Office-Based Opioid Treatment (OBOT)
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.
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.
- 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
- 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
- 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
- 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
Region Ten buildings and grounds are smoke free. We offer Auricular acupuncture and smoking cessation groups, which have been proven to help reduce cravings.