Methadone Clinics in Riverside

Name rehabsAddressPhone
Riverside Center for Behavioral Medicine in Riverside5900 Brockton Avenue Riverside, CA 92506(951) 275-8400
Western Clinical Health Servs (WCHS) DBA Riverside Treatment Center1021 West La Cadena Drive, Riverside, CA 92501(951) 784-8010
Western Clinical Health Servs (WCHS) Inland Health Services/Riverside1021 West La Cadena Drive Riverside, CA 92501(951) 784-8010
Whiteside Manor Wilshire House2452 Wilshire Street Riverside, CA 92501(951) 788-9515

Rules and Regulations

Riverside, California adheres to strict federal and state regulations regarding methadone clinics, outlined by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the California Department of Health Care Services.

Certification Procedures

  • Clinics must meet standards for medication dispensing, counseling, patient rights, and more.
  • Staff must undergo background checks and training.
  • Regular facility inspections occur.

Benefits of Medication-Assisted Treatment

Medication-assisted treatment (MAT) with methadone helps individuals recovering from opioid addiction by:

  • Preventing painful withdrawal symptoms
  • Reducing opioid cravings
  • Allowing patients to focus on counseling and behavioral therapies
  • Lowering the risk of overdose
  • Improving health outcomes

How Clinics Operate

Methadone clinics provide daily supervised methadone doses and counseling to support individuals in recovery from opioid addiction. The goal is to help patients gain stability so they can work, go to school, and engage in positive social relationships.

Insurance Coverage

Methadone treatment may be covered by:

  • Medicaid
  • Private insurance plans
  • State-funded programs for uninsured individuals

Some clinics offer uninsured patients the ability to pay on an income-based sliding scale.

Drug Use in Riverside

The opioid crisis has been declared a nationwide public health emergency. In Riverside County, California:

  • There were 537 opioid overdose deaths in 2020, a 33% increase from 2019 (CDPH)
  • Fentanyl contributed to 78% of opioid overdose deaths in 2021 (CDPH)
  • Methamphetamine is the most commonly used illicit drug after cannabis (SAMHSA)

Addiction Treatment Overview in Riverside

Inpatient Treatment

Inpatient treatment involves staying at a facility 24/7 for 1-3 months on average. It includes medical detox, therapy, counseling, and other services to treat substance abuse.

Outpatient Treatment

Outpatient treatment provides services while allowing the person to live at home. It involves regularly scheduled appointments, usually 1-5 times per week for several months. Services are provided at clinics, hospitals, or private practices.

Treatment Level Unreported

An estimated 10-20% of people with substance abuse disorders in Riverside receive some form of treatment, according to national data. However, local reporting rates are unclear.

Comparison of Treatment in Riverside vs. Los Angeles

CategoriesRiversideLos Angeles
Treatment Facilities134367
Inpatient Beds1,2673,896
Cost of Treatment$10,000-$30,000$15,000-$35,000

Methadone Treatment

What is Methadone

Methadone is a long-acting opioid agonist medication used in medication-assisted treatment (MAT) for opioid use disorder. It activates opioid receptors in the brain, reducing cravings and withdrawal symptoms. Methadone is taken orally once daily at opioid treatment programs (OTPs).

  • Mechanism as medication-assisted treatment: Methadone is a full opioid agonist that activates receptors targeted by opioids of misuse. This prevents withdrawal and reduces cravings.
  • OTP principle: Methadone is only provided through certified OTPs with regular urine testing and counseling. Take-home doses are limited until patients demonstrate stability.

Societal Perspectives on Methadone Treatment

Methadone maintenance is controversial, with stigma around substituting one opioid for another. However, research shows MAT with methadone is an evidence-based treatment for opioid addiction. When taken as prescribed, methadone stabilizes patients, allowing them to function normally.

Methadone Distribution

Description of monitoring and regulations:

  • Urine testing: Methadone maintenance patients must undergo at least eight randomized tests in the first year of treatment to detect any unsanctioned drug use.
  • Take-home requirements: During the first 14 days of treatment, the take-home supply of methadone is limited to a 24-hour dose. After demonstrating progress, take-home doses can gradually increase up to 30 days maximum.
  • Monitoring: Methadone treatment programs should have an interprofessional team including physicians, nurses, and counselors to monitor patient progress.
  • Prescription drug monitoring: Clinicians should review PDMP data to carefully cross-reference opioid dosage history when starting methadone, as it has a narrow therapeutic window.

Riverside County Drug Classifications

Opioids, stimulants, depressants, hallucinogens, and cannabis are classified under Schedule I-V drug categories in California.

Methadone Treatment Effectiveness Research

Methadone is an effective medication for treating opioid use disorder used since 1947.

Evidence for Effectiveness

Studies show methadone reduces opioid use, disease transmission, and crime:

  • 33% fewer opioid-positive drug tests for methadone patients
  • Patients on methadone maintenance are 4.44 times more likely to stay in treatment
  • Retention in methadone treatment reduces overdose risk, HIV transmission, and increases employment

Major Drawbacks

  • Potential for misuse/diversion if not taken as prescribed
  • Severe withdrawal symptoms if methadone is stopped suddenly
  • Possible QTc prolongation/cardiac issues in some patients
  • Respiratory depression/overdose risk when combined with other CNS depressants

Comparison to Other Medications

Methadone and buprenorphine are equally effective in reducing illicit opioid use.

Methadone has demonstrated benefits but also risks requiring careful management.

About Riverside

Location, County & List of Neighboring States

Riverside is located in Riverside County in the U.S. state of California. It borders the following states:

  • Arizona
  • Nevada

Capital and Largest City

The capital and largest city in California is Sacramento.

Land Area

The land area of Riverside is 81.4 square miles.

Population Statistics

Total population

The total population of Riverside is 306,779 (as of 2016).

Demographics:

Gender

  • Male: 49.3%
  • Female: 50.7%

Age Brackets

  • Under 18 years: 25.8%
  • 18 to 64 years: 59.3%
  • 65 years and over: 15.0%

Occupations

The top occupations in Riverside are:

  • Management, business, science, and arts occupations: 34.2%
  • Sales and office occupations: 25.0%
  • Service occupations: 18.8%
  • Production, transportation, and material moving occupations: 14.8%
  • Natural resources, construction, and maintenance occupations: 7.3%