| Name rehabs | Address | Phone |
|---|---|---|
| West Texas Counseling and Rehabilitation Program of Midland | 1802 West Wall Street Midland, TX 79701 | (432) 682-9611 |
| WTCR Midland | 2401 West Wall Street Midland, TX 79701 |
Rules and Regulations
Midland, Midland County, Texas adheres to strict federal and state regulations regarding methadone clinics, outlined by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Texas Department of State Health Services.
Certification Procedures
- Methadone clinics must register with SAMHSA and acquire a certification approved by the Texas opioid treatment authority
- Clinics must comply with SAMHSA standards for medication dispensing, facility safety, patient treatment planning, and counseling
Benefits of Medication-Assisted Treatment
The use of prescription medications like methadone in addiction treatment can:
- Reduce opioid cravings and withdrawal symptoms
- Allow people to focus on life, work and relationships
- Lower the risk of overdose and communicate diseases
- Pave the way for long-term recovery
How Clinics Operate and Their Purpose
Methadone clinics provide medications and counseling to those recovering from opioid addictions. Patients visit clinics daily to receive safe doses of medications that curb withdrawal symptoms and drug cravings without causing a high. The clinics closely monitor patient progress and provide referrals for counseling and wraparound services to support recovery.
Insurance Coverage
Many clinics accept various forms of public and private insurance, often with little to no out-of-pocket costs for patients. Low-income patients without insurance may qualify for medication subsidies.
Drug Use in Midland
Midland County has seen rising rates of drug overdoses and deaths in recent years. In 2017, the local government declared the opioid crisis a public health emergency.
Key Statistics
- Opioid overdose deaths in Midland County increased by over 200% from 1999 to 2017
- Alcohol and methamphetamine remain the most commonly abused substances
- In 2017 there were 128 drug overdose deaths in the county, a rate of 21.7 per 100,000 residents
Prevalence of Substances
- Opioid pain relievers: abuse rates increased from 3.0% in 2016 to 4.2% in 2017
- Alcohol: 25% of adults engage in binge drinking
- Marijuana: 7.2% of residents use cannabis products
Addiction Treatment in Midland
There are a variety of addiction treatment options available in Midland County.
Inpatient Treatment
Inpatient facilities provide round-the-clock supervised care. Typical programs last between 30-90 days. Services include detoxification, counseling, group therapy, medication management, and aftercare planning.
Outpatient Treatment
Outpatient programs offer similar services to inpatient facilities but allow the patient to live at home. Care is provided for several hours per week at clinics and centers.
Comparison to Ector
| Category | Midland | Ector |
| Treatment Centers | 15 | 14 |
| Inpatient Beds | 180 | 210 |
| Cost of Treatment | $15,000 | $20,000 |
Methadone Treatment
What is Methadone
Methadone is an opioid medication used in medication-assisted treatment (MAT) programs called opioid treatment programs (OTPs). It binds to opioid receptors and reduces cravings and withdrawal symptoms to support recovery from opioid use disorder.
Society has had mixed opinions on methadone treatment. Some view it as merely replacing one opioid addiction with another. However, studies show methadone therapy helps patients reduce or stop opioid use, lowering their risk of overdose and disease transmission while improving their ability to work and function. While risks exist, careful monitoring and management in MAT programs allow patients to rebuild healthy, productive lives.
Methadone Distribution
OTP monitoring and regulations:
- Urine testing: Patients undergo at least 8 tests in the first treatment year to ensure appropriate use and identify any additional substance use issues.
- Take-home requirements: The initial 14 days require daily clinic visits for observed dosing to minimize misuse potential. After 90 days of compliance, limited take-home doses may be permitted depending on progress and stability.
- Monitoring: A team including doctors, nurses, and counselors closely monitors patient progress, provides support services, and coordinates broader care.
- Prescription monitoring: Clinicians routinely review state Prescription Drug Monitoring Program data to cross-reference other prescribed medications very carefully due to methadone’s potential interactions and narrow effective dosing range.
Methadone treatment program regulations and oversight aim to maximize benefits while minimizing risks.
Methadone Treatment Effectiveness Research
Methadone has effectively treated opioid addiction since its FDA approval in 1947. Studies demonstrate methadone therapy:
- Reduces opioid use (33% fewer opioid-positive urine tests)
- Increases treatment retention (4.44 times more likely to stay in treatment long-term)
- Lowers risk of overdose and disease transmission
- Improves employment outcomes
However, methadone does carry risks including misuse potential and severe withdrawal if stopped suddenly. It can also prolong the QT interval causing cardiac issues for some or dangerously depress breathing if combined with other sedatives. Still, methadone’s benefits can outweigh its risks with proper oversight.
In terms of effectiveness, studies show methadone performs equally well as buprenorphine for reducing illicit opioid use and supporting recovery. Both play important roles in medication-assisted treatment options.
While not without risks, methadone maintenance therapy effectively supports opioid addiction recovery under proper regulations and interprofessional care.
About Midland
Midland is located in Midland County in western Texas, United States.
Location, County & Neighboring States
- Midland County is bordered by the following counties: Ector, Martin, Upton, Reagan, and Glasscock.
- The neighboring states to Texas are New Mexico, Oklahoma, Arkansas, and Louisiana.
Capital and Largest City
- The capital and largest city in Texas is Austin.
- Midland is the largest city and county seat of Midland County.
Land Area
- Midland has a total area of 71.5 square miles.
Infrastructure
- Major highways running through Midland include Interstate 20 and State Highway 349.
- Midland is served by Midland International Air and Space Port.
Population Statistics
Total Population
The 2020 census recorded Midland’s population as 142,344.
Demographics
Gender
- Male: 71,108
- Female: 71,236
Age Brackets
- Under 18 years: 32,438
- 18 to 64 years: 93,061
- 65 years and over: 16,845
Occupations
- Management, business, science, and arts occupations: 40,997
- Service occupations: 25,350
- Sales and office occupations: 25,468
- Natural resources, construction, and maintenance occupations: 11,547
- Production, transportation, and material moving occupations: 8,555