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).


 


Jail-Based Medication-Assisted Treatment









Promising Practices Guidelines for Residential Substance Abuse Treatment






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





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.







 

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.


MASS DOC MATRI PROGRAM


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




  • Increasing Overdoses from Illicit "Street" Drug Use

  • December 19, 2018 2pm ET



  • Best Practices for Successful Reentry for People Who Have Opioid Addiction

    This new publication from Council of State Government Justice Center outlines major reentry activities. It describes best practices for correction departments, community-based behavioral health agencies, and probation and parole to ensure reentry is safe and successful for people with opioid addictions.

  • Evaluation of Amphetamine-Related Hospitalizations and Associated Clinical Outcomes and Costs in the United States

    Overshadowed by opioids, meth is back with a vengeance. Study finds amphetamine use is skyrocketing in United States. Hospitalizations up 245% from 2008 to 2015. Poses renewed challenge for RSAT programs.

  • MA Jail Ordered to Continue Methadone for Entering Inmate

    Order from Federal District Court requiring Massachusetts jail to continue methadone for individual entering jail for 60 day sentence for operating after suspension. Defendant had failed to remain abstinent on buprenorphine and naltrexone but had succeeded for past two years on methadone. Sheriff had argued that medical detox and in house drug treatment as well as access to naltrexone was sufficient to address defendant’s needs without compromising institutional security by allowing the introduction of methadone the jail was not equipped to dispense.

  • Long Stigmatized, Methadone Clinics Multiply in Some States

    Access to methadone maintenance is growing, but Alabama, Arkansas, Idaho, Illinois, Iowa, Kentucky, Louisiana, Nebraska, North Dakota, South Carolina, Tennessee, Texas and Wyoming do not allow Medicaid reimbursement for methadone treatment. Much lower number of doctors prescribe buprenorphine of opioid addiction than anticipated. Many obtain licenses to prescribe buprenorphine (requires 8 hour course) but treat only existing patients and are not interested in adding new patients with opioid use disorder. This means that jail and prisons that institute MAT programs that provide agonist medications have to do their homework to connect exiting individuals with available methadone clinics or physicians and medical personnel willing to treat them with buprenorphine.

  • Large randomized trial finds disappointing effects for federally-funded (Second Chance) programs to facilitate the re-entry of prisoners into the community. A new approach is needed.

    Study says it is very possible that some reentry programs were effective but their effect was diluted by others that were ineffective or harmful, resulting in an average effect near zero. It suggests evidence-based reforms to Second Chance Act that focus on a central goal: identifying a subset of specific re-entry strategies rigorously shown to produce important effects on recidivism and other key outcomes.

  • Managing Comorbid Opioid and Alcohol Use Disorder

    Lest we forget, more people die from alcoholism every year than opioids (88,000 vs 49,000). Because both alcohol and opioids have central nervous system depressant effects, so that comorbid AUD and OUD have a greater chance of inducing respiratory depression and overdose than either disorder alone. Article discusses need to treat both.

  • Prescription Databases May Miss Opioid-Benzo Combinations

    A new 2018 Quest Diagnostics analysis revealed that prescriptions databases may be missing concurrent opioid and benzodiazepine in patients drug tests. Among a selected sample of patients whose drug test indicated concurrent benzodiazepine and opioid use, 64% had at least one benzodiazepine or opioid that was not prescribed. The Quest Diagnostics analysis was based on 456,675 sets of test results from 276,953 patients in 50 states and the District of Columbia in 2017.

  • Why You Shouldn’t Dismiss The Risk of Marijuana Addiction

    The National Survey on Drug Use and Health (NSDUH) from 2016 found that about 4 million people 12 and older meet the classification for a marijuana use disorder. That’s nearly 11 percent of the 37.6 million people 12 and older who reportedly used marijuana in 2016.

  • As America’s Jails Become Warehouses For Mentally Ill

    No other country in the world is using its jails as its primary response to mental illness.

