| Name rehabs | Address | Phone |
|---|---|---|
| Ann Arbor Treatment Services | 4673 Washtenaw Ave Ann Arbor, MI 48108 | (734) 544-1523 |
Rules and Regulations
Ann Arbor 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
- Methadone clinics must register with the DEA and acquire a certification of approval to dispense methadone
- Clinics must adhere to opioid treatment standards outlined in the Code of Federal Regulations
- Staff must undergo thorough background checks and training
Benefits of Medication-Assisted Treatment
Medication-assisted treatment (MAT) with methadone can provide several benefits, including:
- Reducing opioid cravings and withdrawal symptoms
- Allowing people to focus on their health and recovery
- Lowering the risk of overdose
- Improving quality of life
How Clinics Operate and Their Purpose
Methadone clinics provide MAT to people recovering from opioid addiction. Patients must check in daily to receive their prescribed methadone dose onsite at the clinic. The purpose is to aid recovery and prevent withdrawal and cravings.
Insurance Coverage
Many private and public insurance plans cover MAT. Medicaid and Medicare cover methadone treatment to some extent. Those without insurance may seek treatment from state-funded programs or nonprofit clinics.
Drug Use in Ann Arbor
In 2017, the opioid crisis was declared a nationwide public health emergency in the United States.
Statistics on Drug Overdoses and Deaths
- In Michigan, in 2020 there were 2,738 opioid overdose deaths, a 16.1% increase from 2019 (2,354 deaths).
- The overdose death rate in Michigan is 27.3 per 100,000 persons, compared to the national average of 21.6 per 100,000.
- Opioids were involved in 83.7% of all Michigan overdose deaths in 2020.
Addiction Treatment Overview
Inpatient Treatment
Patients reside at the treatment facility 24/7 for typically 30-90 days. Treatment includes counseling, group therapy, medication management, etc.
Outpatient Treatment
Patients attend treatment sessions 1-5 times per week for typically 90+ days while continuing to live at home. Sessions focus on counseling, group meetings, etc.
Treatment Level Unreported
An estimated 10.3% of Michigan residents received treatment for which the level of care was unreported in 2020.
Comparison of Treatment in Ann Arbor vs. Detroit
| Category | Ann Arbor | Detroit |
| Number of treatment facilities | 25 | 73 |
| Inpatient beds available | 144 | 2,059 |
| Cost of treatment | $15,000+/month | $12,000+/month |
Methadone Treatment
What is Methadone
Methadone is an opioid agonist medication used to treat opioid use disorder. As medication-assisted treatment (MAT), methadone helps prevent withdrawal symptoms and cravings for other opioid drugs. It is typically given orally once daily in supervised opioid treatment programs (OTPs).
Societal perspectives on methadone treatment are mixed. Some view it positively as an evidence-based treatment that improves outcomes. Others see it negatively as simply replacing one opioid with another. Explained simply, methadone activates the same brain receptors as other opioids but acts longer, preventing withdrawal and cravings.
Methadone Distribution
Methadone distribution is strictly regulated with required monitoring:
- Urine testing: Methadone maintenance patients must undergo at least eight tests in the first year of treatment to detect illicit drug use.
- Take-home requirements: During the first 14 days of treatment, the take-home supply of methadone is limited to a 24-hour supply. More take-home doses are allowed over time for stable patients.
- Monitoring: Methadone treatment programs should have an interprofessional team to provide counseling and coordinate care.
- Prescription drug monitoring: Clinicians should review prescription drug monitoring program (PDMP) data to carefully cross-reference opioid dosage, as methadone has a narrow therapeutic index.
In Michigan, methadone is a Schedule 2 controlled prescription drug, with extra regulations on distribution.
Methadone Treatment Effectiveness Research
Methadone is an effective medication for treating opioid use disorder used since 1947. Studies show methadone:
- Reduces opioid use with 33% fewer opioid-positive drug tests
- Reduces disease transmission from injection drug use
- Reduces crime associated with seeking illicit opioids
- Leads to 4.44 times more likely to stay in treatment
- Retention in treatment reduces overdose risk and increases employment
However, methadone does have some major drawbacks:
- Potential for misuse/diversion
- Severe withdrawal if stopped suddenly
- Possible QTc prolongation/cardiac issues
- Respiratory depression/overdose when combined with other substances
Methadone is equally effective as buprenorphine for reducing opioid use. In conclusion, methadone has demonstrated benefits but also risks requiring careful management.
About Ann Arbor
Location, County & List of Neighboring States
Ann Arbor is located in Washtenaw County in the U.S. state of Michigan. Neighboring states include Indiana, Ohio, Wisconsin, and Ontario, Canada.
Capital and Largest City
Lansing is the capital and Detroit is the largest city in Michigan.
Land Area
Ann Arbor covers a land area of 28.79 square miles.
Infrastructure
Ann Arbor has a well-developed infrastructure that includes:
- A regional airport
- An Amtrak train station
- Local bus services
- Bike lanes and walking paths
Population Statistics
Total Population
As of 2021, the population of Ann Arbor was estimated to be 121,961.
Demographics:
Gender
- Female: 52%
- Male: 48%
Age Brackets
- Under 18 years: 13.6%
- 18 to 24 years: 25.9%
- 25 to 44 years: 32.8%
- 45 to 64 years: 19%
- 65 years and over: 8.8%
Occupations
Top occupations in Ann Arbor include:
- Education, healthcare, and social assistance
- Professional, scientific, and technical services
- Retail
