Category Archives: Methadone Treatment

Methadone Resources and Answers

methadone82Interest in methadone as an opioid addiction treatment is continuing to grow. Many of the phone calls that clinics receive are based on direct word-of-mouth recommendations from current clients & former clients. I often perform telephone and walk-in triage for clients seeking methadone treatment at one of our local clinics. A majority of these individuals report prior efforts to address their addiction through traditional detox and/or intensive outpatient counseling. Some report multiple rounds of inpatient rehab.

I am often impressed with the readiness of callers to try something new. And it's clear that many feel they are running out of options and wondering if any treatment will ever work for them. In discussing methadone as an option, it is important to inform prospective clients that methadone is a powerful opioid replacement therapy, but that it may take several years before one can realistically attempt to taper off of methadone successfully. As treatment professionals, it is important to help educate on both the negative and positive characteristics of treatment choices.

Methadone.US aims to be a high-quality information resource on methadone treatment. There are several other very useful sites online which we recommend:

Methadone Treatment Across America

methadoneclient4A 2008 study, funded through SAMHSA, examined the characteristics of 1,056 Opioid Treatment Programs across the United States. At that time, there were 270,881 opioid treatment clients enrolled in an OTP clinic and receiving either methadone or buprenorphine for maintenance therapy.

Of the 270,881 OTP clients, 98.5% were receiving methadone with the remainder receiving buprenorphine. The study also looked at payment methods used for services in the various OTP clinics and found that self-payment, private insurance, and Medicaid were the three most prevalent forms of payment.

Approximately 33% to 53% of Opioid Treatment Clinics had contracts with LME's (Local Management Entities that use state funds to subsidize treatment). Clinics which offered mixed substance abuse & mental health services were more apt to receive LME state funding support for low income clients.

In closing, an updated 2009 SAMHSA study estimated there were 399,000 individuals in the U.S. who were dependent on or abused heroin, and 1,900,000 persons who were dependent on or abused prescription pain medication. With over 2 million Americans "at risk" and suffering with an opioid problem, methadone treatment programs are providing a valuable intervention on both a personal and societal level.

Choosing Methadone Treatment Saves Lives

wanda3Many methadone clients have echoed the sentiment "Methadone saved my life." When someone has become entangled in the web of addiction, hope and answers are difficult to come by.

The never ending roller coaster ride of opiate dependency is both a physical and mental drain on those who suffer with it. Trying to not be sick becomes a daily preoccupation.

For the opiate addicted person, methadone treatment is both a medical answer and a new path … which offers not only a sense of physical relief, but a chance to get off of the roller coaster for the first time in many years. A majority of clients in methadone treatment restart their lives.

The value of a second chance cannot be overstated. Methadone, used properly, is a remarkable stabilizing force. Who is a methadone client? Our brother, our mother, our boss, our friend. When a sick person we love becomes well, we don't ask why. We simply say thank goodness they've been given another chance.

Increasing Methadone Acceptance

kentDespite the life saving outcomes of effective methadone treatment, methadone's reputation has at times suffered in the media and in the general public eye.

The positive contribution of methadone to successful recovery is often overshadowed by the media's propensity for tragic & sensationalistic news. The reality is that many thousands of recovering individuals are utilizing methadone on a daily basis, and are enjoying enriched lives free from drug abuse.

While methadone alone is not a panacea, methadone treatment is the best tool available for many people struggling with opiate addiction. The proof is irrefutable, and demonstrated through the testimony of recovering clients whose lives are steadily improving.

Increasing methadone acceptance is an important goal. For individuals, families, and communities. Education eradicates stigma, and removing stigma saves lives. Thankfully, methadone's effectiveness is not a secret, yet its benefits are far from well known. Consequently, more work must occur to educate others on this highly beneficial medication.