Methadone Clinics in Fort Worth

Name rehabsAddressPhone
DBA Hemphill Treatment Facility WCHS of Texas700 Hemphill Street Suite A Fort Worth, TX 76104(817) 334-0111
LAAM and Methadone Program (LAMP) Clinic VA North Texas431 Fulton Street Fort Worth, TX 76104(817) 336-0754
Tarrant County Medical Education and Research Foundation/Outpatient900 Southland Avenue Fort Worth, TX 76104(817) 336-5454

Rules and Regulations

Fort Worth 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.

Certification Procedures

All methadone clinics must be certified by SAMHSA and licensed by the state health department. Certification requirements include having qualified staff, ensuring patient safety and ethical standards, providing counseling, and securely storing methadone.

Benefits of Medication-Assisted Treatment

The benefits of medication-assisted treatment with methadone include:

  • Reducing opioid withdrawal and cravings
  • Allowing patients to focus on counseling and recovery
  • Lowering the risk of overdose and death
  • Improving overall health and social functioning

How Clinics Operate

Methadone clinics provide daily supervised methadone doses and counseling to those recovering from opioid addiction. The initial doses are gradually increased to determine the optimal dose for each patient. Regular clinic visits and drug testing may be required. The length of treatment can range from a few months to several years.

Insurance Coverage

Many clinics accept Medicaid, Medicare, and private insurance. Some also offer payment assistance or sliding scale fees.

Drug Use in Fort Worth

In 2017, the U.S. Department of Health and Human Services declared the opioid crisis a public health emergency.

Statistics on Drug Overdoses and Deaths

  • In 2020, there were over 100,000 drug overdose deaths nationwide, a 30% increase from 2019. Over 75% involved opioids.
  • In Texas, over 4,000 people died from drug overdoses in 2020. Tarrant County reported over 400 opioid-related deaths that year.

Data on Prevalence of Different Substances

  • Opioids like oxycodone and heroin are most commonly involved in overdoses across Texas.
  • Methamphetamine and cocaine overdoses are also increasing statewide.

Addiction Treatment Overview

Inpatient Treatment

Inpatient facilities provide 24/7 supervised care including detoxification, counseling, medications, etc. Typical stays range from 28-90 days.

Outpatient Treatment

Outpatient programs offer similar services but allow clients to live at home. Clients attend sessions 1-5 times per week for several months.

Treatment Level Unreported

Over 2 million Americans receive unspecified addiction treatment annually, per SAMHSA. The White House estimates over 21 million need treatment.

Comparison of Treatment in Fort Worth vs. Dallas

CityTreatment CentersInpatient BedsCost per Month
Fort Worth25500$6,000
Dallas32850$8,500

Methadone Treatment

What is Methadone

Methadone is a long-acting opioid agonist medication used to treat opioid use disorder and dependence. As medication-assisted treatment (MAT), methadone helps prevent opioid withdrawal and reduces drug cravings by activating opioid receptors in the brain similarly to other opioid drugs. However, it does not provide the associated euphoria or high of misused opioids. Methadone is taken orally once daily in tapering doses under medical supervision at opioid treatment programs (OTPs).

Societal perspectives on methadone treatment are mixed. While it helps individuals with opioid addiction rebuild their lives, some view it as merely replacing one addiction with another. However, research shows methadone significantly improves outcomes when properly managed as part of a comprehensive treatment plan.

Methadone Distribution

Methadone distribution is highly regulated with strict federal and state laws to prevent misuse and diversion:

  • Urine testing: Patients must undergo at least eight random drug tests in the first year to ensure appropriate use and identify additional substance use issues.
  • Take-home requirements: For the first 14 days, methadone is only dispensed as a single 24-hour dose. Over time, additional take-home doses may be allowed for stable patients.
  • Monitoring: OTPs must have an interprofessional team including physicians, nurses, and behavioral health staff to coordinate care.
  • Prescription drug monitoring: Clinicians should review state PDMP data to carefully manage methadone dosing, as it has a narrow therapeutic range.

In Texas, methadone is a Schedule II controlled prescription drug, with extra regulations on distribution and dispensing.

Methadone Treatment Effectiveness Research

Methadone is an effective medication for treating opioid use disorder used since 1947. Studies show methadone reduces opioid use, disease transmission, and crime. Patients had 33% fewer opioid-positive drug tests and were 4.44 times more likely to stay in treatment. Retention in treatment reduces overdose and disease transmission risks and increases employment opportunities.

However, methadone does carry risks including the potential for misuse and diversion, severe withdrawal if stopped suddenly, QTc prolongation and cardiac issues, respiratory depression, and overdose when combined with other substances. It is equally as effective as buprenorphine for reducing opioid use but requires more intensive oversight.

Overall, methadone provides substantial benefits for individuals and communities but also risks requiring careful management under medical supervision.

About Fort Worth

Location, County & List of Neighboring States

Fort Worth is located in north central Texas. It is the county seat of Tarrant County. The states bordering Texas are:

  • New Mexico
  • Oklahoma
  • Arkansas
  • Louisiana

Capital and Largest City

Austin is the capital of Texas, while Houston is the largest city.

Land Area

The total area of Fort Worth is 292.5 square miles.

Infrastructure

Fort Worth has a major international airport, extensive rail and highway systems, and public transportation provided by the Trinity Metro bus system and commuter rail.

Population Statistics

Total Population

The estimated population of Fort Worth is 918,915 (2021).

Demographics

Gender

  • Male: 455,044
  • Female: 463,871

Age Brackets

  • Under 18 years: 24.9%
  • 18 to 64 years: 62.5%
  • 65 years and over: 12.6%

Occupations

Top occupations in Fort Worth include office and administrative support, sales, food preparation and serving, healthcare practitioners, and transportation.