Portland Methadone Treatment

Downtown Portland Comprehensive Treatment Center

Downtown Portland Comprehensive Treatment Center
324 NW Davis St.
Portland, OR 97209

Phone: (503) 549-1062
Website: ctcprograms.com/downtown-portland

Treatment Types
Counseling
Methadone Maintenance
Suboxone Maintenance
Buprenorphine Maintenance

At Downtown Portland Comprehensive Treatment Center, we provide clinically excellent medication-assisted treatment for adults age 18 and older who are struggling with opioid addictions. Medication-assisted treatment is a comprehensive approach to care that combines effective medication with counseling support.

With a staff of compassionate and skilled doctors, dispensing nurses, and counselors, Downtown Portland Comprehensive Treatment Center is able to provide patients with a warm, inviting environment where they can focus on their recovery. Our professionals closely monitor the medications patients receive, as well as their progress in counseling, to ensure that each patient receives safe and beneficial treatment.

 
East Portland Comprehensive Treatment Center

East Portland Comprehensive Treatment Center
6601 NE 78th Ct, Suite A-3
Portland, OR 97218

Phone: (503) 917-3617
Website: ctcprograms.com/east-portland

Treatment Types
Counseling
Methadone Maintenance
Suboxone Maintenance
Buprenorphine Maintenance

Located in Portland, Oregon, East Portland Comprehensive Treatment Center is a Comprehensive Treatment Center (CTC) that offers medication-assisted treatment (MAT) for adults age 18 and older of all genders who are struggling with opioid addiction. A great deal of scientific research has indicated that MAT is both a safe and effective way to help people successfully achieve lasting recovery from opioid addiction. Some methadone clinics provide one type of medication as part of their MAT programming, but our Portland center offers a variety of options, including Suboxone, buprenorphine, and methadone.

Our expert staff understands that these medications can have very different effects on specific people. By administering a thorough assessment prior to admission, we can make sure that we prescribe the right medication for you to experience the most optimal outcome.

 

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methadone8c

Portland has numerous area methadone clinics providing methadone replacement therapy, buprenorphine, and structured counseling. Several leading providers of opioid treatment are Downtown Portland Comprehensive Treatment Center, East Portland Comprehensive Treatment Center, and Belmont Comprehensive Treatment Center. Also available through local physicians is suboxone (with buprenorphine) which provides relief from opiate withdrawal symptoms for a significant number of people. Below are links to more information on methadone & suboxone program effectiveness, opioid dependency progression, and addiction & recovery counseling services.


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
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
Portland Methadone & Suboxone Services

Belmont Comprehensive Treatment Center

Belmont Comprehensive Treatment Center
2600 SE Belmont St
Portland, OR 97214

Phone: (503) 673-9353
Website: ctcprograms.com/belmont

Treatment Types
Counseling
Methadone Maintenance
Suboxone Maintenance
Buprenorphine Maintenance

At our Belmont Comprehensive Treatment Center, we want to identify the specific areas of focus for each patient so that they can have the best chance at the most favorable outcomes. We can achieve this by understanding your past progress and your current needs. We develop personalized treatment plans through a thorough but straightforward admissions process. This begins with a series of tests that help us determine the type and dosage of medication that’s right for you, along with the therapeutic components that will benefit you the most.

Once you begin treatment, we’ll ask that you fully participate. The more you engage during individual and group therapy will lead to better results in a faster period of time. Combined with the administration of methadone or another type of medication, individual and group therapy will set you on a path to successful long-term recovery.

 

How Bad Is Opioid Withdrawal

There is an informative video by Sarah Wakeman on the physical and psychological perils of severe opioid withdrawal. Sarah is a Medical Director at Mass General Brigham. They are an integrated health care system that conduct medical research, teaching, and patient care.

In the video, Sarah explains how opioid withdrawal can become so severe with diarrhea and vomiting that individuals can die from extensive dehydration. As physicial dependency progresses, the brain becomes increasingly imbalanced and unable to function without the presence of opioids.

