dopetalk does not endorse any advertised product nor does it accept any liability for it's use or misuse

This website has run out of funding so feel free to contribute if you can afford it (see footer)

Author Topic: Max methadone patients per clinic  (Read 26335 times)

Offline Lolleedee

  • La Dee Da Dee Da!
  • Full Member
  • ***
  • SA_Chat+
  • **
  • Join Date: May 2015
  • Location: New Joisey
  • Posts: 291
  • Reputation Power: 21
  • Lolleedee is now quite familiar.Lolleedee is now quite familiar.
  • Gender: Female
  • Last Login:May 04, 2021, 04:52:15 PM
Re: Max methadone patients per clinic
« Reply #29 from previous page: November 24, 2015, 03:00:33 PM »
Our "feetox" policy is you don't pay, you don't dose..at all.  If you miss three days, then you get kicked off with no detox.  It is fucking barbaric!

I'm not under the delusion that treatment should be free.  I am willing to pay a fair price for treatment. I hear people at the clinic all the time bitching about the clients who have medicaid and have their methadone paid for.  While I would love to have mine paid for, I realize (but the people bitching don't) that I am lucky to have enough income to pay for my treatment and I have private insurance.  People on medicaid do not have that wiggle room in their budget.

Believe it or not, the only time they wean you down is if you have an administative detox for noncompliance.  Soooo if you are an ass to staff and are a fuckwad, they will detox you..if money is tight, it is fuck you!

This has to change.  It never ceases to amaze me that the most effective treatment for opioid dependence is so hard to access.
« Last Edit: November 24, 2015, 03:02:51 PM by Lolleedee »
friendly
0
funny
0
informative
0
agree
0
disagree
0
like
0
dislike
0
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
...Meddle not in the affairs of Dragons, For you are crunchy and good with ketchup...

Offline Tainted (OP)

  • Psychonaut former narcotics connoisseur
  • Full Member
  • ***
  • SA_Chat+
  • **
  • Join Date: Aug 2015
  • Location: florida
  • Posts: 358
  • Reputation Power: 9
  • Tainted is new on the scene.
  • Gender: Male
  • Last Login:October 31, 2021, 08:16:02 PM
  • Former Moderator
Re: Max methadone patients per clinic
« Reply #30 on: November 24, 2015, 03:14:27 PM »
I realize all clinics will have diff policies, but what's the general UA policy? Fail two or three ua and your out or what? I'm figuring methadone will get my tolerance so high that opiates will be pointless, but I wouldn't mind rolling now and then or doing some coke. Am I gonna have to pee in a cup before I dose and keep it in the fridge for safe keeping in case they test me
friendly
0
funny
0
informative
0
agree
0
disagree
0
like
0
dislike
0
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
"Sometimes we live no particular way but our own
And sometimes we visit your country and live in your home
Sometimes we ride on your horses, sometimes we walk alone
Sometimes the songs that we hear are just songs of our own" -GD

Offline Smacky-Doodle 2.0

  • All-Around Junker
  • Full Member
  • ***
  • Join Date: Sep 2015
  • Location: right behind you....
  • Posts: 244
  • Reputation Power: 13
  • Smacky-Doodle 2.0 is new on the scene.
  • Gender: Male
  • Last Login:June 10, 2021, 03:26:07 AM
  • Welcome to drugs-and-users !
Re: Max methadone patients per clinic
« Reply #31 on: November 24, 2015, 03:33:58 PM »
At my clinic, fail or come up 'non-therapeutic' as they put it, and you will have your step-level decreased.  This means if you are on monthly take-homes, then you go back to bi-monthly.  If you are on the weekly phase, as I am, then you will be reverted back to 3x week.

If you are daily, and fail a UA, nothing really happens except it'll take longer to progress.  You have to have 3 'therapeutic' UA's, and some classes completed to increase or phase up your step-level.

If you aren't accruing any clean UA's, then you're gonna be daily for the foresee-able future.  For some people this is no big deal.....I know some who have been daily for years....they piss dirty, and just keep showing up they keep getting dosed.

Benzos are the only thing that if you piss dirty for them, you'll get kicked the fuck out.  And it still takes a while of them saying 'hey, don't do that' before you are up for termination.

I think for the most part clinics are pretty tolerable of people cross-using, as long as it's not benzos.

That's MY experience....Florida could be entirely different.
friendly
0
funny
0
informative
0
agree
0
disagree
0
like
0
dislike
0
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
I often ask myself:  "What would Trevor Philips do?"

Z

  • Guest
Re: Max methadone patients per clinic
« Reply #32 on: November 24, 2015, 04:20:27 PM »
A single payer system would make a huge difference for you guys.  I forget the exact numbers, but medicare and the va costs a similar amount per capita as the Canadian system that covers our entire population.

A single payer system makes the difference.  Instead of the hospitals setting their prices, the government assigns a value and pays that.  There is no need for hmo's to get rich at the expense of the citizens.  It's too bad that the aca was watered down to its present state, but it is a good start.

