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.
Rehabs.com 360 Guide
ABOUT THE RANCH
The Ranch sits on 2,000 acres of rolling hills in rural Nunnelly, Tenn., 60 miles southwest of Nashville. The facility offers a variety of residential programs for adult men and women that treat a range of behavioral and mental health issues, including substance abuse, sex addiction, eating disorders, and trauma. Medical detox and dual diagnosis treatment are also available on-site.
TREATMENT & ASSESSMENT
Clients who require detoxification begin their treatment at Piney Lodge, The Ranch’s detoxification and stabilization unit. The initial assessment is comprehensive and includes a full medical history review, physical exam, psychiatric evaluation, biopsychosocial assessment, at-risk assessment, nutritional screening, and lab work, if necessary. All clients in detox are monitored by a 24-hour nursing staff.
The Ranch takes a holistic approach to substance abuse treatment, combining traditional therapies such as cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) with less traditional modalities, such as equine therapy, adventure therapy, meditation, and sweat lodge ceremonies. Counseling is conducted in both group and one-on-one settings, and addiction education is a core component. Residents are introduced to both 12-step and alternative recovery models, and medication is available on an as-needed basis.
Those who struggle with a sex or intimacy addiction are treated through The Center for Relationship and Sexual Recovery, a separate, gender-specific program led by specially trained clinicians.
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 several homes, many of which border the Piney River. Facilities range from Southern mansions to Cape Cod-style homes with pitched roofs and dormer windows. Each residence offers comfortably furnished communal areas, and some also have classic Southern front porches and state-of-the-art kitchens. The facility is equipped with horse stables, and there is a small fitness center on-site.
WHAT ALUMNI SAY
At the time of this writing, dozens of alumni have provided feedback to Rehabs.com. Three basic metrics were rated by 23 reviewers who gave mixed ratings for the facility’s treatment effectiveness (3.22 out of five), accommodations (3.55 out of five), and meals (3.52 out of five). Eight of them have submitted surveys to evaluate The Ranch based on additional, distinct categories. While six out of the eight respondents noted that they would recommend the facility to others, most metrics evaluated received low to mediocre ratings.
Kate told Rehabs.com that The Ranch felt like a “second home,” while another alum, S.H., wrote: “It is a pretty place you are rarely allowed to go outside or enjoy the properties.”
Alumni also cited money and insurance problems. An anonymous alum wrote. “Had to pay additional to see psychiatrist additional times,” and though L.M.W. said: “I made it very clear before I went that the cost was causing a significant financial hardship,” they reported that no insurance aid was provided.
Additionally, the facility’s advertised offerings didn’t fare much better, with an average rating from 11 reviewers of 1.83 stars on a scale from one to five, suggesting that The Ranch’s offerings did not live up to their expectations. “The accommodations are far from luxury so do not come here expecting that kind of treatment…The money does not match the treatment,” J.M. told Rehabs.com.
WHAT FRIENDS & FAMILY SAY
The Ranch fared slightly better among loved ones polled by Rehabs.com at the time of this writing. For treatment effectiveness, the facility has received a slightly below average 3.18 out of five stars from 11 reviewers, and eight of them noted that they would recommend the rehab to others. One anonymous reviewer described the facility as “clean, comfortable, and effective.”
The facility’s pricing received some pushback from loved ones as well, which is not surprising as some reviewers characterized treatment as “very expensive,” while others referenced insurance issues. Other complaints noted the faults with treatment for eating disorders. J.B., a parent, told Rehabs.com: “They didn't talk once about Eating Disorders.” Another anonymous respondent concurred: “They may be great for substance abuse, but truly have no idea what Eating Disorders are and how to treat them.”
WHAT STAFF SAY
Three former staff members who were polled by Rehabs.com at the time of this writing noted that they would recommend the facility to friends and family. Although they characterized their peers as devoted and “open minded,” all felt that staff were underpaid and overworked.
According to the facility’s website, The Ranch accepts most major PPO insurance plans. Estimates for treatment costs are provided following a confidential phone consultation.
Updated March 2017
Published on June 2016
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