Addiction Treatment in Bledsoe County

Serving Bledsoe County, Tennessee

Bledsoe County is located on the Cumberland Plateau with Pikeville as its county seat. Our Soddy-Daisy clinic is approximately 50 minutes south via Highway 127. Telehealth is strongly recommended for ongoing medication management and counseling to reduce travel time for Bledsoe County residents.

How Treatment Works

Restoration Recovery provides outpatient addiction treatment — no residential stay, no detox facility. You visit our Soddy-Daisy clinic for appointments and go home the same day. Treatment is built around your schedule, not the other way around.

Your first visit typically takes 60 to 120 minutes and follows a four-step flow: intake (DSM-5 assessment + COWS score for opioid use disorder), counseling, a doctor evaluation, and — if clinically appropriate — a same-day Suboxone prescription (Sublocade and Brixadi injections are ordered per-patient and administered at a follow-up visit). Follow-up visits are shorter and can often be done via telehealth from home — helpful for Bledsoe County residents who want to minimize travel.

What We Treat

We provide evidence-based treatment for addiction to opioids and opioid-like substances including heroin, fentanyl, oxycodone (OxyContin, Percocet), hydrocodone (Vicodin, Norco), morphine, codeine, tramadol, and prescription painkillers.

We also treat alcohol use disorder, stimulant dependence (cocaine, methamphetamine, Adderall, Ritalin, Vyvanse), benzodiazepine dependence (Xanax, Klonopin, Ativan, Valium), cannabis use disorder, and co-occurring mental health conditions including anxiety, depression, and trauma.

Kratom & 7-Hydroxymitragynine (7-OH) Addiction

Kratom and its concentrated derivative 7-OH are increasingly available and can cause opioid-like physical dependence with severe withdrawal symptoms. Our providers have experience treating kratom and 7-OH dependence with MAT and clinical support tailored to its distinct withdrawal profile.

Medications We Prescribe

• Suboxone (buprenorphine/naloxone) — daily film or tablet for opioid use disorder. Reduces cravings and prevents withdrawal so you can function normally.
• Sublocade (extended-release buprenorphine) — once-monthly injection for patients who prefer not to take daily medication.
• Brixadi (extended-release buprenorphine) — weekly, bi-weekly, or monthly injection for opioid use disorder. Flexible dosing intervals.
• Vivitrol (naltrexone) — once-monthly injection for alcohol use disorder.

Cities We Serve in Bledsoe County

• Pikeville

Insurance & Cost

We accept most major insurance plans including TennCare, Medicaid, BlueCross BlueShield, Cigna, Aetna, Ambetter, and United Healthcare. Most patients pay little to nothing out of pocket. Verify your coverage or call 423-498-2000 before your first visit.

Why Choose Restoration Recovery

• CARF accredited (Commission on Accreditation of Rehabilitation Facilities)
• Licensed in Tennessee and Georgia
• HIPAA and 42 CFR Part 2 compliant — your treatment is confidential
• MAT-certified providers
• Four clinic locations with same-week appointments
• Telehealth available for follow-up care from home
• Integrated hepatitis C treatment for enrolled patients

What we see most often from Sequatchie Valley patients

The legacy-prescription generation

Bledsoe County's prescribing history — 57.5 opioid prescriptions per 100 residents in 2020, well above the Tennessee average and in the top 40 counties statewide — means that the generation now in their 50s, 60s, and early 70s lived through the years when chronic-pain prescribing in rural Tennessee was at its peak. A typical first-visit story from this part of the county: a farming or manufacturing injury in the 1990s or 2000s, a decade of hydrocodone or oxycodone management, a prescriber who retired or tightened up after the 2016 CDC guidelines, and a gap the patient filled first with borrowed pills and eventually with something off the street. The clinical picture is usually more straightforward than the patient expects. Buprenorphine at the right dose takes care of craving, keeps the receptor occupied so withdrawal doesn't drive the day, and lets the original pain-management conversation resume without the chase.

Rural patients who've tried "just tapering" three or four times

A lot of people in Bledsoe County have tried to come off opioids without help, often more than once. Maybe a family member bought a bottle of kratom capsules from a Pikeville gas station thinking it was a safer option, and it turned into its own dependence. Maybe the patient read online that buprenorphine is "just another drug" and tried a cold-turkey taper that lasted four miserable days. MAT isn't a swap of one addiction for another; it's the scientifically established first-line treatment for opioid use disorder, with relapse rates cut roughly in half compared to abstinence-only approaches. The Suboxone, Sublocade, or Brixadi approach we use at your first visit is the same standard of care the state and federal government fund through SAMHSA grants. It works when willpower alone doesn't.

Patients who can't afford a care gap

The Bledsoe County Correctional Complex is one of the largest employers in the county and holds roughly 2,500 offenders. We see reentry patients regularly — people leaving Bledsoe CCX or a local jail who know the first 30 days after release are the most dangerous. Tennessee research consistently shows that the post-release fatal-overdose rate is many times higher than the general population. If you or a family member is within 30 days of release, call 423-498-2000 before release day. We can schedule a first in-person visit and have a buprenorphine prescription ready so there is no three-week care gap between walking out of the gate and getting into a clinic.

