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Butler Hospital
Butler Hospital

Outpatient Detoxification

Butler Hospital offers outpatient detoxification services for people who will benefit from medically safe ambulatory withdrawal management from alcohol, heroin, and opioid or other prescription medications. Patients must have transportation back and forth from home, have a supportive home environment, and have no medical or psychiatric conditions that require an inpatient level of care.

What is required to be admitted to the program?

The following criteria are used to establish a safe and appropriate level of care for medically monitored withdrawal management.
  • You are 18 years or older and be of no imminent risk of danger to self or others.
  • You have minimal risk for severe withdrawal and have no history of delirium tremens (DTs) or seizures in withdrawal.
  • Any other conditions, both medical and co-occurring psychiatric, must be stable and able to be managed in an ambulatory detoxification setting.
  • For at least the first day of treatment, you must be accompanied by a family member or other responsible person, unless determined otherwise by the program physician. This person should present to the program with you and provide you with transportation to and from your outpatient detoxification appointment.
  • You have assistance at home to help you cope with the physical and emotional stressors of detoxification.

How do I access the program and is it covered by insurance?

You may be recommended for outpatient detoxification through a physician referral or by self-presenting by calling our Patient Assessment Services at (401) 455-6223. These services are covered by most insurances, and we are happy to assist you in determining your health plan’s options.

How does the program work?

The outpatient program is open Monday through Friday, 7:00 a.m. to 3:30 p.m. An initial medical and psychiatric evaluation will determine if the outpatient detoxification program is appropriate for you. You can expect to participate in the program for approximately five visits; the first visit lasting up to four hours. Subsequent visits will be tailored to your needs and will be a minimum of two hours. Each person’s situation is different, so your sessions will be scheduled according to the severity of your withdrawal symptoms and medication management needs. A combination of onsite and home-use medications will be prescribed to safely manage your withdrawal from drugs and/or alcohol.

Who will be on my treatment team?

Your treatment team will be led by a psychiatrist certified in addiction medicine, who will develop an individualized withdrawal management treatment plan based on your particular needs. A registered nurse will provide ongoing monitoring of your symptoms and will administer your detoxification medications each day. A licensed clinical social worker will help you plan the next step in your recovery by providing information and guidance about available resources within Butler, Care New England and the recovery community. In addition, you will meet with a recovery coach to provide support to further assist you on the road to sobriety. The registered nurse will schedule your next visit based on your progress. The prescribed medications to take at home as part of your treatment plan will be available through our onsite pharmacy each day before you leave.

What happens if I have concerns about my detox between visits?

You will have access to our 24-hour emergency department, to be used outside of program hours. You can access that service by calling (401) 455-6214. If you relapse during the detoxification treatment plan, it’s also important to contact us so we may adjust your treatment plan accordingly. Monday through Friday from 7:00 a.m. to 3:30 p.m., call the program office (contact information will be provided during orientation); after hours call the 24-hour emergency department.


Is there any support for my family?

We offer the opportunity for your family to be included in your treatment. Family education is provided, as well as information about other community resources your family members may consider.

What types of options are available after detox?

At discharge from the outpatient detoxification program, you will be provided with prescriptions for any required medication related to your detox, along with a summary of your aftercare plan for continued treatment. Our Care New England system has all levels of care available to help you easily transition to the next step in your recovery. The plan may include entering the Butler Hospital Partial Hospital Alcohol and Drug Program, one of The Providence Center recovery programs, including Anchor Recovery, or another community-based program. We have strong relationships with many recovery services throughout Rhode Island and will provide you with options that work for you. Recovery is possible and we are here to support your success.


Does Butler Hospital offer other alcohol and drug addiction services?

The Butler hospital addictions services include inpatient detoxification, partial hospital rehabilitation and outpatient ambulatory detoxification. As a member of the Care New England Health System, we have access to a full continuum of services to support your recovery. We are leading the effort to establish a streamlined transition of care pathway from emergency medicine, to inpatient and partial hospital care, to community-based outpatient services and to 12-step self-help programs such as Alcoholics Anonymous and Narcotics Anonymous. We want to be your team in recovery.

When you’re ready, we’re ready.


  Contact Us

2nd floor, Center House East
Across from Laboratory
Butler Hospital
345 Blackstone Boulevard
Providence, RI 02906

Admissions/Evaluations: (401) 455-6223

Patients can self-refer to the program. Clinicians referring patients, please complete and fax the
Ambulatory Referral Services Form. PHP Admissions Office Hours: M-F, 7 a.m. - 3:30 p.m.

Program Chief: Alan Gordon, MD

  In the News

Health Check: Butler offers detox without hospitalization
Watch Barbara Morse Silva's segment about our outpatient detoxification program .

Recovery Radio
Listen to the Outpatient Detox and Anchor Recovery teams discuss the program.

Care New England
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