Integrated Medication Assisted Treatment is the use of medications in with counseling and behavioral therapies , to provide a whole patient approach to the treatment of substance use disorder”- US Dept of Health and Human Services’ Center for Substance Abuse Treatment” Currently medications used to treat Opioid Abuse Disorder are buprenorphine/naloxone ( Suboxone), Naltrexone and Methadone. Naloxone is used to revive patients who have over-dosed. We are not prescribing methaode for opioid abuse disorder. Patient acuity ranges from opioid dependent to heavily addicted. Levels of service and appropriate sites of care vary based upon the patient’s acuity and circumstances. Our clinical philosophy is to facilitate the individual’s return to the highest level of physiological, psychological and societal functioning. The program takes a holistic , evidence-based approach. It includes a formal treatment agreement; individualized treatment plan; opioid replacement therapy; toxicology screening; prescription monitoring; patient and family education; social supports; as well as behavioral , copgnitive and other interventions.