Interesting article posted at, RECOVERY HELPDESK bringing attention to the seriousness of detoxing off opiates while in jail and a wrongful death lawsuit.
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16 comments
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December 18, 2009 at 9:17 pm
Barbara
Thanks for always pointing out helpful sites.
December 21, 2009 at 9:30 pm
recoveryhelpdesk
Thanks for letting people know about my blog!
Tom
December 30, 2009 at 1:20 am
Barbara
I am just thankful my son made it through withdrawls in jail….this just makes me so mad the more I think about it.
December 31, 2009 at 4:24 pm
Joe
At least a 100K alcoholics and drug addicts are arrested, go to jail, and go through detox every day in the US. From lots of different drugs, meth, coke, heroin and more. Very rarely does anyone actually die when this happens and I mean VERY rarely. I’ve worked in a jail for the past 16 years and have not seen this happen even one time. I do know it does but the odds are extremely low. The jail where I work books in about 1,000 men and women each month. Most of them are strung out on something. Many get bonded out right away by a family member who would have been better off to let them sit with the consequences of their poor choices. The last thing a jail Captain wants is for someone to die in their jail. They know it will mean a lawsuit which costs lots of money. Budgets are tight as it is without that happening. Most jails are a little under staffed in the mental health/psych department now. Think about it for a minute…how many counselors yearn to work in a jail or prison? Ever wonder how long one of them lasts? It’s a high burnout job. Why? Because they continue to see the same people over and over who just won’t quit. That’s right I said ‘won’t quit.’ Can people quit? Has anyone one ever quit? Yes. It’s happening all the time. Lots do and then there are those who just don’t get it. Do I sound harsh? I’m sure I do but just the same I am correct in my assessment. What would you prefer, a nurse to sit by the side of every addict that comes to jail and hold his hand while he goes through detox? I don’t think so… Add to that the FACT that many of these drug dependent people do horrific things to their fellow man (or someones child) when they are high. These people are often referred to as victims. Have a chat with some of them sometime.
Joe
December 31, 2009 at 5:20 pm
dadonfire
Joe – Alot of what you bring up resonates with Theodore Dalrymple’s book, Romancing Opiates. One of the latest dadonfire posts is a short review of that work. Critical social commentary. Check it out. Bill
January 1, 2010 at 11:14 pm
WorthSaving
“…..who would have been better off to let them sit with the consequences of their poor choices” says “Joe.” What if professional staffers talked that way about any other health condition such as heart disease, diabetes, etc etc. can you imagine an emergency room nurse saying this about an overweight person that is admitted with a heart attack?
January 2, 2010 at 2:13 pm
Joe
No one volunteers to have heart disease }-:
January 2, 2010 at 8:35 pm
Joe
IMS Health National Prescription Audit Plus data indicate that 3.54 million buprenorphine prescriptions were dispensed in the US in 2008, compared to 2.12 million prescriptions in 2007.
http://www.deadiversion.usdoj.gov/drugs_concern/buprenorphine.htm
http://en.wikipedia.org/wiki/Buprenorphine
Buprenorphine is also used recreationally, typically by opioid users. Users sometimes report a feeling of general well being, perhaps even to the point that they may become more outgoing or talkative. Due to the high potency of tablet forms of buprenorphine, only a small amount of the drug need be ingested to achieve the desired effects. The buprenorphine preparation, Suboxone, comes in an orange lemon-lime flavored tablet for sublingual administration. The taste of Suboxone is described by some to be very unpleasant. Possible explanations for this unpleasant taste could be the bitter taste of the buprenorphine itself, or the fact that it acts as a deterrent to abuse and was done intentionally by the pharmaceutical company, Reckitt Benckiser. Buprenorphine abuse is very common in Scandinavia, especially in Finland and Sweden. In 2007, the authorities in Uppsala county in Sweden confiscated more buprenorphine than cocaine, ecstasy and GHB.[20] In Finland recreational use of buprenorphine is on the rise; in 2005, Finland’s incidence of Subutex abuse (most often injected intravenously) surpassed the incidence of recreational usage of amphetamines. Intravenous administration of dissolved Subutex pills and insufflation of pulverized pills are the most common ways of recreational buprenorphine use.[21]
January 4, 2010 at 9:11 pm
recoveryhelpdesk
“Possible explanations for this unpleasant taste could be the bitter taste of the buprenorphine itself, or the fact that it acts as a deterrent to abuse and was done intentionally by the pharmaceutical company, Reckitt Benckiser.” I’m not sure why a drug company would want to make a product unpleasant to use as instructed (orally). I just don’t think they could make it taste any better!
January 4, 2010 at 9:12 pm
Joe
Here is what happens when stupid people promote ‘harm reduction.’ There apparently is no shortage of stupid people in New York.
http://www.heraldsun.com.au/news/world/outrage-over-new-york-city-heroin-for-dummies-fliers/story-e6frf7lf-1225815794813
January 4, 2010 at 9:16 pm
tom@recoveryhelpdesk.com
Inmates are denied access to medical care except through jail/prison medical staff. They have a right to medical care guaranteed by our constitution. I’m not sure that it is good enough to say that most people don’t die from detox. The young man who died was dehydrated from extreme vomiting. Medical staff couldn’t give him some IV fluid to save his life? What are we paying them for anyway?
January 4, 2010 at 10:02 pm
Joe
Inmates are NOT DENIED access to medical care. But when we are talking about millions of inmates who almost all (90%) are heavy alcohol and drug abusers…it becomes a difficult challenge to never make a mistake. Things like this happen in the real world in real hospitals as well. It’s sad but one of the risks of the ‘drug lifestyle.’ I wonder how many times this person may have been warned by family members, friends, and perhaps counselors that this behavior is very harmful and risky, life threatening???
January 16, 2010 at 12:38 pm
Tom at recoveryhelpdesk.com
Inmates absolutely are denied access to adequate medical care on a regular basis. Read this NY Times series on prison health care in the US for a sampling.
http://www.aidsnews.org/2005/04/prison-healthcare.html
I work with inmates every day, including coordinating with the prison health services at the correctional facility. Even with a professional advocating, medical care is often delayed or denied. It makes no difference whether an inmate has drug addiction/dependence. The legal, ethical and moral obligation to provide adequate healthcare to people who are incarcerated remains.
January 16, 2010 at 2:05 pm
dadonfire
I tend to agree. My son is a type 1 diabetic and a heroin addict. He needs a minimum of four shots of insulin a day: One long acting (basal) and fast acting with each meal. He does more insulin when he is on the streets when in jail. He’s been in and out of jail in LA and Tucson about 6-7 times and has the same story. He is given one shot of insulin per day, even after faxing the doctor’s precriptions to the jail’s doctor. He also has not had help with detox which can do bad things to the sugar. Jails basically treat type 1 like type 2. Local Diabetes experts in Tucson who know the jail system here, say this as well. In a nutshell, we need much better inmate screening and treatment.
January 16, 2010 at 10:35 pm
Joe
Maybe these unhealthy people should quit volunteering to come to jail. Then they could just go to whatever Dr. they liked. Heck, some might even stop putting poison in their bodies to avoid being sick. Just a thought.
January 16, 2010 at 11:30 pm
dadonfire
Yeah! Wishful thinking!