Methadone Clinics in Nevada

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Nevada Methadone Clinics and Treatment. Find a facility today.

Call (855) 274-2412 for 24/7 help with treatment.

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Methadone treatment plays a pivotal role in addressing opioid addiction, and within the unique landscape of Nevada, numerous specialized facilities cater to individuals seeking recovery from opioid dependence. Nevada, like many states in the U.S., grapples with the challenges posed by opioid abuse, prompting the establishment of dedicated Methadone rehab centers across the state.

Methadone clinics in Nevada serve as crucial hubs for those navigating the complex journey of addiction recovery. These facilities are designed to provide comprehensive care, employing evidence-based practices to address the specific needs of individuals struggling with Methadone addiction. From urban centers to more rural areas, Methadone treatment facilities are strategically located to ensure accessibility for those seeking assistance.

The specialized Methadone rehab centers in Nevada prioritize a multidisciplinary approach, combining medical expertise with counseling and behavioral therapies. This holistic methodology aims to address not only the physical aspects of addiction but also the psychological and social components that contribute to the cycle of substance abuse. Trained professionals at these clinics work collaboratively to tailor treatment plans to the unique circumstances and goals of each patient.

In addition to individualized counseling, Methadone treatment facilities often provide group therapy sessions, fostering a sense of community and shared experience among participants. This collective approach can be instrumental in breaking down the isolation that often accompanies addiction and encouraging individuals to build a supportive network during their recovery journey.

Furthermore, the state's Methadone clinics adhere to stringent regulations and quality standards, ensuring the safety and well-being of patients undergoing treatment. Licensed medical professionals oversee the administration of Methadone, a medication that helps manage withdrawal symptoms and cravings associated with opioid addiction. This pharmacological intervention, when combined with counseling and behavioral interventions, enhances the overall effectiveness of the treatment programs.

Methadone rehab centers in Nevada stand as essential pillars in the state's efforts to combat opioid addiction. Through their commitment to evidence-based practices and a patient-centered approach, these facilities play a vital role in supporting individuals as they work towards reclaiming their lives from the grips of Methadone dependence.

20 Methadone Clinics in Nevada

Center For Behavioral Health North Las Vegas - North Las Vegas, NV

Center For Behavioral Health North Las Vegas is a methadone treatment center in North Las Vegas, NV in the 89030 zip area.

Address: 2290 McDaniel Street, Suite 1-C, North Las Vegas, NV 89030 in Clark County

Services provided:

  • Accepts Medicaid
  • Brief intervention, matrix model and anger management
  • Intensive outpatient treatment, outpatient detox services and outpatient services
  • Buprenorphine detoxification, buprenorphine maintenance and methadone maintenance
  • Discharge Planning
  • Judicial clients, co-occurring mental health / addiction treatment and adult women
  • Methadone
  • Comprehensive substance use assessment

24/7 help with treatment

(888) 452-1294
Who Answers?

Department Of Veterans Affairs Va Sierra Nevada Healthcare System - Reno, NV

Department Of Veterans Affairs Va Sierra Nevada Healthcare System is a methadone clinic in Reno, NV in the 89502 zip area.

Address: 975 Kirman Avenue, Reno, NV 89502 in Washoe County

Services provided:

  • Relapse prevention from naltrexone, naltrexone administration and buprenorphine for pain management
  • Comprehensive mental health assessment
  • Anger management, brief intervention and motivational interviewing
  • Dual diagnosis treatment, adult women and vets
  • Outcome follow-up after discharge
  • Buprenorphine with naloxone (Ex. Suboxone)
  • Accepts Military insurance
  • Intensive outpatient treatment program, outpatient rehab and hospital inpatient detox

24/7 help with treatment

(844) 233-4788
Who Answers?

Life Change Center - Sparks, NV

Life Change Center is a methadone clinic in Sparks, NV in the 89431 zip area.

Address: 1755 Sullivan Lane, Sparks, NV 89431 in Washoe County

Services provided:

  • Co-occurring mental health / addiction treatment, rehab for pregnant women and people with trauma
  • Outpatient methadone/buprenorphine or naltrexone treatment, regular outpatient treatment and outpatient rehabilitation
  • Comprehensive mental health assessment
  • Buprenorphine without naloxone
  • Motivational interviewing, anger management and CBT
  • Aftercare/continuing care
  • Accepts Medicaid
  • Buprenorphine maintenance, naltrexone administration and prescribes suboxone

24/7 help with treatment

(866) 979-8605
Who Answers?

