Aleda E Lutz VAMC

They provide outpatient and telemedicine. The nearest alternative is in Mount Pleasant, 13 miles away, if you want something to compare it against.

No. The nearest place that does offer one is in Clare, about a mile away.

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 Clare.

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

They work in 1 language beyond English: Sign language. Ask whether the group sessions in Clare are in it too, or only the one to one ones.

A well designed program treats its own ending as a handover rather than a finish. Having something scheduled for the first week back is better than having good intentions for it. Book the first appointment after discharge while you are still in the program, not afterward.

Both get treated together at the programs that do this properly, by one team. Where a diagnosis already exists, the existing prescriber becomes part of the plan. Ask how often you would see a prescriber, not only whether one exists.

Frequently yes, and the level of care decides it more than the employer does. Some professions have licensing bodies with their own reporting rules, and those are worth checking separately. Ask the program for a date it will confirm in writing, because a leave request needs a date rather than an intention.