VA Ann Arbor Healthcare System

They offer outpatient, telemedicine and detox. Which one fits is usually decided by how much structure the first few weeks need, and Ann Arbor has 8 other centers within 14 miles.

They detox from opioids, alcohol and benzodiazepines. Coming off opioids without medical supervision can be dangerous, which is why it matters that this is one of 2 places near Ann Arbor that do it.

They prescribe buprenorphine and naltrexone, which is the part of treatment that is prescribed rather than attended. Of the 8 centers near Ann Arbor, not all of them do.

They offer telemedicine, so some of this can be done by video rather than traveling into Ann Arbor.

Ann Arbor has 21 NA meetings too, and most people end up using both.

A mental health condition alongside substance use does not make somebody a difficult admission. Whether a psychiatrist sits on the team, and how often you would see one, separates programs here. Ask what happens to your current psychiatric medication during the program.

The usual shapes are a few days of detox, a month or so of residential care, then outpatient care for longer. Two centers quoting the same number of days can mean very different hours of treatment inside them. Ask what the schedule is day by day, because that is what you will be living.

Nearly every plan includes something for this, and the detail is in which level of care it will approve. A center's billing office can often check a plan faster than the insurer's own line will. Ask for the benefits check in writing, including what it does not reach.