What is Medication Assisted Therapy?

CASA-Trinity employs physicians, nurse practitioners and physician assistants as well as registered nurses. Registered nurses perform a medical assessment to help refer clients to primary care physicians and dentists in the area if needed and offer testing for Hepatitis, HIV and TB. Physicians, nurse practitioners and physician assistants can prescribe medications for the treatment of substance use disorders. Medication-Assisted Treatment (MAT), in combination with counseling and behavioral therapies, provides a client-centered approach to the treatment of substance use disorders. CASA-Trinity offers a comprehensive list of medications that can be used for Medication-Assisted Treatment. Suboxone, Subutex, Sublocade and Vivitrol are used for opiate use disorder. Vivitrol, acamprosate and Antabuse are prescribed for alcohol use disorder as needed. We also offer nicotine replacement therapy to aid in smoking cessation.

Types of medication offered:

Buprenorphine/Suboxone:
The process of prescribing this medication includes assessing the needs of the patient, a physical examination, and lab work to ensure that the client is healthy. The patient will continue to receive counseling services and will receive education on the effects of Suboxone. This is a medication indicated for maintenance treatment of opioid dependence. This oral medication is a combination of Buprenorphine and Naltrexone. Buprenorphine is a partial opiate agonist that blocks other opioids from attaching to the opioid receptors in the brain. Naloxone is a medication used to reverse an overdose from opioids. It does this by knocking other opiates off the receptors in the brain, preventing the negative effects of the misused drug.

Campral:
Can reduce the desire to drink, and Antabuse (disulfiram), which treats problem drinking by creating an unpleasant reaction to alcohol, are also available.

Naltrexone (a.k.a. Vivitrol):
This medication is a once-a-month injection that aids in the reduction of cravings from alcohol and opiates. The process of prescribing this medication includes assessing the needs of the patient, a physical examination, and lab work to ensure that the client is healthy. The patient will continue to receive counseling services and will receive education on the reactions, effects and the process of the way this medication works to aid in the reduction of cravings.

Sublocade:
A monthly injectable form of buprenorphine used to treat moderate to severe opioid use disorders in people who have been stabilized on the Suboxone film.

Nicotine Replacement Therapy:
NRT includes assessing the needs of the patient and if necessary, prescribing certain medications that may aid in abstinence from nicotine such as: nicotine patches, lozenges, gum, and or other forms of medication that may reduce the desire for nicotine.

Methadone: Beginning on November 28, 2022

When it comes to recovery, no two paths are the same. The treatment offered at each CASA-Trinity location is based on the client’s needs with a goal to help create a healthier lifestyle for the individual. Our approach in all our programs is to treat the whole person and not just their substance use disorder.  In an effort to align with this approach we have recently opened an Integrated Care Opioid Treatment Center in Elmira, NY. 

Attached to our Outpatient Clinic, our Integrated Care Opioid Treatment Center offers Methadone as a Medication for Opioid Use Disorder (MOUD). Not only is MOUD one of the most researched medical treatments for any chronic disease in the world, but it is also the most researched treatment for substance use disorders. 

Facilitated by Medical Providers, clients will visit daily for their single dose medication as part of this treatment plan. Taken daily, methadone helps to fight cravings, reduce withdrawal, and assist clients in achieving their recovery goals.  

Open Monday – Saturday from 8am – 12pm | Phone: (607) 737-5215 | Fax: (607) 737-5219 Supervisor: Bailey O’Rourke | Email: borourke@casa-trinity.org