Crossroads Centre Antigua

Assessed 2026-10-01

Headline basis: Public evidenceThe headline number is the public score, not the extended score., LROAS 1.0.0, edition 2026-10-01

Public-evidence total: 39

The sum of the ten criterion scores, from 10 to 100, using evidence anyone can check, including the clinic's own pages as self-declared statements. For the licence element of C2 only, it can also use an authority ruling held in our sealed evidence room. It is the only number used for the rank.

ConfidenceHow well the evidence supports the score.: medium. ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: C10.

C1 Client separation and occupancy · 2

The band rests on the occupancy model only; no bed count is used. The 2014 admissions package places clients in a semi-private room once medically stable, with private rooms only at additional cost and subject to availability, on one shared campus. Group therapy is core to the programme and meals are scheduled activities that must be attended. No sole-occupancy tier exists and the clinic's statements on the model do not contradict each other, so no deduction applies.

ConfidenceHow well the evidence supports the score.: high

Sources (4 cited items):

• Crossroads Centre Antigua: The 2014 admissions package states that clients typically spend withdrawal in a private room when available and are placed in a semi-private room once medically stable, that each bedroom has its own bathroom, shower and verandah, and that private rooms are available at additional cost subject to availability.
• Crossroads Centre Antigua: The 2013 admissions package places clients in a double occupancy room once medically stable, states that special room assignment requests will not be granted, makes meals scheduled activities that must be attended, and requires exercise on campus to be accompanied by another client.
• Crossroads Centre Antigua: The residential programme page lists individual and group therapy and assessments on admission, and gives no capacity figure.
• carf.org: The CARF provider record gives the address 3952 Willoughby Bay and lists Residential Treatment and Residential Detoxification programmes, with no capacity shown.

C2 Clinical governance and medical cover · 7

CARF's own register lists a Three-Year Accreditation for residential treatment and residential withdrawal management at 3952 Willoughby Bay, which serves as the register record since no public Antigua facility register exists. A physician medical director is named, an on-call physician and 24-hour medical care on site are stated, and withdrawal is medically managed on site. With the accreditor entry that is three further elements, band 7. Band 8 needs a fourth: no named hospital escalation route, no non-psychiatric physician service and no complex-psychiatry programme are published.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• No public facility licence register exists in Antigua and Barbuda, so the licence category rests on the accreditor record.

Sources (4 cited items):

• carf.org: CARF provider record 239593: Crossroads Centre Antigua, 3952 Willoughby Bay, first accredited 2015, Three-Year Accreditation for Residential Treatment (Behavioral Health) and for Detoxification and Withdrawal Management, Residential, adults, substance use disorders.
• Crossroads Centre Antigua: The team page names a Medical Director (MD, MPH), a Psychiatry Consultant (MD, PA) and an On-Call Physician.
• Crossroads Centre Antigua: The residential programme page states 24-hour nursing care and medical doctor care on site, and that psychiatry is telemedicine care.
• Crossroads Centre Antigua: The withdrawal management page states a documented medical evaluation within 24 hours of admission including a physical examination and medication orders, pharmacologically assisted management through acute intoxication and withdrawal, and a qualified 24-hour medical team, with a minimum stay of 7 days and a maximum of 10.

C3 Diagnostic depth on admission · 5

Three elements are published: a psychiatric evaluation by telemedicine, a documented physician evaluation with physical examination within 24 hours of admission, and physician review of all medications. No laboratory panel, imaging, scoring instrument, specialist diagnostics, written formulation or clinical screening before commitment is published, so the band above is not reached.

ConfidenceHow well the evidence supports the score.: medium

Sources (3 cited items):

• Crossroads Centre Antigua: The residential programme page lists assessments covering physical, nutritional, bio-psychosocial, psychiatric, psychological and spiritual evaluation, with psychiatry delivered as telemedicine care.
• Crossroads Centre Antigua: The withdrawal management page states immediate nursing evaluation on admission, a documented medical evaluation within 24 hours including a physical examination and medication orders, a telemedicine consultation with a specialist addiction psychiatrist, and a comprehensive assessment of psychological condition and social situation.
• Crossroads Centre Antigua: The 2014 admissions package states that all medications are subject to review by the centre's physicians during treatment and that supplements are reviewed by the admitting physician.

C4 Clinical intensity · 3

Individual therapy is offered with no session count or length, and group therapy has no published share. The clinical team is pooled across the whole residential campus, each client has a primary counsellor, and no therapist or counsellor is stated to stay overnight. Band 3 is the band for individual therapy offered without a count.

