Category Archives: Methadone Maintenance

Welcome Access Recovery Solutions

ars-locationAccess Recovery Solutions (ARS) Delray Beach is a newly opened outpatient opioid treatment program that offers both methadone and buprenorphine. They are a member of Addiction Medical Solutions who have other methadone clinics across the country.

ARS specialize in medication assisted treatment and have a unique Maintenance to Abstinence program designed to assist patients in eventually becoming free of opioid medications once they have experienced a period of stability. The program is built on a two year continuum of care treatment model.

The ARS clinic provides individualized treatment planning for patients, and their counseling approaches include cognitive-behavioral and motivational approaches up to and including an intensive outpatient program (IOP). IOP is a SAMHSA endorsed, evidence-based addiction treatment that is in widespread use across the United States due to its effectiveness in helping patients learn about and apply effective recovery tools.

ARS offer a variety of other programs and services to serve the Delray Beach community including a Speakers Bureau. With advance notice, the company can provide speakers to educate professionals and non-professionals on substance use disorders and addiction issues. Interested parties can reach the organization at: 561-865-2550. The contact person for ARS Delray Beach is Mike Errico.

ars-delray-beach-florida

Family Support of Methadone Treatment

methadone-treatmentWhen patients enter treatment for opioid addiction, their families are usually relieved yet apprehensive. They may have seen previous recovery efforts not be sustained and their loved one return to active substance use. So, families often learn to be cautiously hopeful.

With methadone treatment, there is a new component in the recovery process with the addition of medication assistance. Whether it’s methadone or suboxone, families become curious as to how their loved one will handle this new medication. As most readers know, there is considerable misinformation and misunderstanding about what methadone can accomplish. This leads a patient’s family supports to sometimes have a wary attitude toward methadone or suboxone.

I would like to share two stories that illustrate how family attitudes can shift. The first patient we’ll call Mary to maintain her anonymity. Mary was a local realtor who had developed an opioid dependence. She had been able to conceal her addiction from her parents, but finally reached a point where it became evident that something was seriously wrong. She told her parents that she was entering “treatment” and would be attending counseling. They supported this decision, but were unaware that Mary’s treatment would include opioid replacement therapy.

Mary had one relapse early in treatment, but made the necessary adjustment and remained drug free for the next 12 months. Methadone worked extremely well for her eliminating her opioid withdrawal and erasing her fear of being sick. Through counseling, her coping improved and her perspective on living a full life returned. She blossomed before everyone’s eyes with improved mood and energy, mental focus, and a renewed spirit. She interviewed with several real estate agencies and was hired by a prominent national realty company. Mary was both excited and grateful.

After this first year, she approached our staff and asked for assistance in telling her parents that she was in “methadone” treatment. She was concerned that they may not understand how important a role it had played in her success and she wanted some back-up from professionals who could answer all her parents’ questions. Mary was also considering a switch from methadone to suboxone with the intention of tapering down off suboxone over several months.

Her parents came to the treatment center and met with Mary, myself, and our nurse. Mary reviewed her progress with her mom and dad and then told them that she had been receiving methadone each day as part of her treatment. She explained how it had assisted her and then asked staff to help elaborate. Her parents listened as we discussed how methadone was an approved medication and had been successful for many years in helping opioid addicted people change their lives. Mary’s mother responded saying “We knew something was working for her. We are so grateful she found you. We have no problem with the methadone and we will support Mary with this.” We went on to discuss her thoughts on transitioning to suboxone and how this might be accomplished. Her parents talked that day about the huge change they had seen in their daughter since coming into treatment and how much it meant to them to see her happy again and getting well.

After the meeting, Mary literally beamed with relief that her parents had been understanding and so supportive. Within the next month, she switched to suboxone and began tapering down over the next four months eventually becoming medication free. Methadone and counseling became the roadmap to safety and sobriety for Mary. It also stabilized her to the point that her skills and abilities as a real estate professional could again be used to build a new future for herself by generating significant income.

