Questions people ask before they call

There is no clean threshold, but a few things tend to be true by the time people call: using more than intended, trying to cut down and not managing it, and carrying on despite what it is costing at work, at home or health-wise. If you are asking the question at all, an assessment call will tell you more than a checklist will.

A phone call with admissions. They ask what has been going on, how long it has been going on, and what you have tried already, then tell you which level of care fits and what your insurance covers. Nothing about that call commits you to anything.

Often within a few days, sometimes sooner. It depends on the level of care, which center, and how quickly your insurance confirms benefits. Admissions will tell you what the wait actually looks like rather than quoting a number that sounds good.

No. Every program we run is non residential, so you attend during the day and go home in the evening. Intensive outpatient in particular is built to fit around a job. Where somebody genuinely needs residential care, we arrange that with a partner facility.

Partial hospitalization, intensive outpatient, and outpatient treatment, across four centers in Braintree, Quincy, Sharon and Bedford. We also run sober living, medication assisted treatment, dual diagnosis care, family therapy and aftercare. We do not run detox or residential rehab ourselves; those are arranged with partner facilities and we pick your care back up afterward.

Weeks rather than days, and the number depends on what you are dealing with and how it goes. Partial hospitalization is usually the shortest and most intensive stretch, then people step down through intensive outpatient to outpatient over a period of months. The clinical team reviews it as you go rather than fixing a date at the start.

Cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, and trauma informed approaches, delivered through a mix of group sessions and individual work. Which of those you get depends on what the assessment finds, not on what we happen to run that week.

Yes. Medication can reduce cravings and withdrawal symptoms enough to make the rest of treatment possible, and it is prescribed and monitored by our medical staff alongside therapy rather than instead of it.

You tell us and we adjust the plan. Relapse is common enough that treating it as a failure helps nobody. Every plan includes work on triggers, cravings and the situations that tend to precede it, and if it happens the question is what level of care you need now, not whether you are welcome back.

Licensed therapists and counselors, psychiatric providers, and nursing staff. You can see who they are on our treatment team page, with their credentials and what each of them focuses on.

Where it helps and you want it, yes. We run family therapy sessions and education for the people around you. Whether that is a good idea in a particular case is a clinical judgment, and it is yours to decline.

We follow HIPAA and the federal confidentiality rules that apply specifically to substance use treatment records, which are stricter than the rules for general medical records. Nothing is shared without your written consent except where the law requires it. You can call and ask questions without giving your name.

Most major plans. We are in network with several, including Aetna, Cigna, Tricare and Optum. Federal law requires most commercial plans to cover substance use and mental health treatment as an essential health benefit, so the question is usually what your share is rather than whether you have coverage at all.

That depends on your deductible, your copay, and whether the center is in network with your plan. Admissions verifies all three before you commit to anything and tells you the figure. We would rather have that conversation up front than have you find out at the door.