What Opioid Addiction Treatment Really Looks Like: A Step-by-Step Breakdown for Someone With Medicaid

What Opioid Addiction Treatment Really Looks Like A Step-by-Step Breakdown for Someone With Medicaid

When your child is in crisis, everything feels urgent and confusing.
Maybe they’re using, maybe they’re isolating, maybe they’re just… not themselves. You’ve seen the changes. You’ve tried to talk. You’ve googled symptoms. And maybe now, for the first time, you’re asking a terrifying question: Do they need treatment?

We know that question hurts. And if you have Medicaid—or aren’t even sure what insurance they have—you might be wondering what help actually looks like. What’s covered? Where do you even start? Will someone actually pick up the phone?

At Ladoga Recovery Center, we work with families just like yours every day. This blog won’t overwhelm you with jargon. It’s a step-by-step explanation of how opioid addiction treatment works—especially for families navigating Indiana Medicaid.

Step 1: It Starts With a Call—Even If You’re Not Sure Yet

You don’t need a formal diagnosis. You don’t need your child’s permission yet. You don’t even need to know exactly what’s going on.

You just need to call. That’s it.

When you call Ladoga Recovery Center, a real person answers. Someone who knows how scary this moment is. Someone who will walk you through what we offer, what to expect, and how to get started.

We’ll ask a few questions, gently and respectfully:

  • What have you noticed in your child’s behavior?
  • Are opioids involved—or suspected?
  • Do they currently have Medicaid (and which kind)?
  • Are they willing to consider help right now?

No judgment. No pressure. Just a calm place to land.

Step 2: A Clinical Assessment to Understand What They Need

Before we can admit your child to treatment, we need to understand what’s happening medically, emotionally, and behaviorally. That’s where the clinical assessment comes in.

This usually includes:

  • A private conversation with your child (virtual or in-person)
  • Substance use screening: what, how often, how long
  • Mental health history and current symptoms
  • Risk evaluation (self-harm, suicidal thoughts, etc.)
  • Family and social dynamics, if helpful to include

The goal isn’t to label them—it’s to see the whole picture, so we can match them with the right level of care.

Even if your child refuses to speak at first, we’ll meet them where they are. Our team is trained in crisis communication. We know how to connect without pushing.

Step 3: Insurance and Admission—Yes, Medicaid Covers This

Once we complete the assessment and determine that opioid addiction treatment is appropriate, we move quickly into admission and insurance coordination.

If your child has Medicaid, here’s what we do:

  • Verify eligibility
  • Request pre-authorization for services
  • Coordinate transportation, if applicable
  • Handle the paperwork so you don’t have to

If your child doesn’t currently have Medicaid, we’ll guide you through applying for emergency coverage or finding alternative options. You are not expected to figure this out alone.

Once approved, your child is assigned a bed as soon as one becomes available. Sometimes it’s immediate. If there’s a waitlist, we’ll tell you honestly—and help you plan what to do in the meantime.

Step 4: Detox or Stabilization, Depending on Their Condition

If your child is actively using opioids, we’ll determine if medical detox is necessary. This is typically the first stop if they’re at risk of dangerous withdrawal symptoms.

Here’s what detox looks like at Ladoga:

  • 24/7 nursing and medical supervision
  • Comfort meds and MAT if appropriate
  • Emotional support throughout the process

If detox isn’t needed (for example, if they haven’t used in a few days or are using less frequently), they may start directly in stabilization—where we help them get physically and emotionally grounded before full treatment begins.

Either way, this is the phase where they start to feel safe again. Where the fog lifts just enough for them to start seeing a way forward.

Step 5: Residential Treatment—Structure, Support, and Daily Healing

Once detox or stabilization is complete, your child enters the structured treatment phase. This typically includes:

  • Individual therapy to explore what’s behind the use
  • Group therapy with peers working on similar goals
  • Psychoeducation about addiction, relapse prevention, and coping skills
  • Family therapy, if safe and appropriate
  • MAT (Medication-Assisted Treatment) options if medically indicated

Every day has structure—but it’s not rigid. We don’t expect perfection. We expect progress, resistance, tears, and small victories.

Some days will feel like breakthroughs. Others will feel like nothing’s working. That’s normal. Our team is there every step—coaches, not critics.

Treatment Pathway

Step 6: Involving You—the Parent—Without Overloading You

We understand that parents are often shut out—or blamed—during treatment. That’s not how we work. At Ladoga, you’re seen as a vital part of the healing process.