Nevada Integrated Behavioral Services Inc - Las Vegas, NV

Nevada Integrated Behavioral Services Inc is a methadone clinic in Las Vegas, NV in the 89104 zip area.

Address: 1721 East Charleston Boulevard, Las Vegas, NV 89104 in Clark County

Services provided:

  • Accepts cash or self-payment
  • Regular outpatient treatment, outpatient day treatment and outpatient methadone/buprenorphine or naltrexone treatment
  • Comprehensive substance use assessment
  • Counseling for substance abuse, 12 step rehabilitation and CBT
  • Aftercare/continuing care
  • Prescribes suboxone, relapse prevention from naltrexone and buprenorphine maintenance
  • LGBT clients, sexual abuse victims and adult men
  • Naltrexone (oral)

24/7 help with treatment

(888) 452-1294
Who Answers?

Carson City Community Counseling Center - Carson City, NV

Carson City Community Counseling Center is a methadone clinic in Carson City, NV in the 89701 zip area.

Address: 205 South Pratt Street, Carson City, NV 89701 in Carson City County

Services provided:

  • Accepts Federal, or any government funding for substance use programs
  • Buprenorphine with naloxone (Ex. Suboxone)
  • Adult men, dual diagnosis treatment and people with trauma
  • Outreach to persons in the community
  • 12 step rehabilitation, motivational interviewing and relapse prevention treatment
  • Buprenorphine maintenance, buprenorphine for pain management and naltrexone administration
  • Discharge Planning
  • Regular outpatient treatment, outpatient rehabilitation and outpatient detoxification

24/7 help with treatment

(844) 233-4788
Who Answers?

Center For Behavioral Health Reno - Reno, NV

Center For Behavioral Health Reno is a methadone clinic in Reno, Nevada in the 89502 zip area.

Address: 160 Hubbard Way, Suite A, Reno, NV 89502 in Washoe County

Services provided:

  • Co-occurring mental health / addiction treatment, pregnant and postpartum women and judicial clients
  • Methadone
  • Accepts Medicaid
  • Matrix model, motivational incentives and 12-step rehab
  • Methadone maintenance, methadone detox and buprenorphine maintenance
  • Aftercare/continuing care
  • Regular outpatient treatment, outpatient treatment and outpatient detox services
  • Outreach to persons in the community

24/7 help with treatment

(866) 979-8605
Who Answers?

Life Change Center - Carson City, NV

Life Change Center is a methadone treatment center in Carson City, NV in the 89701 zip area.

Address: 1201 North Stewart Street , Suite 120, Carson City, NV 89701 in Carson City County

Services provided:

  • Counseling for trauma victims, 12-step rehab and motivational interviewing
  • Outpatient services, outpatient methadone/buprenorphine or naltrexone treatment and regular outpatient treatment
  • Pregnant and postpartum women and dual diagnosis treatment
  • Outreach to persons in the community
  • Methadone
  • Aftercare/continuing care
  • Accepts Federal, or any government funding for substance use programs
  • Naltrexone administration, relapse prevention from naltrexone and buprenorphine maintenance

24/7 help with treatment

(888) 452-1294
Who Answers?

Quest Counseling And Consulting - Reno, NV

Quest Counseling And Consulting is a methadone clinic in Reno, Nevada in the 89509 zip area.

Address: 3500 Lakeside Court, Suite 101, Reno, NV 89509 in Washoe County

Services provided:

  • Comprehensive substance use assessment
  • Co-occurring substance abuse and pain treatment, people with trauma and rehab for teenagers
  • Accepts private health insurance
  • 12 step rehabilitation, trauma counseling and counseling for substance abuse
  • Buprenorphine without naloxone
  • Long term residential rehab, residential treatment and intensive outpatient treatment program
  • Relapse prevention from naltrexone, buprenorphine maintenance and prescribes suboxone
  • Naloxone and overdose education

24/7 help with treatment

(844) 233-4788
Who Answers?

Center For Behavioral Health Las Vegas - Las Vegas, NV

Center For Behavioral Health Las Vegas is a methadone clinic in Las Vegas, Nevada in the 89121 zip area.

