Transcript Methadone Maintenance Treatment

Perinatal Substance Abuse:
Methadone Maintenance Treatment
Presented by: Toni Royer, MHS, NCGC, CAC-AD
Executive Director, ARS Pantops Clinic
About ARS Pantops Clinic
Addiction Recovery Systems is a
company dedicated to the belief that
addiction should be treated like any other
medical condition that affects every aspect
of a patient's life.
We believe addiction cuts across all
levels of our society and affects people
of all types.
We believe that addiction is similar to other medical
conditions like diabetes, hypertension, or health
problems that may have been triggered by genetic
predisposition and brought to reality by behavioral
choices and general health practices.
Unfortunately in our society we consider some
medical problems to be "acceptable" and others are
stigmatized and those suffering from these diseases
are "shunned". We believe this is both short-sighted
and tragic.
Addiction Recovery Systems has a core value of dignity and
respect. We believe that persons with addictive diseases
should be treated with the same consideration that persons
receive in any professional environment. That is why we have
invested time and attention to detail in creating our facility
environment.
Finally, we believe that treatment for addiction should always
be based on what is best for the patient and based solely on
their individual needs. No one medication or treatment program
is right for everyone. That's why our programs may be
"medication-free" or include medications like methadone,
Suboxone, or other medications proven effective in aiding
recovery.
MMT & Pregnancy
Withdrawal for pregnant women is especially dangerous because it
causes the uterus to contract and may bring on miscarriage or
premature birth. MMT can reduce or eliminate cravings for opiods,
prevent the onset of withdrawal, block the effects of other opiods,
and promote increased physical and emotional health.
Pregnant women in MMT show greater improvement in prenatal care
than opiate dependent women not in MMT. Women are also offered
intensive case management, pregnancy and parenting groups,
clinical support, and referrals to community services that they might
otherwise not be aware of, including prenatal care referrals, mental
health referrals, and continuity of care with the department of social
services.
Referrals
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Referrals are not required to enter the MMT program at
ARS Pantops clinic. Patients can self-refer by calling us
directly.
 Referrals are accepted by primary care physicians, pain
management centers, departments of social services,
dentists, CSB’s, OB/GYN, family members, other
treatment programs, and anyone else who knows
someone needing help with an opiate addiction or
dependence.
Referrals
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Referrals are made by contacting the clinic at (434) 2200080 during business hours (5:30am to 2:00pm) or after
hours cell phone (434) 906-9292. Please have available
the patient’s name, phone number, presenting
problem(s), and date of birth.
A counselor will then contact the potential patient directly
to obtain additional information about their mental health
history, substance abuse and treatment history, area of
residence, and employment status. This information is
obtained in order for our clinic to determine if our
program is suitable for the patient or if they should seek
a higher level of care.
Criteria for Admission (all patients)
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At least 18 years of age
Evidence of an opiate dependence/addiction for at
least one year
Released (within 6 months) from institution but
met criteria prior to entering institution
Is pregnant and addicted or dependent on opiates
Was previously on maintenance within 2 years
of discontinuing prior maintenance treatment
Experienced two unsuccessful attempts to detox
within past 12 months
Fee Requirements
Admission Fee: $188.00 for Methadone – covers
the first week of treatment.
 Weekly fee of $88.00 or a daily fee of $13.00
after the first week.
 All fees are due at the time of service.
 Additional fees may be required if the treatment
team determines it necessary. These fees
include items such as additional urine screens or
a peak and trough.
What Happens after a Pregnant Patient is Admitted for MMT?
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They will be assigned to the designated pregnancy counselor, Lindsay Feggans.
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They are required to sign releases allowing ARS to coordinate their care with their OB/GYN and PCP.
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If they do not have an OB/GYN, ARS will refer them to OB/GYN Associates and Dr. Helmbrecht. Each
time they visit their OB/GYN, ARS asks the doctor to complete a form and return it to our clinic indicating
any complications, concerns, and dates of ultrasounds. ARS will work closely with these physicians to
ensure the patient is receiving the necessary prenatal care. ARS will also refer the patient to Martha
Jefferson Hospital, Anne Cary House.
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Patients will attend the clinic orientation within 7 days of admission and 4 required education groups (HIV,
Stages of Change, Methadone, and Relapse Prevention) within 30 days of admission.
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Patients are required to attend a minimum of 4 hours of counseling monthly including the pregnancy
group, parenting group, individual sessions, and other groups as determined to assist them in meeting
their treatment goals.
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Patients are educated on numerous prenatal topics including the risks associated with methadone while
pregnant, infant withdrawal symptoms, prenatal care, breastfeeding, nutrition, housing/living situation,
infant care (immunizations, the importance of pediatric care), family planning, birth control, etc.
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ARS will work with the patient on finding community resources available to meet their needs. We have
referred numerous patient’s to Project Link, MACAA, and Social Services.
If you learn nothing else
today, remember this:
The disease drives the behavior;
the behavior does NOT drive the disease.
One of our patient’s has volunteered to
share her experience with perinatal and
postnatal methadone treatment at our
clinic.
Please welcome her.
Questions????