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The Key Extended Entry Program (KEEP): from the community side of the bridge
1Narcotics Rehabilitation Center, Mount Sinai School of Medicine, New York NY 10029, USA.
The Mount Sinai Journal of Medicine, New York
|January 3, 2001
Summary
The Key Extended Entry Program (KEEP) connects heroin addicts to community treatment post-incarceration. This program aims to reduce drug use, HIV risk, and criminal recidivism for better public health outcomes.
Area of Science:
- Addiction Medicine
- Public Health
- Criminal Justice Interventions
Background:
- Heroin addiction presents significant public health and criminal justice challenges.
- Individuals exiting the criminal justice system often lack access to substance abuse treatment.
- The Key Extended Entry Program (KEEP) was developed to address these gaps.
Purpose of the Study:
- To describe the structure and services of the KEEP program at The Mount Sinai Hospital's Narcotics Rehabilitation Center (NRC).
- To review the literature evaluating the effectiveness of the NRC KEEP.
- To provide recommendations for future program development.
Main Methods:
- Description of KEEP's admission criteria, procedures, staffing, and services.
- Literature review of studies evaluating the NRC KEEP program.
- Analysis of patient retention, transfer to long-term care, and outcomes related to substance use and criminal behavior.
Main Results:
- The NRC KEEP program engages heroin addicts not previously in treatment.
- The program facilitates transition to community-based, long-term substance abuse treatment.
- Evaluations indicate success in reducing heroin and cocaine use, HIV risk behaviors, and recidivism.
Conclusions:
- The KEEP program at NRC is effective in retaining patients and facilitating their transition to long-term treatment.
- KEEP demonstrates success in reducing substance use and criminal recidivism among heroin addicts.
- Further program development is recommended to enhance its impact.