What does substance-use treatment in Seattle actually look like?

Joe Miller, Pioneer Human Services’ director of transition services, is proud of the work the organization does with people experiencing substance-use disorder in jail, but acknowledges it can be a difficult environment for treatment.

“The setting can be quite challenging at times just from the human element,” said Miller. “Because they’re in jail, they don’t have the opportunity to go and create a broader network of positive influence. They have to have the ability to create it amongst themselves.”

“Carceral systems are created as systems of punishment,” said Brad Finegood, a strategic advisor for Public Health – Seattle King County who works on overdose prevention. “Punishment is not necessarily meant

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