Long-Term Rehab in Joburg for Effective Secondary Care
River Manor, known as ‘the farm,’ is Changes Rehab's long-term treatment facility, offering clients a safe space to address their challenges with professional guidance.
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Changes Long-Term Rehab Facility
A long-term facility for those who need more time integrating back into society
It is a 20-bed facility located on a spacious plot in Ruimsig. Patients look after a number of farm animals and benefit from animal therapy including equine therapy. Clients follow a therapeutic routine and are guided by professionals as they develop and grow.
There is ample time for self-reflection and clients are guided to develop a deep level of self-awareness. Long-term treatment greatly enhances an individual’s chance of achieving successful long-term sobriety. Nutritious meals are provided and clients’ dietary needs are considered and catered for. Clients benefit from 24-hour supervision including a nurse on night duty catering for any emergencies they may face.
Addiction and Mental Health Treatment Services
Changes Rehab Johannesburg has been successfully changing lives since 2007. With over 100 years of collective expertise, we have been where you are now and understand what you are going through. The first step of reaching out is the hardest, but we are here to support you.
Start the treatment process today
Client Testimonials
“Embracing sobriety seemed impossible until Changes. The compassionate team led by Sheryl has been a blessing. My journey to recovery found its cornerstone here. Forever indebted.”
“Changes Long-Term Rehab offered more than just healing; it gifted me a new lease on life. The dedication of Sheryl and her crew is unparalleled. Can’t recommend them enough!
“Turning to Changes was the best decision I ever made. Their unparalleled program and the warmth of Sheryl’s team have been my guiding light. Truly, a life-saver in every sense.
Assessment
A private clinical assessment clarifies risks, co-occurring concerns, and immediate next steps. We gather history, current symptoms, medications, and family input to match the right level of care. If admission is appropriate, we help you plan timelines and documentation so things move quickly. Learn how assessments work and what to expect on the day.
Withdrawal is managed under medical oversight to reduce risks and improve comfort. Nursing support is available 24/7, with medication protocols tailored to clinical need. Detox prepares patients for therapeutic work—sleep, nutrition, and stabilisation come first. See what to bring, typical timelines, and how we coordinate pre-authorisation.
The first 21–42 days focus on routine, safety, and daily therapy. Patients engage in individual and group sessions, psycho-education, and family contact where appropriate, supported by a multidisciplinary team. Primary care builds early momentum for change and prepares the plan for the next stage.
Secondary care deepens the work on patterns, triggers, and trauma in a calmer setting. With structured days, therapeutic groups, and coached routines, patients practise skills that hold at home. Families are updated and involved appropriately. Explore typical lengths of stay and why secondary care improves long-term outcomes.
For step-down care or when residential treatment isn’t possible, outpatient combines evening groups, one-to-one therapy, and accountability. The focus is integrating recovery into daily life—work, study, and family responsibilities—while maintaining structure and support.
Sober living provides a structured, supportive home environment with curfews, chores, coached routines, and ongoing therapy. It bridges the gap between inpatient treatment and independent living, reinforcing accountability and community while returning to work or study.
Patients learn how to spot risk early and respond fast—managing triggers, cravings, and high-risk situations. We build practical routines, communication plans, and support networks, with clear steps families can take too. See typical tools and how they’re practised before discharge.
Continuing care sustains progress after discharge: scheduled check-ins, group support, individual sessions where needed, and a plan for setbacks. We coordinate with families and community resources to keep recovery anchored in daily life.
What Admission Involves
A clear checklist and timeline lowers stress and improves follow-through for patients and families.
