Ascension Brighton Center for Recovery

They offer inpatient residential, inpatient hospital, outpatient, telemedicine and detox. The practical difference is whether you sleep at home or at the center, and are 8 other centers inside 14 miles if neither suits.

They provide detox for 5 substances: opioids, alcohol, benzodiazepines, cocaine and methamphetamines. Whether a bed is free this week is a question for the call, and Brighton has 8 other centers.

They prescribe buprenorphine and naltrexone, which is the part of treatment that is prescribed rather than attended. Of the 8 centers near Brighton, not all of them do.

They offer telemedicine, so some of this can be done by video rather than traveling into Brighton.

Brighton has 105 free AA meetings as well, which is not treatment but costs nothing and needs no referral.

The medication review is part of intake, and it is one of the reasons intake asks so many health questions. Anything needing a blood test or a monthly injection has to be scheduled around the program, which is easier arranged before admission. Take the labeled containers rather than a week of loose pills in an organizer.

There is no fixed length. What is on offer tends to be a 30, 60 or 90 day program. Stepping down through levels of care takes longer in total and tends to hold better than one intensive block alone. If you can only be away for a fixed period, say so at the start rather than partway through.

A previous attempt is information rather than a mark against you. Programs will usually ask what happened last time, and the answer shapes what they offer. Ask whether medication is on the table this time if it was not before.