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Buprenorphine has rarely been administered as an opioid agonist maintenance therapy in a correctional setting. This study introduced buprenorphine maintenance in a large urban jail, Rikers Island in New York City. Heroin-dependent men not enrolled in community methadone treatment and sentenced to 10–90 days in jail (N=116) were voluntarily randomly assigned either to buprenorphine or methadone maintenance,...