During its long history, Methadone Maintenance has struggled with a reputation that conjures images of seedy Methadone clinics in rundown neighborhoods, inhabited by drug users who are merely substituting one drug for another. The emphasis seemed to be on “maintenance” rather than “treatment.”

Meanwhile, the substance abuse treatment field began to evolve, recognizing that substance use disorders are diseases that respond to treatment that can lead to recovery. The focus shifted to defining exactly what was needed to support recovery, and the idea of a more holistic approach began to take shape.

This recovery-oriented systems approach acknowledges the importance of a person-centered, community-involved recovery process–ideas that had not previously been associated with Methadone Maintenance. The question is why not?

Recovery-oriented Methadone Maintenance answers that question by presenting a dynamic and convincing picture of how recovery-oriented systems can be applied to Methadone Maintenance, bringing it into the recovery process. In doing so, the stigma that has surrounded Methadone Maintenance for much of its life is replaced by the recognition that Methadone has a legitimate place within the recovery-oriented system.

When brought into the recovery process, the benefits of Methadone Maintenance are enhanced through linkages with other communities, resources, and systems. Methadone becomes part of the client’s recovery, rather than being perceived as a crutch. Through the integration of the recovery-oriented approach the Methadone Maintenance client becomes empowered to affect his or her recovery. The provider begins to treat the entire person, not just the addiction. The result is better and more accurate treatment management and reduced misuse and abuse.