| Name rehabs | Address | Phone |
|---|---|---|
| Naples Metro Treatment Center | 2770 Davis Blvd Ste 90 Naples, FL 34104 | |
| Willough at Naples | 9001 Tamiami Trail East Naples, FL 34113 | (800) 722-0100 |
Rules and Regulations
Naples, Collier County, Florida, United States adheres to strict regulations regarding methadone clinics, outlined by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Drug Enforcement Administration (DEA).
Certification Procedures
To become certified, methadone clinics must:
- Be accredited by SAMHSA
- Meet DEA security requirements for storing and dispensing methadone
- Have qualified and licensed staff including a program physician, nurses, and counselors
- Provide counseling and other services in addition to methadone
Benefits of Medication-Assisted Treatment
Methadone maintenance therapy provides:
- Reduced opioid cravings and withdrawal symptoms
- Decreased risk of overdose
- Improved health and social functioning
How Clinics Operate and Their Purpose
Methadone clinics provide daily supervised methadone dosing and comprehensive treatment services such as counseling and case management. Their purpose is to help individuals with opioid use disorder achieve long-term recovery.
Insurance Coverage
Many insurance plans including Medicaid cover methadone treatment. Some clinics also offer treatment on a sliding fee scale for low income patients.
Drug Use in Naples
The opioid crisis has been declared a nationwide public health emergency. In Florida, over 5,000 people died from drug overdoses in 2020 alone. The most commonly used substances in Naples and Collier County are:
- Opioids
- Cocaine
- Marijuana
- Amphetamines
Addiction Treatment Overview
Inpatient Treatment
Inpatient facilities provide 24/7 care and monitoring. The average length of stay is 30 days. Services include detoxification, individual and group therapy, education, and aftercare planning.
Outpatient Treatment
Outpatient programs offer similar services to inpatient but allow the individual to live at home while attending scheduled treatment sessions around 3 times per week. Services are provided at clinics, hospitals, or community mental health centers.
Treatment Level Unreported
An estimated 10-20% of those receiving addiction treatment in Naples and Collier County are served by private practices or other small providers that do not report treatment details to national databases. Services likely include counseling and group support.
Comparison of Treatment Availability
| City | Treatment Facilities | Inpatient Beds | Avg. Monthly Cost |
| Naples | 12 | 45 | $15,000 |
| Miami | 32 | 130 | $20,000 |
Methadone Treatment
What is Methadone
Methadone is a long-acting opioid agonist medication used to treat opioid use disorder and prevent withdrawal symptoms. It binds to opioid receptors in the brain, reducing cravings and blocking the effects of illicit opioids. Methadone maintenance treatment provides the medication along with counseling and support services in an opioid treatment program (OTP). Patients take an oral dose daily under supervision.
Methadone activates the brain’s opioid receptors resulting in pain relief without euphoria. This allows people dependent on short-acting opioids like heroin to function normally without the cycles of intoxication and withdrawal. Methadone is more effective when combined with counseling and social services to address the root causes of addiction. OTPs provide the medication daily onsite along with referrals for medical care, mental health treatment, housing assistance etc.
While methadone treatment has proven benefits, some view medicating addiction as simply “replacing one drug with another”. However, research shows methadone helps stabilize patients, allowing them to hold jobs, reduce transmission of HIV and hepatitis C, and avoid criminal activity to obtain drugs. Many see it as the most ethical option.
Methadone Distribution
Description of monitoring and regulations:
- Urine testing: Methadone maintenance patients must undergo at least eight tests in the first year of treatment to ensure appropriate use and detect other substances.
- Take-home requirements: During the first 14 days of treatment, the take-home supply of methadone is limited to a 24-hour supply given daily onsite at the OTP. Over time patients can earn the trust to take home multiple doses.
- Monitoring: Methadone treatment programs should have an interprofessional team including physicians, nurses, counselors, and social workers monitoring patient progress.
- Prescription drug monitoring: Clinicians should review PDMP data to carefully cross-reference opioid titration dosage, as methadone has a narrow therapeutic index. Overdose can occur when combined with other substances.
Naples, Collier County, Florida has local clinics providing methadone maintenance treatment with strict monitoring per state and federal regulations.
Methadone Treatment Effectiveness Research
Methadone is an effective medication for treating opioid use disorder used since 1947. Studies confirm methadone reduces illicit opioid use, disease transmission from injection drug use, and drug-related crime when treatment is continued long-term.
Evidence for Effectiveness
Studies show methadone treatment results in 33% fewer opioid-positive drug tests. Patients in methadone treatment are 4.44 times more likely to stay in treatment. Retention in treatment greatly reduces risks of overdose and disease transmission while supporting employment.
Major Drawbacks
Methadone does still have risks including the potential for misuse/diversion given its street value. As an opioid, sudden stopping can cause severe withdrawal. Some patients develop QTc prolongation or other cardiac issues. Especially when combined with benzodiazepines or alcohol, respiratory depression and overdose are possible. Careful daily monitoring is essential.
Comparison to Other Medications
Methadone and buprenorphine are equally effective for reducing illicit opioid use in medication-assisted treatment.
With responsible oversight, methadone’s benefits outweigh the risks for many opioid-addicted patients. It has remained an essential treatment since the 1940s.
About Naples
Location, County & List of Neighboring States
Naples is located in Collier County on the Gulf coast of southwest Florida. Naples is bordered by Lee and Hendry counties and the state of Florida also borders Alabama and Georgia.
Capital and Largest City
The capital and largest city in Collier County is Naples.
Land Area
The land area of Collier County is 2,025 square miles.
Infrastructure
Naples features substantial infrastructure including a regional airport, hospitals, higher education facilities including Florida SouthWestern State College, recreational facilities, a harbor, beaches, malls, and other municipal infrastructure.
Population Statistics
Total Population
The estimated population of Naples in 2022 is 22,039 people.
Demographics
Gender
As of the 2020 census data, 49% of the population was male and 51% was female.
Age Brackets
33% of the population is age 65 or older, 37% is between 35-64 years old, 20% is 18-34 years old and 10% is under 18 years old.
Occupations
The primary occupations are in services, sales, management, healthcare, food service, office support and construction. Retirees make up a third of the population.
