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Near Madisonville, TN · 37354 · Monroe County seat

Addiction Treatment Near Madisonville, TN

For the roughly 5,000 residents of Madisonville — the Monroe County seat at the foot of the Unicoi Mountains — along with patients in Tellico Plains, Vonore, Sweetwater, and the rural stretches around the Cherokee National Forest, Restoration Recovery's Cleveland clinic sits about 50 minutes south on US-411. One straight drive through Etowah, Benton, and Ocoee. After an in-person intake, most Madisonville patients run the rest of their care on telehealth, which turns a 50-minute drive into a 20-minute appointment on your phone. Same-week appointments, Suboxone / Sublocade / Brixadi / Vivitrol, TennCare, and most commercial insurance accepted.

CARF CARF Accredited ✓ Accepting New Patients ✓ Same-Week Appointments ✓ Most Insurance Accepted ✓ Telehealth Available
The Madisonville Picture

What recovery looks like from Monroe County

Madisonville is a courthouse town in the truest sense: the Classical Revival Monroe County Courthouse from 1897 anchors the square, a few blocks of locally owned storefronts run off it, and the rest of the county spreads out through rolling farmland, hardwood ridges, and the 145,000-plus acres of Cherokee National Forest that climb toward the North Carolina line. About 5,000 people live in Madisonville itself and roughly 49,000 in Monroe County as a whole. Most patients we see from the 37354 ZIP are driving tractors, running farm supply counters, framing houses, working the line at a small manufacturing plant in the US-411 corridor, or commuting to Sweetwater or Vonore. The stereotype of addiction you see on TV — urban, anonymous, chaotic — has very little to do with the Madisonville version. Our Monroe County patients are more often in their 40s, 50s, and 60s, with a lower back that never recovered from a 1990s logging injury or a series of ATV wrecks, working the same fields and shops their parents worked.

The Appalachian-foothills piece matters more here than almost anywhere else in our service area. Monroe County sits inside what the Appalachian Regional Commission has flagged for years as a "diseases of despair" cluster — rural counties where opioid overdose, alcohol-related liver disease, and suicide run well above the national average, mostly driven by legacy chronic-pain prescribing, slow workforce transition after the decline of logging and textile work, and long drive times to any kind of specialty care. That is the population we are built to take care of. Our outpatient Suboxone / MAT model is designed for patients who still have jobs, still have families, still have fields or shops to run, and who cannot disappear for 30 days into an inpatient rehab three hours from home. You come in for a 60- to 120-minute first visit in Cleveland, walk out with a prescription in most cases, and the rest runs on telehealth.

Tennessee drug overdose deaths

Annual statewide totals, 2021 – 2023

3,814 2021
3,826 2022
3,616 2023 ↓ 5.5% vs 2022

Source: Tennessee Department of Health, 2023 Drug Overdose Death Report. First year-over-year decline since TDH began tracking in 2013.

Appalachian Tennessee overdose rate

Opioid deaths per 100,000 vs. national

23.5 US rate
73.8 App. TN ↑ 3.1× national

Source: Appalachian Regional Commission, "Appalachian Diseases of Despair" update, Aug 2024. Monroe County is in the Appalachian Tennessee counties the ARC measures.

Why these numbers matter for Monroe County specifically

Tennessee overdose deaths fell 5.5% in 2023 — the first statewide decrease on record — but East Tennessee's grand division, which includes Monroe County, still carried the highest overdose death rate in the state, running more than 40% higher than Middle or West Tennessee. In 2022, East Tennessee counties accounted for roughly 43% of the state's overdose deaths despite being a minority of the population. Fentanyl and its analogs were involved in 77% of Tennessee overdose deaths in 2023.

The Appalachian Regional Commission's 2024 update put Appalachian Tennessee's opioid overdose mortality at 73.8 per 100,000 — more than three times the national rate of 23.5. Monroe County sits squarely in that cluster. The factors driving it are the ones that show up in our exam room every week: a 1990s-2010s prescribing pattern that left a lot of current patients physically dependent long after the original injury healed, slow workforce transition as mill and forestry work consolidated, and a geography that keeps specialty medical care an hour away for most people.