Address: 3050 East Desert Inn Road, Suite 116, Las Vegas, NV 89121 in Clark County

Services provided:

  • Outpatient detox, outpatient methadone/buprenorphine or naltrexone treatment and intensive outpatient treatment
  • Outcome follow-up after discharge
  • Adult women, pregnant and postpartum women and co-occurring mental health / addiction treatment
  • Acamprosate (Campral)
  • Relapse prevention, motivational incentives and counseling for substance abuse
  • Accepts State-financed health insurance plan other than Medicaid
  • Outreach to persons in the community
  • Methadone maintenance, buprenorphine maintenance and buprenorphine detox

24/7 help with treatment

(866) 979-8605
Who Answers?

Mission Treatment Centers Inc - Las Vegas, NV

Mission Treatment Centers Inc is a methadone clinic in Las Vegas, NV in the 89109 zip area.

Address: 2887 South Maryland Parkway, Las Vegas, NV 89109 in Clark County

Services provided:

  • Outcome follow-up after discharge
  • Regular outpatient treatment, outpatient rehab and outpatient methadone/buprenorphine or naltrexone treatment
  • Accepts Medicaid
  • Outreach to persons in the community
  • Relapse prevention treatment, CBT and motivational interviewing
  • Methadone maintenance
  • Methadone

24/7 help with treatment

(888) 452-1294
Who Answers?

New Beginnings Counseling Centers - Las Vegas, NV

New Beginnings Counseling Centers is a methadone clinic in Las Vegas, Nevada in the 89121 zip area.

Address: 3675 Pecos McLeod , Suite 900, Las Vegas, NV 89121 in Clark County

Services provided:

  • Buprenorphine maintenance, buprenorphine detoxification and methadone detoxification
  • Accepts Medicaid
  • Aftercare/continuing care
  • Counseling for substance abuse, relapse prevention and trauma counseling
  • Comprehensive substance use assessment
  • Adult women, co-occurring substance abuse and pain treatment and people with HIV or AIDS
  • Methadone
  • Intensive outpatient treatment, regular outpatient treatment and outpatient detox services

24/7 help with treatment

(844) 233-4788
Who Answers?

Dr Miriam/sheldon G Adelson Adelson Drug Abuse Treatment/research Inc - Las Vegas, NV

Dr Miriam/sheldon G Adelson Adelson Drug Abuse Treatment/research Inc is a methadone treatment center in Las Vegas, NV in the 89169 zip area.

Address: 3661 South Maryland Parkway, Suite 64, Las Vegas, NV 89169 in Clark County

Services provided:

  • Methadone
  • Outpatient methadone/buprenorphine or naltrexone treatment, regular outpatient treatment and outpatient treatment
  • CBT, counseling for substance abuse and rational emotive behavioral therapy
  • Outcome follow-up after discharge
  • Interim services for clients
  • Rehab for teenagers, adult women and rehab for pregnant women
  • Accepts private health insurance
  • Methadone maintenance and methadone detox

24/7 help with treatment

(866) 979-8605
Who Answers?

Mission Treatment Centers Inc - Henderson, NV

Mission Treatment Centers Inc is a methadone treatment center in Henderson, NV in the 89011 zip area.

Address: 1536 North Boulder Highway, Henderson, NV 89011 in Clark County

Services provided:

  • Accepts State-financed health insurance plan other than Medicaid
  • Methadone
  • Methadone maintenance
  • Anger management, brief intervention and motivational interviewing
  • Outpatient rehab, regular outpatient treatment and outpatient methadone/buprenorphine or naltrexone treatment
  • Aftercare/continuing care
  • Pregnant and postpartum women
  • Interim services for clients

24/7 help with treatment

(888) 452-1294
Who Answers?

Va Southern Nevada Hcs Las Vegas Va Outpatient Clinic - North Las Vegas, NV

Va Southern Nevada Hcs Las Vegas Va Outpatient Clinic is a methadone clinic in North Las Vegas, Nevada in the 89086 zip area.

Address: 6900 North Pecos Road, North Las Vegas, NV 89086 in Clark County

Services provided:

  • Outcome follow-up after discharge
  • Buprenorphine detox, suboxone prescription and buprenorphine for pain management
  • Anger management, DBT and matrix model
  • Sexual abuse victims, seniors and older adults and judicial clients
  • Lofexidine
  • Outreach to persons in the community
  • Accepts Medicaid
  • Outpatient methadone/buprenorphine or naltrexone treatment, hospital inpatient treatment and IOT

24/7 help with treatment

(844) 233-4788
Who Answers?

