What services does ASCEND provide?

We offer Non-Intensive and Intensive Outpatient treatment for Substance Use Disorders (SUD) as well as Partial Hospitalization for women with Supervised Housing (New Leaf).  We offer Medication-Assisted Treatment (MAT) and Mental Health (MH) Counseling.  ASCEND provides comprehensve Medication Management for Mental Health Conditions.  We provide on-site urinalysis drug testing, case management for SUD and MH, and transportation assistance (within 20 miles of the agency or we can connect with Access Scioto County).  We offer services to any client who has experienced substance use disorders, alcohol use disorders, mental health concerns, and/or trauma.


What does the program consist of?

It is based upon the Assessment and Individualized Treatment Plan. Typically, Non-Intensive SUD clients engage in weekly individual counseling sessions (1 hour), weekly group counseling sessions (1-2 hours), and urine drug screen testing twice a week (and random).  Our Intensive Outpatient Program (IOP) consists of daily group sessions lasting 2-3 hours, Monday through Friday.  The “New Leaf” Partial Hospitalization program consists of daily group sessions, individual sessions, and case-management sessions Monday through Friday, from 8:30 am to 4:00 pm with a 2 ½ hour break.  Mental Health services/counseling is based on individual client need.


Does ASCEND accept pregnant women?

Yes, we encourage and accept women who are pregnant in all levels of care, including the “New Leaf” program.


What insurance is accepted?

Medicaid- Ohio Medicaid, such as Regular Ohio Medicaid, CareSource, United Health Care Community Plan (UHC Community Plan), Molina, and Buckeye Community Plan.  Ohio Medicaid plans cover all services provided by ASCEND.

Medicare- Currently only covers doctor/provider visits.  Medicare individuals can be placed into the Sliding Fee Scale (SFS) program, and/or the Substance Abuse Prevention and Treatment (SAPT) program, if applicable.

Kentucky Medicaid- Currently does not cover any services.  Individuals can be placed into the SFS program.

Commercial/Private pay- Currently does not cover any services.  Individuals can be placed into the SFS and/or SAPT Program, if applicable.


What is the Sliding Fee Scale (SFS) program?

Assists individuals in receiving services at a discounted rate.  It is a program based on annual income, household size, and federal poverty guidelines.


What is the Substance Abuse Prevention and Treatment (SAPT) program?

A program in which ASCEND works with the local ADAMHS board to utilize state and federal funds to help pay for services (individual must reside in Scioto, Lawrence, or Adams County Ohio).


How much will it cost?

ASCEND does not deny anybody treatment due to their inability to pay for services.  However, most clients qualify for a discounted rate through our Sliding Fee Scale Program, and/or assistance through the SAPT program.


How old must a client be to receive services?

For Outpatient SUD services, it is preferable that clients be at least of adolescence age; however, decisions will be determined on an individualized basis.

For the Partial Hospitalization “New Leaf” Program, women must be 18 years of age or older.

For Mental Health Services, decisions are determined on an individual basis, and depend upon the presenting problem.


What medications do you prescribe?

For MAT- ASCEND can, and does, utilize all buprenorphine containing medications approved by the FDA for the treatment of Opioid Use Disorder.  The answer to the question of which medication is most appropriate for an individual client is determined by the prescriber and that individual client.  In general, we utilize Suboxone, Subutex (for pregnant clients only), and Zubsolv.  In addition, we work closely with the Health Department to link clients wanting to utilize the Vivitrol injection.  We do NOT prescribe methadone.

ASCEND provides comprehensive Medication Management for Mental Health Conditions.


When will medication be prescribed?

Our goal is for a client to meet with their provider/prescriber the same day their assessment is completed, and this is typically the case.  Of course, the initial urine drug test and necessary bloodwork must be completed first.  One of our nurses coordinates with the client and provider/prescriber to set up the initial appointment.


Will you work around my work schedule?

Yes, and it is based on proof of employment (i.e. paystub), your Individualized Treatment Plan (created by you and your Primary Counselor), and the Level of Care which is determined most appropriate for you.  We will try to accommodate your work schedule to the best of our ability.  However, if being prescribed a MAT medication, you will be required to dose daily with one of our nurses for at least the first 2 weeks of services (this is for all clients regardless of previous treatment, and is at the discretion of the nurse and prescriber).