Medication Assisted Treatment
The disease of addiction is complex and chronic. There are a variety of treatment approaches and, as with many other diseases, there is not one single approach that works for everyone. Medication Assisted Treatment (MAT) provides relief to many individuals suffering with opioid use disorders and alcohol dependence. Janus offers all FDA-approved medications for the treatment of Opioid Use Disorder and Alcohol Use Disorder. These include: Methadone, Buprenorphine-Naloxone (Suboxone), and Naltrexone (Oral or Vivitrol Injection), Buprenorphine extended-release Injectables (Brixadi and Sublocade). It is understood that medication alone is not sufficient treatment and that participation in counseling is a required component of all treatment programs. The Janus treatment team offers a variety of individual and group counseling options.
Janus of Santa Cruz is accredited with the Council on Accreditation of Rehabilitation Facilities (CARF) and provides methadone as a medication-assisted treatment (MAT) for opioid dependent individuals in OTP clinics located in Santa Cruz and Watsonville. Janus OTP is committed to improving the lives of opioid dependent individuals using medication, counseling, education, case management and referral services. In addition to individual outpatient treatment, Janus strives to educate the community about opioid use disorder and substance use disorders in general and provide opioid overdose prevention through the training and provision of Naloxone (Narcan) to community organizations, individuals, and partner agencies.
Janus South County Clinic
284 Pennsylvania Drive, Suites 1 & 2
Watsonville, CA 95076
Phone: 831-319-4200
Fax: 831-319-4204
Business Hours
Monday through Friday 5:00 am –1:30 pm
Dosing Hours
Monday through Friday 5:00am –10:00am
Saturday & Sunday 6:00am –9:00am
Janus Santa Cruz Clinic
1000A Emeline Ave., Building A
Santa Cruz, CA 95060
Phone: 831-425-0112
Fax: 831-425-1847
Business Hours
Monday through Friday 5:30 am –2:00 pm
Dosing Hours
Monday through Friday 5:30am –12:30pm
Saturday & Sunday 6:30am –11:00am
Methadone
The standard and most widely used medication for opioid use disorders is Methadone. Methadone is a synthetic, long-acting opioid that eliminates withdrawal symptoms and decreases cravings, allowing the patient the ability to focus on repairing life issues and engage in healthy activities.
Operating under state and federal guidelines, this liquid medication is provided as an oral daily dose, supporting stabilization through regular interaction with the treatment team.
Patients attend counseling sessions and receive support and referrals in order to restore balance and order in their lives.
Methadone is covered by Medi-Cal, and we offer a sliding scale for cash paying patients.
Offered at:
Janus Community Clinic
1000A Emeline Ave., Santa Cruz
Janus South County
284 Pennsylvania Drive, Watsonville.
Suboxone
Dr. Morris, Janus’ Medical Director, is licensed to prescribe Buprenorphine (Suboxone), another option for the treatment of opioid dependence. Buprenorphine works by partially occupying opioid receptors to reduce cravings and prevent withdrawal symptoms. Counseling is a necessary component to assist clients in changing behaviors and regaining a productive and healthy lifestyle.
Buprenorphine is covered under the client’s pharmacy benefit or Medi-Cal, and we offer a sliding scale for cash paying patients.
Group and individual counseling services may covered under insurance. Suboxone and all other MAT Medications other than methadone are also prescribed in our residential programs.
All of our Medical Providers can prescribed MAT medications as indicated or requested. We also can order and administer Long-Acting injectables like (Brixadi and Sublocade).
