The Ranch Philosophy
Surrounded by the scenic beauty of farms and ranches in the rolling hills of Nunnelly, TN – just outside of Nashville – The Ranch provides a full spectrum of addiction and mental health treatment services. The program offers treatment for trauma, depression, eating disorders, substance abuse, sex and intimacy disorders, and other mental health disorders. The Ranch’s experientially based program is designed to meet the needs of each individual and help them address thoughts, feelings and behaviors that keep them stuck in destructive patterns. Through a trauma-focused treatment approach, clients address underlying issues and learn to embrace their authentic selves while gaining a sense of belonging and connection.
Areas of Specialization
Trauma often underlies addictions, eating disorders, intimacy disorders and other mental health issues. The Ranch is known for its comprehensive, trauma-focused approach to treatment. A wide selection of trauma therapies helps clients address these underlying issues while building resiliency.
Clinicians at The Ranch draw on an unparalleled selection of traditional, alternative and experiential approaches to help clients heal in many different ways. By addressing the physical, mental and spiritual deficits that destructive behaviors leave in their lives, clients are able to recover fully and adopt a healthy, positive lifestyle.
Meet the Staff
Paul Wilhelm Ragan, MD
With over three decades of experience in mental health and addiction treatment, Dr. Ragan is a sought-after expert in the field. He regularly appears in the media as a consultant on behavioral health topics and is the recipient of several prestigious awards. Past roles include director of mental health for the Direct Support Command, Fleet Marine Force, in Saudi Arabia/Kuwait during Operation Desert Shield/Desert Storm, clinical investigator for the National Institute on Alcohol Abuse & Alcoholism, and associate clinical professor of psychiatry at Vanderbilt, among others. Dr. Ragan earned a medical degree from the University of Arizona, College of Medicine and completed an internship and residency in psychiatry at the National Naval Medical Center. He is certified in general adult psychiatry, addiction psychiatry and psychosomatic medicine.
Gina Marchando, DMFT, LMFT, CHt, CIt
A licensed marriage and family therapist, board certified hypnotherapist, certified incorporation therapist, and traumatologist, Dr. Marchando brings a wealth of experience to The Ranch. She earned master’s and doctoral degrees from Nova Southeastern University and has a post-graduate certificate in family systems healthcare. Dr. Marchando has worked in inpatient and outpatient psychiatric care and private practice, and also has taught at both the master’s and doctorate levels. She specializes in dissociative disorders and treating survivors of trauma and abuse.
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ABOUT THE RANCH
The Ranch sits on 2,000 acres of rolling hills in rural Nunnelly, Tenn., 45 miles west of Nashville. Also a working horse ranch, the facility offers a variety of treatment programs for adult men and women struggling with behavioral and mental health concerns, including substance abuse, process addictions, mental illness, and co-occurring disorders. In addition to medically supervised detox, the center provides residential and outpatient treatment offerings. Length of care is dependent upon each client’s needs.
TREATMENT & ASSESSMENT
Upon intake, all clients undergo a thorough assessment, the findings of which help inform their personalized treatment plan. Individuals who require medical attention for withdrawal symptoms begin their treatment at Piney Lodge, The Ranch’s detoxification and stabilization unit. While undergoing detox, clients receive counseling, 24-hour supervision, and nursing support.
Once stabilized, clients may move on to the facility’s residential program. The Ranch takes a holistic approach to addiction and mental health treatment, combining traditional therapies such as cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) with less traditional modalities, like equine therapy, adventure therapy, and sweat lodge ceremonies. Counseling is conducted in both group and one-on-one settings, and addiction and mental health education are core components. Residents are introduced to both 12-step and alternative recovery models, and medication management is provided on an as-needed basis.
Those who struggle with love, sex, and pornography addiction are treated through The Center for Relationship and Sexual Recovery, a separate, gender-specific program led by specially trained clinicians.