Sorry if it seems like I turned this into a USA vs Canada thing.  Not trying to offend anyone.  I was just trying to add my experience from the other side of the border.

In Alberta the experience was similar to what you guys describe.  It cost me 400 per month, and I had three times a week urine and alcohol tests.  We had to blow a 0.00, and they were strict about it.  Fail three times and you're out.

One woman I knew there was still prostituting to afford the clinic.  Tragic.

It isn't all rainbows and lollipops here.

In Vancouver it was the opposite.  You could get a same day appointment, welfare covered prescription costs even if you were not eligible for welfare, and I dosed at a pharmacy that only did methadone.  They mixed up 1 gallon water jugs full of 1mg/ml, and dispensed with graduated cylinders into Styrofoam cups.  No bottles available.  If you had tskehomes they sent you to a different pharmacy.
friendly
0
funny
0
informative
0
agree
0
disagree
0
like
0
dislike
0
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions

Offline Griffin

  • Sr. Member
  • ****
  • Join Date: Aug 2015
  • Location:
  • Posts: 914
  • Reputation Power: 34
  • Griffin is working their way up.Griffin is working their way up.Griffin is working their way up.
  • Gender: Male
  • Last Login:February 29, 2020, 09:21:12 PM
  • Welcome to our community forum ...
Re: Max methadone patients per clinic
« Reply #33 on: November 24, 2015, 10:31:59 PM »
My clinic is the same as smacky-doodles when it comes to UAs except they don't care if you fail for benzos or anything. I know a guy whose been there 18 years and hasn't had a clean UA most of them are for pot or benzos. I think you have to have 12 clean UAs in a row to get weeklies here along with all of the other stuff smacky said.

My clinic started a new policy last month that if you fail your breathalyzer on Saturday you can't get your Sunday take-home either. They only give breathalyzers to the people who have alcohol issues. Luckily they didn't start me on them when I got the DUI even though it wasn't for drinking. They are required to take them everyday and to get off I think you have to have 6-12 months of no hot breathalyzers and no alcohol in your UAs after you've been put on them.

The workers dose first policy is still in effect as well if you guys remember reading about that in the other MMT thread. Basically everyone who works early gets to dose first the first 30 minutes of each day including Saturdays where they are only open 6-930.

I am not sure if you even have to work early or if their is a cut off time. It may just be for anyone who has a job and brings in their schedule every 2 weeks gets put on the workers list. No one else can dose the first 30 minutes unless there is no one in there. If someone on the list shows up they are moved to the front of the line. It pissed off a lot of people at first but now I don't hear many complaints about it.

No worries about adding your input about Canada Z. I think most of us are very interested in how things are done there and everywhere else. I think it is interesting to read how other countries are doing things. It seems Canada has a leg up on the US when it comes to addiction treatment.

 I have a lot of respect for the woman who started the Heroin maintenance stuff in Canada. My counselor is a huge fan of her and went to a class she did here in Denver about her findings and research of Heroin Maintenance. From what I understand she lobbied for almost 10 years to get the regulations put in place to be able to do research on it and start up a clinic to do so. I love reading about it, it gives me hope.
friendly
0
funny
0
informative
0
agree
0
disagree
0
like
0
dislike
0
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions
No reactions

Tags:
 

Related Topics

  Subject / Started by Replies Last post
6 Replies
11375 Views
Last post September 25, 2015, 11:16:59 AM
by Griffin
26 Replies
24068 Views
Last post August 18, 2018, 09:04:05 AM
by Chip
1 Replies
6683 Views
Last post July 28, 2016, 05:08:12 PM
by alpha
0 Replies
5491 Views
Last post September 11, 2016, 03:48:17 PM
by tmitchell2818
6 Replies
11077 Views
Last post September 15, 2016, 04:09:20 PM
by Chip
2 Replies
7017 Views
Last post September 11, 2016, 08:31:41 PM
by Chip
0 Replies
5028 Views
Last post October 19, 2016, 12:36:35 PM
by Chip
14 Replies
23296 Views
Last post January 10, 2017, 04:33:15 AM
by Smacky-Doodle 2.0
0 Replies
4951 Views
Last post August 27, 2017, 10:55:51 AM
by Chip
0 Replies
3320 Views
Last post June 30, 2019, 08:48:07 AM
by Chip


dopetalk does not endorse any advertised product nor does it accept any liability for it's use or misuse





TERMS AND CONDITIONS

In no event will d&u or any person involved in creating, producing, or distributing site information be liable for any direct, indirect, incidental, punitive, special or consequential damages arising out of the use of or inability to use d&u. You agree to indemnify and hold harmless d&u, its domain founders, sponsors, maintainers, server administrators, volunteers and contributors from and against all liability, claims, damages, costs and expenses, including legal fees, that arise directly or indirectly from the use of any part of the d&u site.


TO USE THIS WEBSITE YOU MUST AGREE TO THE TERMS AND CONDITIONS ABOVE


Founded December 2014
SimplePortal 2.3.6 © 2008-2014, SimplePortal