You’ll be involved through:

  • Regular updates from case managers
  • Family therapy sessions (virtual or in-person)
  • Education sessions to help you understand addiction and recovery
  • Space to ask hard questions and express your own emotions

We’ll also help you with your own boundaries. Because loving someone in crisis shouldn’t mean losing yourself in the process.

Step 7: Aftercare—They Don’t Leave Without a Plan

Many parents fear the day their child finishes treatment. What happens next? Will they go back to old habits? Will there be anyone watching out for them?

We hear you—and we plan for that.

Discharge planning begins early. It includes:

  • Outpatient therapy referrals near home
  • Continued MAT or medication support
  • Peer recovery coaching
  • Help finding safe housing if needed
  • Guidance for you as a parent: boundaries, signs of relapse, what to do in a crisis

We don’t just treat people. We help families build scaffolding for real recovery.

Frequently Asked Questions

Is opioid addiction treatment really covered by Medicaid?

Yes. Indiana Medicaid covers detox, residential treatment, outpatient programs, and many support services. We’ll verify your specific coverage before admission.

What if my child doesn’t want help?

That’s one of the hardest parts. We’ll talk with you about strategies to increase engagement—like family intervention, motivational techniques, or even crisis stabilization services if needed. You’re not powerless.

How long does treatment last?

It varies based on clinical need. Most residential stays are 21–45 days, followed by outpatient care. We’ll recommend a path based on your child’s situation.

Can I visit or talk to my child during treatment?

Yes—within clinical guidelines. Some programs have a short no-contact period early on to allow for stabilization, but we’ll let you know the plan and help facilitate communication safely.

What if I’m scared my child will relapse?

That fear is real. Relapse can happen—but it’s not failure. We’ll equip you with tools to recognize early signs and respond with clarity, not panic. And we’ll stay connected post-discharge to support both of you.

What if I feel overwhelmed and unsure I can handle this?

You’re not expected to do this alone. Our team isn’t just here for your child—we’re here for you too. Even one conversation can bring clarity. And that’s where healing begins.

If You’ve Been Holding Your Breath—You Can Exhale Now

We know you’ve probably been carrying this weight in silence. Afraid to overreact. Afraid to say the wrong thing. Afraid it’s already too late.

It’s not.

At Ladoga Recovery Center, we don’t just treat symptoms. We see scared parents, hurting kids, and broken systems—and we create space for hope to re-enter. One step at a time. One call at a time. One breath at a time.

You Don’t Have to Do This Alone
Call (888) 628-6202 to learn more about our opioid addiction treatment services in Ladoga, Indiana.

We’re not here to judge your parenting. We’re here to help your child—and hold you steady while we do.

*The stories shared in this blog are meant to illustrate personal experiences and offer hope. Unless otherwise stated, any first-person narratives are fictional or blended accounts of others’ personal experiences. Everyone’s journey is unique, and this post does not replace medical advice or guarantee outcomes. Please speak with a licensed provider for help.

Tim Grzeskiewicz was raised in the Washington, DC Metro area and completed High School in Fairfax County Virginia before entering the United States Marine Corps where he achieved the rank of Seargent before being honorably discharged. Tim has worked several careers over the years, with his move into mental health and addictions being his final transition, which he refers to as his “move from success to significance”. Tim completed his undergraduate studies at Indiana University, graduating with honors and attending Huntington University for graduate school. Tim’s passion for the addictions population comes from his own experience with substance use issues and is currently a sober man in recovery with over 27 years of sobriety. Tim’s hope is to lead others in love and service to the sick and suffering.

With over 25 years of experience in healthcare and more than a decade dedicated to nursing practice, Mandy brings a wealth of knowledge, leadership, and compassion to her role as Director of Nursing at Ladoga Recovery. She earned her Bachelor of Science in Nursing from Indiana University Northwest and has built a career spanning diverse clinical settings, developing expertise in patient-centered care, clinical operations, and team development.

Mandy’s dedication to the field of addiction recovery is not only professional but also deeply personal. Having walked alongside loved ones in the throes of addiction, she understands firsthand the challenges, heartache, and hope that come with the journey of recovery. This perspective drives her passion to ensure that every patient is treated with dignity, empathy, and respect.

