1. What’s Going On Out There? Arvida Wanner, MS Pennsylvania Department of Health Bureau of Community Program Licensure and Certification Division of Drug and Alcohol Program Licensure

2. Legal Basis  Controlled Substance Act of 1970  DATA 2000  Legal agents Methadone LAAM (no longer manufactured) Suboxone and Subutex  Prescriber limitations

3. MIFFLIN SUSQUEHANNA TIOGA BRADFORD LYCOMING WYOMING SULLIVAN CAMERON WAYNE UNION ALLEGHENY BLAIR CLINTON POTTER WESTMORELAND BEDFORD ADAMS DAUPHIN CARBON LEHIGH PIKE FAYETTE GREENE CLEARF IELD FULTON PERRY NORTHAMPTON McKEAN ELK INDIANA ARMSTRONG CENTRE SOMERSET JUNIATA SCHUYLKILL MONROE SNYDER BUCKS JEFFERSON WARREN LANCASTER YORK LEBANON ERIE MONTGOMERY CHESTER DELAWARE FRANKLIN BUTLER LAWRENCE MERCER VENANGO CRAWFORD CLARION FOREST PHILA- DELPHIA CUMBERLAND COLUMBIA MONTOUR BEAVER WASHINGTON CAMBRIA LUZERNE LACKAWANNA HUNTINGDON BERKS NORTHUMBERLAND Pennsylvania Department of Health Narcotic Treatment Programs Methadone Maintenance Total = 27 2001 1 1 1 4 1 1 1 1 2 1 10 1 1 1 TIOGA

4. MIFFLIN SUSQUEHANNA TIOGA BRADFORD LYCOMING WYOMING SULLIVAN CAMERON WAYNE UNION ALLEGHENY BLAIR CLINTON POTTER WESTMORELAND BEDFORD ADAMS DAUPHIN CARBON LEHIGH PIKE FAYETTE GREENE CLEARF IELD FULTON PERRY NORTHAMPTON McKEAN ELK INDIANA ARMSTRONG CENTRE SOMERSET JUNIATA SCHUYLKILL MONROE SNYDER BUCKS JEFFERSON WARREN LANCASTER YORK LEBANON ERIE MONTGOMERY CHESTER DELAWARE FRANKLIN BUTLER LAWRENCE MERCER VENANGO CRAWFORD CLARION FOREST PHILA- DELPHIA CUMBERLAND COLUMBIA MONTOUR BEAVER WASHINGTON CAMBRIA LUZERNE LACKAWANNA HUNTINGDON BERKS NORTHUMBERLAND Pennsylvania Department of Health Narcotic Treatment Programs Methadone Maintenance Total = 50 April 2008 1 2 2 7 1 1 1 1 3 1 13 1 1 1 TIOGA 1 2 1 3 1 1 1 1 1 1 1

5. Number of Patients by Region 2001 3615 435 179 2687 6732

6. Number of Patients by Region 2001 to 2008 5601 820 1200 6049 13670

7. Special Populations  Pregnant women  Prison populations  Co-occurring disorders Use of benzodiazepines State hospitals

8. Future Patient Needs  Elder care Long term care facilities Personal care homes Transportation

9. “If you can dream it, you can do it.” Walt Disney