Methadone Clinics in Mesquite

Rules and Regulations

Mesquite, Dallas County, Texas, United States adheres to strict federal and state regulations regarding methadone clinics, outlined by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Texas Department of State Health Services. These regulations cover certification, operations, purpose, and insurance coverage of clinics.

Certification Procedures

  • Clinics must be certified by SAMHSA and licensed by the state health department
  • Staff must complete specialized training
  • Strict protocols exist for dispensing and storing methadone

Benefits of Medication-Assisted Treatment

Methadone and other medication-assisted treatment have been shown to:

  • Reduce opioid cravings and withdrawal symptoms
  • Lower risk of overdose death
  • Help people maintain employment and improve social functioning

How Clinics Operate and Their Purpose

  • Provide closely monitored, daily doses of methadone to treat opioid addiction
  • Offer counseling and wraparound services to support recovery
  • The goal is to mitigate withdrawals and reduce the likelihood of relapse

Insurance Coverage

  • Medicaid and Medicare may cover methadone treatment
  • Some private insurance plans also provide coverage
  • Low-income individuals may qualify for free or discounted treatment at certain clinics

Drug Use in Mesquite

The opioid crisis has been declared a nationwide public health emergency. According to the CDC, there were over 100,000 drug overdose deaths in the United States in 2021, with over 80,000 involving opioids.

Key Texas Statistics

In 2020, there were 4,889 drug overdose deaths in Texas
The drugs most commonly involved included:
  • Fentanyl
  • Heroin
  • Cocaine
  • Methamphetamine

An estimated 9.2% of Texans over 12 years old had an illicit drug use disorder in 2020

Addiction Treatment Overview

Addiction treatment aims to help people stop compulsive drug use through counseling, behavior modifications, medications, and social support. The main types of treatment are:

Inpatient Treatment

  • Patients reside at a treatment facility for typically 30-90 days
  • Focuses on medically supervised detoxification and intensive counseling, group therapy, etc.

Outpatient Treatment

  • Patients undergo treatment sessions at a facility but do not reside there
  • Sessions typically occur 1-5 days per week for several months

Treatment Level Unreported

An estimated additional 15-20% of patients receive unnamed levels of care

Comparison to Dallas

CategoryMesquiteDallas
Treatment Centers2564
Inpatient Beds500850
Cost of Treatment$15,000$25,000

Methadone Treatment

What is Methadone

Methadone is an opioid agonist medication used in medication-assisted treatment (MAT) programs, also known as opioid treatment programs (OTPs), to treat opioid use disorder. It binds to opioid receptors and reduces cravings and withdrawal symptoms. Patients take methadone orally once daily under medical supervision.

Societal perspectives on methadone treatment vary. While it does carry risks, research shows MAT with methadone is an effective treatment for opioid addiction. It helps patients reduce or stop opioid misuse, prevents withdrawal and cravings, and allows them to focus on their health and recovery.

Methadone Distribution

Methadone distribution is carefully monitored with regulations around dispensing and take-home doses:

  • Urine testing: Patients must undergo at least eight urine drug tests in the first year to ensure appropriate use and monitor additional substance use.
  • Take-home requirements: For the first 14 days, patients can only take home a 24-hour methadone supply. After meeting certain criteria, take-homes may be increased gradually.
  • Monitoring: Methadone clinics should have an interprofessional team including physicians, nurses, and counselors to manage treatment.
  • Prescription drug monitoring: Clinicians should review state PDMP data to carefully monitor patients’ other prescriptions and watch for dangerous drug interactions.

In Texas, methadone is a Schedule II controlled substance, available legally only through approved OTPs.

Methadone Treatment Effectiveness Research

Methadone has been used to treat opioid addiction since 1947. Studies show it is an effective MAT medication for opioid use disorder.

Evidence for Effectiveness

Research indicates methadone treatment:

  • Reduces opioid-positive urine drug tests by 33%
  • Keeps patients in treatment 4.44 times longer
  • Lowers risk of overdose and disease transmission
  • Increases employment opportunities

Major Drawbacks

Potential drawbacks include the risk of misuse/diversion, severe withdrawal if stopped suddenly, QTc prolongation or cardiac issues, respiratory depression, or overdose when combined with other substances.

Comparison to Other Medications

Studies show methadone and buprenorphine are equally effective in reducing illicit opioid use.

Benefits but also risks requiring careful management

About Mesquite

Mesquite is located in Dallas County in the U.S. state of Texas.

Location, County & List of Neighboring States

  • Mesquite is located in northeastern Texas adjacent to Dallas County.
  • Neighboring states include Oklahoma, Arkansas, Louisiana, and New Mexico.

Capital and Largest City

The capital and largest city in Texas is Austin.

Land Area

Mesquite has an area of 48.1 square miles.

Population Statistics

Mesquite has a total population of 139,824 as of 2018.

Demographics:

Gender

The gender distribution is 50.1% female and 49.9% male.

Age Brackets

  • 25.3% are under age 18
  • 11.2% aged 18 to 24
  • 28.1% aged 25 to 44
  • 22.6% aged 45 to 64
  • 12.7% are aged 65 or older

Occupations

The top occupations are management, business, science, and arts (31.6%), sales and office jobs (26.5%), and service sector jobs (18.2%).