Why telehealth is the practical model here

Tennessee state law permits MAT clinics to provide Suboxone prescribing and follow-up counseling via telehealth, and rural counties like Bledsoe are exactly the population this was designed for. After an initial in-person evaluation at our Soddy-Daisy or Chattanooga clinic, most of our Bledsoe County patients do every subsequent appointment by secure video visit. That means the 50-to-70-minute drive becomes a one-time thing instead of a twice-a-month thing. Monthly medication-management check-ins happen from your kitchen table. Counseling sessions happen from a parked truck during a lunch break. Even family members who want to be part of a session can join from a second device. For patients in the 26 Tennessee counties that still have zero buprenorphine providers on the ground, telehealth isn't a convenience — it's the only practical route to evidence-based care.

The 72-hour-appointment promise

One of the reasons Bledsoe County residents drive down to us rather than waiting for a closer option to open is that we can usually see you within the same week. Most patients call on a Monday and are scheduled by Friday. That matters when you're between a prescription running out and not having anything to take. It matters more when a family member is in active withdrawal or just finished a hospital stay and you know the next 72 hours are decisive. Call 423-498-2000 and tell whoever answers where you live and what you're dealing with; we route urgent-intake calls the same day.

Insurance that works for rural Tennessee

Bledsoe County's insurance mix skews toward TennCare (BlueCare is the dominant Medicaid managed-care organization), employer-sponsored BlueCross BlueShield of Tennessee plans, and a significant share of self-pay. We accept TennCare, BlueCross BlueShield of Tennessee, Cigna, Aetna, Ambetter, UnitedHealthcare, and most other major commercial plans. For uninsured residents, we have sliding-scale and self-pay options — call us before assuming you can't afford to start. The cost of untreated opioid use disorder, measured in missed work, medical emergencies, and family cost, always runs higher than the cost of a supervised MAT visit.

Frequently Asked Questions

Do I really have to drive almost an hour to Soddy-Daisy, or is there something closer?

The closest Restoration Recovery clinic to Bledsoe County is Soddy-Daisy, about 50 minutes south of Pikeville via US-127. For your first visit, yes — an in-person evaluation is required under DEA rules for initial buprenorphine prescribing, and we do not currently have a clinic inside Bledsoe County. After the first visit, though, the large majority of follow-ups can be done from home via HIPAA-compliant telehealth. For most Bledsoe County patients, the drive is a one-time or occasional trip rather than a routine one.

How many of my appointments can actually be telehealth?

After the initial in-person evaluation, medication-management visits, counseling sessions, and most follow-up contacts can be handled by secure video. There are a few checkpoints in any MAT treatment plan that benefit from an in-person visit — for example, Sublocade and Brixadi injections must be administered in the clinic, and occasional drug testing may be requested. Most Bledsoe County patients come to the clinic once every 4–12 weeks and do everything else by phone or video. Your provider will set the schedule with you at the first visit based on where you are clinically.

Which clinic should I go to — Soddy-Daisy or Chattanooga?

Soddy-Daisy is the closest at about 50 minutes from Pikeville, but it runs Monday and Wednesday only. Our Chattanooga clinic is 10–15 minutes further south (about 1 hour 15 minutes from Pikeville) but runs Monday through Friday. If your work or school schedule isn't flexible on Mondays and Wednesdays, Chattanooga may be the better fit. Both clinics offer the same medications (Suboxone, Sublocade, Brixadi, Vivitrol) and the same providers organization-wide. Call 423-498-2000 and we'll help you pick.

What about weather — what happens if I can't get down the mountain?

Winter weather on the Cumberland Plateau is a real consideration. If you have an in-person appointment scheduled and the roads are genuinely unsafe, call us as early as possible and we will reschedule or switch the appointment to a telehealth visit if it's the kind of visit that can be done remotely. We would rather flex our schedule than have a patient risk a drive down US-127 in ice. For ongoing medication management, telehealth is the default — weather rarely affects continuity of care.

I'm coming out of Bledsoe CCX. Can I set up treatment before release?

Yes, and we strongly encourage it. The first 72 hours after release are the highest-risk window for fatal overdose in Tennessee. If you are within 30 days of release, call 423-498-2000 or have a family member call on your behalf. We will schedule a first in-person appointment aligned with your release date so you can start MAT without a care gap. This is one of the most important things a family member can do in the month leading up to a loved one's release.

How quickly can I start treatment?

Most Bledsoe County patients are seen within the same week. Call 423-498-2000 or request an appointment online. Many patients begin Suboxone on their first visit (Sublocade and Brixadi injections are ordered at the first visit and administered at a follow-up).

Will my treatment be confidential in a small county?

Yes. All treatment at Restoration Recovery is protected by HIPAA and 42 CFR Part 2 — the strictest federal privacy standard for substance use treatment. Your records cannot be shared without your written consent, including with family, employers, other providers, or local agencies. For patients worried about running into someone they know, driving to Soddy-Daisy rather than a Pikeville provider is itself an extra layer of privacy. Telehealth adds another layer — no one sees you walk into a building.

What insurance do you accept for Bledsoe County residents?

We accept TennCare (BlueCare is the dominant managed-care organization in this region), Medicaid, BlueCross BlueShield of Tennessee, Cigna, Aetna, Ambetter, UnitedHealthcare, and most major commercial plans. For uninsured residents, we have sliding-scale and self-pay options — don't assume you can't afford to start without calling first. Check your coverage here.

Do I need to stop using opioids before my first appointment?

You do not need to be completely off opioids before coming in. Your provider will evaluate where you are and guide you through a safe transition onto Suboxone. In most cases, you should be in early withdrawal before your first dose — your provider will explain exactly what to expect during the phone intake before your drive down.