Originally posted by quale:
What would it take to fake your way onto methadone maintence in say the US, what about UK or the netherlands?
Got some info from a methadone maintenance advocate...
In the United States, the Federal Regulations a very detailed on who can be
admitted to MAT.
In some states, like California, for example, the person must have two
documented prior detox attempts.
Here in Washington, DC, people need a notarized letter from a relative, pastor,
doctor, etc. stating that they have known the patient for at least a year, and
the patient has been an opiate addict for at least a year, to their knowledge.
Physical indications, such as track marks, absesses, "doughboy hands" etc. tell
a tale. Many kliniks require a "sick intake", the person must be in full
withdrawals before the klinik will admit them. This is all for first treatment
episodes only. Here in DC, once you are in the MAT system, you are in, I have
been through 4 times and only needed the notarized note the first time.
First day dosing is capped at 30mgs, unless the physician feels the patient
needs more. If for example a patient has a large oxy habit, documented via
prescription bottles, note from prescribing physician, etc., the MAT doc can
give 30mgs, then have the patient come back 4 hours later for more methadone.
Most methadone overdoses occur during the induction period. Long term
methadone patients almost NEVER overdose on methadone alone. No one seems to
know what the "lethal dose" of methadone alone is...........
With people who snort oxy's, there are no physical signs, like tracks, thats
why many kliniks in Oxy areas require a "sick intake".
All kliniks are required to take a first day urine sample, but usually it takes
a few days to get the results. Some kliniks make the patient WAIT until the
u/a comes back. i.e. they do not dose patients on the first day. Many kliniks
use the dipstick, like probation uses, but taking a few T-4's prior to the test
will cause an opiate positive sample.
Actually, aside from these pesky reporters, I have never heard of a non-addict
trying to get into treatment. This is medical treatment for a very serious and
devastating disease. Why would anyone want to "fake" having this disease?
Thats like trying to "fake" that you have cancer just to get opiates.
doc