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Texas Methadone and Opioid Treatment Programs

texas-methadoneTexas is America’s second largest state by size and second in total population figures with just over 25 million people. Adding to Texas’ impressive statistics is the fact that Texas has five of the country’s top 20 largest cities: Houston, San Antonio, Dallas, Austin, and Fort Worth.

The U.S. database of opioid treatment clinics currently lists 81 separate methadone clinics in operation throughout Texas. Many of these methadone program clinics also offer suboxone. This number does not include the individual suboxone-approved physicians in private practice. That number is many times larger. For example, there are 132 suboxone doctors in Houston alone. These numbers offer some indication of the magnitude of America’s opioid abuse problem as well as the ever increasing availability of treatment professionals ready to help.

The diversity of opioid treatment programs is somewhat revealing too with many being private clinics, and others being state-funded or affiliated with area mental health centers or general substance abuse programs. More clinics are based out of the (VA) Veterans Administration Hospital system while some are supported through the research or medical school division of the State University system.

Opioid addiction is a subject of considerable interest to addiction researchers as well as private pharmaceutical companies. That addiction is recognized as a legitimate medical condition lends serious examination, and commitment, to discovering causes of addiction as well as potential treatments.

Texas is a state that has a very well-developed medical research network and general above-average health care delivery system. These characteristics can only help to advance opioid addiction treatment, either directly or indirectly, and perhaps lead more people into medication-assisted addiction recovery.

To browse the Methadone.US Texas page, visit: Texas Methadone Clinics

Prescription Monitoring Helps Suboxone and Methadone Treatment

methadone40Dr. Jana Burson, in her opioid treatment blog, has written two important and interesting entries on the value of prescription monitoring programs (entry 1, entry 2). Prescription monitoring allows approved physicians to review a database listing controlled substances a patient receives (like opioids or benzodiazepines), the prescribing physician, and the pharmacy that filled the prescription.

This information is extremely useful for monitoring patient behavior in opioid treatment and helping to provide a measure of patient accountability. Some patients have a pattern of doctor shopping and abusing prescription medications even after entering opioid treatment. This monitoring program allows doctors to identify doctor shopping activities and to intervene with their patients who may be abusing prescription meds or selling them.

Dr. Burson writes that 42 states have approved a prescription monitoring program, and a majority of them already have the program up and running in their state. One notable exception is the state of Florida. Dr. Burson writes that Florida’s Governor Scott has blocked the implementation of the prescription monitoring program. This is detrimental to identifying & managing prescription abuses across the state. It is reported that Governor Scott has been contacted by other State Governors urging him to reconsider.

Methadone and suboxone treatment programs aim to help their clients change their lifestyle & behavior, and to make choices rooted in healthy recovery. Prescription monitoring enables treatment professionals to assist their clients in examining negative behaviors and correcting them.

Some individuals who doctor shop find themselves in legal trouble and facing possible incarceration. This can derail a client’s opioid treatment, as well as compromise the integrity and reputation of the methadone treatment program trying to serve addicted people. It is much better to identify prescription abuses early on and to intervene quickly.

Prescription monitoring programs are ideal for the safety and security of clients and the welfare of communities. The over-prescribing of opioids and benzodiazepines has become a major problem in the United States, and prescription monitoring is a huge forward step in rectifying this troubling issue.

The Future of Methadone Treatment

methadonefutureThe total number of U.S. private and publicly funded methadone clinics has risen substantially just in the last few years. Moreover, opioid addiction treatment is receiving increased attention across the country as organizations like SAMHSA, NIDA, ASAM, and CARF become familiar acronyms to everyone working in the addiction treatment field.

We now have various suboxone formulations with increased availability, in addition to methadone, and new products aimed at treating opioid addiction are being researched and periodically released (such as Vivitrol). A generic version of suboxone is said to be on the horizon too thus becoming a more accessible & affordable option for many. The message is out that opioid addiction is a disease which can be successfully treated & managed using a combination of medication and behavioral health counseling approaches.

Methadone programs received a quality boost in 1999 when the U.S. Dept of Health and Human Services identified methadone as a useful “clinical tool” in the treatment of opioid dependency. Provisions were then drafted & implemented which required all methadone programs to become independently accredited in order to establish a clinical standard of care.

Leading medical and educational institutions, such as Duke University, have committed to researching effective addiction treatments and are consequently advancing our knowledge of ways to deal with addictive disease. Organizations like JoinTogether.org are bringing relevant news to America on a daily basis in regard to addiction problems and solutions.

