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Life-Saving Treatment Methods

Medication Assisted Treatment

Aldie is a unique treatment provider in that we value multiple pathways to recovery from addiction.  In keeping with this approach several forms of medication assisted treatment are available for individuals to use in conjunction with psychosocial therapy to treat opioid use disorders.

Using information gathered from the level of care assessment Aldie staff will make a clinical recommendation to assist individuals in engaging in the most appropriate treatment plan.  The following medication assisted treatment programs are available at Aldie:

  • Methadone Maintenance Treatment - With over 50 years of empirical evidence to support its effectiveness, methadone maintenance with widely considered to be the Gold Standard in the treatment of opioid use disorder. Methadone works on parts of the brain to blocking the euphoric effects caused by opioids and reduce cravings. The medication is administered daily at Aldie and take home privileges can be earned overtime in accordance with state regulations.
  • Buprenorphine Maintenance Treatment – Buprenorphine works on the brain and works similar to methadone by blocking the opioid high and reducing cravings. The medication comes in the form of a pill or film strip.
  • Naltrexone – Administered under the brand name Vivitrol this medication is normally administered in the form of a monthly shot. The medication works by binding to opioid receptors in the brain and blocking the effects of opioids. The medication is non-narcotic and is not addictive.

At Aldie medication assisted treatment is combined with individual and group psycho-therapy.

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Admission Criteria

Admission is determined by criteria that meet federal guidelines. All clients must be at least 18 years of age and able to document opiate addiction of at least a year. Clients should apply for this treatment after at least one attempt at another treatment method. Other criteria apply, including proof of identity, residency, and income.

Program Guidelines

All clients must complete a general drug and alcohol assessment. If it is determined that the client may be appropriate for medication-assisted therapy, the client is then evaluated by the Pharmacotherapy Coordinator and is provided with a program orientation. We also require completion of lab tests and a physical exam by an Aldie physician before clients can begin their program.

The Treatment Process

In the initial phase of treatment, the client is started on a relatively low dose of methadone to allow the body to begin adjustment. We increase the dosage gradually in order to reduce the experience of opiate withdrawal. It may take a week or two to stabilize the client on methadone. Clients are expected to stop all use of alcohol and other drugs, as these can cause respiratory depression and/or arrest when combined with methadone.

When the body is physically stabilized, efforts are made to assist the client in stabilizing therapeutic relationships through treatment, individual and group therapy, learning or regaining life skills, and finding new and more effective ways to cope with problems. Aldie believes that addiction is physical, mental, and spiritual and that recovery involves abstinence for the body, therapy for the mind, and spiritual growth for the soul.

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