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 Hyden is the closest place to carry that on if you move.

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

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 Hazard offers both.

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

They take court referrals, so a program ordered by a court in Hazard is something they handle.

They are outpatient. If someone needs to be away from where they are using, Hazard has the nearest beds, under a mile away.

Both can be treated at once, and programs that do are described as integrated or co-occurring. Trauma focused therapy is offered by some programs and not others, and it is a specific skill rather than a general one. A program that cannot answer these questions is telling you something useful.

A return to use is treated as information: something in the plan was not holding. Tolerance drops during any period of abstinence, which makes the first use after treatment the most dangerous one. Say what happened last time and what was missing from the plan.