When short-term treatment hasn’t been enough, a longer stretch of care can create room for steady change. Back2Basics brings licensed therapy, a close-knit residential setting and weekly guided outdoor trips together in Flagstaff.
Length guided by clinical progress
A smaller residential community
One stage of life, one shared setting
Serving Arizona and beyond
Back2Basics Outdoor Adventure Recovery is a long-term residential addiction treatment program in Arizona for men ages 18 to 35. From its base in Flagstaff, the program treats substance use and co-occurring mental health conditions over a stay of several months, combining licensed therapy with weekly guided trips into Arizona’s canyons, forests and rivers. It has operated since 2010, is capped at 22 beds, and admits young men from across Arizona and the rest of the country.
This page explains how the program works, how families pay for it, how far it is from Arizona’s major cities, and how to check any Arizona rehab before you commit to one.
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Serving young adults in recovery
Residential program capacity
Guided outdoor adventure trips
Care paced by clinical progress
Arizona is moving against the national trend. Drug overdose deaths across the United States fell by nearly 14 percent in 2025, to just under 70,000. In Arizona they rose 18 percent, from 2,531 in 2024 to 2,988 in 2025, according to a June 2026 report from the Arizona Public Health Association. Deaths involving synthetic opioids, mostly fentanyl, rose by nearly 33 percent, and deaths involving methamphetamine and other stimulants rose by more than 15 percent.
Arizona’s overdose death rate reached 43.5 per 100,000 people in 2025, about twice the national average, according to New York Times reporting summarized by Axios Phoenix. With fentanyl in so much of the supply, a relapse after a short program can be fatal. That raises the value of treatment long enough to build habits that hold.
A residential community supported by routine, connection and care.
Every client is a man between 18 and 35, so the therapy groups, the house rules and the pace of the program are built around that stage of life.
Most addiction programs run about 30 days and focus on stabilization. Residential treatment here lasts several months, with the length set by clinical progress.
The program is capped at 22 clients, with supervised housing and in-home support staff.
Sunday through midday Tuesday is spent on a guided outdoor adventure trip. The rest of the week is therapy, education, fitness, cooking and community time.
Residential treatment, sober living and aftercare all take place in Flagstaff, so a client does not start over with new staff at each step.
The weekly trips are part of treatment. Challenge-based experiences outdoors build self-awareness, leadership and emotional regulation, and Arizona offers a different classroom almost every week of the year:
Grand Canyon National Park, the San Francisco Peaks, Oak Creek Canyon, Sedona and Sycamore Canyon
The Mogollon Rim, Fossil Creek, West Clear Creek, the Mazatzal Wilderness, Tonto National Forest and the Superstition Mountains
Rafting on the Colorado, Salt and Verde rivers, plus Lake Powell and Blue Ridge Reservoir
The White Mountains and Organ Pipe Cactus National Monument
Activities include hiking, backpacking, camping, rafting, rock climbing, kayaking, canoeing and mountain biking, with snowboarding in season. Trips are led by facilitators who hold current Wilderness First Responder certification. No prior outdoor experience is required, and activities are adapted for physical limitations.
Back2Basics does not provide medical detox. If detox is needed, our admissions team helps coordinate it before residential treatment begins.
Residential treatment
Dual diagnosis treatment
Sober living
Aftercare
Families from other states usually fly into Phoenix Sky Harbor International Airport (PHX). Our admissions team helps arrange flights and ground transport to campus.
Flagstaff is in northern Arizona, with access to the Coconino National Forest and the landscapes used for weekly outdoor trips.
Scottsdale
Mesa, Chandler and Gilbert
Tucson
Prescott
Sedona
Kingman
Yuma
Families from other states usually fly into Phoenix Sky Harbor International Airport (PHX). Our admissions team helps arrange flights and ground transport to campus.
Residential treatment facilities in Arizona are licensed by the Arizona Department of Health Services. Look the facility up on AZ Care Check.
Joint Commission or CARF accreditation means an outside body audits the program's clinical standards.
LegitScript verifies a provider's licensing and marketing practices, and Google requires it before a treatment center can advertise.
