There are currently well over 1000 methadone clinics in operation across the United States and many more throughout the world. Methadone has been a leading treatment intervention for opioid addiction for more than 40 years. Methadone is an FDA-approved medication and it’s use in treating opioid addiction has been identified by SAMHSA as a best practice, evidence-based treatment approach.
Adding to the legacy of methadone as a successful treatment medium are the hundreds of thousands of individuals who have been able to totally eliminate the severe opioid withdrawal sickness that wrecked their lives. The value of this medical benefit is priceless.
The cost for participating in a methadone program varies from clinic to clinic and in part depends on whether the clinic receives any state funding or accepts Medicaid for payment. Many clinics operate as private practices funded primarily through patient self-payment. Private clinics often offer a substantial discount for patients that pay for a month of services in advance.
Due to methadone’s proven efficacy, many addicted people experience rapid relief from opiate withdrawal and find themselves eating and sleeping more normally, gaining weight, and able to work again. They are able to pursue other goals & responsibilities that had previously become too difficult in their active addiction.
Methadone is a powerful medication that must be taken as prescribed and in conjunction with good counseling. When a patient is willing to embrace medication-assisted treatment and to utilize it properly, recovery can happen. This life restoration process is demonstrated on a daily basis all around the country.
Posted in Addiction Recovery, Buprenorphine, Drug Treatment, Florida Methadone Clinics, Methadone, Methadone Clinics, Methadone Maintenance, Methadone Programs, Methadone Treatment, Suboxone, Suboxone Clinics
Tagged evidenced based practice, medication assisted treatment, methadone benefits
PBS’ Frontline series of specials just aired a compelling documentary by the name of Chasing Heroin. The two hour investigation profiles a number of individuals who became addicted to opioids, some of whom chose methadone or suboxone to help them successfully manage their addictive disorder.
The documentary highlights that addiction is best addressed as a medical illness instead of a punishable criminal act. There is widespread consensus today that putting large numbers of people in prison for drug use has not been an effective approach to the problem of drug addiction.
Incarcerating users is very costly and ultimately does not lead to remaining drug free once released from prison. For those suffering with a chronic opioid addiction, medication assisted treatment has become the standard of care proven to be most effective – particularly for those individuals who have tried others forms of treatment that did not work.
The Frontline documentary linked above is very informative, but please be forewarned that it does display vivid scenes of drug use that some viewers may find disturbing. So please exercise appropriate caution before viewing.
Posted in Heroin, Heroin Overdose, Methadone, Methadone Clinics, Methadone Maintenance, Methadone Treatment, NIMBY, Opiate Addiction, Opioid Addiction, Suboxone, Suboxone Physicians
Tagged Frontline, narcan, pbs
NBC News recently reported on the heroin crisis that New Hampshire residents have witnessed. Unprecedented numbers of people from all age groups are struggling with opioid addiction. Many are now deceased with estimates putting the number at nearly 400 who died from a fatal overdose just last year.
New Hampshire is reported to have no state-funded methadone programs to assist those experiencing severe heroin and other opioid addiction. There are several private clinics, but those are currently full with waiting lists for individuals who hope to one day be admitted.
Diane St. Onge, director of the Manchester Comprehensive Treatment Center, is quoted as saying “We need more treatment options. People’s lives are at stake.” Her clinic is presently operating at capacity with 540 patients according to the NBC article. Scores of untreated addicted adults are seeking treatment. When clinics are at capacity, they are forced to place prospective patients on a waiting list.
It is estimated that a significant number of the overdoses are related to heroin and other opiates being mixed with fentanyl and other substances. This makes the potency of the drugs being used almost impossible to predict thus greatly increasing the chance of accidental overdose.
Detox or medication-assisted treatment are the primary modes of intervention for those with opioid addiction. While there has been a substantial increase nationwide in the number of clinics dedicated to treating opioid addiction, there remain numerous areas throughout the country where methadone and suboxone support services are not yet readily available.
