NPR

Opioid Addiction In Jails: An Anthropologist's Perspective

In Getting Wrecked: Women, Incarceration, and the American Opioid Crisis, a Rikers Island doctor says drug treatment in U.S. jails and prisons is often shaped by societal prejudice, not science.
A new book by anthropologist and physician Kimberly Sue tells the stories of women navigating opioid addiction during and after incarceration.

Dr. Kimberly Sue is the medical director of the Harm Reduction Coalition, a national advocacy group that works to change U.S. policies and attitudes about the treatment of drug users. She's also a Harvard-trained anthropologist and a physician at the Rikers Island jail system in New York.

Sue thinks it's a huge mistake to put people with drug use disorder behind bars.

"Incarceration is not an effective social policy," she says. "It's not an evidence-based policy. It's not effective in deterring crime. But we continue to rely on it for reasons that have to do with morality."

While a quarter or more of the U.S. prison population has an addiction to opioids, only 5% of those individuals receive medication for their chronic condition, Sue notes, despite the growing agreement among doctors that this approach to treatment saves lives.

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