The methadone clinic is a clinic that has been established to release methadone (Dolophine), opioid analgesic schedule II, to those who abuse heroin and other opioids. The focus of this clinic is the elimination or reduction of opioid use by placing the patient on methadone which is a long-acting opioid. Some clinics also offer short or long term detoxification services for their patients using methadone. The general term for this type of treatment at a methadone clinic is "replacement therapy". Although generally considered to be successful as a method of treatment, the use of maintenance treatments is often considered controversial.
Video Methadone clinic
Rules and policies
In the United States, there are usually two types of methadone clinics, public and private. Public clinics are usually cheaper to attend. However, there is usually a waiting list due to limited funds. Private clinics are more expensive to attend but usually have short waiting lists or none at all. In many parts of the United States, methadone clinics are few and far away, posing a problem for addicts seeking methadone treatment that lives away from the clinic. The largest concentrations of clinics are in California, Maryland, New York, and New Jersey.
The Methadone clinic in the United States operates under strict supervision and federal regulations. Drugs are monitored by nursing staff and prescribed by doctors. The regulation requires to include this form of treatment, the person must show the current addiction to the opioid. This is generally defined by a simple urine sample. Medical examination is given before administration of methadone, and new patients are often tested for certain conditions that are known to be common in populations of addicts, such as HIV, hepatitis, and tuberculosis.
Maps Methadone clinic
Use of methadone clinic
Although not required by current regulations in the United States, people are usually encouraged to try other types of treatment before entering a methadone treatment program. Although not limited to adults, this method of treatment is generally not considered for people under the age of 18. In 2013 due to strict changes in receiving prescription prescription drugs as well as decreasing prescription prescription abuse requirements for admission to methadone clinics have been altered in areas such as New York State.
An important part of treatment for addiction is counseling. The Methadone Clinic is only for recovering addicts from opioids. Clinics require attendance in counseling groups as well as individual counseling contacts. It is generally accepted that the more intensive individual counseling contacts are willing to submit, the higher the success rate of the program.
The Methadone Clinic operates as a medical facility for other addictions. Staff usually consist of doctors to monitor medications and treatments and nurses to administer drugs and ensure effective delivery (ie the person will actually consume the product). In addition, drug counselors will be available for individual and group counseling, and there will be administrative staff to carry out administrative functions. Clinical clinical surgery is often placed in hospitals, although this is not required by US law.
Effectiveness
While methadone clinics are generally regarded as an effective treatment option for opioid-addicted patients, especially when other interventions fail, there is controversy surrounding the placement of methadone clinics. There is a perception that the presence of clinics attracts crime to the surrounding area. However, one study by the University of Maryland School of Medicine found that not the case, the crime rate did not increase when the methadone clinic was opened. A 2004 GAO study noted that clinical placement could inhibit recovery and worsen recurrence:
"Although the clinic is intended to help those in need of rehabilitation, patients seeking treatment should navigate their way to and from clinics in environments where illegal sale of narcotics is a daily occurrence, the efforts of patients seeking rehabilitation, and the clinical professionals who serve them, significantly undermined by this criminal activity that surrounds them. "
High recurrence rates in patients who stop methadone maintenance, between 70-90% High recurrence rates may be in part due to case severity seen in methadone clinics, as well as the long-term effects of opioid use. Some patients will be in methadone for the rest of their lives, which results in criticism about clinical effectiveness. Proponents argue that the purpose of the clinic is not only to eliminate the addiction of narcotics, but also to help people function in their lives.
The Methadone Clinic may reduce the use of emergency room by opioid-addicted patients According to Cochrane 2009's review, methadone maintenance reduces the possibility that heroin-dependent patients will use heroin, but not change the level of crime or death.
References
Source of the article : Wikipedia
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