New policy on methadone maintenance treatment in prisons established in Alberta

The right of a prisoner to access methadone maintenance treatment (MMT) while incarcerated in a correctional institution has recently been raised and examined in the Alberta Court of Queen's Bench case of Milton Cardinal v The Director of the Edmonton Remand Centre and the Director of the Fort Saskatchewan Correctional Centre. This is a significant, precedent-setting case. For the first time, a Canadian court has ordered that a prisoner be provided with MMT during his or her period of incarceration. As a result of the case, and just before it was to proceed to trial, Alberta changed its policy and is now providing MMT to its provincial prisoners--at least when they had been receiving MMT prior to their incarceration.     

Randomized controlled trial proves effectiveness of methadone maintenance treatment in prison

A study on methadone maintenance treatment (MMT) undertaken by the Correctional Service of Canada in 2001 demonstrated that MMT has a positive impact on release outcome and on institutional behaviour. Now, a new study undertaken in an Australian prison system has demonstrated that MMT also reduces drug use and injection in prisons. The implications of this study are far reaching. They suggest that in all jurisdictions where community-based programs operate, prison-based methadone programs should be introduced or expanded.     

Canada: study demonstrates positive effect of methadone treatment

A recent study on methadone maintenance treatment (MMT) in federal correctional institutions demonstrates that MMT has a positive impact on release outcome and on institutional behaviour. The study provides support for the need to expand access to MMT in prisons. Importantly, it concludes that the CSC may spend less money on offenders who are on MMT in the long term, saying that "the cost of the institutional MMT program may be offset by the cost savings of offenders successfully remaining in the community for a longer period of time than equivalent offenders not receiving MMT."     

HCFA's new restrictions on the operation of hospital outpatient facilities

The Health Care Financing Administration has promulgated new regulations that substantially alter the manner in which it treats Outpatient Facilities. This Article (1) provides an overview of these new restrictions on the operation of Outpatient Facilities; (2) discusses potential unintended consequences associated with these restrictions; and (3) raises issues that providers must consider as they assess how to comply with these new restrictions.     

The effect of three-strikes legislation on serious crime in California

Using county-level data from California for the years 1989-2000, this study explored the effect of three-strikes legislation on serious crime. It improved on most previous research in this area by controlling for how often prosecutors charged offenders under the three-strikes statute. Preliminary findings suggested that larceny was reduced by way of deterrence resulting from three-strikes and that all index crimes were reduced by way of incapacitation. Once county-specific trends were controlled for, however, the deterrent and incapacitative effects of three-strikes legislation disappeared altogether.     

Alberta court orders methadone maintenance therapy for prisoner on interim basis

On 2 May 2003, Justice VO Ouellette of the Alberta Court of Queen's Bench ordered the Director of the Fort Saskatchewan Correctional Centre to provide methadone maintenance treatment (MMT) to Milton Cardinal on an interim basis. Prior to his arrest and incarceration, Mr. Cardinal had been receiving MMT to treat opiate addiction. Following the expiration of 30 days from his arrest and incarceration, he was placed under the blanket "mandatory withdrawal policy" enforced by Alberta correctional authorities.     

Perceived positive aspects of intimate relationships among abused women in methadone maintenance treatment programs (MMTP)

This study examines the positive aspects of intimate relationships perceived by drug-involved women victims of intimate partner violence (IPV). The article examines the association of psychological distress, childhood abuse, and severity of IPV with the different positive aspects the women indicated. Most analyses were conducted on a subsample of 149 women in methadone maintenance treatment who intended to continue their relationship with their abusive partner. The women most frequently valued fulfillment of the role of an intimate partner such as "he takes care of me, loves me, makes me laugh" (29.7%). Fewer than one tenth of the women valued their partners' role as economic provider; however, these women reported more physical IPV. Women intending to continue the relationship (more than two thirds of the participants) reported less physical or sexual IPV and experienced less psychological distress. Policy and practice implications are discussed.     

Methadone toxicity causing death in ten subjects starting on a methadone maintenance program.

Methadone maintenance therapy is designed to reduce the need for addicts to use heroin or other illegal opiates. Death in patients starting on such a program has not previously been documented. We report the death of 10 persons who died within days of starting a methadone maintenance program administered by general practitioners. Their bodies were subject to a full autopsy by forensic pathologists, with a full toxicological examination. The mean starting dose had been 53 mg, which had been increased to a mean of 57 mg by the final dose. Death occurred after a mean of 3 days. The mean blood methadone concentration at death was 2.1 mumol/L. Complete toxicological analysis showed that six subjects had additional drugs present including two with alcohol, two with benzodiazepines and morphine, and one with benzodiazepines alone. Pathological examination revealed the presence of chronic persistent hepatitis in all subjects and bronchopneumonia in five. The causes of death were given as methadone toxicity or methadone toxicity in combination with bronchopneumonia. Our observations highlight the dangers of methadone in the first days of starting on a maintenance program, particularly when the starting doses are relatively high and subjects have no demonstrated tolerance to opiates.     

The effect of a curfew law on juvenile crime in Washington,D.C.

Juvenile curfew laws were a popular intervention to combat juvenile crime during the 1980s and 1990s. An experimental replication design was used to examine the impact of the Washington, D.C. “Juvenile Curfew Act of 1995.” Juvenile arrest data were analyzed using a two-standard-deviation-band approach, t-test, and trend analysis. The results, consistent with previous studies, revealed that the curfew law did not reduce total juvenile arrests. Several flaws inherent in curfew laws, as well as implications for research and policy, are discussed.     

The impact of higher education on crime orientations

The formulation of crime policy is as complex as the phenomenon of crime itself. Numerous orientations to crime vie for consideration in the policy process, and the result is usually a confounding mixture of concepts and policies. It is the purpose of this study to analyze four prevalant orientations to crime and to assess the impact of a college education on student attitudes toward the different orientations. The findings suggest that criminal justice education and higher education, in general, have a significant impact on individuals' perceptions of the causes of crime and the functions of the criminal justice system. Given the increased emphasis on higher education within the justice system, the educational process is likely to play an important role in the evolution of criminal justice policies.     

The paradoxes of organized crime

The paper argues that the concept of organised crime inconsistently incorporates the following notions: a) the provision of illegal goods and services and b) a criminal organization, understood as a large-scale collectivity, primarily engaged in illegal activities with a well-defined collective identity and subdivision of work among its members. Against this superimposition, the author's contention is twofold: (1) The supply of illegal commodities mainly takes place in a `disorganized' way and, due to the constraints of product illegality, no immanent tendency towards the development of large-scale criminal enterprises within illegal markets exist. (2) Some lasting large-scale criminal organizations do exist, but they are neither exclusively involved in illegal market activities, nor is their development and internal configuration the result of illegal market dynamics.For Susan Strange: mentor and friend     

美国对犯罪与违法的法理界定

本文阐述的是美国关于犯罪本质的哲学解释。刑罚既包括过错犯罪。也包括严格责任违法,这两者代表了两种不同的刑事责任类型。美国学界主张过错犯罪的要点在于其是侵害公众利益的不法行为,并非由于其危害公众利益,而是因为公众负责处罚此类行为,即它们应该得到国家的处罚。不法行为得到惩罚是因其性质严重,它们不敬重社会公认的价值;只有当行为人违反重要价值时才应得到处罚,不仅是出于对刑法实用主义的考虑,亦取决于罪刑法定原则的内涵。美国学者分析过错犯罪和不太严重的违法行为,认为后者同样存在着损害公众利益的危险。