Somerset House Cazeinovia Recovery Systems

Somerset House offers women a structured residential treatment program along the shores of Lake Ontario in Appleton, NY. The program is intentionally small — serving up to 17 women at a time — which means residents are not lost in an institutional setting. For women who are ready to step into longer-term recovery, this kind of focused environment can make a meaningful difference in outcomes.

Beyond residential care, Somerset House also operates an outpatient program, which is particularly relevant for women who have completed a residential stay or who need ongoing support while maintaining outside responsibilities. Having both levels of care within the same program creates continuity, a factor that matters greatly for sustained recovery.

For many women entering addiction treatment, substance use does not exist in isolation. Somerset House is specifically equipped to treat co-occurring disorders and dual diagnosis — meaning women who are navigating mental health conditions alongside substance use can receive integrated care. The program also addresses trauma and PTSD, conditions that frequently intersect with substance abuse histories, particularly among veterans and survivors of adverse experiences.

Cognitive Behavioral Therapy (CBT) forms a recognized part of the clinical framework at Somerset House. CBT is a well-established therapeutic method used to help individuals identify and shift thought patterns that contribute to substance use and emotional distress. Its inclusion signals a clinically grounded approach to substance abuse treatment rather than a one-dimensional model.

Somerset House does not operate as a catch-all facility. The program's confirmed population focus includes veterans, seniors and older adults, women with HIV/AIDS, individuals who are deaf or hard of hearing, and those entering through court-ordered pathways. Each of these groups carries distinct needs that a generalist program may not address adequately. By naming these populations explicitly, Somerset House signals a deliberate commitment to serving women who might otherwise struggle to find a fitting recovery community.

On the financial side, the program accepts Medicaid, private insurance, and self-pay arrangements. This range of payment options removes a barrier that stops many women from pursuing residential or outpatient care. For families supporting a woman considering substance abuse treatment in western New York, that accessibility is a practical and important consideration.

Somerset House is affiliated with Cazenovia Recovery, an established New York-based organization in the substance use treatment space. This affiliation means residents benefit from the broader organizational infrastructure and credibility that comes with an established recovery network, while still receiving care in an intimate, women-only residential setting. The program is certified by the New York State Office of relevant oversight, providing a layer of accountability for families evaluating treatment options.

For women in Niagara County and the surrounding region of western New York who are looking for a residential treatment program that goes beyond short-term stabilization — one that addresses trauma, mental health, and long-term recovery — Somerset House represents a focused, population-specific option worth serious consideration.