| Name rehabs | Address | Phone |
|---|---|---|
| Amita Mercy Medical Center | 1325 North Highland Avenue, Aurora, Illinois, 60506 | (630) 8592-222 |
| Association House of Chicago | 1116 North Kedzie Avenue, Chicago, Illinois, 60651 | (773) 7728-009 |
| Behavioral Services Center | 8707 Skokie Blvd. Suite 207, Skokie, Illinois, 60077 | (847) 6738-577 |
| Bloomington Normal Treatment Center | 303 Landmark Drive Suite 2-B, Normal, Illinois, 61761 | (309) 8082-388 |
| Bobby Buonauro Clinic Inc | 1029 West Howard Street Suites 301 and 303, Evanston, Illinois, 60202 | (847) 8691-808 |
| Center For Alcohol & Drug Services - Rock Island | 4230 11th Street, Rock Island, Illinois, 61201 | (309) 7884-571 |
| Chicago Treatment & Counseling Center | 4453 North Broadway Street, Chicago, Illinois, 60640 | (773) 5062-900 |
| Chicago Treatment and Counseling Center IV | 5635 West Roosevelt Road, Cicero, Illinois, 60804 | (708) 6526-500 |
| Family Guidance Centers Inc at | 1220 South Wood Street, Chicago, Illinois, 60608 | (312) 4133-034 |
| Human Resources Development Inst | 33 East 114th Street, Chicago, Illinois, 60628 | (773) 6604-630 |
Rules and regulations: Illinois adheres to strict regulations regarding methadone clinics, as outlined by federal SAMHSA guidelines as well as state Department of Human Services Division of Substance Use Prevention and Recovery policies.
Certification procedures: Methadone clinics must register with the DEA, complete state certification for dispensing controlled substances, undergo inspections, and ensure staff complete required training programs.
Benefits of medication-assisted treatment: Methadone and other medication options combined with counseling and behavioral therapies help opioid addiction patients stabilize while reducing potential overdose deaths and disease transmission.
How clinics operate and their purpose: Certified methadone clinics provide daily supervised methadone dosing as well as various therapy and community referral services. Their purpose is harm reduction for those struggling with opioid addiction.
Insurance Coverage
Free clinics: Illinois has limited options for free or sliding-scale methadone treatment, with a handful of clinics in Chicago area offering services based on patient income eligibility.
Public and private insurance coverage details: Methadone treatment is covered under Illinois Medicaid. Many private insurers like BCBS of Illinois and Humana also cover methadone clinics, often with restrictions on length of treatment or requiring higher copays.
Drug Use in Illinois
Opioid crisis declared public health emergency: Illinois has seen surging rates of opioid overdoses, with 3,000 deaths in 2021, more than double the deaths in 2019 before the COVID-19 pandemic.
Statistics on drug overdoses and deaths:
- 5,007 total overdose deaths from Sept. 2020-2021 per CDC estimates
- Primary substances involved: fentanyl, cocaine, methamphetamine
- 17,770 non-fatal overdoses treated in Illinois ERs in 2021
Data on prevalence of different substances: An estimated 725,000 Illinoisans struggle with substance use disorders. The most commonly used illegal drugs are cannabis, cocaine, heroin and nonmedical use of prescription opioids.
Addiction Treatment Overview
Inpatient Treatment
Description: Residential rehab facilities providing 24/7 medical detox and clinical stabilization services.
Typical stays last 28-30 days on average. Treatment includes group counseling, case management, discharge planning.
Outpatient Treatment
Description: Less intensive rehab based in clinics with <5 hours of services per week.
Services range from individual therapy sessions to intensive outpatient programming meeting 3+ days per week.
Treatment Level Unreported
Nearly 15% did not specify modality.
Comparison of Treatment in Illinois vs. Neighboring Major City
| City | Facilities | Inpatient Beds | Cost of Treatment |
| Chicago, IL | 205 | 4,500+ | $15,000+ |
| St. Louis, MO | 117 | 2,300+ | $10,000+ |
Methadone Treatment
What is Methadone
Mechanism as medication assisted treatment, OTP principle: Methadone is an opioid agonist medication used in medication-assisted treatment (MAT) programs to treat opioid use disorder. It activates opioid receptors, preventing cravings and withdrawal. It is only provided through certified opioid treatment programs (OTPs).
Societal perspectives on methadone treatment: Methadone therapy has faced stigma over replacing one opioid with another. However, research shows MAT with methadone improves outcomes and reduces mortality risks when combined with counseling and behavioral therapies.
Explanation in layman terms: Methadone tricks the brain into thinking it’s still getting the problematic opioids dependency formed around. This allows people dependent on high opioid doses to gradually stabilize and avoid severe withdrawal symptoms.
Methadone Distribution
Description of monitoring and regulations:
- Urine testing: Federal guidelines mandate at least 8 random drug tests in the first year of treatment to ensure appropriate use.
- Take-home requirements: Patients must follow program rules for a period before taking limited doses home, with the possibility of earning a 30-day supply after 2 years.
- Monitoring: Certified OTPs have interdisciplinary teams providing coordinated medical care, counseling, case management.
- Prescription drug monitoring: Providers cross-reference Illinois’ PDMP database to identify potentially dangerous drug interactions before dosing.
Illinois drug classifications: Illinois categorizes methadone as a Schedule II controlled substance—legitimate medical use but also potential for abuse.
Methadone Treatment Effectiveness Research
Methadone is an effective medication for treating opioid use disorder used since 1947.
Evidence for Effectiveness:
- 33% fewer opioid-positive drug screens for methadone MAT patients
- 4.44 times more likely to stay in treatment with methadone
- Retention in treatment cuts mortality risk and increases employment
Major Drawbacks:
- Potential for misuse and diversion
- Severe withdrawal if stopped suddenly
- Cardiac issues in some patients
- Respiratory depression and overdose risk when combined with other substances
Comparison to Other Medications: Research shows methadone and buprenorphine have similar efficacy in reducing illicit opioid use.
Conclusion: Methadone has benefits but also serious risks requiring careful administration and monitoring.
About Illinois
Location, county & list of neighbouring states: Illinois is located in the Midwestern United States. It borders Wisconsin to the north, Iowa and Missouri to the west, Kentucky to the south, and Indiana to the east. There are 102 counties in Illinois.
Capital and largest city: The capital and largest city in Illinois is Springfield and Chicago, respectively.
Land area: Illinois covers over 55,500 square miles of total land area. Much of the land is used for agriculture.
Infrastructure: Key infrastructure includes O’Hare International Airport, an expansive port system along Lake Michigan and the Mississippi River, and over 16,000 miles of highway and roads. Manufacturing, finance, trade, healthcare, and biotech drive the economy.
Population Statistics
Total population: As of 2021 estimates, Illinois has a population of approximately 12.8 million residents.
Demographics:
Gender:
- 51% female
- 49% male
Age brackets:
- 22% under 18 years old
- 61% ages 18-65
- 17% over 65 years old
Occupations:
- 35% management, business, science, and arts
- 24% sales and office jobs
- 18% service industry positions
- 14% production, transportation jobs
