Licensed PHP and IOP for adults across the Roanoke Valley. Start the conversation and change your life today.
1630 Braeburn Dr, Salem, VA 24153
Full-Day Outpatient
Partial Hospitalization Program (PHP)
Part-Day Outpatient
Intensive Outpatient Program (IOP)
DBHDS Licensed
Virginia Dept. of Behavioral Health & Developmental Services
Locally Rooted
Independent. Not a national chain.
Welcome to Roanoke Refuge
Addiction consumes the entire family, but recovery heals the entire family. Roanoke Refuge is a licensed outpatient addiction treatment center in Roanoke, Virginia, offering Partial Hospitalization (PHP) and Intensive Outpatient (IOP) programs for adults navigating substance use disorder.
Our clients live at home or in supportive recovery housing while attending treatment during the day, returning each evening to the relationships, responsibilities, and triggers that recovery has to hold up to over time. That is the central clinical choice of outpatient care, and it is the right choice for many of the families we serve in this valley.
Our Programs
Full-Day Outpatient
25 or more clinical hours weekly across five days. Our most intensive outpatient level of care, designed for clients stepping down from inpatient, for moderate-to-severe substance use disorder, and for those whose co-occurring conditions need daily clinical contact.
Learn morePart-Day Outpatient
Nine or more clinical hours weekly across three or more days. The same clinical depth as PHP, structured to fit around work, family, and the obligations most people cannot walk away from.
Learn moreCo-Occurring
Roughly half of people in addiction treatment also live with depression, anxiety, PTSD, or bipolar disorder. We address the co-occurring mental health conditions inside the substance-use-primary treatment plan, by the same clinical team.
Learn moreMedication-Assisted Treatment
Our medical team prescribes and manages MAT inside the same program as your therapy — Suboxone and buprenorphine. Clients already on MAT from another prescriber continue care without interruption.
What Happens When You Call
The path in is predictable. Here is exactly what happens once you reach out.
A short, confidential conversation with our admissions team. No commitment, no script, no pressure. The first call is just a conversation about what you are facing.
We walk through the clinical picture together — current substance use, mental health, medical, and family context — and identify whether PHP or IOP is the right starting level. Insurance coverage is reviewed in the same conversation.
A 60- to 90-minute in-person assessment with a licensed clinician. This is the appointment where the formal treatment plan starts to take shape.
PHP or IOP begins with a clear individualized plan, a primary therapist, and a path through aftercare. Detox is coordinated off-site with partner providers when needed before programming begins.
Insurance Coverage
Most major commercial plans and Virginia Medicaid cover outpatient care. A 15- to 30-minute call with our admissions team walks you through what your specific plan covers. No commitment.
Why Roanoke Refuge
There is a meaningful difference between a program that processes patients and one that actually treats them. Here is what makes ours different.
Every treatment plan is built around the client's specific history, goals, and clinical needs, not a one-size-fits-all curriculum.
The clinical team brings real depth of experience in addiction medicine, trauma-informed care, and co-occurring mental health treatment.
CBT to rewrite the thought patterns that drove the using. DBT to build distress tolerance. Motivational Interviewing for ambivalence. Trauma-informed care across the entire program.
We understand the substance use landscape, community resources, and recovery ecosystem of the Roanoke Valley. We are not a national chain.
Free, confidential insurance verification. Clear cost communication. No pressure to commit before the family has the information it needs.
Confidential Inquiry
Tell us what's going on and the best way to reach you, and a member of our admissions team replies within one business day. There's no obligation, and the first conversation is always free.
From the Blog
Treatment and Programs
A plain-language guide to the two outpatient levels of care, how clinicians choose between them, and what each looks like for a person in treatment at Roanoke Refuge.
Serving the Greater Roanoke Valley
Northwest, Southwest, Old Southwest, South Roanoke
Treatment in Roanoke CityI-81 corridor, Roanoke College, Braeburn Drive
Treatment in SalemUS-460 corridor, eastern Roanoke County
Treatment in VintonCave Spring, Hollins, North Lakes, Glenvar
Treatment in Roanoke CountyDaleville, Fincastle, Buchanan, Troutville
Treatment in Botetourt CountyBedford, Forest, Moneta, Smith Mountain Lake
Treatment in Bedford CountyFrequently Asked
If your question is not here, that is exactly why our admissions line exists. Call when you are ready.
Outpatient. We offer Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP). Clients live at home or in supportive recovery housing and attend treatment during the day.
No. Medical detox is not provided on-site. When a client needs detox before beginning outpatient treatment, our admissions team coordinates the off-site detox referral with local partner providers, and the client then enters PHP or IOP once medically stable.
Yes. Roanoke Refuge prescribes FDA-approved MAT medications on-site, including Suboxone and buprenorphine. Methadone, which by federal law is dispensed only through certified Opioid Treatment Programs, is coordinated with community OTPs for clients best served by that option.
The clinical team uses ASAM criteria during the admissions assessment to recommend the right level of care. The recommendation takes into account substance use history, co-occurring mental health conditions, living environment, work and family obligations, and medical history. The right level may also change across treatment.
Begin with a confidential conversation with our admissions team, or with free insurance verification. There is no pressure and no commitment before you have the information you need.
Begin a Confidential Conversation
The next step is a confidential conversation with our admissions team. Free insurance verification. No commitment before the information is clear.
