Integrated Vivitrol® / Naltrexone Injections?
“A monthly injection is not a shortcut. It is a commitment to recovery.“
Vivitrol at Cove Recovery is not a prescription service.
It is a clinical program.
At Cove Recovery, Vivitrol is a tool — not a treatment on its own. We administer it as part of a structured, accountable program that addresses the full picture of opioid use disorder and alcohol use disorder: your substance use, your mental health, your recovery goals, and your life.
If you are receiving Vivitrol elsewhere with no therapy, no monitoring, and no real treatment support — we offer something different.
Eastern Shore of Maryland
Salisbury · Cambridge · Princess Anne · Berlin
Who We Prescribe Vivitrol For
Cove Recovery uses Vivitrol across several clinical pathways. Unlike some providers who administer a monthly injection with minimal support, we prescribe Vivitrol only within a fully integrated treatment program.
We prescribe Vivitrol for:
- Clients who have completed a medically supervised Suboxone taper and are transitioning to full abstinence from opioid medication
- Clients who have already detoxed from opioids and are opioid-free, ready to begin long-term relapse protection
- Clients who received Vivitrol while in an inpatient or residential program and are continuing care at the outpatient level
- Clients with alcohol use disorder who are working toward abstinence from alcohol
Why Cove Recovery is Different
Many providers administer Vivitrol with minimal oversight — a monthly appointment, a shot, and little else. That is not treatment. At Cove Recovery, we will not simply give injections.
Every client in our program must be actively engaged in treatment. That means:
- Full SUD clinical assessment before medication begins — not after
- Required participation in individual and group therapy
- Co-occurring mental health screening and integrated treatment
- Random urine drug screening — standard for every client, not optional
- Regular prescriber oversight and medication management
- Individualized treatment planning, updated as progress is made
- Relapse prevention planning built into every treatment plan
IMPORTANT
Before starting Vivitrol, clients must be completely opioid-free for a minimum of 7 to 14 days. Beginning naltrexone while opioids are still present in the body can trigger sudden, severe withdrawal. Our medical team manages every transition carefully — no client is rushed.
About Vivitrol (Naltrexone)
Vivitrol is a monthly injectable form of naltrexone — an opioid receptor antagonist that blocks opioid and alcohol effects in the brain for a full 30 days. It is FDA-approved for both opioid use disorder and alcohol use disorder.
Unlike Suboxone, Vivitrol contains no opioid component. It works by blocking opioid receptors entirely, which means opioids will have no effect while Vivitrol is active. This eliminates the reward of relapse and reduces cravings over time.
Vivitrol helps:
- Block the effects of opioids, eliminating the reinforcement of relapse
- Reduce alcohol cravings and support abstinence from alcohol
- Reduce opioid cravings over the course of treatment
- Provide monthly accountability with no daily medication required
- Remove the need for daily medication management — one injection per month
- Support clients who have already achieved opioid-free status in maintaining it
Vivitrol is most effective when combined with structured therapy and recovery support — which is exactly how we prescribe it.
Vivitrol Pathways at Cove Recovery
The choice of pathway is a clinical decision made with your treatment team — not a requirement before starting care. All pathways are fully supported within our program.
Pathway 1
Suboxone Taper to Vivitrol —
Bridge to Abstinence
For clients who benefit from continued medication support as part of their long-term recovery. Suboxone is prescribed as a clinical tool fully integrated into active SUD and mental health treatment.
Includes:
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Pathway 2
Post-Detox Vivitrol —
Continuing Recovery After Detox
For clients who have completed medical detox from opioids and are fully opioid-free, ready to begin structured outpatient treatment with Vivitrol as ongoing relapse protection.
Includes:
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Pathway 3
Continuing Vivitrol After
Inpatient or Residential Treatment
For clients who were started on Vivitrol during an inpatient or residential stay and are transitioning to outpatient care. Cove Recovery ensures continuity — your injection schedule continues without a gap, and your treatment continues with real clinical support.
Includes:
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Pathway 4
Vivitrol for
Alcohol Use Disorder
Vivitrol is FDA-approved for the treatment of alcohol use disorder and is prescribed at Cove Recovery for clients whose recovery goal is abstinence from alcohol — within the same structured, integrated clinical program.
