Methadone clinic

Methadone Clinics – How They Operate & Locations

What is a Methadone Clinic?

A methadone clinic is a clinic  for the dispensing of methadone (Dolophine), a schedule II opioid analgesic to a person who is addicted to opioid-based drugs, such as heroin or prescription painkillers.

What Does a Methadone Clinic Do?

The main focus of methadone clinics is the elimination or reduction of opioid usage by placing the patient on methadone which is a long acting opioid which block the effects of opiate pain medications, including morphine, codeine, oxycodone, and other semi-synthetic opioids. According to the Journal of Addiction Science & Clinical Practice, the purpose of methadone treatment works to restore a normal chemical balance within the brain while supporting damaged neurotransmitter-producing cells. Once the brain’s chemical environment stabilizes, a person starts to feel normal again in terms of his or her emotional and psychological well-being.

All methadone clinics in the United states are strictly regulated by state and federal laws and administer methadone as a pill, in liquid or wafer forms. A common term for this type of treatment at a methadone clinic which must be prescribed by a doctor is known as is “replacement therapy”. Although considered successful as a treatment method it is not a cure for addiction issues and the use of this maintenance treatment is often viewed as controversial in many quarters. The American Journal of Psychology says the DSM-5 manual, which doctors use to diagnose mental health disorders, describes methadone as a safe substance for treating substance use disorders.

Methadone Clinic cost

How Much Does It Cost to Go To A Methadone Clinic?

Methadone clinics could either be public and privately owned. In either case, they both come under the same strictly regulations that guides its operations (inpatient and outpatient levels of care). While not restricted to adults, this treatment method is generally not considered for people under the age of 18. In 2013, due to the strict changes in receiving prescription pain medication as well as decreases in prescription abuse, the requirements to be accepted into methadone clinics have changed in areas such as New York State. The average cost of a non-hospital based residential Methadone treatment programs is $76.13 per day per person, while persons visiting a Methadone clinic on an out-patient basis should expect to pay an average cost of $17.78 per day per person. According to a survey conducted by the Substance Abuse and Mental Health Services Administration, nearly 245,000 people were admitted into opiate treatment programs in 2010. More than half of those admitted required maintenance and detoxification services. About 22 percent were individuals seeking only maintenance treatment. Methadone was the primary medication given to those in treatment; the survey reported nearly 270,000 people receiving methadone in March of the following year.

 

Who is Eligible for Methadone Replacement Therapy?

The first step in getting methadone maintenance is to get assessed in a clinic by a methadone doctor. Anyone seeking help for opiate addiction can receive an assessment for methadone maintenance although there may be limitations to what the clinic will be able to do for you especially public methadone clinics with limited budget.

In General, assessment for methadone maintenance involves providing accurate and up-to-date information about yourself to the staff members of the clinic. If you are not completely honest about other drugs you are using, you could be placing yourself at risk for an accidental overdose. Required information include:

Demographic information (age, sex, date of birth).

Medical history, including any diseases transmitted through sexual intercourse or through shared needles.

 

Psychiatric history, including mental health disorders such as anxiety, depression and psychosis.

 

Risk assessment, including information about past or present thoughts of suicide or suicide attempts.

 

Past and current drug use, which may include a detailed report of the drugs that you have used in the last month up to one year.

 

History of withdrawal symptoms (experienced currently or in the past).

 

In addition to the information above, it is particularly important to be honest about your use of other central nervous system depressants, such as: benzodiazepines, barbiturates, and sleep medications (e.g., Ambien) alcohol and other opiates.

Methadone Clinic

How does Methadone Clinics Operate?

