Are you or a loved one struggling with addiction in Sevier County? If so, you’ve likely heard of Medication-Assisted Treatment (MAT) as a potential recovery option. But with so much conflicting information available, it can be difficult to separate myth from fact when considering this evidence-based approach to treating substance use disorders.
At Restoration House Ministries, we understand the challenges faced by individuals and families dealing with substance abuse in our Smoky Mountain communities. Our team of experienced physicians, nurse practitioners, and therapists is committed to providing accurate information about evidence-based treatment options, including MAT, to help you make informed decisions about your recovery journey.
What is Medication-Assisted Treatment (MAT)?
Medication-Assisted Treatment (MAT) is an integrated treatment approach that combines FDA-approved medications with counseling and behavioral therapies to treat substance use disorders, particularly opioid use disorder and alcohol use disorder. This comprehensive approach addresses both the physical and psychological aspects of addiction, providing a more holistic path to recovery.
The Food and Drug Administration (FDA) has approved several medications for MAT, including:
- For opioid use disorder: Methadone, buprenorphine (including Suboxone), and naltrexone
- For alcohol use disorder: Naltrexone, disulfiram, and acamprosate
Unlike approaches that rely solely on abstinence or therapy alone, MAT recognizes addiction as a chronic brain disease with biological components. The medications used in MAT work to:
- Normalize brain chemistry disrupted by substance use
- Block the euphoric effects of alcohol and opioids
- Relieve physiological cravings
- Normalize body functions without the negative effects of the substance used
As Dr. Mark Ernest, our Chief Medical Director at Restoration House Ministries explains, “MAT is not simply substituting one drug for another. These medications are prescribed and monitored by healthcare providers to help restore balance to brain chemistry that has been altered by substance use.”
The Science Behind MAT
Research consistently demonstrates that MAT is a highly effective approach for treating substance use disorders. According to the National Institutes of Health and the Substance Abuse and Mental Health Services Administration (SAMHSA), this evidence-based approach has been shown to:
- Improve patient survival rates
- Decrease risk of opioid overdose
- Increase retention in treatment programs
- Decrease illicit drug use and criminal activity
- Increase patients’ ability to gain and maintain employment
- Improve birth outcomes for pregnant women with substance use disorders
- Reduce risk of contracting infectious diseases like hepatitis C and HIV
Multiple randomized controlled trials and systematic reviews have confirmed the efficacy of MAT. The pharmacology behind these medications is well-understood by the medical community. For example, methadone and buprenorphine (a partial agonist) work by binding to the same opioid receptors in the brain that are targeted by drugs like heroin or prescription opioids such as oxycodone. However, they do so in a controlled, regulated manner that eliminates euphoria while preventing withdrawal symptoms.
Naltrexone works differently as an opioid receptor antagonist, blocking the effects of opioids entirely. This pharmacological approach helps reduce cravings and prevents the reinforcement cycle that drives continued use.
Common Myths vs. Facts About MAT
Despite strong scientific evidence supporting MAT, several persistent myths continue to create barriers to this effective treatment approach. Let’s address some of the most common misconceptions:
Myth 1: MAT just substitutes one drug for another
FACT: MAT medications are not simply “substituting one drug for another.” When properly prescribed and monitored by medical professionals, these medications do not produce the euphoria or “high” associated with substance misuse. Instead, they help normalize brain chemistry, reduce cravings, and allow patients to function normally in daily life.
Dr. Rikki Pleasants, our Psychiatric Director at Restoration House Ministries, emphasizes: “These medications are used at therapeutic doses to treat a medical condition, much like insulin is used to treat diabetes. They allow patients to participate fully in counseling, work on underlying issues, and rebuild their lives.”
The pharmacological differences between drugs of abuse and MAT medications are significant. For example, buprenorphine has a “ceiling effect” that limits its potential for misuse, and the controlled dosing of methadone in a clinic setting ensures proper adherence to treatment protocols.
Myth 2: MAT isn’t real recovery or sobriety
FACT: Recovery looks different for each individual. MAT is recognized by major health care organizations—including the American Society of Addiction Medicine, the National Institutes of Health, and the World Health Organization—as a legitimate and effective path to recovery.
True recovery involves healing the whole person—physically, mentally, spiritually, and socially. MAT addresses the physical aspects of addiction while counseling and support groups address the psychological, spiritual, and social dimensions. At Restoration House Ministries, we integrate faith-based principles with evidence-based clinical treatments to provide comprehensive care without judgment or shame.
