Lifestream Health Center

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

They detox from opioids, benzodiazepines, cocaine and methamphetamines. Which substances a place handles matters more than the word detox, and 2 of the 8 centers near Bowie offer one at all.

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 Bowie.

Within 14 miles there are 8 other centers, across Lanham, Upper Marlboro and Crownsville.

Nobody stays overnight. Outpatient means you keep sleeping at home and come in for sessions, and the closest residential option is 7.0 miles away in Lanham.

A program ending is a step down rather than a finish, at least where it is designed well. Free meetings, a prescriber and a weekly session are the usual three pieces of a plan that holds. Book the first follow up appointment before leaving rather than after.

The questions that separate two programs are concrete ones about staffing, medication and what happens afterward. The programs that handle a co-occurring diagnosis and the ones that do not are a genuine fork in the road. Ask both places for the daily schedule and compare those rather than the brochures.

They normally continue, and a prescriber reviews the whole list rather than applying a rule to it. Pregnancy changes medication decisions substantially and needs specialist input. Ask who writes your prescriptions after discharge, because a gap at that point is a common problem.