Not Yesterday’s Cocaine: Death Toll Rising From Tainted Drug

Cincinnati resident Gwendolyn Barton, 62, smoked crack cocaine and used other drugs for about 20 years before getting sober in 2008. (Meg Vogel for KHN)



UMADAOP of Cincinnati offers comprehensive non-intensive outpatient services that aids clients in obtaining and maintaining sobriety. Our outpatient treatment and substance abuse recovery program support people who want to achieve and maintain a sober, and productive recovering lifestyle. UMADAOP clients take part in individual alcohol and drug counseling sessions, group alcohol and drug counseling sessions, life skills training, and a variety of peer-based supportive service activities geared to enhance and optimize their recovery effort. 

Case management services are provided to assist clients in finding accessible services that engage and retain people in recovery. A special, value added service that is provided features “peer to peer” recovery coaching for clients throughout all phases of the program. The treatment program is designed to address addiction recovery through a holistic system that is considered the best method for helping people gain stable sobriety. This system offers clients the ability to begin a focused recovery process from their addictions in order to re-assimilate as recovering individuals into their respective communities

Medication Assisted Treatment

Medication Assisted Treatment

More than 50,000 people die of opioid overdose every year and now more people being killed by opioid than traffic accidents or guns.

All of us know someone with the disease of opioid addiction and every day we either personally deal with the devastation that opioid cause or read or hear about it. Opioids are taking lives the way that the AIDS epidemic did when it was at its peak in the 1980s and early 1990s. 

Suboxone Treatment

SUBOXONE: This is used for opioid use disorder. The dose and duration of Suboxone are customized for each patient. Many factors are taken into account, such as the intensity and duration of opioid use, and the social and emotional circumstance of the patient.

4 Stages of Suboxone Treatment:

  • ​INDUCTION: The patient is requested to present in opioid withdrawal so the Suboxone can be started immediately. The lowest possible dose of Suboxone that will take care of withdrawal is given to the patient. They are rechecked in two to three days.

  • STABILIZATION: During the next few visits we focus on stabilizing the Suboxone dose. If the urine drug screen is negative and the patient is compliant with counseling, the Suboxone dose is increased, if needed.

  • MAINTENANCE: This is the phase when the patient is comfortable with their dose. This is typically the longest of all the phases

  • WEANING: Depending on the patient’s dose of Suboxone, it can take one to four months for a patient to be weaned.

Treatment times can vary depending on the patient's needs: 

  • ​Short-term treatment is for patients that are on Suboxone for a few weeks and is rapidly weaned to zero and placed on naltrexone.

  • Medium-term treatment is for one to two years. Ideally, we prefer the dose of Suboxone to be eight milligrams or below.

  • Long-term/Indefinite treatment is reserved for patients who have a concurrent psychiatric illness, such as not well-controlled bipolar disorder or schizophrenia. If treatment is going to be indefinite, the preferred dosage is eight milligrams or less. Again, it all depends on each person’s opioid use.