Top of the World Ranch

A Private Ranch Setting Built for Reset and Reflection

Top of the World Ranch is located on a wide, wooded rural campus in Milan. The setting is a core part of the experience, as clients can step away from daily triggers and use outdoor time for grounding and reflection. On-site amenities support both comfort and structure, including a main lodge with group rooms and counseling offices, a gym, a games room, a steam room, and a theater space for scheduled movie nights.

Trauma-Informed Therapy Paired With Holistic and Experiential Care

The program places an emphasis on trauma-informed care alongside a holistic, mind-body approach. Treatment includes individual counseling, group therapy, and structured psychoeducational programming, with clinicians trained in trauma-focused methods such as eye movement desensitization and reprocessing (EMDR) and accelerated resolution therapy (ART). Clients also participate in mindfulness practices, yoga, sound therapy, and experiential programming, including a sweat lodge experience that supports spirituality without requiring a specific religion.

Residential Comfort With Clear Structure and Discretion

Residential accommodations are fully private, with each client in an individual bedroom and en-suite bathroom in a separate residence building near the main lodge. This setup supports downtime after intensive programming and can be a practical fit for people who value privacy. The Ranch also maintains structured communication expectations, including a retreat-style first week with no calls and limited access to outside communication thereafter, to help clients stay focused on treatment.

Early Aftercare Planning and Ongoing Support After Discharge

Planning for what comes next begins soon after admission. Clients work with staff to build a continuing care plan and connect with support in their home community. Options include step-down outpatient services, recovery coaching, family involvement, and support meetings, helping clients leave treatment with a clearer structure for maintaining progress beyond residential care.

Client Reviews

Clients describe a supportive, highly engaged program in a nature-based setting with strong structure and comfort. A smaller set of reviews raise concerns about communication, administrative follow-through, and privacy practices.

• Treatment Quality & Outcomes (95% positive): Many clients say the program is structured and skills-focused, with a mix of group work, individual counseling, and recovery education that helps them build momentum. "I gained many tools and learned many skills that made me feel confident in maintaining a sober life."
• Staff & Care Experience (95% positive): Reviews frequently highlight compassionate, respectful staff and counselors who are present day to day and willing to meet clients where they are. "The staff has an impeccable demeanor that includes helpfulness, mindfulness, therapeutic, spiritual and humanistic qualities."
• Facility & Environment (95% positive): Clients often point to private rooms, cleanliness, and a quiet, scenic campus that supports focus and reflection. Outdoor space and on-site amenities come up often as a helpful backdrop for recovery. "The private rooms/bathrooms and private chefs also make the experience as comfortable as possible."
• Support & Community (95% positive): Many reviews describe a strong peer “tribe” culture and a sense of belonging that continues beyond discharge through ongoing support. This community aspect is often framed as a key part of staying engaged in recovery. "Additionally, they provide continuing support for their clients - creating a community of support and compassion."
• Access & Process (70% positive): Some clients describe a smooth start to care and practical planning for what comes next, while a handful report issues with communication, costs, or follow-up.