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Frequently Asked Questions

Answers to the questions people ask before starting outpatient treatment at Leora. If yours is not here, call admissions and ask it.

Where
Columbus and Dayton, Ohio
Admissions
Columbus (614) 665-8878Dayton (937) 660-4145

Starting Treatment

Call admissions or email [email protected]. The first step is an assessment, which decides the level of care that fits you. Where withdrawal is a concern, a nurse practitioner and a registered nurse assess whether ambulatory detox is safe for you as an outpatient.

Families sometimes ask about making a loved one go to treatment. Ohio's Casey's Law lets a relative petition the probate court to order treatment for someone with a substance use disorder. It is a legal process with its own requirements and costs, so take advice from an attorney or from the probate court in your county before you count on it.

Days in the Program

Partial hospitalization
Monday to Friday, 9:00 am to 4:15 pm, in mental health, dual diagnosis and substance use tracks. Medication management at least once a week and an individual session with your therapist every week.
Intensive outpatient
Three to five days a week, with three hours of group therapy a day, which comes to nine to fifteen hours a week, in separate mental health and substance use tracks. One or two individual sessions a week, and a nurse practitioner every two to three weeks.
Outpatient
One or two days a week, with a two hour therapy group and individual sessions.
Virtual IOP
Fully remote, anywhere in Ohio: a daytime program for mental health and an evening program for substance use.
After treatment
A lower level of care, outpatient therapy and community recovery support such as AA or NA.

Detox and Medication

Ambulatory detox is medically supervised withdrawal that you come in for while sleeping at home. A nurse practitioner and a registered nurse assess you first and monitor you through it, with medication assisted treatment where it is needed. It covers withdrawal from alcohol, opioids, heroin, fentanyl, methamphetamine, stimulants and benzodiazepines.

It is limited to mild to moderate withdrawal that does not need 24/7 medical supervision, and not everyone is a candidate. Leora has no beds and no overnight care. When an assessment points to inpatient detox, you will be told so.

Medication assisted treatment is prescribed and monitored, and whether to take it is your decision.

Insurance and Cost

Leora accepts insurance from all major commercial insurance providers, and Medicaid. Coverage depends on your plan, so contact your insurance provider to find out what it covers.

This website does not ask for insurance details. Please do not send a member ID or other insurance details by email.

Bills are paid through Leora's online payment portal.

Privacy and Records

Substance use disorder (SUD) records carry a federal protection on top of HIPAA, stricter than the rule covering ordinary medical care. In practice, your written consent is needed before your information goes to anyone outside your treatment team, with narrow exceptions such as a medical emergency or a court order.

A release names the person, or a group such as your treating providers and your health plan, and it says what they may be told. You can limit it, and you can withdraw it in writing later.

Practical Arrangements

Outpatient treatment has to fit around the rest of your life, and work and childcare are the usual sticking points. The levels differ a lot. Partial hospitalization runs Monday to Friday, 9:00 am to 4:15 pm, while outpatient is one or two days a week and virtual IOP runs from home. Raise these at your assessment, since they decide which schedule is realistic.

After a Program Ends

Leora's levels of care step down from partial hospitalization through intensive outpatient to outpatient, so the hours can drop without a change of provider. Before discharge, your team plans the next step with you:

  • a lower level of care
  • outpatient therapy
  • community recovery support such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA)

