the remainder of their stay, minus the non-refundable deposit of $5,000 and a one-time $850 empty room charge. Both of these are applied to the end of the stay, therefore no refund is provided for the last nine days of treatment. The refund is calculated beginning the day after discharge. If a medical discharge takes place, the client will receive a prorated refund for the remainder of their planned stay with us, less $2,500 of the deposit. So that you are aware. The vast majority of treatment centers offer no refund at all. This is Top of the World Ranch remaining in integrity.

Our office would be pleased to answer any additional questions or concerns that you may have. Call 1-888-996-6306.

Will I have free time to myself?
Each day you will have the opportunity to have “private time” for reflection, meditation, prayer, creative activities, exercise or simply rest. Your focus while here is on yourself and your program. For the safety of all clients, please cooperate with program staff at all times. The structure of the program is purposefully intense and closely supervised. Within the routine there are plenty of opportunities for socializing or leisure activities.
Is it a mixed-gender/co-ed program? Are there gender-specific sessions? What if I’ve been abused or victimized by the opposite sex?
The program is mixed-gender and most activities are co-ed. Some group counselling sessions are exclusively for male or female clients respectively. All personnel are sensitive and responsive to any discomfort the mixed gender environment may invoke. The Ranch creates as “normal” a social context as possible to strategically guide you to appropriately respond to “regular” everyday stresses that you will encounter after treatment. The Ranch also emphasizes the importance of safe and respectful personal boundaries, along with healthy relationships both inside and outside of treatment.
What if I believe that I do not have an addiction, or do not want to be in treatment but feel obligated due to various pressures from family, friends, work etc.? Or that I am not willing to follow the policies of the Ranch if I do not feel them to be suitable for me or in my best interests?
If you are not committed to participation in treatment, do not feel you need or want treatment, are not ready to do the difficult work of recovery, or would be attending treatment to appease or please others, or if you do not wish to fully participate in our program and to trust that we have your best interests in mind, then we are likely not the best place for you. Our staff is not equipped in aversion therapy and we are not a confrontational or “in your face” treatment center. Our program is built upon mutual respect, trust in the recovery process, guidance, instruction, compassion, and evidence based therapies & counseling. More aggressive methods do exist and if this is what you require, then other centers may be better equipped to meet your needs.
What if I apply for financing and decide to pay for my medical procedure through other means?
No problem, simply inform Top of the World Treatment Center as to your preferred method of payment.
Can I repay the loan before the end of the term?
Yes, you can repay the loan at any time WITHOUT PENALTY.

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The vast techniques and processes that they incorporate along with the amazing environment and facilities at Top of the World Ranch are what I, as a recovering alcoholic and addict, find essential in physical, mental, emotional, and spiritual healing and growth.


AMAZING facility with a knowledgeable, friendly staff. I recently had the opportunity to tour the ranch and I must say that I was thoroughly impressed. The facility grounds are expansive and absolutely peaceful. Perfect setting for healing, discovery, and recovery.


The Main Lodge is unlike any other treatment center...from the counselors' offices, the programming rooms, the games and leisure rooms, to the Chef's culinary skills...i was in awe. The staff, effortlessly, made me feel welcomed. I felt I belonged, I was safe.


On Top of the World Ranch , the place is amazing. The facility is beyond beautiful and lead by a staff that is the best in their field. It is tucked away in the country, just outside of the Quad Cities. Very conveniently located near airport or any of the Interstates , very easy to get to.

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