'There are advocates who are staunchly opposed to building new facilities. While these advocates and I share many of the same values and goals, there is only one realistic and truly just pathway forward — the building of borough-based jails.'
Jonathan Giftos, MDThoughtful op-ed by @Vivian_Nixon_WW on one possible path for transforming the city’s jail-system — closing Rikers, and building smaller, borough-based facilities that are trauma-informed, service-oriented, and the least restrictive possible.
The 67-year-old man, whose name was not released, was reported missing about 3:10 p.m. near the New Jersey side of the George Washington Bridge, said police.
Jonathan Giftos, MDI only knew Dr. Charles Van Der Horst through his academic work & activism — but we had connected on social media years ago, & I felt like I really knew him. I deeply admired him, & the life he led. What a devastating loss for world. Rest in power.
Opposition to the CDC's 2016 evidence-based "Guideline for Prescribing Opioids for Chronic Pain" bears the fingerprints of opioid makers.
Jonathan Giftos, MDI am as critical of pharma as the next guy, & believe strongly in disclosure of COI — but this article is wildly dismissive of those of us who advocate for thoughtful, patient-centered approaches to opioids & chronic pain. We are not all shills for pharma.
At its core, the resurgence of the once-defeated disease in the U.S. is a failure of communication.
Jonathan Giftos, MD“The work of global inoculation requires first rebuilding a social contract, which means meeting people on the platforms where they now get their information, in the ways they now consume it.” #VaccinesSaveLives
How our discussion of addiction became trapped in the flawed terminology of the DSM 5 and why it’s important that we escape. The topic of addiction and stigma is currently receiving long over…
Jonathan Giftos, MDAn incredibly thought provoking reflection by @tenuredaddict on the limitations of the DSM 5 when it comes to addiction, & the persistent struggle to find the rights words to describe our conditions — accepting that there are many. A must read.
Jonathan Giftos, MDExcellent summary by @RecoveryAnswers of seminal 2010 paper by John Kelly, et al looking at use of terms “substance abuser” & “substance use disorder”. Take home: language matters & we should strive to use words that respect the humanity of PWUD.
Drugs like buprenorphine could sharply curb the nation’s opioid overdose crisis. But federal laws make it difficult for people who need such medications to get them.
Jonathan Giftos, MDSuccinct op-Ed in NYT in response to @theNASEM report on effectiveness & underutilization of medication for opioid use disorder. These meds aren’t a silver bullet, or all that we need, but access must be optimized in all spaces to save lives.
Marty Walsh’s visit to safe injection sites in Toronto and Montreal this week shows a willingness to reconsider his own views to combat opioid crisis.
Jonathan Giftos, MD“It appears that the policy intrigues Walsh enough that he’s touring a few city-run safe injection sites in Toronto on Thurs. & Montreal on Fri. “I went from a hard no on safe injection sites to, am I in the right place on that? We have to look at it all.”
IN DECEMBER, a federal district court judge in Massachusetts ordered the Essex County jail to provide an entering inmate methadone so that he could continue his successful methadone treatment of the last two years. The individual had failed on the...
Jonathan Giftos, MDAll respect, this article is deeply flawed. As the medical director of a large jail-based OTP, going to respond to each point one at a time. 1/
The ruling could have tremendous consequences for jails and prisons across the country.
Jonathan Giftos, MDIncredibly important ruling.
“One thing this ruling says is that, one way or another, either by legislation or by legal mandate, jails and prisons are going to have to do this.” @MBotticelliBMC
Almost all of the people bailed out by Robert F. Kennedy Human Rights have returned to court, officials there say.
Jonathan Giftos, MD“In October, hundreds of volunteers acting on behalf of advocacy group posted $1.2 million in bail to free 105 people from Rikers Island & other city jails.
Of the 90 who’ve since had scheduled court appearances, only two failed to show up as of Friday.”
The small, communal toilet was in the corner of the pod, enclosed by a short stall that did nothing to keep the smell of diarrhea, vomit, and blood from overtaking the unit.
Jonathan Giftos, MDNo need for this to ever happen w/o medical support. A methadone or bupe taper easy & dramatically reduces misery. Conversion to maintenance if interested & titration to therapeutic dose a/w 75% ⬇️ in post-release mortality. Enough w/ forced withdrawal.
The state has started to reduce overdose deaths by offering counseling and medication for opioid addiction in prison. Research finds the treatment helps inmates avoid relapse after release.
Jonathan Giftos, MDThey’re doing great work in RI. One small correction to article. We DO start people on OAT in NYC who MIGHT get state sentence (72% end up back in community), but it’s true — we must taper people who DO get state sentence as NYS DOCCS cannot continue.