| Name rehabs | Address | Phone |
|---|---|---|
| The Refuge A Healing Place | 14835 SE 85th Street Ocklawaha, FL 32179 | (352) 288-3333 |
Rules and regulations
Ocklawaha adheres to strict regulations regarding methadone clinics, outlined by the Florida Department of Children and Families and the federal Substance Abuse and Mental Health Services Administration (SAMHSA). All clinics must be certified and meet standards for dispensing and administering methadone.
Certification procedures
To operate legally in Florida, a methadone clinic must:
- Be certified by SAMHSA
- Meet accreditation standards set by SAMHSA
- Renew certification annually
Benefits of medication-assisted treatment
Methadone and other medication-assisted treatments for opioid addiction can:
- Reduce opioid cravings and withdrawal symptoms
- Allow people to focus on their recovery and rebuild their lives
- Lower the risk of overdose and death
- Help people stay in treatment programs
How clinics operate and their purpose
Methadone clinics provide daily doses of methadone to treat opioid dependence. Patients must visit the clinic each day to receive their prescribed dose, which they take under medical supervision. The clinics also provide counseling and other services to support recovery. Their purpose is to facilitate recovery from opioid addiction.
Insurance Coverage
Most private insurance plans and Medicaid cover methadone treatment. Some clinics also offer treatment on a sliding scale based on income for those without insurance.
Drug Use in Ocklawaha, Florida
The opioid crisis has been declared a nationwide public health emergency. In Florida, drug overdoses killed over 5,000 people in 2020 alone. The most common drugs involved in these deaths were:
- Opioids: 65%
- Cocaine: 37%
- Benzodiazepines: 31%
Addiction Treatment Overview
Inpatient Treatment
Inpatient drug rehab involves staying at a treatment facility 24/7 for 1-3 months typically. Services include medical detox, individual and group counseling, medication management, nutritional therapy, relapse prevention planning, and aftercare planning.
Outpatient Treatment
Outpatient treatment allows the patient to live at home and attend treatment sessions 1-5 times per week for several hours a day. Services are similar to inpatient but less intensive.
Treatment Level Unreported
An estimated 10-15% of patients do not report their treatment level. Reasons may include privacy concerns or involvement in unofficial support groups.
Comparison of Treatment in Ocklawaha vs. Neighboring Major City
| Category | Ocklawaha | Orlando |
| Number of treatment facilities | 3 | 25 |
| Inpatient beds available | 50 | 500 |
| Cost of treatment | $15,000/month | $25,000/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 block euphoric effects of other opioids. Methadone is taken orally once daily in opioid treatment programs (OTPs).
Mechanism as medication assisted treatment, OTP principle
Methadone activates opioid receptors as an agonist, preventing painful withdrawal symptoms without providing a strong high. This allows people dependent on short-acting opioids like heroin to stabilize, stop using illegally, and focus on recovery. Methadone is only provided through monitored OTPs to reduce misuse potential. Patients must attend an OTP clinic daily for observed dose administration.
Societal perspectives on methadone treatment
Methadone treatment is controversial, with some seeing it as trading one addiction for another. However, research shows methadone helps people recover functioning lives. With structure/support from OTPs, many patients hold jobs, have families, and avoid disease/crime associated with active addiction. Still, stigma persists in some communities.
In plain language, methadone tricks the brain into thinking it’s still getting short-acting opioids, stopping withdrawals and cravings. This gives breathing room to establish healthy routines. While not a cure-all, it allows many to begin rebuilding lives decimated by untreated addiction.
Methadone Distribution
Description of monitoring and regulations:
- Urine testing: Methadone maintenance patients must undergo at least eight tests in the first year of treatment to ensure no illicit opioid use.
- Take-home requirements: During the first 14 days of treatment, the take-home Supply of methadone is limited to a 24-hour Supply. Over time, additional take homes may be granted for stable patients.
- Monitoring: Methadone treatment programs have an interprofessional team including physicians, nurses, and behavioral health staff to coordinate care.
- Prescription drug monitoring: Clinicians check the state prescription drug monitoring program (PDMP) to carefully manage methadone dosage, verify other medications, and watch for problematic prescribing patterns. As methadone has a narrow therapeutic window, the PDMP helps prevent dangerous drug interactions.
Ocklawaha state drug classifications
Methadone is a Schedule II controlled substance under Ocklawaha state law, indicating accepted medical use but also potential for abuse/dependence. Special regulations around methadone aim to enable treatment access while preventing diversion to illicit markets.
Methadone Treatment Effectiveness Research
Methadone is an effective medication for treating opioid use disorder used since 1947.
Evidence for Effectiveness
Studies show participation in a methadone program is associated with reduced opioid use, lower rates of infectious disease transmission, and less drug-related crime compared to no treatment. Methadone patients have 33% fewer opioid-positive drug tests. They are also 4.44 times more likely to stay in treatment long-term. Staying in treatment reduces risk of overdose and disease transmission while increasing chances of gainful employment.
Major Drawbacks
However, methadone does carry risks. There is potential for misuse if diverted to illicit markets. Patients who stop methadone suddenly face severe withdrawal symptoms. Some patients develop QTc prolongation or other cardiac issues. Especially concerning is the risk of respiratory depression and overdose when methadone is combined with alcohol, benzodiazepines or other sedatives.
Comparison to Other Medications
Research shows methadone and buprenorphine are equally effective for reducing illicit opioid use and retaining people in treatment.
Conclusion
While not without risks requiring careful oversight, methadone maintenance is an evidence-based treatment for opioid addiction that allows many to regain stability in their lives.
About Ocklawaha, Florida
Location, county & list of neighbouring states
Ocklawaha is located in Marion County in north central Florida. It is bordered by the states of Georgia to the north and Alabama to the northwest.
Capital and largest city
The capital and largest city near Ocklawaha is Tallahassee.
Land area
The land area of Ocklawaha is approximately 7.1 square miles.
Infrastructure
Ocklawaha has typical small town infrastructure including:
- Roads and highways
- Water and sewer systems
- Electricity and internet access
- Public services like police and fire departments
Population Statistics
Total population
The total population of Ocklawaha is around 2,733 people according to recent census estimates.
Demographics:
Gender
- Male: 48%
- Female: 52%
Age brackets
- Under 18 years: 19%
- 18 to 65 years: 53%
- Over 65 years: 28%
Occupations
Most employed Ocklawaha residents work in the following sectors:
- Retail trade
- Healthcare and social assistance
- Construction