Leaving treatment: do this now

Treatment, recovery and recovery housing

KY HELP talks with you, or with family, about treatment that fits. The call is free. [1]
It is staffed Monday to Friday, 7 a.m. to 10 p.m., and weekends 8:30 a.m. to 5:30 p.m., Eastern Time. After hours, call 1-800-854-6813. [1]
The state's FindHelpNow site lists treatment, naloxone and recovery-housing programs that say they are taking new clients. Call to confirm. [2]

Open FindHelpNow Kentucky

[2]

If someone may be overdosing

A suspected overdose is an emergency: call 911 and use naloxone if available according to its instructions. Don't wait to do either. [3]
Naloxone does not harm someone who is not overdosing on an opioid. [3]

Food, rides and a place to stay

Kentucky 211 answers any time. Dial 211, or text your ZIP code to 898211. [4]

Recovery help near you

Numbers to call

988 Suicide & Crisis Lifeline
988
Call or text. Free and confidential. Spanish: press 2, or text AYUDA to 988.
[5]
KY HELP Statewide Call Center
1-833-859-4357
Treatment and recovery questions. Monday to Friday 7 a.m. to 10 p.m., Saturday and Sunday 8:30 a.m. to 5:30 p.m., Eastern Time.
[1]
KY/Opioid & Assistance Resource Hotline
1-800-854-6813
When KY HELP is closed.
[1]
Kentucky 211
211
Food, rides, housing and other local help, any time. Or text your ZIP code to 898211.
[4]

[data-call-list-print-button]{display:none}Use your browser's Print menu to print this call list or save it as a PDF.

Full guide and fine print

Sources

These are the recorded source dates, not a fresh check. Each entry names the claim it supports; a listing or contact does not confirm current availability.

Operation UNITE — KY HELP Statewide Call Center
Checked 2026-10-07.
https://operationunite.org/programs/kyhelp-call-center/
- Treatment, recovery and recovery housing, fact 1: KY HELP talks with you, or with family, about treatment that fits. The call is free.
  Recorded source wording:
  Individuals seeking treatment for themselves or others – as well as family members who have questions or are in need of support – can call 1-8338-KYHELP (1-833-859-4357) toll-free and speak with a specialist about available services most relevant to their needs.
  Back to Treatment, recovery and recovery housing, fact 1
- Treatment, recovery and recovery housing, fact 2: It is staffed Monday to Friday, 7 a.m. to 10 p.m., and weekends 8:30 a.m. to 5:30 p.m., Eastern Time. After hours, call 1-800-854-6813.
  Recorded source wording:
  the line is now staffed Monday through Friday from 7:00 a.m. to 10:00 p.m. (EDT) and on Saturday and Sunday from 8:30 am to 5:30 pm. (EDT) … For after-hours assistance, individuals should contact the KY/Opioid & Assistance Resource Hotline: 1-800-854-6813
  Back to Treatment, recovery and recovery housing, fact 2
- KY HELP Statewide Call Center: 1-833-859-4357. Treatment and recovery questions. Monday to Friday 7 a.m. to 10 p.m., Saturday and Sunday 8:30 a.m. to 5:30 p.m., Eastern Time.
  Back to KY HELP Statewide Call Center
- KY/Opioid & Assistance Resource Hotline: 1-800-854-6813. When KY HELP is closed.
  Back to KY/Opioid & Assistance Resource Hotline
FindHelpNow Kentucky
Checked 2026-10-07.
https://findhelpnowky.org/ky
- Treatment, recovery and recovery housing, fact 3: The state's FindHelpNow site lists treatment, naloxone and recovery-housing programs that say they are taking new clients. Call to confirm.
  Recorded source wording:
  Use this website to find facilities and providers who are actively taking new clients. We work with hundreds of mental health treatment, substance use disorder treatment, naloxone, and recovery housing organizations in Kentucky
  Back to Treatment, recovery and recovery housing, fact 3
- Open FindHelpNow Kentucky: Open FindHelpNow Kentucky
  Back to Open FindHelpNow Kentucky
CDC — 5 Things to Know About Naloxone
Checked 2026-10-07.
https://www.cdc.gov/overdose-prevention/reversing-overdose/about-naloxone.html
- If someone may be overdosing, fact 1: A suspected overdose is an emergency: call 911 and use naloxone if available according to its instructions. Don't wait to do either.
  Recorded source wording:
  Administer naloxone or another opioid overdose reversal medication (if available) and then call 911.
  Back to If someone may be overdosing, fact 1
- If someone may be overdosing, fact 2: Naloxone does not harm someone who is not overdosing on an opioid.
  Recorded source wording:
  Naloxone will not harm someone if you give it to them and they are not overdosing on an opioid.
  Back to If someone may be overdosing, fact 2
Kentucky 211
Checked 2026-10-07.
https://kentucky211.org/
- Food, rides and a place to stay, fact 1: Kentucky 211 answers any time. Dial 211, or text your ZIP code to 898211.
  Recorded source wording:
  Dial 211 or text your zip code to "898211" … Our representatives are available 24/7 to help you when you need it.
  Back to Food, rides and a place to stay, fact 1
- Kentucky 211: 211. Food, rides, housing and other local help, any time. Or text your ZIP code to 898211.
  Back to Kentucky 211
988 Suicide & Crisis Lifeline — Get Help
Checked 2026-10-07.
https://988lifeline.org/get-help/
- 988 Suicide & Crisis Lifeline: 988. Call or text. Free and confidential. Spanish: press 2, or text AYUDA to 988.
  Back to 988 Suicide & Crisis Lifeline

