Otis R Bowen Ctr for Human Servs

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

They detox from 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 Albion.

They treat mental health alongside the substance use, so both sides are handled in one place. Ask whether the psychiatric side is on site, because in Albion that is the part that varies.

They offer telemedicine, so some of this can be done by video rather than traveling into Albion.

They offer a program for people dealing with past trauma, which not every center around Albion does.

A program ending is a step down rather than a finish, at least where it is designed well. Where medication is part of the plan, the handover to a community prescriber is the gap to watch. Ask how the medication prescription continues after discharge, and who writes it.

The list should include anything stopped recently, because a recent change matters as much as a current dose. 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.

Residential care is a bed and a program. Outpatient care is a schedule of appointments. People commonly start higher and step down, rather than choosing one level and staying there. Be honest about what is around you at home. It changes the recommendation.