Category Archives: Methadone Clinics

Methadone Clinic Transportation

bridgeOne of the chief hurdles clients face in considering methadone treatment is how convenient it will be to get to the methadone clinic for daily dosing. Metropolitan areas traditionally have a timely bus system and access to taxis, but those in rural areas can often find themselves stuck in the country with no way to get to the clinic.

Family members and close friends often become part of the equation providing a daily ride until a client can earn methadone take home privileges. Some clients have their own car, but the cost of gas can be a detrimental factor. Clients with children and limited income, or with a verifiable disability, may be eligible for Medicaid transportation. Any person can apply for Medicaid benefits through their county Department of Social Services.

Attending a clinic session to dose with methadone is a “medical appointment” and generally covered under approved Medicaid services. At our clinic in North Carolina, a number of clients are brought each day to the clinic by Medicaid transportation in order to participate in their treatment.

Another factor to consider in utilizing a methadone clinic is the clinic’s designated dosing time. Some clinics provide a wide window of time in which you can arrive to be dosed. Other smaller clinics may have more restricted hours of operation. Consequently, a person may have to observe time carefully to make sure they arrive before closing time in order to dose. Many clinics will accommodate a late client if that client has a legitimate reason for arriving late and calls ahead before closing time to inform the clinic nurse of their dilemma. However, it is always best to consult first with clinic staff to learn of their policy on arriving late and late dosing.

Interested in more information on methadone? Try our Q & A methadone information page!

Anti-Methadone Sentiment Not Rooted in Reality

methadone52In browsing articles on current methadone treatment, I came across a brief one in the United Kingdom’s Daily Record specifically from the Scottish news section. The article contained a number of derogatory quotes (in regard to methadone) from Scotland’s Maxie Richards. Ms. Richards runs a foundation for addicted people in recovery.

One quote from Ms. Richards pertaining to methadone included: “To me it represents a hopeless road, a road to nowhere.” Another comment was “I think it is such a waste to let young people spend years on methadone because we don’t think there’s any hope for them.” Ms. Richards is openly critical of the government’s support of methadone treatment programs.

Her words “a hopeless road” are not a fitting description of the life enhancing benefits of methadone in treating addiction. To the contrary, methadone is often the single most beneficial intervention for someone struggling with opioid addiction. In my experience, any addiction professional who is categorically against methadone is revealing a lack of education on evidence-based treatments, and is merely expressing an unsubstantiated personal bias that is easily refuted.

Today, a former client made a surprise visit to our clinic. She had been in methadone treatment with our agency for a little over 4 years and had come off of methadone one year ago. Today, standing in our lobby, she was full of life, smiling, and enthusiastically talking about how well things were going in her life. She said that methadone had been instrumental in saving her life. Since leaving treatment, she had remained completely drug free, was full-time employed, enjoying positive relationships with her family. And she looked wonderful, very healthy, and had a beautiful complexion.

Was her methadone treatment a “hopeless road’? Absolutely not! She, and we, knew that it was a bridge to a better life. She had originally arrived at our clinic beat down, lost in addiction, hopeless, and desperate for an answer after having tried everything she knew of to get clean and sober. Choosing methadone and counseling worked for her. I wonder what Ms. Richards might think if she had the chance to see and to speak with our former client today? Results speak for themselves. Methadone programs save lives and provide a deeply desired new opportunity. True, not all methadone programs are the same. Some are better than others.

Hope … is what many addicted people find when they begin dosing with methadone. Relief … from painful opioid withdrawal symptoms is what they feel. Gratitude … is what they express for a new start in life. And eventually happiness. Which is what our former client had come to share with us on this day.

Educating the Family on Methadone

methadone_family2A majority of clients who enter methadone programs do so without immediate family involvement in the admissions process. Often, a significant other knows of their loved one’s decision to enter treatment, but chooses to remain “on the outside”. There are several reasons for this including: apprehension about methadone clinics, feelings of embarrassment that their loved one has an opioid addiction, not wanting to invest time in the recovery process, or simply being too busy to spare the time.

Consequently, clients enrolling in methadone treatment programs typically go it alone early on. It is of course highly beneficial for each client to have some outside support, encouragement, and to be able to share their recovery journey with someone who cares about their struggles and progress.

I have found that many family just do not understand opioid addiction or the enormous benefit that medication-assisted treatment provides to those who are embarking on the journey of early recovery. There exist a notable social bias too against methadone which is born almost exclusively out of a lack of education on methadone’s efficacy as a medically-approved form of treatment for opioid addiction.

As has been stated on this website, the media have done an extremely poor job of reporting the widespread benefits of methadone as a useful opioid replacement medication. These factors sometimes steer families in the direction of harboring critical views & fears about methadone (or buprenorphine) as a legitimate addiction intervention. Where there is fear of something (whether justified or not), there usually exists detachment from, and a negative view of, that which is feared.

I have had the fortunate experience of meeting families, educating them on methadone as a recovery tool, and being able to answer questions about our methadone program. This face to face contact almost always builds a bridge by demystifying methadone and what it represents in the addiction recovery process. Education, knowledge, and trust consistently replace ignorance, fear, and negative social stigmas. When a family member comes to understand how methadone works and how it is part of a larger recovery effort, that person then becomes part of the recovery solution. Recovering individuals need this acceptance and family support. It is so very valuable.

