Carrara Treatment Wellness & Spa · Malibu, California

The Clinical and Medical Program at Carrara

Care at Carrara is run by a physician-led medical team and a licensed clinical team working from one written plan, in a house of six, and every credential on this page can be checked by you or your family.

A suite at Carrara in Malibu, a stone fireplace flanked by stacked firewood and glass doors open to the ocean
Joint Commission Gold Seal Accredited
DHCS Licensed & Certified
Available 24/7 · Completely Confidential
Written by Britney Elyse, MA, LMFTMedically reviewed by Dr. Craig V. Smith, MD, FASAMLast reviewed October 23, 2026
Medical Oversight

Who Oversees Medical Care at Carrara?

Medical care at Carrara answers to one physician: Dr. Craig V. Smith, MD. He is Medical Director, his specialty board certification is Addiction Medicine (American Board of Preventive Medicine), his medical degree is from UCLA School of Medicine, and he moved into addiction medicine in 2009 after a career as a transplant surgeon.

That oversight is concrete. A physician evaluates you on your first day and writes the starting detox and medication plan; staff are on site through the night while you withdraw; psychiatrists on the team treat co-occurring conditions, from depression and anxiety to trauma and bipolar disorder, within the one plan that also covers the substance use; and medication is revised as you change.

Day-One EvaluationA physician sees you on arrival and sets the first medical protocol.
Staff on SiteThrough detox, medical staff are in the building overnight, not a number on a wall.
Psychiatry on the TeamPsychiatric assessment in the first days, with medication managed by the medical team.
A Plan That MovesProtocols are revised as you respond, not fixed in advance.
The Plan

How Is Your Treatment Plan Built?

Your path to recovery begins with a personalized plan, guided by clinical expertise and tailored to your individual needs at every stage.

A physician in a white coat writing notes on a clipboard, a stethoscope around her neck
01

Clinical Intake

A clinician takes your substance use, mental health and trauma history and what happened in earlier treatment; a physician completes the medical evaluation the same day.

02

Psychiatric Assessment

A psychiatrist assesses mood, anxiety, trauma and any prescriptions you already hold, so co-occurring conditions are treated inside the plan rather than deferred to later.

03

The Written Plan

Your primary therapist, the medical team and your case manager write one plan: three individual sessions a week with your assigned therapist, inside a month whose one-to-one clinical appointments can reach 80, plus groups and family sessions where they help.

04

Review and Adjustment

The plan is reviewed as you go: medications adjusted, a therapy swapped where it isn’t working, and your family brought in with your consent.

05

Aftercare, Written Before You Leave

Discharge planning starts during treatment, not in the final hour: continuing therapy, follow-up medical care and who you call, all settled before you go home.

What’s Inside

What Does the Clinical Program Include?


Levels of Care

What Levels of Care Are Inside the Residential Program?

Your length of stay is settled at evaluation and revisited as treatment goes on, not read off a calendar.

A sitting area at Carrara's Malibu house at dusk, two white armchairs, a chess set, and deck umbrellas beyond

Medical Detox

Supervised withdrawal in your own suite, with medication when a physician indicates it, and medical staff on site day and night. Run by the Medical Director and the medical team.

Residential Treatment

Individual therapy, groups, psychiatry, family work and the wellness schedule, all from one written plan. Run by your primary therapist, under the Executive Clinical Director.

Aftercare Planning

Continuing therapy, medical follow-up and alumni contact, settled before discharge. Run by your case manager and the alumni services director.

Outpatient, IOP and PHP

Not offered. Carrara is residential only, and if a day program would serve you better, admissions says so on the first call.

Checkable

Carrara Treatment’s Licensing, Credentials, and Commitment to Quality Care

Carrara Treatment is a legitimate, licensed residential facility, and you don’t have to take our word for it. Carrara holds California DHCS license #191295AP as a licensed and certified residential facility, and the facility search on the DHCS website lets you confirm the license and its status.

Each accreditation and membership here can be checked at its source too, and admissions can take you through each one on the phone, including the question of whether a residential program is the right level of care for you.

State LicenseLicensed and certified by California DHCS; searchable on the DHCS website.
Joint CommissionGold Seal of Approval, listed on the Joint Commission’s public Quality Check directory.
NAATPMember of NAATP, the national trade association for addiction treatment providers, which publishes its member list.
LegitScriptCertified, the independent check Google requires before a treatment provider can advertise on Google.
HIPAACompliant; details of your stay are shared only under a release you sign, except where the law specifically requires otherwise.
The Team

Who Is on the Clinical Team?