Many patients report significant improvements in quality of life while on MAT, including better relationships, stable employment, and renewed purpose—all hallmarks of genuine recovery.
Myth 3: MAT is only for short-term use
FACT: The appropriate duration of MAT varies based on individual needs. For some patients, MAT may be relatively short-term, while others may benefit from longer treatment periods or even indefinite maintenance therapy.
Research shows that patients who remain on MAT for longer periods often have better outcomes and reduced risk of relapse. The decision about treatment duration should be made collaboratively between the individual and their physician, taking into account their unique circumstances and recovery goals.
As with other chronic diseases like diabetes or hypertension, some individuals may need ongoing medication management to maintain their health and well-being.
Myth 4: MAT is only for opioid addiction
FACT: While MAT is well-known for treating opioid use disorder, FDA-approved medications are also available for alcohol use disorder. Medications such as naltrexone, acamprosate, and disulfiram can help reduce alcohol cravings and support abstinence from alcohol.
These medications work through different mechanisms. For example, disulfiram creates an unpleasant reaction when combined with alcohol, serving as a deterrent to drinking. Acamprosate helps restore brain chemistry disrupted by alcohol dependence, while naltrexone blocks the pleasurable effects of alcohol, reducing the reinforcement that drives continued use.
Myth 5: People on MAT aren’t motivated to achieve complete abstinence
FACT: Many individuals on MAT are highly motivated to recover and lead healthy, productive lives. MAT actually enables many patients to achieve abstinence from illicit substances by providing stability that allows them to engage in therapy, develop coping skills, and address underlying issues.
MAT can be an important harm reduction strategy, significantly decreasing risk behaviors associated with substance use. Far from undermining motivation, MAT often enhances a person’s ability to participate in the psychological and social aspects of recovery by relieving the physical symptoms that might otherwise impede progress.
As Kenny Ball, our CMO who has experienced his own journey from addiction to recovery, shares: “Recovery isn’t about how you get there—it’s about transforming your life. I’ve seen countless individuals find freedom and restoration through various paths, including MAT combined with spiritual growth.”
Myth 6: MAT is too expensive and not covered by insurance
FACT: The Affordable Care Act and subsequent legislation have expanded access to MAT. Most health insurance plans, including Medicaid and plans available through the health insurance marketplace, now cover MAT services. In Tennessee, efforts have been made to improve access to these life-saving treatments.
While there are costs associated with MAT, including medication, physician visits, and counseling, these expenses are often covered by insurance. Additionally, the cost of untreated addiction—in terms of healthcare expenses, lost productivity, and legal issues—far exceeds the cost of treatment.
At Restoration House Ministries, our staff works with patients to navigate insurance coverage and find affordable options for care.
Who Can Benefit from MAT?
MAT can be beneficial for individuals struggling with:
- Opioid use disorder (including prescription pain medications, heroin, fentanyl, and other synthetic opioids)
- Alcohol use disorder
- Co-occurring mental health disorders and substance use disorders
The ideal candidates for MAT are patients who:
- Have been diagnosed with a substance use disorder
- Are motivated to participate in a comprehensive treatment program
- Can reliably take medications as prescribed
- Are willing to participate in counseling and behavioral therapies
- Have tried other treatment approaches without success or have a high risk of relapse
Special populations who may particularly benefit from MAT include:
- Pregnant women with opioid use disorder, for whom MAT is considered the standard of care to prevent complications from withdrawal
- Individuals with pain who developed dependence on opioid analgesics
- People with co-occurring mental health conditions like depression, anxiety, or PTSD
- Those with a history of multiple relapses despite attempts at abstinence-based recovery
At Restoration House Ministries, we conduct thorough assessments to determine if MAT is appropriate for each individual. Our team considers medical history, substance use patterns, previous treatment experiences, co-occurring disorders, and personal preferences when developing treatment plans.
MAT at Restoration House Ministries
At Restoration House Ministries, we offer a unique approach to MAT that integrates evidence-based clinical treatments with faith-based principles. We believe in treating the whole person—mind, body, and spirit—to achieve lasting recovery while addressing the underlying stress, fear, and behavioral patterns that contribute to addiction.
