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).
 
 
 

Please Stay Healthy and Safe!

Centers for Disease Control and Prevention (CDC): Interim Guidance on Management of Coronavirus (COVID-19) in Correctional and Detention Facilities

The following links are articles, action plans/protocols and other resources on jails/prisons and COVID-19 that may be of interest to you. Please check the CDC to ensure information you receive is based on the latest scientific evidence.

 

General Articles and Resources on Coronavirus (COVID-19)

WHO Recommendations: Interim Guidance and Frequently Asked Questions on Preparedness, Prevention and Control of COVID-19 in Prisons and Other Custody Settings
Urban Institute - Resources for Correctional Institutions Regarding COVID-19 includes resources for federal government, state government, counties and local government, international organizations, justice policy, research and/or advocacy organization and academic institutions.
NIC Coronavirus Information
American Society of Addiction Medicine (ASAM) COVID-19 Resources
CSG Justice Center - Seven Questions About Reentry Amid COVID Confusion
The Marshall Project - Coronavirus Tracker: How Justice Systems Are Responding in Each State
VERA Institute- Guidance for preventive and responsive measures to coronavirus for jails, prisons, immigration detention and youth facilities
National Sheriff's Association Info on Coronavirus
The New Yorker Q&A: How Prisons and Jails Can Respond to the Coronavirus

State DOC and Bureau of Prison Protocols in Response to Coronavirus (COVID-19)

Georgia Department of Corrections Response
Washington State DOC COVID-19 Information
Federal Bureau of Prisons COVID-19 Action Plan

County Jail Protocols in Response to Coronavirus (COVID-19)

San Francisco Sheriff's Office's strategy to Keeping COVID-19 out of the Jails and Response & Action Plan
Cook County(IL) Sheriff's Office jail information on COVID-19


Intake/Screening Protocol & Procedure Changes
Due to COVID-19 at the
Philadelphia Department of Prisons


 


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









Updated Fed Regulations for Methadone & Buprenorphine

The federal government has now made it easier for persons to access methadone and buprenorphine. Refer to the DEA website for details.

  • Methadone clinics may now give stable patients a four week supply to take home and two weeks for less stable patients if the clinics believe this can be done safely.
  • In some circumstances, methadone may be delivered to quarantined patients by authorized personnel.
  • Opioid Treatment Programs (OTPs) can dispense and DATA-waivered practitioners can now prescribe buprenorphine to new patients with OUD for maintenance or detoxification treatment following an evaluation by telephone. There is no need for an in-person or telemedicine evaluation.
  • This should allow jails and prisons to connect persons requesting prescriptions for buprenorphine with DATA-waivered practitioners without requiring those practitioners to be on-site at a correctional facility.
  • These new regulations will remain in effect during the course of the pandemic according to the DEA and SAMHSA, unless otherwise specified.

Note: HIPAA violations will not be enforced during epidemic. On March 17, 2020, the Office of Civil Rights announced, effective immediately, that it will waive potential penalties for HIPAA violations against health care providers using non-HIPAA compliant communication technologies (i.e. FaceTime or Skype) during the COVID-19 pandemic.

You can find detailed information on the DEA policy and SAMHSA website.
 


Other National Correctional MAT Manuals and Resources

Pharmacotherapy plus CBT should be best practice for addiction treatment, data show
ASAM National Practice Guidelines for the Treatment of OUD-2020
Medication-Assisted Treatment for Opioid Use Disorder in Jails and Prisons: A Planning and Implementation Toolkit
The National Sheriffs' Association Supports the Use of FDA Approved and Evidence-Based Medication-Assisted Treatment (MAT) for Opioid Use Disorder in County Jails
A New Year’s Gift: CMS implements Medicare as an additional payor for MAT services from Opioid Treatment Programs
Medication-assisted Treatment Inside Correctional Facilities
Use of Medication-Assisted Treatment for Opioid Use Disorder in Criminal Justice Settings
Colorado Jail Based Behavioral Health Services
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


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




RSAT Program Spotlight

A brief glimpse of some great RSAT programs

  • The Topeka, Kansas Correctional Facility prioritizes its 48-bed program for the substance abuse population, uniquely staffed by licensed mental health professionals and community-based providers who deliver evidence-based treatment in group and individual sessions.
    For more info contact Crystal Speer at crystal.speer@ks.gov

  • The Taycheedah Correctional Institute in Wisconsin is a 14-bed program that provides a therapeutic community for women where issues such as grief, loss, domestic abuse, and coping skills are addressed through evidence-based individual and group work.
    For more info contact Jill E. Wolf at Jill.Wolf@wisconsin.gov

