San Francisco Methadone Treatment

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San Francisco provides a notable number of opioid treatment alternatives from supervised methadone clinics to private physicians prescribing suboxone (buprenorphine). Counseling is a requirement for those who receive opioid replacement therapy area. Suboxone has established itself as an effective medication for relief from opiate withdrawal symptoms for a significant number of people. Here on the Methadone.US website are links to more information on methadone’s benefits vs. risks, opioid dependence, the role of counseling in addiction treatment, and current job openings in U.S. methadone clinics.


San Francisco Methadone Clinics
BAART Turk Street Clinic
FACET
433 Turk Street
San Francisco, CA 94102
(415) 928-7800
BAART Behavioral Health Services Inc
Market Street Clinic
1111 Market Street
San Francisco, CA 94103
(415) 863-3883
Westside Methadone Treatment Program 1301 Pierce Street
San Francisco, CA 94115
(415) 563-8200
Fort Help LLC 915 Bryant Street
San Francisco, CA 94103
(415) 777-9953
San Francisco General Hospital (SFGH)
Opiate Trt Outpt Prog/Methadone Detox
1001 Potrero Avenue, Building 93
San Francisco, CA 94110
(415) 206-8412
San Francisco General Hospital (SFGH)
Substance Abuse Servs/Meth Maintenance
1001 Potrero Avenue, Building 90 Ward 93
San Francisco, CA 94110
(415) 206-8412
Bayview Hunters Point Foundation
Substance Abuse Programs
1625 Carroll Street
San Francisco, CA 94124
(415) 822-8200×12
Veterans Affairs Medical Center
Substance Abuse Programs
4150 Clement Street, Unit 116-E
San Francisco, CA 94121
(415) 221-4810×2818
VA Mental Health Clinic 525 21st Street
Oakland, CA 94612
(510) 587-3400
Berkeley Addiction Treatment Services 2975 Sacramento Street
Berkeley, CA 94702
(510) 644-0200

 

San Francisco Suboxone Treatment
Ako Jacintho, M.D. 1735 Mission St.
San Francisco, CA 94103
(415) 746-1940
Laurene Spencer, M.D. BAART Market Street Clinic
1111 Market Street
San Francisco, CA 94103
(415) 863-3883×163
Vinh Ngo, M.D. 508 A 14th Street
San Francisco, CA 94103
(415) 864-4444
Hanya Barth, M.D. 1200 Howard Street
San Francisco, CA 94103
(415) 255-1200
Thomas Prendergast, D.O. FT Help
915 Bryant Street
San Francisco, CA 94103
(415) 777-9953
Aaron Vance Blackledge, M.D. 508 A 14th Street
San Francisco, CA 94103
(415) 864-4444
Charles Parker Windham, M.D. Mobile Crisis Treatment Team
1520 Howard Street
San Francisco, CA 94103
(415) 355-8300
Audrey Sellers, M.D. 1111 Market St., 1st Flr.
San Francisco, CA 94103
(415) 863-3883
Kelly Pfeifer, M.D. San Francisco Health Plan
201 Third Street, 7th Floor
San Francisco, CA 94103
(415) 615-4232
Thomas Prendergast, D.O. 915 Bryant Street
San Francisco, CA 94103
(510) 727-9756
Robert Paul Cabaj, M.D. 1380 Howard Street
5th Floor
San Francisco, CA 94103
(415) 255-3447
David F. Hersh, M.D. 1380 Howard Street
2nd Floor
San Francisco, CA 94103
(415) 255-3601
Reda Z Sobky, M.D., PhD 915 Bryant Street
San Francisco, CA 94103
(415) 777-9953
Dan Alan Kalshan, M.D. 220 Montgomery Street
Suite 946
San Francisco, CA 94104
(415) 433-7000
Amy Catherine Noack, M.D. VA Downtown Clinic
401 3rd Street
San Francisco, CA 94107
(415) 551-7320
David Lane Pakter, M .D. Potrero Hill Health Center
1050 Wisconsin St
San Francisco, CA 94107
(415) 648-3011
Masaru Fisher, M.D. 760 Harrison Street
San Francisco, CA 94107
(415) 836-1724
Michael Joseph Drennan, M.D. 1050 Wisconsin Street
San Francisco, CA 94107
(415) 920-1213
Sushma Zakkula Magnuson, M.D. 1050 Wisconsin Street
San Francisco, CA 94107
(415) 920-1211
Paul D. Abramson, M.D. 450 Sutter Street
Suite 300
San Francisco, CA 94108
(415) 963-4431
Carolyn Ann Schuman, M.D. Reliance Center
450 Sutter Street, Suite 300
San Francisco, CA 94108
(415) 788-0500
Harm Reduction Therapy Center 423 Gough Street
San Francisco, CA 94102
(415) 863-4282×3
BAART FACET
Geary Street Clinic and FACET
433 Turk Street
San Francisco, CA 94102
(415) 928-7800
Joe Healy Medical Detoxification
Project
120 Page Street
Floors 2 and 3
San Francisco, CA 94102
(415) 553-4490
Haight Ashbury Free Clinics Inc 1735 Mission Street
San Francisco, CA 94103
(415) 552-2114
BAART Behavioral Health Services Inc
Market Street Clinic
1111 Market Street
1st Floor
San Francisco, CA 94103
(415) 863-3883
Walden House
Substance Abuse Treatment and MH Servs
890 Hayes Street
San Francisco, CA 94117
(415) 701-5100
Veterans Affairs Medical Center
Substance Abuse Program
4150 Clement Street
Unit 116-E
San Francisco, CA 94121
(415) 221-4810×2818
Ohlhoff Recovery Programs
Ohlhoff Women's Residential Program
601 Steiner Street
San Francisco, CA 94127
(415) 621-4388×14
Walden House
Adult Residential Program TI
1445 Chinook Court
San Francisco, CA 94130
(415) 989-4902

