Cocaine Rehab Centers in Maine

What does treatment for cocaine use look like in Maine?

Treatment for cocaine use in Maine usually begins with an assessment, followed by counseling at the level that assessment points to. Intake staff ask how often you use, about other substances such as alcohol and opioids, and about mental health, housing and travel. Travel matters most in Aroostook, Washington and other northern and eastern counties.

Counseling is the core of stimulant treatment. Maine programs may offer contingency management, which gives small rewards for drug-free test results, along with cognitive behavioral therapy, motivational interviewing, and family and group sessions. Many people also join mutual-help groups such as Cocaine Anonymous or SMART Recovery. Programs differ in which of these they run, so ask which ones the team uses for stimulant use.

Long drives do not have to rule out care. MaineCare covers telehealth for substance use disorder treatment, and a provider may hold some appointments by phone. See telehealth rehab in Maine. The same approaches apply to other stimulants, covered under meth rehab in Maine.

Is there medication for cocaine use disorder, and is withdrawal dangerous?

No medication is FDA-approved to treat cocaine use disorder. A prescriber may still use medication for a co-occurring condition such as depression, anxiety or trouble sleeping. That decision is made by you and the prescriber. Programs that treat both conditions are listed under dual diagnosis rehab in Maine.

Cocaine withdrawal mostly brings low mood, tiredness, long sleep and strong cravings. It usually lacks the medical risks of alcohol or benzodiazepine withdrawal, but the low mood can be serious. If you have thoughts of suicide, call or text 988, the Suicide and Crisis Lifeline. Call 911 for chest pain, a seizure or trouble breathing.

Fentanyl, naloxone and Maine’s overdose law

Fentanyl has been found in the stimulant supply, so it makes sense to keep naloxone nearby even if you do not use opioids. Maine pharmacies sell naloxone nasal spray over the counter, and MaineCare covers a two-dose kit. Free kits are available through Get Maine Naloxone and through the OPTIONS liaison in each county, a Maine DHHS program. Maine’s Good Samaritan law offers legal protection to people who ask for help with a suspected drug-related overdose. Your county’s OPTIONS liaison can also tell you where to find fentanyl test strips.

Which level of care fits, and who decides?

A clinician recommends the level of care after an assessment, usually guided by the ASAM criteria. ASAM is a national framework that matches how intensive treatment is to a person’s needs. You take part in the decision, and the level can change over time. Residential care is one option among several, not a requirement.

How do I pay for cocaine treatment in Maine?

MaineCare, the state’s Medicaid program run by the Office of MaineCare Services, covers substance use disorder treatment for people who qualify. Maine has expanded Medicaid. Newly eligible adults have been covered since January 2019, with the adult income limit set at 133 percent of the federal poverty level. The Medicaid rehab listings show which programs accept it.

Private plans fall under the federal parity law, which generally keeps substance use benefits from being more restrictive than medical benefits. Before you start, ask your insurer about prior authorization, visit limits and which Maine programs are in network.

If you have no insurance, start with the Office of Behavioral Health in Maine DHHS, which oversees state-supported substance use services. Programs funded by the federal block grant must give pregnant women preference for admission. See state-funded rehab in Maine and sliding scale rehab in Maine for lower-cost options.

How do I find a Maine program that treats stimulant use?

First check the program’s Maine license. Then ask whether the team treats stimulant use directly, rather than just listing cocaine among many substances. The Behavioral Health Program in the Maine DHHS Division of Licensing and Certification licenses substance use disorder treatment agencies. Ask intake staff for the license details and look them up with the division.

Useful questions for the admissions team include:

• Which counseling approaches do you use for stimulant use?
• Do you offer contingency management?
• How do you handle alcohol or opioid use alongside cocaine?
• What will I pay?

Each listing shows the levels of care, payment types and insurers, accreditation, languages, populations served and location reported for that provider.

Bangor and Portland are where these listings cluster, and 64 percent of programs are in towns rather than cities or rural areas. The nearest airport is most often Bangor International Airport or Portland International Jetport, at a median of 3.1 miles. For free help finding treatment, dial 211 to reach 211 Maine (1-877-463-6207 from out of state), or call the national treatment referral line at 1-800-662-4357. More options are on the main Maine rehab page.