Buprenorphine Maintenance for Opioid-Addicted Persons in Jail and Post-Release

Inclusion Criteria: * opioid dependent patients who meet eligibility requirements for the KEEP program, * patients serving sentences who will remain confined for at least 10 days but less than 90 days in the EMTC facility (all male) at Rikers, * willingness to accept buprenorphine treatment, * expected to reside in New York City after release * 18-65 years of age Exclusion Criteria: * receiving methadone treatment in the community at sentencing and remanded to Rikers * took non-prescribed 'street methadone' within last 3 days * currently receiving more than 20mg/day methadone * current psychotic symptoms (e.g., schizophrenia, schizoaffective disorder) requiring referral for mental health intervention, or current treatment with antipsychotic medication) * HIV infection with T lymphocytes less than 200 per mm of blood and/or presence of a serious opportunistic infection requiring treatment, or receiving the HIV medication atazanavir. * unable to complete English language interview