Silvermist in Renfrew, PA

Overall Rating

(3.9 of 5)
Treatment Effectiveness
Accommodations & Amenities
Meals & Nutrition
130 Critchlow School Road
Renfrew PA 16053

Silvermist Philosophy

At Silvermist, our philosophy is that every young adult suffering with a substance use disorder is capable of revitalization and persistent change. When clinical issues are effectively and collaboratively addressed, real change occurs. Transformation begins with establishing a purpose and developing a plan to achieve and elevate that purpose. Silvermist exists to assist young adults in growing abilities, recognizing attributes and diminishing addictive traits and behaviors.

Areas of Specialization

  • Individualized Treatment
    Some facilities have an addiction treatment protocol that all patients or clients are expected to follow, while others customize or individualize treatment based on a person’s unique needs and circumstances. Factors that may affect treatment decisions include age, lifestyle, medical conditions, type of drug, religious beliefs, etc.

  • Equine Therapy
    A form of animal therapy, equine therapy involves visiting, working with and sometimes riding horses as a way to create a metaphoric relationship that leads to life-altering insights.

Facility Highlights

Movie theater room, sauna, saltwater pool

Holistic 12-step program

High staff-to-client ratio

Meet the Staff

Gemma Carlino, LPC, CADC


Photo of Gemma Carlino, LPC, CADC

Gemma graduated from Duquesne University with a Masters of Education in Counseling degree. She is a licensed professional counselor and certified alcohol and drug counselor with over eight years of experience working in the fields of drug and alcohol addiction and mental health. Gemma has worked with adults, adolescents, children and families in outpatient, residential and school settings, in addition to the medically-monitored treatment setting. She has experience working with dually-diagnosed clients dealing with depression, anxiety, personality disorders, attention deficit disorder, bipolar disorder and other mental health diagnoses. She also has experience in crisis intervention. Her objective is to help clients identify and achieve their goals for recovery and daily living. She feels that every client has the ability to reach their maximum potential and thrive outside of a treatment setting. Gemma believes in a person-centered approach to treatment and utilizes multiple modalities such as Motivational Interviewing, Dialectical Behavior Therapy, Rational-Emotive Behavior Therapy and Family Systems Theory.

Carrie Kuhs, LPC


Photo of Carrie Kuhs, LPC

Carrie graduated from Mercyhurst University with bachelor’s degrees in art therapy and psychology. She went on to receive her master’s degree at Vermont College of Norwich University. She is a Licensed Professional Counselor and a Board Certified Art Therapist who has facilitated therapy with special emphasis on utilizing the creative arts for growth and healing. Carrie has worked over the last 25 years with multiple populations including dual diagnosed adults and adolescents, families and children. Carrie encourages the client to establish their own goals and addresses the treatment needs of those struggling with depression, anxiety, attention-deficit hyperactivity disorder, bipolar disorder, trauma, anger, relational, personality, and family difficulties. Her approach is strength-based and supportive, reinforcing positive strategies to cope and solve problems while working towards sustaining recovery. Carrie utilizes evidenced-based practices including the Expressive arts, Motivational Interviewing, Attachment-based, Trauma Focused, Cognitive Behavioral (CBT), and Relational. Carrie believes that healthy connections foster healing and places importance on positive communication, boundaries and support within the client’s family system. 360 Guide

Review by Contributors


Silvermist is a private luxury addiction treatment center situated on a gated 30-acre lot in the hills of rural Western Pennsylvania, about 45 minutes north of downtown Pittsburgh. The 10,000 square-foot campus is among the state's 143 (28.5 percent) non-hospital residential treatment programs for individuals seeking treatment for addiction. Additionally, this center is among the 255 (50.8 percent) facilities to offer co-occurring mental health disorders treatment tracks in Pennsylvania. To treat opioid addictions, Silvermist is also one of the 165 (32.9 percent) treatment facilities in the state authorized to prescribe Suboxone.


Upon admission, clients may undergo an initial substance abuse and mental health assessment, and prospective clients must commit to a minimum of two weeks at Silvermist. Although men and women stay in gender-separate units, treatment programming is co-ed.

Programming is based both on 12-Step and holistic therapies. Following a morning meditation and brief community meeting, residents spend their days immersed in process groups, one-on-one therapy, psychoeducational classes, and 12-step study. Afternoons are typically dedicated for recreational and personal time with holistic options in equine therapy, yoga, and the creative arts.

While residing in a log cabin, only steps away from Slivermist’s main residence, those enrolled in the partial hospitalization program (PHP) attend 30-45 minute life skills groups. Each day, they’ll cover practical, everyday skills such as meal planning, budgeting, and time management, as well as develop an approach to resume writing and job searching. PHP participants can expect to meet with their assigned therapist for 30 minutes at a time, at least twice a week.