Every Question, in One Place

How do I start?
Call admissions, or email [email protected]. You can call for yourself or for someone else. The first step is an assessment, which decides the level of care that fits you.
What happens at the assessment?
It covers your substance use and mental health history and ends with a recommended level of care. If withdrawal is a concern, a nurse practitioner and a registered nurse assess whether ambulatory detox is safe for you, since not everyone is a candidate.
What will my day be like?
It depends on the level of care. Partial hospitalization is a day of therapeutic and psychoeducational groups, Monday to Friday, 9:00 am to 4:15 pm, in mental health, dual diagnosis and substance use tracks, with medication management at least once a week and an individual session with your therapist every week. Intensive outpatient is three hours of group therapy a day, three to five days a week, in separate mental health and substance use tracks, plus one or two individual sessions a week. Outpatient is a two hour group one or two days a week, plus individual sessions. Virtual IOP is fully remote: a daytime program for mental health and an evening program for substance use.
How often will I meet with my therapist?
You will have an individual session with your therapist every week. The one or two individual appointments in your schedule can also be with your case manager, peer support, a nurse or the nurse practitioner.
How often will I see the nurse practitioner about my medication?
At least once a week in partial hospitalization, with additional services available based on clinical need. In intensive outpatient and outpatient, every two to three weeks, depending on your medication treatment plan.
Does my insurance cover addiction treatment?
Leora accepts insurance from all major commercial insurance providers, and Medicaid. What is covered depends on your plan, including which levels of care it pays for. Contact your insurance provider to find out whether your plan covers addiction treatment and what type of coverage it has.
What will it cost me?
It depends on your plan and on how much of your deductible you have already met this year. Leora does not publish prices. Your insurance provider can tell you what your plan covers, and if cost is a problem, say so when you call.
What if I do not have insurance?
Say so when you call. Leora accepts Medicaid, and Ohio expanded Medicaid to cover more people on low incomes, so check whether you qualify if you have never applied.
Do you have beds or residential care?
No. Leora is outpatient only, with no beds and no overnight stays, and it does not offer residential or inpatient treatment. If you need more supervision than outpatient care can give, the assessment will say so.
Can I detox at home?
You sleep at home and come in to be seen. Ambulatory detox is for mild to moderate withdrawal that does not need 24/7 medical supervision, and a nurse practitioner and a registered nurse decide at the assessment whether it is safe for you. Stopping alcohol or benzodiazepines suddenly with no medical supervision can be dangerous, so get assessed before you stop on your own.
Which substances does ambulatory detox cover?
Withdrawal from alcohol, opioids, heroin, fentanyl, methamphetamine, stimulants and benzodiazepines. Whether it suits you depends on how severe your withdrawal is likely to be.
Is medication assisted treatment just swapping one drug for another?
No. The medications used in medication assisted treatment are approved by the FDA to treat opioid and alcohol use disorders. They are prescribed and monitored, and whether you take one is your decision, made with the prescriber.
Will you tell my employer?
Not without your written consent. If your employer asks for paperwork for time off, tell your clinician what the form asks for and what you want it to say before anything is signed.
What will you tell my family?
Only what you authorize in writing. A release names the person, or a group such as your treating providers and your health plan, and it says what they may be told. Without a signed release, staff cannot confirm to a caller that you are a client. Family members can still call and pass on information. Family therapy is available if you want to involve them, and that choice is yours.
Does treatment go on a permanent record?
Treatment creates a medical record. Medical records are not public, and they are not part of a standard criminal background check. Substance use disorder records also carry a federal protection on top of HIPAA.
Who else can see my records?
Your treatment team, and anyone you name in a consent you sign. Sending information to your insurance plan for payment also needs your written consent. Beyond that, the exceptions to consent are narrow, such as a medical emergency or a court order.
How do I get there without a car?
Virtual IOP is fully remote, so it needs no travel. If you have Medicaid, ask your plan about its transportation benefit for medical appointments. Raise transport at your assessment, since it affects which schedule will work.
What do I do about my kids?
Tell the assessing clinician about your childcare, because it affects which schedule is realistic. Outpatient is one or two days a week, and virtual IOP runs from home: a daytime program for mental health and an evening program for substance use.
Can I keep working?
That depends on the level of care. Outpatient is one or two days a week, and virtual IOP has an evening program for substance use. Partial hospitalization runs Monday to Friday, 9:00 am to 4:15 pm, which is hard to combine with a full-time job. Ask about schedules at your assessment.
What happens when my program ends?
You can step down to fewer hours at a lower level of care without changing provider. Before discharge, your team plans that next step with you, and the plan can include outpatient therapy and community recovery support such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).
What if I am not sure I want to stop?
Call anyway. Being unsure is a common place to start, and an assessment does not commit you to a program.
What if I need to come back later?
Call admissions again. The level of care is decided by what you need now, which may be different from last time.

Hope inspired

Talk to Admissions About the Right Next Step.

Outpatient addiction and mental health treatment in Columbus and Dayton, Ohio, from ambulatory detox to outpatient therapy groups. Walk-ins welcome. Call now, or leave your number and admissions will call to set up your assessment.

Please do not put medical details in this form. Anything clinical is discussed on the phone or at your assessment. If this is an emergency, call 911. Read our privacy policy.

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Leora Behavioral Health

Outpatient addiction and mental health treatment in Columbus and Dayton, Ohio.

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