San Anselmo, CA - Rosebay Behavioral Health announced a residential-to-outpatient continuum designed to improve long-term stability for adults with serious or complex mental health symptoms in Marin County and the greater North Bay. The model connects residential treatment with Partial Hospitalization (PHP), Intensive Outpatient (IOP), and standard outpatient services through consistent care teams, early discharge planning, and scheduled first-week appointments after each transition. The approach emphasizes clear structure and coordination across psychiatry, CBT/DBT, EMDR, somatic therapies, and safety planning to protect progress as clients step down in intensity.
The continuum is built on the principle that stabilization should not be disrupted by handoffs. Treatment plans follow the client from one level of care to the next, and the same clinical leadership remains engaged throughout. Before a transition occurs, the receiving team receives a case summary, medication plan, and goals for the next phase. First-week appointments are scheduled in advance to reduce downtime, and families receive guidance on practical support at home, including sleep routines, early-warning signs, and communication strategies.
Rosebay’s pathway begins in a structured residential setting for clients who need 24/7 support. During this phase, psychiatry, psychotherapy, and skills practice are tightly aligned to address acute symptoms and establish daily rhythms. As stability improves, clients step down to PHP and IOP, where skill application expands into real-world contexts with frequent therapeutic touchpoints. The final step transitions to standard outpatient care with individualized therapy and psychiatric follow-up, supported by relapse-prevention education and alumni connections.
“Continuity is the difference between momentum and setback,” said Dr. Nancy Lambert, Psy.D., Chief Clinical Officer at Rosebay Behavioral Health. “When the same team coordinates psychiatry, CBT and DBT skills, EMDR, and somatic work across residential and outpatient care, gains made during stabilization are preserved. Early discharge planning and first-week scheduling keep support close at hand, which is essential for complex presentations that can change quickly.”
A hallmark of the model is measurement-based care. Symptom scores, sleep and functioning checkpoints, and medication response are reviewed weekly and used to adjust goals. This real-time feedback loop clarifies readiness for step-down, identifies risks that could derail progress, and ensures that therapy targets remain aligned with psychiatric decisions. Safety plans are created early, reviewed at each transition, and shared with the care team and when appropriate family support.
The continuum’s therapeutic toolkit is tailored to complex cases frequently seen in Marin County. Cognitive behavioral and dialectical behavior therapies provide structure for distress tolerance, emotion regulation, and interpersonal effectiveness. EMDR is introduced when clinically appropriate to address trauma-linked triggers and intrusive memories. Somatic interventions help regulate the nervous system, supporting improvements in sleep, panic, and hyperarousal. For clients with co-occurring substance-related concerns, craving management and medication oversight are integrated into the plan.
Operational practices reinforce clinical intent. Warm handoffs occur before discharge dates, and a written “first-seven-days” plan outlines session times, transportation details when applicable, and home-practice assignments. Communication channels remain open between levels of care so that new information such as workplace stressors or family changes can be incorporated without delay. The goal is a predictable sequence that replaces gaps with structure and replaces uncertainty with next steps.
The continuum also addresses common barriers to engagement. Scheduling options accommodate work and caregiving responsibilities; telehealth may be used when clinically appropriate and when it strengthens adherence. Family education sessions teach boundary setting, de-escalation, and support strategies that match the client’s current level of care. For referring partners in hospitals, emergency departments, and primary care, Rosebay offers a referral pathway with priority intake holds and clear feedback loops.
Rosebay Behavioral Health views this residential-to-outpatient pathway as a practical framework for sustained outcomes in complex care. Stabilization begins in a high-structure environment, is reinforced through step-downs that maintain frequent contact, and continues in outpatient care with targeted goals and ongoing measurement. The result is a steadier return to daily life, fewer avoidable readmissions, and a clearer roadmap for clients and families seeking durable progress.
About Rosebay Behavioral Health
Rosebay Behavioral Health is a high-needs mental health treatment center based in San Anselmo, California, serving Marin County and the San Francisco Bay Area. Services span residential treatment, Partial Hospitalization (PHP), Intensive Outpatient (IOP), and outpatient care for adults experiencing serious or complex symptoms. Multidisciplinary teams integrate psychiatry, evidence-based psychotherapies, EMDR, somatic modalities, and measurement-based care to improve stability and functioning over time.
Media Contact
Name
Rosebay Behavioral Health
Contact name
Chris Hammett
Contact phone
(415) 526-6360
Contact address
201 San Anselmo Ave
City
San Anselmo
State
CA
Zip
94960
Country
United States
Url
https://www.rosebaybh.com/