The physicians, psychiatrists, Director of Nursing and clinical director who own the decisions in your plan, with the credentials each one holds as printed. Everyone who works with you, therapists and case management included, is listed on Carrara’s team page.

Portrait of Dr. Craig V. Smith, Medical Director at Carrara

Dr. Craig V. Smith, MD

Medical Director
Board certified in Addiction Medicine, American Board of Preventive Medicine

Board certified in Addiction Medicine by the American Board of Preventive Medicine, with an MD from UCLA School of Medicine. He moved into addiction medicine in 2009 after a career as a transplant surgeon.

Portrait of Dr. Kenneth Spielvogel, Senior Medical Officer at Carrara

Dr. Kenneth Spielvogel, MD

Senior Medical Officer with Special Interest in Addiction Medicine
Board certified in Obstetrics and Gynecology

Nearly 30 years of clinical experience, with his medical degree from George Washington University School of Medicine. Board certified in Obstetrics and Gynecology, and fluent in Spanish.

Portrait of Dr. Dana Harris, Psychiatrist at Carrara

Dr. Dana Harris, MD

Psychiatrist
Board certified in Adult Psychiatry and Addiction Medicine

Trained in psychiatry at the UCLA Neuropsychiatric Institute after Drexel University School of Medicine. President of the California Society of Addiction Medicine.

Portrait of Dr. Ben Shapiro, Psychiatrist at Carrara

Dr. Ben Shapiro, MD

Psychiatrist
Board certified in Psychiatry, Geriatric Psychiatry and Addiction Medicine

Trained at Cornell and then UCLA, and formerly an Assistant Professor in Psychiatry at the UCLA School of Medicine. He treats co-occurring psychiatric conditions within the same plan as the substance use.

Portrait of Kylie O'Connor, Director of Nursing at Carrara

Kylie O’Connor, MSN, RN, FNP-C

Director of Nursing
Board-certified Family Nurse Practitioner, American Academy of Nurse Practitioners

A board-certified Family Nurse Practitioner with an MSN from Chamberlain University. Before Carrara she worked at Miller Children’s and Women’s Hospital and at Kaiser Permanente.

Portrait of Patricia Freebery, Executive Clinical Director at Carrara

Patricia Freebery, MA, LMFT

Executive Clinical Director
Licensed Marriage and Family Therapist

Over 20 years in private practice in Los Angeles, with an MA in Clinical Psychology from Antioch University. Trained in ISTDP and couples therapy at the UCLA Neuropsychiatric Institute, and a member of CAMFT.

Frequently Asked

Questions About the Clinical Program

What makes Carrara’s rehab program different from others?

Mostly who is in the building and how often you see them: six clients at most, four team members, clinical and support, for every client, a team averaging 20,000 hours of clinical experience, and detox flowing into residential treatment in one house with no transfer. Facts you can check, not claims about results.

Is there an outpatient, IOP or PHP option at Carrara?

No. Carrara is residential only. If you need a day program, admissions tells you so on that first call and helps you find one.

How many therapy sessions will I have each week?

Three individual sessions each week with the therapist assigned to you is the baseline, with psychiatry, medical rounds and groups around them, within a monthly ceiling of 80 individual appointments with clinicians. Your plan sets the exact mix.

Who decides about medication, including MAT?

A physician makes every medication decision, at evaluation and again as you change. Medication-assisted treatment is indicated for some people and not for others, and both answers are respected here.

Can my family be involved in treatment?

Yes, with your consent. Family sessions and education are written into the plan where they help, and if you sign a release, one named person can be kept informed by admissions.

Can insurance help with the cost of treatment at Carrara?

It can cover part of it, depending on which plan you hold. The insurance companies, not Carrara, decide which plans pay toward residential treatment, and that list shifts often. Admissions confirms what your own plan does. The insurance coverage page explains how.

Ask the Clinical Questions

Put the Hard Questions to Us First

Ask who would run your detox, which physician writes your medications and what the week actually holds. Admissions answers all of it in confidence, and will say if a different program would fit better.

If this is an emergency, call 911. For free confidential support 24 hours a day, call or text 988.

This page is general information, not medical advice.