ConfidenceHow well the evidence supports the score.: low

Sources (3 cited items):

• Crossroads Centre Antigua: The residential programme page lists individual and group therapy with no count, gives lengths of stay of 30 to 90 days with treatment plans assessed every two weeks, and states 24-hour nursing care.
• Crossroads Centre Antigua: The team page names a Clinical Director, a Lead Therapist, three Primary Therapists, a Lead Counselor Aide and Extended Care Coordinator and two further counsellor aides for the whole residential campus.
• Crossroads Centre Antigua: The 2014 admissions package states that each client has a primary counsellor and that excused absences from groups and activities are approved by medical staff or primary counsellors.

C5 Continuity and aftercare · 4

Three elements are met: an individual recovery plan before discharge, aftercare included in the rates, and a family continuing care plan from the five-day family programme. Continuing care for up to two years is a maximum, not a defined period, and alumni chapters and Zoom meetings are peer meetings rather than clinician-delivered aftercare. No psychiatric follow-up or step-down is published.

ConfidenceHow well the evidence supports the score.: medium

Sources (3 cited items):

• Crossroads Centre Antigua: The residential programme page states a continuum of care for up to 2 years after discharge, an introduction to alumni chapters and aftercare support, and rates inclusive of aftercare support.
• Crossroads Centre Antigua: The alumni page states that clients leave with an individual recovery plan and, wherever possible, a support system at home, and lists alumni chapters in Antigua, Florida, London, the Netherlands, New York, Toronto and Southern California with Zoom alternatives, monthly newsletters and retreats.
• Crossroads Centre Antigua: The family programme page describes a 5-day programme including a continuing care plan to assist in maintaining healthy family relationships.

C6 Admission integrity and commercial conduct · 4

A sweep of the clinic's own domain found no self-ranking, no ranking site linked to the clinic, no commercial award claim and no text addressed to AI assistants; the homepage logos are accreditation and memberships. No current price is published on the live site (figures exist only in the 2014 package), and no referral-fee position or admissions policy is published, so no positive signal counts. A clean sweep with no positive signal is band 4.

ConfidenceHow well the evidence supports the score.: low

Known gapsFacts the assessment needed but could not establish.:

• The domain crossroadsrehab.org was not linked to the clinic; control is not established.

Sources (5 cited items):

• Crossroads Centre Antigua: The residential programme page states that rates are affordable and inclusive of all treatment services, accommodation, the family program, meals, transportation and aftercare support, and that the foundation offers financial assistance to reduce the treatment cost. No price is given.
• Crossroads Centre Antigua: The homepage shows CARF, NAATP, NAADAC and a data seal logo without links or numbers, and carries no rankings, awards or text addressed to AI assistants.
• Crossroads Centre Antigua: The Washington city landing page ranks no other clinic, publishes no price, names CARF and NAATP and carries no text addressed to AI assistants.
• Crossroads Centre Antigua: The team page names clinical outreach liaisons for the United Kingdom, Canada, Spain and Sweden with no referral-fee statement.
• clinic and group domains, web search: Search of clinic and group domains, web search. Scope: domains checked crossroadsantigua.org (homepage, about-us, our-team, who-we-help, contact-us, programs/inpatient-treatment-center, programs/medically-supervised-detox, programs/family-addiction-counseling, alumni, events/renewal-retreats, tour, drug-rehab-washington, privacy notice PDF, 2013 and.... Result: sweep recorded; outcome per the C6 V elements.

C7 Transparency toward the client · 3

Three elements are met, all from admissions packages dated 2013 and 2014: fee inclusions, deposit and refund terms, and a statement of limits (telemedicine psychiatry, alcohol and drug dependence only). That would be band 4, but one point is deducted because both packages are still hosted on the clinic's server and give different fee terms on room assignment and the medical refund period (three weeks against two). No extension terms, licence reference, registered entity number, ownership disclosure, complaints route, published inspection or records retention period is published.

ConfidenceHow well the evidence supports the score.: medium

Sources (4 cited items):

• Crossroads Centre Antigua: The 2014 admissions package states treatment costs inclusive of routine withdrawal management and in-house medical services, all treatment and counselling, complementary therapies and family programme participation, a non-refundable USD 500 pre-admission deposit, full payment prior to admission, no refund after admission except the medical deposit, private rooms at additional cost, and medical refunds within two weeks of discharge.
• Crossroads Centre Antigua: The 2013 admissions package, dated 4 December 2013, gives the same prices and deposit terms but states that special room assignment requests will not be granted and that medical refunds are made within three weeks of discharge.
• Crossroads Centre Antigua: The privacy notice names Crossroads Incorporated, Willoughby Bay, PO Box 3592, St. Phillips, Antigua as data controller with no registration number, states retention only for as long as needed for legal, business or tax purposes, and refers complaints to unnamed supervisory authorities.
• Crossroads Centre Antigua: The contact page links CARF, NAATP and NAADAC to their homepages only, gives no licence reference or accreditation number, and publishes no complaints procedure.

