Since 2001, the nation's addiction treatment centers have seen a 500 percent increase in admissions for prescription drug use disorders. The unprecedented surge in the number of Americans becoming addicted to opioid painkillers and the cheaper substitute, heroin, has also led to a rising death toll from accidental overdoses. In response to the nation's opioid addiction epidemic, medication-assisted treatment (MAT) protocols have changed at the Hazelden Betty Ford Foundation. Our new treatment protocol is called COR-12®, a medication-assisted adjunct to our evidence-based Twelve Step model of care, which promotes sustained engagement in treatment to enhance their progress towards healing from addiction and life-long abstinence from alcohol and other drugs. Below are some frequently asked questions about our COR-12 treatment approach to opioid use disorder. What exactly is COR-12 MAT? Why use COR-12 MAT in the treatment of opioid use disorders? Why is the use of COR-12 MAT in the treatment of opioid use disorders so urgent? Do people with opioid use disorders face special risks in treatment and recovery? Who is eligible for COR-12 and who makes this decision? What will be required of COR-12 participants? Which medications are used in this form of treatment, and what are the relative benefits and risks? Under what circumstances can COR-12 be discontinued? In addition to Vivitrol and Suboxone, what are other elements of a comprehensive medication-assisted treatment program? What are the costs associated with COR-12? Are people really “drug-free” if they take a medication? Aren’t they just substituting one drug for another? Does medication-assisted treatment contradict the philosophy of the Twelve Steps, which is based on abstinence? How do you define abstinence for someone who takes addiction medication? How does one know if COR-12 is the right choice? How do you explain keeping someone on a drug when what we really want is to get our loved one off of everything? Why are you recommending that my loved one who is trying to get off of pills or heroin continue to take pills, even something like Suboxone which is an opioid? If my loved one is taking medication, how can he or she be sober?