Spero Health

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 Big Stone Gap is the closest place to carry that on if you move.

They do not, and neither does anywhere else listed around Norton. Withdrawal management and treatment are often two separate admissions, and this is one of those times.

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 Norton.

They take court referrals, so a program ordered by a court in Norton is something they handle.

Yes, they treat 65 and over, which is less common than it should be and rarer still outside a city the size of Norton.

4 other centers are within about 14 miles, the nearest of them under a mile away in Norton.

Treating the substance use and leaving a diagnosis untouched is a common reason a first attempt does not hold. A diagnosis made during active use often changes once withdrawal is behind somebody. Ask whether there is a psychiatrist or a prescriber on the team, and how often you would see them.

Inpatient means the treatment holds the whole day. Outpatient means it has to fit around one. A stable home and someone in it who is on your side makes outpatient care far more workable. If you are told you need the most expensive option before anyone has asked you anything, get a second opinion.