C8 Track record and regulator standing · 5

No final regulator, court or tribunal finding against the operator was found, and no allegation is recorded. The April 2024 CARF survey is an accreditor survey, not a statutory inspection, and no first-hand bylined reporting from inside the facility within five years or capturable independent review platform exists. This places the clinic in the not-published band.

ConfidenceHow well the evidence supports the score.: high

Known gapsFacts the assessment needed but could not establish.:

• An unretrieved lead concerning the US funding foundation remains a data gap and is unscored.

Sources (8 cited items):

• crossroadsguitarfestival.com: The Crossroads Guitar Festival about page states that all festival profits benefit the centre in Antigua, founded 1998, with the 2026 festival marking its 28th year. Recorded as a years-in-operation floor flag only.
• carf.org: The CARF provider record shows Three-Year Accreditation, first accredited 2015. Recorded here for context and scored in C2.
• general web search: Search of a general web search engine. Scope: "Crossroads Centre" Antigua lawsuit OR court OR fine OR closure OR investigation. Result: no record found.
• general web search: Search of a general web search engine. Scope: "Crossroads Centre" Antigua "High Court" OR tribunal OR sued OR judgment Willoughby Bay. Result: no record found.
• general web search: Search of a general web search engine. Scope: "Crossroads Centre Antigua" OR "Crossroads Antigua" workers OR employees court dispute OR ruling. Result: no record found.
• eccourts.org ?s=Crossroads: Search of eccourts.org ?s=Crossroads. Scope: eccourts.org ?s=Crossroads. Result: no record found.
• press and news search: Search of press and news search. Scope: first-hand bylined reporting from inside the facility, last 5 years. Result: no record found.
• statutory regulator records: Search of statutory regulator records. Scope: inspection history and grades of this site. Result: no record found.

C9 Environment, safety and nutrition · 5

The criterion is the mean of a health and safety sub-band of 6 and a nutrition sub-band of 4, which is 5. Health and safety meets seven elements: clinical and medical care on one campus with exercise space, substance and medication controls, residence staff, family visiting, and a 24-hour hospital about 19 minutes by road, derived by Leading Rehabs from the CARF-recorded site address. Band 7 needs published emergency readiness (resuscitation equipment and training), which is absent. Nutrition has a named registered dietitian but no published monitoring.

ConfidenceHow well the evidence supports the score.: high

Known gapsFacts the assessment needed but could not establish.:

• The travel time is derived by the publisher from a parish-level point, not the exact address, and no linked evidence item records it.

Sources (4 cited items):

• Crossroads Centre Antigua: The 2014 admissions package states that residential buildings, group rooms and offices are air-conditioned, that towels and bed linens are laundered by housekeeping staff, that Sunday visitors are arranged with the primary counsellor, that luggage is searched in the client's presence by two staff members, and that medications are reviewed by physicians and administered by medical staff.
• Crossroads Centre Antigua: The 2013 admissions package prohibits alcohol and drugs, governs use of the fitness room and pool area, keeps the beachfront off limits except on accompanied walks, has nutritional requests evaluated by the clinical and medical teams, and provides for random drug screens.
• Crossroads Centre Antigua: The residential programme page lists nutritional counselling and a customised meal plan with a dietitian, and a nutritional evaluation among the assessments on admission. The team page names a Dietitian holding an MBA and the RD credential.
• carf.org: The CARF provider record places the site at 3952 Willoughby Bay, Antigua.

C10 Clinical seniority and academic standing · 1

The team roster is published in full, but no credential could be verified. Lookups for the medical director, psychiatry consultant and on-call physician on the Antigua and Barbuda Medical Council licensed doctors list need a person because the fetch failed certificate verification, and the clinical director's certification has no statutory register route in this jurisdiction. Psychiatry is delivered by telemedicine. With no confirmed credential the band stays at 1.

ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: Clinician register lookups for this criterion were still open at the edition cut-off (see known_gaps). The points count as assessed on the evidence available; the band may change when the lookups are completed, which is resolved in a later edition.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• Three physician register lookups were not complete at publication; the C10 band may change when they are completed.

Sources (3 cited items):

• Crossroads Centre Antigua: The team page names a Medical Director (MD, MPH), a Psychiatry Consultant (MD, PA) and an On-Call Physician in the medical team, and a Clinical Director (MS, NCC), a Lead Therapist (MSc), three Primary Therapists and a Dietitian (MBA, RD) in the clinical and wellness teams.
• Crossroads Centre Antigua: The residential programme page states that psychiatrist care is delivered by telemedicine and that the centre's therapists are trained at master's level with additional certification in their specialised areas, and names CARF accreditation.
• carf.org: Register lookups on the Antigua and Barbuda Medical Council Licensed Doctors list for the medical director, the psychiatry consultant and the on-call physician are recorded as needing a person: a plain fetch failed TLS certificate verification on 2026-09-15. No credential is verified.