Mount Rogers Community Services Board

They offer inpatient residential, detox and telemedicine. Which one fits is usually decided by how much structure the first few weeks need, and Marion has 1 other center within 14 miles.

They detox from alcohol, benzodiazepines, cocaine, methamphetamines and opioids, so the first stage and the treatment after it can happen in one place rather than across two trips to Marion.

Marion has 1 AA group, which is a different thing from treatment and a useful one next to it.

They do video appointments, which matters if Marion is a drive for you.

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

Some programs have a prescriber on site and some rely on yours, which is worth knowing in advance. Stopping a psychiatric medication abruptly can cause real harm, which is why this is never a decision to make alone. Any change to what you take is a conversation with a prescriber, never a decision from a page like this.

Outpatient keeps work, school and family going. Inpatient pauses them. The higher level is not automatically the better one, and being placed above what you need is its own problem. Ask whether a center can carry out an assessment first rather than selling you a program.

The documents matter: identification, insurance details, and anything a prescriber has written for you. A written packing list exists at almost every residential program, and asking for it saves an argument at intake. Ask whether you can bring your own pillow, because the answer is often yes and it helps.