[DOWNLOAD] "Incarceration and Opioid Withdrawal: The Experiences of Methadone Patients and Out-Of-Treatment Heroin Users (Report)" by Journal of Psychoactive Drugs " Book PDF Kindle ePub Free
eBook details
- Title: Incarceration and Opioid Withdrawal: The Experiences of Methadone Patients and Out-Of-Treatment Heroin Users (Report)
- Author : Journal of Psychoactive Drugs
- Release Date : January 01, 2009
- Genre: Health & Fitness,Books,Health, Mind & Body,
- Pages : * pages
- Size : 236 KB
Description
Of the hundreds of thousands of individuals entering America's jails and prisons each year, it is estimated that approximately 15% are addicted to heroin (U.S. Dept. of Health and Human Services 2007; Chaiken 2000) with some of these addicts enrolled in methadone treatment at the time of arrest (Rothbard et al. 1999). Although the situation would seem to make clear the need for a safe and effective detoxification or a continuation of opioid agonist treatment for these individuals, available studies suggest that such services are infrequently available (Fletcher & Chandler 2006; Rich et al. 2005; Fiscella et al. 2004a. b; Freudenberg 2002). The majority of U.S. jails reported that they do not provide any medications for opioid detoxification, and those that do often do not follow evidence-based practices (Taxman, Perdoni & Harrison 2007; Friedmann, Taxman & Henderson 2007; Fiscella et al. 2004b), raising serious ethical and public health issues. Unfortunately, even when in the outside community the vast majority of heroin-dependent individuals in the US are neither in treatment nor seeking treatment for a variety of reasons, including the lack of treatment capacity and negative perceptions concerning methadone (Schwartz, McKenzie & Rich 2007; Rosenblum, Magura & Joseph 1991). The KEEP Program in Rikers Island in New York City is a remarkable exception. It has been operating continuously since 1987. Between 1995 and 1999 the program provided, on average, 18,000 detoxifications per year and referred thousands to community-based treatment upon release (Fallon 2001; Tomasino et al. 2001). This program has been successfully operating for the past 20 years and can be seen as a model for others to emulate.
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