WEST PALM BEACH, FL · OUTPATIENT SUD CARE
Substance Use Disorder Treatment in West Palm Beach
Adult Outpatient Substance Use Disorder Treatment
Substance use disorder treatment at Mental Health West Palm Beach – Trustpsychiatry — DSM-5-TR · ASAM Level 1 · FDA-approved medications, with meaningful improvement in 4–8 weeks.
- ✓MAT with buprenorphine for opioid use disorder
- ✓Naltrexone, acamprosate, disulfiram for alcohol use disorder
- ✓Co-occurring depression, anxiety, PTSD in the same chart
- ✓42 CFR Part 2 federal record protection
Serving West Palm Beach · Lake Worth · Wellington · Palm Beach · Greenacres · Riviera Beach · Statewide Florida telepsychiatry
WHAT TO EXPECT
What a SUD intake actually looks like at Mental Health West Palm Beach – Trustpsychiatry.
Four anchors define the first visit and the months that follow. Predictability matters here — SUD treatment is high-stakes and the structure earns its keep.
| Anchor | Duration | Detail |
|---|---|---|
| Initial intake | 30–60 Min | DSM-5-TR SUD assessment with ASAM level-of-care match and co-occurring psychiatric screen. |
| Follow-up cadence | 20–30 Min | Medication management visits, weekly to biweekly in the first months, monthly once stable. |
| Improvement window | 4–8 weeks | Meaningful improvement, with 3–12 months for long-term recovery and stabilization. |
| Confidentiality | 42 CFR Part 2 | Federal record protection — written consent required before any disclosure, no exceptions for employers or family. |
ACCESS & AVAILABILITY
✓Same-day when available · ✓Evening hours · ✓Weekend by appointment · ✓Statewide Florida telepsychiatry
Insurance benefits verified before your first visit at Mental Health West Palm Beach – Trustpsychiatry.
WHAT WE DELIVER
Outpatient SUD care across alcohol, opioids, stimulants, sedatives.
SUD care here is built around six clinical anchors. DSM-5-TR criteria drive the diagnosis; ASAM Criteria (4th Edition) drives the level of care. Medications and psychiatric co-management work in the same chart so the plans talk to each other.
DSM-5-TR SUD evaluation
Structured intake against the eleven DSM-5-TR criteria for mild, moderate, or severe substance use disorder across alcohol, opioids, stimulants, and sedatives.
ASAM Criteria level-of-care match
Mental Health West Palm Beach delivers ASAM Level 1 office-based outpatient services — the assessment dictates the placement and the placement dictates the plan.
FDA medications — OUD and AUD
Buprenorphine for opioid use disorder (FDA-approved indication only). Naltrexone, acamprosate, and disulfiram for alcohol use disorder. No off-label claims beyond FDA-approved indications.
Co-occurring psychiatric care
Depression, anxiety, PTSD, and ADHD often co-travel with SUD. Both managed in the same chart, by the same prescriber — the plans talk to each other instead of around each other.
Naloxone training & safety planning
Naloxone reverses opioid overdose. Trained and dispensed to patients and to family or partners on request — part of the care, not a paid add-on.
42 CFR Part 2 confidentiality
SUD records carry federal protection that exceeds HIPAA. Written consent is required before any disclosure — including to employers, families, and other providers.
WHO WE SERVE
When outpatient SUD care is the right level for the person in your chair.
Outpatient SUD treatment works when housing is stable, the medical picture is manageable, and the case fits ASAM Level 1. The people for whom that combination lands are not a single archetype.
| Archetype | Why outpatient fits |
|---|---|
| The functioning professional | Alcohol use is starting to bend the calendar. |
| The step-down patient | Stepping down from inpatient detox or residential, needs outpatient maintenance. |
| The transitioning patient | Current buprenorphine prescriber is closing or out of network. |
| The co-occurring case | Depression, anxiety, or PTSD keeps colliding with the SUD plan. |
| The supported family member | Has been asking, and you finally said yes. |
| The single-prescriber seeker | Wants one prescriber managing both SUD and the psychiatric chart. |
OUR PROCESS
How SUD care unfolds at Trust Psychiatry.
Three steps from first call to ongoing care. Buprenorphine is federally controlled (DEA Schedule III) and monitored through Florida E-FORCSE. The structure is not a hurdle — it is what keeps the prescribing tight and the chart defensible.
