| Name rehabs | Address | Phone |
|---|---|---|
| Sauk County Dept of Human Services Alcoholism and Drug Abuse Outpt Servs | 505 Broadway Street Baraboo, WI 53913 | (608) 355-4200 |
Rules and Regulations
Baraboo adheres to strict federal and state regulations regarding methadone clinics, outlined by the Substance Abuse and Mental Health Services Administration (SAMHSA) and Wisconsin Department of Health Services.
Certification procedures
All methadone clinics must be certified by SAMHSA and licensed by the state. Certification requires adhering to regulations on medication dispensing, counseling requirements, facility safety, and patient rights. Clinics must renew licenses annually.
Benefits of medication-assisted treatment
Methadone and other medication-assisted treatments for opioid addiction can:
- Reduce illicit opioid use and overdose deaths
- Improve patient survival and retention in treatment
- Decrease transmission of infectious diseases like HIV and hepatitis
- Allow patients to improve their health, employment, and relationships
How clinics operate and their purpose
Methadone clinics provide daily supervised methadone doses and counseling to those recovering from opioid addiction. The medication relieves withdrawal symptoms and drug cravings without inducing a high. The clinics aim to help patients gain control over addiction and work toward recovery goals.
Insurance Coverage
Many clinics accept Medicaid, Medicare, and private insurance. Uninsured patients may qualify for state funding or clinic payment plans. Those without coverage can also access free clinics for assistance. Public and private insurance policies in Wisconsin may cover all or part of methadone treatment costs.
Drug Use in Baraboo
The opioid crisis has been declared a nationwide public health emergency. In Wisconsin, drug overdose deaths have increased steadily over the past decade. The most commonly abused substances in the state are:
- Opioids (prescription pain relievers, heroin, fentanyl)
- Methamphetamine
- Cocaine
- Marijuana
- Alcohol
Addiction Treatment Overview
Inpatient Treatment
Inpatient drug rehab involves living at a treatment facility for 30-90 days or longer. It provides 24/7 access to medical care and counseling. Typical services include detoxification, individual and group therapy, medication management, and aftercare planning.
Outpatient Treatment
Outpatient treatment allows individuals to live at home while attending regular counseling sessions and group meetings. It ranges from intensive day treatment to weekly check-ins. Services are usually provided at clinics, community health centers, and private practices.
Treatment Level Unreported
Many individuals attend support groups like Narcotics Anonymous without formal treatment enrollment. There is limited data on this population’s recovery outcomes.
Comparison of Treatment Availability
| City | Treatment Facilities | Inpatient Beds | Average Cost |
| Baraboo | 2 | 16 | $10,000/month |
| Madison | 12 | 200 | $15,000/month |
Methadone Treatment
What is Methadone
Methadone is a long-acting opioid agonist medication used to treat opioid use disorder and dependence. It works by activating the opioid receptors in the brain, preventing withdrawal symptoms and drug cravings without inducing euphoria.
As a medication-assisted treatment (MAT), methadone is dispensed through opioid treatment programs (OTPs) that provide counseling and urine drug screening along with the medication. This comprehensive approach is more effective for treating addiction than medication alone.
Societal perspectives on methadone treatment are mixed – while it does help individuals with opioid addiction rebuild their lives, there are also risks of misuse and diversion of the medication. Careful patient monitoring and education are essential to ensure methadone is used appropriately as prescribed.
In layman’s terms, methadone tricks the brain into thinking it is still getting the problem opioid by activating the same receptors. This stops withdrawal and craving symptoms so individuals can focus on counseling and recovery without being impaired by euphoric effects.
Methadone Distribution
OTPs providing methadone treatment must follow strict federal and state regulations including:
- Urine testing: Patients must undergo at least 8 random drug tests in the first year to detect any unauthorized drug use. Additional tests are required in subsequent years based on progress in treatment.
- Take-home requirements: Patients must attend the clinic daily for dosing for the first 14 days before becoming eligible for take-home doses. Additional take-homes are allowed over time for patients meeting treatment goals.
- Monitoring: OTPs must have an interprofessional team including physicians, nurses, and counselors to coordinate care.
- Prescription drug monitoring: Clinicians should review state PDMP data to carefully manage methadone dosage and avoid unsafe drug interactions, as methadone has a narrow therapeutic window.
In Wisconsin, methadone is a Schedule II controlled prescription drug, allowing use only under medical supervision in approved treatment programs.
Methadone Treatment Effectiveness Research
Methadone is an effective medication for treating opioid use disorder used since 1947.
Evidence for Effectiveness
Studies show methadone treatment:
- Reduces opioid-positive drug tests by 33%
- Increases treatment retention – patients are 4.44 times more likely to stay in treatment compared to non-medication approaches
- Retention in treatment reduces disease transmission through injection drug use and increases employment opportunities
Major Drawbacks
- Potential for misuse/diversion
- Severe withdrawal if stopped suddenly
- Possible QTc prolongation/cardiac issues
- Respiratory depression/overdose when combined with CNS depressants like alcohol or benzodiazepines
Comparison to Other Medications
Methadone and buprenorphine are equally effective for reducing illicit opioid use.
Conclusion
Methadone has demonstrated benefits but also risks requiring careful management under medical supervision.
About Baraboo
Baraboo is a city in and the county seat of Sauk County, Wisconsin, United States.
Location, county & list of neighbouring states
- Baraboo is located in south-central Wisconsin along the Baraboo River
- Sauk County borders the following states:
Capital and largest city
Madison is both the capital and largest city in Wisconsin.
Land area
Baraboo has a total area of 8.84 square miles.
Infrastructure
Population Statistics
Baraboo has a population of 12,048 as of 2020.
Demographics:
Gender
- Male: 49%
- Female: 51%
Age brackets
- Under 18 years: 19.5%
- 18 to 65 years: 59.3%
- Over 65 years: 21.2%
Occupations
Top occupations in Baraboo include:
- Sales & office support
- Food service & production
- Healthcare
