My son attended Sundown M Ranch. While they have the staff / patient ratio of 1/8 that is required by the State of WA, the staffing was inadequate for the youths that were there. My son was bullied by the other boys for the fact that his use on intake was much less serious than theirs and that he hadn't been charged with a felony. He also felt peer pressure to bully every newcomer that came in. So it was like prison with the cruel pecking order that is established when there is a lack of leadership. The boys weren't supposed to go into each others' rooms but they did all the time. He didn't open a bottle of shampoo that I left with him because another boy had his shampoo urinated in. He couldn't tell the staff what was going on without being labeled a snitch. He was afraid of getting jumped at night in his sleep. The staff was aware of the bullying but powerless to do much about it without more supervision or the boys coming forward, which they couldn't do without fear of retaliation. The food was good, comfort type food, but, as someone who is trained in nutrition, heavy on things that can encourage aggression. No fish or beans. My son's two counselors were lovely women. They need a younger male counselor(s); there is only one male counselor and he is pretty aggressively confrontational. I was glad we didn't get him. A lot of the boys come from homes without a father and need better role models. The senior staff were kind of emotionally hard. The setting is beautiful in the Yakima Valley but they aren't using the natural world at all. No garden, no hikes, very little outdoor play. They would have better outcomes if the kids spent more time outside. There was very little enrichment. The equipment for the ping pong table was shot, no library, games, or therapy dog. They relied heavily on groups, individual counseling and DVD's. I think having individual addicts in recovery come in to tell their stories would be great. The family program was really informative and really helped us. My son graduated successfully from the program but ended up in the ER after overdosing just a few weeks after the program. His behavior also got seriously worse after Sundown and I can't help but wonder if it was the influence of the kids he was with. We put him in a longer Wilderness program 6 weeks after his graduation. Sundown wasn't the right program for my son. I wish I had sent him elsewhere.