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Friday, May 27, 2016

At Rikers Island, a Legacy of Medication-Assisted Opioid Treatment

NEW YORK — For Dr. Ross MacDonald, every person who enters New York City’s main jail with an opioid addiction represents an opportunity for treatment, and the possibility of saving a life.

As the medical director of the city’s correctional health program, he ensures that offenders who come in on methadone continue to receive it. And he and his staff try to persuade as many addicted inmates as possible to get started on methadone before they leave the jail.

Rikers Island Correctional Facility has run a model opioid treatment program since 1987, and it has assisted tens of thousands of inmates in maintaining treatment after they return to their communities. Medical researchers have repeatedly found that the jail’s methadone treatment program has resulted in overall health care cost savings, reduced crime and recidivism, reduced HIV and hepatitis C transmission, and better than average rates of recovery from drug use.

But despite Rikers’ well documented success, few U.S. jails and prisons have emulated the program.

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1 comment:

Anonymous said...

Sorry, but it's hard for me to consider trading one drug addiction for another to be 'treatment'.

Get them OFF of the drugs. It can be done with high-dose vitamin C, or the bridge device with vivitrol shots for a few months.