Saint Louis Metro Treatment Center (314) 423-7030 9733 Saint Charles Rock Road Breckenridge Hills, MO
MO Saint Louis Metro Treatment Center
A methadone clinic is a clinic which has been established for the dispensing of methadone (Dolophine), a schedule II narcotic analgesic, to those who abuse heroin and other opiates. The focus of these clinics is the elimination or reduction of opiate usage by putting the patient on methadone. Some clinics also offer short- or long-term detoxification services to their patients using methadone. A common term for the type of treatment at a methadone clinic is "replacement therapy". While generally considered successful as a treatment method, the use of this maintenance treatment is often viewed as controversial.
In the United States, there are generally two types of methadone clinics, public and private. The public clinics are generally cheaper to attend. However, there is usually a waiting list due to limited funding. The private clinics are more expensive to attend but usually have either a short or no waiting list. In many parts of the United States, methadone clinics are few and far between, which presents problems for addicts seeking methadone treatment who live far from a clinic. The greatest concentrations of clinics are in California, Maryland, New York, and New Jersey.
Methadone clinics in the United States operate under close federal observation and regulation. The medication is monitored by nursing staff and is prescribed by a physician. Regulations require that to enter this form of treatment, the person must show current addiction to an opiate. This is generally established by a simple urine sample. A medical examination is given prior to administration of the methadone, and new patients are often tested for certain conditions which are known to be prevalent in addict populations, such as HIV, hepatitis, and tuberculosis.
Although not required by regulation at this time in the United States, people are usually encouraged to attempt other types of treatment methods prior to entering methadone treatment programs. Most treatment programs will only accept someone to treatment after failure at less intense treatment methods. While not restricted to adults, this treatment method is generally not considered for people under the age of 18.
An important part of treatment for addiction is counseling. Methadone clinics are only for recovering addicts from opiates. Clinics require attendance at counseling groups as well as individual counseling contacts. It is generally accepted that the more intensive the counseling contacts the individual is willing to submit to, the higher the success rate of the program.
Methadone clinics operate as any other addiction medical facility. The staff usually consist of a physician to monitor the medications and treatments and nurses to administer the medication and ensure effective delivery (i.e. the person will actually consume the product). Additionally, drug counselors will be available for individual and group counseling, and there will be administrative staff to run the administrative functions. The clinical operations of the clinic are often housed in a hospital setting, although this is not required by U.S. law.
While methadone clinics are generally considered to be effective treatment options for patients addicted to opiates, especially when other interventions have failed, there is controversy surrounding the placement of methadone clinics. There is a perception that the presence of the clinics attracts crime to surrounding areas. However, one study by the University of Maryland School of Medicine found that is not the case, crime rates do not increase when a methadone clinic is opened.
Relapse rates are high in patients treated at methadone clinics, between 70-90% The high relapse rate may be partially due to the severity of cases seen at methadone clinics, as well as the long term effects of opioid use. Some patients will be on methadone for the rest of their lives, which generates criticism regarding the effectiveness of the clinics. Supporters argue that the clinics aim not just to eliminate narcotic addictions, but also to help people function in their lives.
Methadone clinics may decrease the use of emergency rooms by patients addicted to opiates According to a 2009 Cochrane review, methadone maintenance treatments decreased the likelihood that heroin dependent patients would use heroin, but did not change crime or mortality rates.
Saint Charles Rock Road Breckenridge Hills MO
(314) 423-7030 9733
Saint Louis Metro Treatment Center
'Light rail' is defined in the Unites States (and elsewhere) as a mode of electrified (or in a few exceptional cases, diesel-powered) rail-based transit, usually urban in nature, which is distinguished by operation in routes of generally exclusive, though not necessarily grade-separated, rights-of-way. This is distinguished from 'heavy rail' systems, also known as rapid transit or 'Metro' (e.g. subway/elevated), which are fully grade-separated from other traffic, and which are characterized by higher passenger capacities than light rail. Arguably, traditional streetcars (also known as trolleys in the North America, or as trams outside of North America especially in Europe), which is rail-based transit that takes place in shared roadways with automobile traffic and thus doesn't operate in exclusive rights-of-way, can be considered to be a sub-set of light rail, though the two modes of transit are often treated as distinct in the United States.
