How does your clinic detox? (Administer)

[blutuesday]

Just curious, how does your particular clinic detox people, if they are being administratively detoxed (for infractions or not paying, not going to meetings ect.) I don't mean how do they detox you if YOU decide to go down and leave, I mean if THEY want you to leave??

My clinic now gives you 5 bottles all at your current dose and you are out the door to fend for yourself.

My clinic before, took you down like 10 mgs a day, so depending on dose you were out the door in a week-2 weeks

My boyfriend got detoxed off of 180 in 18 days and was sick sick sick. Needless to say he/we got back on dope asap.

[SHELLEY]

my clinic brings you down 10mg/day until you get down to 30
then they start bring you down 5mg/day instead until you have only 5mg left
then they give you 5mg for 2 days, then 2mg for 2 days, then 1mg on the last day
after that, out you go! if you WANT to detox though, you choose how fast you decrease

but my mmt clinic isn't govt run/funded, its privately owned
and takes NO insurance NO medicaid NO va benefits, no breaks at all b/c they don't have to
everyone has to pay $12/day in cash but there are lots of good things
about the clinic being privately run and funded by patients instead of govt
THEY make all the rules and are not bound by govt standards
for example, a govt-funded mmt program won't let you have takehomes if you test positive for thc
because after all, pot is an illegal drug (whether we like it or not, its true)
but at my clinic they don't care about pot, they do test for it
but you can still get takehomes and progress in program if you test positive for weed every time!
if you test positive for other things tho (opis, coke, mdma/meth, benzos)
then you lose takehomes and enough positives for any of those can get you booted
personally i think that's great because i love my weed and quitting is hard
but i don't take any other drugs anymore-
i haven't had ONE bad ua result yet though every single one has been positive for thc :)

side note: i am on day 9 of not smoking weed
which is the longest i've ever not smoked VOLUNTARILY (not counting jail and rehab)
hooray for me right? i've had 2 panic attacks so far... :mad:

[blutuesday]

something strange happened. when I posted this, I wrote How does your clinic detox? (admin) and then now I noticed on my orignal post it says How does your clinic detox (adminster) but on shellys reply post it still says my original title. Am I going insane? did I really write adminster? I meant admin, as in adminstrative. Or did it somehow get changed?

Yay shelly, good for you, keep up the good work love.

[nick]

something strange happened. when I posted this, I wrote How does your clinic detox? (admin) and then now I noticed on my orignal post it says How does your clinic detox (adminster) but on shellys reply post it still says my original title. Am I going insane? did I really write adminster? I meant admin, as in adminstrative. Or did it somehow get changed?

Yay shelly, good for you, keep up the good work love.

Yeah,you're not going insane.I suspect one of the friendly mods have changed the thread title.

[Chicago]

EVERY CLINIC I BEEN AT, when being kicked out b/c payment issues, they bring you to a 10day detox from ur dose.

If what u said is true they throw u out w/5 bottles of ur regular dose. You should say to them what if the person is at 100mg & freaks out & does & has no idea what to do & drinks all 5 bottles. & dies, od's.

[SHELLEY]

Yeah,you're not going insane.I suspect one of the friendly mods have changed the thread title.

curiosity always gets the best of me....
WHY?

[blutuesday]

curiosity always gets the best of me....
WHY?

Maybe the fact that I wrote (ADMIN) would confuse people? I dont know. But I meant admin being short for adminsitrative. Im not sure that administer makes sense. Or maybe it does. Who knows.

Im curious too now :)

[blutuesday]

EVERY CLINIC I BEEN AT, when being kicked out b/c payment issues, they bring you to a 10day detox from ur dose.

If what u said is true they throw u out w/5 bottles of ur regular dose. You should say to them what if the person is at 100mg & freaks out & does & has no idea what to do & drinks all 5 bottles. & dies, od's.

Well if someone did do that I guess they could say it isn't their liabilty because on the bottles they give it clearly states when to take each dose, so if someone did do that, it would be because the person did not take their medication "as directed" so that would be on the patient I suppose.

