Opioid Clinic Licensing Delayed in Madison; Salem Launches New Program; Cleveland Considers Service Cuts

Cities and counties across the United States are grappling with important decisions regarding addiction treatment programs. In Madison, officials postponed a vote on licensing a new opioid addiction clinic after a resident raised concerns about its proximity to the high school. The clinic, proposed by Acadia Healthcare, aims to offer medication-assisted treatment for opioid use disorder. The debate centers around local ordinances and the interpretation of safe zones. While Acadia claims their application meets current requirements, the Select Board wants legal clarification about whether the site falls within a restricted area. Town officials expect to revisit the issue after consulting their attorney, and Acadia could open its Madison clinic in 2027 if approved.

Meanwhile, Salem city councilors unanimously decided to allocate $250,000 from opioid settlement funds for a new treatment and recovery program. The initiative will support people experiencing addiction by providing shelter, mental health, housing, and employment services. The funding comes from a nationwide settlement with pharmaceutical companies and will help launch a pilot program at a supportive housing development. The city has previously used opioid settlement dollars to support services for homeless residents and substance use prevention. Council members expressed the importance of using these funds to improve community health and safety.

In Cleveland, Cuyahoga County’s Alcohol, Drug Addiction and Mental Health Services Board (ADAMHS) faces a difficult financial situation. The Board already imposed significant cuts this year to help fund a new behavioral health crisis center, pledging millions for its launch. Now, it must choose between further reducing support for established service providers or cutting funding for the crisis center altogether. Many addiction and mental health agencies warn that deeper cuts could force them to scale back or close programs, including crisis response and housing services. Several organizations have already reduced staff or eliminated resources, and some programs that received increases are aimed at expanding addiction treatment for specific populations like women or youth. Leaders call for a balanced approach to ensure a full spectrum of behavioral health services remains available…

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