1 Methadone, methadone clinics, and needle exchange programs Opioid use is an immense health problem in the United States, and heroin constitutes the most abused substance. Over 0.3% of the U.S population uses heroin, and this behavior subjects them to devastating health implications (Goldsmith, 2017). The government has proposed various interventions, including methadone, methadone clinics, and needle exchange programs to combat heroin use. Methadone is a safe and effective medication used by therapists to treat addiction to heroin and other opiates (NIH, 2022). This medication works by blocking the euphoric effects of heroin and reducing the painful withdrawal symptoms, thus improving recovery and helping people reclaim their active lives. Methadone clinics are health facilities designated to dispense medications used in treating opiate dependence. These clinics are federally certified and comply with strict state and federal laws (Olsen & Sharfstein, 2019). Although methadone effectively treats opiate addiction, it is also an addictive medication. Therefore, it can only be given to individuals in methadone clinics under a physician’s supervision. Methadone clinics also provide other mental health services, including overdose treatment, counseling, primary care services, and naloxone distribution (Olsen & Sharfstein, 2019). Needle exchange programs have been integrated into opiate addiction prevention programs. This program helps protect individuals and communities against infectious disease outbreaks (Knight, 2022). This program does not encourage people to continue using drugs. Rather, it offers comprehensive services to drug users, including distributing lifesaving medications, referral to counseling and treatment services, and safe disposal of syringes. Needle exchange programs are legally operational in 38 states (Knight, 2022). However, federal laws prohibit using federal funds to establish needle exchange programs.