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).

Philadelphia Department of Prison MAT Host Site Training, September 26-27, 2019.

Thank you to all grant administrators and program staff who attended
the 2019 RSAT National Workshop at the NCJA Forum


New Release of RSAT Film on

MAT for Pre-Trial Individuals!


Promising Practices Guidelines for Residential Substance Abuse Treatment


Jail-Based Medication-Assisted Treatment

Reentry Strategies to Reduce Recidivism and Sustain Recovery

Overdose Risk Reduction and Relapse Prevention for RSAT Programs

Role of Corrections Officers in Jail/Prison Substance Use Disorder Treatment Programs

Integrated Substance Abuse Treatment for Clients with 

Co-Occurring Mental Health Disorders


Other Prison/Jail MAT Manuals

Kentucky DOC Substance Abuse Medication Assisted Treatment Protocol
Rhode Island Vivitrol Manual
Rhode Island Suboxone SOP
Rhode Island Distribution of Suboxone Protocol
Massachusetts Department of Correction Medication Assisted Treatment Re-Entry Initiative (MATRI) Clinical Guidelines
Vermont MAT for Inmates: Work Group Evaluation Report and Recommendations
New Hampshire DOC MAT and Naltrexone Oral Augmentation Clinical Guidelines
Department of Vermont Health Access, Managed Care Entity, Vermont Buprenorphine Clinical Practice Guidelines, August 2015
Resolution of National Sheriffs’ Association on MAT
ACA and ASAM Joint Policy on OUD Rx in Justice System

Correctional MAT Videos

SAMHSA Video: Benefits and Cost Savings of MAT
Services in a Correctional Setting

This video features presentations from Jon Berge, SAMHSA, Mark Parrino, American Association for the Treatment of Opioid Dependence, Andrew Klein, RSAT TTA and Advocates for Human Potential, Kathleen Maurer, Connecticut DOC, and Kevin Pangburn, Kentucky DOC.

Montgomery County Corrections

Montgomery County, Maryland Department of Correction and Rehabilitation
video on that institution’s MAT Program

Massachusetts Department of Corrections

Brief descriptions of some Prison and Jail MAT Programs

Kentucky Prison, Massachusetts Prison, Philadelphia Jail, Rhode Island Prison,
West Virginia Prison, Wisconsin, Sacramento Jail, New Haven and Bridgeport Jails (Administered by state DOC), Kenton County, Kentucky Jail, Montgomery County, Maryland Jail, Barnstable County, Massachusetts Jail, Middlesex County, New York City Jail, and Salt Lake City Jail

Medication Assisted Treatment Programs In Vermont State Corectional Facilities

This report reviews state correctional MAT programs in VT, MA, NH, MO, RI & KY, and includes the latest cost and recidivism data from most of them.


Report on New Hampshire DOC MAT in Custody
Naltrexone Program

"A Rehab Jail for Heroin Addicts" in Franklin County Massachusetts

Franklin County and the Greenfield, Massachusetts community addresses the opioid crisis with an innovative approach to treatment. The Franklin County Jail is one of the only corrections facilities in the country offering suboxone to its clients.

RSAT Jail Program Tour

What Inmates Tell us About RSAT

  • Wednesday, December 11, 2019

  • Leveraging Telehealth for Justice-Involved Individuals: Expanding Access to Mental and Substance Use Disorder Treatment

  • Click here for webinar information

  • Reintegration Barriers Lead to Poorer Physical and Mental Health for Formerly Incarcerated

    Reentry efforts need to expand beyond focusing on recidivism, but address the many needs of persons reentering the community, including housing, employment, child care and behavior health. Increasing depression following release can increase reintegration barriers which, in turn, increase poor health, constituting a “negative feedback loop.”

  • Integrating Treatment for Co-Occurring Mental Health Conditions

    This article reviews the prevalence of co-occurring Alcohol Use Disorder and MHCs, screening tools to identify individuals with symptoms of AUD and Mental Health Conditions, and subsequent assessment of co-occurring disorders. Types of integrated treatment and current challenges to integrate treatment for co-occurring disorders effectively are reviewed. Innovative uses of technology to improve education on co-occurring disorders and treatment delivery are also discussed. Systemic challenges exist to providing integrated treatment in all treatment settings, and continued research is needed to determine ways to improve access to treatment.

  • Medication-assisted Treatment Inside Correctional Facilities

    Short guide for implementing MAT in jails and prisons with emphasis on preventing diversion and quality control for continuing care post-release, issued by SAMHSA and BJA.

  • Social Factors Are Primary Impediments To Managing Care For High-Cost Medicaid Beneficiaries

    This report reminds us that successful medical care, including drug treatment, will be undermined by social factors. The biggest barriers are reported to be transportation to medical appointments, lack of stable housing and inconsistent access to food and basic resources. All of these should be addressed in reentry planning.

  • Latest Information on Methamphetamine

    SAMHSA’s 2018 National Survey on Drug Use and Health showed that methamphetamine is becoming an increasingly used substance across the US, with alarming escalations of use among individuals 26+ years and older. According to these same statistics, methamphetamines was being used by almost twice as many men as women in 2017 but women have increased their use in 2018. To find out more about the growing problems of methamphetamine, check out NIDA’s website.

  • HIV Epidemic to Follow Opioid Epidemic

    A cluster of 74 cases of HIV among individual heroin users sharing needles in West Virginia may be a harbinger of a long feared opioid caused HIV epidemic. Called the nightmare everyone is worried about, this is the largest number of HIV cases since 2015 in Indiana. The answer is expanded OUD treatment and a treatment known as pre-exposure prophylaxis (PrEP) to stamp out new infections.

