The inebriate asylum movement of the 19th and early 20th century was guided by a dystopian vision which sought to incarcerate all drinkers until they were cured, and to incarcerate incurable inebriates for life. This plan to create a nationwide chain of state-run inebriate asylums to rival the insane asylums of the era, which was promoted by the American Association for the Cure of Inebriates, ended in abject failure. Few inebriate asylums were ever established, and those that were established did not last long. Many were shot through with political corruption and graft. Moreover, no state government was willing to pass a law to incarcerate drinkers indefinitely, perhaps for life. Most states never built an inebriate asylum or passed a law to commit inebriates to specialized inebriate institutions, for the few states which did pass such laws, the typical commitment was six months or one year. A rival movement of the same era sought to establish inebriate homes rather than asylums. Inebriate homes were run on the honor system and sought to cure with kindness and a client-centered approach which foreshadows Rogerian Therapy. Inebriate homes had more success than inebriate asylums; the Boston Washingtonian Home was in existence for more than a century. This book tells the story of the government-run and the non-profit addiction treatment facilities which were founded prior to the Repeal of Prohibition in 1933: inebriate asylums, homes, and farms, as well as the municipal narcotic clinics which dispensed morphine to addicts, the Federal Narcotic Farms at Lexington and Fort Worth, and the alcoholic ward at Bellevue Hospital in New York City. This book also discusses the close ties between the temperance movement and addiction treatment in the 19th and early 20th centuries and the automaton theory of inebriety, which presages today's hijacked brain theory. This book also discusses the genesis of the 12-step Minnesota Model at the State Inebriate Farm at Willmar, the introduction and disastrous ending of Synanon-based therapeutic communities at the Lexington Narcotic Farm, and the introduction of methadone programs at Bellevue and at the Boston Washingtonian Hospital. Groundbreaking studies of opiates, marijuana, barbiturates, alcohol, naloxone, and LSD conducted at the Lexington Narcotic Farm are also covered, as is the research at Bellevue Hospital on Korsakoff's Syndrome and the protective effect of vitamin B1.

The United States Narcotic Farm opened in 1935 in the rolling hills of Kentucky horse country. Portrayed in the press as everything from a "New Deal for the drug addict" to a "million-dollar flophouse for junkies," the sprawling art deco facility was equal parts federal prison, treatment center, working farm, and research laboratory. Its mission was to rehabilitate addicts, who were increasingly criminalized and incarcerated as a result of strict new drug laws, and to discover a cure for opiate addiction. This richly illustrated book offers an important history of this progressive yet ultimately doomed experiment. "Narco," as the locals called it, pioneered new treatments such as prescribing methadone to manage heroin withdrawal and developed drugs that blocked the action of opiates. The coed institution admitted federal prisoners as well as volunteers who checked themselves in for treatment, and through the years it hosted several legendary jazz musicians, including Chet Baker and Sonny Rollins, as well as actor Peter Lorre and writer William S. Burroughs. The facility ultimately closed in 1975 under a cloud as Congress learned that Narco researchers had recruited patients as test subjects for CIA-funded LSD experiments from 1953 to 1962, part of the notorious project MK-Ultra. Featuring a new foreword by Sam Quinones, The Narcotic Farm offers a vital perspective on US drug policy, addiction, and incarceration as the nation struggles with a new opioid epidemic.

This book tells the story of the huge addiction treatment industry which flourished in the United States between 1890 and the advent of Prohibition in 1920. The story begins in Russia in 1886, where a number of doctors discovered a relatively effective pharmacological treatment for alcoholism. Although this Russian discovery was published in countless major English language medical journals, it was entirely ignored by the US addiction experts of the day, who eschewed pharmacological treatments, and instead preferred to lock people up in inebriate asylums where they could be subjected to religious coercion. However, an obscure railroad physician and patent medicine salesman named Leslie E. Keeley, who lived in the dusty prairie town of Dwight, Illinois, read about the Russian treatment in a medical journal and decided to give it a try. Much to his surprise, the Russian treatment proved highly effective, and, by 1891, Dr. Keeley was treating upwards of a thousand patents a day at the Keeley Institute in Dwight. Keeley was a salesman and a bit of a Barnum; he always claimed that he had invented the cure himself after decades of painstaking research and he called it the Gold Cure, claiming that his secret ingredient was gold. Of course, there was no gold in the gold cure other than the gold which lined Keeley's pockets. However, the treatment was relatively effective, and by 1893 there were over 100 Keeley Institutes operating in the United States and abroad, and hundreds of copycats were operating imitation gold cure institutes. The Keeley Gold Cure was even adopted by the National Homes for Disabled Volunteer Soldiers and the US Army. The Keeley treatment took 28 days and required hypodermic injections four times a day for the entire period. On the other hand, the Gatlin Institutes which opened in 1902 and the Neal Institutes which opened in 1909 used a form of aversion treatment and advertised themselves as three-day liquor cures. Competition between the gold cures and the three-day liquor cures in the first two decades of the 20th century was fierce and intense. Then, as the United States entered World War One in 1917, the demand for addiction treatment suddenly dried up for a variety of reasons, and the majority of these proprietary cure institutes had shut down before the enactment of Prohibition in 1920, although the parent Keeley Institute in Dwight remained in operation until 1966. This book contains the never-before-told tale of how these proprietary treatment institutes grew into a huge industry, flourished, then finally faded away as the United States entered World War One. Part One of this book covers the Keeley Institutes, Dipsocura, the Bedal Institutes, the McKanna liquor cure, the Wherrell gold cure, and the Hagey Cure. Part Two of this book covers the Morrell Cure, the National Bichloride of Gold Institutes, the Oppenheimer Institutes, the Tyson Vegetable Cure, the Willow Bark Institutes, the Telfair Sanitarium, the Connelley Cure, the Murray Institutes, the Gatlin Institutes, the Neal Institutes, the S. B. Collins Cure, and the D'Unger Cure. Part Two also contains appendices discussing strychnine, belladonna alkaloids, "jag cure" laws, and more.

"This is the remarkable story of America's personal and instituional responses to alcoholism and other addictions. It is the story of mutual aid societies: the Washingtonians, the Blue Ribbon Reform Clubs, the Ollapod Club, the United Order of Ex-Boozers, the Jacoby Club, Alcoholics Anonymous and Women for Sobriety. It is a story of addiction treatment institutions from the inebriate asylums and Keeley Institutes to Hazelden and Parkside. It is the story of evolving treatment interventions that range from water cures and mandatory sterilization to aversion therapies and methadone maintenance. William White has provided a sweeping and engaging history of one of America's most enduring problems and the profession that was birthed to respond to it" -- BACK COVER.

Pathways from the Culture of Addiction to the Culture of Recovery

Considers legislation to revise narcotics law violation penalties, transfer Treasury Dept Bureau of Narcotics to Justice Dept, and establish PHS Division of Narcotics Clinics. Nov. 4 hearing was held in Lexington, Ky.; Nov. 7 and 8 hearings were held in NYC; Nov. 10 and 11 hearings were held in San Francisco, Calif.; Nov. 14 hearing was held in Seattle, Wash.; and Nov. 16 and 17 hearings were held in Chicago, Ill.