Size Matters

Next Chapter finds the “sweet spot” for effective treatment

It is not uncommon to find those who believe that “bigger is better.”

After all, American society has long celebrated the superlative, which has creating a culture of excess that strongly contributes to the occurrence of drug, alcohol, and other dependencies. The more conscientious message of moderation and restraint is inevitably drowned out while “more” is lauded as a universal solution.

Thus, it’s ironic that some will apply this same reasoning to treatment centers, assuming that size of the facility is a reasonable measure of its ability to effectively treat those in need. It’s not.

However, as Next Chapter’s results can attest, size is definitely important.


Not Too Small

Small treatment centers abound in South Florida, especially in Delray Beach, where Next Chapter is located. Because of our “winter-proof” climate and relative isolation from the rest of America, the area is ideal for recovery facilities seeking to attract potential clients. The New York Times has even referred to Delray Beach as “The Recovery Capital of America.”

Together, these treatment centers form an ever-changing landscape for the local recovery community. Most are completely dependent upon their clients’ insurance for income and go out of business only to be replaced by other, similar facilities. Generally, they deal only with drug and alcohol addiction rehabilitation, and many can accommodate just a few clients at a time in their residences.

Amidst this landscape, Next Chapter has quietly assembled a world-class treatment center for those suffering from personal trauma and related dependencies. We have assembled a dedicated staff of respected and accredited clinicians, and formulated an alarmingly effective treatment paradigm that is swiftly earning our center a reputation for handling notoriously complex and treatment-resistant cases.

Even though our notoriety has grown, Next Chapter itself remains intentionally limited in size.


Not Too Big

Often, clinicians and other referring agencies are surprised to discover that Next Chapter limits its census to just 18 clients at a time. After all, it is expected that a treatment center with a track record like ours would grow rapidly, and continue growing and expanding, as others have.

But Next Chapter is not like other treatment centers.

Our goal is not to grow Next Chapter so we can take on a larger share of the trauma and recovery business, but rather to simply provide the most effective treatment for our clients. That means maintaining an unprecedented level of clinical attention and personalization for each and every client we treat.

What we’ve discovered is that our team approach works exceptionally well. Our clinical staff meets every day for about 90 minutes to discuss clients, and collaboratively strategize, sharing notes and observations so that everyone is thoroughly informed about the needs and sensitivities of each case. Our clinical team also works closely with the residential staff, who get to know our clients in the more social setting of our residences and share their insights and observations.

Unfortunately, this level of involvement and personalized treatment is simply not possible on a larger scale. A larger case load of clients would make it much more difficult to keep the clinical staff updated on each client’s background, family dynamics, progress, and treatment, lessening our effectiveness as a result.


Just Right

Fortunately, Next Chapter is not compelled to expand beyond our current scale. Because it is privately owned and independently funded, Next Chapter is able to resist the fate of so many reputable treatment centers that have been purchased by larger hospital systems or private equity groups. Too often, those programs are gutted following their acquisition by administrators and board members who are more focused on census and profit than on quality client care and clinical services.

Next Chapter is owned by Anthony Fasano and Abe Antine. Antine, Next Chapter’s CEO and Clinical Director, is a Licensed Clinical Social worker who has worked extensively in the treatment industry. Fasano is an NFL player who is also committed to helping those struggling with addiction. Anthony’s interest stems from his personal experience with family members who have battled addiction, but it is Next Chapter’s uniquely dedicated approach that has really kindled his passion in the center.

“Next Chapter is exactly what it needs to be,” Fasano said, “it’s small and close like a family, where everyone cares and supports everyone else.”

In fact, Next Chapter’s family-like environment doesn’t just include our staff and clients. Our size also makes it possible for us to allow each client’s own family members and loved ones to also be included in treatment. We engage family members in therapy sessions at least once a week, as well as inviting them to participate in daily therapeutic activities through our multi-day family program.

Additionally, because recovery from trauma and dependency never really ends, Next Chapter continuously reaches out and connects with alumni who have graduated from our treatment. We encourage all of our clients to remain engaged, and actively focused upon their personal journeys of recovery.

In this way, the Next Chapter “family” continues to grow and expand, even if our size and case load does not. Perhaps, aside from the personal growth we cultivate in our clients and their families, this is the only kind of growth that really matters.

Learn more about our unique team and approach at