As the Coleman Institute has evolved into treating addiction with a wider spectrum of Medication-Assisted Treatment (MAT) options, I see more people who haven't exactly hit rock bottom, but they don't want to find that place.

Currently, we offer treatment using many different options for those with opioid use addiction and every patient's situation is unique. Whether you are struggling addiction problems - the wanting, the craving, the never-quite-getting enough, the lying, the spending, sickness of withdrawal - or fear of the sickness of withdrawal - treatment is available for you.

What are Medically-Assisted Treatments (MAT)?

Medication-Assisted Treatment otherwise referred to as "MAT" is the use of medication in combination with behavioral therapies or support groups. In order to provide a "whole-patient" approach to the treatment of substance use disorder (SUD) this method can be incredibly beneficial when one is confirmed with a diagnosis and needs treatment for misuse. In addition, medication assisted treatments often combine methadone, buprenorphine, or naltrexone medications in order to give the patient a successful treatment approach.

Using a medication assisted treatment has also led to significant reduction in relapse and is able to address most needs entirely for patients.

This treatment approach has also been shown to:

  • Increase ability to gain and maintain employment
  • Improve birth outcomes for women who have SUD and are pregnant
  • Decrease criminal activity for those with SUD
  • Increase retention in treatments
  • Improve patient well-being


    For many, we understand that individuals at first may feel hesitant and trapped in the holes they have dug for themselves - making the future immobilizing. Visions of lost jobs, reputations, insurance, judgements, jail time, custody issues, humiliation, and financial ruin are swirling around in their minds like a pit full of poisonous vipers. Taking the first step to seek help can be terrifying.

    Below are a few important things to know that may mitigate the fear of initiating treatment for a Substance Use Disorder (SUD):

    1. First of all, when you go through any of our treatment options in Richmond, Virginia, you will receive medications to help you:

  • If it’s a Suboxone® (buprenorphine/naloxone), you will receive Suboxone® on the first day.
  • If it’s a rapid opioid detox using the Coleman Method, you will get the first dose of comfort medications in the office and take home medicine that your support person will distribute throughout the treatment duration. So take the fear of physical discomfort off the table.
  • 2. Second, your confidentiality is guarded like HIPAA on steroids.

    Many people are unaware of the heightened discretion in record keeping and sharing that comes along with substance use treatment. The layers of regulations that sheath the treatment of substance abuse are almost impenetrable.

    Good old 42 CFR Part 2, affectionately known as Part 2, covers almost any concern one might have about the confidentiality of seeking medical treatment for substance abuse treatment.

    3. Without a special court order, treatment programs are prevented from releasing patients’ Substance Use Disorder info to law enforcement authorities.

    4. There is good insurance coverage for both Suboxone® and Vivitrol®, and growing coverage for the actual Coleman Method for accelerated outpatient opioid detox.

    5. Seeking help for a Substance Use Disorder does not necessarily mean giving up your ability to parent your child. Again, patient privacy and confidentiality are closely protected even in the parenting realm.

    Accelerated Opioid Detox

    If you know you are ready to stop letting opioids control your life, our Accelerated Opioid Detox can change your life for the better. For many of our patients that seek our assistance, they have stated how lucky they were to be able to keep employment, relationships, and put their health back on track. We know too well that opioids can cause dependency the first time anyone uses them and withdrawal can be a miserable thing.

    At our practice, we take pride in offering a method that is more comfortable, reliable, and has a 98% completion rate of treatment success. With minimal discomfort, assisted withdrawal process, and recovery support services. - you will get the quality care you deserve to get back on track.

    Please call us or request a callback to learn more about your choices.


    Joan R. Shepherd, FNP