Richmond State Hospital

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

They do not detox, and nothing inside 14 miles of Richmond does either. Ask them where they send people, because a place without one usually has somewhere it refers to.

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

They prescribe buprenorphine and naltrexone. Medication and counseling together is the standard of care for opioid use rather than an either or, and not every place near Richmond offers both.

One of their programs is built for people dealing with past trauma, which usually means a separate group rather than the same room with a different label, and it is one of the 4 named here.

Family work is a standard part of treatment, though how much of it varies a lot between centers. Where children are involved, some programs can keep a parent and child together and most cannot. If you are calling about someone else, say so at the start and the conversation will fit.

Somebody works through a short list, and the clinical detail comes later at an assessment. Understating the amount is the common mistake, and it leads to the wrong level of care being offered. Ask what happens between the call and the first day, and who is responsible for each part.

Usually there is a route through this that keeps the job, and which route depends on the level of care. A medical leave of absence from a college is normally reversible, and usually a better record than a failed semester. Look at what your own employer offers before you tell anyone anything.