Services
Outpatient treatment for opioid use disorder: methadone, counseling, and the support around them. Everything below is arranged with a clinician, one person at a time.
Methadone treatment
Methadone is the medication we provide. It is a form of Medication-Assisted Treatment, or MAT, and here it is always paired with counseling.
A medical provider discusses an appropriate starting dose with you during intake, and your dose is reviewed as you go rather than set once and left alone.
Medication steadies the physical side of opioid use disorder so the rest of recovery has room to happen. That is why it is paired with counseling rather than offered on its own.
We do not offer buprenorphine (Suboxone) or naltrexone (Vivitrol).
Counseling
Regular time to talk through what recovery looks like for you, with someone whose job is to listen rather than to judge.
Individual counseling is part of care for everyone in our program.
Sessions are private, and the pace is set with you. You do not need to arrive with the right words — starting with "I do not know where to begin" is a normal place to begin.
We offer group therapy sessions that are relevant to daily life.
Support and coordination
Recovery is not a single appointment, so care here does not stop after the first few visits.
Peer support and recovery coaching, case management, and referrals to other providers are all part of what we do.
Telehealth appointments are available, and drug testing is part of the program.
With your permission, we coordinate care with your other providers in a comprehensive approach.
Courtesy dosing
If you are enrolled in a treatment program somewhere else and you are visiting the area, we can dose you here.
Courtesy dosing is for people travelling to Aroostook County from downstate or out of state who are already in treatment with another program.
Call (207) 492-7500 before you travel so we can be ready for you.
Who we serve
Adults 18 and older with opioid use disorder. We serve the St. John Valley and Aroostook County, and offer courtesy dosing for people visiting from downstate or out of state.
Insurance and payment
We accept MaineCare. Self-pay is available on a sliding scale. Scholarships may be available for people who are uninsured or underinsured; ask when you call.
Call (207) 492-7500 with any questions about either one.
What to expect on your first visit
This is how intake will work once we open. Nobody is expected to have it figured out in advance.
Step 1: The screening
You fill out an initial screening to make sure outpatient MAT is the right level of care for you. This can be done over the phone or in person and only takes a few minutes. If you do not meet the initial criteria, a counselor will help you find other treatment options tailored to you.
Step 2: The intake
Once the screening is done, you are scheduled for an intake with a counselor, a nurse and a provider. The counselor conducts a thorough biopsychosocial assessment of where you are at, which can take about an hour. The nurse then conducts their portion, which includes any lab work needed and can take up to half an hour. Last, you meet a medical provider for the medical portion of the intake and to discuss an appropriate starting dose, which can take up to an hour.
Step 3: Starting the same day
If you meet all of the criteria for the outpatient treatment program, you will be started on medication that day. If this is not the right level of care for you, a clinician will discuss referral options.
Overall, you can expect the initial intake process to take up to three hours, from the time you call or walk in to the time you have received your medication and are out the door.
Ready when you are
Planned hours: Monday through Friday, 5:30 to 11:30 AM, and Saturday, 6:30 to 9:30 AM. Once we open, walk-ins will be welcome. In the meantime, call with any questions.