CleanSlate Centers

They offer outpatient and telemedicine. Which one fits is usually decided by how much structure the first few weeks need, and Richmond has 8 other centers within 14 miles.

They do not detox, and nothing inside 14 miles of Richmond does either. Ask them where they send people, because a place without one usually has somewhere it refers to.

They take older adults as well as young adults from 18 to 25 and adults from 26 to 64. Ask who reviews existing prescriptions, because that is the part that matters most for an older adult in Richmond.

Some of what they do can happen remotely. Ask which parts, because it is rarely all of them and the 8 centers near Richmond differ on it.

8 other centers are within about 14 miles, the nearest of them a few streets away in Richmond.

They prescribe buprenorphine and naltrexone, which means the medication side is handled here rather than referred out to somewhere else in Richmond.

It normally means continuing outpatient sessions, a prescriber if medication is involved, and free meetings. An alumni group, a weekly session and a prescriber are the three pieces most plans are built from. Ask how the medication prescription continues after discharge, and who writes it.

Coming back after a return to use is one of the most ordinary things an intake line hears. Where the first attempt had no medication and no aftercare, those are the two obvious things to change. Tell the program what the last attempt included, so this one can be different.