  • The Nebraska Correctional Center for Women’s program assists participants in navigating the process of regaining custody of their children along with parenting and parental reunification classes.
    For more info contact Lori Keller at Lori.Keller@nebraska.gov

  • The MonDay Community Correctional Institute in Ohio offers parenting classes as well as a monthly family meeting event for residents.
    For more info contact Mike Flannery at Flannerym@mcohio.org

  • The Turbeville Correctional Facility program is for young adult men (18 – 24) in South Carolina that provides education for participants and family members on the biology of substance use disorders, their effect on family relationships and how families can be support the treatment process.
    For more info contact Greg Mason at Mason.Gregory@doc.sc.gov



  • Leaving Jail, Addicts Face a Growing Opioid Crisis During a Pandemic

    Describes the added challenges facing persons with substance use disorders upon release.

  • AMA report shows overdose epidemic evolving, becoming deadlier

    Between 2015 and 2019, fentanyl OD deaths increased from 5,766 to 36,509, stimulants, like Methamphetamine, from 4,402 to 16,279, cocaine from 5,496 to 15,974 and heroin from 10,788 to 14,079. Prescription opioid ODs decreased from 12,269 to 11,904.

  • Expanded access to treatment in prisons can reduce overdose deaths by more than 31%, study finds

    Based on the results of the MAT program in Rhode Island’s unified correctional system, study finds providing inmates and detainees with naltrexone, methadone or buprenorphine reduces post release OD deaths, especially for those previously incarcerated.

  • Beneath Tragic New US Overdose Figures, There Are Wide Regional Variations

    ODs were up 4.9% in 2019. This article describes regional differences and theorizes that harm reduction strategies may account for them.

  • New Peak of 71k US Overdose Deaths in 2019 Dashes Hopes

    Lest we forget, nearly 71,000 died of drug overdoses last year setting a new record that predates the COVID-19 crisis. The increase is attributed to fentanyl which accounted for more than half of the deaths according to the CDC. ODs went up in more than 30 states. A rare bright spot was declining OD rates in northeast credited to expanded treatment. We would also add active prison and jail medication-assisted treatment enrollments pioneered by the these states’ RSAT programs!

  • Depot Antipsychotic Delays Hospitalization in Early-Stage Schizophrenia

    New research suggests that long acting injectable antipsychotic medication typically reserved for chronic illness should be considered earlier to avoid lapses in taking medication and need for hospitalization.

  • Treatment of Stimulant Use Disorders

    The use of stimulants, Cocaine and Methamphetamine, is way up, including causing 40% of overdose deaths in 2018. This SAMHSA guide identifies evidence-based treatment, finding strong evidence for motivational interviewing, contingency management, community reinforcement approach, and cognitive behavioral therapy. The guide includes practice resources for each of these treatment approaches and examples and resources for evaluation and quality improvements.

  • Resurgent Methamphetamine use at Treatment Admission in the United States

    Methamphetamine use has been on the rise and is linked to the increase in opioid use. By 2017, 50.4% of methamphetamine overdose deaths involved opioids, suggesting that the rise in methamphetamine-related harms is linked to the ongoing opioid overdose epidemic in the United States.

  • Addicts at High Risk of Contracting Coronavirus

    Homeless, those sleeping in crowded shelters or people with other health conditions — such as hepatitis C, HIV or lung disease — are high risk, said Dr. Daniel Solomon, an infectious disease physician who works at the Brigham Health Bridge Clinic for patients with substance use disorders. For recovering addicts, anxiety about COVID-19 can have a “triggering effect” that can lead to relapse, said James McKowen, a psychologist and clinical director of the Addiction Recovery Management Service at Massachusetts General Hospital, which is moving toward treatment via telemedicine, phone calls and group-based video conferencing to reduce the risk of transmission.

  • SAMHSA Letter to Mental Health Commissioners

    ALERT! SAMHSA clarified that state Community Mental Health Services Block Grants (MHBG) can be used for the care and treatment of incarcerated persons with serious mental illness in prison and jail. RSAT programs serving persons with co-occurring mental illness might qualified for this funding.

  • Naloxone Videos You Can Use

    Here are some helpful videos on Naloxone administration. The first is for Law Enforcement Roll Call, the next is Instructions for Administering NARCAN, and the last is whole series of short videos on Naloxone Training & Education.

  • Promising Practices Archive


 

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











"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


Participate in our forum!

What should we tell RSAT participants about to graduate and be released to the community about COVID-19?

Participate in the forum to learn about safe practices to keeping yourself and others safe during the coronavirus (COVID-19) pandemic.