What the numbers do not capture is the quiet part: the wife in Tellico Plains refilling the script her husband left behind after his heart attack, the farmer in Ball Play buying pills from a neighbor because the pain clinic closed, the 55-year-old shop foreman in Madisonville whose back surgery was ten years ago and who is still hanging on to his last bottle of oxycodone. Those are the patients who do remarkably well on Suboxone and who are now almost exclusively doing telehealth with us after a single drive to Cleveland.

Nearest Location · ~50 min from Madisonville

Cleveland Clinic

Address2130 Chambliss Avenue NW
Cleveland, TN 37311
HoursTuesday & Thursday · 9:00 am – 4:30 pm
Phone423-498-2000
Fax423-498-2001
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Restoration Recovery Cleveland clinic near Madisonville, TN
From your Madisonville neighborhood

The realistic drive from your corner of Monroe County to our Cleveland clinic

The short version: US-411 south is the drive. From the Monroe County Courthouse square in downtown Madisonville to our Cleveland clinic at 2130 Chambliss Avenue NW, it is almost exactly 50 minutes in normal traffic — longer if there is a log truck in front of you near Etowah or a slow agricultural hauler coming through Benton. The route is straight and unambiguous: US-411 south through Vonore's edge, Etowah, Riceville, Benton, and into Cleveland, where Chambliss Avenue is just off the main corridor. There is no good alternative route; this is farm country, and the interstate is far to the west. The good news is that once you have done it once, you know the drive, and the telehealth model we built for Monroe County patients means you very rarely have to do it twice in the same month.

Downtown Madisonville & the courthouse square (central 37354)

If you live or work within a few blocks of the Monroe County Courthouse — College Street, Tellico Street, Warren Street, the Cook Street neighborhoods — your drive starts on US-411 south right at the edge of downtown. Figure 50 minutes door-to-door on a clear morning. If you are coming in for a 9 am intake, leave by 7:45 to give yourself margin for the log trucks and the school-zone slowdowns through Etowah. If you are coming in for an afternoon visit, be aware that US-411 south traffic backs up noticeably between about 3:30 and 5 pm as second-shift manufacturing gets out in the Benton and Cleveland corridor. Our last appointment of the day is typically 3 or 3:30 pm for this reason.

Toward Tellico Plains & the Cherokee National Forest (SE Monroe County)

If you live southeast of Madisonville toward Tellico Plains, Coker Creek, or up into the Cherohala Skyway country — the ridge and hollow communities that climb toward the North Carolina line — your drive is longer before you even reach Madisonville. From Tellico Plains proper, it is about 20 minutes to the Madisonville square via TN-68, and then another 50 minutes south on US-411. Realistically that is a full 70-minute one-way trip for an in-person visit, which is why telehealth carries almost all the weight for patients in this corner of the county. We typically schedule Tellico Plains-area patients for one in-person intake visit and then one in-person injection visit per month if they are on Sublocade or Brixadi; everything else runs on video. Several patients do their video visits from the Monroe County Public Library in Madisonville when they come down for groceries anyway, or from the parking lot of a business with Wi-Fi if their home signal is weak.

Vonore & the northern Monroe County corridor (US-411 north of Madisonville)

If you live north of Madisonville toward Vonore, Fort Loudoun Lake, or the Tellico West Industrial Park, your drive is slightly longer on the Cleveland side — figure 55 to 60 minutes — because you have to come back through Madisonville first. One option several Vonore patients use is to time their Cleveland visits to a grocery run or a Walmart trip in Athens on the way back; it turns the 50-minute return drive into a combined errand. If you work in Maryville, Alcoa, or Blount County, a south route through Madisonville is still faster than trying to cut east across the ridges.

Sweetwater & western Monroe County (I-75 corridor)

If you are in Sweetwater or the western edge of Monroe County, I-75 south to Cleveland is a legitimate alternative to US-411: 45 to 50 minutes depending on exit work and traffic, with the advantage that the interstate does not have the log-truck and farm-hauler slowdowns US-411 has. For Sweetwater patients, the drive time is comparable to Madisonville. We see quite a few Lost Sea-area patients who take I-75 because it is simply the road they already live on.