Full guide and fine print

Step-by-step plans, what to bring, the rules behind each step, and their sources.

Your plan

6 steps, in the order that works. Select any step for the full instructions.

Do this first. Carry naloxone when you leave. More info.
Step 1 of 6. Get discharge plan and transition supply. More info.
Step 2 of 6. Confirm the next appointment. More info.
Step 3 of 6. Call your plan's care management team. More info.
Step 4 of 6. Search recovery housing openings. More info.
Step 5 of 6. Set up a mail address. More info.
Step 6 of 6. Ask what gets shared, and get a copy. More info.

Answer these to shorten your plan

[data-journey-question]{display:none}Choosing answers needs JavaScript. Follow the full plan above, choose another Journey guide, or call 211 for local help.

Optional. Answers stay in this browser tab; they are not placed in the address, sent to No One Left Outside or used to decide eligibility. Skipping every question gives you the full plan above.

Do you have Kentucky Medicaid?

Do you have somewhere to go after discharge?

Progress stays in this browser tab and is never sent to No One Left Outside.

Start here

Your first action

Packet

Do this now

Ask your treatment team whether a discharge planner is assigned. Ask for a written plan covering medication, follow-up care, transport and a safe place to stay before you leave, if possible.

Next: The treating team or discharge planner

Ask the facility whether a discharge planner is assigned; use that contact if so.

Ask: Ask for the written discharge plan, medication list, follow-up appointments, transportation, and a named contact for unresolved questions. Ask what happens if the destination or plan changes.

Not in Louisville? Outside the Louisville region: KY HELP

Call KY HELP (1-833-859-4357) — (833) 859-4357 Search Find Help Now KY

Seven Counties serves the Louisville region. Elsewhere, KY HELP gives statewide substance-use screening and referral (weekdays 7 a.m.–10 p.m., weekends 8:30 a.m.–5:30 p.m. Eastern); ask which county-serving program fits. Find Help Now KY listings are leads, not proof of an opening.

Situation: You don't have to sort out every next step at once. Start with a workable continuing-care plan.

What you need to startUse what you have. Missing items do not block the first call.

Have ready if available

Written discharge instructions and medication list
Follow-up appointment dates and contacts
Transportation plan for day of departure
Safe contact method and mailing address for follow-up

Missing something? Ask what can be reviewed; do not wait to call.

If the first route fails

If the discharge plan is incomplete or a stable place to stay has not been confirmed: Dial 211 and ask for current recovery-housing, shelter, and continuing-care leads. Confirm capacity and intake requirements before traveling.

Dial 211

If a discharge planner was assigned, keep their contact open — they can sometimes extend or modify a plan.

Universal preparation guidance · checked 2026-09-12 · Jurisdiction-neutral

What remains uncertain: Recovery housing availability, continuing-care intake, medication access, and transportation cannot be confirmed in advance by this page. Ask each provider to confirm in writing.

Universal preparation guidance · checked 2026-09-12 · Jurisdiction-neutral

Programs under one organization can differ. Provider information · Methodology

Choose what needs attention

What support do you need after leaving treatment?

Pick everything that applies. Clinical follow-up and housing search can proceed in parallel.

Select a card to add it. Select it again to remove it.

Keep the plan moving

If the first route is closed or you cannot use it

A closed office, unanswered call, or unavailable device does not prove that you are denied or that a service is unavailable. This guide lists some options, not every possible route. If it is safe to do so, ask for another appropriate contact and keep the original task open.

The office or line is closed

Record what failed and when. Use a listed same-day alternative if one exists, and keep the original call or application as a separate follow-up.

See things that may help today

You cannot use the phone or website

Check for another published channel or ask a trusted helper to open the route with you. Share only the minimum information needed. If no workable channel is listed, that gap remains unknown.

Check the official routes

Related resources can offer another path, but a listing does not confirm current hours, capacity, eligibility, or acceptance. Review related resources.

What this guide cannot promise

Reviewed guidance only. Fees, timelines, eligibility, document substitutes, capacity, and provider practices are not published unless supported by a named source. Confirm current requirements directly.

How to read checked, listed, and unknown informationA listing can stay useful without being provider confirmed.

