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Related Experiment Videos

The Key Extended Entry Program (KEEP): a methadone treatment program for opiate-dependent inmates.

V Tomasino, A J Swanson, J Nolan

    The Mount Sinai Journal of Medicine, New York
    |January 3, 2001
    PubMed
    Summary
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    The Key Extended Entry Program (KEEP) provides methadone treatment for incarcerated opiate-dependent individuals. Data suggest community-based treatment and sufficient methadone doses are crucial for reducing recidivism among released inmates.

    Area of Science:

    • Addiction Medicine
    • Criminal Justice Health
    • Public Health

    Background:

    • The Key Extended Entry Program (KEEP) is the sole methadone treatment initiative for incarcerated opiate-dependent inmates in the U.S.
    • Established in 1987, KEEP manages substantial patient volumes, including 18,000 annual detoxifications and 4,000 methadone treatment admissions.

    Purpose of the Study:

    • To evaluate the effectiveness of the Key Extended Entry Program (KEEP) in treating incarcerated opiate-dependent inmates.
    • To assess patient adherence to community-based treatment post-release.
    • To analyze recidivism rates among KEEP participants.

    Main Methods:

    • Analysis of data from the Key Extended Entry Program (KEEP) concerning patient admissions, treatment adherence, and incarceration history.

    Related Experiment Videos

  • Tracking of patients discharged to community-based outpatient KEEP programs.
  • Examination of recidivism rates over an 11-year period.

    • Main Results:

    • 74-80% of methadone treatment patients successfully report to their designated community outpatient KEEP programs post-discharge.
    • A significant majority, 79%, of KEEP patients were re-incarcerated only once or twice within an 11-year timeframe.
    • A small subset of patients (approximately 6%), particularly those with co-occurring mental illness, exhibit higher recidivism rates.

    Conclusions:

    • The findings underscore the critical need for dedicated community treatment slots for released inmates.
    • Maintaining released inmates on adequate methadone doses is vital for suppressing heroin cravings and preventing relapse.
    • Targeted support for KEEP patients with mental illness may be necessary to further reduce recidivism.