  • Second Chance Act Pay for Success Initiative: Outcomes-based Contracting To Lower Recidivism and Homelessness FY 2019 Competitive Grant Solicitation

    The U.S. Department of Justice (DOJ), Office of Justice Programs (OJP) Bureau of Justice Assistance (BJA) is seeking applications for state, local, and tribal governments to implement outcomes-based contracts with reentry and permanent supportive housing service providers to improve recidivism, housing and related outcomes for formerly incarcerated people. This program furthers the Department’s mission by reducing recidivism and building more effective service delivery systems that pay for outcomes.

  • 10 Warning Signs of Suicidal Inmates

    CorrectionsOne lists 10 signs for suicidal incarcerated persons. The 4th is substance abuse, including those with strong fear of withdrawal.

  • Best Practices in the Justice System for Addressing the Opioid Epidemic

    This collection of articles by the National Association of Drug Court Professionals published in the Journal for Advancing Justice includes descriptions of model prison MAT programs in NJ, RI, MA & KY.

  • Cultivating Change: How the Middlesex Sheriff’s Office and the Restoring Promise Initiative Are Transforming Incarceration for Young Men

    The jail has a separate pod for all offenders between the ages of 18-24. In it, trained correctional officers and staff have created a program tailored to the positive development of young men with the assistance of the VERA Institute of Justice. The Sheriff admits many thought he was crazy to put in one pod the offenders responsible for most of the disciplinary problems in the jail, including gang rivalries. However, as this report indicates, the results have been terrific on every level.

  • Use of Medication-Assisted Treatment for Opioid Use Disorder in Criminal Justice Settings

    This is SAMHSA’s version of the earlier work released by the National Sheriffs’ Association and the National Commission on Correctional Health Care. It has a succinct review of the research and additional examples of MAT programs in criminal justice settings including jails and prisons. The latter includes New Jersey and Philadelphia’s large buprenorphine induction prison and jail programs.

  • Overdose Crisis Not Limited to Opioids

    New Massachusetts study found in over 2,000 opioid related overdoses only 17% only ingested opioids. Most mixed with cocaine and methamphetamines. Many not addicted to opioids, thought they were ingesting cocaine only.

  • US Buprenorphine Prices: A Complete List

    Filter obtained the attached list of US prices for different forms of buprenorphine formulations and brands. The list was provided by Elsevier, a global information and analytics company. If you program has not checked prices recently, you may be paying too much for your buprenorphine medications for both withdrawal management or medication-assisted treatment.

  • Geographic Distribution of Opioid-Related Mortality in the Third-Wave Opioid Epidemic

    The opioid epidemic is a devastating public health crisis. Emerging research suggests that the narrative of the current crisis is not so simple – that in fact there are multiple co-occurring and distinct epidemics – characterized by different types of opioids as well as geographical footprints. Mortality rates are doubling every two years in some states. This articles includes maps that include discussion of Life Expectancy Lost (LEL) due to increased opioid-related deaths and future state responses.

  • Medication-Assisted Treatment (MAT) In The Criminal Justice System: Brief Guidance To The States

    This SAMHSA publication details the barriers to MAT within the criminal justice system and then how they can be overcome. Brief but handy guide.

  • New Opioid Epidemic 'Hot Spots' Emerge in U.S.

    Opioid overdose deaths climbed fastest in the District of Columbia, more than tripling every year since 2013. Eight states -- Connecticut, Illinois, Indiana, Massachusetts, Maryland, Maine, New Hampshire, and Ohio -- had opioid-related mortality rates that at least doubled every 3 years. Two states -- Florida and Pennsylvania -- had opioid-related mortality rates that at least doubled every 2 years. The increase in mortality rates in the east seemed driven primarily by synthetic opioids, which followed a distinctive geographic pattern across the country. Synthetic opioid deaths now outnumber heroin deaths, suggesting that drugs like fentanyl have contaminated the production process of street drugs like cocaine and methamphetamines and is no longer limited to heroin.

  • Prescription Mobile Medical App cleared as component of Opioid Use Disorder Treatment

    The U.S. Food and Drug Administration cleared a mobile medical application (app) to help increase treatment retention in an outpatient program for individuals with opioid use disorder (OUD). The reSET-O app is a prescription cognitive behavioral therapy intended to be used in addition to outpatient treatment under the care of a health care professional, in conjunction with treatment that includes buprenorphine and contingency management. Although reSET-O did not reduce positive drug screens, it did significantly increase treatment retention. Using internet-based or mobile apps in conjunction with treatment for substance use disorders is not a new idea. There are many studies going back over 10 years that have shown promising outcomes in using technology based cognitive-behavioral treatment sessions and/or community reinforcement approach to enhance as well as reduce traditional counselor based treatment sessions. Evidence-based interventions will continue to be designed to improve executive function and be delivered through the use of mobile apps and, coupled with their high program consistency and participant enjoyment, appear to be a logical choice for repairing cognitive dysfunction.

  • Promising Practices Archive

Information on Effective Cognitive Behavioral Approaches


Additional RSAT Guides & References

Introduction to Trauma and Trauma-Informed Approaches for RSAT Staff

Preventing, Detecting and Treating HIV/AIDS and Viral Hepatitis: Health Promotion and Risk/Harm Reduction in Substance Abuse Treatment

A Comprehensive Listing of What States Cover for Substance Use Disorder, including Medications

New Manual on
Health Literacy

Once they obtain health coverage, RSAT participants need to maximize the benefits offered in terms of preventive and primary care to promote both better physical and behavioral health.

Recent Medication-Assisted Treatment Studies Relevant to Corrections

Participate in our forum!

Our RSAT program is getting a bit rusty after many years. How can we determine if we are keeping up with what we should be doing?

Participate in the forum to learn about fidelity assessments of RSAT programs.