SUD Evaluation (30–60 Min)
DSM-5-TR SUD assessment, ASAM Criteria level-of-care match, co-occurring screen for depression and anxiety, benefits verification, naloxone education in the room.
Treatment Plan (45–60 Min)
Medication selection (buprenorphine for OUD, naltrexone or acamprosate for AUD), induction plan if applicable, supportive psychotherapy framing, coordination with any current providers, naloxone training for patients and family.
Ongoing Care — measurement-based
Stabilization with weekly to biweekly follow-ups in the first months. PHQ-9 and GAD-7 tracked alongside SUD outcomes. Expect 4–8 weeks for meaningful improvement; 3–12 months for long-term recovery. Telepsychiatry follow-ups across Florida per the 2023 DEA telemedicine ruling.
WHAT THE EVIDENCE SAYS
Three things worth knowing about outpatient SUD care.
Federal agencies, NIDA, and ASAM converge on the same picture: outpatient treatment paired with medication and co-occurring psychiatric care outperforms the alternatives for the right patient. Clinical consultation runs through PCSS — the Provider’s Clinical Support System — and PSON, the Providers’ Specialty Outreach Network.
“Buprenorphine for opioid use disorder is FDA-approved and recommended as first-line by the ASAM National Practice Guideline; outcomes improve when medication is paired with evidence-based clinical support.”
Mechanism: buprenorphine occupies opioid receptors partially, reducing cravings and withdrawal while limiting overdose risk relative to full agonists.
“Substance use disorder treatment records are protected under 42 CFR Part 2, a federal rule that exceeds HIPAA — written patient consent is required before any disclosure, with limited federal exceptions.”
Mechanism: federal rule recognizes the stakes of SUD disclosure (employment, custody, immigration); written consent governs every release.
“ASAM Criteria (4th Edition) anchor the level-of-care decision — Level 1 outpatient at less than nine hours weekly through Level 4 medically managed inpatient withdrawal; the assessment dictates the level, not the patient’s preference.”
Mechanism: six ASAM dimensions (withdrawal, biomedical, emotional/behavioral, readiness, relapse/continued use, recovery environment) drive the placement match.
Ready to put the evidence to work? Schedule a SUD evaluation →
SCOPE — STRAIGHT
What Trust Psychiatry delivers — and what falls outside outpatient scope.
Trust Psychiatry delivers outpatient ASAM Level 1 SUD care for adults — DSM-5-TR diagnosis, FDA-approved medications for OUD and AUD, naloxone training in the room, and co-occurring psychiatric care in the same chart, with 42 CFR Part 2 protecting the record. Methadone is delivered exclusively at federally-certified opioid treatment programs (OTPs). Inpatient detox (Level 4), residential treatment (Level 3.x), and intensive outpatient (Level 2.1) fall outside outpatient scope.
The flip side matters too — outpatient SUD care here means a single prescriber managing the SUD plan, the medications, and any co-occurring psychiatric meds in the same chart, with naloxone in the room and 42 CFR Part 2 protecting the record. Leaving an intake without a prescription is a valid outcome. Our job is to match the case to the right level of care.
Other Services at Trust Psychiatry
More services at Mental Health West Palm Beach – Trustpsychiatry
Medication Management · Psychiatric Evaluation · Telepsychiatry Florida · Prescription Refills · MAT/Suboxone · Supportive Psychotherapy · TOVA Cognitive Testing
YOUR PRESCRIBER
Who you’ll see for outpatient SUD care.
Josie Desmarais, PMHNP-BC, ANCC board-certified, sole prescriber at Mental Health West Palm Beach – Trustpsychiatry. 16+ years at Bay Pines VA Healthcare System (2007–2023) where co-occurring SUD and psychiatric care were the daily caseload. DEA Schedule III, federal 8-hour MAT training completion on file, PCSS and PSON clinical consultation, FL E-FORCSE monitored prescribing.
Read Josie’s full bio →OUR LOCATION
Visit us in Haverhill, West Palm Beach.
Off I-95 at Belvedere Rd · 7 minutes from Palm Beach International Airport (PBI) · In Haverhill, West Palm Beach FL 33415
Adults across Lake Worth · Wellington · Palm Beach · Greenacres · Riviera Beach · statewide Florida via secure telepsychiatry.