The next case example is about a woman we’ll call Sarah. Sarah came to our agency seeking methadone treatment after several years of heroin addiction that had recently worsened. Amazingly, she was still working full-time although she was exhausted and emotionally depressed. She began treatment and within three months barely resembled the person that had been admitted to our program. She gained weight. The light returned to her eyes and her smile. Her mental clarity improved dramatically, and both staff and patients remarked how her personality had surfaced. Sarah had been fatigued and depressed for so long that it was as if she was buried inside herself covered by layers of pain, and tired from the battle of fighting her addiction.

We watched her come back to the person she truly was. We discovered that Sarah was actually a human dynamo and a very capable person who had been struggling under the massive weight of a chronic heroin addiction. As she progressed through treatment, she met many milestones of success. In due time, she informed her parents that she had been receiving methadone and explained to them how helpful the medication had been. I had a phone conversation with Sarah’s mom who lived in another part of the state. She explained that she did not know much about methadone, but was very appreciative for what we had done for her daughter. As a great job opportunity had surfaced in the hometown of Sarah’s parents, she relocated to their town and transferred her treatment to a clinic there.

Two months after Sarah moved, we received a huge fruit basket in our office from her parents thanking us for being a support to her and informing us that Sarah was doing beautifully.

These are true stories and examples of methadone’s beneficial role in recovery as well as illustrating that family fear can be replaced by understanding & family support. These examples show a stark contrast between what a person looks and feels like when they first arrive vs. how far one can go once they become stable on methadone and moving forward on the path of recovery.

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Opioid Treatment Center in Scottsdale Arizona

smc-recovery-3Recently joining Methadone.US is a newly opened methadone treatment program in Scottsdale, Arizona: SMC Recovery. SMC offer methadone for opioid addiction as well as an Intensive Outpatient Program (IOP) for treating all varieties of addictive disorders.

Both modalities of treatment are deemed best practice interventions by the Substance Abuse and Mental Health Services Administration (SAMHSA) and they are evidence-based treatment models. Evidence-based means that the treatment approaches have been thoroughly researched and shown to be effective in helping patients achieve success with identified treatment goals.

More specifically, SMC Recovery offers medication-assisted treatment, IOP, outpatient, group counseling, family groups, and individual therapy to adults 18 years and older. Prospective patients in the Scottsdale area can reach SMC staff at (480) 998-4673 (HOPE) or via the email address listed on the Scottsdale page of the Methadone.US website.

SMC Recovery’s narcotic treatment program is available to all individuals who meet ASAM criteria for admission to opioid treatment. Priority admission status is provided to pregnant clients.

Recent news: The Methadone.US information portal launched in early 2011 and has since delivered opioid treatment information to more than 662,000 individuals in the United States searching for addiction treatment resources. Thank you for visiting, and for your continued support of Methadone.US!


Methadone Treatment Services

methadone-treatment-resourcesWhen one thinks of methadone treatment, they usually consider the power of methadone to eliminate opiate withdrawal and the value this has to someone fighting off withdrawal sickness.

Methadone treatment actually consists of more than just the “medication assistance” component. Real treatment always addresses the underlying lifestyle, thinking, and behavioral elements that are a significant part of the addictive process. These areas are specifically addressed through counseling. All opioid treatment programs providing methadone in the United States are required to also offer counseling to their patients in order to help them achieve true and lasting success.

Some patients will need more counseling & emotional support than others. But all patients new to the recovery process will need to receive basic education on addiction as an illness, how to build a personal recovery program, and to have an opportunity to develop new coping and relapse prevention skills.

Methadone clinics in the U.S. vary in the ways that they deliver counseling services. Some programs are heavy on individual counseling while some focus more on a group therapy model. Often, programs will provide a blend of the two with optional family or collateral participation available as needed.

