FAQ on MAT

Is WeCare Daily Clinics a supervised injection site?

No. WCDC is not a supervised injection site (SIF), which are currently not legal under U.S. law.

However, our facility offers a safe, comfortable environment that promotes a path toward drug free living using Medication Assisted Treatment (MAT) and a custom plan for every patient.

What is the difference between what happens at WCDC and at a supervised injection site?

A supervised injection site (SIF), also known as a supervised use facility, provides a secure location for individuals to consume or use drugs. Professionals are on hand to administer first aid and monitor for overdoses. SIFs are primarily focused on harm reduction and reducing fatalities.

WCDC does not permit the use of illicit substances or opioid-based medication on site. Instead, licensed medical professionals administer FDA-approved medications to those in our care. With the help of these medicines, behavioral health counseling, and other patient-focused services, WCDC provides a pathway to recovery and cessation.

What is the experience of the established locations?

 

The Muckleshoot Indian Tribes ongoing collaboration with the University of Washington, has already helped the Tribe develop one of the country’s leading Office Based Opioid Treatment Programs serving AI/AN. The Tribe hosts a yearly “Opiate Symposium” for medical and chemical dependency professionals from Alaska and Northwest Tribes and Tribal Councils & Executive Leaders are actively involved in an Anti-Drug Task Force, dedicating significant funds and resources to take on this Tribal and local epidemic.

What positives accrue and how do you measure success? What is the recovery rate vs recidivism ratio?

Measurement of success in treating addiction is generally based on an individual’s needs and goals as structured within their unique care plan for recovery. One measure of success will be for patients to achieve the goals and objectives specified in their plan of care activities. This may include their ability to regain meaningful employment or possibly rebuild familial relationships.

Like other chronic diseases, addiction often involves cycles of relapse and remission. Because of the progressive nature of addiction, disability or premature death often result if an individual is not able to access treatment or engage in appropriate recovery activities.

Medication-Assisted Treatment cuts the risk of death from overdose in half compared to people in counseling alone, or not in treatment.3

* 3 Source: Pierce, M., Bird, S. M., Hickman, M., Marsden, J., Dunn, G., Jones, A., and Millar, T. (2016) Impact of treatment for

Medication Assisted Treatment is the Medical Standard of Care for the treatment of opioid use disorder and is the single most effective treatment according to the FDA.

Of the 20 patients participating in the study referenced in the figure below, all participated in behavioral health counseling, but only 10 received the FDA-approved medication. Of those who received both the medication and the behavioral health counseling, 75% were retained in the first year and tested negative for drugs during that year. Unfortunately, the study ended short because 20% of the patients who did not receive the medication had died in the first year. 100% of the patients who did not receive the medication relapsed (shown in red on the diagram).

What positives accrue and how do you measure success? What is the recovery rate vs recidivism ratio?

We Care Daily Clinic will save lives and offer increased access to care for people who want to recover from opioid use disorder. Our goal is to provide the best quality service and care for our patients and members of the greater Auburn community.