Suboxone Treatment

Opiate addiction has reached epidemic proportions in Ohio and in our community. Families are struggling and people are suffering. Death rates are rising and the lack of coordinated, accessible services specific to opiate addiction is a barrier to making recovery possible. Signature Health is taking action with the launch of our new Suboxone Program.


Opiate addiction is a disease that is chronic, progressive, and often fatal. Suboxone is a treatment method for long term opiate addiction. Use of this medication in combination with comprehensive treatment services allows individuals to function effectively without intoxication, impairment, or fear of withdrawal symptoms. Suboxone treatment is provided conjunctively with a full array of outpatient and/or residential services. Treatment is collaborative and individualized. Involvement of family or other support persons is essential to achieving a successful outcome.  


The goal of treatment is to reach and maintain the best possible level of functioning while working toward a drug and alcohol free lifestyle.

Outpatient Services (Mental Health, Dual Diagnosis, and Substance Abuse):

Counseling (individual, family, marital)
Case Management
Intensive Outpatient Program (day and evening)
Lab Services
Primary Medicine

Residential Services:

Residential services are available to those individuals who need a higher level of care, or for whom outpatient services have not been successful. Bridgeview Manor is a 16 bed, dual diagnosis facilities providing services to Medicaid eligible males who are 21 years old or older. Residents of any county in Ohio are eligible.

For more information on residential services, contact:
Jeannelle E. Mitchell, RN, BSN, LICDC, Director
440-953-9999, option 8

Treatment Process:

Week 1: Evaluation
After the client's initial phone call, a medical evalutation, CD assessment and psychiatric evaluation will be scheduled. The client will be assigned to a treatment team consisting of a CD case manager, therapist and physician. The date of induction will be scheduled.

Week 2: Induction
All inductions will occur on Mondays. During the week of induction, the client will be at Signature Health from 9:00am - 3:00pm, Monday through Friday. From 9:00am - 12:00pm, the client will be monitored for Suboxone tolerance before attending our Intensive Outpatient Program (IOP) from 12:00pm - 3:00pm. Suboxone will be picked up daily and the client will be required to complete 3-5 urine screens throughout the week.

Week 3-16: Stabilization
During this phase of treatment, the client will attend either daytime (12:00pm - 3:00pm) or evening (6:00pm - 9:00pm) Intensive Outpatient Program (IOP) sessions 3 days a week. In addition to IOP, the client will meet with their phsycian once a week (or biweekly, as determined by treatment team). Nurse assessments, urine screens and medication counts will be completed weekly. The client will also be required to attend at least 4 community based self-help groups weekly to help maintain their sobriety. Once stable, the client and treatment team may meet to determine if Suboxone can be picked up on a biweekly basis.

Week 17-52: Maintenance
In the final phase of treatment, the client will attend a weekly Aftercare program as well as continuing to attend 4 community based self-help groups a week. Medications will be picked up on a biweekly basis and the client will comply with monthly urine screens. Additionally, the client and treatment team will collaborate to determine what level of continuing outpatient services are necessary.

Admission Criteria:

1. Must be 18 years or older
2. Diagnosis of Opiate Dependence
3. Established residence within 50 miles of treatment facility
4. Willing to participate in all treatment services
5. Not allergic to Suboxone
6. Medically stable
7. Stable on psychiatric medications

For more information or to make a referral, contact:

Willoughby:     Maria Tomcany, LPN
                            440.953.9999 ext. 176

Garfield:            David Carter-Plake, LPN, CDCA-PRE
                            216.663.6100 ext. 132

      Carol Krotzer,  RN
                            440.992.8552 ext. 112


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