CleanSlate Blog

Ashley’s recovery from opioid addiction was going well.

For more than a year, she had been a responsible patient with us at CleanSlate in Elkhart, Indiana. When Ashley discovered that she was pregnant last October, she became an even more committed patient - coming to double the appointments that she even needed.

Ashley was doing everything right.

And for good reason. Ashley has two other kids, and the Department of Child Services (DCS) had been involved with her family in the past. She was determined to make sure that this baby was born healthy and that DCS had no cause for alarm.

So when Ashley tested positive for methamphetamine at the hospital after the baby was born, we were all floored. Nobody was more shocked than Ashley, who knew for a fact that the results were false. The only medications that she was taking (other than our prescribed addiction medication) was for acid reflux.

DCS informed Ashley that her baby would be required to stay at the hospital until they could conduct a second drug test and assess the blood results.

I was furious when I heard this news.

The opioid epidemic has shown some signs of progress over the past few years. Opioid overdose deaths have declined in many states, in part because of decreases in opioid prescriptions and increases in the use of both Narcan to revive overdose victims and medication-assisted treatment (MAT) to treat people with addiction.

But progress comes in very small brushstrokes. The epidemic has hardly stalled, continuing to claim an intolerably high number of lives each year. Opioid addiction currently affects 6 million people in the U.S. Alcohol addiction affects and kills even more people every year than drugs, and polysubstance use and the rise of stimulant use further complicate the response to this deadly crisis.

Since 2009, CleanSlate has been on the frontlines of the opioid epidemic, treating more than 41,000 patients in outpatient centers across 11 states. During that time, we have worked relentlessly to convince public policymakers and healthcare payors to recognize addiction as a chronic brain disease that requires a more expansive approach than punitive and judgmental policies, which only perpetuate the crisis. Over time, we have codified a patients-first approach for our company that increases access to treatment and treats each patient with personalized care.

From our vantage point, here are four key challenges of the opioid epidemic and our approach to solving them:

Despite the fact that Kentucky has the fifth highest drug overdose death rate in the U.S., treatment options are scarce, even in the state’s more urban areas. Owensboro may be the fourth largest city in Kentucky, but its residents who suffer from addiction have few places to turn for treatment.

CleanSlate is addressing this shortage with a new outpatient center for medication-assisted treatment (MAT). This marks CleanSlate’s third center in Kentucky, joining others in Louisville, S. Louisville, and Lexington. Located at 3500 Villa Pointe Road, Suite 110, the Owensboro center opens its doors to patients today.

Many communities across America have no local treatment options for people suffering from addiction. Cincinnati, Ohio, is not one of those communities. The city has many treatment providers, and yet the numbers are still inadequate to handle the local need in the third largest city in one of states hit hardest by the opioid epidemic.  

Despite the gradual increase of addiction treatment providers in Ohio, many organizations leading the state’s efforts to address the epidemic--including the State Attorney General’s Office and multiple health systems--agree that Cincinnati continues to suffer from a shortage of providers delivering evidence-based, outpatient medication-assisted treatment (MAT) services.

As a response to the continued demand for high-quality outpatient addiction treatment, CleanSlate is expanding its presence in Ohio with a new MAT center in Cincinnati. The center will be opening its doors on July 31st, located at 10475 Reading Road, Suite 206, in the northern part of the city.

"Relapse."

Because of the stigma and negative associations attached to the word relapse, much work has been done amongst the addiction community to move away from this term. We're now advocating for other terms, like “recurrence of use.” I prefer using the term "slip."

Whatever you call it, the science is clear that addiction is a chronic brain disease. Most people who attempt recovery will experience at least one slip.

But here’s the good news:

Every community across the country is battling the opioid epidemic. The ones that are showing progress are working together.

(Below: Watch the Fox6 News report on a new kind of addiction task force in Milwaukee.)

In Milwaukee, Wisconsin, responders on the front lines understand that collaboration is critical to address the complex issues surrounding addiction. That's why community leaders - including CleanSlate - have stepped up to support the Milwaukee Overdose Response Initiative (MORI), a task force created by a team of firefighters to operationalize recommendations from the Milwaukee City-County Heroin, Opioid, and Cocaine Task Force (CCHOCFTF).   

In Madison, Wisconsin’s second largest and capital city, opioid addiction rates are at crisis levels, outpacing the number of high-quality addiction providers who can provide treatment.

CleanSlate is addressing this provider shortage with a new medication-assisted treatment (MAT) center in Madison, the company’s eighth MAT facility in Wisconsin. CleanSlate’s new outpatient center, located at 579 D'Onofrio, Suite 1, opened its doors to patients last week.

Montgomery County, Ohio, anchored by Dayton, recently earned national headlines for its plummeting rate of overdose deaths, down 54 percent over the past year.

But despite the increase of addiction treatment providers in Ohio, many organizations leading the state’s efforts to address the epidemic, including the State Attorney General’s Office and multiple health systems, agree that providers delivering quality, evidence-based, outpatient medication-assisted treatment (MAT) services are in short supply. 

CleanSlate is addressing this imbalance with a new MAT center in Moraine, a section of Montgomery County that is south of Dayton. The outpatient center, located at 4700 North Springboro Pike, Suite C, began seeing patients this week.   

 Some rare good news on the frontlines of the opioid epidemic:

Prescription opioid use dropped 17 percent in 2018, the single largest annual drop ever recorded in the U.S. market.

At the same time, researchers saw a 300% increase since 2014 in people receiving medication assisted treatment (MAT) for opioid addiction.

What do you do when you’re struggling with an addiction but most high-quality, affordable treatment providers are 80 miles away?

Long distances create overwhelming barriers to recovery, making treatment all but impossible for most people. For people who live in a “treatment desert,” the lack of hope for recovery breeds more addiction and further despair.

Such has been the case in Richmond, Indiana, which offers few treatment options to residents. CleanSlate has tipped this grim equation with a new outpatient medication-assisted treatment (MAT) center in Richmond, located at 2302 Chester Blvd., Suite A.