| Name rehabs | Address | Phone |
|---|---|---|
| Addiction Center of Broome County Inc OP | 30 West State Street 2nd Floor, Binghamton, New York, 13901 | (607) 7237-308 |
| United Health Services Hospitals Inc New Horizons CD Inpt Rehab Unit | 10-42 Mitchell Avenue Binghamton General Hospital, Binghamton, New York, 13903 | (607) 7622-172 |
Broome adheres to strict federal and state regulations regarding methadone clinics, outlined by the New York State Office of Addiction Services and Supports and the Drug Enforcement Administration. Typical certification procedures cover aspects such as licensing, regular compliance inspections, personnel qualifications, dispensing protocols, inventory controls, security standards, and patient limits.
Clinics provide medication-assisted treatment using methadone, an opioid agonist medication that reduces cravings and blocks euphoric effects of other opioids. This allows people struggling with opioid addiction to regain stability and function while managing their recovery. Clinics dispense daily methadone doses under medical supervision along with counseling.
Insurance Coverage
Broome has some grant-funded methadone clinics offering free or affordable treatment based on financial hardship and lack of health insurance. More typical coverage options include:
- Medicaid: New York Medicaid programs cover treatment costs, counseling, care coordination, and tests for eligible members subject to restrictions.
- Private Insurance: Some plans may cover portions subjected to deductibles, copays, prior authorization, exclusions based on the plan details. Coverage varies significantly.
Drug Use in Broome
Broome declared an opioid public health crisis in 2017 with overdose deaths rising dramatically. While rates have declined slightly lately, synthetic opioids contribute to most deaths now. Cocaine, benzodiazepines, and alcohol are also major issues.
Addiction Treatment Overview
Inpatient Treatment
Inpatient facilities offer 24/7 supervised addiction care typically for 30-90 days. Services include counseling, therapy, case management, medical care, job training, and discharge planning.
Outpatient Treatment
Outpatient provides therapy and support services for several hours at a time while living at home. Frequency starts higher then tapers down over time for continuing care needs.
Treatment Level Unreported
An estimated 30-50% battling addiction access some form of treatment not reflected in Broome data through private doctors, community health centers, peer support groups, etc.
Comparison of Treatment in Broome vs. Neighboring Major City
| Category | Binghamton, NY | Syracuse, NY |
| Treatment Facilities | 25 | 45 |
| Inpatient Beds | 300 | 650 |
| Cost of Treatment | $8,000/month | $10,000/month |
Methadone Treatment
What is Methadone
Methadone is an opioid agonist medication used in medication-assisted treatment (MAT) since 1947. As part of certified opioid treatment programs (OTPs), it activates receptors enough to prevent withdrawals and reduce cravings without inducing a strong high. Society harbors mixed views on methadone treatment, though it serves to medically stabilize recovery by substituting controlled dosing for risky illicit opioid use. Simply put, methadone provides therapeutic opioid effects to support addiction treatment efforts.
Methadone Distribution
The New York State Office of Addiction Services and Supports closely governs methadone distribution operations including:
- Requiring at least 8 patient urine tests in the first treatment year.
- Limiting initial take-home methadone supplies to 24 hours.
- Mandating OTPs utilize interprofessional teams overseeing dosing/care decisions.
- Having clinicians cross-check the Prescription Monitoring Program to inform proper methadone dosage adjustments considering its narrow therapeutic index.
New York categorizes methadone as a Schedule II controlled substance, indicating balance of medical use against potential for abuse.
Methadone Treatment Effectiveness Research
Robust evidence confirms methadone successfully reduces opioid misuse based on 33% fewer positive drug tests, boosts retention over 4 times higher, and mitigates overdose, HIV, hepatitis C, and criminal risks by stabilizing patients in care. However, risks include diversion due to its controlled status, stopping suddenly causes severe withdrawal sickness, mixing sedatives increases overdose dangers, while cardiac issues rarely occur. Research deems methadone equally effective as buprenorphine for decreasing illicit opioid use when properly managed. In summary, methadone carries benefits yet requires vigilant oversight given associated risks.
About Broome
Broome County is located in south central New York, bordered by Tioga, Cortland, Chenango, Delaware and Otsego counties. Its county seat and largest city is Binghamton. Broome County spans 716 square miles containing 12 towns and 4 villages. Key infrastructure includes Interstate 88, Highways 17 and 81 as well as Greater Binghamton Airport.
Population Statistics
The estimated total Broome County population equals around 190,000 residents as of 2022 estimates.
Demographics indicate:
Gender: 51% female, 49% male
Age: 82% over 18 years old
- 18% under 18
- 19% over 65
Occupations:
- 24% management/professional
- 15% production/transportation
- 14% sales and office administration
- 11% education and healthcare
- 9% construction, extraction
- 7% food preparation
