Titre du document / Document title

Methadone maintenance in prison : Evaluation of a pilot program in Puerto Rico

Auteur(s) / Author(s)

HEIMER Robert ⁽¹⁾ ; CATANIA Holly ⁽²⁾ ; NEWMAN Robert G. ⁽²⁾ ; ZAMBRANO John ⁽¹⁾ ; BRUNET Arlyn ⁽³⁾ ; ORTIZ Arturo Marti ⁽⁴⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Department of Epidemiology and Public Health, Yale University School of Medicine, P.O. Box 208034, 60 College Street, New Haven, CT 06520-8034, ETATS-UNIS
⁽²⁾ Baron Edmund deRothschild Chemical Dependency Institute, Beth Israel Medical Center, New York, NY, ETATS-UNIS
⁽³⁾ Carlos Albizu University, San Juan, PR, ETATS-UNIS
⁽⁴⁾ University of Puerto Rico, Chemical Forensics Laboratories, San Juan, PR, ETATS-UNIS

Résumé / Abstract

Objectives: To describe and evaluate a pilot methadone maintenance program for heroin-dependent inmates of Las Malvinas men's prison in San Juan, Puerto Rico. Methods: Data from self-report of inmates' drug use before and during incarceration, attitudes about drug treatment in general and methadone maintenance in particular, and expectations about behaviors upon release from prison and from testing inmates' urine were analyzed comparing program patients (n = 20) and inmates selected at random from the prison population (n = 40). Qualitative data obtained by interviewing program staff, the correctional officers and superintendent, and commonwealth officials responsible for establishing and operating the program were analyzed to identify attitudes about methadone and program effectiveness. Results: Heroin use among prisoners not in treatment was common; 58% reported any use while incarcerated and 38% reported use in past 30 days. All patients in the treatment program had used heroin in prison in the 30 days prior to enrolling in treatment. While in treatment, the percentage of patients not using heroin was reduced, according to both self-report and urine testing, to one in 18 (94% reduction) and one in 20 (95% reduction), respectively. Participation in treatment was associated with an increased acceptance of methadone maintenance. Prison personnel and commonwealth officials were supportive of the program. Conclusions: The program appears to be a success, and prison officials have begun an expansion from the current ceiling of 24 inmates to treat 300 or more inmates.

Revue / Journal Title

Drug and alcohol dependence   ISSN 0376-8716   CODEN DADEDV 

Source / Source

2006, vol. 83, n^o2, pp. 122-129 [8 page(s) (article)] (33 ref.)

Langue / Language

Anglais

Editeur / Publisher

Elsevier, Shannon, IRLANDE  (1975) (Revue)

Mots-clés anglais / English Keywords

Opiates ; America ; Central America ; West Indies ; Narcotic analgesic ; Psychology ; Psychiatry ; Prisoner ; Drug of abuse ; Heroin ; Puerto Rico ; Program ; Pilot ; Human ; Drug addiction ; Evaluation ; Carceral environment ; Addiction ; Maintenance treatment ; Replacement therapy ; Methadone ;

Mots-clés français / French Keywords

Opiacés ; Amérique ; Amérique Centrale ; Antilles ; Analgésique narcotique ; Psychologie ; Psychiatrie ; Prisonnier ; Substance toxicomanogène ; Héroïne ; Porto Rico ; Programme ; Pilote ; Homme ; Toxicomanie ; Evaluation ; Milieu carcéral ; Addiction ; Traitement entretien ; Traitement substitutif ; Méthadone ;

Mots-clés espagnols / Spanish Keywords

Opiados ; America ; America central ; Antillas ; Analgésico narcotico ; Psicología ; Psiquiatría ; Preso ; Sustancia toxicomanógena ; Heroína ; Puerto Rico ; Programa ; Pilote ; Hombre ; Toxicomanía ; Evaluación ; Medio carcelario ; Adicción ; Tratamiento sostén ; Tratamiento sustitutivo ; Metadona ;

Mots-clés d'auteur / Author Keywords

Methadone maintenance ; Heroin ; Prisoners ;

Localisation / Location

INIST-CNRS, Cote INIST : 16471, 35400011567790.0040