Specializing in substance use treatment and recovery support, Mandy is committed to fostering an environment where patients receive safe, evidence-based care during one of the most critical times in their lives. Her leadership style emphasizes collaboration, staff education, and adherence to best-practice protocols to ensure the highest quality of care.

Passionate about guiding both patients and staff toward growth and resilience, Mandy continues to be an advocate for recovery-focused healthcare that not only supports healing but also transforms lives.

Ethan brings over six years of hands-on-experience in the substance abuse and mental health field, where he has built a career rooted in passion, resilience, and a deep commitment to helping other transform their live. Starting from an entry-level role and working his way up through the ranks, he’s gained a strong understanding of the challenges individuals face in recovery – both clinically and personally. 

His journey in the SUD field has been fueled by a genuine passion for supporting individuals as they confront addiction and mental health struggles. He takes pride in meeting people where they are, creating a safe and supportive environment, and helping them recognize their own potential. Whether through patient facing positions or leadership roles, he has strived to show every individual that recovery is not only possible but within reach. 

Throughout his career, he’s been recognized for his ability to lead with integrity, build trust, and foster growth – not only in the clients he’s served but also in the team’s he’s worked with as well. Ethan believes in leading by example, staying grounded in empathy, and always advocating for those who may not yet have the strength to advocate for themselves. Helping other discover their own path to recovery is more than a job to him, it’s a calling. Every step forward that he witnesses in someone else’s life journey reaffirms why he does this work and will be committed to this mission for years to come.

Cristina Monnett

Cristina Monnett is an HR professional with over 12 years of experience supporting teams in manufacturing and healthcare. She partners closely with operations leaders in fast-paced, highly regulated environments to strengthen employee relations, ensure compliance, and implement practical, real-world people strategies. Cristina is passionate about creating workplaces where employees feel supported and organizations run smoothly.

Shane Austin is a dedicated behavioral health professional, bringing a wealth of experience in the field of substance use disorder treatment. As a lifelong resident of Indiana and an alumnus of the Indiana University, Shane embodies a profound sense of empathy and understanding, deeply rooted in his own transformative four-year journey of recovery. This personal experience fuels his passion and relentless commitment to inspiring individuals to embrace the treatment that leads to lasting sobriety and fulfilling lives. By connecting those in need with essential resources, Shane skillfully utilizes his knowledge and personal narrative to illuminate the path to recovery for others, empowering them to embark on their own successful journeys.

Dr. William Cooke is the Medical Director of Ladoga Recovery Center, an inpatient facility dedicated to providing comprehensive and compassionate care for individuals struggling with substance use disorders. With over two decades of experience in addiction medicine, Dr. Cooke leads the clinical team at Ladoga Recovery Center with a focus on evidence-based practices and patient-centered care.

As a board-certified expert in both Family Medicine and Addiction Medicine, Dr. Cooke brings a holistic approach to treatment, integrating medical, psychological, and social support to address the complex needs of individuals on their journey to recovery. Under his leadership, Ladoga Recovery Center emphasizes a “whole-person” philosophy, ensuring that each patient receives tailored treatment plans that foster long-term recovery and overall well-being.

Dr. Cooke is also a Fellow of the American Society of Addiction Medicine (ASAM), reflecting his commitment to advancing the field of addiction medicine through continuous learning, advocacy, and collaboration. At Ladoga Recovery Center, he is dedicated to creating a safe, supportive, and effective environment where patients can begin their path to healing.

As Executive Director of Ladoga Recovery Center, Brian Foster brings nearly a decade of experience in behavioral health, specializing in substance use disorder and co-occurring mental health treatment. With a diverse background spanning from inpatient detox and residential care, sober living, outpatient treatment, and both the for-profit and nonprofit sectors, Brian is dedicated to creating comprehensive, holistic treatment programs. Holding a Business degree from Indiana University and graduate degree from Indiana Wesleyan University, Brian combines a strong foundation in business with a personal commitment to recovery, using his own experience to inspire and support others on their journeys. This broad background enables Brian to approach leadership with a well-rounded perspective on the complex needs of individuals in Recovery.

As a person in long-term Recovery, Brian is proud to lead a team that makes a meaningful impact on the lives of those struggling with addiction and helping them rebuild relationships with their loved ones. Living in Fishers, IN, with a supportive wife and two wonderful daughters, family is the heart of Brian’s life, bringing a deep commitment to building a community where individuals can find hope, healing, and a path forward.