  • NASTAD - Pharmaceutical Company Patient Assistance and Cost-sharing Assistance Programs: Hepatitis

    This NASTAD website describes Patient Assistance and Cost-sharing Assistance Programs for medication to treat Hepatitis for people with low incomes who do not qualify for Medicaid, Medicare or AIDS Drug Assistance Programs.

  • Pre-release Injectable Naltrexone Improves HIV treatment too.

    A new study finds that those released on injectable naltrexone are more likely to maintain or improve their HIV viral load suppression, indicating all important HIV medication compliance. Typically, the period of time right after persons are released from jail is chaotic, associated with both opioid overdoses and loss of HIV care. The injection, by reducing cravings during this critical period, appears to allow individuals to concentrate on self-care in general. Springer, S. A. et. al. (2018). Extended-Release Naltrexone Improves Viral Suppression Among Incarcerated Persons Living With HIV With Opioid Use Disorders Transitioning to the Community: Results of a Double-Blind, Placebo-Controlled Randomized Trial, Journal of Acquired Immune Deficiency Syndromes. 78(1):43-53

  • California Reentry Guide

    Reentry Health Policy Project’s Meeting the Serious Health and Behavioral Needs of Prison and Jail Inmates Returning to the Community identifies state and county-level policies and practices to deliver effective care to people who are reentering California communities. It focuses on the following issue areas: 1) Eligibility establishment to receive care; 2) Care coordination; 3) Maximizing federal financial participation, primarily through the Affordable Care Act; 4) Release of information; 5) Residential and outpatient treatment capacity; 6) Housing; and 7) Evaluation.


  • Opioid Pain Pills Still Top Selling Drug in South, Midwest

    According to a national study of prescriptions, Hydrocodone, opioid pain medication, is the most prescribed medication in 10 states, mainly in the South and Midwest (AK, AL, GA, ID, IL, IN, MS, NC, NE, OK). As recently as 2012, hydrocodone was the most widely prescribed medication in the country. Since then, hydrocodone prescriptions have fallen by over a third and it now ranks 4th nationwide. The most prescribed medication in Tennessee, on the other hand, is Suboxone (buprenorphine with naloxone), an opioid treatment medication. In 2012, doctors in Tennessee wrote 1.4 opioid prescriptions for every citizen in that state, the second highest rate in the country. The state then moved aggressively to shutdown pill mills and expand access to addiction treatment, accounting for its high rate of Suboxone prescriptions. Prescriptions for opioid pain medication dropped 12% in Tennessee but overdose deaths continue to climb due to heroin and fentanyl use. Tennessee is currently adopting measures to rein in the over prescription of Suboxone.

  • Transforming hurt into healing: ‘Building Resilience’ program thrives in Corcoran

    This article describes a California prison program to address trauma in a maximum security men’s prison. A study at Rutgers found that one in six male inmates studied reported being physically or sexually abused as a child, and many more witnessed traumatic events. The described program began in 2016 at California State Prison-Corcoran (COR), which has seen real results from the program that challenges men to look not only at the trauma that has happened to them, but also on the pain they have caused others.

  • Promising Practices Archive


Information on Effective Cognitive Behavioral Approaches


MAT Resources and Research


Substance Abuse Facilities-Opioid Treatment Services,
SAMHSA Feb. 2017

Map of Opioid Treatment Providers

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

Tennessee Health Department Finds Some Overdose Deaths Associated With Buprenorphine


Opioid Treatment Drugs Have Similar Outcomes Once Patients Initiate Treatment

This NIDA study compares buprenorphine/naloxone combination to extended release naltrexone. It is the second that now finds the two medications work equally well although one is an opioid substitute and the other an opioid (and alcohol) blocker.

Participate in our forum!

Our RSAT program features a modified therapeutic community. We would like to involve the correction officers as much as possible without compromising their essential security and other roles. Are there other RSATs that have successfully integrated CO's into their TC programming? How did they do it?