Includes:
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NOTE
Clients who are still actively drinking heavily may require medical evaluation for alcohol withdrawal before starting Vivitrol. Our team assesses this at intake and will coordinate referrals as clinically indicated.
Integrated Mental Health Treatment
Opioid use disorder rarely exists on its own. Depression, anxiety, trauma, and PTSD are common in people struggling with opioid addiction — and untreated mental health conditions are among the most significant drivers of relapse.
At Cove Recovery, mental health treatment is not a referral or an afterthought. It is built into your treatment plan from day one.
- Comprehensive mental health screening at intake
- Individual therapy addressing trauma, anxiety, depression, and co-occurring conditions
- Psychiatric services available as clinically indicated
- Coordinated care between your prescriber, counselor, and therapist
Treating substance use and mental health together leads to stronger, more sustainable outcomes. That is why we do both — for every client, on every pathway.
Who We Serve
We accept clients at multiple points in the recovery journey:
- Individuals who have completed medical detox and are opioid-free, ready to begin Vivitrol
- Clients transitioning from inpatient or residential treatment who were started on Vivitrol and need outpatient continuation
- Clients currently on Suboxone who want a medically supervised taper with transition to Vivitrol
- Clients with alcohol use disorder working toward abstinence
- Clients with co-occurring mental health disorders requiring integrated treatment
- Clients stepping down from a higher level of care into structured outpatient MAT
Clients who are still actively using opioids will be comprehensively assessed and referred to medical detox or inpatient treatment before beginning Vivitrol. We coordinate that admission directly — we do not leave clients to navigate it alone.
What to Expect in our Program
Here is what the process looks like from the first contact through active treatment:
- Contact us by phone or the form below. Our team responds promptly.
- Comprehensive SUD clinical assessment — we take the time to understand your full history, health, goals, and mental health needs.
- Level of care determination using ASAM criteria — outpatient MAT, or coordination of detox or inpatient treatment first if clinically indicated.
- Confirmation of opioid-free status before the first Vivitrol injection — your medical team will determine the right timing.
- Individualized treatment plan developed with your clinical team, including medication pathway selection.
- Active treatment begins — therapy, medication management, UDS monitoring, and mental health care, all coordinated within one program.
- Your plan evolves with you — treatment planning is ongoing and adapts as you make progress.
Every client in our program participates in:
- SUD group therapy — required for all clients
- Individual counseling sessions
- Mental health therapy and co-occurring disorder treatment
- Random urine drug screening
- Regular prescriber appointments and injection management
- Relapse prevention planning
In-Person and Telehealth
— Hybrid Model
Cove Recovery operates a required hybrid model. Initial assessments, prescriber appointments, and urine drug screenings require in-person attendance. Therapy sessions may be delivered in-person or via telehealth based on clinical need and client circumstances. Fully virtual medication management is not available.
Your Treatment Team
Every client at Cove Recovery has access to a coordinated clinical team, including:
Prescriber — Medication management and medical oversight of Vivitrol
Licensed Addiction Counselor — Individual counseling and treatment planning
Group Therapy Facilitators — Structured SUD group treatment
Mental Health Therapist — Co-occurring disorder treatment and individual therapy
Clinical Care Coordinators — Supporting transitions, referrals, and continuity of care
Your prescriber and therapist communicate directly. Your care is coordinated — not siloed.
For Referring Providers
Cove Recovery is a referral partner you can count on.
When you refer a client for Vivitrol, they receive a full SUD assessment, active individual and group therapy, integrated mental health treatment, and medication managed within a real clinical framework — not just a monthly injection appintment
We accept referrals from:
· Primary care physicians · Hospitals
· Courts · Probation & Parole
· Social services
· Mental health providers
· Inpatient & Residential facilities
· Crisis centers · Attorneys
Call or email us to discuss a client.
We respond promptly and will help you determine the right level of care.
Four Locations Across the Lower Eastern Shore of Maryland
Cove Recovery provides Vivitrol and MAT services at all four of our Eastern Shore of Maryland locations, offering in-person and telehealth appointments to serve clients throughout the region.
Take the First Step
Recovery starts with a conversation. Call us, text us, or fill out the contact form below. Our team responds promptly and will help you determine the right next step — without pressure or judgment.
Call, Text, or Email Us!
We’re here for you… contact us to schedule an appointment today.
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