Desert Treatment Clinic - Henderson, NV

Desert Treatment Clinic is a methadone clinic in Henderson, Nevada in the 89014 zip area.

Address: 1546 West Warm Springs Road, Suite 110, Henderson, NV 89014 in Clark County

Services provided:

  • Outcome follow-up after discharge
  • Relapse prevention, motivational interviewing and substance use counseling approach
  • Accepts Medicaid
  • Co-occurring mental health / addiction treatment, rehab for pregnant women and rehab for seniors
  • Outpatient methadone/buprenorphine or naltrexone treatment, regular outpatient treatment and outpatient detox
  • Methadone
  • Comprehensive substance use assessment
  • Methadone detoxification and methadone maintenance

24/7 help with treatment

(866) 979-8605
Who Answers?

Mind Body Solutions - Las Vegas, NV

Mind Body Solutions is a methadone treatment center in Las Vegas, Nevada in the 89146 zip area.

Address: 2725 South Jones Boulevard, Suite 104, Las Vegas, NV 89146 in Clark County

Services provided:

  • Brief intervention, cognitive behavioral therapy and counseling for substance abuse
  • Regular outpatient treatment, outpatient detox and outpatient treatment
  • Outcome follow-up after discharge
  • Accepts Medicare
  • Comprehensive mental health assessment
  • Medications for psychiatric disorders
  • Prescribes suboxone, buprenorphine detox and buprenorphine maintenance

24/7 help with treatment

(888) 452-1294
Who Answers?

New Dawn Treatment Center - Reno, NV

New Dawn Treatment Center is a methadone clinic in Reno, Nevada in the 89521 zip area.

Address: 10585 Double R Boulevard , Suite 200, Reno, NV 89521 in Washoe County

Services provided:

  • Accepts cash or self-payment
  • People with trauma, dual diagnosis treatment and sexual abuse victims
  • Medications for psychiatric disorders
  • Outpatient methadone/buprenorphine or naltrexone treatment, IOT and regular outpatient treatment
  • Interim services for clients
  • Matrix model, motivational interviewing and cognitive behavioral therapy
  • Suboxone prescription, buprenorphine maintenance and buprenorphine detox
  • Aftercare/continuing care

24/7 help with treatment

(844) 233-4788
Who Answers?

Vitality Center Residential Treatment - Elko, NV

Vitality Center Residential Treatment is a methadone clinic in Elko, NV in the 89801 zip area.

Address: 3740 East Idaho Street, Elko, NV 89801 in Elko County

Services provided:

  • Buprenorphine without naloxone
  • Sexual abuse victims, judicial clients and co-occurring mental health / addiction treatment
  • Long-term residential treatment, outpatient methadone/buprenorphine or naltrexone treatment and outpatient detoxification
  • In-network prescribing entity
  • DBT, substance use counseling approach and counseling for trauma victims
  • Prescribes suboxone, buprenorphine detox and relapse prevention from naltrexone
  • Accepts cash or self-payment
  • Outcome follow-up after discharge
  • Outreach to persons in the community

24/7 help with treatment

(866) 979-8605
Who Answers?

Michael S Levy Do Dfasam Center For Addiction Medicine - Las Vegas, NV

Michael S Levy Do Dfasam Center For Addiction Medicine is a methadone treatment center in Las Vegas, Nevada in the 89103 zip area.

Address: 4445 South Jones Boulevard, Suite 3, Las Vegas, NV 89103 in Clark County

Services provided:

  • Discharge Planning
  • Accepts private health insurance
  • Matrix model, motivational interviewing and relapse prevention
  • Comprehensive substance use assessment
  • Outpatient detox, outpatient rehab and regular outpatient treatment
  • Naltrexone (oral)
  • Relapse prevention from naltrexone, prescribes suboxone and administers naltrexone

24/7 help with treatment

(888) 452-1294
Who Answers?

Las Vegas Recovery Center - Las Vegas, NV

Las Vegas Recovery Center is a methadone treatment center in Las Vegas, Nevada in the 89129 zip area.

