24/7 Medication Assisted Treatment for Heroin & Other Opioid Use
CODAC offers specialized treatment for people in recovery from opioids (heroin, morphine, Oxycontin, fentanyl, etc.) with the help of FDA-approved medications. Prescribed medications often include Methadone, Buprenorphine (Subutex), Suboxone and Naltrexone (Vivitrol) with consistent therapy and peer support.
According to the federal Department of Health and Human Services, "Medication Assisted treatment is a proven, effective treatment for individuals with an opioid use disorder. [It] has been shown to increase treatment retention, and to reduce opioid use, risk behaviors that transmit HIV and hepatitis C virus, recidividsm and mortality."
When you decide you are ready to stop using drugs and comes to CODAC, we will conduct an assessment and determine if medication will help in their recovery. In CODAC's Medication Assisted Treatment (MAT) program, clients will be helped through withdrawal and then are prescribed medication by a Behavioral Health Medical Professional. How the medication is working will be closely monitored by their treatment team and adjusted as needed.
Taking care of the whole you -- your physical, mental and emotional health -- is very important in your recovery from drug use. You will work with the treatment team to create an individualized recovery plan that may include:
- psychiatric care (for depression, anxiety, and more serious mental illnesses)
- physical health care (primary care)
- OBGYN (for female members and members assigned female at birth)
- counseling and case management
- individual and group therapy
- peer support groups
- wellness support groups
- community groups
- employment support
Click here to view our current therapy, support and wellness groups! (updated Oct. 1, 2019)
Why Medication for Opioid Use Disorder Treatment?
Addiction to opioids can lead to physical changes in the brain, changing the circuits responsible for mood, pleasure and reward responses. After the body has become dependent on the opioid, it can be really painful to live without it (withdrawal).
Approved and prescribed medications help by replacing the opioid with a legal substitute (which is monitored closely by medical professionals). This helps lower the physical need for illicit opioids so a person can function normally.
Long-Term Detoxification Treatment (31 to 180 Days)
Long-term detoxification treatment focuses on methadone medication treatment with a monitored regimen of daily dosing. Patients are regularly monitored and tapered off methadone within 180 days. Members are expected to attend therapy and support groups to enhance their recovery.
Methadone Maintenance Treatment (12+ Months)
Methadone Maintenance Treatment can last from weeks to years depending on the member. People in Methadone Maintenance Treatment should be stable in their dose. Members will continue to meet with therapists, recovery coaches, and peer supports and attend groups. The focus during this period is counseling, relapse prevention and harm reduction.
Treatment for Pregnant & Postpartum Women
CODAC is experienced in providing the safest solutions for pregnant and postpartum women with opioid use disorders. With many options available at CODAC, we're best prepared to offer pregnant women the best treatment that's safest for you and the child you're carrying.
About the Medications
Methadone is a long-acting artificial morphine substitute. It lessens the painful symptoms of withdrawal and blocks the effects of opioids. An adequate dose of methadone is effective for 24 hours or longer.
It has been found that -- when prescribed with therapy and other supportive services -- methadone used in place of heroin, morphine, oxycontin and other opioids produces positive changes in motivation and social functioning. At CODAC, Methadone is provided in liquid form on a daily basis. It is given by Licensed Practical Nurses.
Buprenorphine (Subutex) is a semi-synthetic opioid. It lasts more than 24 hours and is, therefore, prescribed to be taken once a day. Buprenorphine causes less respiratory depression than other opioids, which results in less chance of overdose or death. And, the effect of other opioids while takinng buprenorphine is considerably diminished. This medication helps a patient feel normal, not high.
Suboxone (Buprenorphine + Naloxone)
Suboxone is a prescription medication made up of buprenorphine and naloxone. By adding naloxone to buprenorphine, the body does not experience any high feeling. Like the other medications, it is used to treat opioid addiction under the direction of a doctor and alongside therapy and other structured support. Suboxone is intended to be a short-term treatment. Individual typically only use suboxone for one year or less.
Naltrexone (Vivitrol or ReVia)
Naltrexone is another opioid antagonist medication that is used in opioid use treatment to prevent the euphoric effects and reduce cravings. It is also used to treat alcohol use/abuse. Naltrexone comes in pill and injection forms. Members need to be free from opioids for a minimum of 7-10 days before starting naltrexone.
Vivitrol is a long acting injection. ReVia is an immediate release pill taken orally.