Checked fact or route: No One Left Outside matched the fact to the named source on the date shown. This is not proof of current availability or provider confirmation.
Directory lead: A listing that may still help remains visible with an honest status such as Possibly active or Needs verification.
PROVIDER CONFIRMED: Only named fields backed by linked first-party provider evidence, integrity checks, and attributed human approval may carry this state. No One Left Outside never infers it from a website, import, likely fit, or contact attempt.
UNKNOWN / Needs verification: No One Left Outside does not know the answer yet. Confirm it directly; this is not a claim that the resource or option does not exist.

Each step in full

The same steps as the plan above, with the instructions for each one.

Do firstCarry naloxone when you leave
Sensitive guide · stays in this tab only · nothing is sent
Do this
Have it in your hand on the way out, not on a list of things to sort out later.
- SAMHSA names people who have had a period of abstinence as candidates for opioid overdose reversal medication.
- Ask the treatment team for it before you go. If they do not provide it, a pharmacist certified by the Kentucky Board of Pharmacy can dispense it under the statewide physician protocol.
- Ask the pharmacy or county health department for current naloxone stock, price or a no-cost community route and product training. The current CDC page says cost varies; a free supply from a particular pharmacy is not established.
- Someone who might be with you should know where it is and how to use it. It is no use in a bag nobody can find.
Ways to get help for this step
- Your local health department — Kentucky county directory
  Ask the health department serving your county about naloxone and product training. Supply and cost are not confirmed here.
  Open official route →
- Find Help Now KY listings — statewide leads
  Statewide listings include naloxone organisations. A listing is a lead, not proof of current supply.
  Open official route →
Limits and what to confirm
- Follow product instructions and the emergency dispatcher. Naloxone access, price and stock at a particular venue must be confirmed; a pharmacy route is not a universal free supply.
- Whether any particular treatment programme provides naloxone at discharge, and which pharmacies near you participate. Ask both.
Why this step is here
First and unnumbered — moved here from seventh in this pass. The risk is highest on the day of exit, so a step reached seventh is a step reached after the day it was for.
What was checked, and what is still unknown (3)
Official sources checked (3)
- U.S. Substance Abuse and Mental Health Services AdministrationOpioid Overdose Reversal Medications (OORM)
  Establishes: SAMHSA names people who have had a period of abstinence as candidates for opioid overdose reversal medication.
  Checked on 2026-10-08
- Kentucky Department for Public HealthKentucky Statewide Physician Protocol to Initiate Dispensing of Opioid Antagonists for Opioid Overdose Prevention and Response
  Establishes: Kentucky's statewide physician protocol lets a pharmacist certified by the Kentucky Board of Pharmacy initiate dispensing of opioid antagonists; eligible candidates include a person with a suspected history of substance use or non-medical opioid use, and a person with a history of receiving medical care for acute opioid poisoning or overdose. The protocol is renewed annually and the copy read was signed 24 June 2026.
  Checked on 2026-10-08
- Centers for Disease Control and Prevention5 Things to Know About Naloxone
  Establishes: CDC advises emergency help and naloxone when an overdose is suspected; other drugs may contain fentanyl. Cost varies by source and coverage, and local health departments may identify no-cost or reduced-cost community programs.
  Practical limit: Follow product instructions and the emergency dispatcher. Naloxone access, price and stock at a particular venue must be confirmed; a pharmacy route is not a universal free supply.
  Checked on 2026-09-30
Still unknown
- Whether any particular treatment programme provides naloxone at discharge, and which pharmacies near you participate. Ask both.
Back to your plan
Step 1Get discharge plan and transition supply of 6
Sensitive guide · stays in this tab only · nothing is sent
Do this
Ask before you leave for a written plan and an adequate transition supply of every ongoing medication.
- Ask for it in writing. A verbal plan is not something you can hand to the next clinician.
- Ask the treating clinician to prescribe or dispense a transition supply covering all ongoing medications until your confirmed outpatient intake.
- Ask what happens if the next appointment is further out than the transition supply.
- If the team says no to any of it, ask them to write down what they said and why.
Move on when: you are holding a written plan and know exactly how many days of each medication you have.
Ways to get help for this step
- KY HELP Statewide Referral Line
  Statewide screening and referral; weekdays 7 a.m.–10 p.m. Eastern, weekends 8:30 a.m.–5:30 p.m. Ask about current intake, cost and a fallback; placement is unconfirmed.
  Call 1-833-859-4357
- Seven Counties addiction recovery hotline — Louisville-area region only
  Seven Counties publishes this addiction recovery hotline as available 24/7, 365, for its Louisville-area region. Elsewhere, use KY HELP above.
  Call (502) 583-3951
