Every time she got out of jail, Jamie Cline started hustling again for heroin, driven by an addiction she didn’t understand. While in a jail work-release program, she took a medication called buprenorphine. When she got out of jail, she headed for an Olympia clinic where a doctor is working to spread
OLYMPIA, Wash. — Every time she got out of jail, Jamie Cline started hustling again for heroin, driven by an addiction she didn’t understand.
Instead, it starts with fast access to prescribed medicine that prevents withdrawal sickness. After patients start feeling better, they choose their next steps. But finding a prescriber without a waiting list is difficult. Guidelines say bupe should be used alongside counseling, which some doctors don’t feel equipped to provide.
He got his first bupe prescription at Neighborcare Health, a free downtown clinic. Once stabilized, he found a spot in a sober home with help from a caseworker. In 2017, with overdose deaths rising, Missouri tied federal grant money to a medication-first philosophy. Programs would get money only if they started clients on meds rapidly and if they dropped rules about medication time limits and attending counseling.
In Washington state, health officials are encouraging jails and drug courts to embrace bupe. Many are changing their policies. A pilot study in Seattle treated 147 patients in one year, most of them homeless. The program reached capacity within three months and kept people in treatment at rates similar to other programs. That drew financial support from a foundation, resulting in four new sites. They are expected to serve 1,250 patients over two years.
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