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Todd O’Brien
Regional SA Supervisor

Mainstream’s Intensive Outpatient, Substance Abuse Counseling, and Substance Abuse Case Management Services

What is the Pathways for Hope mission?

  • To provide the highest quality substance abuse treatment services and deliver them with passion, integrity, and company spirit.
  • To inspire hope and contribute to the health and well-being of the communities we serve through shared values and continuous pursuit of improvement.
  • To allow clients the ability to develop the skills necessary for changes in thought, behavior, and responses, as well as relapse prevention, sustained sobriety, and successful reintegration into their communities at healthy baseline functioning.

We are committed to offering an inclusive and welcoming program, with the goals of building trust and supportive relationships based upon mutual respect, voluntary engagement, respect for choice, diversity and individual lifestyle, and empowerment of individuals to make their own choices.

“Recovery is not a one and done. It is a lifelong journey that takes place one day, one step at a time.”

Interested in referring to our agency?

Substance Abuse services are available at our Roanoke,
New River Valley, and Region 3 offices