Methadone clinics will not provide you with methadone maintenance without your complete and voluntary informed consent. The consent process will include you signing that you understand the facility services, procedures, rules and expectations. By signing, you agree to conduct yourself in the manner outlined by the facility. However, in cases where you are considered a risk to yourself or others and are referred to a 72-hour hold, your right to willingly provide treatment consent is lost and treatment can commence without your consent

Methadone clinics work in such a way that on the day of your initial assessment, you will probably receive your first treatment as long as you are eligible and there are no persons on the waiting list. Your initial dosage will not exceed 40 mg methadone but will be slowly increased over the next few weeks with a final dosage goal of anywhere from 80 to 120 mg under close supervision. Once clinic staff and ‘’Methadone Doctors” are satisfied with your progress you will transition to outpatient treatment who visits the clinic every day to received your supervised daily dosage. Based on your level of commitment and sincerity in the methadone, the methadone facility may entrust you with dosages of up to 4 weeks at a time.The duration of methadone treatment ranges from a few months to several years, or even lifelong.

Some clinics also offer short- or long-term detoxification services to their patients using methadone in combination with cognitive behavioral therapy and other medications such as buprenorphine used to reduce cravings, naltrexone, a non-addictive substance, that blocks the effects of opioids and  the injectable form of naltrexone, known as Vivitrol, that is administered monthly rather than daily like most other opioid treatment drugs.

Methadone Clinic

Factors That Affect Duration of Methadone Treatment

Several factors affect methadone treatment duration most of which are related to your history of drug use and current state. These factors include:

Length of opiate abuse, as in months, years or decades

 

Addiction severity

 

The presence or absence of mental health problems, such as depression, anxiety or bipolar disorders

 

Physical health status

 

Motivation level

 

Whether or not a person has a strong support system in place

 

Stable vs. unstable home environment

 

Side Effects to Expect During Methadone Treatment

Although carefully monitored dosages of methadone are legally and medically acceptable, methadone is still an opioid agonist drug like heroin or opium. It is important to recognize that, while methadone is a milder drug, it is still a narcotic with a high chance of addiction and dangerous side effects. When a person takes methadone in any form, they run the risk of experiencing a host of dangerous effects, which can cause both physical and psychological harm. The side effects of methadone include:

Drowsiness

Dry mouth

Feeling lightheaded

Urinary retention

Sexual impotence

Labored or shallow breathing

Chest pain

Rapid heartbeat

Confusion

Hallucinations

Muscle tremors

Nausea/vomiting, Diarrhea and Abdominal cramps

Methadone Clinic location

How to find the Right Methadone Clinic Near You

In many parts of the United States, methadone clinics are few and far between, which presents problems for addicts seeking methadone treatment who live far from a clinic. By simply typing ‘methadone clinic near me’ on a search engine, a number of online resources for finding local methadone clinics will pop up but finding the right one could be much harder. One way you can find the right methadone clinic is by searching state or city wise and principally by reading customer reviews on methadone clinic. Another reliable method you can get the required help in locating the right methadone clinic for you is by referral.

Public methadone clinics are generally cheaper to attend. However, they are usually crowded with a long waiting list due to limited funding. The private methadone clinics on the other hand, are more expensive to attend but usually have either a short or no waiting list with a more personalized form of care. Other methadone clinics cater for specific demographic groups such as gender or religion to maximize the comfort of their clients.

Canadian Methadone Treatment Centers

Ontario Addiction Treatment Centre

No reviews · Medical Clinic

Bracebridge, ON, Canada · +1 705-645-1677

Opens 8:30AM Fri

OATC Vanier Clinic

Addiction Treatment Center

Vanier, ON, Canada · +1 613-749-9666

Opens 8:30AM Fri

WEBSITE

Methadone Clinic & Pharmacy

Addiction Treatment Center

Toronto, ON, Canada · +1 416-241-5281

Open ⋅ Closes 6:30PM

Ontario Addiction Treatment Centre

Medical Clinic

Bracebridge, ON, Canada · +1 705-645-1677

Opens 8:30AM Fri

 

To find a Methadone Clinic Near me click on either of the site below ;

Clinic Location Finder Site 1

Clinic Location Finder Site 2

 

 

Public Health Nigeria an Interdisciplinary public health movement focused on health education, advancing fair public health policies, promoting fitness, healthy diets, responsible behavior, community health and general well-being.
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Public Health Ng
Public Health Nigeria an Interdisciplinary public health movement focused on health education, advancing fair public health policies, promoting fitness, healthy diets, responsible behavior, community health and general well-being.

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