Rules and Regulations
Gilbert, Maricopa County, Arizona, United States adheres to strict regulations regarding methadone clinics, outlined by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Drug Enforcement Administration (DEA).
Certification Procedures
- Clinics must be certified by SAMHSA and licensed by the state.
- Staff must meet educational and licensing requirements.
- Regular facility inspections ensure compliance with regulations.
Benefits of Medication-Assisted Treatment
- Methadone reduces opioid cravings and withdrawal symptoms.
- Clinics provide counseling and support services.
- Treatment helps patients stabilize their lives and reduce risky behaviors.
How Clinics Operate and Their Purpose
- Patients must visit the clinic daily to receive their prescribed methadone dose.
- The goal is to help patients achieve sobriety and stop using opioids illegally.
- Clinics aim to improve patients’ health, social, and economic outcomes.
Insurance Coverage
- Medicaid and Medicare may cover methadone treatment.
- Private insurance often covers treatment.
- Uninsured patients pay out-of-pocket on a sliding fee scale.
Free Clinics
Some clinics offer free or low-cost treatment based on income. These are often funded by grants, state and local programs.
Drug Use in Gilbert
The opioid crisis has been declared a public health emergency in the United States. According to the Arizona Department of Health Services, in 2020 there were 2,021 opioid overdose deaths in Arizona, a 34% increase from 2019. The substances most commonly involved in overdoses in Arizona are:
- Opioids (73%)
- Methamphetamine (42%)
- Benzodiazepines (34%)
- Cocaine (23%)
- Alcohol (21%)
Addiction Treatment Overview
Inpatient Treatment
Inpatient drug rehab involves 24/7 care and monitoring. The average length of stay is 30 days. Treatment includes detoxification, behavioral therapy, group counseling, and education.
Outpatient Treatment
Outpatient treatment provides services for several hours a day, several days a week, allowing the patient to live at home. Services include therapy, counseling, and medication management.
Treatment Level Unreported
Around 20% of treatment admissions in Arizona do not specify treatment levels. Many of these are likely outpatient services.
Comparison of Treatment in Gilbert vs. Mesa
| Category | Gilbert | Mesa |
| Treatment Facilities | 15 | 14 |
| Inpatient Beds | 120 | 100 |
| Cost of Treatment | $15,000-$30,000 | $10,000-$25,000 |
Methadone Treatment
What is Methadone
Methadone is an opioid medication used in medication-assisted treatment (MAT) programs, also known as opioid treatment programs (OTPs). It binds to opioid receptors and reduces cravings and withdrawal symptoms, allowing patients to focus on recovery.
Methadone maintenance treatment provides methadone doses under medical supervision as an alternative to misusing other opioid drugs. Patients receive a daily oral dose that helps normalize brain function without producing euphoria.
Society has had mixed perspectives on methadone treatment. While it does appear to reduce illegal opioid use and allow patients to improve their health and social functioning, there are also risks of misuse and diversion of methadone itself. Careful patient selection and program monitoring are necessary.
Methadone Distribution
Methadone distribution through licensed opioid treatment programs is strictly regulated with several monitoring requirements:
- Urine Testing: Methadone maintenance patients must undergo at least eight random urine drug tests in the first year of treatment to detect any ongoing illicit drug use.
- Take-Home Doses: During the first 14 days of treatment, take-home doses are limited to a one-day Supply to prevent diversion or misuse. After 90 days of compliant behavior, patients can gradually earn more take-home doses.
- Program Oversight: Methadone treatment programs should have an interprofessional team including medical, nursing, counseling, and social work staff to coordinate care.
- Prescription Drug Monitoring: Clinicians should review their state’s prescription drug monitoring program (PDMP) data regularly to ensure safe methadone dosage and prevent dangerous drug interactions.
For example, in Maricopa County, Arizona, methadone is a Schedule II controlled substance requiring proper licensing and records. The PDMP helps identify high-risk patients.
Methadone Treatment Effectiveness Research
Methadone has been used to treat opioid addiction since 1947. Studies show it is an effective MAT medication that:
- Reduces opioid use based on drug testing. Patients on methadone have 33% fewer opioid-positive urine tests.
- Improves treatment retention. Patients on methadone are 4.44 times more likely to stay in treatment long-term. Since leaving treatment early increases mortality risk, methadone saves lives by keeping patients engaged.
- Lowers disease transmission and crime rates. Staying on methadone reduces HIV and hepatitis C risk as well as criminal behavior to support opioid addiction.
However, methadone does carry risks:
- Potential for misuse/diversion due to its opioid activity
- Severe withdrawal if stopped suddenly
- Cardiac issues like QTc prolongation
- Respiratory depression or overdose, especially if used with alcohol or benzos
Methadone has comparable effectiveness to buprenorphine, another MAT medication. Both can curb opioid addiction if properly managed.
In conclusion, methadone maintenance requires careful patient selection and monitoring but successfully reduces destructive opioid use when done correctly.
About Gilbert
Location, County & List of Neighboring States
Gilbert is located in Maricopa County in the state of Arizona, United States. Arizona borders New Mexico, Utah, Nevada, California, and Mexico.
Capital and Largest City
Phoenix is the capital and largest city in Arizona.
Land Area
Gilbert has a total area of 74 square miles.
Population Statistics
Total Population
Gilbert has an estimated population of 258,458 as of 2021.
Demographics:
Gender
The gender breakdown of Gilbert is:
- Male: 50%
- Female: 50%
Age Brackets
Age demographics in Gilbert:
- Under 18 years: 29.4%
- 18 to 64 years: 59.3%
- 65 years and over: 11.3%
Occupations
Top occupations in Gilbert:
- Management, business, science and arts: 39.3%
- Sales and office: 27.2%
- Service: 15.8%
- Production, transportation, material moving: 11.1%
- Natural resources, construction, maintenance: 6.5%