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Ohio addiction clinic opens in ex-pill mill center

Dec. 11, 2012 @ 07:00 PM

PORTSMOUTH, Ohio — A new for-profit, cash-only drug clinic that uses medicine to treat painkiller addicts is raising concerns in a county known as an epicenter of Ohio’s prescription painkiller epidemic.

Kentucky-based SelfRefind opened the clinic this fall in Portsmouth in southern Ohio, its first in the state. Selfrefind also has 11 clinics in Kentucky and one in Tennessee.

The clinic provides prescriptions to Suboxone, a medication that treats addicts’ withdrawal symptoms and blocks brain receptors to counter the effect of craving for narcotics like heroin or oxycodone.

Critics say Suboxone clinics keep people on the drug too long without the extensive counseling needed to break an addiction. They also worry such clinics contribute to the illegal sale of Suboxone, which is rising in Ohio and around the country.

Company officials, aware of the community’s concerns, are taking extra steps to assure residents they are not a pill mill in disguise.

SelfRefind has met with local business and health care leaders and with the state’s top addictions officials to explain their mission.

“We’re a treatment program,” said SelfRefind spokeswoman Michele McCarthy. “We don’t just write a prescription and take money and move along.”

The company prefers money orders or credit cards to actual cash but doesn’t take Medicaid or private insurance for now. It hopes to add Medicaid coverage to its reimbursement plan by becoming state-certified.

The clinic is housed in a former pill mill on the outskirts of Portsmouth, an economically struggling city across the Ohio River from Kentucky about 100 miles south of Columbus.

For years, Portsmouth and surrounding Scioto County were home base to more than a dozen pill mills, cash-only clinics that distributed prescriptions on demand to addicts based on bare bones examinations.

Officials shut down the last such Scioto County clinic a year ago, and owners and operators of several of the clinics have been convicted of federal illegal drug sale charges. Authorities linked several drug overdose deaths to the clinics.

Officials who fought those operations are leery of new stand-alone prescription clinics.

“What I think we’re starting to see is a second generation of pill mills where money is the prime objective,” said state Rep. Terry Johnson, who fought the pill mills as county coroner and later as a state lawmaker.

He wouldn’t comment on the Selfrefind clinic specifically, but said he is concerned about clinics that treat people for months or years with high doses.

Suboxone should be used only to help someone withdraw from a painkiller addiction as part of an intensive counseling program, said Ed Hughes, who runs the Counseling Center in Portsmouth, one of the region’s largest addiction-counseling centers.

Others who battled the pill mills disagree, saying anything that helps reduce addiction rates is worth trying.

“These clinics aren’t treating pain; they’re treating addiction,” said Orman Hall, head of the Ohio Alcohol and Drug Addiction Services agency, who met with Selfrefind officials and says he was impressed with their approach.