Address: 3371 North Buffalo Drive, Las Vegas, NV 89129 in Clark County

Services provided:

  • Methadone
  • Outcome follow-up after discharge
  • Interim services for clients
  • People with trauma, veterans and judicial clients
  • Short term rehab, outpatient rehabilitation and residential long term treatment
  • Relapse prevention, dialectical behavior therapy and matrix model
  • Accepts cash or self-payment
  • Administers naltrexone, relapse prevention from naltrexone and buprenorphine detoxification
  • Other contracted prescribing entity

24/7 help with treatment

(844) 233-4788
Who Answers?

Browse Methadone Clinics in Nevada by City or County:

Treatment Process for Methadone Addiction in Nevada Rehab Centers

Understanding Methadone Addiction

Methadone is a synthetic opioid used for pain management and, more commonly, in the treatment of opioid addiction, particularly for individuals struggling with heroin dependence. In Nevada, the prevalence of opioid addiction has prompted the establishment of specialized rehab centers that focus on helping individuals overcome methadone addiction.

Initial Assessment and Intake

The treatment process typically begins with an initial assessment and intake at the rehab center. This step is crucial in understanding the individual's medical history, the severity of the methadone addiction, and any co-occurring mental health issues. In Nevada, rehab centers prioritize a comprehensive evaluation to tailor the treatment plan to the specific needs of each patient.

Medical Detoxification

For individuals addicted to methadone, medical detoxification is often the next step. This phase involves the gradual reduction of methadone dosage under medical supervision to minimize withdrawal symptoms. Nevada rehab centers emphasize the importance of medical oversight during detox to ensure the safety and well-being of the individual throughout the process.

Individualized Treatment Plans

Following detox, Nevada rehab centers develop individualized treatment plans that address the unique needs and challenges of each patient. These plans often incorporate a combination of evidence-based therapies, counseling, and support groups. The goal is to provide a holistic approach to recovery, focusing not only on the physical aspects of addiction but also on the psychological and social factors contributing to substance abuse.

Behavioral Therapy

Behavioral therapy plays a central role in the treatment process for methadone addiction. In Nevada rehab centers, various therapeutic approaches, such as cognitive-behavioral therapy (CBT) and contingency management, are commonly employed. These therapies aim to identify and modify maladaptive behaviors, teach coping mechanisms, and foster healthier thought patterns.

Group Therapy and Support

Group therapy is a key component of methadone addiction treatment in Nevada rehab centers. Participating in group sessions allows individuals to connect with peers facing similar challenges, share experiences, and provide mutual support. The group dynamic fosters a sense of community and reduces feelings of isolation, promoting a supportive environment for recovery.

Medication-Assisted Treatment (MAT)

Medication-Assisted Treatment (MAT) is often integrated into the treatment plans for methadone addiction in Nevada. Medications like buprenorphine or naltrexone may be prescribed to help manage cravings and prevent relapse. MAT is administered under strict medical supervision and is part of a comprehensive approach to address both the physical and psychological aspects of addiction.

Dual Diagnosis Treatment

Many individuals struggling with methadone addiction also experience co-occurring mental health disorders. Nevada rehab centers recognize the importance of addressing these dual diagnoses simultaneously. Integrated treatment plans aim to provide specialized care that targets both substance use disorder and any underlying mental health conditions.

Aftercare Planning and Support

As individuals progress through their treatment plans, Nevada rehab centers prioritize aftercare planning to support sustained recovery. This may include continued counseling, participation in support groups, and assistance in establishing a network of resources for ongoing support. Aftercare is crucial in helping individuals navigate the challenges of returning to their daily lives while maintaining their recovery.

Holistic Therapies

Nevada rehab centers often incorporate holistic therapies to complement traditional treatment methods. Activities such as yoga, meditation, and art therapy are integrated to promote overall well-being and address the mind-body connection. These holistic approaches contribute to a more comprehensive and personalized recovery experience.

Family Involvement

Recognizing the impact of addiction on families, Nevada rehab centers encourage family involvement in the treatment process. Family therapy sessions provide a platform for open communication, education about addiction, and the development of a supportive family environment that enhances the individual's chances of long-term recovery.

Ongoing Monitoring and Adjustments

Throughout the treatment process, Nevada rehab centers implement ongoing monitoring and make adjustments to the treatment plan as needed. Regular assessments ensure that the individual's progress is tracked, and modifications are made to address any emerging challenges or evolving needs.

