| Name rehabs | Address | Phone |
|---|---|---|
| American Health Services Van Nuys | 6265 Sepulveda Boulevard, Suite 9, Van Nuys, CA 91411 | (818) 779-0555 |
| American Health Services Van Nuys | 6265 Sepulveda Boulevard Suite 9 Van Nuys, CA 91411 | |
| Western Pacific Med Corp Western Pacific Van Nuys Medical | 14332 Victory Boulevard, Van Nuys, CA 91401 | (818) 989-1996 |
| Western Pacific Medical Clinic - Van Nuys | 14332 Victory Boulevard Van Nuys, CA 91401 |
Rules and Regulations
Van Nuys adheres to strict regulations regarding methadone clinics, outlined by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Drug Enforcement Administration (DEA). All clinics must be certified and meet standards around security, counseling, urine drug screening, etc.
Certification Procedures
To be certified, methadone clinics must:
- Complete application forms for SAMHSA and DEA
- Pass inspections verifying security measures, counseling services, etc.
- Have a medical director who is a licensed physician with addiction treatment experience
- Renew DEA registration annually and accreditation every 1-3 years
Benefits of Medication-Assisted Treatment
Medication-assisted treatment with methadone can:
- Reduce opioid cravings and withdrawal symptoms
- Allow people to focus on counseling and recovery
- Lower risk of overdose and transmitting infections
- Help people function and work normally
How Clinics Operate and Their Purpose
Methadone clinics provide daily doses of methadone to treat opioid addiction. In addition to medication, they offer counseling and support services to help patients recover. The ultimate purpose is to help people overcome opioid addiction and lead productive lives.
Drug Use in Van Nuys
The opioid crisis was declared a nationwide public health emergency in 2017. In Los Angeles County:
- There were 2,000 opioid overdose deaths in 2020 (LA County Public Health)
- Fentanyl is involved in the majority of overdoses (CDC)
- The top 3 substances resulting in hospitalization are alcohol, methamphetamine, and heroin (UCLA)
Addiction Treatment Overview
Inpatient Treatment
- A typical stay is 28 days
- Detoxification, counseling, group therapy, medication
Outpatient Treatment
- 1-5 visits per week
- Individual and group counseling sessions
- Offered at clinics, community health centers
Treatment Level Unreported
Estimated 30-40% of all treatment is unreported (SAMHSA)
Comparison of Treatment Options
| City | Treatment Facilities | Inpatient Beds | Cost of Treatment |
| Van Nuys | 12 | 500 | $15,000/month |
| Los Angeles | 62 | 2,300 | $20,000/month |
Methadone Treatment
What is Methadone
Methadone is a long-acting opioid agonist medication used to treat opioid use disorder and prevent withdrawal symptoms. It binds to opioid receptors in the brain, reducing cravings and blocking the euphoric effects of other opioids. Methadone is taken orally once daily in liquid or tablet form. It is only provided through federally regulated opioid treatment programs (OTPs), also known as methadone clinics. OTPs provide counseling and urine drug screening along with the medication in a structured environment to promote recovery.
Methadone Distribution
Methadone distribution is highly regulated to prevent misuse and diversion. Patients must meet the following requirements:
- Urine Testing: Methadone maintenance patients must undergo at least eight urine drug tests in the first year of treatment to detect illicit drug use.
- Take-Home Medication: During the first 14 days of treatment, the take-home Supply of methadone is limited to a 24-hour Supply that must be consumed on-site at the clinic. After demonstrating progress in treatment, take-home supplies can gradually increase up to a 30-day supply.
- Monitoring: Methadone treatment programs should have an interprofessional team including physicians, nurses, counselors, social workers, and pharmacists to provide comprehensive care.
- Prescription Drug Monitoring: Clinicians should review prescription drug monitoring program (PDMP) data to carefully cross-reference other medications a patient is prescribed to avoid dangerous drug interactions. Methadone has a narrow therapeutic index so dosing must be monitored closely.
Methadone is a Schedule II controlled substance in California with strict regulations on prescribing and dispensing to prevent misuse.
Methadone Treatment Effectiveness Research
Methadone is an effective medication for treating opioid use disorder that has been used since 1947. Studies show methadone reduces opioid use, disease transmission, and crime. Patients on methadone have 33% fewer opioid-positive drug tests. They are also 4.44 times more likely to stay in treatment, which reduces overdose risk and increases employment.
However, methadone does carry risks including potential for misuse and diversion, severe withdrawal if stopped suddenly, QTc prolongation, respiratory depression when combined with other substances, and overdose. It is equally as effective as buprenorphine for reducing opioid use. Careful patient selection and monitoring is crucial to ensure patient safety.
About Van Nuys
Location, County & List of Neighboring States
Van Nuys is located in Los Angeles County in the U.S. state of California. Neighboring states include Oregon, Nevada, and Arizona.
Capital and Largest City
The capital and largest cities in California are Sacramento and Los Angeles, respectively.
Land Area
The land area of Van Nuys is approximately 10.9 square miles.
Infrastructure
Van Nuys, located in the San Fernando Valley region of Los Angeles County, has a developed infrastructure including a municipal airport, rail and bus transit connections, freeways, commercial corridors, industrial zones, and residential neighborhoods within its roughly 11 square miles.
Population Statistics
Total Population
The latest population estimate for Van Nuys is around 103,000 residents.
Demographics:
Gender
- Male: 51%
- Female: 49%
Age Brackets
- Under 18 years: 21.4%
- 18 to 64 years: 62.5%
- 65 years and over: 16.1%
Occupations
- Management, business, science, and arts occupations: 32.8%
- Service occupations: 26.4%
- Sales and office occupations: 22.7%
- Natural resources, construction, and maintenance occupations: 12.8%
- Production, transportation, and material moving occupations: 5.3%