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Huddleston W.,National Drug Court Institute
Journal of Global Drug Policy and Practice | Year: 2010

In the late 1980s, many of the courts in the United States were overwhelmed with drug-addicted offenders. In 1989, in an effort to stem the tide of drug-involved cases, the court system in Miami began taking offenders into an intensive court-based drug treatment program designed as an alternative to incarceration. The program was called Drug Court. Now 20 years since this experiment was initiated, an impressive 2,301 Drug Courts operate throughout all fifty states and U.S. Territories, serving 120,000 adult and juvenile offenders annually. © 2006 - 2010 The Journal of Global Drug Policy and Practice. Source

Matusow H.,National Development and Research Institutes | Dickman S.L.,Harvard University | Rich J.D.,The Miriam Hospital | Rich J.D.,Brown University | And 5 more authors.
Journal of Substance Abuse Treatment | Year: 2013

Drug treatment courts are an increasingly important tool in reducing the census of those incarcerated for non-violent drug offenses; medication assisted treatment (MAT) is proven to be an effective treatment for opioid addiction. However, little is known about the availability of and barriers to MAT provision for opioid-addicted people under drug court jurisdiction. Using an online survey, we assessed availability, barriers, and need for MAT (especially agonist medication) for opioid addiction in drug courts. Ninety-eight percent reported opioid-addicted participants, and 47% offered agonist medication (56% for all MAT including naltrexone). Barriers included cost and court policy. Responses revealed significant uncertainty, especially among non-MAT providing courts. Political, judicial and administrative opposition appear to affect MAT's inconsistent use and availability in drug court settings. These data suggest that a substantial, targeted educational initiative is needed to increase awareness of the treatment and criminal justice benefits of MAT in the drug courts. © 2013 Elsevier Inc. Source

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