Are Methadone Clinics Really “Evolving” Toward Harm Reduction?
November 25, 2025 by filtermag.org
Are Methadone Clinics Really “Evolving” Toward Harm Reduction?
The AATOD conference focused on evolving opioid treatment, acknowledging the need for change post-pandemic. Senator Norcross proposed altering methadone clinic regulations, but opposition persists. Clinics resist giving more take-home medication to maintain control and profits. SAMHSA's updated rules aim to increase patient retention and engagement, aligning with harm reduction principles. However, clinic systems' rigid structure challenges full harm reduction integration, emphasizing surveillance over patient autonomy. The DEA's role in clinics is questioned as the sector shifts towards patient-centered care. Despite incremental progress, the methadone industry remains resistant to fundamental changes. Efforts to align clinics with harm reduction principles face significant obstacles within the current treatment model.