According to The Ranch’s website, outpatient care is available as a step-down treatment and may be used to help clients ease back into their daily lives. Program graduates also have access to The Ranch’s extensive alumni network.
Members of the clinical and medical teams include licensed social workers, master’s level therapists, certified sex addiction therapists, nutritionists, holistic wellness practitioners, physicians, and nurses.
ACCOMMODATIONS & AMENITIES
The Ranch has a number of home-like, gender-specific residential facilities, many of which border the Piney River. Facilities range from cottages and contemporary log homes to Cape Cod-style houses with pitched roofs and dormer windows. Each residence offers comfortably furnished communal areas, and some also have front porches. Clients sleep in twin beds and share rooms with up to two other residents. The facility is equipped with horse stables, and there is a small on-site fitness center.
WHAT ALUMNI SAY
Alumni reviews are mixed; however the few dozen individuals polled by Rehabs.com submitted more positive reviews than negative ones. Multiple alumni praised the staff, which they described as “friendly and conscientious,” “exceptional,” and “committed.” Alum Kate gave the facility a perfect five-star rating and wrote: “Everyone that works there cares about the clients and treat you like a real person — not just an addict. All the staff are top notch and know what they are doing."
Among those that were satisfied with their experiences, there was a general consensus that The Ranch’s programming was challenging but ultimately effective. “The Ranch programming works, but you have to work it. And you have to want to get well,” B.A. wrote in a representative review. Multiple alumni also felt that the center’s trauma programming was particularly strong. “Working through trauma and digging deep to find the reasons i was using drugs to cope was difficult but it was the most incredible thing i have ever done for myself,” Anna told Rehabs.com
Despite mostly positive reviews, a number of former clients found The Ranch’s treatment services to be overpriced and ultimately ineffective. Alum Tyler described his stay as “the worst experience” he’d ever had, noting that many of the center’s advertised amenities cost extra. “Most of the activities you have to pay more than the cost of enrollment. You only get 4 credits with your package, and those run out the first week,” he wrote. Another anonymous alum provided similar feedback. “Many activities advertised not provided/available...Had to pay additional to see psychiatrist additional times and withdrawal symptoms were unmanageable and not medically handled well,” they wrote.
WHAT FRIENDS & FAMILY SAY
When asked how likely they were to recommend the facility to others, the four loved ones surveyed by Rehabs.com at the time of this writing provided an average rating of 3.75 out of five stars. Friends and family members were most impressed with the facility’s cleanliness, which received an average rating of 4.5 stars, and the staff’s level of experience, which received 4.25 stars. “It is clean, comfortable, and effective, allowing the patient and family to get down to business,” an anonymous reviewer wrote. The center’s counseling options and its exercise and leisure options also fared well among loved ones, earning respective ratings of four and 4.4 stars. “This facility--its wonderful staff, its treatment program, and the community they build among the residents--gave my daughter her life back,” Linda told Rehabs.com.
The center’s affordability received 3.6 stars, the lowest rating overall. Both loved ones and alumni noted that treatment at The Ranch was “expensive.” Some respondents also suggested that the center’s treatment for conditions other than substance abuse, such as eating disorders and pornography addiction, was ineffective. “We were told they were experienced with ED and they are not. We were promised Family therapy and the only family therapy they have is a week end that you pay extra for, and they didn't talk once about Eating Disorders,” J.B. wrote in a representative review.
WHAT STAFF SAY
Each of the three former staff members polled by Rehabs.com at the time of this writing noted that they would recommend the facility to friends and family members seeking treatment. They praised the staff, characterizing their peers as devoted, “amazing,” and “open minded.” However, they felt that The Ranch’s employees were underpaid and overworked, resulting in staff burnout.
According to the facility’s website, The Ranch accepts most major PPO insurance plans, including those from Aetna, Humana, and Magellan. Estimates for treatment costs are provided following a confidential phone consultation.
Published on December 2017
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