Middlesex Recovery

They provide outpatient, detox and telemedicine. Whichever one you start at the usual pattern is to step down through the levels rather than stop at once, and Lawrence is the closest place to carry that on if you move.

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 Salem has 8 other centers to compare.

Outpatient only. Nobody stays overnight, so the week is built around appointments you travel to in Salem.

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

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

The list comes with you and gets reviewed. Nothing on it should change on a policy rather than a prescription. Some abstinence based programs are uncomfortable with prescribed medication, and that is a genuine difference between centers. Ask who to speak to if something needs changing mid program.

The block you are offered and the time the work takes are two different things, and that is the honest answer. The stretch after the main program usually runs far longer than the program did, and it is the part people underestimate. Ask what the schedule is day by day, because that is what you will be living.

A return to use is treated as information: something in the plan was not holding. Shame is the main reason people wait, and waiting is the thing that makes it worse. Ask what is arranged for the weeks after discharge specifically.