Studies show methadone works. But draconian regulations make it hard to get even amid the drug crisis.
“When I wasn’t on anything, I couldn’t stand the way I felt in my own skin,” she said. “Methadone satisfies me, but doesn’t get me high.”
“You’re saving a lot of lives by having people treated with methadone,” said Yngvild K. Olsen, director of the Center for Substance Abuse Treatment at the Substance Abuse and Mental Health Services Administration , one of the agencies that oversees clinics.But at least one group is not on board with proposals to expand access to methadone beyond the clinic system — the clinics themselves, many of which are for-profit.
As a result, Joudrey said, many methadone clinics are in urban areas, even as today’s opioid crisis has wreaked widespread havoc across a wide swath of the country.estimated 2.1 million people in the United States with opioid use disorder. In many states, there are just a handful of clinics. Wyoming has zero.“We don’t have enough methadone clinics,” said Nora Volkow, director of the National Institute on Drug Abuse .
Vincent’s partner carries her to their car for the hurried drive to the clinic, which closes for dosing at 10:30 a.m.“If you’re one minute late to many clinics, they lock you out,” said Vincent, who is executive director of the North Carolina Urban Survivors Union, which is affiliated with a national group that in 2021 published a “the relaxed rules duringthat they say proved the benefits of giving patients greater control over their lives.
of overall drug overdose deaths, which reached about 107,000 in 2021, the last year for which complete data is available. Given the magnitude of the drug crisis, they argue that if more people with opioid use disorder used methadone, rather than street drugs, there would be far fewer overdose deaths.
But the trade group takes a hard line opposing measures that would allow addiction specialists outside the clinic system to prescribe methadone.
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