Community Resources and Integration

Nevada rehab centers actively collaborate with community resources to facilitate a seamless transition for individuals completing their treatment. Connecting individuals with local support groups, vocational training programs, and other community-based services enhances their ability to reintegrate into society and maintain a substance-free lifestyle.

10 Frequently Asked Questions about Methadone Addiction Treatment in Nevada

1. What is the prevalence of methadone addiction in Nevada?

In Nevada, the prevalence of methadone addiction is a significant concern, mirroring the broader opioid epidemic in the United States. According to state health data, the opioid crisis has affected many communities, with methadone addiction being one of the substances of concern. The state has witnessed a rise in opioid-related overdoses, prompting the need for specialized treatment centers that focus on methadone addiction.

2. How do I know if I or a loved one is struggling with methadone addiction?

Recognizing methadone addiction involves being aware of certain signs and symptoms. These may include persistent cravings for methadone, increased tolerance, withdrawal symptoms when not using the drug, neglect of responsibilities, and social withdrawal. In Nevada, local health agencies and rehab centers offer resources to educate the public on identifying and addressing the signs of methadone addiction.

3. What is the first step in seeking treatment for methadone addiction in Nevada?

The initial step in seeking treatment for methadone addiction in Nevada is reaching out to a healthcare professional or a specialized rehab center. Individuals can contact the Nevada Division of Public and Behavioral Health for information on available treatment options. The state emphasizes the importance of early intervention and provides resources to guide individuals and their families through the process of seeking help.

4. Is detoxification part of the methadone addiction treatment process in Nevada?

Yes, detoxification is a crucial component of methadone addiction treatment in Nevada. Medical detox is often recommended to safely manage the withdrawal symptoms associated with methadone cessation. Nevada rehab centers prioritize the well-being of individuals during this phase, providing medical supervision to ensure a gradual and controlled reduction of methadone dosage.

5. What types of therapies are used in methadone addiction treatment in Nevada?

Nevada rehab centers employ a variety of evidence-based therapies in the treatment of methadone addiction. Cognitive-behavioral therapy (CBT), contingency management, and motivational enhancement therapy are commonly used to address the psychological aspects of addiction. Individual and group therapy sessions are integral to the treatment process, fostering a supportive environment for individuals to explore and overcome the underlying issues contributing to their addiction.

6. Can medication-assisted treatment (MAT) be part of methadone addiction treatment in Nevada?

Yes, medication-assisted treatment (MAT) is often integrated into the treatment plans for methadone addiction in Nevada. Medications such as buprenorphine or naltrexone may be prescribed to help manage cravings and prevent relapse. MAT is administered under strict medical supervision, with healthcare professionals closely monitoring the individual's response to medication.

7. Are there specialized programs for dual diagnosis in Nevada rehab centers?

Yes, Nevada rehab centers recognize the prevalence of co-occurring mental health disorders among individuals with methadone addiction. Dual diagnosis treatment programs are designed to address both substance use disorder and mental health conditions simultaneously. This integrated approach ensures a comprehensive and tailored treatment plan to meet the unique needs of each individual.

8. How does aftercare support work in methadone addiction treatment in Nevada?

Aftercare support is a critical component of methadone addiction treatment in Nevada. Rehab centers develop aftercare plans that may include continued counseling, participation in support groups, and assistance in accessing community resources. These plans are personalized to the individual's needs and aim to provide ongoing support as they transition back into their daily lives.

9. Are there community resources available to support individuals after completing methadone addiction treatment in Nevada?

Yes, Nevada rehab centers actively collaborate with community resources to facilitate a smooth transition for individuals completing their methadone addiction treatment. Connecting individuals with local support groups, vocational training programs, and other community-based services enhances their ability to reintegrate into society and maintain a substance-free lifestyle.

10. How can families be involved in the methadone addiction treatment process in Nevada?

Recognizing the impact of addiction on families, Nevada rehab centers encourage family involvement in the treatment process. Family therapy sessions provide a platform for open communication, education about addiction, and the development of a supportive family environment. Involving families in the treatment process enhances the individual's chances of long-term recovery and provides a vital support system during the journey to overcoming methadone addiction.

Other Addiction Treatment in Nevada