Ball Play, Coker Creek & the rural pockets

For patients in the smaller communities out toward Ball Play, Coker Creek, Tellico River, or the Starr Mountain area, the drive to Cleveland is 60 to 75 minutes one-way depending on which end of the county you are starting from. The math really only works for an initial intake and the monthly injection appointments if you are on long-acting buprenorphine. Everything else should be telehealth. We have several patients from these communities who have not driven to Cleveland in six months and are doing great on Suboxone, checking in by phone or video from their kitchen table.

Telehealth: the real answer for most Monroe County patients

Because the drive to Cleveland is 50-plus minutes each way for almost everyone in Monroe County, our telehealth follow-up model is not a nice-to-have — it is how most of our Madisonville-area patients stay in treatment long-term. The initial visit has to be in person; Sublocade, Brixadi, and Vivitrol injections have to be in person. Everything else — medication management, counseling check-ins, prescription refills, urine screens coordinated through a local lab if needed — runs on video. We have Madisonville patients who did exactly one drive to Cleveland for intake and have now been stable on Suboxone for eighteen months entirely through video visits. If your cell service is patchy where you live (common on the Cherokee National Forest side of the county), the Monroe County Public Library and several downtown Madisonville businesses have reliable Wi-Fi that patients have used for visits without issue.

How Treatment Works

Restoration Recovery provides outpatient addiction treatment — no residential stay, no detox facility. You visit our Cleveland clinic for appointments and go home the same day. Treatment is built around your schedule, not the other way around, which is particularly important for Monroe County patients who cannot realistically drive an hour south twice a week.

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 for Madisonville-area patients are almost always handled via telehealth from home.

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 — including at gas stations and tobacco shops along the US-411 corridor through Monroe County — 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. If you are struggling with kratom or 7-OH products, we can help.

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. Especially popular with Monroe County patients because one monthly drive to Cleveland replaces daily pill decisions.
  • Brixadi (extended-release buprenorphine) — weekly, bi-weekly, or monthly injection for opioid use disorder. Flexible dosing intervals for patients who want a shorter cadence than monthly, or who are still titrating to a maintenance dose.
  • Vivitrol (naltrexone) — once-monthly injection for alcohol use disorder. Blocks the reward pathway that drives compulsive drinking.

Insurance & Cost

We accept most major insurance plans including TennCare, Medicaid, BlueCross BlueShield of Tennessee, 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 — the standard model for Monroe County patients
  • Integrated hepatitis C treatment for enrolled patients
What We Offer

Services available near Madisonville

The following services are available at our Cleveland clinic, approximately 50 min south of Madisonville via US-411. Telehealth appointments handle most follow-up care for Monroe County patients.

Treatment

Suboxone / MAT

Daily Suboxone film or tablet and comprehensive medication-assisted treatment for opioid use disorder.

 Treatment

Sublocade Injections

Once-monthly extended-release buprenorphine injections — one Cleveland drive a month, then telehealth.

 Support

Counseling & Peer Support

Individual therapy, certified peer support specialists, and evidence-based counseling.

 Convenience

Telehealth

Virtual appointments from home for follow-ups, counseling, and medication management — the standard for Monroe County.

 Integrated

Hepatitis C Treatment

Testing and treatment for patients enrolled in our MAT or IOP programs.

 Behavioral Health

Psychiatric Care

Psychiatric medication management and coordinated care for co-occurring mental health conditions.
Why Madisonville residents come to us

What we see most often from 37354 patients

The legacy chronic-pain patient

This is by far the most common patient profile we see from Monroe County. Someone in their 40s, 50s, or 60s who had a real injury — a logging accident in the Cherokee National Forest, a fall from a tractor, a back injury from twenty years of framing houses, an ATV wreck on a trail up near Coker Creek, or a post-surgical pain syndrome after a knee or shoulder replacement — and who was prescribed oxycodone, hydrocodone, or Percocet for years. When the prescribing pattern tightened in the mid-2010s and pain clinics consolidated or closed, a lot of East Tennessee patients were left with a physical dependence that had no clean off-ramp. Some tapered on their own and failed; some bought from a neighbor; some transitioned to the street supply and discovered it had been cut with fentanyl. The clinical answer for all of these patients is almost always the same: buprenorphine at the right dose handles the withdrawal and the craving, the underlying pain conversation can continue with the original provider, and the patient stops spending every day chasing a supply. We see this pattern constantly in our exam room and the treatment outcomes are excellent.

