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Related Experiment Videos

Naltrexone treatment in a jail work-release program.

L S Brahen, R K Henderson, T Capone

    The Journal of Clinical Psychiatry
    |September 1, 1984
    PubMed
    Summary

    Nassau County

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    Area of Science:

    • Addiction Medicine
    • Criminal Justice
    • Pharmacology

    Background:

    • Historically, inmates with opiate addiction were excluded from jail work-release programs due to high relapse rates.
    • This exclusion limited opportunities for rehabilitation and reintegration into society.
    • Nassau County Jail initiated a novel program in 1972 to address this exclusion.

    Purpose of the Study:

    • To evaluate the effectiveness and safety of a jail work-release program incorporating naltrexone for inmates with a history of opiate addiction.
    • To determine if including addicted inmates in work-release programs is feasible and beneficial.
    • To assess the role of opiate blocking agents in managing addiction within correctional settings.

    Main Methods:

    • Inmates with opiate addiction could request admission to the work-release program upon agreeing to take naltrexone.
    • Naltrexone was administered twice weekly, supplemented by routine urine drug screens and alcohol breath tests.
    • Participants received psychological and vocational testing, and weekly psychotherapy sessions.
    • Post-incarceration naltrexone treatment was available through an adjacent hospital outpatient clinic.

    Main Results:

    • Naltrexone demonstrated complete effectiveness as an opiate blocking agent.
    • No major side effects were reported in 691 patients over a 10-year period.
    • The program allowed previously excluded addicted inmates to participate in work-release.

    Conclusions:

    • The integration of naltrexone into a jail work-release program is a viable strategy for managing opiate addiction.
    • This approach can successfully include inmates with a history of opiate use in rehabilitative programs.
    • Naltrexone is a safe and effective pharmacological intervention for opiate addiction in this population.

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