Liberty Health Services

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

They handle detox for alcohol, benzodiazepines, cocaine, methamphetamines and opioids. Ask how many days theirs lasts, because that varies more between places than people expect and Derry has 8 other centers to compare.

Older adults, plus young adults from 18 to 25 and adults from 26 to 64. Ask how the groups are arranged in Derry, because a wide age range often still means one room.

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

The nearest other center is 2.5 miles away, in Londonderry, and there are 8 inside 14 miles.

They treat people in Sign language as well as English, which not every place around Derry does.

A mental health condition alongside substance use is the common case rather than the complicated one. Where a diagnosis already exists, the existing prescriber becomes part of the plan. Ask what happens if the psychiatric side turns out to need more than the program planned for.

It is a set of questions about what is being used, your health, and what you are covered for. Honest answers get a better recommendation, and understating the amount is the most common way people get sent to the wrong level of care. Have your insurance card and a list of medications next to you.