| Name rehabs | Address | Phone |
|---|---|---|
| Eleonore Hutzel Recovery Center Unit 6-B | 4201 St Antoine Avenue Unit 6-B Detroit, MI 48201 | (313) 745-7411 |
| John D Dingel Veteran Affairs Med Ctr Chemical Dependence Treatment Services | 4646 John Road Detroit, MI 48201 | (313) 576-1000x4906 |
| Metro East Substance Abuse Treatment Corporation | 13929 Harper Avenue, Detroit, MI 48213 | (313) 371-0055 |
| Metro East Clinics Detroit Michigan | 13929 Harper Avenue Detroit, MI 48213 | |
| Nardin Park Recovery Center (NPRC) | 9605 West Grand River Avenue, Detroit, MI 48204 | (313) 834-5930 |
| Nardin Park Recovery Center (NPRC) | 9605 Grand River Avenue Detroit, MI 48204 | |
| New Light Recovery Center Inc | 300 West McNichols Street Detroit, MI 48203 | (313) 867-8015 |
| Northwest Industrial Drug Rehab Clinic | 9600 Dexter Street Detroit, MI 48206 | |
| NW Industrial Drug Rehab Clinic | 9600 Dexter Street Detroit, MI 48206 | (313) 894-4879 |
| Parkview Counseling Center | 18609 West 7 Mile Road Detroit, MI 48219 |
Rules and Regulations
Detroit, Wayne County, Michigan, United States adheres to strict federal and state regulations regarding methadone clinics. These regulations cover areas such as patient eligibility, record keeping, security, counseling requirements, and more.
Certification Procedures
- Clinics must meet SAMHSA standards for safety, treatment quality, patient care, and rights
- Staff must complete regular training on methadone treatment best practices
- Detailed operating procedures must be documented
Benefits of Medication-Assisted Treatment
- Reduces Opioid Withdrawal and cravings
- Allows stabilization of brain chemistry
- Supports engagement in counseling and recovery programs
- Lowers risk of overdose and infection
How Clinics Operate and Their Purpose
Clinics provide daily supervised methadone dosing, counseling, drug testing, and case management to support recovery from opioid use disorders. The ultimate purpose is to mitigate the health and societal harms of opioid addiction.
Insurance Coverage
Public insurance like Medicaid covers methadone treatment. Private insurance coverage varies by plan. Grants and public funding support the operation of some free and low-cost clinics. Those without insurance can inquire about low/no-cost treatment options.
Drug Use in Detroit
The opioid crisis has been declared a nationwide public health emergency. In Wayne County, which includes Detroit:
- There were 1,372 opioid overdose deaths in 2020 (MI Department of Health & Human Services)
- 9.7% of people over 12 reported illicit drug use in the past month (SAMHSA)
Substances used in Wayne County and Detroit:
- Opioids (heroin, fentanyl, prescription pain relievers)
- Cocaine
- Marijuana
- Methamphetamine
Addiction Treatment Overview
Inpatient Treatment
Inpatient treatment involves staying at a medical facility while receiving care for substance addiction. Typical components include detoxification, individual and group counseling, education, and planning for aftercare. The average length of stay ranges from 28-90 days.
Outpatient Treatment
Outpatient treatment provides addiction services while the individual lives at home. It includes regular counseling sessions and education, offered in various outpatient settings. Frequency ranges from 1-5 visits per week.
Treatment Level Unreported
An estimated 37% of people receiving addiction treatment in Wayne County did not specify inpatient or outpatient care (SAMHSA).
Comparison of Treatment in Detroit vs. Chicago
| Category | Detroit, MI | Chicago, IL |
| Number of treatment facilities | 145 | 106 |
| Inpatient beds available | 1,720 | 1,966 |
| Cost of 30 days of inpatient treatment | $15,000 | $23,500 |
Methadone Treatment
What is Methadone
Methadone is an opioid medication used in medication-assisted treatment (MAT) programs, also known as opioid treatment programs (OTPs). It binds to opioid receptors and reduces cravings and withdrawal symptoms in people dependent on opioids. Methadone dose is carefully controlled with daily supervision.
In layman’s terms, methadone replaces the misused opioid and provides a legal, supervised medical maintenance dose to help stabilize patients and stop illicit opioid use.
Methadone Distribution
Description of monitoring and regulations:
- Urine testing: Methadone maintenance patients must undergo at least eight random drug tests in the first year of treatment to monitor for illicit opioid use.
- Take-home requirements: During the first 14 days of treatment, the take-home Supply of methadone is limited to a single 24-hour dose. Additional take-home doses are only allowed for stable patients meeting certain criteria over time in treatment.
- Monitoring: Methadone treatment programs require oversight by an interprofessional team including counselors, social workers, nurses, and physicians.
- Prescription drug monitoring: Clinicians should review state prescription drug monitoring program (PDMP) data to carefully cross-reference other opioid medications and doses prescribed, as methadone has a narrow therapeutic index.
Per Detroit and Michigan state regulations, methadone is a Schedule 2 controlled prescription substance with special oversight.
Methadone Treatment Effectiveness Research
Methadone is an effective medication for treating opioid use disorder. It has been used for this purpose since 1947. Studies show methadone reduces opioid use, disease transmission rates, 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. Staying in treatment reduces mortality risk from overdose and disease while increasing rates of employment.
However, methadone does come with some risks if misused or improperly managed. These include potential for misuse/diversion, severe withdrawal symptoms if stopped suddenly, QTc prolongation and cardiac issues for some, respiratory depression, and overdose when combined with other sedating substances like benzodiazepines or alcohol. Though equally effective as buprenorphine for reducing opioid use in clinical trials, methadone may require a higher level of clinical oversight. There are benefits but also definite risks requiring careful management.
About Detroit
Location, County & List of Neighboring States
Detroit is located in Wayne County in southeast Michigan. It borders Lake St. Clair and the Detroit River which separate the United States and Canada. The neighboring states of Michigan are Ohio, Indiana, Illinois, Wisconsin, and Minnesota.
Capital and Largest City
Detroit is the largest and capital city of the state of Michigan.
Land Area
The total land area of Detroit is 138.75 sq miles or 359.36 sq km.
Infrastructure
Detroit has an international airport, mass transit systems, freeways, a port, and a subway system.
Population Statistics
Total Population
The total population of Detroit is 670,031 as per the 2020 census.
Gender
The gender distribution is 49.2% male and 50.8% female.
Age Brackets
17.1% are under 18 years old, 12.8% are 18 to 24 years old, 34.7% are 25 to 44 years old, 22.6% are 45 to 64 years, and 12.8% are over 65 years old.
Occupations
The top occupations in Detroit are in management, sales, office administration, production, transportation, education, law enforcement, food service, healthcare, and arts/entertainment.