It is completely true that dozens of studies have been done on the ability of stabilized tolerant methadone patients are impaired by their dose in driving, operating machinery, etc and each study has shown that when the medication is not being mixed with other drugs or is not being taken by someone who has no tolerance (i.e., someone taking it recreationally once in awhile), there is no high, no euphoria and no cognitive impairment. I follow these stories as part of my work and have honestly never seen one where it did not later turn out to be either some other reason for the wreck, or the person was on multiple drugs that, in combination, caused the impairment. It may very well be the mother was tired for other reasons which had a tragic result when she chose to drive--but, how many have driven anyhow when they felt tired?
My one question here would be why, if she had been at the clinic for years, she had to go daily except sundays rather than having at least weekly takehomes? BY that time in treatment almost every state allows compliant, stable patient a minimum of weekly takehomes. But perhaps she was on a program, such as medicaid, that did not permit it in her state. I don't know. Seems odd though.
Interesting that medical patients, being treated for one of the hardest medical problems there are to treat,, have to make it to the facility between 6 and 9 am on saturday and sunday because we don't want the BOWLERS disturbed???? Exactly WHO goes bowling at those hours, anyhow--or for that matter, much before 11-12 o clock? I'm willing to bet the bowling alley attracts more people during the day than the clinic--do people in the area complain about THAT? It's nothing but another NIMBY excuse.
Nick, because MMT clinics are protected by the ADA--the Americans with Disabilities Acts--from being discriminated against in zoning ordinances, etc.
Regarding people "not being interested in counseling"--realize first that everyone at the clinic is there of their own free will to get better. NO one is there under court order, or threats from Employee Assistance Programs, probation, etc. These are people who WANT their lives to improve.
In addition, counseling for MMT patients is REQUIRED on at least a monthly basis. It is NOT required for people attending 12 step groups such as AA or NA--in fact they have no medical oversight at all--yet people welcome them into their communities and are happy to have them met in their churches, libraries, etc, despite the FACT that these folks are far far more likely to be actively using alcohol or illicit drugs.