The forestry, agriculture, and trades workforce

Monroe County's economy runs on land — active forestry operations within and adjacent to the Cherokee National Forest, cattle and row-crop farming through the Tellico and Ball Play valleys, a substantial trades population (welders, electricians, HVAC, heavy equipment operators), and a small but steady manufacturing base in the US-411 corridor and the Tellico West Industrial Park near Vonore. These are jobs where you cannot take two weeks off, you cannot disappear into residential rehab, and you cannot afford the kind of sedation some other medications cause. Suboxone at a stable dose does not impair cognition or motor function the way short-acting opioids do — most of our working patients tell us they feel sharper and safer on the job within a week of stabilizing. For a timber crew foreman or a tractor operator that matters enormously.

The rural access problem, honestly described

There is no way around it: Monroe County has historically been underserved for outpatient MAT. The nearest Restoration Recovery clinic is 50 minutes south in Cleveland, and we know that. The reason we are still the right option for most Madisonville patients is that the telehealth infrastructure we have built specifically for rural East Tennessee turns "50 minutes each way twice a week" into "50 minutes once, then 20-minute video visits from home." You get the same medication, the same provider, the same clinical care, without the windshield time. We have Monroe County patients who have been in treatment with us for more than a year and have only driven to Cleveland twice — once for intake, once for a Sublocade injection that they now prefer over monthly in-person visits. That is a pattern that simply was not available in rural Appalachia five years ago.

The privacy concern in a small town

Madisonville is small. The courthouse square is where people see each other; the grocery store on US-411 is where word travels. A fair number of our Monroe County patients tell us, in their first appointment, that one reason they waited so long to start was that they did not want to run into a neighbor in a local waiting room, or have their pickup parked outside a building that "everyone knows what it is." Our Cleveland clinic is 50 minutes south of the Madisonville square — far enough that the odds of running into your deacon, your farm supply salesman, or your high school classmate are essentially zero. Everything in your chart is protected by HIPAA and 42 CFR Part 2, the strictest federal privacy standard for substance use treatment. Nothing goes to an employer, a family member, a pastor, or another provider without your written consent.

The older patient starting over

We see a surprising number of first-time MAT patients in their 60s and 70s from Monroe County. A retired logger whose back gave out and who has been managing pain with leftover prescriptions for years. A widow in Tellico Plains who inherited her husband's pill bottles and kept using them for her own arthritis because the pain clinic he used had closed. A retired manufacturing supervisor in Madisonville who was honest with himself during a checkup that he had been dependent for a decade. These patients do exceptionally well on Suboxone or, more often, on a once-monthly Sublocade or Brixadi injection that eliminates the daily decision of whether to take medication. Age is not a barrier to treatment; in many ways, an older patient with strong family support and a stable home has a better outcome profile than a younger patient.

The Cherokee National Forest isolation factor

For patients who live in the hollow-and-ridge communities on the Cherokee National Forest side of Monroe County — Coker Creek, the Tellico River drainage, Starr Mountain, the back roads off the Cherohala Skyway — the isolation that makes the area beautiful also makes addiction harder to exit without a structured medical plan. There are fewer neighbors to notice a problem, fewer employers mandating screenings, fewer obvious off-ramps. It also means local pharmacy coverage is thinner and a lot of patients are already used to driving 30+ minutes for basic services. Our telehealth model — once-per-month in-person injection + otherwise video from home — actually fits these communities better than twice-weekly urban-style care models do. If you live up a long gravel drive on the North Carolina line, we can still get you into sustained treatment.

