Roanoke Comprehensive Treatment Center

They are set up for 2 levels: outpatient and telemedicine. Of the 8 centers within 14 miles of Roanoke, 4 offer a bed.

No. The nearest place that does offer one is in Roanoke, 1.8 miles away.

They have a program for veterans. Ask whether the group is veterans only, because for a lot of people that is the point of it and in Roanoke it may be mixed.

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

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

Expect questions rather than a pitch, and expect them to be fairly direct. Medical history matters here: seizures, pregnancy, heart problems and current prescriptions all change the plan. Ask what the next step would be and who makes it happen.

The number quoted is almost always the first block, and the whole arc of treatment runs longer than that block. Longer time in treatment is associated with better outcomes, which is why the step down to outpatient care matters. Ask how many hours of treatment a day the length actually contains.

Outpatient programs run early and late for exactly this reason, so many people are treated without taking leave. A human resources department normally needs dates and a clinician's note rather than details of the condition. Read your own leave policy before telling anybody anything.