| Name rehabs | Address | Phone |
|---|---|---|
| Aegis Medical Systems Inc Santa Barbara | 4129 State Street, Santa Barbara, CA 93110 | (805) 964-4795 |
| Aegis Treatment Centers Santa Barbara | 4129 State Street Santa Barbara, CA 93110 | |
| American Indian Health Services Counsel Lodge | 4141 State Street Suite A-1 Santa Barbara, CA 93110 | (805) 681-7356 |
| Santa Barbara Cottage Hospital Cottage Residential Center | 316 West Montecito Street Santa Barbara, CA 93101 | (805) 569-7422 |
Rules and Regulations
Santa Barbara, California adheres to strict federal and state regulations regarding methadone clinics, outlined by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the California Department of Health Care Services.
Certification Procedures
- Clinics must be certified by SAMHSA and licensed by the state
- Staff must meet educational and licensing requirements
- Regular facility inspections are conducted
Benefits of Medication-Assisted Treatment
Medication-assisted treatment with methadone helps individuals recovering from opioid addiction by:
- Preventing painful withdrawal symptoms
- Reducing opioid cravings
- Allowing people to focus on counseling and behavioral therapies
How Clinics Operate and Their Purpose
Methadone clinics provide medication-assisted treatment to help people recover from opioid addiction. Services include:
- Methadone dosing daily under supervision
- Individual and group counseling
- Case management
- Referrals for healthcare and social services
Insurance Coverage
Many clinics accept Medicaid and private insurance. Options for uninsured patients include:
- Sliding-scale fees based on income
- State and federally-funded treatment programs
- Payment assistance programs
Drug Use in Santa Barbara
The opioid crisis has been declared a public health emergency in the United States. In California, drug overdose deaths increased by 18% from 2019 to 2020. The most commonly detected substances in overdose deaths in California in 2020 were:
- Fentanyl (Detected in 46% of overdose deaths)
- Heroin (29%)
- Methamphetamine (28%)
- Cocaine (27%)
Addiction Treatment Overview
Inpatient Treatment
Inpatient or residential treatment programs provide 24-hour structured care and on-site medical supervision. Typical inpatient treatment lasts 30-90 days. Services include medical detoxification, individual and group counseling, education, and aftercare planning.
Outpatient Treatment
Outpatient programs provide services for several hours a day and allow the individual to return home afterward. Services are typically provided in a clinic setting 1-5 days per week for 2-4 months. Services include medical care, counseling, education, and relapse prevention.
Treatment Level Unreported
An estimated 10-20% of individuals receive unofficial, unreported addiction treatment from sources such as self-help groups, private counselors, or religious organizations.
Comparison of Treatment in Santa Barbara vs. Los Angeles
| City | Number of Treatment Facilities | Inpatient Beds Available | Approximate Monthly Cost |
| Santa Barbara | 15 | 200 | $10,000 |
| Los Angeles | 255 | 5,000 | $15,000 |
Methadone Treatment
What is Methadone
Methadone is a long-acting opioid agonist medication used to treat opioid use disorder and prevent Opioid Withdrawal. It binds to opioid receptors in the brain, reducing cravings and blocking the euphoric effects of other opioids. Methadone is taken orally once daily and prescribed through opioid treatment programs (OTPs), also known as methadone clinics. OTPs provide counseling and require frequent monitoring and urine drug screening to ensure compliance and prevent misuse/diversion.
Methadone as a medication-assisted treatment follows the harm reduction model – it improves health by reducing risky drug use and its consequences. When taken properly, methadone stabilizes patients, allowing them to function normally and engage in recovery.
Many still view methadone negatively as “replacing one drug with another.” However, research shows methadone relieves withdrawal and craving, allowing people with opioid addiction to stabilize their lives and reduce the risks associated with opioid misuse.
Methadone Distribution
Methadone distribution is highly monitored due to its potential for misuse and overdose:
- Urine testing: Patients must undergo at least 8 random urine tests in the first year to detect continued opioid use.
- Take-home doses: For the first 14 days, methadone is only dispensed as a daily dose. Over time, take-home doses may be allowed for stable patients meeting the criteria.
- Interprofessional team: OTPs should have a team including physicians, nurses, and counselors to coordinate care.
- Prescription monitoring: Clinicians should check the state prescription drug monitoring program (PDMP) to monitor other prescriptions and carefully determine dosage due to methadone’s narrow therapeutic window.
According to California’s PDMP and the Office of National Drug Control Policy (ONDCP), methadone is a Schedule II controlled substance in Santa Barbara. Patients must register with a licensed OTP to receive methadone treatment.
Methadone Treatment Effectiveness Research
Methadone is an effective medication for treating opioid use disorder that has been used since 1947.
Studies show methadone treatment reduces opioid use, disease transmission, and criminal activity:
- Patients had 33% fewer opioid-positive drug tests versus no medication.
- Methadone patients were 4.44 times more likely to stay in treatment. Retention in treatment reduces mortality by lowering overdose risk and disease transmission while improving employment.
However, methadone has some major drawbacks:
- Potential for misuse and diversion to the illicit market.
- Severe withdrawal if stopped suddenly due to its long half-life.
- Can prolong the QT interval, increasing cardiac issues like arrhythmias.
- Causes respiratory depression and overdose when combined with other CNS depressants like benzodiazepines.
Compared to other medications like buprenorphine, methadone is equally effective for reducing illicit opioid use in patients.
In conclusion, methadone has demonstrated benefits but also serious risks requiring careful management.
About Santa Barbara
Location, County & List of Neighboring States
Santa Barbara is located in Santa Barbara County on the south-central coast of California. It is bordered by the Pacific Ocean to the west and south and the Santa Ynez Mountains to the north and east. Neighboring counties include Ventura County to the southeast and San Luis Obispo County to the northwest.
Capital and Largest City
Santa Barbara is the county seat and the largest city in Santa Barbara County.
Land Area
Santa Barbara has a total area of 19.5 square miles.
Infrastructure
Santa Barbara has a council-manager form of government. The city provides water, wastewater, and trash collection utilities. Santa Barbara Municipal Airport provides commercial air service. Local transit is provided by the Santa Barbara Metropolitan Transit District bus system.
Population Statistics
Total Population
The population of Santa Barbara is 91,196 according to the 2020 census.
Demographics:
Gender
- Male: 44%
- Female: 56%
Age Brackets
- Under 18 years: 18%
- 18 to 64 years: 69%
- 65 years and over: 13%
Occupations
- Management, business, science, and arts: 50%
- Service: 26%
- Sales and office: 18%
- Natural resources, construction, and maintenance: 6%