| Name rehabs | Address | Phone |
|---|---|---|
| Four Corners Community Behavioral Hlth MOAB Clinical Office | 198 East Center Street Moab, UT 84532 | (435) 259-6131 |
- Rules and regulations: Grand adheres to strict regulations regarding methadone clinics, outlined by the Utah Department of Human Services, Division of Substance Abuse and Mental Health (DSAMH). These regulations ensure that clinics operate in a safe and controlled manner, providing quality care to patients.
- Certification procedures: Methadone clinics in Grand must be certified by the DSAMH and follow the Utah Opiate Treatment Program Rules (R523-4). This process involves submitting detailed plans, undergoing inspections, and meeting specific staffing and training requirements.
- Benefits of medication-assisted treatment: Methadone clinics offer medication-assisted treatment (MAT), which combines methadone with counseling and behavioral therapies. MAT has been shown to reduce opioid use, prevent overdoses, and improve patient outcomes by addressing both the physical and psychological aspects of addiction.
- How clinics operate and their purpose: Methadone clinics in Grand provide a supervised environment for patients to receive their daily methadone doses. Patients must visit the clinic daily to receive their medication under the observation of trained healthcare professionals. In addition to medication, clinics offer counseling, support groups, and other services to help patients achieve and maintain long-term recovery.
Insurance Coverage
- Free clinics: Grand has a limited number of free or low-cost methadone clinics that provide treatment to individuals who are uninsured or underinsured. These clinics receive funding from government grants and private donations to ensure access to care for those in need.
- Public and private insurance coverage details: Most public and private insurance plans in Utah, including Medicaid and Medicare, cover methadone treatment to some extent. However, the level of coverage may vary depending on the specific plan. Patients should contact their insurance provider to determine their coverage details and any out-of-pocket expenses associated with treatment.
Drug Use in Grand
The opioid crisis in Grand has been declared a public health emergency, with the county experiencing a significant increase in drug overdoses and deaths in recent years.
According to the Utah Department of Health, Grand County reported 15 drug overdose deaths between 2015 and 2019, with an age-adjusted rate of 28.8 per 100,000 population, which is higher than the state average of 21.8.
Data from the Utah Department of Human Services, Division of Substance Abuse and Mental Health (DSAMH) reveals the prevalence of different substances in Grand County:
- Opioids (including prescription painkillers and heroin) were the primary substance of abuse for 32% of individuals in treatment
- Methamphetamine was the primary substance of abuse for 28% of individuals in treatment
- Alcohol was the primary substance of abuse for 25% of individuals in treatment
- Marijuana was the primary substance of abuse for 10% of individuals in treatment
Addiction Treatment Overview
Inpatient Treatment
- Inpatient treatment involves staying at a residential facility for the duration of treatment, typically lasting 30, 60, or 90 days.
- Inpatient programs offer 24/7 support, medical supervision, and a structured environment focused on recovery.
- Services may include detoxification, individual and group therapy, medication management, and aftercare planning.
Outpatient Treatment
- Outpatient treatment allows individuals to receive addiction treatment while continuing to live at home and attend work or school.
- Patients typically attend treatment sessions several times a week at a clinic or treatment center.
- Outpatient programs may offer individual and group counseling, medication-assisted treatment, and support groups.
Treatment Level Unreported
- Some individuals may receive addiction treatment through private practices, religious organizations, or other entities that do not report to SAMHSA.
- The White House Office of National Drug Control Policy estimates that approximately 20% of individuals receiving addiction treatment do so through unreported channels.
Comparison of Treatment in Grand vs. Neighboring Major City
| City | # of Treatment Facilities | Inpatient Beds Available | Approximate Cost of Treatment (30 Days) |
| Moab (Grand County) | 2 | 20 | $10,000 – $20,000 |
| Salt Lake City | 35 | 500 | $15,000 – $30,000 |
Methadone Treatment
What is Methadone
Methadone is a medication-assisted treatment (MAT) for opioid use disorder, administered through opioid treatment programs (OTPs). As a long-acting opioid agonist, methadone helps reduce cravings and withdrawal symptoms without producing the euphoric effects associated with short-acting opioids like heroin. Despite its effectiveness, methadone treatment often faces stigma and misconceptions. In simple terms, methadone stabilizes brain chemistry, allowing patients to focus on recovery without experiencing severe withdrawal or cravings.
Methadone Distribution
Methadone distribution is subject to strict monitoring and regulations to ensure patient safety and prevent diversion:
- Urine testing: Methadone maintenance patients must undergo at least eight tests in the first year of treatment to monitor for illicit drug use and ensure compliance with treatment.
- Take-home requirements: During the first 14 days of treatment, the take-home Supply of methadone is limited to a 24-hour Supply to minimize the risk of diversion or misuse.
- Monitoring: Methadone treatment programs should have an interprofessional team, including physicians, nurses, and counselors, to provide comprehensive care and monitoring.
- Prescription drug monitoring: Clinicians should review prescription drug monitoring program (PDMP) data to cross-reference opioid titration dosage carefully, as methadone has a narrow therapeutic index and can interact with other medications.
In Utah, methadone is classified as a Schedule II controlled substance, indicating a high potential for abuse but accepted medical use in treatment.
Methadone Treatment Effectiveness Research
Methadone is an effective medication for treating opioid use disorder, used since 1947. Studies show methadone reduces opioid use, disease transmission, and crime. Patients on methadone have 33% fewer opioid-positive drug tests and are 4.44 times more likely to stay in treatment compared to those not receiving medication. Retention in treatment reduces the risk of overdose and disease transmission while increasing employment rates.
However, methadone treatment also has some drawbacks. There is a potential for misuse and diversion, and patients may experience severe withdrawal symptoms if they stop taking methadone suddenly. Methadone can also cause QTc prolongation and cardiac issues in some patients. When combined with other substances, especially benzodiazepines or alcohol, methadone can lead to respiratory depression and increase the risk of overdose.
Compared to other medications used in MAT, such as buprenorphine, methadone is equally effective for reducing opioid use. The choice between methadone and buprenorphine often depends on individual patient factors and preferences.
In conclusion, methadone offers significant benefits for treating opioid use disorder but also carries risks that require careful management by trained healthcare professionals.
About Grand
- Grand is located in the western United States, in the state of Utah. It is situated in Grand County and borders the states of Colorado, Wyoming, and Idaho.
- The capital of Utah is Salt Lake City, while the largest city in Grand County is Moab.
- Grand County covers a land area of approximately 3,684 square miles (9,541 square kilometers), making it a large county with vast expanses of natural beauty.
- The county has a well-maintained road network, with U.S. Route 191 and State Route 128 being the main highways. The nearest major airport is Canyonlands Field Airport, which offers limited commercial flights.
Population Statistics
As of the 2020 United States Census, the total population of Grand County is 9,669.
Demographics:
Gender:
- Female: 49.8%
- Male: 50.2%
Age brackets:
- Under 18 years old: 19.1%
- 18-64 years old: 62.3%
- 65 years and older: 18.6%
Occupations:
- Management, business, science, and arts occupations: 30.1%
- Service occupations: 24.8%
- Sales and office occupations: 19.7%
- Natural resources, construction, and maintenance occupations: 14.4%
- Production, transportation, and material moving occupations: 11.0%