Cleveland Clinic

They offer inpatient hospital, outpatient, detox and telemedicine. 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 detox from alcohol, benzodiazepines, cocaine, methamphetamines and opioids. Coming off alcohol without medical supervision can be dangerous, which is why it matters that this is one of 1 places near Cleveland that do it.

They prescribe 2 medications: buprenorphine and naltrexone. What a provider actually stocks changes, so ask for the one you need by name before driving to Cleveland.

Yes, they treat 65 and over, which is less common than it should be and rarer still outside a city the size of Cleveland.

There are 8 more within a short drive of Cleveland, so this does not have to be the only call you make.

They offer a telemedicine option. What that covers varies, and a first appointment in Cleveland often still has to be in person.

The two feed each other, which is why handling them separately tends to work badly. Psychiatric medication and treatment medication can usually be managed together by the same team. Ask what happens to your current psychiatric medication during the program.

Family work is a standard part of treatment, though how much of it varies a lot between centers. A relative can usually start the enquiry, book the assessment and hear the options before any decision is made. Ask about the release of information early, because without it the updates stop.