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Understanding Methadone Maintenance and Treatment Programs in Pennsylvania

This document provides an overview of the narcotic treatment programs in Pennsylvania, focusing on Methadone maintenance and the legal framework established by the Controlled Substance Act of 1970 and DATA 2000. It discusses prescribing limitations for medications like Methadone, Suboxone, and Subutex, and highlights special populations, including pregnant women and those with co-occurring disorders. Additionally, it represents patient demographics across various regions and emphasizes the future needs of patients in elder care, long-term care facilities, and transportation.

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Understanding Methadone Maintenance and Treatment Programs in Pennsylvania

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  1. What’s Going On Out There? Arvida Wanner, MS Pennsylvania Department of Health Bureau of Community Program Licensure and Certification Division of Drug and Alcohol Program Licensure

  2. Legal Basis • Controlled Substance Act of 1970 • DATA 2000 • Legal agents • Methadone • LAAM (no longer manufactured) • Suboxone and Subutex • Prescriber limitations

  3. Pennsylvania Department of HealthNarcotic Treatment ProgramsMethadone Maintenance 1 ERIE WARREN TIOGA SUSQUEHANNA BRADFORD McKEAN POTTER TIOGA WAYNE CRAWFORD FOREST WYOMING ELK CAMERON LACKAWANNA SULLIVAN VENANGO PIKE LYCOMING MERCER 1 CLINTON LUZERNE CLARION MONTOUR JEFFERSON MONROE LAWRENCE CLEARF IELD COLUMBIA BUTLER UNION 1 CARBON CENTRE NORTHAMPTON ARMSTRONG NORTHUMBERLAND 1 BEAVER SNYDER INDIANA SCHUYLKILL LEHIGH MIFFLIN 2 JUNIATA DAUPHIN ALLEGHENY CAMBRIA BLAIR LEBANON 4 BERKS BUCKS PERRY 1 1 WESTMORELAND MONTGOMERY HUNTINGDON 1 WASHINGTON 1 CUMBERLAND LANCASTER PHILA-DELPHIA CHESTER BEDFORD 1 10 FULTON SOMERSET FAYETTE DELAWARE 1 1 GREENE FRANKLIN ADAMS YORK 2001 Total = 27

  4. Pennsylvania Department of HealthNarcotic Treatment ProgramsMethadone Maintenance 1 ERIE WARREN TIOGA SUSQUEHANNA BRADFORD McKEAN POTTER TIOGA WAYNE CRAWFORD 1 FOREST WYOMING ELK CAMERON LACKAWANNA SULLIVAN VENANGO PIKE LYCOMING MERCER 2 CLINTON LUZERNE CLARION MONTOUR 1 JEFFERSON MONROE LAWRENCE CLEARF IELD COLUMBIA BUTLER UNION 2 2 CARBON CENTRE NORTHAMPTON ARMSTRONG NORTHUMBERLAND 1 BEAVER 1 SNYDER INDIANA SCHUYLKILL LEHIGH MIFFLIN 1 3 JUNIATA DAUPHIN ALLEGHENY CAMBRIA BLAIR LEBANON 7 1 BERKS BUCKS PERRY 1 1 1 1 WESTMORELAND MONTGOMERY HUNTINGDON 3 1 WASHINGTON 1 CUMBERLAND LANCASTER PHILA-DELPHIA CHESTER BEDFORD 1 1 1 13 FULTON SOMERSET FAYETTE DELAWARE 1 1 GREENE FRANKLIN ADAMS YORK April 2008 Total = 50

  5. Number of Patients by Region 2001 6732 3615 2687 435 179

  6. Number of Patients by Region 2001 to 2008 13670 6049 5601 1200 820

  7. Special Populations • Pregnant women • Prison populations • Co-occurring disorders • Use of benzodiazepines • State hospitals

  8. Future Patient Needs • Elder care • Long term care facilities • Personal care homes • Transportation

  9. “If you can dream it, you can do it.” Walt Disney

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