- Find Help Now KY Real-Time Portal
  State-linked treatment search. Listings are leads; confirm current plan acceptance and intake directly. Use KY HELP when the site cannot be used.
  Open official route →
Limits and what to confirm
- Whether the prescriber or facility can provide a transition supply or bridge prescription, and what your coverage pays. No universal thirty-day supply is established here; confirm the clinical and pharmacy plan before leaving.
Why this step is here
First of the numbered steps, because it can only be asked for before discharge. Every other step here can be done afterwards; this one closes with the door.
What was checked, and what is still unknown
Still unknown
- Whether the prescriber or facility can provide a transition supply or bridge prescription, and what your coverage pays. No universal thirty-day supply is established here; confirm the clinical and pharmacy plan before leaving.
Back to your plan
Step 2Confirm the next appointment of 6
Sensitive guide · stays in this tab only · nothing is sent
Do this
Date, time, clinician name, and location — before you leave, not after.
- An appointment that exists only as an intention does not exist. Ask for the four details and write them down.
- Ask what to do if you miss it, and who to call.
- Ask whether the appointment is contingent on anything — a referral, an insurance check, a form somebody has to send.
Move on when: you can say the date, the time, the clinician's name, and the address without looking anything up.
Ways to get help for this step
- Your county's community mental health center — Kentucky directory
  If no receiving clinic is named yet, the community mental health center serving your county is one place to ask for follow-up care.
  Open official route →
Limits and what to confirm
- Whether any appointment will be kept or rescheduled. Confirm directly with the receiving clinic.
Why this step is here
Second, for the same reason as the first: the people who can arrange it are the people you are about to stop seeing.
What was checked, and what is still unknown
Still unknown
- Whether any appointment will be kept or rescheduled. Confirm directly with the receiving clinic.
Back to your plan
Step 3Call your plan's care management team of 6
Sensitive guide · stays in this tab only · nothing is sent
Do this
Identify your exact coverage and ask the plan which clinical and discharge supports apply to your situation.
- Kentucky lists each managed care plan's member number: Aetna Better Health of Kentucky 855-300-5528, Humana Healthy Horizons in Kentucky 800-444-9137, Passport Health Plan by Molina Healthcare 800-578-0603, UnitedHealthcare Community Plan 866-293-1796, and WellCare of Kentucky 877-389-9457 (TTY 711 for each).
- Ask for care management: Can you check my exact Kentucky Medicaid product, the discharge supports it includes, any diagnosis or event conditions, vendor or approval requirements, and how I request them? Use the plan-specific benefits page to prepare questions, rather than assuming meals or rewards apply to every member.
- Medical appointment transport has the separate county-broker process. Ask about covered trip purpose, notice, accessibility and a return ride; plan extras are not an unrestricted ride or reimbursement entitlement.
- If you do not know which plan you are with, the state Medicaid card and the plan card are different cards — DCBS on (855) 306-8959 can say which plan you are in.
Move on when: you have the next request or review route and any conditions confirmed by the plan, or an explicit unresolved question and fallback contact.
Limits and what to confirm
- The care-management numbers are not the member numbers above, and No One Left Outside has not verified a first-party source for any plan's care-management line. Ask the member number to transfer you rather than dialling a number from anywhere else.
- Which benefits any plan currently offers. Each plan decides that.
Why this step is here
After the clinical steps, because the benefits it unlocks are wrapped around a discharge that has already been arranged.
What was checked, and what is still unknown (2)
Official sources checked (2)
- Kentucky Department for Medicaid ServicesMedicaid identification card
  Establishes: Kentucky's Medicaid ID card page says members enrolled in a managed care organization receive a card from that plan, and lists each plan's member number: Aetna Better Health of Kentucky 855-300-5528, Humana Healthy Horizons in Kentucky 800-444-9137, Passport Health Plan by Molina Healthcare 800-578-0603, UnitedHealthcare Community Plan 866-293-1796, and WellCare of Kentucky 877-389-9457, each with TTY 711.
  Checked on 2026-10-06
- Kentucky Department for Medicaid ServicesMedicaid identification card
  Establishes: A member who loses the state Medicaid ID card requests a replacement by contacting the Department for Community Based Services toll-free on (855) 306-8959; the Medicaid Identification card is permanent and should be kept even if Medicaid ends.
  Checked on 2026-10-08
Still unknown
- The care-management numbers are not the member numbers above, and No One Left Outside has not verified a first-party source for any plan's care-management line. Ask the member number to transfer you rather than dialling a number from anywhere else.
- Which benefits any plan currently offers. Each plan decides that.
Back to your plan
Step 4Search recovery housing openings of 6
