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Medication-Assisted Treatment Program (Methadone Clinic)

The UHS Medication-Assisted Treatment (MAT) Program offers cutting-edge medication management and psychosocial treatment to patients 18 years and older with opioid use disorder. We are here to help you. We provide methadone or Suboxone® (buprenorphine/naloxone), individual and group counseling, and case management services such as assistance finding housing, transportation, child care, and employment. We utilize the Hub and Spoke model of care delivery. Our innovative services include a comprehensive pregnancy program and both women's health clinic and hepatitis C clinic. Our professional staff serves patients with unconditional, positive regard.

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Our Model: Hub and Spoke

UHS uses the Hub and Spoke model for treating opioid use disorder. Our Medication-Assisted Treatment program (methadone clinic) is the Hub, where we treat opioid use disorder complicated by other use disorders and/or medical and/or mental health problems. Per federal regulations, patients on methadone must stay at the Hub for treatment. Patients on Suboxone® (buprenorphine/naloxone), however, may be transferred to their primary care providers (the Spokes) for medication management once they are stable. Conversely, the Spokes can refer patients on Suboxone® (buprenorphine/naloxone) to the Hub for stabilization. This model allows us to enhance access to medication and treatment while effectively using our clinical team’s expertise.

How Can I Get Help?

New Patients

If you are seeking admission to our Medication-Assisted Treatment program (methadone clinic), you will need to get an assessment first. We are pleased to offer open access for substance use disorder assessments. Come to 10 Mitchell Avenue, Binghamton, NY 13903 for your assessment. You can drop in anytime between the hours of 9:00 a.m. - 11:00 a.m. Monday through Friday and 1:00 p.m. - 3:00 p.m., Monday, Tuesday, Thursday, and Friday. No appointment is necessary but we do ask that you call 607-762-2901 to pre-register. If you have questions about open access times, please call 607-762-2901. Please bring a picture ID and insurance card.

Our team of licensed social workers and Credentialed Alcoholism and Substance Abuse Counselors will meet with you to determine if you have an opioid use disorder and if our Medication-Assisted Treatment program (methadone clinic) is appropriate for you. If you do not meet admission criteria, we will develop an alternative plan to address your needs.

Guest Dosing

If you are enrolled in another methadone clinic and would like to guest dose at our clinic, please fax a completed guest dosing form to 607-762-2028. After receiving your request, our clinic staff will contact your program to discuss your case and coordinate guest dosing, if appropriate.

Transferring From Another Clinic

If you are already enrolled in a methadone clinic but would like to transfer to ours, please have your home clinic fax a completed Title 42 release with the referral paperwork to 607-762-2028. To help speed up the transfer, please have your home clinic include the following in the referral paperwork: substance use disorder assessment, recent drug screens, intake history and physical and labs, PPD result, and demographic and insurance information. After receiving this paperwork, our clinic staff will contact your program to discuss your case.

Payment

We accept most forms of insurance, including Medicaid and Medicare.

Special Programming

Comprehensive Pregnancy Program

We are pleased to offer specialized programming for pregnant patients with opioid use disorder. A weekly group teaches patients about pregnancy, labor, and delivery. Patients also learn hands-on parenting skills, including how to care for an infant with neonatal abstinence syndrome. A weekly postpartum club, for patients up to six months postpartum, provides ongoing support and focuses on recovery skills. Grant funding allows us to run a contingency management program and reward patients with baby care items for group education and OB appointment attendance, negative urine drug screens, and smoking cessation. Regular multidisciplinary team meetings between clinicians in the UHS OB/GYN, Addiction Medicine, Neonatology, and Pediatrics departments allow us to work together to improve care quality and health outcomes for patients in the program.

Women’s Health Clinic

The UHS Addiction Medicine and OB/GYN departments partnered to offer women a more convenient way to access healthcare. Once a month, an OB/GYN provider offers on-site contraception counseling and placement, screening and treatment for sexually transmitted infections, and prevention services such as Pap smears.

Hepatitis C Clinic

We are proud to offer both screening and treatment for hepatitis C in our methadone clinic. Appointments are available during dosing times and all clinic patients are eligible for treatment.