If the last 20 years are any indication, then the future of opioid addiction treatment will only improve. What used to be regarded as a “heroin only” isolated problem contained in the big cities, is in reality a fairly widespread problem affecting many everyday families in every American town regardless of its size.

The good new is that people all around the country are getting well. They have tools available for coping with addiction. The power of the internet is helping people tap into useful addiction recovery resources. The future brings continued promise, and many possibilities.

Methadone Interest in Metropolitan Cities

methadone-cities2Methadone.US launched in the first quarter of 2011 and has experienced substantial growth over the last 6 weeks. The website, just since February 1, has been visited by internet users in 1205 different cities who were searching for methadone clinics and opioid treatment services in their general vicinity. The extensive reach of the site has been truly remarkable.

The vast majority of Methadone.US visitors are from the United States. This is a natural result of the site’s .US (United States) web address, location & focus. Of the 1205 different locales, ten American cities emerged as especially noteworthy by producing the greatest number of visitors to the Methadone.US website. These top ten cities are listed below, in order:

  1. New York City
  2. Los Angeles
  3. Chicago
  4. Philadelphia
  5. Denver
  6. Dallas
  7. Seattle
  8. Houston
  9. Atlanta
  10. Albuquerque

With the site having been visited by individuals in hundreds of American cities, it is a safe assumption that people are very interested in learning more about methadone as a potential treatment intervention for their opiate addiction. There are many people in America who have found themselves physically dependent on prescription pain medication. Finding an answer to this dilemma is their chief priority.

The availability of opioid replacement therapy (methadone or suboxone) is improving almost on a daily basis. Science and medicine are continually advancing for the benefit of those who want a healthier life. Fortunately, technology has made it much easier for people to obtain the critical information they need … anywhere and anytime. The internet, and website technology, are at the very center of tomorrow’s information superhighway. The value of bringing important information to millions of people needs no explanation.

Methadone Clinic Counseling For The Family

methadone_family2Every client who enters a methadone treatment program has a unique set of family circumstances. He or she may be disconnected from their family, or alternatively, living at home with numerous extended family members all around. Whatever the situation, a methadone client must determine who should be informed about their decision to choose opioid replacement therapy.

The range of family responses can be surprising in regard to starting methadone treatment. Some family are relieved & hopeful that their loved one is finally getting help. Other members may not be well-informed about methadone and quickly adopt a critical opinion. Still others approach the decision from a strictly financial point-of-view, and assess the treatment decision based on its cost.

For methadone clients, it may become important for your family to gain an education on opioid replacement therapy, and to understand its benefits & risks. Families often experience considerable stress around addiction issues, and this stress can build over time while chipping away at family relationships. Addicted people need time to recover and to properly orient themselves again to a new life. Similarly, family also need time to deal with hurt feelings, fear, guilt, and even anger.

Methadone clinics provide education and counseling on a wide range of addiction and recovery issues. If you are a methadone client with involved family or friends, ask your counselor about having a family session. It is extremely helpful for your loved one to walk into the clinic and meet the staff. Many family have no idea what a methadone clinic is like and may harbor fears about the other clients or the methadone program itself. Usually after meeting clinic staff, the ice is broken in a matter of minutes, and family can see that caring professionals are there to support their loved in becoming drug free and in living a healthy life.

Our clinic once had a female client who elected to not tell her mother for one year that she had been participating in methadone treatment. She feared her mother would become upset. In that one year, the client's life changed dramatically with very obvious improvements. She decided to then tell her mother how methadone had made such a difference in getting her life sorted out. Instead of becoming upset, her mother hugged her and told her how proud she was of her. The client invited her mother to the clinic where she met all of the methadone staff that had been involved in her daughter's recovery that first year. It was a beautiful moment, and one which meant so much to the client.

The client progressed in her recovery and eventually switched over to suboxone before tapering off of opioid replacement completely. And her mother was involved every step of the way in a constant show of support.

Families are a powerful force. Sometimes it is better to proceed without direct family involvement. At other times, family participation may be exactly what is needed. No two situations are just alike so it comes down to the individual client, and what he or she feels is most fitting for their needs. Whatever the decision in regard to family, treatment staff are there for education, counseling, and support. Recovery usually occurs within the context of one's family, friends, coworkers, church or community. Recovery is about reconnecting with oneself, and with others. It may be just one other person that makes the difference.