The use of light rail in the United States is low compared to some European countries, but higher than some other nations, such as Canada and Australia.]clarification needed[ According to the American Public Transportation Association, of the 30-odd light rail systems in the United States, six of them (Boston, Los Angeles, San Francisco, Portland, Oregon, Philadelphia, and San Diego) achieve more than 30 million unlinked passenger transits per year. Red Line
Substance dependence, commonly called drug addiction, is a compulsive need to use drugs in order to function normally. When such substances are unobtainable, the user suffers from withdrawal.
The section about substance dependence in the Diagnostic and Statistical Manual of Mental Disorders (more specifically, the 2000 "text revision", the DSM-IV-TR) does not use the word addiction at all. It explains:
A methadone clinic is a clinic which has been established for the dispensing of methadone (Dolophine), a schedule II opioid analgesic, to those who abuse heroin and other opioids. The focus of these clinics is the elimination or reduction of opioid usage by putting the patient on methadone. Some clinics also offer short- or long-term detoxification services to their patients using methadone. A common term for the type of treatment at a methadone clinic is "replacement therapy". While generally considered successful as a treatment method, the use of this maintenance treatment is often viewed as controversial.
In the United States, there are generally two types of methadone clinics, public and private. The public clinics are generally cheaper to attend. However, there is usually a waiting list due to limited funding. The private clinics are more expensive to attend but usually have either a short or no waiting list. In many parts of the United States, methadone clinics are few and far between, which presents problems for addicts seeking methadone treatment who live far from a clinic. The greatest concentrations of clinics are in California, Maryland, New York, and New Jersey. Methadone
Breckenridge is a home rule municipality that is the county seat of Summit County, Colorado, United States. As of the 2010 census, the town had a population of 4,540. The town also has many part-time residents, as many people have vacation homes in the area. The town also has a large ski resort with multi-difficulty ski slopes across 4 peaks on the Ten Mile Range of the Rocky Mountains. Summer in Breckenridge attracts outdoor enthusiasts with hiking trails, wildflowers, fly-fishing in the Blue River, mountain biking, nearby Lake Dillon for boating, white water rafting, alpine slides, and several shops up and down Main Street. Every year, Breckenridge hosts the Breckenridge Festival of Film, established in 1981, Ullr Fest every January, as well as an annual Fourth of July parade.
Drug rehabilitation (often drug rehab or just rehab) is a term for the processes of medical or psychotherapeutic treatment, for dependency on psychoactive substances such as alcohol, prescription drugs, and street drugs such as cocaine, heroin or amphetamines. The general intent is to enable the patient to cease substance abuse, in order to avoid the psychological, legal, financial, social, and physical consequences that can be caused, especially by extreme abuse. Treatment includes medication for depression or other disorders, counseling by experts and sharing of experience with other addicts. Some rehab centers include meditation and spiritual wisdom in the treatment process.
Psychological dependency is addressed in many drug rehabilitation programs by attempting to teach the patient new methods of interacting in a drug-free environment. In particular, patients are generally encouraged, or possibly even required, to not associate with friends who still use the addictive substance. Twelve-step programs encourage addicts not only to stop using alcohol or other drugs, but to examine and change habits related to their addictions. Many programs emphasize that recovery is a permanent process without culmination. For legal drugs such as alcohol, complete abstention—rather than attempts at moderation, which may lead to relapse—is also emphasized ("One is too many, and a thousand is never enough.") Whether moderation is achievable by those with a history of abuse remains a controversial point, but is generally considered unsustainable.]citation needed[
Transportation in the United States is facilitated by road, air, rail, and water networks(Boats). The vast majority of passenger travel occurs by automobile for shorter distances, and airplane or railroad for some people, for longer distances. In descending order, most cargoes travel by railroad, truck, pipeline, or boat; air shipping is typically used only for perishables and premium express shipments.