Portland Methadone Treatment

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Portland has numerous area methadone clinics providing methadone replacement therapy and structured counseling. Available via local physicians is suboxone (with buprenorphine) which provides relief from opiate withdrawal symptoms for a significant number of people. Below are links to more info on methadone program effectiveness, opioid dependency, and addiction & recovery counseling.


Portland Methadone Clinics
Opiate Treatment Program
Portland VA Medical Center
3710 SW U.S. Veterans Hospital Road, P3OTP
Portland, OR 97239
(503) 220-8262×56455
Portland VA Medical Center SATP 3710 SW U.S. Veterans Hospital Road
Portland, OR 97207
(503) 220-8262
CODA Inc 1027 East Burnside Street
Portland, OR 97214
(503) 239-8400
CRC/Allied Health Services
Belmont
2600 SE Belmont Street
Portland, OR 97214
(503) 239-5738
Ram Clinic 3610 NE 82nd Street
Portland, OR 97220
(503) 408-9585
Allied Health Services Tigard 4650 SW Griffith Drive
Beaverton, OR 97005
(503) 684-8159
Allied Heatlh Services East 16141 East Burnside Street
Portland, OR 97233
(503) 252-3949
Integrated Health Clinics 17882 SE Mcloughlin Boulevard
Milwaukie, OR 97267
(503) 353-9415
Portland Metro Treatment Center 16420 SE Division Street
Portland, OR 97236
(503) 762-3130

 

Portland Suboxone Buprenorphine Treatment
John Muench, M.D. OHSU Richmond Family Health Center
3930 SE Division
Portland, OR 97202
(503) 418-3900
Catherine J. Livingston, M.D. OHSU Family Medicine
3930 SE Division Street
Portland, OR 97202
(503) 418-3900
Amanda Leigh Risser 3930 SE Division
Portland, OR 97202
(503) 418-3900
Oleg I. Reznik, M.D. 8083 S.E. 13th Avenue, Suite 3
Portland, OR 97202
(503) 314-5003
Carl M. Erickson, D.O. Cascade Family Practice
7215 SE Milwaukie Avenue
Portland, OR 97202
(503) 233-5273
Paul W. DenOuden, M.D. 426 SW Stark Street
4th Floor
Portland, OR 97204
(503) 988-5020
Patricia Ann Kullberg, M.D. Multnomah County Health Department
426 SW Stark, 5th Floor
Portland, OR 97204
(503) 988-3674
Kim A. Wennhold, M.D. Outside In
1132 SW 13th Avenue
Portland, OR 97205
(503) 535-3800
Matilda Martha Mengis, M.D. NTN Allied Health Services
808 SW Alder, Suite 300
Portland, OR 97205
(503) 226-2203
Michael P. Resnick, M.D. VA Medical Center V3ICAR
PO Box 1035
Portland, OR 97207
(503) 220-8262
Kara Laure Pattinson, M.D. 1306 North West Hoyt
Suite 205
Portland, OR 97209
(503) 224-7171
Gary David Olbrich, M.D. 727 West Burnside
Portland, OR 97209
(503) 807-3819
Stephen Mandler, D.O. 2661 North West Thurman
Portland, OR 97210
(503) 944-5400
Brinton Carey Clark, M.D. 5050 North East Hoyt
Suite 540
Portland, OR 97213
(503) 215-6600
Brian Liebreich, M.D. 4805 NE Glisan 3 East
Portland, OR 97213
(503) 216-2028
James R. Thayer, M.D. Belmont Transitions
2600 SE Belmont
Portland, OR 97214
(800) 797-6237
Carl Csaba Balog 527 SE 39th Avenue
Portland, OR 97214
(503) 238-7246
Michael Horowitz, D.O. 4511 Southeast Hathorne Boulevard
Suite 111
Portland, OR 97215
(503) 231-2994
Liana Felicia Hategan, M.D. 10151 SW Barbur Boulevard
Suite 102-D
Portland, OR 97219
(503) 238-5580
Eric Dover, M.D. 11705 NE Glisan Avenue
Portland, OR 97220
(503) 408-1610
Karen Sue Marks, M.D. Multnomah County Inverness Jail
11540 NE Inverness Drive
Portland, OR 97220
(503) 988-5033

Treating Opioid Addiction

The science of treating opioid addiction has become increasingly popular in both medical circles and in the addiction treatment community.