Educating the family on methadone treatment can be accomplished in a variety of ways. A pamphlet, a phone call, inviting them to a family counseling session, or referring them to a fact-based website on methadone’s purpose. Helping families understand addiction and addiction solutions is always a worthwhile effort.

When Methadone Alone is Not Enough

methadone-clinicA methadone clinic where I work has received a surge in calls from prospective clients who are interested in methadone to deal with their opioid addiction. We typically perform a telephone triage when someone calls, which is a sort of mini assessment to determine what services a client may be eligible for. After completing this brief telephone interview, we then offer recommendations which may include potential admission to our clinic for methadone treatment.

Some of these callers are currently in methadone treatment at a competing agency, but are interested in transferring to our clinic. The reasons for requesting a transfer are numerous. Sometimes it is because the client can save money, or they are simply closer to our particular location (less driving time).

I have had some clients report that they receive practically no counseling. In other words, they are basically paying to dose each day with methadone (which obviously eliminates their withdrawal symptoms), but they are receiving very little psychological counseling to help them understand their addiction, or to aid them in developing sound relapse prevention practices. While it is true that some clients desire only dosing, many clients are interested in participating in counseling sessions to help them achieve improved coping skills and a better quality of life. Clients who aim for this type of comprehensive growth stand the best chance of having a real and complete lasting recovery.

This, of course, raises the inevitable question as to whether methadone alone is ever enough. There is a school of thought that methadone alone is much preferable to illicit drug use. I happen to agree that methadone is a much better substitute for illicit opiates, and there is a significant “harm reduction” benefit that is gained when an addicted individual utilizes methadone under the supervision of a reputable clinic.

Another view on this subject is that methadone, in conjunction with counseling, is the superior treatment approach. I fully endorse this viewpoint and know firsthand how recovery is accelerated and enhanced when an addicted individual wants to learn, grow and change through the process of counseling & education.

Perhaps there is value in both approaches. Some individuals who are stabilizing on methadone, but who are not yet invested in counseling, can still be moving in the direction of recovery. Perhaps they are now refraining from injection drug use and illegal behaviors. Perhaps they are feeling better physically and are able to work, or now care for their family with daily withdrawal symptoms being eliminated. If this is the case, who among us can deny that these improvements have value?

Recovery is a process that involves forward steps. Sometimes, the addicted person has only enough energy to take one forward step. That first step may be the decision to receive methadone instead of injecting heroin or snorting Oxycontin. With time, the addicted person may become ready for more. When they become ready for counseling, we as treatment providers want to be ready to give them what they need. Recovery occurs in stages and plateaus. The recovering individual can achieve as much positive change as their heart desires. Counseling is a powerful medium for this positive change. Methadone plays a very important role as well.

What Opioid Addicted Persons Want To Know About Methadone Treatment

methadone89Since launching Methadone.US earlier in the year, I have received daily questions & requests from site visitors in regard to methadone services and methadone treatment referrals. Some inquiries pertain to the benefits of Suboxone (buprenorphine) although the majority pertain to methadone medication specifically.

Listed below are some of the most popular and frequently asked questions by those suffering with an opioid dependency. The answer to each of these questions is already provided here on the site, but I will post the short answer again.

Q1. I live in ‘Anytown USA’ and would like to find a methadone clinic near me. Can you help?

A1. Each city page on Methadone.US lists both methadone clinics & suboxone (buprenorphine) approved physicians for most populated U.S. locations. Just scroll toward the bottom of your city page to view contact information for clinics in your vicinity. If your city is not listed, write me (admin) and I will perform an individualized search for you.

Q2. How much does methadone treatment cost?

A2. Methadone clinics operate independently of one another and each one sets their own fees for services. Some clinics are private (accepting only client self pay), while others receive government or public funding. The best way to learn of a clinic’s fees is to contact that clinic directly and ask them to explain/list their treatment pricing for you over the phone.

Q3. I want to guest dose in (Anytown USA). How do I go about setting that up?

A3. Guest dosing must be coordinated by the staff of your methadone treatment “home clinic”. Contact your primary counselor (or the dispensing nurse) to request assistance with guest dosing arrangements. Many clinics require 72 hours advance notice to set-up guest dosing. The guest clinic will charge a daily fee for guest dosing with them. You cannot guest dose unless you are an active client in a methadone clinic.

Q4. My son, daughter, family member has tried to detox several times, but never been successful. Will methadone really take away the withdrawal symptoms? Can they function if they take methadone?

A4. Yes, methadone is highly effective in eliminating opioid withdrawal. And yes, he or she can live an entirely normal life and be fully functional.

Many other additional questions have been emailed to Methadone.US, but these are the ones that are most often repeated. Also, the Methadone Assessment has been popular with a substantial percentage of assessment takers indicating that they have been dealing with a moderately problematic opioid addiction.

Thanks for visiting Methadone.US. And best of luck with your recovery efforts!