Our Groups

We are proud to offer a variety of groups to meet your needs.

Dialectical Behavioral Therapy–Informed Group

This evidence-based group follows a 24-session curriculum written by the creator of dialectal behavioral therapy, Dr. Marsha Linehan. Patients learn how to care for their mental health by identifying and processing their emotions, building self-esteem, and communicating effectively in relationships. To better cope with negative emotions and stress, patients are taught mindfulness, relaxation techniques, and crisis management skills. Relapse prevention skills are emphasized including how to create drug-free environments, find sober supports, balance reason and emotion in decision-making, and handle triggers. The group meets two hours per week for twelve weeks. Patients may join at any time.

Early Recovery

This group focuses on introductory addiction and recovery issues for patients new to treatment. Addiction is defined as a chronic, relapsing and remitting brain disease and medication for addiction treatment, psychosocial treatment, and 12-step programming are introduced as tools for achieving remission and recovery. Emphasis is placed on how medication-assisted treatment can stabilize brain chemistry and thereby allow patients to rebuild their lives. Cognitive behavioral therapy is used to help patients learn keystones of recovery including identifying and changing negative thoughts and behaviors and managing cravings. This group meets for one hour per week for three weeks.

Grief and Loss

This group is designed to help patients process grief and loss while managing their recovery. Patients are not required to discuss their loss; rather, they are encouraged to focus on ways to heal from that loss. Patients learn about the Kubler-Ross stages of grief and the dual process model of coping with bereavement, how to manage negative emotions, how to challenge their preconceived notions about the grieving process, and how to cope with calendar milestones. Patients examine the impact of their loss, engage in exercises to explore unresolved grief, and pay tribute to those lost. This group meets for one hour per week.

Healthy Relationships

Using interpersonal skills to establish and maintain healthy relationships can be a challenge in recovery. This group draws on the work of Melody Beattie and Rokelle Lerner to help patients identify and communicate their needs, boundaries, and priorities as they relate to relationships with family and significant others. This group meets for one hour per week.

Intensive MAT

This process-oriented and psychoeducational group is designed to create awareness of one's behaviors and coping mechanisms. Motivational interviewing and mindfulness are used to promote insight into emotional states, explore the connection between thoughts, feelings and substance use, build healthy relationships, and enhance coping skills. Patients learn about the relapse process, stress reduction techniques, codependency, 12-step programming, and how to create a sober support network and build a life free from substance use. The group meets one hour per day, three days per week.

Men’s Group

This group provides a safe space for men to process issues related to their recovery. Motivational interviewing, mindfulness, person-centered and strengths-based approaches, cognitive behavioral therapy, dialectical behavioral therapy, and thought stopping techniques are used to help patients handle negative emotions, manage cravings, identify relapse warning signs, and make lasting behavioral change. Common topics discussed include navigating social services, finding life balance, parenting in recovery, dealing with the stress of financial and legal uncertainty, and coping with grief, anger, and trauma. This group meets for one hour per week.

Postpartum Club

This group aims to prevent relapse in the postpartum period by creating a network of supports and a safe space to ask health-related questions. The group content is patient-driven, but often includes postpartum depression, safe sleep, breast and bottle feeding, family planning, and normal child development. Women up to six months are eligible and, to increase participation, infants are welcome. The group meets for one hour per week.

Pregnancy Program Group

This weekly hour-long group utilizes a team of educators – including nurses, community health workers, experts from local agencies, and social workers – to teach patients about pregnancy, labor, delivery, and newborn care. The curriculum includes a month-by-month guide to healthy pregnancies, hands-on newborn care skills, and understanding and treating neonatal abstinence syndrome. Guest speakers from community agencies present information on their services.

Recovery Life Skills

This group teaches the skills necessary to acquire and maintain abstinence from substance use. Topics for weekly discussion include relapse cues and triggers, managing urges and cravings, forming healthy relationships, coping with stress and boredom, planning for behavior change, and identifying and changing self-defeating beliefs and behaviors. The group meets for one hour per week.

Relapse Prevention

This group employs motivational interviewing, cognitive behavioral therapy, mindfulness, and psychodynamic exercises and education to help patients learn practical tools and identify existing strengths that can prevent relapse. Patients gain insight into the process of relapse and become able to identify warning signs of and cognitive distortions associated with impending relapse. The group meets for one hour per week.

