This paper describes and analyzes the model of care provided by the Ilpurla remote outstation rehabilitation program in Australia's Northern Territory. Reflections are offered about the cultural antecedents of the model, and how it addresses the needs of young Indigenous people. Data describing client numbers, length of stay, the underlying approach to rehabilitation, and the practices of the program are presented. The paper aims to promote an understanding of the outstation model of care, highlight difficulties between programs and their funding sources, and encourages recognition of its importance in the response to drug and alcohol use-related problems among Indigenous people.