Offered at:
Janus Community Clinic,
1000A Emeline Ave., Santa Cruz
Vivitrol
Naltrexone (Vivitrol) is a medication used in the treatment of alcoholism and opioid addiction. This medication can be used orally or administered once monthly by injection. With Naltrexone in the system, the client does not feel the euphoric, or pleasant, effects of opioids or alcohol. This medication reinforces a person’s resolve to remain drug-free by eliminating the positive reinforcement from using alcohol or opioids. Naltrexone is especially helpful to people who have attained some long-term abstinence, possibly by completing a residential treatment program. It is currently offered to some jail inmates prior to release to help prevent them from returning to drug use. Clients must be completely opioid-free in order to receive injection. Medi-Cal and some private insurance policies cover the cost of this medication. There are additional fees for medical services and counseling is required for clients receiving Naltrexone at Janus. All other MAT Medications other than methadone are also prescribed in our residential programs. All of our Medical Providers can prescribed MAT medications as indicated or requested.
Offered at:
Janus Community Clinic,
1000A Emeline Ave., Santa Cruz.
OTP Admissions
Janus OTP conducts admissions on Wednesdays at our South County Clinic and Tuesdays and Thursdays at our Santa Cruz Clinic. To begin the process, potential patients arrive at the clinic during business hours prior to the desired intake day and present:
-
a valid ID (receipt from DMV with valid dates can be accepted)
-
secondary form of ID (i.e. Medi-Cal card, bank card, etc.)
-
insurance information
Pre-admission paperwork is given as well as a lab form to have a required blood draw completed off-site at LabCorp. The signed lab form must be returned to initiate the scheduling of the intake appointment. At OTP North, patient can arrive anytime from 6:00am-8:30 am for open access intake if requesting methadone. Appointments are scheduled in special cases such as hospital transfers and pregnant patients.
The admission process can take 3-4 continuous hours. Upon arriving to the facility, a urine specimen and breathalyzer reading are collected. Do not use any substances or consume any alcohol past midnight the night prior to the appointment or admissions may be postponed for safety reasons. In addition, intake appointments include: a review of program policies and procedures, signing of consents, clinical and medical assessments, a physical exam, and observed dosing. Snacks and reading materials are allowed but not the use of any electronic devices to protect patient privacy. Any applicable fees are also due upon intake. Potential patients arriving late for their scheduled appointment time may be rescheduled for another date. Patients that arrive at North OTP after 8:30 are asked to return next day before 8:30 to complete their intake.
For OTP Patient Transfer, please contact clinic to schedule an intake. The following consent form lists the paperwork needed to transfer and can be printed and signed to facilitate your care - Section 425 – Attachment C – Medical Transfers Request
Courtesy (Guest) Dosing
For those OTP patients visiting the central coast from another MAT program, courtesy or guest dosing can be arranged. Please print and complete the following request form Section 425 – Attachment B – Temporary Transfer Request Courtesy Dose and keep in mind the following:
-
Courtesy dose request must be received 3 days prior to the start date and cannot begin on weekends or holidays
-
28 days maximum allowed
-
Must have a valid ID upon arrival
-
Medi-Cal (a printout of their eligibility must be faxed with request), and self-pay (credit card and cash only) is accepted. If dosing through the weekend, payment must be made in advance
-
If any day is missed during the courtesy dosing period, the courtesy dose is void and the patient must return to their home clinic
-
Take-homes are honored as long as the patient has a working lock box
-
Other courtesy dose request forms can be honored as long as they contain information comparable to what is noted in our request form
Payment Information
Current Patients
Janus OTP accepts cash, Medi-Cal and Medicare, and a variety of other insurances. Please call to inquire and seek authorization. Patients who are undocumented or struggling financially can receive financial assistance through grant funding as well.
Other helpful information inc. notice of privacy practices, Medi-Cal beneficiary handbook, and other Medi-Cal rights, forms, and instructions:
Our mission at Janus is to provide hopeful, supportive, and successful substance use disorder (SUD) treatment services to individuals and families on their journey towards wellness and recovery in a professional, compassionate environment. To that end, if outpatient treatment feels insufficient to address a person’s opioid dependency, referral to another Janus or substance use disorder program can be arranged. Staff also work closely with other community partners in the behavioral health and medical realm to best support our patients. Let us know what we can do to support you!
Get
Started
Today.