Sensitive guide · stays in this tab only · nothing is sent
Do this
Ask KY HELP for recovery-housing leads, then confirm intake, medication rules, cost and a safe destination directly.
- Call KY HELP at 1-833-859-4357 or use the state-linked treatment search for leads. Ask the referring specialist to identify the public intake contact rather than sending you to a residential address.
- Call to confirm before travelling. A listed opening is not a bed.
- Ask what each place requires — some have rules about medication for opioid use disorder that would end your treatment.
Move on when: you have a named place with confirmed space, or a recorded reason each one could not take you.
Ways to get help for this step
- KY HELP substance-use referral line — statewide
  Ask for recovery-housing leads and the public intake contact, cost and medication policy. A lead is not a bed.
  Call 1-833-859-4357
- Find Help Now KY listings — statewide leads
  Statewide listings of recovery residences; confirm space and rules directly before travelling.
  Open official route →
Limits and what to confirm
- The provider page differentiates the current7am weekday start from a historical2021 segment saying8:30am. A referral does not establish cost, eligibility, admission, treatment placement or transport.
- Services are local and site-specific. The page does not establish every county has a program or current supplies, hours or access conditions.
- Whether any listed opening is still available, and what each house requires. Confirm each directly.
Why this step is here
Promoted to the front when there is nowhere to go after discharge, because a discharge plan without a destination is not a plan.
What was checked, and what is still unknown (2)
Official sources checked (2)
- Operation UNITEKYHELP Statewide Call Center
  Establishes: Operation UNITE publishes statewide substance-use screening/referral at8338594357, Monday–Friday7am–10pm Eastern and weekends8:30am–5:30pm, with8008546813 for after-hours assistance.
  Practical limit: The provider page differentiates the current7am weekday start from a historical2021 segment saying8:30am. A referral does not establish cost, eligibility, admission, treatment placement or transport.
  Checked on 2026-09-30
- Kentucky Department for Public HealthHarm Reduction Service Programs
  Establishes: KDPH publishes a local-health-department harm-reduction services dashboard, needle/syringe access through participating programs, naloxone education and the pharmacist standing-order route.
  Practical limit: Services are local and site-specific. The page does not establish every county has a program or current supplies, hours or access conditions.
  Checked on 2026-09-30
Still unknown
- Whether any listed opening is still available, and what each house requires. Confirm each directly.
Back to your plan
Step 5Set up a mail address of 6
Sensitive guide · stays in this tab only · nothing is sent
Do this
Somewhere a dated letter can reach you while housing is unsettled.
- The Postal Service publishes General Delivery as a temporary way to receive mail without a permanent address.
- Two limits worth planning around: a customer can be required to present identification, and each piece is held for no more than 30 days.
- Call the specific Post Office first. Which facility offers it, and what identification that postmaster accepts, are decided locally.
Move on when: there is an address where a letter with a date on it will reach you.
Limits and what to confirm
- Which Post Office near you offers General Delivery and what identification it accepts.
Why this step is here
After housing, because a confirmed address makes this unnecessary and an unconfirmed one makes it urgent.
What was checked, and what is still unknown (1)
Official sources checked (1)
- U.S. Postal ServiceDomestic Mail Manual 508 — Recipient Services, General Delivery
  Establishes: General Delivery is a temporary mail option; suitable identification can be required, customers should confirm the destination facility before mailing, and each item is held no more than 30 days (less if requested by the sender).
  Checked on 2026-09-07
Still unknown
- Which Post Office near you offers General Delivery and what identification it accepts.
Back to your plan
Step 6Ask what gets shared, and get a copy of 6
Sensitive guide · stays in this tab only · nothing is sent
Do this
Know what is being sent to each receiving service, by whom, and how you get it too.
- Ask what information may be shared with each receiving service, who will send it, and how you can obtain a copy.
- Ask before signing any release what specifically it covers and for how long.
- A copy in your own hand is what lets the next clinician start from where this one stopped.
- Choose a safe contact method, name who owns the next action, and write down when to check again.
- Keep a safe copy or reference number for each notice, submission, referral, and instruction so the work can resume without starting over.
Move on when: you know what is being sent where, and you have or can get a copy.
Limits and what to confirm
- What any programme's release process requires. Ask the programme.
Why this step is here
Last, because it is about the handover rather than the exit — and because it is the step most often skipped, then missed for months.
What was checked, and what is still unknown
Still unknown
- What any programme's release process requires. Ask the programme.
Back to your plan

