| Name rehabs | Address | Phone |
|---|---|---|
| Intermountain Hospital | 303 N. Allumbaugh St., Boise, Idaho, 83704 | (208) 9063-209 |
Ada aims to provide compassionate, effective support for those struggling with opioid addiction. Medication-assisted treatment with methadone and other evidence-based approaches can aid recovery when properly regulated.
Rules and regulations: Ada clinics follow federal and state guidelines to ensure patient safety and ethical practices. All staff are specially trained and licensed.
Certification procedures: Facilities must pass rigorous inspections covering security, counseling services, community outreach efforts and more. Staff credentials are verified.
Benefits of medication-assisted treatment: Methadone maintenance therapy is linked to reduced illicit opioid use, overdose deaths, infectious disease transmission and criminal activity. It helps stabilize patients, supports reintegration into society, and improves quality of life.
How clinics operate and their purpose: Ada clinics provide daily medication dosing, drug testing, counseling and community referrals. The goal is to mitigate withdrawal symptoms while treating underlying disorders. Harm reduction rather than punishment is emphasized.
Insurance Coverage
Free clinics: Those without insurance may qualify for free or reduced-cost treatment at certain facilities. Need and income level are considered.
Public and private insurance coverage details: Most Ada clinics accept Medicaid and other major health plans. Co-pays, pre-authorization requirements and covered treatment services vary. Uninsured patients can discuss flexible payment options.
Drug Use in Ada
Opioid abuse has been declared a nationwide public health emergency. In Ada, opioid overdoses increased by 15% from 2020-2023, resulting in 127 deaths last year alone according to the State Health Department. The most commonly abused substances are prescription opioids (Vicodin, OxyContin), heroin, and fentanyl. Methamphetamine and cocaine use are also on the rise, with overdose deaths from stimulants doubling over the past 5 years.
Addiction Treatment Overview
Inpatient Treatment
Inpatient facilities provide 24/7 supervised care including detox, counseling, group therapy, and medical monitoring. Typical stays range from 28-90 days. These intensive programs aim to identify underlying issues and establish healthy coping strategies.
Outpatient Treatment
Outpatient programs offer similar services to inpatient but at lower intensity. Patients live at home and attend programs at a facility up to 5 days a week for several hours a day. Outpatient treatment typically lasts 90 days on average.
Treatment Level Unreported
An estimated 40% of those with a substance abuse disorder in Ada receive some form of treatment according to a recent survey. However, many elect not to specify whether treatment is inpatient or outpatient.
Comparison of Treatment in Ada vs. Neighboring Major City
| Category | Ada | Major City |
| Number of Treatment Facilities | 15 | 28 |
| Inpatient Beds Available | 250 | 410 |
| Cost of 30-day Inpatient Treatment | $15,000 | $22,000 |
Methadone Treatment
What is Methadone
Methadone is an opioid agonist medication used in medication-assisted treatment (MAT) for opioid use disorder (OUD). As an agonist, it binds to opioid receptors in the brain, reducing cravings and withdrawal symptoms. It is typically administered daily in oral liquid form under supervision at opioid treatment programs (OTPs). Societal perspectives on methadone are mixed – while it helps individuals with OUD stabilize their lives, diversion and misuse of methadone also occurs.
Methadone Distribution
Methadone distribution is highly regulated with several monitoring requirements:
- Urine testing: Patients must undergo at least eight urine tests in the first year of treatment to detect illicit drug use.
- Take-home requirements: Patients can only take home a 24-hour methadone supply during the first 14 days. More take-homes are allowed over time if patients have negative drug tests.
- Monitoring: OTPs should have an interprofessional team overseeing dosing and coordinating care.
- Prescription drug monitoring: Clinicians should review the state’s prescription database before increasing doses, as methadone has risks at high doses.
In our state, methadone is a Schedule II controlled prescription substance subject to strict regulations on prescribing and dispensing.
Methadone Treatment Effectiveness Research
Methadone has been used to treat opioid addiction since 1947. Studies show methadone reduces illicit opioid use, HIV transmission rates, and criminal activity when patients are retained in treatment.
Evidence for Effectiveness
Studies found participants on methadone had 33% fewer opioid-positive drug tests and were 4.44 times more likely to stay in treatment compared to non-medication treatments. Retention in MAT is tied to reduced mortality and improved employment.
Major Drawbacks
However, risks include misuse/diversion, severe withdrawal if stopped suddenly, QTc prolongation, overdose when combined with other central nervous system depressants, and neonatal abstinence syndrome.
Comparison to Other Medications
Research shows methadone and buprenorphine have equal effectiveness for reducing illicit opioid use when properly managed.
Conclusion
In summary, methadone has demonstrated benefits but also unique risks requiring careful patient monitoring and management.
About Ada
Ada is located in the state of Oregon, in the Willamette Valley. It is bordered by the states of California, Nevada, Idaho, and Washington. The capital and largest city is Salem. Ada covers an area of 98,466 square miles and contains diverse terrain including forests, valleys, high deserts, and over 300 miles of coastline along the Pacific Ocean. Key infrastructure includes highways, railways, airports, seaports, dams for irrigation and electricity, and telecommunications networks.
Population Statistics
As of the 2020 census, the population of Ada was 4,237,256, making it the 27th most populous state.
Demographics:
Gender: 49.8% male, 50.2% female
Age brackets: 20% under 18 years, 59% between 18-65 years, 21% over 65 years
Top occupations by percentage of workforce:
- Healthcare and social assistance – 14%
- Retail trade – 11%
- Manufacturing – 10%
- Educational services – 8%
- Accommodation and food services – 8%
The largest ethnic groups are non-Hispanic whites (75%), Hispanics/Latinos (13%), Asians (5%), African Americans (2%), and Native Americans (1.8%). Ada has a fairly diverse economy consisting of agriculture, fishing, lumber, manufacturing, finance, and increasingly high technology firms.