When opioid withdrawal commences (usually 8-12 hours after last use), it becomes increasingly unbearable as the body is flushed with stress hormones. The withdrawal discomfort builds in intensity over days, and can last up to a week or more. For many, this withdrawal process feels akin to a severe case of the flu, but then potentially reaches levels of sickness even far beyond that.

In the video, Sarah goes on to discuss the benefits of methadone and buprenorphine in reducing severe withdrawal symptoms and in helping patients to ultimately not die from overdose. She also illuminates on how rational decision-making is so extremely difficult when struggling against the intense pain of opioid withdrawal.

Please check this video out, and share it with anyone you believe can benefit from its message.

Posted in Buprenorphine, Medication Assisted Treatment, Methadone, Methadone Clinics, Opiate Withdrawal, Opioid Treatment, Pain Management, Prescription Drugs, Suboxone | Tagged | Comments Off on How Bad Is Opioid Withdrawal

Helping Skeptics Understand Methadone

When it comes to addiction, reactions and opinions are often intense. Addiction is a devastating illness that can rapidly derail a person’s life, and seriously impact the lives of those around them.

Sadly, addiction leads people to behave in ways that make no sense to their family, friends, and co-workers. Therein lies an important part of the problem. Family feel confused, angry, and fearful as their loved one tumbles down the hill of active addiction.

When it comes to something as perplexing as drug addiction, grasping for answers is an understandable reflex for family and friends. What family often don’t comprehend is the power of physical dependency to opioids and the severe sickness that results from opioid withdrawal.

Family and others incorrectly assume that mere “choice” is all that’s needed to overcome the addiction. When the addict fails to remain drug free, harsh judgment by others usually follows.

Halting withdrawal sickness is a paramount step for an opioid addicted person. This cannot be overstated. As long as a person is suffering from severe opioid withdrawal, their ability to think and “choose” logically is greatly impaired.

Statistically, individuals who utilize medication-assisted treatment (like methadone) are far more likely to avoid incarceration, a continued downward spiral, or death by overdose. Medication assistance successfully removes debilitating withdrawal sickness so that the addicted person can experience greater clarity of thought and the ability to make more sound decisions that lead to improved quality of life.

If you are a skeptic about methadone or suboxone, you may think “they’re just trading one drug for another”. This is not true. People, once therapeutically stabilized on methadone or suboxone, do not get high from the medication. Health generally improves, and the person is able to function much better on the job and at home. This brings hope. It offers a new opportunity for further recovery.

When you care about a person’s survival, one more chance to help them can be quite valuable. Don’t let judgment or excessive skepticism get in the way. Medication-assistance in opioid recovery is effective for many people, and it has been the life saving next step that some never got the chance to take.

Posted in Methadone, Methadone Benefits, Methadone Clinics, Recovery, Suboxone | Tagged | Comments Off on Helping Skeptics Understand Methadone

Methadone Treatment in Oregon

Like most states, Oregon is in need of quality treatment options for opioid-addicted individuals who are ready for recovery.

This article, in the Hillsboro News-Times, features the recent approval by Washington County commissioners to add a new methadone clinic in Hillsboro, Oregon.

Acadia Healthcare is aiming to establish the new methadone clinic in Hillsboro in order to better serve the local community. Acadia already operate a mobile unit in the general area as well as a comprehensive treatment center (CTC) in nearby Tigard located about 20 miles away.

The commissioners voted 5-0 to approve the proposed site which will be on the local bus route thereby providing improved access. The article mentions that Oregon presently has 17 operational methadone clinics serving the state, where fentanyl, opiates, and other substances are causing a grave overdose crisis.

Having local opioid treatment available is a critically important step in saving lives and providing hope to patients and families. Methadone has been proven to decrease opioid use, reduce relapse risks & overdose deaths, as well as increase employment and overall health. Clinics offering medication-assisted treatment (MAT), like methadone and buprenorphine, are forging a new path to safety for those people once stuck in active addiction.

