The Twelve of SWVA

1801 Patterson Ave SW

Roanoke, VA 24016

We are a fully licensed 3.1 ASAM Level Low Intensity Clinically Managed Halfway House Fully staffed 24/7 with Addiction Specialists 

We believe our mission is to enrich lives. That begins with every life we encounter: Our employees, our residents and those who love and care for them, the communities in which we operate, and society as a whole. Here, our highly trained staff combine caring service and advanced technology to treat the whole person - mind, body and spirit - because every blueprint for health is unique. We are committed to maintaining and improving the quality of life for those we serve with a sense of warmth, kindness, individual pride, extraordinary service and compassionate care.​

Service Goals

The primary objective of The Twelve is to reduce relapse, to foster recovery and to facilitate a successful transition into the community as a productive, responsible member of that community. Our goals include teaching and modeling pro-social, drug free living within a community.  The community within the house is engineered to be similar to the greater society but to also be structured and therapeutic.  In an engineered community, negative influences can be minimized; trial and error learning can occur with controlled consequences and behavior can be monitored and addressed more closely. Service goals are:


The Twelve will provide the opportunity for the individual and his family to assess his or her own addiction patterns and to gain insight into the negative consequences of abusing alcohol and other drugs. Long term abstinence improved medical status, improved functioning at work or school, improved family and social relationships, and mental health stabilization are among the goals of treatment.

Clients’ program of care shall include an assessment of and plan for addressing the long term and/or immediate effects of physical, sexual, or emotional abuse, childhood neglect, or related facts as these effect prior and current drug use and projected recovery.  

The biopsychosocial assessment shall identify and describe developmental trauma or neglect at the time of admission to the program.

The regularly scheduled staff meeting monitoring treatment progress shall include attention to the behavioral evidence of trauma and neglect, their effect on drug use, their impact on treatment progress, and the degree to which the traumatic events are recognized by the client.

The counseling staff will have regular training and supervision relating to the effects of childhood and adolescent trauma and neglect on subsequent substance abuse, cognitive functioning, and emotional control, both for the general population and the particular needs of individual clients in the program.

The Twelve will provide identification and treatment of co-occurring mental health issues including medication management and treatment specific groups and individual counseling.

To reach these general goals, the following objectives are set:

  1. Develop a drug free positive lifestyle

  2. Develop and change negative conceptions of self to ones which includes viewing oneself as a valuable pro-social member of society

  3. Develop an understanding of substance abuse and its effects on all life areas.

  4. Identify and correct thinking errors

  5. Improve skills in emotional management

  6. Teach residents basic life skills

  7. Create an environment where residents can support each other in positive change

  8. Teach and develop values consistent with pro-social living

  9. Allow residents to practice new skills in a safe environment

  10. Educate residents regarding the impact of substance abuse and criminality on families and communities

  11. Prepare residents to re-enter society


Within a social environment it is possible to teach and reinforce positive outcomes to these objectives.


The Twelve provides the highest quality of care possible to people who are suffering from substance use disorders or co-occurring substance use and mental health disorders in an environment that preserves and promotes the dignity of the persons served without regard to race, color, creed, gender, economic or social circumstance, sexual orientation, or national origin. We welcome all clients in need of compassionate direction and aggressive recovery. We strive to provide life-enhancing recovery options that are stage matched for individuals. In order to provide the most holistic and comprehensive recovery treatment, we recognize the importance of integrating attention to the entire person; physically, psychologically, mentally, socially and spiritually. 


Program Purpose


The primary purpose of The Twelve Recovery is:


  1. To provide effective, affordable treatment to persons with substance abuse disorders including co-occurring disorders.

  2. To utilize evidence-based treatment methods and qualified staff, in order to promote recovery for the individual,

  3. To advance the safety and well-being of the community; and to engage treatment professionals, students and educators in ongoing efforts to promote and improve the treatment and prevention of substance abuse.


Our view is that, at the core, people are good, but the disorder causes them to think and act in ways which are destructive to themselves and others.  There tends to be deficits in all or some of the following areas; cognitive and behavioral, perceptual, emotional, social, and coping strategies.


The view of recovery is a total change in lifestyle and image.  It is a form of developmental learning that takes place within a social context of self-help and mutual and reciprocal concern.  It is not something that is “given” to the person in treatment, or something the person “gets”. Recovery is a process, not an event.  This clinically managed residential setting can help initiate lifestyle and image change, and then it is up to the individual to use the tools he has learned to continue his recovery.


The view of Recovery is designed to apply in all life areas.  These include truth and honesty in word and deed; living in the “here and now”; acceptance of personal responsibility for one’s destiny; living by a clear moral code; social responsibility (you are your brother’s keeper); and the value of hard work and excellence.  In this approach, the inner person is seen as basically “good”, although his thoughts, feelings, perceptions, and actions may be maladaptive. The Twelve treatment approach uses the values of right living which it believes is an effective tool for personal change.


  • Truth and Honesty (in word and deed):  telling the truth, even when it hurts. Honest not just with others, but with ourselves.

  • Work Ethic: the value of hard work; doing what needs to be done with excellence; a personal commitment in effort. 


  • Necessity of Earning Privileges and Rewards: being willing to prove you have the maturity not to abuse privileges or rewards; having an attitude of humility, not entitlement.


  • Value of Learning:  trying to educate yourself in all areas of your life; being open to advice from others, and being willing to better yourself in any way possible.


  • Personal Accountability:  owning up to what you have done without becoming defensive; taking full responsibility for all your thoughts, feelings, perceptions and actions.


  • Economic Self-Reliance:  learning to budget; living within your monetary means; supporting yourselves without depending on others.


  • Responsible Concern toward Peers and Family: being concerned for the welfare of others; being willing to go the extra mile in helping others; being willing to confront others out of care and concern; being responsible for and accountable to your community and family.


  • Community Involvement:  being an active part of your community, participating in community functions, and initiating action when needed.


  • Good Citizenry:  obeying the rules and laws of your community and the larger society; doing what is right, even if it’s uncomfortable.


  • Thoughtfulness, Compassion & Empathy: to be respectful toward others; to be supportive of others without enabling; to be able to identify how our actions can impact others.