Spero Health

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

No. The nearest place that does offer one is in London, 4.0 miles away.

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

They prescribe 2 medications: buprenorphine and naltrexone. What a provider actually stocks changes, so ask for the one you need by name before driving to London.

They take mandated treatment. What paperwork the court wants back is between you and whoever ordered it, and London has 8 other centers if the dates do not work.

Both at once is the common case, and treating only one of them is why some first attempts come apart. Treating one and postponing the other is the pattern that sends people back for a second attempt. Ask whether both are treated in the same place or one after the other.

There is almost always a family role, and centers differ most in how early it starts. A family member asking the questions is normal, and intake lines are used to it. Ask about the release of information early, because without it the updates stop.

A program needs your signature before it discusses you with anyone at all. Who sees a record inside a program is also limited, usually to the team treating you. Read what you sign at intake, because the release is in that stack.