Evidence-Based Models for Substance Abuse Treatment in the Criminal Justice System
The United States currently incarcerates a higher percentage of its citizens than any other industrialized nation in the world. A majority of Americans who are incarcerated were taking drugs or drinking alcohol, or both, during the commission of their crimes, or were actively engaged in substance-abusing behaviors that resulted in their involvement with the criminal justice system. The costs that are associated with incarcerating these millions of convicts each year are staggering, making the need for cost-effective interventions that can help divert substance-abusing nonviolent offenders from the penal system into other, less expensive community-based alternatives. Likewise, from a strictly pragmatic perspective, treating existing substance abuse among prison populations using methods with proven efficacy just makes good business sense. To this end, this paper compares and contrasts two evidence-based substance abuse treatment models that have demonstrated efficacy in the criminal justice system. A discussion concerning how this model best fits in a given agency with respect to economic, human resource, therapist expertise, and other relevant factors is followed by a summary of the research and important findings in the conclusion.
Review and Discussion
Today, there are almost eight million Americans in various correctional systems, and these populations have inordinately high rates of chronic medical and mental health issues, infections, sexually transmitted diseases, as well as substantial substance abuse disorders (Gondles, 2010). According to Grella, Hser, Teruya and Evans (2005), there has been a growing consensus among healthcare providers in recent years concerning the need to improve the quality and provide for better accountability by using evidence-based treatment interventions for substance abuse problems. In this regard, Gondles emphasizes that the criminal justice system has "a responsibility to society and to offenders to continue developing and evaluating efficient, effective, and cost-conscience methods of delivering valid, evidence-based treatment and programs" (2010, p. 6). In addition,...
But despite this medicinal veneer, methadone is "increasingly being abused by recreational drug users and is causing an alarming increase in overdoses and deaths" (Belluck 2003). Heroin and prescription opium abusers are turning to methadone often with alcohol or other drugs. They buy the drug illegally on the street -- often it is sold by addicts who have been able to obtain a large supply, though fair or foul means.
Cons: Methadone use has a number of side-effects such as constipation, sweating, loss of libido, sleep disturbance, weight gain, dental problems, vomiting, and serious bowel problems. While most of the side-effects are reduced or managed by controlled prescription, they can occasionally be severe enough to affect a person's health sufficiently for him to discontinue treatment (Withers, 1999) One of the 'advantages' of methadone, i.e., it blocks the euphoric high of heroin can
Addiction Methadone Maintenace Methadone Methadone Maintenance Methadone maintenance is essentially the use of methadone over a period of time for the treatment of individuals who are addicted to opioid drugs such as heroin. In more formal terms the central aim of methadone maintenance is defined as follows: "Methadone maintenance treatment (MMT) can help injection drug users (IDUs) reduce or stop injecting and return to productive lives" (METHADONE MAINTENANCE TREATMENT, 2002) There is still however a
" (1995) The authors state: "The amphetamines occasioned dose-related increases in d- amphetamine-appropriate responding, whereas hydromorphone did not. Amphetamines also occasioned dose-related increases in reports of the drug being most like "speed," whereas hydromorphone did not. However, both amphetamines and hydromorphone occasioned dose-related increases in reports of drug liking and in three scales of the ARCI. Thus, some self-report measures were well correlated with responding on the drug-appropriate lever and some
Drug users should continue to receive it, because it goes a long way towards curbing the greater problem created by the primary addiction. I believe that methadone is very useful in terms of helping drug users to rehabilitate. People who make mistakes in their lives should be helped to remedy these in the best way possible, and I believe that methadone is a good tool to accomplish this. The
S. Government Publication. Methadone is an opioid that is often used as an analgesic for purposes of treating such drug addictions as heroine. It has especially been found to be successful at treating heroin withdrawal symptoms and thus originally was popular on the street before also becoming a recognized treatment used in hospitals. A study lead by Vincent Dole of Rockefeller University discovered that drug addiction was a disorder and thus
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