Office-Based Opioid Treatment (OBOT)

Office-Based Opioid Treatment (OBOT)

A whole-person treatment model to address opioid addiction

All Services

Service Overview

Region Ten’s OBOT program serves individuals who are at least 18 years of age and struggling with opioid use disorder. The OBOT program is licensed by DMAS and is a preferred OBOT provider, staffed by addiction professionals. Region Ten offers OBOT in Charlottesville at the Peterson building five days a week and in the Greene and Louisa clinics twice per week.

The OBOT program is an outpatient medication-assisted treatment that includes therapy and case management. This is a whole-person treatment model that is being used to address opioid addiction and involves the use of medication to block the effects of or reduce cravings for heroin and other opiates/opioids. Also referred to as Medication Assisted Treatment (MAT), it involves the prescription of medication in combination with counseling, case management and referral to other supportive services and programs.  This type of treatment has been demonstrated to reduce withdrawal symptoms and cravings as well as the risk for relapse, the spread of infectious diseases, and overdoses including those that result in death.  When used properly and monitored closely, these medications give individuals with opioid addiction the chance to focus on positive lifestyle changes and manage their addiction so that recovery can occur.


Key Resources:


Program Length
1+ years
Contact Info
Available Locations
Eligibility Criteria
  • Individual has an opioid use disorder
  • Individual is willing to participate in treatment 1-2 times per week
  • No active benzodiazepine use
  • Treatment slots are available for people who are uninsured
  • Medicaid or self-pay status (private insurance referred to private OBOT clinics)
What to Bring Print Print Icon
  • Photo ID
  • Insurance information
  • Pay stubs if you don’t have insurance
  • • List of any prescribed or over the counter medications
Opioid Treatment Resources download Opioid Treatment Resources


You can find answers to our most frequently asked questions about this service here. If you’ve got a question we haven’t covered, please don’t hesitate to get in touch.

Expand When can I get my first OBOT appointment? When can I get my first OBOT appointment?
  • Step 1 is a phone screening with the care coordinator
  • Step 2 is a Comprehensive Needs Assessment with a Region Ten therapist
  • Step 3 is a Substance Use Disorder Psychiatric Evaluation (please arrive 15 minutes prior to scheduled appointment to allow time for check-in with nurse)
  • Step 4 is consultation with treatment team to determine acceptance into OBOT services
Expand What are the requirements of OBOT? What are the requirements of OBOT?
  • OBOT is a wrap-around program that includes therapy, medication management services, care-coordination with case manager, and recovery based activities
  • Individuals complete initial phone screen with care coordinator and are not officially accepted into the program until after the treatment team reviews the individuals’ history and assures the individual meets program criteria
  • Ongoing services begin with weekly therapy and medication management
  • OBOT has a phase structure, where individuals are able to graduate to less frequent services as they progress in treatment
  • Primary Care is an expectation for those in OBOT and the care-coordinator will link individuals to primary care if not already established
Expand What kind of services can I expect in OBOT? What kind of services can I expect in OBOT?
  • Individual therapy or group therapy with an assigned therapist
  • Case management and community referrals
  • Medication management and medical referrals
  • 24/7 support from Emergency Services, 434-972-1800
Expand What medication is provided for OBOT? What medication is provided for OBOT?
  • Narcan (naloxone nasal spray) is provided in conjunction with education about overdose
  • Suboxone can be prescribed by Region Ten OBOT Prescribers
  • Naltrexone/Vivitrol (naltrexone monthly injection) can be prescribed by Region Ten OBOT Prescribers
  • Region Ten does not prescribe Methadone
Expand Can I smoke? Can I smoke?

Region Ten buildings and grounds are smoke free. We offer Auricular acupuncture and smoking cessation groups, which have been proven to help reduce cravings.

key resources

Region Ten Financial/Billing Resources
DBHDS Resources for DD
CSB Directory
Community Mental Health and Wellness Coalition
Important Updates

See how COVID-19 has impacted our operations. Learn more.