{"id":590,"date":"2023-12-23T17:51:20","date_gmt":"2023-12-23T21:51:20","guid":{"rendered":"https:\/\/sites.bu.edu\/vest\/?p=590"},"modified":"2025-03-18T10:27:26","modified_gmt":"2025-03-18T14:27:26","slug":"locked-up-in-more-ways-than-one","status":"publish","type":"post","link":"https:\/\/sites.bu.edu\/vest\/2023\/12\/23\/locked-up-in-more-ways-than-one\/","title":{"rendered":"Locked Up in More Ways Than One"},"content":{"rendered":"<p>By Noel Vest<\/p>\n<p>Published December 23, 2023<\/p>\n<p>\u201cYou\u2019re gonna have to overdose to get treatment in here.\u201d<\/p>\n<p>Though I had remained clean for two years in the county jail while awaiting trial, I was informed that overdose was the only option I had to obtain the lifesaving treatment I needed when I arrived at High Desert State Prison. Such is life when you are trying to obtain substance use disorder treatment while incarcerated.<\/p>\n<p>In the confines of my cell, I grappled with the shadows of my past. Incarcerated for nonviolent drug-related offenses, including drug possession, fraud and identity theft, I found myself yearning for a chance at redemption. The clinking of cell doors echoed through the hallways, a constant reminder of the isolation that enveloped me. Despite recognizing the dire need for drug treatment, I discovered an unfortunate reality: I was caught in a system that struggled to provide adequate drug rehabilitation services.<\/p>\n<p>As days turned into months and months into years, my desperation grew. The prison\u2019s limited resources and overcrowded facilities made accessing drug treatment programs a distant dream. In a cruel twist of fate, the very institution meant to facilitate rehabilitation became a barrier to the transformative journey I so desperately sought.<\/p>\n<p>From a purely financial standpoint, the policy made sense; prisons can only afford to provide services to those most in need. That amounts to people who are lucky enough to have been offered a plea deal that includes treatment or those who overdose while in custody.<\/p>\n<p>Locked behind bars, my yearning for change persisted. I pondered the missed opportunities and the lack of support systems within the criminal justice system. The absence of comprehensive drug treatment programs left me grappling with the harsh reality that, despite my earnest desire to recover, the necessary services remained out of reach. Eventually, the prison brought in recovery-focused self-help meetings (i.e., AA, NA, Al-Anon) to provide some assistance, but it was nowhere near enough.<\/p>\n<p>I was lucky. I persevered and stumbled into long-term recovery through the back door. It\u2019s clear we need more opportunities within the prison system to enter recovery through the front door.<\/p>\n<p><em>Noel Vest is an assistant professor at the Boston University School of Public Health.\u00a0<\/em><\/p>\n<p>Originally published as <a href=\"https:\/\/www.vitalcitynyc.org\/articles\/how-drugs-hurt-or-helped-me\">part of a collection on Vital City<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Noel Vest Published December 23, 2023 \u201cYou\u2019re gonna have to overdose to get treatment in here.\u201d Though I had remained clean for two years in the county jail while awaiting trial, I was informed that overdose was the only option I had to obtain the lifesaving treatment I needed when I arrived at High [&hellip;]<\/p>\n","protected":false},"author":24655,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/sites.bu.edu\/vest\/wp-json\/wp\/v2\/posts\/590"}],"collection":[{"href":"https:\/\/sites.bu.edu\/vest\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sites.bu.edu\/vest\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/vest\/wp-json\/wp\/v2\/users\/24655"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/vest\/wp-json\/wp\/v2\/comments?post=590"}],"version-history":[{"count":2,"href":"https:\/\/sites.bu.edu\/vest\/wp-json\/wp\/v2\/posts\/590\/revisions"}],"predecessor-version":[{"id":680,"href":"https:\/\/sites.bu.edu\/vest\/wp-json\/wp\/v2\/posts\/590\/revisions\/680"}],"wp:attachment":[{"href":"https:\/\/sites.bu.edu\/vest\/wp-json\/wp\/v2\/media?parent=590"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.bu.edu\/vest\/wp-json\/wp\/v2\/categories?post=590"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.bu.edu\/vest\/wp-json\/wp\/v2\/tags?post=590"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}