The quality of any addiction treatment experience depends almost entirely on the people delivering it. Roanoke Refuge is hiring its clinical team to that standard right now, with every position filled by a clinician licensed or certified in the Commonwealth of Virginia. This page describes the roles those clinicians occupy and how the team is structured around an integrated treatment model. Individual staff bios and headshots will be added once hiring is complete and each team member has agreed to be listed publicly.
The values and mission behind Roanoke Refuge shape how this team is being built. Credentials matter. Clinical experience matters. So does the kind of person who can hold the weight of a family’s fear and show up for the work the next morning. The roles below describe the disciplines we are building the care team around.
Roles on the Care Team
The team is organized around several licensed and certified disciplines, each one contributing a specific clinical capability to the integrated treatment model. The descriptions below cover what each role does, what credential or license it requires in Virginia, and how it fits into the broader plan. Individual staff names and bios are not posted publicly until hiring is complete and each clinician has reviewed and approved their listing.
Roanoke Refuge prescribes FDA-approved MAT medications on-site, including buprenorphine, naltrexone (oral and extended-release Vivitrol), acamprosate, and disulfiram. Methadone, which requires Opioid Treatment Program (OTP) certification, is coordinated with community OTPs for clients best served by that option. Our medical team integrates medication with therapy as part of one treatment plan.
How Our Team Works Together
Treatment here is not a siloed experience. Your care team, including your primary therapist, case manager, group facilitators, and peer recovery specialist, talks to each other about your progress, your challenges, and your evolving clinical needs. Weekly clinical staffing meetings make sure no one falls through the cracks. The treatment plan is a living document, reviewed and adjusted by the full team as your clinical picture evolves.
Worth saying out loud: this is the practical answer to why integrated care matters. If you are making progress in individual therapy but stalling in group work, you need a coordinated team response, not two unconnected providers operating on incomplete information. If your insurance benefits run into a snag, you need a case manager who already knows your clinical context. If your dual-diagnosis depression is starting to lift, the full team needs to know so the treatment plan can shift accordingly. That coordination is the model.
Ongoing Training and Professional Development
Our clinical team commits to continuous learning. The field changes, and what we knew about addiction medicine five years ago has expanded. Here are the areas the staff trains in on an ongoing basis:
Trauma-informed care and neuroscience
The neuroscience of trauma and addiction and the practical application of trauma-informed principles across the program. Learn more
Motivational Interviewing fidelity
Ongoing supervision and advanced application of MI as both a formal therapy and a clinical communication style. Learn more
DBT skills training
Application of Dialectical Behavior Therapy skills in substance use contexts, particularly distress tolerance and emotional regulation. Learn more
MAT prescribing protocols
Up-to-date practice in the FDA-approved medications used in MAT (buprenorphine, naltrexone, acamprosate, disulfiram), DEA prescribing requirements, and integration with the broader clinical plan.
Cultural humility and equitable care
Continuous work on cultural humility and equitable care practices, recognizing that addiction looks different across communities and that effective care meets people where they are.
Crisis de-escalation and suicide risk assessment
Skills training in crisis response, suicide risk assessment, and the safety planning protocols that follow.
Harm reduction philosophy
Practical application of harm reduction alongside abstinence-oriented treatment, because both have a place in evidence-based clinical care.
Local, regional, and accessible.
Roanoke Refuge serves adults across the Roanoke Valley — Roanoke City, Salem, Vinton, and the surrounding counties of Roanoke, Botetourt, and Bedford — from a facility at 1630 Braeburn Drive in Salem, just off I-81. Most clients are within a 30-minute drive of the program.
The path forward is a conversation, not a commitment. A short call with the Roanoke Refuge admissions team covers fit, level of care, and insurance — at no cost, with full confidentiality, before any clinical decisions are made. Insurance verification runs during the same call. Call (540) 900-0353 when you are ready.