Gateway Foundation—Swansea in Swansea, IL

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Overall Rating

(3.5 of 5)
Treatment Effectiveness
Accommodations & Amenities
Meals & Nutrition
1 Bronze Pointe
Swansea IL 62226

Gateway Foundation—Swansea Philosophy

Since 1968 our goal has been straightforward: help clients get their life back on track and achieve a life of sobriety, free from drug use and symptoms of mental illness. A life that is productive, socially responsible, and healthy. Gateway Foundation is the largest nonprofit treatment provider in the U.S. specializing in substance use disorders for men, women, adolescents, and clients diagnosed with co-occurring mental health disorders. Gateway's professional clinicians support over 6000 people a day to successfully complete treatment by developing a personalized plan to treat the underlying causes of substance use disorder —not just their addiction to drugs or alcohol.

Areas of Specialization

  • Intensive Outpatient Drug & Alcohol Treatment
    In an Intensive Outpatient treatment program, individuals participate in group and family counseling sessions several times per week, as well as one-on-one counseling sessions with their primary counselor. Treatment is usually four sessions per week that are three hours each, based on an individual's needs.

  • Dual Diagnosis Program
    Co-occurring disorders can be difficult to diagnose because of the complexity of symptoms. There are many possible combinations of dual diagnoses, which means there are many possible symptoms. Today, addiction and psychiatric health are viewed more as part of a continuum, and clinicians are specially trained to deal with patients who have a co-occurring disorder. We are certified as one of the only dual diagnosis rehab centers in the Midwest.

Facility Highlights

Insurance Accepted

Individual & Family Counseling

Group Therapy

Meet the Staff

Dr. Thomas Britton

President & CEO

Photo of Dr. Thomas Britton

Dr. Thomas Britton began his career in behavioral health as a counselor where he developed a passion for effectively treating individuals with co-occurring substance use and mental health disorders. For more than twenty years, Dr. Britton has been dedicated to helping others through various roles as a therapist, crisis worker, educator, clinical supervisor, executive director and most recently president for a division of Acadia Health Care. Dr. Britton believes strongly in the power of recovery, so much that in 2006, he founded a North Carolina organization that advocates for treatment for those without resources. His devotion to the field and a commitment to learning led him to earn a Master's Degree in both Addiction and Marriage and Family Therapy from Appalachian State University in Boone, NC. Understanding the importance of strong leadership skills, Dr. Britton went on to earn a Doctorate in Public Health, Executive Management from Gillings School of Global Health at University of North Carolina, Chapel Hill, NC. Dr. Britton has aligned his personal mission to help others with his life's work. From his early days as a clinician, to his present leadership role, his focus remains on helping individuals and their families get their lives back on track.

Dr. Roueen Rafeyan

Chief Medical Officer

Photo of Dr. Roueen Rafeyan

Dr. Rafeyan brings over 20 years of specialized experience to Gateway, having served as a medical director for psychiatric and substance use programs at leading Illinois healthcare institutions including Rush, Michael Reese, Resurrection and Presence Behavioral Health. As CMO, Dr. Rafeyan is responsible for continuously advancing Gateway's wide array of services, upholding medical protocols, policies and procedures, as well as working closely with Gateway's team of experienced physicians/clinicians to deliver comprehensive high quality addictions, psychiatric and medical services/treatment as needed for each individual. In addition to Dr. Rafeyan's extensive medical experience, he is also a diplomat of the American Board of Psychiatry and Neurology as well as the American Society of Addiction Medicine. He is currently on the faculty of Northwestern University and an active member of the American Medical Association, the American Psychiatry Association, the Illinois Psychiatric Society and the Illinois State Medical Society. 360 Guide

Review by Contributors


Located 10 minutes from downtown St. Louis, the Gateway Foundation in Swansea is one of 10 treatment centers run by the Illinois-based alcohol and drug treatment provider. The Swansea location provides outpatient substance abuse treatment services for adults and adolescents, including medication-assisted treatment for opiate withdrawal.


Gateway Swansea offers educational and intensive outpatient programs based on the specific needs of each client. Treatment plans are individualized and designed to help clients learn, internalize, and practice the tools needed for long-term, ongoing sobriety.

In addition to individual counseling, regular group therapy is a key part of Swansea’s outpatient treatment programs. The facility offers a number of specialized groups, including adult co-ed, adult women, adult men, and adolescents. There is also a dedicated group for clients with co-occurring mental health disorders. Most groups meet three to five times a week for three hours each session, either in the morning or evening.

The outpatient programs typically last four to six weeks, after which most clients transition into weekly aftercare counseling sessions. A weekly family group is offered for loved ones.


The Swansea treatment team includes a board-certified psychiatrist and a program director who is a certified reciprocal alcohol and other drug abuse counselor.


The two anonymous alumni polled by at the time of this writing gave the Swansea facility mostly positive reviews. Both gave mediocre ratings of three out of five stars for the program’s treatment effectiveness, but awarded the facility four and five stars respectively for its staff’s level of training and experience. One alum described the counselors as “very nice,” and reported no weakness. The other former client noted that the facility was clean and offered good food, but told that the one-on-one counseling and holistic options could use improvement.

On Google, the facility earned two perfect five-star ratings from the two reviewers to date, who left no further comments.[1]


The three loved ones surveyed by at the time of this writing also gave the facility mostly positive reviews – almost all awarded the facility average or above-average ratings of three, four, or five stars across all 15 metrics evaluated, including the facility’s treatment effectiveness, its family participation, counseling options, and the staff’s level of training and experience. One anonymous loved one noted that “the post program outreach and support were great,” while another anonymous reviewer added: “They gave great treatment options, it was affordable and they involved family in treatment.”


Gateway Foundation accepts most private insurance plans and Medicaid for some treatment services. State funding via the Illinois Department of Human Services is also available to those who qualify.


Published on January 2018

User Reviews

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  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Clean. Well fed. Individual counseling. Holistic option


  • Treatment Effectiveness
  • Accommodations & Amenities
Good counselors. This was an outpatient facility where we would attend a meeting for 3 hrs per day. The counselors were very nice.


  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Location was good...Short meetings...


  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
They gave great treatment options, it was affordable and they involved family in treatment. They provided excellent treatment for my family. The only downside was their lack of bed availability.


  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Faculty were strong and the post program outreach and support were great. Facilities were not always the cleanest, but the treatment was well worth the money.

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