START Treatment and Recovery Centers

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

No. The nearest place that does offer one is in Bronx, under a mile away.

Some of what they do can happen remotely. Ask which parts, because it is rarely all of them and the 8 centers near New York differ on it.

They prescribe 2 medications: methadone and buprenorphine. What a provider actually stocks changes, so ask for the one you need by name before driving to New York.

Within 14 miles there are 8 other centers, across Bronx.

The questions that separate two programs are concrete ones about staffing, medication and what happens afterward. A program that cannot tell you its staff to client ratio usually has a reason. Ask whether the person on the phone works for the center or for a referral service.

It is the same treatment with reporting attached, and most of the programs listed here take referrals. Drug court programs often have their own approved list and their own funding attached. Ask what happens if you miss a session, so you hear it from them first.

Having both is the ordinary case, and the programs built for it are described as integrated. An integrated program handles both with one team, which removes the handover where people get lost. Ask how often you would see a prescriber, not only whether one exists.