•  
  •  
 
Journal of Public Management & Social Policy

Abstract

Over 300,000 Americans depend on opioid treatment programs (OTPs), commonly known as methadone clinics, as the sole source of substances used to reduce their addictive cravings for prescription opioid and heroin. Though considered creatures of the federal regulatory process, OTPs are also regulated by state and local authorities and are required to maintain accreditation. The result of this complex and multi-layered regulation is a focus on rule and process, not on client outcomes or program performance. This research explores the effectiveness of state regulation within the context of “regulatory fog” in which the very regulations intended to standardize provision of services may obscure the true value of policies.

 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.