Pubdate: Sun, 01 Jun 2003 Source: Sunday Gazette-Mail (WV) Copyright: 2003, Sunday Gazette-Mail Contact: http://sundaygazettemail.com/ Details: http://www.mapinc.org/media/1404 Author: Tara Tuckwiller, Staff Writer Referenced: http://www.mapinc.org/drugnews/v03/n769/a08.html Bookmark: http://www.mapinc.org/find?136 (Methadone) CITIES SURPRISED BY METHADONE CLINICS But Mercer County needs one, its health director says Sixteen months ago, the state gave permission for a for-profit methadone clinic to open in the Northern Panhandle. Dean Harris, the mayor of Weirton - where the clinic is scheduled to open by the end of the summer - said nobody informed him. The first he heard about it was from news reporters, who started calling him after a Sunday Gazette-Mail article last week mentioned National Specialty Clinics' plans to sell methadone in Weirton. Harris isn't sure the city wants the clinic. "We're trying to make Weirton attractive" to businesses, he said. He wonders whether the clinic - which NSC says will attract drug addicts from seven West Virginia counties and five Ohio counties - will encourage those addicts to settle in Weirton. "We want to be regional," Harris said. "But I'm not sure this is the kind of regional we want to be." Government officials in Lewisburg, Mineral County and Mercer County - where NSC plans to open more methadone clinics - hadn't heard about the clinics, either. In Lewisburg, the mayor's receptionist said she got "calls after calls after calls" from people wanting to know what was going on, after the Sunday Gazette-Mail article said that NSC plans to open that clinic shortly after the Weirton clinic. That was the first Lewisburg officials had heard of it. NSC has opened six methadone clinics in West Virginia since 2001. The clinics sell methadone, a synthetic narcotic, mostly to OxyContin addicts. The clinics charge about $12 a day for the methadone, which is much cheaper than the illegal drugs the methadone replaces. Methadone-treatment advocates point to research that shows that addicts who undergo methadone treatment - perhaps staying on methadone for life - are much more likely to stay off illegal drugs. The Charleston clinic alone netted $1.4 million in profits for NSC last year, according to financial information NSC is required to file with the state. The business owes its success to Southern West Virginia's high rate of OxyContin abuse. "Off the top of my head, it does not sound particularly enticing that we possibly have OxyContin addicts in West Virginia," Lewisburg Mayor DeEtta King Hunter said. "It doesn't speak well of West Virginia, yet again." A cluster of clinics Another corporation, which operates two methadone clinics in southwest Virginia, asked the state Health Care Authority two years ago for permission to open one in Beckley. NSC now has its own methadone clinic in Beckley. The Virginia corporation, Galax Treatment Center Inc., "is not currently pursuing that" Beckley clinic, said marketing director Deborah May. Meanwhile, NSC has asked the state for permission to open a methadone clinic in Mercer County - 35 miles away from one of Galax's clinics. The new NSC clinic would attract 82 addicts each year, from four West Virginia counties (Mercer, McDowell, Summers and Monroe) and four Virginia counties (Bland, Giles, Pulaski and Wythe), NSC told the state. One of Galax's two Virginia clinics is a 35-mile drive from the Mercer County city of Bluefield. The other is a 70-mile drive from Bluefield. The clinics are located in counties that border on Mercer, Bland and Wythe counties. In its application to the state, NSC said that methadone treatment "is not provided by any existing provider in the service area." May said her corporation's clinics do cover that exact area. One has been dispensing methadone for three years, and the other for two years. But not all methadone customers can drive, said Kathy Wides, Mercer County's health director. And they must go to the clinic every day to drink their doses, at least at first. "If you don't have a car and you have to get a neighbor or friend to take you every day, that can be a real obstacle," Wides said. "And there's no public transportation [in Southern West Virginia]. You can't catch a train or an inner-city bus." Wides also is an emergency room doctor at Bluefield Regional Medical Center, and medical director of Mercer Health Right, a clinic for low- income people. She thinks the county "absolutely can use" a methadone clinic. "I'm sorry that we need it," she said. "But, like all of the Southern West Virginia counties and Appalachian communities, we've been hit pretty hard with the abuse of OxyContin and Lortab," another prescription narcotic. "I work in the emergency department, so I see it firsthand ... [Addicts] come to me, frankly, looking for drugs." Many addicts looking for help approach Health Right, Wides said. "We have people who could undergo detox, were there a closer facility, because these people don't have their own cars. "We've had more than a couple people who said, 'You know, I'd do it, if I could get there.'" - --- MAP posted-by: Richard Lake