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The mantra, at a time when injection drug users and men who had sex with men were not only ignored, but were vilified , says Ciccarone, was meeting people where theyre at not judging them, not disciplining them, not telling them what they needed to do. Those principles now form much of what we think of as drug treatment, he said, from the use of medicines like methadone and buprenorphine to help wean people from opioids, to the counseling that helps people rebuild their sense of dignity