Our MAT program includes:
- Medical assessment and monitoring by our experienced medical team led by Dr. Mark Ernest and Dr. Rikki Pleasants
- Individualized treatment planning that addresses each person’s unique needs and goals
- Appropriate medication selection based on the specific substance use disorder and patient characteristics
- Counseling and behavioral therapies including contingency management and other evidence-based approaches
- Group therapy for peer support and shared learning
- Family systems therapy to heal relationships affected by addiction
- Spiritual support that respects each individual’s faith journey
- Vocational rehabilitation to help rebuild careers and financial stability
- Primary care coordination to address other health concerns
As Jesi Wright, our board-certified nurse practitioner specializing in integrative care states, “We take a holistic approach to MAT, combining medication with comprehensive support services. This integrated model gives our clients the best chance for lasting recovery and improved quality of life.”
What to Expect with MAT at Restoration House Ministries
If you’re considering MAT at Restoration House Ministries, here’s what you can expect:
1. Initial Assessment
Your journey begins with a comprehensive assessment conducted by our clinical team. This evaluation includes:
- Medical history review
- Substance use assessment
- Mental health screening
- Physical examination
- Laboratory testing as needed
- Discussion of treatment goals and preferences
2. Treatment Planning
Based on your assessment results, our team will work with you to develop a personalized treatment plan that may include:
- Appropriate medication selection and dosing
- Frequency of physician appointments
- Individual and group counseling schedule
- Additional support services as needed
- Coordination with your primary care provider
3. Medication Initiation and Stabilization
Depending on the medication selected, you may begin treatment in our clinic or receive a prescription to fill at a pharmacy:
- Methadone is typically administered daily at specialized methadone clinics
- Buprenorphine (including Suboxone) can be prescribed for home use after initial stabilization
- Naltrexone (including Vivitrol injection) can be prescribed after complete detoxification from opioids
- Disulfiram, acamprosate, or oral naltrexone for alcohol use disorder can be prescribed for regular use
Our medical team will carefully monitor your response to medication, adjusting the dose as needed to minimize side effects while effectively managing cravings and withdrawal symptoms.
4. Ongoing Monitoring and Support
Throughout your treatment, our team will:
- Monitor your medication response and adjust as needed
- Provide regular counseling to address psychological aspects of addiction
- Offer support for managing potential triggers and cravings
- Help you develop healthy coping mechanisms and life skills
- Address any co-occurring conditions such as insomnia, pain, or mood disorders
5. Integration with Other Therapies
MAT is most effective when combined with other therapeutic approaches. At Restoration House Ministries, we integrate MAT with:
- Individual therapy to address personal challenges
- Group therapy for peer support and shared experiences
- Family systems therapy to heal family relationships
- Nature therapy to connect with the healing power of the Smoky Mountains
- Spiritual guidance that respects your personal faith journey
- Contingency management approaches that provide positive reinforcement for treatment adherence
Is MAT Right for You or Your Loved One?
Deciding whether MAT is the right approach for your recovery journey is a personal decision. Consider asking yourself:
- Have I struggled to maintain sobriety with other treatment approaches?
- Do I experience intense cravings that lead to relapse?
- Am I willing to take medication as prescribed and participate in counseling?
- Do I have co-occurring mental health conditions that complicate my recovery?
- Am I looking for a comprehensive approach that addresses both the physical and psychological aspects of addiction?
- Do I have concerns about withdrawal symptoms or pain during the recovery process?
If you answered yes to several of these questions, MAT might be a valuable option to consider. The best way to determine if MAT is right for you is to speak with a qualified healthcare provider who can assess your specific situation and provide information about the benefits and risks of different treatment approaches.
Begin Your Recovery Journey Today
At Restoration House Ministries, we believe that recovery is possible for everyone, regardless of how long you’ve struggled with addiction. Our comprehensive approach to treatment, including MAT, provides the tools and support you need to achieve lasting freedom and restoration.
If you or a loved one is struggling with substance use disorder in Sevier County or the surrounding areas of Tennessee, we’re here to help. Our compassionate team is ready to answer your questions, provide accurate information, and guide you through the first steps of your recovery journey.
Don’t let myths or misconceptions about MAT prevent you from exploring all available options for recovery. Contact Restoration House Ministries today to schedule a confidential assessment and learn more about how our integrated approach to MAT can support your path to healing and improved quality of life.
Ready to take the first step? Contact us today at (865) 352-1274 or visit our facility at 154 Lee Greenwood Way, Kodak, TN 37764.