Frequently Asked Questions

How far is your Cleveland clinic from Madisonville, TN?

About 50 minutes south on US-411 from the Monroe County Courthouse square to 2130 Chambliss Avenue NW in Cleveland. The route is one continuous drive through Etowah, Benton, and Ocoee. If you are coming from Tellico Plains or Coker Creek add about 20 to 25 minutes before you reach Madisonville. If you are coming from Sweetwater, I-75 south is a slightly faster alternative than US-411.

Is there a closer outpatient addiction treatment clinic than a 50-minute drive for Monroe County patients?

Rural Monroe County has historically had limited outpatient MAT options. Cleveland is the closest Restoration Recovery location. The key thing to understand is that after your first in-person visit, most follow-up care — medication management, counseling, refills — runs on secure telehealth, which means the 50-minute drive happens once for intake and then maybe once a month if you are on a long-acting injection. Most of our Madisonville patients do not make the drive more often than that.

Can I do telehealth if my cell service is spotty out near the Cherokee National Forest?

Yes. Several of our patients from the Tellico Plains, Coker Creek, and Cherohala Skyway corridor do their video visits from the Monroe County Public Library, from the parking lot of a downtown Madisonville business with Wi-Fi, or from their workplace if signal is better there than at home. The visits are short (15 to 30 minutes for most follow-ups). If video is not practical, we can schedule in-person visits at Cleveland on a 30-, 60-, or 90-day cadence depending on your medication and your stability.

I live in a small town and I'm worried about privacy — will my neighbors find out?

No. 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 — not with family, employers, pastors, or other providers. Our Cleveland clinic is 50 minutes south of Madisonville, so the odds of running into someone from Monroe County in the waiting room are essentially zero. This is one of the reasons rural Tennessee patients actually prefer traveling to Cleveland rather than trying to find something local.

How quickly can I start treatment?

Most Monroe County patients can be seen within the same week. Call 423-498-2000 or request an appointment online. Many patients begin Suboxone on their first visit. If you are in withdrawal or close to it when you call, we will try to get you scheduled as quickly as possible. The Cleveland clinic runs Tuesdays and Thursdays, and if those days do not fit your schedule, our Chattanooga clinic (about 70 to 80 minutes south of Madisonville) is open Monday through Friday.

Will my treatment be confidential?

Yes. HIPAA and 42 CFR Part 2 protect your records. In a small town like Madisonville, that matters, and we take it seriously.

What insurance do you accept?

We accept TennCare, Medicaid, BlueCross BlueShield of Tennessee, Cigna, Aetna, Ambetter, United Healthcare, and most major commercial plans — including the coverage offered by many Monroe and McMinn County employers in manufacturing, agriculture, and the trades. Check your coverage here or call to verify before your first visit.

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 (usually 12–24 hours since last use of short-acting opioids, longer for long-acting opioids) before your first dose — your provider will explain exactly what to expect and time the first appointment accordingly.

Can I do follow-up appointments from home?

Yes. This is how the vast majority of our Madisonville-area patients stay in treatment long-term. After your initial in-person evaluation at Cleveland, most follow-up visits run via secure, HIPAA-compliant telehealth from your phone, tablet, or computer. The only visits that must happen in person after intake are the long-acting injections (Sublocade, Brixadi, Vivitrol), which are typically every four weeks.

Other Restoration Recovery Locations

In addition to our Cleveland clinic, Restoration Recovery operates three other outpatient locations across Tennessee and Georgia.

  • Chattanooga, TN — 6141 Shallowford Rd, Suite 100, Chattanooga, TN 37421 (Mon–Fri, 9am–4:30pm)
  • Soddy-Daisy, TN — 210 Walmart Drive, Suite 100, Soddy-Daisy, TN 37379 (Mon & Wed, 9am–4:30pm)
  • Ringgold, GA — 4962 Battlefield Pkwy, Ringgold, GA 30736 (preparing to begin scheduling; wait list open)

View all locations →

Resources

Also serving: Athens, Benton, Etowah, Sweetwater

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Book an appointment → Call 423-498-2000