The Chittenden Clinic Medication Assisted Treatment Program (HUB) provides evidenced based outpatient treatment and pharmacotherapy (methadone and buprenorphine) to individuals who are dependent on opioids. Both medication maintenance therapy (MMT) and medically supervised withdrawals (MSW) are provided. Treatment services include the following:

Primary Services

• Referrals
• Intake/physical examination
• Blood work upon admission for HIV, STD’s, Hepatitis and complete blood count, EKG when indicated.
• On-site urinalysis screening. (initial and ongoing)
• Breathalyzer. (initial and ongoing)
• Medical evaluation and screening. (initial and ongoing)
• Assessment for opioid dependence and other drugs. (initial and ongoing)
• Induction/stabilization on medication
• Medication assisted maintenance therapy (methadone/buprenorphine)
• Pregnancy testing, and birth control education
• HIV and hepatitis education/referral for testing and/or on site testing
• TB testing
• Hepatitis A and B, Tdap, pneumovax vaccinations
• Daily medication management, education and administration (maintenance and medical withdrawal)
• Take home medication for those who meet eligibility requirement
• Drug and alcohol counseling/rehabilitative treatment planning (individual and group)
• Case Management (HUB related services)
• Orientation to treatment and recovery (introduction to OTP, physiology of addiction, overdose and relapse prevention, nutrition, communicable diseases)
• Gender specific issues (i.e., abuse issues, referral for supportive services, pregnant and post-partum issues)
• Clinical management for mental health counseling, medical concerns, psychiatric evaluation and treatment, family/parenting counseling, self-help groups, residential and aftercare. This may include referrals or, where deemed important for successful medication maintenance treatment, onsite treatment.
• Discharge planning and referral

We continue to be one of seven methadone clinics that serve opioid dependent individuals in Vermont. We are the sole provider of methadone maintenance therapy in Chittenden County. In addition to the seven methadone clinics, there are a number of providers, including HC, that are prescribing buprenorphine in the state. As one of the seven HUBS in the state, our focus is that of supporting those with more intensive needs. Once stabilized, we would transition patients receiving buprenorphine to a SPOKE provider, where they would receive medication from a physician prescribing buprenorphine and be referred to a Spoke clinician.

The Chittenden Clinic is open daily, seven days per week (including holidays). Our dosing hours are M-F from 6:00 a.m. to 11:00 a.m (SRD) and 6:00am to 10:00am (UHC) and 7:30 a.m. to 10:00 a.m. on weekends.

Individuals who are living with and in recovery from substance abuse and addiction.