A hard-hitting exposé of how methadone clinics fail people in recovery-and an urgent, unapologetic case for their abolition
Methadone is a life-saving medication. But the current system for obtaining it-the opioid treatment program, commonly known as the methadone clinic-is punitive, unjust, and often humiliating. In this eye-opening book, social worker and journalist Helen Redmond takes readers inside the hidden world of methadone clinics, exposing the "culture of cruelty" that polices, punishes, and profits from those they're meant to serve.
Through patient stories and extensive interviews with methadone users and clinic workers, Redmond weaves a compelling argument against the current clinic system. She provides a detailed history of how methadone was first developed and why the current system for dispensing methadone arose in the U.S., tracing its entanglement with the carceral system and the "War on Drugs" as well as private equity firms and tech companies. She details the numerous barriers to enter and remain and treatment, as well as standard practices that shame and discriminate against patients, such as restrictions on take-home doses; daily attendance requirements; regular urine testing; and threats of cutting off medication for any infraction of clinic rules. She also explores the nuances of resistance to methadone clinics within communities of color, unpacking the political, racial, and cultural circumstances behind the opposition to methadone.
Redmond persuasively makes the case for removing police agencies like the DEA from clinic administration, and shows how a transition to provider-prescribed pharmacy pickup, along with other tools of harm reduction such as safe-supply and peer-support services, would restore dignity to patients struggling with addiction-and save thousands of lives. HELEN REDMOND is a licensed clinical social worker and an expert in drug addiction and treatment. Redmond worked for over two decades with people who use drugs in both medical and community settings. She is a senior editor and a multimedia journalist at the online publication Filter and writes frequently about methadone; she has published pieces at Al Jazeera and Harpers.
Redmond co-directed Liquid Handcuffs: A Documentary to Free Methadone, which was an official selection of the Reel Recovery Film Festival in NYC and L.A.. and screened at events and conferences nationally and internationally. Redmond also co-directed Swallow THIS: A Documentary About Methadone and COVID-19 and toured it across the U.S. and Canada. Redmond is an adjunct assistant professor at New York University, Silver School of Social Work.