Everything this journey covers is below: the documents involved, what commonly blocks people, and the official routes. Pick whichever situations above match yours to narrow this to an ordered plan for each one, with what to bring, what to ask, and what to do if it does not work. You can pick more than one, and you can change your mind.

Documents and what replaces them (2)Every document this journey covers, what each one proves, and the accepted substitutes.

Documents and recovery questions

Anything marked “confirmed” below has a named source and a check date. Everything else is a question worth asking, not a rule — ask before relying on it.

Written discharge summary, clinical transition plan, or transfer letter

Receiving outpatient programs, primary care doctors, and recovery residences require clinical documentation to continue care.

If it is missing

Request an official discharge summary or physician transfer letter from the medical records department of your treatment facility.

Confirmed accepted instead

Electronic patient health portal clinical discharge summary, aftercare plan, or transition orderAccepted by Kentucky Cabinet for Health and Family Services, DBHDID
- — Must be generated from an accredited Kentucky behavioral health or substance use disorder provider.
- — Identifies patient name, discharge date, and ongoing clinical recommendations.
Kentucky CHFS — Division of Substance Use Disorder — checked 2026-09-12 — https://www.chfs.ky.gov/agencies/dbhdid/Pages/dsud.aspx
Attending physician or licensed clinician signed continuity-of-care transfer letterAccepted by Kentucky Community Mental Health Centers & Receiving Programs
- — Must be on treating facility letterhead with clinician signature and contact telephone number.
Seven Counties Services — Addiction Recovery Directory — checked 2026-09-12 — https://sevencounties.org/resources/blog/seven-counties-services-crisis-number-directory/

Last checked 2026-09-12 · Kentucky · official source: Kentucky Cabinet for Health and Family Services / Seven Counties

Medication verification, transition prescription, or KASPER electronic dispensing record

Outpatient providers and pharmacies need verifiable proof of ongoing dosages (especially MOUD like buprenorphine or naltrexone) to prevent withdrawal.

If it is missing

Obtain an intact labeled prescription bottle, pharmacy dispensing receipt, or clinical prescribing letter from the treating physician.

Confirmed accepted instead

Original pharmacy-labeled prescription container or electronic prescription receiptAccepted by Kentucky Board of Pharmacy & Outpatient Clinics
- — Container label must be intact and legible, displaying patient name, prescriber name, pharmacy contact, and date dispensed.
Kentucky Board of Pharmacy — Patient Safety — checked 2026-09-12 — https://pharmacy.ky.gov
Verified clinical prescribing printout or KASPER electronic dispensing record from treating teamAccepted by Kentucky Receiving Health Care Clinicians & MCO Care Managers
- — Must be transmitted or printed by an authorized healthcare professional or pharmacy.
Kentucky CHFS — Office of Inspector General KASPER — checked 2026-09-12 — https://www.chfs.ky.gov/agencies/os/oig/dai/deppb/Pages/kasper.aspx

Last checked 2026-09-12 · Kentucky · official source: Kentucky Cabinet for Health and Family Services / Seven Counties

If something is blocking you (4)What commonly stops people here, and what has worked around it.

If something is blocking you

A housing or continuing-care referral is not confirmed before discharge.

Things to try

If a discharge planner is assigned, ask them to document the unconfirmed need and provide more than one contact or fallback. If not, ask the care team what written documentation they can provide.

A program’s medication, cost, intake, or participation practice is unclear.

Things to try

Ask the program directly and involve the treating professional in any care decision.

The discharge plan changes or the first handoff fails after leaving.

Things to try

Use the written contact plan, call the named treating-team contact, and reopen housing, transportation, medication, and care follow-up as separate tasks.

The normal route stalls, gives conflicting instructions, or cannot confirm the next step.

Things to try

Record who said what, when, and through which channel.
Ask what escalation or alternate channel exists, then keep a separate fallback route open.

Where to go — official routes (6)Named offices and services, each with its own source, check date, and published limits.

Verified official route

Seven Counties Services, the regional community mental-health provider for the Louisville area, publishes four crisis lines it states are available 24/7, 365: an adult crisis line at (502) 589-4313, a child crisis line at (502) 589-8070, an addiction recovery hotline at (502) 583-3951, and a developmental-disability crisis line at (502) 459-5292. It publishes a Crisis Prevention and Response Program for people with intellectual or developmental disabilities, intended to help someone stay in their home and community. Whether a specific service is offered, what it costs, and who is eligible are Seven Counties' to answer.

Open the verified official source

Last checked 2026-08-05 · Kentucky · official source: Seven Counties Services — Crisis Number Directory

Verified official route

The 988 Suicide & Crisis Lifeline publishes that it supports people in mental-health distress, emotional distress, and substance-use crisis, that it is available 24/7/365, and that it is free and confidential. It can be reached by calling 988, texting 988, or chatting at chat.988lifeline.org, and it publishes a Deaf and Hard of Hearing access route. It states that text and chat services are available in Spanish. 988 does not dispatch on No One Left Outside's behalf and No One Left Outside does not monitor it.

Open the verified official source

Last checked 2026-08-05 · Jurisdiction-neutral · official source: 988 Suicide & Crisis Lifeline

Verified official route

KY HELP Substance Use Referral Line

Operation UNITE publishes KY HELP statewide substance-use screening and referral at 1-833-859-4357, weekdays 7 a.m.–10 p.m. Eastern and weekends 8:30 a.m.–5:30 p.m. It lists 1-800-854-6813 for after-hours assistance. Ask about the appropriate county-serving service, exact coverage or cost, intake and a fallback. A referral does not establish admission, an opening, transport or payment. Use 988 for a crisis and 911 for a medical emergency.

