Malibu-grade care.
Half the cost. Worlds away from your day-to-day.
Hillhouse Clinics is an internationally accredited luxury rehab in Cape Town designed for Americans who want true privacy, deep clinical work, and the dignity of a world-class destination — without the $80,000–$120,000-per-month invoice of a comparable U.S. program.
Complete privacy
12,000 km from your professional and social network. No risk of being recognized at lunch.
A fraction of the cost
$30,000 for the full 12-week program. Both treatment paths take place at The Hillhouse, with The Re-entry House when clinically ready — vs $80k–$120k per month at Malibu or Arizona facilities.
World-class destination
Cape Town: 18–22 hours from JFK with one connection. Discreet airport collection included.
Let's go on a journey of recovery
It's so nice to meet you! All of us here at Hillhouse Clinics are dedicated to helping you find lasting recovery. Our mission is to help those in need with our certified staff.
Many of us have been where you find yourself now: in desperation and in active using. We now live a full life and have had the chance for a new beginning in our life of recovery.
What makes Hillhouse Clinics different from other options is our intense evidence-based therapy led by our team of professionals, most of whom have had to deal with the same pain you are finding yourself in right now.
Licensed & Registered
Official treatment center licensed by the Western Cape Government.
Expert Team
Certified staff, many with personal recovery experience.
Beautiful Location
Healing environment in Cape Town with stunning natural surroundings.
24/7 Support
Round-the-clock care and support throughout your recovery journey.
From darkness to new beginnings
Every recovery journey is unique, but the path to healing follows a powerful transformation. See how our approach guides you from struggle to triumph.
The Weight of Addiction
Addiction can leave you feeling isolated, hopeless, and trapped. The weight becomes unbearable, affecting every aspect of your life and relationships.
Making the Call
The bravest step is reaching out for help. That first call changes everything—it's the moment you choose a different path for your life.
Healing Together
In our therapeutic community, you discover you're not alone. Group therapy, individual counseling, and peer support create the foundation for lasting change.
Finding Your Strength
Through challenges and breakthroughs, you discover inner strength you never knew you had. Every step forward builds confidence and resilience.
Standing in the Light
At the summit of your journey, you see how far you've come. The person you're becoming is free, strong, and ready for a new chapter.
Reconnecting with Love
Recovery heals more than just you—it restores relationships and reunites families. The joy of genuine connection returns to your life.
Your addiction is not the problem.
Most treatments focus only on the addiction. But addiction is not your problem — it is the solution you found for a pain that lives deep, deep within you.
To travel down to that place, you need time. That is why our treatment is twelve weeks — anything shorter cannot reach the root.
And addiction never comes alone. We have never met a single person who only carries an addiction — that simply does not exist.
Everyone who suffers from addiction also carries something else: a lack of self-worth, no self-love, low self-esteem, unhealed trauma. To heal all of that, you need an environment that allows you to truly feel it.
"Addiction is not the disease. Addiction is the symptom of a soul that has been hurting for too long."
It is never just addiction
Underneath there is always trauma, shame, or a wounded sense of self.
Twelve weeks, by design
Real change cannot be rushed. Time is the medicine the deeper layers need.
A place that lets you feel
Safety, presence and care so the pain finally has somewhere to land.
Healing the whole person
Not just sobriety — self-worth, self-love and a life worth staying for.
Clinical Addiction Treatment
Our clinical treatment combines evidence-based therapy, therapeutic activities and meaningful outings. Primary Care and Integrated Care are two distinct treatment paths at the same location, The Hillhouse. The Re-entry House is our re-entry residence for the next stage of recovery. We focus on you and your individual needs.
From turmoil at home to calm in Cape Town
Drag the slider to see how a change of scene changes everything. Away from triggers, away from old patterns — to a place where recovery can truly begin.
Hillhouse vs. U.S. luxury rehab
A side-by-side look at what your investment buys.
| Hillhouse (Cape Town) | Typical Malibu / Arizona luxury rehab | |
|---|---|---|
| 12-week program (inclusive) | $30,000 | $80,000 – $120,000 |
| Length of stay | 90 days | 30 days standard |
| Staff-to-client ratio | 1:1 to 1:2 | 1:2 to 1:4 |
| Privacy from U.S. networks | Maximum (12,000 km away) | Limited |
| Medical detox on-site | Yes | Varies |
| International accreditation | Yes (DSD-licensed) | State-licensed |
Pricing reflects published industry averages for comparable luxury programs as of 2025.
Real stories, real transformations
Editorial standards & clinical review
Author
Jeroen Decker
Founder, Hillhouse Clinics
Founder of Hillhouse Clinics with 15+ years building licensed residential addiction treatment in Cape Town. Personal lived experience of recovery.
Reviewed by
David McNamara
Clinical Director
Clinical Director with 20+ years in addiction medicine. Oversees ASAM-aligned treatment protocols, medical detox and the multi-disciplinary clinical team supporting both treatment paths at The Hillhouse and a move to The Re-entry House.
Medically reviewed by
Bryan Hellmann
Clinical Psychologist
Registered Clinical Psychologist specialising in trauma, dual diagnosis and evidence-based therapies (CBT, DBT, EMDR) for substance use disorders.
Last clinically reviewed: May 7, 2026 · Next review scheduled: November 2026 · Hillhouse Clinics is licensed by the South African Department of Social Development. Content is informational and does not replace medical advice.
Your recovery brings light to their lives too
Part of what you invest in yourself goes to four projects in South Africa and Gambia. Education, clean water, healthcare and opportunity for those who need it most.
"Be the light in someone's darkness — not a slogan, but what we do every day."Read more about our mission
A confidential conversation — on your terms
Available 24/7 for U.S. families. Toll-free: 1 (800) 917 0306
Recognised by the Western Cape Government
Hillhouse Clinics is officially licensed and registered by the Department of Social Development of the Western Cape Government. Our facility, programs and clinical practice meet South Africa's strictest regulatory standards for in-patient addiction treatment — your assurance of safety, quality and accountability.