As a nurse at a state prison, in VT, I know that we do very little for detox from drugs as alcohol is truly the only substance you can die from detoxing from. We provide the minimum comfort measures such as Tylenol for muscle aches, and immodium for the runs, as well as make sure to check vitals and keep fluids available. Basically the thought is, maybe if it sucks enough to sober up from they'll think about that before using again, and why should the state pay for an offender to have meds to help make detoxing easier on them? Don't like it? Don't use/don't go to jail.