Open the verified official source

Last checked 2026-09-30 · Kentucky · official source: kyHelpLineRoute

Verified official route

Find Help Now Kentucky

Kentucky's current harm-reduction page and Operation UNITE link Find Help Now KY as a treatment-search route. The retrieved search page contains older plan and contact information; listings are leads, not proof of current acceptance or availability. Confirm the provider's exact product, population, cost and public intake route before travelling. If the site cannot be used, call KY HELP at 1-833-859-4357 during its published hours.

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Last checked 2026-09-30 · Kentucky · official source: findHelpNowKyRoute

Verified official route

Phoenix Healthcare for the Homeless serves adults experiencing homelessness near downtown Louisville. It provides services at its downtown clinic and through street outreach.

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Last checked 2026-08-06 · Kentucky · official source: Family Health Centers (Louisville) — Services for the Homeless

Verified official route

The Postal Service publishes General Delivery as a way to receive mail without a permanent address. Its FAQ states: "General Delivery is a mail service for those without a permanent address, often used as a temporary mailing address." The Domestic Mail Manual sets the rules. Section 508.6.1 states general delivery "is intended primarily as a temporary means of delivery: For transients and customers not permanently located" and for customers wanting Post Office box service when boxes are unavailable. Section 508.6.3 states a "general delivery customer can be required to present suitable identification before mail is given to the customer," and that "Prior to mailing, customers should contact the destination Post Office to determine the authorized facility or facilities and their applicable ZIP Code(s)." Section 508.6.2 states general delivery is normally available at only one facility per Post Office, that "A customer may use only one such location," and that a postmaster may refuse or restrict it "To a customer who is unable to present suitable identification" or where mail volume or accumulation cannot reasonably be accommodated. Section 508.6.4 states "Each general delivery mailpiece is held for no more than 30 days, although a shorter time period may be requested by the sender." Two consequences worth planning around: identification can be required, so this may not solve an address problem for someone who is also missing ID; and a notice with a deadline further out than 30 days can be returned to the sender before it is collected. Call the specific Post Office first — which facility offers it, and what identification that postmaster accepts, are decided locally.

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Last checked 2026-08-06 · Jurisdiction-neutral · official source: United States Postal Service — Domestic Mail Manual 508.6, General Delivery

Emergency overdose safety · 24/7 toll-free

Never Use Alone

Overdose-response spotting when using alone.

“One of our volunteer operators will take your location information, and alert EMS to that location if you stop responding after using.”
Never Use Alone, https://neverusealone.com/, checked 2026-10-07

Call 800-484-3731

Toll-free 24/7: 800-484-3731 or 877-696-1996

If an overdose is already happening right now, call 911 immediately.

Build a handoff packet for a case managerFor a worker, advocate, or outreach team preparing a referral on someone's behalf.

Case manager packet

Build a Leaving Treatment handoff

[aria-labelledby='packet-builder-heading'] fieldset,[aria-labelledby='packet-builder-heading'] button,[aria-labelledby='packet-builder-heading'] label,[aria-labelledby='packet-builder-heading'] [aria-live]{display:none}Choosing packet sections needs JavaScript. You can open the full printable packet and use your browser's Print menu.

Choose the sections you can review together in under five minutes. The handoff starts with the first action and ends with a fallback. No One Left Outside does not ask for or store a client name, answers, case notes, or checklist progress.

Include in the packet

What to bring or gatherDocument prompts and recovery optionsOfficial sources and formsOwning agencies, source links, and check datesQuestions to confirmUNKNOWN details to ask an agency or providerIf the first route failsBlockers, alternatives, and recovery actions

First action plus 4 selected sections

Document prompts are preparation—not a verified agency checklist. UNKNOWN means “confirm this,” not “no.” A source link does not confirm eligibility or current availability.

Before the appointment ends

1. Name the next official contact.
2. Choose one UNKNOWN to confirm.
3. Agree on a fallback if the first route fails.

Routes whose sources publish 24/7 access

These sources describe the route as available around the clock. A route may be a staffed phone, text, or chat line, a self-service form, or a local process. This is not a live check that someone will answer or that a service has capacity. Read each availability note and confirm the current route when you can.

988 Suicide & Crisis Lifeline
Mental-health distress, emotional distress, suicide, or substance-use crisis — for you or for someone you are worried about.
Call or text 988 988lifeline.org
Chat at chat.988lifeline.org. Text and chat are published in Spanish, and there is a Deaf and hard-of-hearing route.
988 publishes that it is available 24/7/365, free, and confidential.
Source: 988 Suicide & Crisis Lifeline — checked 2026-08-05.
Kentucky 211
Housing, food, utilities, transportation, and community services — when you need to know what exists near you tonight.
Dial 211
Or text your ZIP code to 898211.
Kentucky 211 answers 24 hours a day.
Source: No One Left Outside emergency contact policy (SOURCE_OF_TRUTH §11) — checked 2026-08-05.
VA National Call Center for Homeless Veterans
Any veteran who is homeless or at risk of it. Family, friends, and case managers may call on a veteran's behalf.
Call 1-877-4AID-VET (1-877-424-3838)va.gov/homeless
VA publishes a free, confidential online chat with a trained counselor, any time of day or night.
VA publishes that this line is available 24/7.
Source: U.S. Department of Veterans Affairs — National Call Center for Homeless Veterans — checked 2026-10-18.

