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(Methadone or Buprenorphine Taper)

Long-Term Detox Program in Sacramento

The Long-Term Detox Program is a structured program utilizing methadone or buprenorphine over a six-month period. The goal is to first help the patient stabilize, then gradually taper off medication with clinical monitoring and recovery support.

A stabilization dose is achieved in the first few weeks of treatment. Patients remain on the stabilization dose for approximately three months and then gradually taper off the medication over the final three months.

Long-Term Detox Program

This program is designed for patients who need medication-supported stabilization but are working toward a planned taper. The structure gives patients time to reduce withdrawal symptoms, build recovery skills, participate in counseling, and prepare for the next stage of care.

The Long-Term Detox Program includes individual and group counseling, access to on-site groups, referral services, naloxone access, limited medical services, and discharge planning.

Because opioid recovery needs vary by patient, the treatment team helps evaluate whether long-term detox is clinically appropriate based on the patient’s history, stability, goals, and medical needs.

The Long-Term Detox Program focuses on the following recovery goals:

  1. 1.Medication-supported stabilization
  2. 2.Gradual taper with clinical oversight
  3. 3.Counseling, referrals, and discharge planning
Long-Term Detox Program

Stabilize first. Taper with support.

Long-term detox provides a structured six-month path using methadone or buprenorphine, counseling, referrals, and discharge planning.

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Other Benefits
Include:

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  • Structured six-month treatment plan
  • Stabilization support during the first phase of treatment
  • Gradual tapering during the final phase of treatment
  • Individual and group counseling support
  • Access to on-site groups
  • Referral services for ongoing needs
  • Narcan/naloxone access
  • Limited medical services
  • Discharge planning
  • Support for transition into long-term recovery

The Long-Term Detox Program includes, but is not limited to, the following services:

  1. 1.Medication-supported treatment utilizing methadone or buprenorphine over a 6-month period
  2. 2.A stabilization dose achieved in the first few weeks of treatment
  3. 3.Approximately 3 months on the stabilization dose
  4. 4.Gradual medication taper over the final 3 months
  5. 5.Individual counseling
  6. 6.Group counseling
  7. 7.Access to on-site groups
  8. 8.Referral services
  9. 9.Narcan/naloxone
  10. 10.Limited medical services
  11. 11.Discharge planning

Methadone Maintenance Program

  • A detailed history and physical exam
  • Urine drug screen testing and analysis (random and at least monthly)
  • HIV and Hepatitis C testing
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Buprenorphine Program

  • A detailed history and physical exam
  • Urine drug screen testing and analysis (random and at least monthly)
  • HIV and Hepatitis C testing
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Frequently Asked Questions

At C.O.R.E., we strive to individualize treatment and maximize success. There is no time pressure. Some patients do well with short-term treatment while others benefit from long-term treatment. We know relapse is common and can have devastating consequences, so we continue treatment as long as necessary to help each patient achieve lasting success.

We work hard to educate patients about the benefits and safety of MAT. Many myths exist regarding methadone and other medications, but these concerns are discussed thoroughly with your treatment team. MAT is closely monitored, and when patients are ready, medications can be tapered safely under medical supervision to minimize withdrawal symptoms.

We work closely with each patient to achieve a "normalizing" medication dose that relieves withdrawal symptoms and cravings while minimizing side effects. Through collaboration between medical providers, counselors, and dispensing staff, most patients reach this goal within days or weeks.

Your first visit includes an intake assessment, medical history, physical examination, and counseling evaluation. Together we'll discuss treatment options and develop an individualized care plan. Medication doses are adjusted carefully based on your response, and regular communication with your care team is encouraged.

Not necessarily. C.O.R.E. Medical Clinic serves patients throughout Sacramento, West Sacramento, and surrounding communities. Many patients choose us because of our accessibility, treatment approach, and convenient location.

Opioid withdrawal is extremely uncomfortable and often leads to continued opioid use without treatment. While opioid withdrawal itself is usually not life-threatening, withdrawal involving alcohol, benzodiazepines, stimulants, or other substances can require coordinated medical care. Our treatment program helps minimize withdrawal symptoms through carefully monitored medication adjustments.

Most patients can continue working and maintaining their normal daily routines while beginning treatment. If residential or coordinated medical care is necessary, temporary time away from work may be recommended. Our clinic hours are designed to accommodate the schedules of working patients whenever possible.

C.O.R.E. Medical Clinic accepts several insurance plans, including Medi-Cal, MHN, Anthem, Medicare, Humana, Kaiser Permanente, Optum, Blue Shield of California, Magellan Health, and Western Health Advantage.

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Content last updated August 27th, 2026 @ 5:36pm CDT

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