| Name rehabs | Address | Phone |
|---|---|---|
| Substance Abuse Services Inc Outpatient Services | 1916 North 12th Street, Toledo, OH 43604 | (419) 241-8827 |
Rules and Regulations
Toledo and Lucas County methadone clinics must follow regulations including licensing, dispensing logs, security measures, and more as outlined by the Substance Abuse and Mental Health Services Administration (SAMHSA) and Ohio Department of Mental Health and Addiction Services.
Certification Procedures
Methadone clinics must be certified by SAMHSA and licensed by the state. Doctors must complete special training before prescribing methadone or Suboxone for opioid addiction treatment. Patients undergo assessments to determine if MAT is appropriate.
Benefits of Medication-Assisted Treatment
Research shows MAT with methadone or buprenorphine:
- Reduces opioid withdrawal and cravings
- Allows people to function and participate in society
- Reduces risk of overdose and transmitting infections
How Clinics Operate
Certified methadone clinics provide supervised methadone dosing, counseling, drug testing, and case management. The ultimate goal is lasting recovery and improved wellbeing.
Drug Use in Toledo
The opioid crisis has been declared a public health emergency in Ohio. According to the Ohio Department of Health:
- In 2020, there were 5,215 overdose deaths involving opioids in Ohio – a 39% increase from 2019.
- Overdose deaths involving synthetic opioids other than methadone increased by 51% from 2019 to 2020.
- Fentanyl and fentanyl analogs were involved in 75% of all unintentional overdose deaths in 2020.
Addiction treatment options in Toledo and Lucas County include:
Addiction Treatment Overview
Inpatient Treatment
Inpatient treatment involves staying at a facility 24/7 for 1-3 months typically. It includes medical detox, counseling, group therapy, medication management, and aftercare planning.
Outpatient Treatment
Outpatient treatment provides services 1-5 days per week for 2-4 hours per day. It includes counseling, group therapy, medication management, and recovery support. Locations are available throughout the county.
Treatment Level Unreported
An estimated 18% of addiction treatment in Ohio is unreported. This includes support groups and informal community services.
Comparison of Treatment in Toledo vs. Cleveland
| Category | Toledo | Cleveland |
| Treatment Facilities | 15 | 32 |
| Inpatient Beds | 120 | 310 |
| Cost of Treatment | $15,000 | $25,000 |
Methadone Treatment
What is Methadone
Methadone is a long-acting opioid agonist medication used in medication-assisted treatment (MAT) for opioid use disorder. It binds to opioid receptors in the brain to reduce cravings and withdrawal symptoms. Methadone is taken orally once daily in tapered doses and dispensed through opioid treatment programs (OTPs).
Methadone acts as a replacement opioid that stabilizes brain chemistry, blocks the euphoric effects of other opioids, and relieves physiological cravings. It allows patients to focus on counseling, behavior changes, and social support.
Society often views methadone as “trading one addiction for another.” However, research shows MAT helps patients control addiction, pursue recovery, and live healthier lives when combined with psychosocial treatment. Methadone relieves withdrawal and craving without sedation or euphoria when taken as prescribed.
Methadone Distribution
Methadone distribution is highly regulated with required monitoring:
- Urine Testing: Patients must undergo at least eight random urine drug tests in the first year of treatment to ensure compliance.
- Take-Home Access: During the first 14 days, methadone is only dispensed as a single 24-hour supply. More take-home doses are allowed over time for stable patients.
- Oversight Team: Methadone clinics must have an interprofessional team including counselors, social workers, nurses, and doctors.
- Prescription Monitoring: Providers check the state’s prescription drug monitoring program (PDMP) to coordinate care and prevent dangerous drug interactions.
In Ohio, methadone is a Schedule II controlled substance requiring a prescription and OTP enrollment.
Methadone Treatment Effectiveness
Methadone has been used to treat opioid addiction since 1947. Studies show methadone is an effective medication for opioid use disorder. Methadone patients have 33% fewer opioid-positive drug tests. They are also 4.44 times more likely to stay in treatment, which reduces overdose risk and transmission of HIV or hepatitis while improving employment.
However, methadone does carry risks including potential for misuse, severe withdrawal if stopped suddenly, QTc prolongation, and respiratory depression if combined with other substances like benzodiazepines. It is equally effective as buprenorphine for reducing illicit opioid use.
Overall, methadone is beneficial for treating opioid addiction but requires careful management due to risks.
About Toledo
Location, County & List of Neighboring States
Toledo is located in northwest Ohio in Lucas County. It borders Lake Erie to the north. Toledo is surrounded by the state of Michigan to the north and west. The neighboring states are:
- Michigan
- Indiana
- Pennsylvania
- West Virginia
- Kentucky
Capital and Largest City
Toledo is the fourth most populous city in Ohio. The capital and largest city in Ohio is Columbus.
Land Area
Toledo has an area of 80.69 square miles.
Infrastructure
Toledo has an international airport and port facilities located on Lake Erie. The city has an extensive freeway system including Interstate 75, Interstate 80/90, and Interstate 475.
Population Statistics
Total Population
The population of Toledo is approximately 278,000 as of 2019.
Demographics:
Gender
- Male: 134,000 (48%)
- Female: 144,000 (52%)
Age Brackets
- Under 18 years: 22%
- 18 to 64 years: 63%
- 65 years and over: 15%
Occupations
The top occupations in Toledo are:
- Office and administrative support: 14%
- Sales and related: 11%
- Food preparation and serving: 9%
- Transportation and material moving: 8%
- Production: 8%
