Medication Assisted Treatment

An opioid epidemic has swept across our nation--killing 1,229 Virginians in 2017. Opioid dependence is intense--and the withdrawal is painful. About 90% of people with opioid use disorder will relapse using behavioral therapy alone. Medication Assisted Treatment greatly increases the chances of successful recovery.

To help individuals with opioid use disorder, RACSB launched a Medication Assisted Treatment program in 2017. This program provides targeted treatment to individuals dependent on opioids. AT RACSB, we combine medication with intensive outpatient support as we strive to help individuals on the road to recovery and allow them to develop and sustain work, relationships, and hobbies.

Our highly trained staff will provide:

  • Assessment of clinical and psychosocial needs, including physical health
  • Individual and/or group counseling
  • Connections with family support systems
  • Referrals to community services
  • Care coordination
  • Prescription monitoring
  • Medical services
  • REVIVE! Training for family members and individuals receiving services

Medication Assisted Treatment is provided at our Fredericksburg Clinic, which is open from 8 a.m. to 7 p.m. Monday through Thursday and 8 a.m. to 5 p.m. on Friday.

How Medication Assisted Treatment Works

Opiates releases a surge of endorphins, the feel-good chemicals triggered by exercise, sex or chocolate. Endorphins are natural opiates, which provide pain relief and mood boosters. Opiates—natural or synthetic—attach to receptors in the brain, creating a high. Heroin and other synthetic opioids flood the brain with endorphins, creating an unusually intense rush. But the receptors aren’t equipped to deal with so many feel-good chemicals at once. So they squelch the response. Soon, it takes more chemicals to create a rush or to kill pain. And without opioids, the body goes into withdrawal, leading to painful symptoms that mimic an intense case of the flu. Medication can mitigate withdrawal symptoms and diminish cravings for opiates. When combined with intensive behavioral supports, this treatment can allow individuals to reclaim their lives.

The Process

Each individual considered for our MAT program will receive a thorough clinical assessment and begin the induction phase of treatment at the Sunshine Lady House for Mental Health Wellness and Recovery. There, individuals will receive 24-hour nursing care, therapy, peer services, and involvement in recovery-related support groups.

The induction phase will last for five to seven days, followed by outpatient services at our Fredericksburg Clinic. These outpatient services will include medication management, case management, individual and group therapy, and scheduled and random drug screens.

To learn more, call 540-373-3223.

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Emergency Services are still available. Please call 540-373-6876 if you or a loved one are experiencing a crisis.

Due to the current State of Emergency, and in accordance with recommendation to limit in-person gatherings to 10 or less, our May Board of Directors meeting will be held virtually at 5 p.m. on May 19. Public comment may be submitted up until 4:00 pm on May 19th by emailing  publicinformation@rappahannockareacsb.org.  Public comments that include the full name and address of the commenter will be read into the record during the Public Comment portion of the meeting.  The meeting will be Livestreamed on Rappahannock Area Community Services Board’s Facebook page on May 19, 2020 at 5:00 pm.

We encourage our community to stay home (whenever possible) and stay safe throughout the COVID-19 outbreak. We now offer most of our outpatient, early intervention, and case management services via telemedicine so you can receive the support you need from the safety of your home.

Our committee and board meetings and facilities tour for April have been canceled. Our day support programs are suspended temporarily.

Our popular plant sale is continuing but with some changes to ensure everyone's safety. Please order ahead and your plants will be waiting for you when you drive up.

At this time, we are suspending recruitment for most positions. See our employment portal for more information.

COVID-19 Updates and Resources