4 more routes whose sources publish 24/7 access

National Domestic Violence Hotline
Confidential support if someone is hurting you or you are helping someone who is being hurt.
Call 1-800-799-7233 thehotline.org/get-help
Text START to 88788, or use the live chat. There are Spanish, StrongHearts, and video-phone routes.
The Hotline publishes phone, text, and chat routes to an advocate. It also warns that internet use can be monitored and is impossible to erase completely — if this device may be watched, use a different one.
Source: National Domestic Violence Hotline — Get Help — checked 2026-10-18.
Seven Counties Services crisis lines
Local crisis support for the Louisville area, staffed at any hour. Separate lines for adults, children, addiction recovery, and developmental-disability crisis.
Adult crisis (502) 589-4313 sevencounties.org
Child crisis (502) 589-8070. Addiction recovery (502) 583-3951. Developmental-disability crisis (502) 459-5292.
Seven Counties Services publishes all four lines as available 24/7, 365.
Source: Seven Counties Services — Crisis Number Directory — checked 2026-10-19.
Kentucky protective order
Filing a petition for an emergency protective order, if someone is hurting you or threatening you.
How protective orders work (Kentucky Court of Justice)
Petitions are filed with an Office of Circuit Court Clerk; the court publishes contact details for all 120 counties.
Kentucky courts are required to provide a 24-hour access process for orders of protection in every county. The after-hours location or procedure can vary by county. Contact the local circuit court clerk, law enforcement, or a domestic-violence program to confirm the local process. The Kentucky Court of Justice also states that there are no fees or costs for filing a petition. Whether to seek an order is your decision, and an advocate can help you think it through.
Source: Kentucky Court of Justice — How to Obtain a Protective Order — checked 2026-08-05.
Legal Aid Society online application
Eviction, housing conditions, benefits, and other civil legal problems in Jefferson County and fourteen surrounding counties.
yourlegalaid.org/application
Legal Aid Society publishes an online intake application available twenty-four hours a day. Its phone intake is Monday to Thursday, 10 a.m. to 4 p.m., and closed on Fridays — so at night the form is the way in.
Source: Legal Aid Society — Frequently Asked Questions — checked 2026-08-05.

If someone is in immediate danger or having a medical emergency, call 911.

Things that may help today

Ask the current treatment team what safe interim plan it can document before discharge.
Use the emergency panel for immediate medical or safety danger and search multiple recovery and housing categories.

Related resources

These are directory leads, not endorsements or proof of eligibility. Confidential addresses are never shown in this strip.

Astra Behavioral Health: psychiatric, therapy and addiction treatment
Astra Behavioral Health
Needs verification
Private plan in this tab. Nothing is sent.
1-800-GAMBLER Kentucky Problem Gambling Helpline
Kentucky Council on Problem Gambling (KYCPG)
Needs verification
Private plan in this tab. Nothing is sent.
AA meetings and intergroup helpline
Alcoholics Anonymous - Bowling Green (District 3 Intergroup/Central Office)
Needs verification
Private plan in this tab. Nothing is sent.
Addiction Services
Pathways, Inc.
Needs verification
Private plan in this tab. Nothing is sent.

Adds: Astra Behavioral Health: psychiatric, therapy and addiction treatment, 1-800-GAMBLER Kentucky Problem Gambling Helpline, AA meetings and intergroup helpline. Private to this tab; nothing is sent.

View all resources for this journey

If something goes wrong

What to do when a step does not work

A closed office, a failed website or a “no” does not end the plan. Guidance written for this guide comes first. Where this guide has none, No One Left Outside’s general guidance is shown and labelled.

Show the seven situations, deadlines, county differences and what No One Left Outside does not know

If a document is missing

From this guide

Missing: Written discharge summary, clinical transition plan, or transfer letter
- Request an official discharge summary or physician transfer letter from the medical records department of your treatment facility.
- Officially accepted instead: Electronic patient health portal clinical discharge summary, aftercare plan, or transition order; Attending physician or licensed clinician signed continuity-of-care transfer letter.
Missing: Medication verification, transition prescription, or KASPER electronic dispensing record
- Obtain an intact labeled prescription bottle, pharmacy dispensing receipt, or clinical prescribing letter from the treating physician.
- Officially accepted instead: Original pharmacy-labeled prescription container or electronic prescription receipt; Verified clinical prescribing printout or KASPER electronic dispensing record from treating team.