Orlando VA Medical Center

They are set up for 5 levels: inpatient hospital, outpatient, inpatient residential, telemedicine and detox. Of the 8 centers within 14 miles of Orlando, 4 offer a bed.

They handle detox for alcohol, benzodiazepines, cocaine, methamphetamines and opioids. Ask how many days theirs lasts, because that varies more between places than people expect and Orlando has 8 other centers to compare.

The nearest other center is 7.6 miles away, in Saint Cloud, and there are 8 inside 14 miles.

They do video appointments, which matters if Orlando is a drive for you.

They offer a program for veterans. Whether they bill the VA is a separate question, and the answer differs between places even inside Orlando.

They treat seniors. Interactions with the medications an older adult is already taking are the usual reason it matters, so ask who reviews them in Orlando.

Ask both places the same questions and the differences come out quickly. Any place promising a specific outcome is telling you something about itself rather than about treatment. Write down four questions and ask every place the same four.

Treating the substance use and leaving a diagnosis untouched is a common reason a first attempt does not hold. Where a diagnosis already exists, the existing prescriber becomes part of the plan. A program that cannot answer these questions is telling you something useful.