 

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

Learning Recovery Through Counseling

Counseling and support services are an integral part of the treatment process. Recovery from opioid addiction involves education on the addictive process and the development of skills that support lifestyle change.

Medication assistance is key in managing opioid withdrawal sickness, but counseling offers the opportunity to learn valuable skills like identifying common high risk triggers for relapse and methods for reducing that risk.

Addiction is a complex illness. Many patients who achieve early stability with methadone or suboxone will relax their commitment to treatment. They let their guard down and begin to take shortcuts. This is a frequent issue in treatment clinics that often leads to relapse.

Sustained recovery from addiction requires a full commitment to change. Individual counseling and group counseling provide the necessary roadmap for staying on the recovery path. Counseling allows patients to achieve a deeper understanding of the challenges they will face as they learn to live drug free.

Opioid addiction can seriously impact a person’s life in many areas, and climbing out of that hole is not easy. Making the correct recovery-based decisions can at times be confusing, and even feel overwhelming. This is where the value of support & input from a counselor, stable friends, and concerned others can make a real difference.

Most MAT clinics and physician practices across the U.S. provide counseling as a component of their opioid treatment program. Participate in these services. These sessions with a therapist or in a counseling group can greatly enhance your ability to stay on course, and ride out the difficult days that you will certainly encounter. There is no replacement for commitment and positive action. These are the foundation of success when true recovery is the goal.

Posted in Addiction Counseling, Addiction Recovery, Addiction Treatment, Methadone, Methadone Clinics, Suboxone | Comments Off on Learning Recovery Through Counseling

Buprenorphine After Overdose Facilitates Treatment

Several articles recently addressed a study which found that providing buprenorphine after an overdose significantly increased the likelihood of individuals accessing opioid use disorder (OUD) treatment.

The current protocol for paramedics and emergency departments in treating opioid overdose is to administer naloxone in order to reverse the effects of overdose. A recently published study showed that also providing buprenorphine immediately afterward reduced withdrawal discomfort and increased outpatient addiction follow-up care.

A separate article referenced data showing a nearly six-fold increase in patients accessing outpatient addiction treatment within 30 days of the overdose event.

These are highly encouraging finds which demonstrate the far-reaching effectiveness of medication-assistance in the treatment of opioid addiction. Saving a life through overdose reversal is obviously a critical benefit, but increasing motivation for follow-up treatment is a huge step in helping addicted individuals plug into a long-term solution.

Structured treatment which utilizes medication-assistance provides so much to those aspiring to face their addiction challenges. Naloxone, buprenorphine, and methadone have saved countless lives, and these medications have provided an unrivaled opportunity for those in opioid addiction to plot a new path in life.

Posted in Addiction Treatment, Buprenorphine, Fentanyl, Methadone, Methadone Clinics, Opioid Treatment, Overdose Prevention, Suboxone | Comments Off on Buprenorphine After Overdose Facilitates Treatment