|Article title||Experience of Using Substitution Maintenance Therapy in Penitentiary Facilities|
Professor of Psychiatry, University of California San Diego, Department of Psychiatry Director, Center for Criminality & Addiction Research, Training & Application Director, International Addiction Technology Transfer Center - Ukraine and Central Asia Co-Director, International Addiction Technology Transfer Center - South East Asia (San Diego, California (USA) email@example.com
PhD, Associate Professor (Kyiv, Ukraine) firstname.lastname@example.org
|Name of magazine||Legal journal «Law of Ukraine» (Ukrainian version)|
The author notes that drug abuse is one of the major problems faced by the penitentiary system; it threatens national security and is a dominant factor in the relations of convicts and staff, it leads to violence, bullying and arbitrariness against convicts, and often against members of their families and friends on the outside. Drug abuse and bloodtransmitted viral infections (including HIV/AIDS and viral hepatitis) are serious problems in penitentiary facilities and the criminal justice system on the whole.
The purpose of the article is to analyze the international experience of using substitution maintenance therapy medications in convicts and prisoners.
The article emphasizes the need for using the best European and world experience of combating drug crime and drug addiction. One of these priorities may be substitution maintenance therapy for drug addicts in penitentiary facilities of Ukraine, drawing upon positive international experience. Besides, over the past 20 years, harm reduction measures have been successfully implemented in correctional facilities and in society throughout Europe as an add-on strategy of existing drug-free treatment programs. The author notes that the joint position paper of the World Health Organization, United Nations (UN) Office on Drugs and Crime and the joint United Nations HIV/AIDS program “Substitution maintenance therapy in the management of opioid dependence and HIV/AIDS prevention” emphasizes that substitution maintenance therapy of opioid dependence is an efficient strategy for the prevention of HIV/AIDS and criminal behavior of convicts and thus should be implemented as soon as possible in communities with high HIV-infection risk.
The author comes to the conclusion that the main advantage of the substitution maintenance therapy program in penitentiary facilities is primarily that it offers opioid drug users a chance to abandon illegal opiates, thereby significantly reducing the probability of being infected with socially dangerous diseases (HIV, hepatitis “B”, “C”, etc.), to reduce the rate of criminal activity and behavior, and to get the chance for resocialization, and thus to improve considerably the quality and standard of living.
|Keywords||substitution maintenance therapy; methadone; buprenorphine; HIV/AIDS; drug situation; imprisonment; detention; enforcement of sentence; penal and correctional facility; convicts; inmates; staff of penal and correctional facilities|
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