[Mallinckrodt]

My clinic does a one week administrative detox, which I've only ever seen done because of $ issues. . .never because of dirty drops. As long as their getting the weekly payment, you're getting dosed. I've said it before, a friend of mine at this clinic has been there for years now and has yet to give a single clean drop, every one of them is pos. for dope. He still shoots as many bags as he can get his hands on every day.

The only time I've known someone to get booted for something other than payment issues was this woman who was busted getting 2 scripts of wafers each month on top of the clinic juice--one for 60 and one for 45. She had been there for years too, smoking crack daily with scripts for a few different benzos at high doses, and she had the wafer scripts for the few years I knew her. She would nod out in the waiting room and have to be woken up by someone when they called her back to dose almost every day, and sometimes she would start talking wacked-out shit to the nurse about whatever she was dreaming at the moment, so it was pretty obvious--to me at least--that she was overmedicated.

They never even thought about booting her until they somehow got wind of her extra 'done scripts. I imagine someone told on her because I know a few others at my clinic with 'done scripts who haven't been caught so I don't think they check scripting records or anything, I don't know though. . .maybe if they feel the need to check up on you they do.

But about the administrative detox. . .like I said, it's a one week thing so they take 1/7th of your dose each day until you're out. I'd much rather have 5 full doses to wean myself. . .that would be a lot easier, seems a little unreal though. I mean you've got someone who is being forced off the clinic for whatever reason and probably doesn't have any takehomes built up, but you hand them 5 bottles and tell them good riddance? Sounds crazy to me. . .a huge liability.

Aren't there federal and state laws that mandate the takehomes? If something happened because they didn't take it as directed, or sold it to someone, or a little kid drank it etc., etc., etc., and when it was investigated, the authorities found the person with 5 take-homes didn't even meet the qualifications for one takehome per week but the clinic gave them FIVE and kicked them out anyway----wouldn't they be in some deep shit?

Do they give 5 to anybody no matter how many takehomes they have at the time? I don't know, maybe my counselor lies to me but I've always been told that the reason it takes so long to decrease site-days is because of the state and federal laws that clinics must follow.

[Narkotikon]

Well if someone did do that I guess they could say it isn't their liabilty because on the bottles they give it clearly states when to take each dose, so if someone did do that, it would be because the person did not take their medication "as directed" so that would be on the patient I suppose.

That's not really feasable though, because if they give you five bottles of your current dose, you're not going to be able to accurately judge how much you're really taking. So, if you had five bottles of 100mg, and each one said drink a fourth of the bottle every so often, you're not really sure you're getting 25mg each time because no one is going to be able to precisely measure out 1/4 unless they have the proper equipment. So, it would be kind of their fault for not putting each dose into separate bottles. I mean, who know how many mg of methadone are in a teaspoon, unless you accurately divide and calculate. But yeah, I thought about that too. That's really risky. People being forced to detox aren't usually in a good state of mind, and if you get one depressed person who has a 5-day supply, they could easily decide to OD on purpose.

At my one and only old clinic, you got brought down 10mg a day until you were out. When I was forced to leave (because I couldn't pay anymore), I went from 140mg to 0 in two weeks, and really it was shorter than that because I missed a day or two during that time, and they still brought me down. So, for example, on the day I went back after missing the previous day, I was brought down 20mg, instead of 10mg. They just wanted your money.

And they only drug they absolutely forbade was benzos (and I guess barbs if they were more popular). If you tested positive for benzos they'd automatically cut your dose in half and you'd stay there until you began to test negative again, then you'd have to work your way back up slowly in increments. But if you tested for opiates, coke, or anything like that, they didn't really care as long as they got their money. You basically got a slap on the wrist and a semi-stern talking too, and usually a dose increase because they figured if you were using you were still craving.

During those two weeks the doctor would be all nice and that to me, and he gave me scripts for clonidine and flexeril. Even though they didn't do anything, I still appreciated it. But, as soon as I was down to 0, and was out of the clonidine, I tried to call him to see if he'd refill it (since it's not a controlled substance) and the fucker wouldn't even take my call. Pissed me off so bad. So, needless to say I began to use again ASAP.