Kaiser Permanente Longview

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

They do not offer one. Sorting detox out comes first, and Longview is the nearest place that does it, under a mile away.

They treat people in Sign language as well as English, which is worth confirming before a first visit because Longview has 8 other centers and not all of them do.

The nearest other center is under a mile away, in Longview, and there are 8 inside 14 miles.

They treat both. A diagnosis left untreated while the substance use is treated is the usual reason a first attempt does not hold, and Kelso is the nearest place to try instead if this one does not fit.

They prescribe buprenorphine and naltrexone, which means the medication side is handled here rather than referred out to somewhere else in Longview.

Some programs have a prescriber on site and some rely on yours, which is worth knowing in advance. Any medication you were prescribed by someone else is still their decision until a prescriber at the program takes it over. Ask what their position is on prescribed medication generally, because positions differ.

The legal protection on addiction treatment records is stronger than the one covering the rest of your medical file. Insurance claims do create a record with the insurer, which is the usual route by which treatment becomes visible. Ask how long the record is kept and what would have to happen for anyone to see it later.