Category Archives: Addiction Recovery

Review Your Methadone Clinic Handbook

methadone32Each methadone program outlines important policies and procedures that their clients need to be familiar with as they enter methadone treatment. By necessity, methadone clinics operate with a considerable number of program rules pertaining to the clinic's operation and their clients' participation. These rules and procedures must be well-organized and readily available to all clients.

Most clinics publish a client handbook that is organized into topics & categories covering the essentials a client should know about program operation, client rights & privileges, important methadone cautions, advancing through the methadone treatment phase system, and numerous other issues.

If you are a new client, please do take time to review any orientation packet or program handbook that your methadone home clinic provides you. Becoming familiar with the procedures for each department (medical, clinical, billing) will help you become more comfortable with treatment and also reduce the chance of any future problems.

For example, new clients sometimes do not understand that arriving late (after dispensing has finished for the day) may likely result in not receiving one's methadone dose. This often results in feelings of worry and anxiety that can interfere with the rest of your day. So be sure to know when dispensing is over and don't wait until the last minute to arrive at your clinic for dosing.

Your counselor, or the dispensing nurse, should be able to get you a copy of the client handbook if you don't have it or have misplaced your original. Having a program handbook nearby is especially helpful when you are at home or don't have immediate access to program staff for answering sudden questions.

Methadone Treatment and Recovery Require Scheduling

methadonecalendarAdmission to a methadone clinic is initially prompted by an individual's daily struggle with opioid withdrawal symptoms and the desire to avoid being sick. To address this problem, new clients arrive each day to receive their medication. The first 1 – 3 months are referred to as the induction period, and center around increasing a client's methadone dosage until the client's opioid withdrawal is effectively eliminated. Regular daily visits to the clinic are critical to this process.

Being a client in a methadone program requires careful attention to program guidelines and expectations. Clients must dose within a specified time frame, keep appointments for counseling, and provide a urine specimen upon request for random drug testing. There are payments for treatment services, and other considerations like participating in pill counts with the nurse, occasional lab work, and "call backs" for take home accountability, etc. 

Some clients find it helpful to keep a personal calendar so as to schedule their activities in advance. Planning ahead & becoming better organized is a highly useful recovery tool. Get into the practice of writing things down. This will lead to more success in meeting daily responsibilities. Not to mention the positive effect of reducing one's stress level. 

The addictive lifestyle often breeds a number of "bad habits". A goal of treatment is to gradually replace bad habits with healthy practices! Time management & scheduling are indeed healthy practices that yield great benefits for recovering individuals. Getting by with minimal effort is a common bad habit that often becomes characteristic of an addictive lifestyle and an addictive mindset. This will need to change … sooner or later.

The old cliche suggests "we get out of it what we put into it." Think about this a bit. Maybe keeping a personal calendar is a good idea for you & a solid investment in managing your recovery. Operating with a schedule in mind doesn't have to be limiting, or a nuisance. It's about being conscious of what's important in your new drug-free life. And being sure you don't shortchange yourself by accidentally forgetting important things. Maybe scheduling would be a good topic for your next counseling session