For decades, medical professionals and even popular recovery organizations did not quite understand how giving an opioid addict a replacement medication could actually facilitate recovery.

Part of the dilemma was that those who defined “recovery” did so using an old school philosophical approach originally crafted for alcoholism. But science has taught us that not all addictions are exactly the same. While there are certainly commonalities between the various substance use disorders, there are very important distinctions and differences which affect the recovery process.

You cannot prescribe a medication that is effective with depression, and expect that same medication to resolve schizophrenia or an anxiety disorder. While they are all mental health disorders that can debilitate a patient, there are critical differences between these disorders and in the overall treatment plan for addressing each one.

Similarly with addiction, science is teaching us that a one-size-fits-all approach to addiction recovery is detrimental and often unproductive.

With opioid addiction in particular, the disease progression is quite unlike most other addictive illnesses. While the medical profession has evolved that understanding, the recovery community and general society has at times struggled to comprehend the necessity of medication-assisted treatment for the opioid addicted.

Physicians, Nurse Practitioners, PA’s, Nurses, and Counselors all play a part in educating patients, their families, the community, and government on the key role that medication plays in the successful management of an opioid use disorder. Methadone, subutex, suboxone, vivitrol, and other medication choices make the difference between recovery success and repeated recovery failures.

Posted in Addiction Treatment, Buprenorphine, Methadone, Methadone Clinics, Methadone Maintenance, Suboxone, Suboxone Doctors, Subutex, Vivitrol | Tagged , , | Comments Off on Treating Opioid Addiction

Overdose Fatalities Beginning to Decrease

Various news outlets are reporting new statistics which indicate deaths from opioid overdose are beginning to go down.

The Associated Press reports that for the first time in a decade overdoses among New York residents (outside of NYC) have declined 15.9%. Government officials are quoted as saying that about 80% of the overdose deaths were attributable to heroin or fentanyl.

The AP cited a new CDC (Centers For Disease Control) July 2019 study which showed overdose deaths in 2018 fell for the first time in nearly three decades.

Various public education efforts and New York’s Opioid Task Force are thought to be significant catalysts for the slowdown in opioid overdoses. The availability of naloxone has also been highly instrumental in impacting overdoses nationwide with many communities across the country now providing naloxone kits for free.

A number of metro areas in the U.S. are also examining the feasibility of mobile opioid treatment since transportation to clinics or physicians is often an impediment to accessing medication-assisted treatment resources.

Posted in Addiction Counseling, Heroin Overdose, Medication Assisted Treatment, Methadone, Methadone Clinics, Naloxone, Suboxone, Suboxone Doctors | Tagged , | Comments Off on Overdose Fatalities Beginning to Decrease

Comprehensive Opioid Treatment at Behavioral Health Group

Behavioral Health Group (BHG) currently provides 58 top flight opioid addiction treatment centers in the United States. The company specializes in medication-assisted treatment using methadone, buprenorphine, and buprenorphine/naloxone.

BHG takes a patient-centered approach to treating addictive disorders offering counseling as a fundamental component of the overall treatment model. Because of this individualized treatment approach, 97% of patients surveyed indicate they would recommend BHG Recovery to a friend or family member suffering from opioid addiction.

Additionally, 99% of patients report that their mental health and quality of life improved since their BHG admission. 60% of unemployed patients were able to obtain employment after one year of treatment.

Hope, Respect, and Caring are tenets of BHG’s treatment program, and their staff strive to provide this from the moment a patient first walks in to receive help. All of BHG’s treatment centers provide care in an outpatient setting.

