Westend Clinic

They offer outpatient and detox. Which one fits is usually decided by how much structure the first few weeks need, and Saint Louis has 8 other centers within 14 miles.

They detox from opioids, so the first stage and the treatment after it can happen in one place rather than across two trips to Saint Louis.

They offer a program for people who are pregnant or just postpartum, which not every center around Saint Louis does.

8 other centers are within about 14 miles, the nearest of them 2.8 miles away in Saint Louis.

They treat older adults, along with young adults from 18 to 25 and adults from 26 to 64, which is a wider range than most places listed near Saint Louis cover.

Detox is days, residential care is weeks, and outpatient care is months. Two centers quoting the same number of days can mean very different hours of treatment inside them. Ask what the program does when somebody needs more time than the block allows.

Inpatient is the higher level of care, and higher is not automatically better for everyone. Partial hospitalization and intensive outpatient fill the gap, with several hours of treatment a day and your own bed at night. If you are told you need the most expensive option before anyone has asked you anything, get a second opinion.

It means a doctor is involved and a prescription is part of what holds the first months together. Treatment that combines medication with counseling holds people in care longer than either on its own. Ask how long the medication is expected to continue, and who reviews it.