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.
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 an assessment process which includes: a counseling assessment, completed by one of our qualified counselors and a physical assessment, completed by a nurse. The patient then meets with the program physician who uses the assessment information in combination with the patient interview to determine the best course of treatment and admit the patient to the program. 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 is the newest drug approved for use in treating opioid 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 opioids, 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 psychological symptoms may continue. Counseling helps the dependent person develop skills and behaviors that help with the critical areas of recovery. Patients who fail to engage in treatment stand a considerably greater chance of relapse. Both individual and group counseling is offered.