Advocates for Human Potential, Inc.

A Bureau of Justice Assistance (BJA) funded program provided by Advocates for Human Potential, Inc. (AHP)
in partnership with Treatment Alternatives for Safe Communities (TASC) and AdCare Criminal Justice Services (ACJS).

 

See it now! 

Prison/Jail Medication Assisted Treatment Re-entry Programs


 

 

Read it now!
Prison/Jail Medication Assisted Treatment Manual

Once you've seen the video, read the details of these exemplary programs.




 

Other Prison/Jail MAT Manuals

Rhode Island Vivitrol Manual
Rhode Island Suboxone SOP
Rhode Island Distribution of Suboxone Protocol
Kentucky MAT Manual

Other Correctional MAT Videos

Montgomery County Corrections

Montgomery County, Maryland Department of Correction and Rehabilitation
video on that institution’s MAT Program
https://www.youtube.com/user/montgomerycountyDOCR


Massachusetts Department of Corrections

https://www.youtube.com/watch?v=BlCGe6kaCxk

RSAT, take note!

All RSAT programs should follow Pennsylvania Department of Corrections' lead.
"The PA DOC will no longer do business with service providers who do not,
at all levels, support the use of Medication Assisted Treatment"
Source: PA DOC MAT Expansion Plan, p. 8




What Inmates Tell us About RSAT





RSAT Jail Program Tour






Everything you need to know about your state's health insurance opportunities



RSAT Resources 

SAMHSA’s Pocket Guide to Medication-assisted Treatment for Opioid Use Disorders

Link to PDF:

http://store.samhsa.gov/shin/content//SMA16-4892PG/SMA16-4892PG.pdf

Link to SAMHSA Store page on this item:

http://store.samhsa.gov/product/Medication-Assisted-Treatment-of-Opioid-Use-Disorder-Pocket-Guide/Most-Popular/SMA16-4892PG?sortByValue=4

FDA Newly Issued ‘Boxed’ warning on the dangers of combining opioids and benzodiazepines

Link to the FDA Drug Safety Announcement:

http://www.fda.gov/Drugs/DrugSafety/ucm518473.htm

Link to PDF of Safety Announcement:

http://www.fda.gov/downloads/Drugs/DrugSafety/UCM518672.pdf

Uncovering Coverage Gaps: A Review of Addiction Benefits on ACA Plans

Although the Affordable Care Act requires most individual and small group health plans to cover Essential Health Benefits including behavioral health treatment and medications for substance use disorders, a June 2016 report from the National Center on Addiction and Substance Abuse finds that “none of the plans cover the full range of necessary and effective SUD benefits without imposing harmful treatment limitations. For example, not one plan covers every FDA-approved drug to treat opioid addiction. Two-thirds of the plans violate at least one of the ACA’s requirements related to the coverage of addiction treatment. Many plans contain vague descriptions of their SUD benefits, making a comprehensive analysis of compliance and benefit adequacy impossible.” The examination includes a breakdown of what is and is not provided in each state. This information is important so that we know what is actually available to people in need and what we have to do to get our state in compliance with federal law and what is best for justice population with SUDs.




Read it now!
Promising Practice Guidelines for RSAT

In celebration of National Recovery Month to increase awareness and understanding of mental and substance use disorders and celebrate the people who recover, we invite you to… READ IT AGAIN! 

Thanks to your assistance and feedback provided at the annual RSAT meeting last July, we have redrafted the Promising Practices Guidelines for RSAT. This is not the final draft, so please feel free to continue to send us your comments and suggestions. Just click here.


Promising Practices, Useful Studies, and News You Can Use:
  • Older Women Released from Prison Least Likely to Return

    A new study finds older women make exceptionally fine candidates for successful re-integration from prison or jail into the community. The study tracked more than 200 women released from Delaware prisons in 1990s. The follow up conducted in 2009 to 2011 found that women who were over 45 upon release demonstrated “gendered experiences of securing employment, family reunification, and substance abuse recovery, maturity, clarity about one’s personal responsibility for linked failures, and a desire to transform one’s identity were significant factors that preceded the capacity to excel in those reentry domains.

  • 8 States Receive $ for Vivitrol for Offenders

    The federal government has approved $23 million to fund MAT providing Vivitrol to prison inmates. Each state is receiving approximately a million each year for three years.

    — Vermont includes offenders on parole or probation.
    — Wisconsin includes prisoners who are within four months of release.
    — Wyoming includes inmates as they leave prison.
    — Rhode Island includes identifying, counseling and providing services to inmates with histories of prescription drug or heroin addiction before they were incarcerated.
    — Illinois includes those released from Sheridan Correctional Center southwest of Chicago.
    — North Carolina includes inmates being released from prison to post-release supervision and to those who are on probation in select communities.
    — In Colorado includes, at least one provider, Arapahoe House, that plans to provide Vivitrol to clients involved in the criminal-justice system.
    — Arizona includes medication-assisted treatment that aims to create a bridge between incarceration and outpatient treatment.

    Source: Substance Abuse and Mental Health Services Administration, FY2015 and FY2016 grants.

