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

No, and nothing else within 14 miles of Middlesboro offers one either, so that part will mean a longer drive or a referral.

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

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

They prescribe buprenorphine and naltrexone, which is the part of treatment that is prescribed rather than attended. Of the 4 centers near Middlesboro, not all of them do.

The list should include anything stopped recently, because a recent change matters as much as a current dose. Pill organizers are often refused at the door, because medication has to arrive labeled. Ask how soon after arrival you would see a prescriber.

Depression, anxiety, trauma and attention disorders turn up constantly alongside substance use. A program that tells you to come back once the mental health side is handled has effectively declined to treat you. Ask what happens if the psychiatric side turns out to need more than the program planned for.

One place can take somebody today and another in the same town is a month out. Where the wait is long, a detox can sometimes happen first and the treatment bed after it. Ask who to call if things get worse while you are waiting, and write that number down.