Seeking Safety

This evidenced-based, present-focused group teaches patients with a history of trauma and/or addiction how to achieve safety in their relationships, thinking, behavior, and emotions. The group addresses trauma without requiring patients to discuss the trauma narrative or re-live their trauma experiences. The curriculum spans 26 sessions with specific topics covered each week. Topics include asking for help, self-care, recovery thinking, identifying and using community resources, setting boundaries in relationships, coping with triggers, and healing from anger. The group meets for 90 minutes once per week.

Spanish-Speaking Group

Run entirely in Spanish with a certified translator, this group uses rational emotive behavior therapy and cognitive behavioral therapy to help patients achieve and maintain sobriety. Discussion topics include self-care, goal setting, the biopsychosocial approach to treating addiction, developing a personal recovery program, and relapse prevention. Patients learn how to identify negative thinking errors, process and regulate their emotions, build self-esteem, create a sober support network, and effectively engage in 12-step programming.

Spirit Of Recovery Group

This group introduces patients to the role 12-step programming, such as Alcoholics Anonymous and Narcotics Anonymous, can play in recovery. The group, which follows an eight-week curriculum, teaches patients what to expect from meetings and sponsors, common meeting themes, and how to utilize meetings successfully. Spirituality, the first three of the 12 steps, and the relationship between medication for addiction treatment and 12-step programming are discussed in detail. Motivational interviewing is used to help patients identify goals related to meetings, sponsorship, and recovery. The group meets for one hour per week.

Stabilization

This group teaches new patients how to maximize their clinic experience. They learn about the clinic’s rules and regulations including dose change and peak and trough procedures, criteria for take home doses, and drug screening policies. Patients explore the role of psychosocial treatment in their recovery and discuss myths, misinformation, and realities about medication-assisted treatment. The group meets for one hour per week for three weeks.

Women’s Group

This group uses a person-centered and strength-based approach and motivational interviewing to empower women to address psychosocial issues related to substance use and realize their recovery goals. Common patient-identified areas for discussion include managing negative emotions, parenting in recovery, re-establishing trust in relationships, and changing old behaviors. The group meets for one hour each week.

Frequently Asked Questions

Q: I want to take medication for my problem with opiods, can you help me?

A: If you are interested in medication for addiction treatment with methadone or Suboxone® (buprenorphine/naloxone), you will need an assessment. Come to 10 Mitchell Avenue, Binghamton, NY 13903 for your assessment. You can drop in anytime between the hours of 9:00 a.m. - 11:00 a.m. Monday through Friday and 1:00 p.m. - 3:00 p.m., Monday, Tuesday, Thursday, and Friday. No appointment is necessary but we do ask that you call 607-762-2901 to pre-register. If you have questions about open access times, please call 607-762-2901. Please bring a picture ID and insurance card.

A licensed social worker or Credentialed Alcoholism and Substance Abuse Counselor will determine if you meet criteria for our Suboxone® (buprenorphine/naloxone) program or our Medication-Assisted Treatment program (methadone clinic). Once that determination is made, they will discuss the next steps in the admission process with you.

Q: What are the dosing hours?

A: Each patient is assigned a dosing time Monday-Friday. Dosing times during the week are 6:30 a.m. - 11:00 a.m. and 12:15 p.m. - 1:15 p.m. Patients do not have dosing times on the weekends and may dose any time between 7:00 a.m. - 9:00 a.m. on Saturday and Sunday.

Q: I’m worried about paying for treatment. Is there someone that can help me with that?

A: We accept most forms of insurance, including Medicare and Medicaid. In addition, our program has a financial advocate who can help you sign up for health insurance. An appointment can be made by calling 607-762-2550.

Q: Do you offer transportation?

A: No. If you are on Medicaid, you may be eligible for transportation assistance. Please contact your local Medicaid office for more information.

Q: Can you help with family members?

A: Yes. In addition to the family program, your counselor can offer a family session to improve family communication, explain the disease of addiction and its treatment, and provide information about community resources for patients and their families.

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