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Davenport, Moses and Riehle emphatically believe they would not be sober and their lives would be completely different were it not for the CSAP program. Twenty-four women and 32 men participate in the program. Program participants are screened by probation officers to qualify. Clackamas joins corrections programs across the country that have begun incorporating medication-assisted treatment into their residential re-entry programs, following a recommendation from the U. Programs were pioneered in a handful of counties along the East Coast as early as 2014. Last year, Rhode Island became the first state system to offer a range of medicines to treat addiction. In medication-assisted-treatment programs, one of three drugs are used to treat opiate addiction. Methadone, the most well-known and commonly prescribed drug, is an opiate and controlled substance that is given to patients in prescribed doses, creating a controlled high that prevents withdrawal.

Buprenorphine, also known as Subutex, or Suboxone when combined with naloxone, is also an opiate and controlled substance that is a time-released drug and relieves pain and cravings. Naltrexone, also known as Vivitrol, can be taken in pill form each day or injected every 28 days. Morrison said the program chose Vivitrol because there are fewer federal regulations regarding how the drug is prescribed and administered. Historically, there has been resistance to medication-assisted treatment from those who argue that the only, or best, way to recover from drug addiction is abstinence. Alison Noice, the deputy director of CODA, an Oregon drug treatment agency, because it is, like heroin, a controlled substance. Morrison said she was one of those people. But studies suggest it is more effective than quitting cold turkey. An October 2015 article published in the Journal of Substance Abuse Treatment analyzed the relapse rates of 52,000 people who were in drug treatment for opiate addition between 2004 and 2010 and who received methadone or buprenorphine as part of their treatment.

The analysis found that people who received medication-assisted treatment had a 50 percent lower risk of relapse than those without the medicines. CSAP participants are given the first injection the day before they are released from jail. They are taken to a transition center when released, and a staff member of the CSAP program then picks them up and takes them to the residential facility, in Milwaukie. The program is intended to last between a year and a year and a half, and participants live in the facility for six months to a year. Noice, with CODA, said incorporating medication-assisted treatment into the county jail system ensures that treatment goes uninterrupted for people serving brief jail sentences. Still, Noice and others said there is a very high potential for treatment to be negatively impacted in jail.

Not providing any medical service to opiate addicts in jail can bring on the danger of withdrawal. Andrew Mendenhall, the senior medical director for substance use disorder services at Central City Concern. A person can experience nausea, vomiting, diarrhea, cold sweats and hot flashes, and body aches. In other cases, people are released from jail without any connection to a treatment program and immediately go back to using drugs. That happened to Riehle, and it almost killed him. Three days after his release, he overdosed on heroin and passed out. He later found out that a nearby homeowner had seen him and called the police.

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Justin Davenport, Jake Moses and Brandin Riehle are best friends, the closest friends each of them has had in their entire lives. The three are in their 20s: Davenport is 28; Moses, 27; and Riehle, 24. Like all friends, they have quite a bit in common. They enjoy playing basketball and other sports. The opiate crisis is in full swing in Oregon, as it is in the rest of the country. State and local health departments for Clackamas, Multnomah and Washington counties report that medical emergencies and fatalities from opiate addiction are a daily occurrence. Between a dozen and five dozen people overdose each week. One hundred four people died from opiate overdoses in the first six months of 2017, online par with 2016. As the population of inmates and parolees who struggle with opiate addiction in Oregon grows, county jail systems are examining generic viagra for sale what extent medication-assisted treatment can be integrated into their services to prevent painful withdrawal, relapses and overdoses.

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