  • Important Warning from the U.S. DEA

    A new synthetic opioid, carfentanil, more potent than fentanyl, is appearing according to the DEA. Attached please find some information that RSAT and correctional officers should know if the drug should spread to your area of the country.

  • Outreach, Assistors, and Health/Insurance Literacy: A Toolkit for Justice Professionals

    The provides terrific descriptions of what tools and resources are available to you in every state that you can use to ensure RSAT participants use the health care system to their maximum benefit to continue to deal with behavior and physical health needs.

  • 223 ER Visits in 15 months?

    Interesting article describes study of over utilization of ERs by persons with behavioral health issues. Explains why health literacy should be a part of RSAT curriculums.

  • HUD Publication Outlines Promising Reentry Housing Models

    Introduces HUD’s It Starts With Housing: Public Housing Agencies Are Making Second Chances Real, June 2016. Encourages public housing authorities (PHAs) to collaborate with partners to “make second chances real for the men and women returning” from jail and prison. Successful sample policies and program designs from the King County Housing Authority in Washington, the Burlington Housing Authority in Vermont, and the New York City Housing Authority, can help other communities build their own reentry programs. May provide ideas for how RSAT reentry staff can work with local housing authorities to find housing for those about to be released.

  • State Correctional Policies for Treating Hepatitis C

    Summary of Wall Street Journal survey of state department of corrections’ policies rationing medication for the treatment of Hepatitis C infecting up to a third of prison and jail populations. So far lawsuits are pending against correctional departments in Pennsylvania, Tennessee and Massachusetts.

  • Assistance Programs and Patient Health Literacy Resources-Information for Justice Professionals

    This short monograph will inform you about what inmates need to know in order to be able to afford medications, including those for opioid and Alcohol use disorders as well as anti-psychotic medications upon release. It is particularly relevant for inmates in the states that have not expanded Medicaid eligibility covering most inmates in other states.

  • Mobile addiction treatment clinic travels where it's needed

    In PA, a mobile van delivers medication to released inmates and others who live far away from clinics that provide medication for opioid or alcohol use disorders. Another barrier removed in allowing clients to continue to get medication once released to the community.

  • Medication has become part of treatment for some fighting addiction in Pierce County Drug Court

    This article from the News Tribune, Tacoma, Washington, describes how the local drug court is collaborating with the jail’s medication assisted treatment program to expand the use of MAT for justice involved populations. If the drug court defendants “slip up,” they are sent to jail, detoxed and offered MAT.

  • Update on Medical Marijuana

    A total of 25 states and D.C., Guam and Puerto Rico now allow for medical marijuana use. This brief updates provides the current status of state laws.

  • At Fabled Addiction Treatment Center, A New Approach

    Hazelden, a premier abstinence only SUD treatment facility for 70 years is now adopting MAT,cutting drop out rates from 25% to just 5%.

  • New York Prison Ban on Motorized Wheelchairs Ruled Illegal

    The 2nd Circuit appeals court ruled that New York prisons can no longer ban disabled inmates’ motorized wheelchairs. As a result of the decision, the onus is on the prison that it can provide appropriate alternatives for the disabled inmates. It cannot simply enact a blanket ban of such devices. The lawyer for the inmate said the decision has “the potential to affect a number of inmates with disabilities, not only inmates with mobility impairments.”

  • Update – Hepatitis C Prevention and Treatment in Prisons

    Hepatitis C (HCV) affects about 1% of the U.S. population as a whole, but more than 17% of the overall prison population. In some states, a much larger proportion of inmates are infected. Testing for HCV is available in many prisons, but it is not always offered routinely. Many states only test inmates at-risk for HCV infection, such as those reporting a history of injection drug use. This approach offers some short-term economic advantages, but it is also likely to miss the opportunity to identify a significant proportion of infected inmates, an opportunity that many experts say offers significant public health benefits.

  • Promising Practices Archive



  • Evidence-based CBT Resources & Tools for RSAT Programs

    Information on Effective Cognitive Behavioral Approaches

  • SAMHSA’s National Registry of Evidence-based Programs and Practices lists more than 20 CBT-based programs. You can view information on all of them at the link below: http://nrepp.samhsa.gov/AdvancedSearch.aspx

  • The OJJDP Model Program Guide rates at least 10 CBT programs as effective or promising: http://www.ojjdp.gov/mpg/
    Trauma-Focused CBT is included, which helps children & parents overcome traumatic life events such as child sexual or physical abuse.

  • The National Child Traumatic Stress Network offers free online training in several effective CBT interventions for trauma: http://learn.nctsn.org/course/index.php
    Crime Solutions (National Institute of Justice) lists several approaches that employ CBT:https://www.crimesolutions.gov/Programs.aspx

  • The National Institute of Corrections (NIC) offers a CBT guide for justice professionals; reviews and discusses Thinking for Change and related approaches: http://static.nicic.gov/Library/021657.pdf

  • Correctional Counseling Inc. offers a catalogue of CBT material, research, and interventions; includes Moral Reconation Therapy®. https://secure.in.gov/idoc/files/Cognitive_Behavioral_Treatment.pdf



 
Participate in our forum!

At the last annual RSAT meeting, we learned about tablets to connect inmates to a variety of material for education, treatment, recreation and more. Which companies should we look at in deciding which tablets to use?