Posted in Buprenorphine, Heroin, Heroin Overdose, Methadone, Methadone Clinics, Methadone News, Methadone Treatment, Opiate Addiction, Suboxone
Tagged heroin overdose, NBC News, New Hampshire
An article in the Huffington Post recently addressed President Obama’s public comments on expanding access to opioid treatment, particularly medication-assisted treatment (MAT) like methadone or buprenorphine (suboxone).
Many members of the treatment industry and recovery community do not have a realistic grasp on the role that medication-assisted treatment can play in recovery from severe opioid addiction. Historically, the recovery community has not regarded those utilizing methadone or suboxone as truly in recovery. They emphasize total abstinence, even from methadone, despite the fact that methadone and buprenorphine have restored individuals to normal functioning and even saved lives in many cases.
There was a time some years ago, in the 12 step community, when individuals were chastised for taking psychotropic medication for depression or other mental health disorders. This criticism came from a fundamental lack of knowledge about the biological basis for many mental health disorders. Similarly, medication-assisted treatment interventions have been the subject of misunderstanding and unwarranted rejection by those with limited education on varied treatment approaches.
As America’s opioid problem continues to grow, we need real solutions rooted in medical science and research. At this point in time, medication-assisted treatment has been in use long enough to clearly demonstrate its usefulness in facilitating personal recovery from addiction.
In 2015, we saw numerous local and national political figures rally around families that have been impacted by heroin overdoses and the heartbreaking loss of loved ones. Opioid addiction has finally come into focus within the mainstream media, and even current Presidential candidates have begun to address this as an important issue which commands attention and a solution.
Posted in Addiction Treatment, Buprenorphine, Heroin, Medication Assisted Treatment, Methadone, Methadone Benefits, Methadone Blog, Methadone Clinics, Methadone Maintenance, Methadone Programs, Methadone Treatment, Opiate Treatment, Relapse Prevention, Suboxone, Suboxone Physicians
Tagged medication-assisted treatment, obama
A study by the government agency SAMHSA indicated there were approximately 254,000 patients receiving methadone for opioid addiction in 2006. In 2015, it is most likely that number is much higher given the prevalence of opioid addiction and the continued expansion of outpatient opioid treatment services in the United States. Today, there are considerably more methadone clinics and suboxone-approved physicians than there were a decade ago.
Making a new start with medication-assisted treatment is what hundreds of people across the country are deciding to do for themselves every week. Addiction is a progressive illness – one in which a person’s ability to choose is severely compromised. Medication-assisted treatment using either methadone or buprenorphine (suboxone) provides an important open door to a more responsible, quality life.
A majority of individuals suffering with opioid addiction (particularly when the illness spans years) have experienced dramatic brain changes which deepened their physiological dependency on opiates. This physical dependency is not easily removed. It is severe and persistent thus leading the person to do whatever is necessary to avoid being sick from opioid withdrawal.
Most long-term addicted individuals will tell you they rarely, if ever, get high from the illicit substances they use. They are simply trying to avoid being sick from debilitating opioid withdrawal symptoms. When a patient chooses to receive methadone or buprenorphine under the supervision of a doctor, they are making a decision to face their illness and to do something constructive about it.
As a family or friend, it is very helpful to gain an understanding of addiction and how medication-assisted treatment can be life changing for a person stuck in the cycle of opiate addiction.
Making a new start can be a bit frightening. Will methadone work for me? Will my loved ones condemn me? What about my job, or my legal situation? It becomes easy to put off making a decision when so many questions come into play.
It is important to remember that the road to recovery begins with just one step forward. That step will lead to another and another. This new start is always available. The message is one of hope and opportunity. Opiate addiction is a treatable illness. Medication-assistance can make a real difference.
Posted in Addiction Treatment, Drug Treatment, Medication Assisted Treatment, Methadone, Methadone Clinics, Methadone Maintenance, Methadone Programs, Methadone Success, Methadone Treatment, Opiate Treatment, Recovery, Suboxone, Suboxone Doctors, Suboxone Physicians
Tagged MAT, medication-assistance, medication-assisted treatment