If this is an emergency, call 911. Suicide & Crisis Lifeline: 988

Opioids Treatment Resources in Virginia

1153 facilities mention this focus

Overview

Opioid use disorder involves problematic patterns of opioid use that cause significant impairment or distress. This includes use of prescription opioids (such as oxycodone, hydrocodone, or morphine), heroin, and synthetic opioids (such as fentanyl).

The opioid crisis has significantly impacted Virginia and communities across the nation. Treatment and recovery resources have expanded in response, with increased access to medication-assisted treatment and other evidence-based approaches.

Opioid use disorder is a medical condition that requires treatment. Effective treatments are available, and recovery is possible. Seeking help is an important step, and various resources exist throughout Virginia.

Treatment Approaches

Treatment for opioid use disorder typically includes medication-assisted treatment (MAT) as a core component. FDA-approved medications include:

Buprenorphine (often combined with naloxone, sold as Suboxone) can be prescribed by qualified providers in various settings and helps reduce cravings and withdrawal symptoms.

Methadone is dispensed through licensed opioid treatment programs and is effective for many people with opioid use disorder.

Naltrexone (oral or injectable as Vivitrol) blocks opioid effects and is used after a period of abstinence.

MAT is most effective when combined with counseling and behavioral therapies. Treatment may occur across levels of care, from specialized outpatient MAT programs to residential treatment.

Naloxone (Narcan) is a medication that can reverse opioid overdose and is an important harm reduction tool.

Frequently Asked Questions

What is medication-assisted treatment (MAT)?

MAT combines FDA-approved medications with counseling and behavioral therapies. For opioid use disorder, medications like buprenorphine, methadone, and naltrexone help reduce cravings and withdrawal while supporting recovery. MAT is considered the standard of care.

Is MAT just substituting one addiction for another?

No. MAT medications are evidence-based treatments that normalize brain chemistry, reduce cravings, and allow people to function normally. When taken as prescribed, they don't cause the impairment associated with misused opioids.

How long do I need to be on MAT?

Duration varies by individual. Some people benefit from short-term medication, while others do better with long-term or indefinite treatment. Research suggests longer treatment duration is often associated with better outcomes.

Can I get treatment without medication?

Yes, though research shows MAT produces better outcomes for most people with opioid use disorder. Non-medication approaches may include residential treatment, counseling, and support groups. Discuss options with a treatment provider.

What is fentanyl and why is it dangerous?

Fentanyl is a synthetic opioid significantly more potent than heroin or prescription opioids. It has increasingly been found in the drug supply, sometimes without users' knowledge, contributing to overdose deaths. Naloxone can reverse fentanyl overdose.

What should I do if someone is overdosing?

Call 911 immediately. If available, administer naloxone (Narcan). Try to keep the person awake and breathing. Put them in the recovery position if unconscious but breathing. Virginia has a Good Samaritan law that provides protection when calling for help during an overdose.