Abstract
Years ago, the writing seemed to be on the wall: Jails and prisons would become obsolete, because so many of them were mainly populated by people who instead should have been in substance use disorder treatment. Well, that's been a very slow process. If you think the addiction treatment industry is established, think again. The established, entrenched industry in the United States is incarceration. But changes are happening, in some places at least. Recently, with the help of people like harm reductionist Keith Brown, the Albany County, New York, jail announced it would provide buprenorphine, methadone and naltrexone for inmates. The partnership between Albany County Sheriff Craig Apple, Katal (Brown's organization) and others extends to the Monroe County jail in Rochester. It's not quite the same thing as keeping people out of jail and putting them in treatment instead. But it's a step.
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