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Currently, our various treatment options consist of a combination of medications and psychosocial counseling. We utilize medication, substance abuse counseling, group counseling, family support/counseling and community based resources to help our patients grow through the recovery process.
Methadone Maintenance: Currently our largest segment of patients. Methadone maintenance still
remains a very successful method of treating opioid dependence. An opioid dependent patient enters
treatment through a thorough assessment process which includes the following:
Counselor Assessment (Addictions Assessment);
Physical Assessment (performed by nurse and physician), and if appropriate for treatment will be
admitted by our physician. As we operate a medical model, only a physician can admit a patient to
our program. The patient is started on a conservative dose of methadone designed to reduce
withdrawal, eliminate “highs or euphoria,” and allow the patient to engage in other areas of treatment.
The patient’s medication level will be adjusted until they are “stable.” This can take 10 – 30 days. The
average length of treatment varies considerably by patient.
Suboxone Maintenance: Suboxone is the newest drug approved for use in treating addiction. It is
approved under the DATA2000 act which allows physicians with specialized training to prescribe this
medication. OTP’s can also use Suboxone in the typical treatment facility setting through the physician
and/or pharmacy. Suboxone is currently more expensive than Methadone Maintenance, but it has
many desirable properties. The “ceiling” effect provides a stronger blockade of other opiates, thus making
it safer. In addition, many patients will not need to come to the clinic as frequently for medication.
Individual Counseling/Group Counseling: While medications can remove the “physical” symptoms
of withdrawal, the emotional and physiological symptoms can continue. Counseling helps the dependent
person develop skills and behaviors that help with the critical areas. Patients who fail to engage in
treatment stand a considerably greater chance of relapse. Both individual and group counseling is offered.
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