Posted in Acadia Healthcare, Addiction Treatment, Buprenorphine, Methadone, Methadone Clinics, Oregon Methadone Clinics, Suboxone | Tagged , , | Comments Off on Methadone Treatment in Oregon

Remote Observation of Methadone Dosing

There’s a new spin being proposed on the dispensing of methadone to Opioid Use Disorder (OUD) patients. A federally-funded project is underway between Scene Health and The University of Washington in which patients video themselves taking their daily methadone dose, and then submit that video to the treatment provider.

The project is evaluating this new modified approach that falls somewhere between in-person daily dosing and unsupervised take home dosing.

This new approach is currently being referred to as Video DOT (video direct observation therapy) and has been successfully implemented with other health issues including hepatitis C, asthma, and diabetes.

While this experiment seems appealing at first glance, it does raise legitimate questions about the ability to insure proper safety protocols with the provision of methadone medication to new patients. The project may possibly demonstrate the usefulness of Video DOT methadone dosing. But assuming this new approach one day becomes common practice, it will be important that physicians or clinics have in place a procedure for quickly reclaiming methadone doses that are not ingested on schedule.

Imagine a new patient receives 7 take home doses of methadone, but then only sends in the required video of their medication use on day one. At what point does the prescribing clinic intervene, and how will the unaccounted for doses be retrieved?

Approved Opioid Treatment Programs currently have “callback” procedures in which stable patients are randomly selected to return to their home clinic with their unused take home doses. This allows the clinic medical staff to perform a medication count, and it acts as a safeguard to insure patients are taking their medication as prescribed.

Patients who have earned take home privileges through months of treatment progress are less inclined to divert or misuse methadone than someone who just started treatment. New patients must be inducted gradually on a stabilizing dose of methadone. And time is typically needed to help these patients adjust to methadone while eliminating use of all other illicit substances. This is where the benefit of a structured treatment program is most relevant. OTP’s provide extremely valuable life management skills training in conjunction with medication therapy.

It remains to be seen if “easy access” to methadone is truly an advancement in care, or a step backwards in accountability & safety for patients and the public.

Posted in Medication Assisted Treatment, Methadone, Methadone Clinics, Methadone Programs, Suboxone, Suboxone Clinics | Tagged | Comments Off on Remote Observation of Methadone Dosing

Expanding Access to Methadone

Historically, access to methadone for the treatment of opioid addiction has been through enrollment in a local clinic licensed to dispense methadone. As a result of Covid restrictions, some of these clinic regulations were relaxed. For example, many patients across the U.S. were allowed to begin receiving take home doses of methadone as a result of Covid lockdowns and decreased clinic access.

Critics have begun to express the belief that clinic restrictions are cumbersome and that methadone should be made available for pick-up at local pharmacies. On the other hand, the concern remains that methadone can be misdirected or mishandled thus reinforcing the need for close supervision, particularly in the early phases of opioid treatment. Decades of research has shown that taken under proper supervision, methadone’s safety profile is excellent.

In this recent era of contaminated street opiates and overdose concerns, it is clear that methadone is a phenomenally effective medication for promoting health, well-being, and physical safety.

Mark Parrino, president of the American Association for the Treatment of Opioid Dependence, recently shared that deregulation of methadone would likely increase the diversion of methadone and methadone-related overdose deaths.

Following a period of stability, most U.S. clinics do allow patients to begin dosing at home with methadone. This system of care is working well throughout the country where methadone is readily available. However, many U.S. citizens are still lengthy distances from methadone-approved clinics. So, the challenge continues to link those with opioid addiction to effective resources in their local community. Legislators are presently examining a range of options as the opioid epidemic marches on.

Posted in Acadia Healthcare, Addiction Treatment, Brightview, Methadone, Methadone Clinics, Opioid Treatment, Suboxone | Tagged | Comments Off on Expanding Access to Methadone

 
Over the last 10 years, opioid use disorder has emerged as a primary medical problem in the United States. Individuals from varied and diverse backgrounds have all been subject to the dangers of opioid misuse and potential opioid dependency. The good news is that addiction is a treatable illness. And with opioid addiction in particular, there are specific medication-assisted interventions available that have proven successful. Extensive research studies have shown the clear benefits of both methadone and buprenorphine in alleviating the debilitating physical symptoms of opioid withdrawal.