As treatment at Silvermist is trauma-informed, “recognizing a person’s current situation and actions as a result of past negative events,” the facility utilizes a range of evidence-based therapies, including cognitive behavioral therapy (CBT), motivational interviewing (MI), and dialectical behavior therapy (DBT). Therapists at Silvermist are also trained to addressed and treat co-occurring mental health disorders. Aftercare services include referrals to sober living homes and local 12-step meetings. Follow-up care is provided on an outpatient basis.


The treatment team includes physicians board-certified in addiction medicine and anesthesiology, a licensed clinical social worker (LCSW), and several licensed professional counselors (LPCs). According to the facility, Silvermist maintains a staff-to-client ratio of 1:5.


Silvermist can accommodate a maximum of 14 clients at a time in separate homes for men and women. This suggests a specialized level of care, as the average number of individuals at residential treatment was 32 clients, as of 2016. The main residence, featuring exposed wood beams and high ceilings, can house up to nine men, while the refurbished Bank Barn can house up to five women. PHP clients reside on-site at Silvermist’s log cabin.

Private accommodations are also available for those who prefer solitude and personal space for a successful recovery. The 10,000 square-foot residence offers many unique amenities, including a movie theater, an on-site fitness center, an infrared sauna, and a heated saltwater swimming pool. Executive chefs cook three meals a day and can accommodate personal dietary restrictions upon request.


Two of the five program alumni polled by to date provided very positive recovery experiences at Silvermist. “This place saved my life,” wrote former client A.B.C. “It has the best staff, the treatment is unbelievable and i would recommend it to anyone who is serious about getting their life together.”

Sharing details on his “wonderful experience,” alum H.A.B. celebrated the intimate community setting, the “very knowledgeable and helpful” staff, and the variety of “unbelievable” amenities offered. H.A.B. also awarded Silvermist perfect five-star ratings on several areas regarding staff, including their support, availability, respect shown to clients’ preferences, and level of training and experience.

A third alum, however, highlighted some “unprofessional and uncalled for” habits of Silvermist staff: “The rehab is very nice however the staff completely disregards any privacy policies.” Former client J.M. echoed this sentiment, referring to the staff as "coddling," and feeling that his treatment was "Extremely expensive yet highly ineffective."

Reviews were lukewarm on Google at the time of this writing, where the facility was given a five-star and a three-star rating from two former clients.[1] Only the three-star reviewer provided written feedback, feeling that the small size allowed for "a lot of idle time and not enough to do after groups."


The cost of treatment comes to $1,000 per day, though prospective clients must commit to a minimum-stay of two weeks. A month’s treatment costs $30,000 and three months comes to $45,000. Silvermist accepts self-payment and private insurance plans, including like Aetna, BlueCross BlueShield, and Cigna, on an out-of-network basis.

[1] GoogleReviews

Published on January 2019

User Reviews

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  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Thank goodness I’m still sober, but it’s been a huge struggle. Silvermist is fine, but there is a huge discord between staff who care and have struggled themselves and management. Silvermist is a money machine. I saw dear friends get kicked out because they couldn’t pay anymore and I’m texting them, they relapsed after dropping thousands and trying so hard. My parents paid $10 grand for me to go. I was told after 26 days, out of the blue, “you’re being discharged tomorrow”. The good staff that cared was honest and said, “you aren’t ready”. Which was true. All of my 15+ friends that went here relapsed but one in the two months since going. It’s a money machine. Beautiful, great food, great atmosphere. But don’t pay extra to go here. Since leaving I’ve done a lot of reading. Apparently accommodations don’t equal sobriety. Studies say other (cheap) places have been equally effective if not more than this one. Don’t waste your money.


  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Son attended. They required a substantial downpayment up front that they promised would be reimbursed if he left early, which he did. After 10 weeks we are still trying to get the reimbursement and only get the run around. Also a number of the promised services were not available because "at the time we are understaffed." What they did provide seemed good, they had some good staff. But their administration seems different and intent on ripping us off. This place is not cheap and they should have better administrative service. Yeah the food id good and the location nice. But the promise and hype is more than the delivery and cost.


  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Extremely expensive yet highly ineffective. I noticed they don't publish their success rate. My experience was full of incompetent coddling, mixed with good food.


Says max 14 clients and are proud of a 1:4 staff to client ratio....which means at any given time you only have like 3 total staff members ???


  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Silvermist was a wonderful experience. It was a very small community with only 14 people which allowed you to get great counseling as well as great group settings. The staff is very knowledgeable and helpful in every aspect. The amentities were unbelievable with a personal chef, Outdoor pool and volleyball court, indoor movie theater and pool table. They took you to an outside meeting every night. Yoga, acupunture, and message therapy were also part of the program. I would highly recommend this place to anyone and more importantly a loved one!


  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
This place saved my life. It has the best staff, the treatment is unbelievable and i would recommend it to anyone who is serious about getting their life together. I owe my life to silvermist!


the rehab is very nice however the staff completely disregards any privacy policies. Certain staff members who are also in recovery come to work and make it known to their clients and other staff people who have relapsed that they know personally from the rooms themselves. That is unprofessional and uncalled for.

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