Information for referring professionals

Leora has two staffed facilities in Ohio, in Columbus and Dayton, both running ambulatory detox on site. Both facilities welcome walk-ins, and patients can also refer themselves.

We accept referrals for:

• substance use disorders involving alcohol, opioids including heroin and fentanyl, methamphetamine, cocaine and benzodiazepines
• depression, anxiety, PTSD and bipolar disorder
• co-occurring substance use and mental health conditions
• withdrawal that can be managed safely without 24/7 medical supervision
• continuation of medication assisted treatment started elsewhere
• step-down from inpatient or residential care

Leora takes insurance from all major commercial insurance providers plus Medicaid. Clinical staff are nurse practitioners, registered nurses, and clinicians holding LCDCIII, LICDC, LSW, LISW, LPC and LPCC credentials. Leora is CARF accredited and LegitScript certified.

There are no beds at either facility. Leora provides no inpatient care, no residential care, no overnight stays and no 24/7 medical supervision. The following need a different setting:

• withdrawal likely to be severe, or to need 24/7 medical supervision
• medical instability that needs monitoring or an inpatient workup
• active suicidal or homicidal intent, psychosis, or any presentation needing inpatient psychiatric care
• anyone who cannot be safely unsupervised overnight
• referrals where the primary need is housing, since Leora provides treatment and no residence

Those belong in an emergency department or an inpatient facility. If one reaches us anyway, the person is told what level of care the assessment points to.

If a patient is dosing at an opioid treatment program, flag it at referral so the clinical team can confirm what is continued here before an appointment is booked.

Ambulatory detox is for mild to moderate withdrawal that does not need 24/7 medical supervision. It covers withdrawal from alcohol, opioids including heroin and fentanyl, benzodiazepines, methamphetamine and other stimulants. A nurse practitioner and a registered nurse assess every person first, looking at medical history, current medications and overall health, and not everyone is a candidate.

Call to describe the patient. A CIWA-Ar or COWS score, recent vital signs and the time of last use help on that call.

Both facilities welcome walk-ins, so a patient who is willing to go can come in without an appointment. For anything else, call admissions at (614) 665-8878. Virtual IOP is available anywhere in Ohio for patients who live far from either facility.

Call first, then send records once admissions confirms the route. Do not send clinical records to a general inbox before that. What we need:

• your name, role, organization, a direct callback number and your reachable hours
• patient name, date of birth, phone number, and whether a voicemail can be left
• reason for the referral and the level of care you have in mind
• substances used, amounts, route and the time of last use
• current withdrawal signs, with a CIWA-Ar or COWS score and recent vital signs if you have them
• the full medication list with doses, including MAT and controlled prescriptions, and who prescribes each
• medical history, active conditions, and pregnancy status where relevant
• psychiatric history, current risk, and any self-harm or attempt in the past year
• recent labs and drug screen results
• insurance information or a copy of the card
• a signed release of information that names you or your organization, or a group of recipients that includes you

Without a signed consent that covers you, Leora can take the referral but cannot report back to you.

Call admissions as soon as the discharge date is known.

Send the discharge summary, the medication list with the last dose given and the date it was given, and the MAT plan with how many days of supply the patient leaves with. The assessment sets the level of care, including when detox was completed inpatient.

Partial hospitalization is five days a week for about six hours, so transport and work or childcare arrangements have to hold before it is the right recommendation. Where the patient is returning to a county far from either facility, virtual IOP is fully remote and available anywhere in Ohio, with morning, afternoon and evening sessions. Case management and peer recovery support run alongside treatment where benefits or housing are unresolved at discharge.

• Ambulatory detox. Outpatient medically supervised withdrawal by nurse practitioners and registered nurses, with medication assisted treatment where it is indicated. Visit frequency is set at the assessment and adjusted as symptoms change. The client sleeps at home. Mild to moderate withdrawal only.
• Partial hospitalization. Five days a week, about six hours a day: four hours of therapy group, then an hour each of relapse prevention and nurse education. One to two individual appointments. Lunch provided. Nurse practitioner weekly.
• Intensive outpatient. Three to five days a week, three hours therapy group a day, nine to fifteen hours a week. One to two individual appointments. Nurse practitioner every two to three weeks.
• Outpatient. One to two days a week, two hours therapy group plus individual appointments.
• Virtual IOP. Fully remote, anywhere in Ohio, with morning, afternoon and evening sessions.
• Alumni recovery program. Ongoing counseling, twelve step meetings and help finding employment.

Therapies used across the levels: CBT, DBT, medication assisted treatment, motivational interviewing, family therapy, twelve step facilitation, case management and peer recovery support.

Substance use disorder records carry federal protections beyond HIPAA. Leora needs the patient's written consent before it sends you information, with narrow exceptions set by federal law, such as a medical emergency or a court order. Under 42 CFR 2.31(a)(4)(i) the consent can name you or your organization, or describe a group of recipients that includes you. The patient can revoke that consent in writing.

What Leora can report back is limited to what the consent allows.

Probation, drug court and EAP referrals run on the same consent rule, with reporting limited to what the consent authorizes. A consent for a criminal justice referral differs in one way: under 42 CFR 2.35 it states how long it runs and the time or event at which it becomes revocable, which can be no later than the final disposition of the case.

On court ordered treatment: Leora is outpatient, so an order contemplating inpatient or residential care cannot be served here. Questions about what an order can require go to the court or the referring attorney.

Columbus: 5432 N High St, Columbus, OH 43214. Dayton: 948 Patterson Rd, Dayton, OH 45419. Call admissions at (614) 665-8878 and say you are calling as a referring provider. Email admissions@leorabh.com to confirm where records should be sent.

Tell the patient to bring photo ID, insurance card, a current medication list, and the discharge plan if they are coming from another program.