| Name rehabs | Address | Phone |
|---|---|---|
| Kentucky River Community Care Inc Leslie County Outpatient | 28 Firehouse Lane Hyden, KY 41749 | (606) 672-4215 |
Rules and Regulations
Hyden adheres to strict federal and state regulations regarding methadone clinics, outlined by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Kentucky Cabinet for Health and Family Services.
Certification Procedures
- Clinics must be certified by SAMHSA and licensed by the state
- Staff must meet educational and licensing requirements
- Regular inspections ensure compliance with regulations
Benefits of Medication-Assisted Treatment
- Methadone reduces opioid cravings and withdrawal symptoms
- Allows people to focus on their health, relationships, and work/school
- Decreases risk of overdose and transmitting infections
How Clinics Operate and Their Purpose
- Provide methadone doses under medical supervision
- Offer counseling and behavioral therapies
- Connect patients to healthcare and social services
- The goal is to mitigate individual and public health risks of opioid addiction
Insurance Coverage
- Medicaid covers methadone treatment
- Some private insurers cover treatment
- Grants help fund low-cost and free clinics
Drug Use in Hyden
The opioid crisis has been declared a nationwide public health emergency. According to state government data:
In 2020, there were 2,250 drug overdose deaths statewide, a 49% increase from 2015
The overdose mortality rate per 100,000 people was 33 in 2020
The most common drugs involved in overdoses are:
- Opioids – 1,300 deaths
- Methamphetamine – 550 deaths
- Cocaine – 425 deaths
Addiction Treatment Overview
Inpatient Treatment
Inpatient facilities provide round-the-clock supervised care with access to medical services. The typical length of stay is 30 days. Services include counseling, group therapy, and medication management.
Outpatient Treatment
Outpatient programs offer services for several hours a day, allowing patients to live at home. Services are typically provided 1-3 times per week and include counseling, therapy, and monitoring.
Treatment Level Unreported
An estimated 40% of patients do not specify treatment levels. Services likely include a mix of inpatient, outpatient, and counseling.
Comparison of Treatment in Hyden vs. Neighboring Cities
| City | Number of Treatment Facilities | Inpatient Beds | Cost of Treatment |
| Hyden | 2 | 18 beds | $15,000 for 30 days |
| Hazard | 5 | 45 beds | $10,000 for 30 days |
| Jackson | 3 | 36 beds | $12,000 for 30 days |
Methadone Treatment
What is Methadone
Methadone is a long-acting opioid agonist medication used to treat opioid use disorder and prevent withdrawal symptoms. As medication-assisted treatment (MAT), methadone is dispensed through opioid treatment programs (OTPs) rather than prescribed, allowing daily monitored doses rather than take-home prescriptions. This reduces misuse while still alleviating cravings and withdrawal in opioid-dependent patients.
Societal perspectives on methadone treatment are mixed, as some view it as merely replacing one opioid addiction with another, while others recognize it as an evidence-based medical treatment. Explained simply, methadone occupies opioid receptors enough to prevent cravings and withdrawal sickness from other opioids.
Methadone Distribution
Methadone distribution is highly regulated with required monitoring to prevent misuse:
- Urine Testing: Methadone maintenance patients must undergo at least eight random drug tests in the first year of treatment to ensure other opioid use is discontinued.
- Take-Home Requirements: During the first 14 days of methadone treatment, take-home doses are limited to a one-day supply dispensed daily at the clinic. After 2 years of compliant treatment, patients can earn a 30-day supply.
- Monitoring: Methadone treatment programs require an interprofessional team including counseling and social work staff to monitor patient progress.
- Prescription Drug Monitoring: Clinicians should review PDMP data to carefully cross-reference other opioid prescriptions, as methadone has a narrow therapeutic window.
As an example, in Kentucky methadone is a Schedule II controlled substance requiring extra precautions.
Methadone Treatment Effectiveness Research
Methadone is an effective medication for treating opioid use disorder that has been used since 1947. Studies show methadone reduces opioid use, disease transmission through injection, and drug-related crime. Patients on MAT with methadone have 33% fewer opioid-positive drug tests. They are also 4.44 times more likely to stay in treatment, which itself reduces overdose risk and infectious disease transmission while increasing rates of employment.
However, methadone does come with risks like the potential for misuse and diversion given its street value. Withdrawal symptoms after stopping methadone suddenly are more severe than with other opioids. Methadone can also prolong the QTc interval, increasing cardiac issues like arrhythmia. Especially when combined with other sedatives, methadone retains an overdose and respiratory depression risk requiring careful patient monitoring.
Compared to other medications, methadone is equally effective as buprenorphine for reducing illicit opioid use in patients. However appropriate regulation and treatment structure can mitigate methadone’s unique risks.
About Hyden
Location, Leslie County & Neighboring States
Hyden is located in Leslie County in the U.S. state of Kentucky. It is situated in the Appalachian Mountains region.
The neighboring states to Kentucky are:
Capital and Largest City
The capital and largest cities in Kentucky are Frankfort and Louisville respectively.
Land Area
The land area of Leslie County is 339 square miles.
Infrastructure
Population Statistics
The population of Hyden was 365 as of the 2010 census. The population of Leslie County was 11,310 as per the 2010 census.
Demographics
Gender
As of the 2010 census, the gender distribution in Leslie County was 51.5% female and 48.5% male.
Age Brackets
As of the 2019 census estimates:
- Under 18 years: 19%
- 18 to 64 years: 58.1%
- 65 years and over: 22.9%
Occupations
The top occupations in Leslie County are:
- Management, business, science, and arts occupations
- Sales and office occupations
- Service occupations
- Production, transportation, and material moving occupations
