About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline

23 Va. J. Soc. Pol'y & L. 179 (2016)
Improving Drug Courts through Medication-Assisted Treatment for Addiction

handle is hein.journals/vajsplw23 and id is 185 raw text is: 



   IMPROVING DRUG COURTS THROUGH MEDICATION-
          ASSISTED   TREATMENT FOR ADDICTION

                 Barbara Andraka-Christou, J.D.

INTRODUCTION                       .............................................. 180
I.  TREATMENTS  FOR OPIATE DEPENDENCE           .....................183
   A.  Narcotics Anonymous and Twelve-Step Groups ...................... 183
   B.  Mental Health Therapy....................       ......... 186
   C.  Medication-Assisted Treatment (MAT) .....        ............ 188
       1.  Methadone     ....................... .............. 190
       2.  Extended-release naltrexone (VivitrolTM) ...............192
       3.  Buprenorphine    ..................................... 193
   D.  Detoxification Alone ..................... .............. 197
II. OVERVIEW OF DRUG  COURTS     ....................   .......197
   A.  Drug-Dependence &  the Criminal Justice System..................197
   B.  How  Drug Courts Work         ................................198
   C.  Effectiveness ofDrug Courts..........................201
III. WHAT IS TREATMENT IN DRUG COURTS? .........          ..........204
   A.  How  to Graduate from Drug Court   ........................ 204
   B.  Twelve Step Meetings   .................................. 205
   C.  Mental Health Counseling .............................. 206
   D.  Therapeutic Punishment..     ....................      .......206
   E.  MAT  Underuse in Drug Courts      .............    ............ 207
IV. REASONS FOR UNDERUSE  OF MAT  IN DRUG COURTS ...................212
   A.  Abstinence-Only Culture ...........................212
   B.  Lack ofPrescribers....................................214
   C.  Bias from Mental Health Therapists............    ........218
   D.  Fears of Diversion................................219
   E.  Misconceptions about MAT.          .........................220
V   INCREASING MAT  N DRUG  COURTS...............................221
    A. Educating Drug Court Professionals..........    .............221
    B. Loosening Restrictions on Buprenorphine Providers.............222
    C. Accreditation ofDrug Courts.     .................... ....222
    D. Greater Links with Community Providers..................223
    E. Pre-Conviction Alternative T.............. ..................224
    A  Targeting Severely-Dependent Individuals    ..............224
    .  Judge Should Defer to Medical Professionalsd.................225
    H. Reassess Therapeutic Sanctions ..........................225
    I. Signs of Change     .....................................226
VI. CONCLUSION      Ae...........................    ............ 228





    . Barbara Andraka-Christou is a member of the Florida Bar Association and
a practicing attorney. She has a J.D. from the Maurer School of Law, Blooming-
ton, Indiana. She has a B.A. in economics from the University of Florida, where
she graduated summa cum laude. Barbara is currently a Ph.D. Candidate in Law
and Social Science at the Maurer School of Law, Bloomington, Indiana.

What Is HeinOnline?

HeinOnline is a subscription-based resource containing nearly 3,000 academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Short-term subscription options include 24 hours, 48 hours, or 1 week to HeinOnline with pricing starting as low as $29.95

Contact us for annual subscription options:

Already a HeinOnline Subscriber?

profiles profiles most