Phases Of Treatment

We offer the full spectrum of addiction treatment to 73 patients in various phases of treatment across 4 different facilities in Gauteng. We have a residential detox and addiction treatment license with 24-hour nursing and accept medical aid payments. Changes prides itself on attracting and retaining the best clinical team to deliver our person centered, 12 Step, abstinence-based model. Currently, our clinical team has over 120 years of collective experience treating patients in both the UK and South Africa. Download the PDF brochure here.

Our Clinical Team Includes

  • 4 Psychologists
  • 8 Addiction Counsellors
  • 5 Recovery Assistants
  • 2 Halfway House Managers
  • Social Worker
  • Occupational Therapists
  • Psychiatrists
  • Medical Doctor
  • 5 Nurses
  • 2 Registered Counsellors

Treatment Phases

Detoxification (Detox)

Location: Northcliff, Johannesburg
Length of Stay: 3 to 7 days. Some drugs can be longer e.g. severe benzodiazepine addictions & PAWS.
Objective: Safely detox and renormalise sleeping and eating patterns preparing the patient to engage fully in treatment. Detox is a bare beginning, a pre-requisite to treatment and does not equal recovery. Usually completed at the beginning of Primary Care, rarely done as a stand-alone.

Primary / In-Patient Care Rehab

Location: Northcliff, Johannesburg
Length of Stay: 21 to 42 days. Medical aids pay for 21 days.
Objective: To narrow the discrepancy between the patients’ delusional perspective of their addiction, and what it’s actually like for them and their loved ones. It’s only when the patient has an acute awareness of the severity of their addiction that they will be able to take responsibility for their recovery.

Secondary Care Rehab

Location: Ruimsig, Johannesburg
Length of Stay: 1 to 6 months.
Objective: We opened River Manor to maintain our high quality of care while keeping costs as low as possible to allow people to get past the initially critical 90-day mark clean and sober in a tranquil, country environment.

Halfway House Recovery

Location: Fairland & Melville, Johannesburg
Length of Stay: 2 to 12 months
Objective: Transitional living homes for people committed to living a sober lifestyle and needing support during this reintegration phase.

Intensive Outpatient Programme

Location: Northcliff
Length of Stay: 6 to 12 weeks
Objective: Keep working full time and sleeping at home whilst in part-time treatment from 4.30pm to 7pm for people in the mild to moderate stage of addiction.

Life Orientation

Location: Via Zoom.
Length of Stay: For discharged patients who have 6-9 months clean & sober, depending on progress. Objective: Weekly group therapy focussed on here-and-now issues and maintenance of the recovery lifestyle ensuring stability and taking patients to 12 months clean & sober. Learning to access authentic relationships and nurture integrity through the continued learning to give and receive honest feedback.

Family Programme

Location: Via Zoom
Length of Stay: Every Tuesday at 6pm for a minimum of 3 months.
Objective: Treatment is about your addicted family member, but more so about a family realignment. Addiction intrudes on routines and relationships, honesty and trust. It slowly corrodes families.
Each hour-long session will focus on common themes like – educating families about the nature of addiction, its impact on the family, the treatment process, how to measure recovery, bottom lines and boundaries.


Location: Via Zoom – Monday, Wednesday, Friday, 4.45pm – 5.45pm
Length of Stay: For discharged patients who have 6-9 months clean & sober, depending on progress.
Objective: Group therapy with a weekly counselling session allowing continued connection with old and new recovery community members. Focus on relapse prevention and reintegration to life and family.