Ask who the medical director, clinical director and therapists are, and what licenses they hold.
You should know what the program costs and what your plan pays before admission.
Ask whether anyone is paid for referring patients. Paying for patient referrals, known as patient brokering, is a crime in Arizona.
Draft-review note: The source document includes unconfirmed facility license details and statements about accreditation and certification. Verify each item against current public records before publishing; no license number or unverified claim is presented here as confirmed.
Cost and coverage are personal. An admissions conversation can help you understand the options before making a decision.
For price ranges across the industry and ways families fund a longer stay, read our guide to the cost of long-term rehab for young adult men.
Back2Basics works with many major providers. See how coverage works for Aetna, Anthem, Blue Cross Blue Shield, Carelon, Cigna, Humana, MultiPlan and TRICARE.
Most PPO and POS plans reimburse a share of out-of-network treatment. Our team checks your benefits and explains the out-of-network options.
Families can pay directly. Ask admissions about scholarship options.
Back2Basics cannot bill AHCCCS, Arizona Medicaid or Medicare.
Back2Basics was founded in 2010 by Roy J. DuPrez, MEd, a Northern Arizona University graduate who has spent more than 20 years working with young adults in classrooms, jails and treatment centers. Medical Director Dr. Teresa Buot-Smith, MD, is a psychiatrist who trained at the University of Arizona College of Medicine and Banner – University Medical Center Phoenix. Clinical Director Dr. Natalie Randolph, LMSW, DBH, holds degrees from Northern Arizona University and Arizona State University and has provided therapy at Back2Basics since 2017. Meet the full team.
A no-pressure call about your son's history and what he needs.
We verify benefits and explain your options.
It is submitted through a secure portal.
Our clinical team builds an individual plan, including detox coordination if needed
Travel is arranged and he settles into the house.
Back2Basics is in Flagstaff, in northern Arizona, at about 7,000 feet in the Coconino National Forest and roughly 90 minutes from the Grand Canyon. The treatment services office is at 1600 W University Ave, Suite 205, Flagstaff, AZ 86001.
Men ages 18 to 35 with alcohol or drug addiction, including heroin and other opioids, cocaine, marijuana and benzodiazepines, often alongside anxiety, depression, trauma or ADHD. The program does not admit women or anyone under 18.
Several months. The exact length depends on clinical progress, not a fixed calendar, and clients can step down into sober living and aftercare when they are ready.
No. Back2Basics is a residential treatment program with a weekly outdoor component. Clients live in supervised homes in Flagstaff, attend individual and group therapy during the week, and spend Sunday through midday Tuesday on a guided trip. They do not live in the field full time, as they would in a traditional wilderness therapy program. Read more in wilderness therapy vs. residential treatment.
No. Back2Basics cannot bill AHCCCS, Arizona’s Medicaid program, or Medicare. It works with many commercial insurance plans and accepts private pay. To find AHCCCS-covered treatment in Arizona, search FindTreatment.gov or call the SAMHSA National Helpline at 1-800-662-4357.
Back2Basics works with many major insurance providers, including Aetna, Anthem, Blue Cross Blue Shield, Carelon, Cigna, Humana, MultiPlan and TRICARE. The admissions team verifies benefits and explains the out-of-pocket cost before admission.
Yes. Back2Basics provides dual diagnosis treatment for depression, anxiety, trauma, PTSD symptoms and ADHD alongside substance use, using CBT, DBT and trauma-informed care. Psychiatric care and medication management are available when a client needs them.
Yes. Back2Basics admits young men from anywhere in the country. The admissions team helps arrange flights and ground transport to the Flagstaff campus.
In part. The weekly schedule includes 12-step meetings alongside individual therapy, group therapy using CBT and DBT, life-skills training and outdoor trips.
No. The program is built for long-term recovery after detox. When a young man needs detox first, the admissions team helps coordinate it and plans his arrival for when he is medically ready.
Call (928) 814-2220 at any hour, or send us a message. We will give you a straight answer on whether Back2Basics is the right place for your son.
If someone is in immediate danger, call 911. For a mental health or substance use crisis, call or text 988.