There is another important consideration with methadone treatment pertaining to the need to also treat “co-occurring disorders”. Co-occurring disorders consist of other psychiatric symptoms that merit special interventions and additional care. For example, many individuals dealing with an opioid addiction may also have struggled with chronic depression or anxiety. Unless these disorders are treated effectively, they can become stumbling blocks on the road to recovery, and can undermine a person’s sobriety success.

A number of methadone programs have in-house psychiatric services to address co-occurring disorders and to provide additional medications and/or therapy if required. Opioid treatment programs that do not have psyc services will typically refer a patient out to the local mental health center or a private provider who specializes in psychiatric care.

Methadone treatment has at times been presented as a harm reduction approach to dealing with severe addiction. In other words, reducing a person’s risk of overdose or exposure to other illnesses is a worthwhile goal. However, “harm reduction” alone does not represent all that recovery truly offers. There are many people who have found life long recovery through their introduction to methadone treatment. After becoming drug free, they went on to have families, start businesses, develop new careers, and enjoy a full life in the best sense.

The possibilities are limitless in recovery. Addiction is treatable. Methadone can be an important piece of the recovery journey. For many thousands of patients, it was the new start that they had hoped for.

Methadone Maintenance For Opioid Treatment

methadone-and-opioid-treatmentOpioid Treatment is a category that includes several different interventions or approaches relating to opioid use disorders. People sometimes mistake opioid treatment for “opioid detox” when they are technically two different processes.

Opioid detox refers to the process of helping an opioid addicted individual discontinue their use of opioids and be medically monitored as the body withdraws from them. In a supervised setting, a person is typically assisted through a short-term opioid detox (3-10 days) by the administration of various medications used to manage withdrawal symptoms like clonidine (to guard against high blood pressure), vistaril (to reduce nausea and anxiety), and even buprenorphine (to minimize the severity of the opioid withdrawal process).

There are also variations on an opioid detox referred to as a taper. A taper often occurs on an outpatient basis and involves a more gradual reduction in dosage of either methadone or buprenorphine (suboxone) over time. This taper may take as long as 90 days and allows the individual to adjust more comfortably due to the slower, milder reduction in dosage that occurs over a coarse of weeks or months.

Maintenance is the term which refers to maintaining an individual for a significant period of time on either methadone or buprenorphine (suboxone) to allow for stabilization on the opioid replacement medication. Since opioid addiction introduces dramatic brain chemistry changes in conjunction with strong physical dependency and cravings for opiates, many people find that they need a substantial period of stabilization on methadone in order to have a realistic chance at building a personal recovery. Numerous individuals have decided that they will utilize methadone for only a few weeks with the intention of tapering off of it very quickly. This strategy is prone to failure and tends to end in dramatic relapses back to heroin and other illicit opioids.

Methadone maintenance for most opioid-addicted persons involves receiving methadone for a year or more. This length of time dramatically raises the probability of successful physical stabilization and necessary thinking, behavior, and lifestyle changes which lead to long-term drug abstinence and sustained, productive living. Put very simply, when people attempt to rush through the process of stabilization & recovery, they sabotage their chance of experiencing real success. For that reason, maintenance is a therapeutic process which should be regarded as a one year commitment or longer, and tapering off of methadone or buprenorphine should not be rushed. Bear in mind that not all individual situations are exactly the same and there are unique exceptions.

There are many different factors that play into how long a person needs to remain on methadone or suboxone maintenance. This is highly individualized depending on the length and severity of one’s opioid abuse history, one’s present medical status and general state of health, the availability of social & emotional supports, and the presence of any co-occurring psychiatric disorders like depression.

There is considerable misinformation about methadone tapering and a bit of fear-mongering that often occurs around the topic. People that generally taper successfully off of methadone or suboxone are individuals that have invested time in counseling and personal recovery growth, and who have developed a good working relationship with their doctor or treatment staff. These individuals approach tapering as a gradual goal and are allowed to halt or slow down their taper as needed. This allows their body time to adapt to the somewhat lower dosage. It also allows them to proceed slowly and carefully such that any anxiety or fears can be successfully identified and managed.

