Specialized Mental Health Rehabilitation Facilities (SMHRFs)

SMHRFs are residential treatment facilities for adults with mental illness. They are ideal for someone who may be having difficulty living in the community. The stay at a SMHRF is voluntary. In order to receive SMHRF services, the individual must reside at the facility. They offer short and long term stay options. The ultimate goal is for the consumer to move back to the community. That being said, some individuals choose to live at SMHRFs for a few months or several years. Everyone’s case and treatment plan is different. There is no minimum or maximum stay requirement. Some people choose to use a SMHRF as a stepping stone, whereas others need this level of care forever.

SMHRFs offer 24/7 staffing including mental health professionals and nursing staff. Housekeeping, maintenance, dietary and activities are staffed 7 days a week. Physicians are on call 24/7 & visit the facilities. Medicaid/Pubilc Aid and private pay accepted. It is important to note that SMHRFs are NOT nursing homes. These are facilities specifically designed to meet the needs of adults with mental illnesses ages 18-64 years old. Although there may be some variation in structure amongst the SMHRFs, they are not locked down facilities. Consumers will be expexted to actively engage in their treatment plan and follow the facility’s policies (including out on pass and curfew). SMHRF consumers are expected to be independent in activities of daily living (ie grooming, bathing, eating, keeping the bedroom tidy, etc). Skilled nursing care is not provided at SMHRFs (ie IV treatment, ventilator, dialysis, physical/occupational/speech therapy). SMHRFs do not have programming and therefore cannot accept individuals with Major Neurocognitive Disorder (Dementia) or Moderate to Severe Developental Disabilities.

What to expect:

  • Every consumer will be appointed a mental health professional upon admission who will work with them to create an individualized care plan. There are psychosocial groups and activities provided daily. All consumers are encouraged to participate in their treatment plan to work towards their goals.
  • Nurses give out the medications to consumers. All medications are kept locked in the medication carts and cannot be kept at the bedside without a doctor’s order. The physicians’ medication orders are followed by the facility nurses.
  • 3 meals a day plus snacks are provided
  • Smoking is allowed outside the facility ONLY.
  • Rooms tend to be shared with another consumer. The bathrooms will be connected to the bedroom and in some cases, shower rooms are located on the floor.

Please note: SMHRFs are not appropriate for individuals in crisis (ie danger to themselves or others). Please contact 911 if you or someone you know meets the criteria for immediate crisis treatment. There is also a list of inpatient behavioral health units under the “Hospitals” tab for your review.

For those needing a higher level of medical care, it is best to look for skilled nursing homes. For individuals needing programming for Developmental Disabilities, please see the “Specialties” tab.


Bryn Mawr Care

Central Plaza Residential Home

Clayton Residential Home

Columbus Manor Residential Care

Grasmere Place

MADO Buena Park

MADO Douglas Park

MADO Old Town

Rainbow Beach Care Center 773-731-7300

Wilson Care


Abbott House-Highland Park

Albany Care-Evanston

Bayside Terrace-Waukegan

Bria of Lake Park-Waukegan

Greenwood Care-Evanston

Skokie Meadows Nursing Center II-Skokie 847-679-1157


Thortan Heights Terrace


Bourbonnais Terrace-Bourbonnais

Lydia Healthcare-Robbins 708-385-8700


Decatur Healthcare Manor-Decatur

Sharon Health Care Woods-Peoria

Private Residential Treatment Facilities

Private residential treatment facilities offer psychiatric rehabilitation for adults covered by private insurance and/or private payment. Some facilities may have a minimum or maximum stay requirement.

There are facilities located in Illinois, as well as other states (ie Indiana, Ohio, Virginia, Florida, Tennesse, California). Many facilities outside of Illinois have Midwest representation and can assist in coordinating transportation to one of their out-of-state facilities.

Private rehabilitation facilities tend to offer specialty services to target specific disorders or treatment plans/programming.

This may include:

  • Eating Disorder
  • Obsessive Compulsive Disorder (OCD)
  • Co-Occurring Disorders
  • Gender-Specific
  • Gambling Addiction

Many also offer various onsite therapies including:

  • Acceptance and Commitment Therapy (ACT)
  • Dialectical Behavioral Therapy (DBT)
  • Cognitive Behavioral Therapy (CBT)
  • Cognitive Processing Therapy (CPT)
  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
  • Exposure and Responsive Prevention (ERP)
  • Radically Open DBT (RO-DBT)


Timberline Knolls

Pathlight Mood & Anxiety Center Illinois

SunCloud Health

Banyan Heartland

Sandstone Care



Group Homes & Community Integrated Living Arrangement (CILA)

Many Mental Health Centers (MHCs) offer group homes and/or CILAs for adults who have proven to be more independent and do not need a more structured environment. Residents may attend out-patient programming at MHCs while residing there. Residents will have roommates. Many offer staff presence and support at the home. Staff assist with Activities of Daily Living (ADLs) and arrange outings in the community.

Some have waiting lists so please contact them for availability.


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