Medication Assisted Treatment, or "MAT" for short, is the use of FDA approved medication for the treatment of opiate/opioid addiction and substance abuse. It has never been quite as controversial a subject as it is today. As more and more abstinence-based programs have become mainstream within inpatient treatment centers, the stigma being attached unnecessarily to MAT is discouraging to very high-risk drug addicts and those who have attempted treatment without medication several times and failed.
When comunity-based groups such as AA began, there was no regulated MAT approved for widespread use in the US. It was also back then in the 1930's that the medical community had not yet been able to establish that alcoholism or drug addiction was in fact a medical disease. That fact came later and is now based in numerous evidence from research foundations & hospitals all over the country.
The fact that we all know addiction IS a disease now seems slightly hypocritical for those who still hold a strong personal bias against the use of MAT for addicts; instead refusing to acknowledge any route for treatment other than spirituality and willpower, solving the disease of addiction. These efforts may help some people but the numbers clearly over time and especially now show that this is not the case for the majority.
While ALL supporters and providers of MAT also encourge a multi-treatment approach, knowing medication alone is not the answer, there are those who ignore this and begin to spread a dangerous message to addicts who would benefit greatly from MAT methods, along with support groups, IOP's, individual therapy, group therapy, CBT, and other outpatient behavioral and support services. The message being spread is almost always by those who have never used MAT or who have and did not follow proper protocol. Very seldom do you hear positive aspects of MAT from people who were very successful using this method, as millions over several decades have. The danger is that someone who is bias against MAT, having been able to get clean and stay clean via abstinence is outspoken regarding the "negative" possibilities of MAT and almost never discuss or encourge the very positive aspects of MAT for the very severe addicts who need MAT to stabilize their physical dependance and then use that time on treatment to work on their behavioral addiction issues and dual diagnosis treatment such as depression or anxiety....