Choosing The Right Direction: Detox – Methadone – Suboxone

Pregnancy and Opioid Treatment

pregnancyWhen a woman is pregnant and addicted to opioids, she faces extraordinary stress and very often a wave of judgment from those around her that is emotionally painful and difficult to deal with. The criticism of others is understandable since no one wants to see an unborn baby placed at risk through the mother’s drug use. But this cauldron of angry emotion and public condemnation often overwhelms a pregnant mother, who may already feel guilty, and it pushes her further into isolation and inaction. This isolation only places the mother and unborn baby at greater risk of overdose and possible miscarriage.

Fact: It has been thoroughly researched and the findings conclusive that pregnant opioid-addicted women have a much better chance of carrying their baby to term and having a healthy baby when the mother is receiving medication-assisted treatment. Every day, addicted mothers receiving methadone or buprenorphine give birth to healthy babies that thrive and develop normally.

Methadone and buprenorphine (Subutex) are very different medications compared to heroin and painkillers like oxycodone. Heroin and painkillers manufactured for break-through pain act quickly, but also dissipate quickly. For those with an opioid addiction, this momentary relief from opioid withdrawal does not last long and they are back out there again desperately trying to find more heroin to avoid becoming sick.

With methadone or buprenorphine, mothers are medically stable and able to avoid debilitating cycles of withdrawal as well as the dangerous drug-seeking behaviors and lifestyle that put them and the baby at risk. A woman is already in a state of increased vulnerability when pregnant. If lonely, isolated and forced to go to the street to find dope or pills, she will find herself in dangerous situations and exposed to a drug culture that values money over human life.

This harsh reality is what some women face as they struggle to survive while carrying an unborn child. If in treatment at a methadone clinic or under the supervision of a caring physician who utilizes buprenorphine, the pregnant woman can start the process of personal recovery. She can avoid becoming sick from opioid withdrawal and avoid taking grave risks just to avoid that withdrawal. She can receive emotional support and medical assistance to maximize her health and that of the unborn baby. She can better prepare herself to be a good mom once the baby is born.

There are those who may indignantly exclaim “But the baby will be born addicted”. The reality is that it is much safer for a baby to be born to a mother receiving methadone or buprenorphine than for the baby to be repeatedly exposed to adulterated street heroin and combinations of drugs riddled with unknown contaminants. Think about that. Technically, the baby may be born with some physical dependency, but this is successfully managed all the time by medical professionals across the country. Buprenorphine has been found to have a milder withdrawal syndrome and is utilized successfully in helping infants comfortably detox. Methadone is successfully used for this purpose as well.

It is important to also make a distinction between “addiction” and “dependency”. They are not the same. “Addiction” encompasses the persistent craving for opiates, the mental preoccupation with securing them, and the inappropriate behaviors and lifestyle aberration that develop as people lose control over their ability to choose. “Dependency” can occur with anyone who has been using an opioid for a sustained period of time. Someone who has become “dependent” can readily taper off of the medication and will not be necessarily driven to obsess over drugs or desperately seek them. A baby who is born temporarily dependent on methadone or buprenorphine can be successfully tapered off of the medication. Obviously, a baby does not meet the definition of “addicted” so to use that term is technically inaccurate and misleads the public.

Finally, methadone and buprenorphine are safer for the baby. It’s ultimately about helping that unborn baby to develop normally in the womb and to be born alive, healthy, and with maximum opportunity for a good life. Chances are that the mother will indeed be that baby’s primary caretaker for a long time. It is much better that she be introduced to recovery and various avenues of support through methadone or buprenorphine treatment than to be left on her own with no support, little guidance, and struggling to find dope on a daily basis.