Medication assisted treatment, or MAT, combines counseling with FDA approved medications such as buprenorphine, methadone, or naltrexone. For opioid and alcohol addiction it is one of the best supported approaches in addiction medicine, cutting cravings, relapse, and overdose risk.
In San Francisco, MAT is offered in both outpatient and residential settings, and the right medication depends on the substance and your health history. Of San Francisco's 23 rehab centers, 16 report medications used in addiction treatment.
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OutpatientOutpatient day treatment or partial hospitalizationIntensive outpatient treatmentFederal, or any government funding for substance use treatment programsMedicare
Residential/24-hour residentialLong-term residentialFederal, or any government funding for substance use treatment programsIHS/Tribal/Urban (ITU) funds
Residential/24-hour residentialResidential detoxificationLong-term residentialFederal, or any government funding for substance use treatment programsNo payment accepted
1380 Howard Street, 2nd Floor, San Francisco, CA 94103
OutpatientOutpatient methadone/buprenorphine or naltrexone treatmentRegular outpatient treatmentFederal, or any government funding for substance use treatment programsNo payment accepted
OutpatientOutpatient methadone/buprenorphine or naltrexone treatmentRegular outpatient treatmentFederal, or any government funding for substance use treatment programsPrivate health insurance
OutpatientOutpatient methadone/buprenorphine or naltrexone treatmentRegular outpatient treatmentFederal, or any government funding for substance use treatment programsMedicare
Residential/24-hour residentialLong-term residentialShort-term residentialFederal, or any government funding for substance use treatment programsMedicare
1700 Montgomery Street, Suite 435, San Francisco, CA 94111
OutpatientOutpatient day treatment or partial hospitalizationIntensive outpatient treatmentFederal military insurance (e.g., TRICARE)Private health insurance
Hospital inpatient/24-hour hospital inpatientOutpatientHospital inpatient detoxificationFederal, or any government funding for substance use treatment programs
No. Treatment doses are stable and prescribed, they do not produce the highs and crashes of misuse, and they let people work, parent, and recover. Major health bodies consider MAT the standard of care for opioid addiction.
Which medications are used in MAT?
Buprenorphine (Suboxone) and methadone for opioid addiction, and naltrexone or acamprosate for alcohol. A prescriber matches the medication to your situation.
How long do people stay on MAT?
It varies from months to years. Staying on medication as long as it helps is safer than stopping early, and any taper should be planned with a prescriber.