In 2019 and 2020, BHG Recovery added (10) additional U.S. clinics to the Methadone.US national directory list …

1. Franklin, VA – BHG Franklin Treatment Center
2. Chesapeake, VA – BHG Chesapeake South Treatment Center
3. Glen Allen, VA – BHG Glen Allen Treatment Center
4. Mobile, AL – BHG Mobile Treatment Center
5. Cullman, AL – BHG Cullman Treatment Center
6. Washington, DC – BHG Washington DC Treatment Center
7. Colorado Springs, CO – BHG Colorado Springs Treatment Center
8. Grand Bay, AL – BHG Grand Bay Treatment Center
9. North Little Rock, AR – BHG North Little Rock Treatment Center
10. Savannah, TN – BHG Savannah Treatment Center

Posted in BHG Recovery, Buprenorphine, Medication Assisted Treatment, Methadone, Methadone Clinics, Opioid Treatment, Suboxone, Suboxone Doctors | Tagged | Comments Off on Comprehensive Opioid Treatment at Behavioral Health Group

Subutex and Methadone in Treatment of Opioid Addiction

Recovery from opioid addiction initially centers around physical stabilization: specifically the management of opioid withdrawal. This is an essential step for the vast majority of opioid addicted people seeking help. Research has shown a 90% failure rate for opioid treatment programs that do not offer medication assistance.

Methadone was the original medication FDA-approved for treating opioid addiction although Subutex has been recently introduced into opioid treatment programs around the country as a viable alternative. Subutex is effective especially for milder levels of opioid dependency.

Subutex is a brand name version of buprenorphine, the partial opioid agonist that reduces withdrawal symptom sickness. Most patients are familiar with “Suboxone” which is a popular buprenorphine-based film that is dissolved under the tongue and is taken once per day. It differs from Subutex in that it contains naloxone so that it cannot be easily abused intravenously.

A number of methadone clinics began offering subutex in the past few years in an effort to expand treatment options for patients. Because subutex can be abused, it is typically administered daily in the clinic by a nurse where it can be supervised.

If you are considering entering a treatment program for opioid misuse, you may want to ask about the variety of medications utilized by the clinic or physician. Some patients have successfully transitioned from methadone to subutex while others enter the program starting with subutex. This is a decision best made in conjunction with your treating doctor who can formulate a treatment plan based on your history of opioid use.

Posted in Addiction Recovery, Buprenorphine, Medication Assisted Treatment, Methadone, Methadone Clinics, Suboxone, Subutex | Tagged | Comments Off on Subutex and Methadone in Treatment of Opioid Addiction

Opioid Treatment Program Rules

Methadone programs and doctors who prescribe buprenorphine serve a very important function in helping the country cope with the opioid crisis. They are also a life-saving link for patients who have suffered for years with an overwhelming addiction.

Operating a methadone clinic or buprenorphine/suboxone practice is typically a complex endeavor. Clinics that offer medication-assisted treatment (MAT) must comply with a myriad of mandates and policy requirements from the DEA, the local State Methadone Authority, accreditation organizations like CARF and JCAH, SAMHSA (the Substance Abuse and Mental Health Services Administration}, and 3rd party payers who help fund treatment services.

Patients understand that a well-run treatment clinic offers many benefits. Quality services are only delivered when there is an organizational commitment to helping people while also being able to meet all of the operational requirements such as timely documentation of services (paperwork) and appropriate support of staff & counselors,

Sometimes patients will complain about “so many clinic rules” although many patients appreciate their clinic’s dedication to professionalism and its ability to meet the standards of good quality care. Within most treatment facilities are several key staff who oversee its daily operation and the provision of services. These are the Clinical Director, the Medical Director or primary prescribing physician, the Nurse Supervisor, and possibly clinical staff Team Leaders who do the work of coordinating the clinics many daily activities.

While the list of clinic rules can seem long, there is nearly always an important underlying reason for that rule to exist. Most methadone clinics distribute a Handbook for clients that outlines their rights as an opioid treatment patient as well as guidelines for obtaining dosage adjustments and progressing successfully through treatment.

Opioid treatment, and medication-assistance in particular, must be carefully monitored. This is to insure patient safety and to minimize the risk of medication errors. Please support your local methadone or suboxone clinic with words of encouragement and positive feedback when it is earned. Conversely, it is important to speak up as well if serious problems are occurring. Always make an effort to communicate first with the clinic’s clinical and administrative staff if experiencing a problem. If an honest effort to resolve an issue in this manner is not productive, then contacting one’s local State Methadone Authority is sometimes a logical next step for addressing an important concern.

Posted in Buprenorphine, Methadone, Methadone Clinics, Methadone Programs, Methadone Treatment, Recovery, Suboxone, Suboxone Doctors | Tagged , , | Comments Off on Opioid Treatment Program Rules