Trust Psychiatry & Wellness
4500 Belvedere Rd, Suite D
West Palm Beach, FL 33415
Hours
Mon–Fri: 9:00 AM – 5:00 PM
Sat: By appointment
Sun: Closed
Related Conditions
Conditions we treat alongside SUD
Depression Treatment · Anxiety Treatment · ADHD Treatment · PTSD Treatment · OCD Treatment · Bipolar Disorder Treatment · Mood Disorder Treatment · Insomnia Treatment · CBT Therapy · DBT Therapy · ACT Therapy · Mindfulness Therapy
FREQUENTLY ASKED
Common questions about outpatient SUD care.
What does the SUD evaluation cover, and how long does it run? ▸
The intake covers the eleven DSM-5-TR criteria for substance use disorder, an ASAM Criteria level-of-care match across six dimensions (withdrawal risk, biomedical, emotional/behavioral, readiness, relapse risk, recovery environment), and a co-occurring psychiatric screen. The 30–60 Min initial intake holds the assessment and the treatment-plan framing.
Which substances do you treat, and which fall outside scope? ▸
In scope: alcohol, opioid, stimulant, and sedative use disorders at ASAM Level 1 outpatient. Out of scope: methadone (federally-certified OTPs only), inpatient medically managed withdrawal (Level 4), residential (Level 3.x), and intensive outpatient programs (Level 2.1). When ASAM points elsewhere, we resume outpatient care after the higher level of care is complete.
How long until I feel better on medication? ▸
Expect 4–8 weeks for meaningful improvement on FDA-approved medications for OUD and AUD, and 3–12 months for long-term recovery and stabilization. Buprenorphine reduces cravings and withdrawal within the first weeks; naltrexone and acamprosate effects build over a similar window. Tapering is patient-driven and paused if cravings or use return.
Will my employer or family find out I’m in SUD treatment? ▸
Substance use disorder records are protected under 42 CFR Part 2, a federal rule that exceeds HIPAA. Written patient consent is required before any disclosure, with limited federal exceptions. Mental Health West Palm Beach releases nothing to employers, families, or other providers without your signed consent.
Can I do SUD follow-ups by telehealth across Florida? ▸
Yes. Per the 2023 DEA telemedicine ruling, ongoing buprenorphine prescribing for opioid use disorder may be delivered by telepsychiatry to Florida residents. Naltrexone and acamprosate visits are also telehealth-eligible. Initial inductions may require an in-office or video evaluation; the intake call confirms the right format.
Does insurance cover medications and SUD visits? ▸
Most major Florida plans cover FDA-approved medications for OUD and AUD; Florida Medicaid explicitly covers buprenorphine formulations (verify the PDL at intake).
BCBS Florida and Humana are credentialing in progress — the Grow Therapy bridge covers those plans until in-network status is confirmed.
Trust Psychiatry is in-network with Aetna, Cigna, UnitedHealthcare, Optum, Florida Medicaid, AvMed, Evernorth, TRICARE, M-Care, Cuare, HP, and Paramount.
What if outpatient SUD care is not the right level for me? ▸
The intake includes the ASAM Criteria level-of-care match. If the assessment points to inpatient withdrawal (Level 4), residential (Level 3.x), intensive outpatient (Level 2.1), or methadone via a federally-certified OTP, that is the recommendation. We resume outpatient care once the higher level of care is complete.
How does co-occurring psychiatric care work alongside SUD treatment? ▸
Depression, anxiety, PTSD, ADHD, and insomnia frequently co-travel with SUD. At a single-modality SUD clinic those typically route to a separate prescriber whose plan does not talk to the SUD plan. At Trust, both live in the same chart and the same prescriber adjusts them in concert — medication interactions, sequencing, and response checks all sit in one place.
READY WHEN YOU ARE
Start with the SUD evaluation.
In-network with twelve major Florida plans. DSM-5-TR SUD evaluation, FDA-approved medication when indicated, co-occurring psychiatric care in the same chart, naloxone training in the room, 42 CFR Part 2 protecting the record.
Crisis support: SAMHSA Helpline 1-800-662-HELP (24/7, free, confidential). For medical emergency or overdose, call 911.