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).

 

Prison/Jail MAT Manuals


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
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


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


MAT 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


What Inmates Tell us About RSAT





RSAT Jail Program Tour






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


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.




Save the Date!

6th Annual RSAT Training

August 1-3, 2017

Louisville, KY

Including Prison or Jail MAT Tour/Training



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:
  • Office on Women’s Health White Paper: Opioid Use, Misuse, and Overdose in Women

    This report examines the prevention, treatment, and recovery issues for women who misuse, have use disorders, and/or overdose on opioids. This paper explores what is currently known about the opioid epidemic and describes promising practices for addressing opioid use disorder prevention and treatment for women, as well as identifies areas that are less well understood. As we move forward to address the opioid epidemic generally and its impact on women specifically, we must evaluate the impact of multiple interventions considering the unique aspects of women across age, race, and socioeconomic spectrums.

  • National Addiction Technology Transfer Center (ATTC) Messenger on Choosing a Medication for MAT

    The January 2017 issue of the ATTC newsletter features an article on the therapeutic benefit of introducing a collaborative approach to choosing a medication with patients seeking treatment for an opioid use disorder: Shared Decision Making and Medication-Assisted Treatment: A Supportive Approach to Initiating and Sustaining Addiction Recovery The Messenger also features other articles and resources, including a link to Taking Action to Address Opioid Misuse, a new website that brings all ATTC Network training and information related to treating opioid misuse together in one place.

  • Shared Decision Making online tool and printable PDF handbook

    Decisions in Recovery: Medications for Opioid Addiction, is a web-based, multimedia tool that is person-centered and focuses on informed treatment choices by persons seeking recovery from an opioid use disorder including the use of medication. The handbook is a companion to the multimedia tool that mirrors the web-based content. Both resources are designed to help people with an opioid use disorder make informed decisions concerning their care. It assists in learning about MAT, compare treatment options to decide what may be best for them and their recovery and discuss their preferences with a provider.

  • Mortality rate among state prisoners was stable from 2013 to 2014 but increased among federal prisoners and local jail inmates

    In 2014, a total of 3,483 inmates died in state prisons, 444 in federal prisons, and 1,053 in local jails. The mortality rate for state prisoners was stable from 2013 to 2014 (273 deaths per 100,000 state prisoners compared to 275 per 100,000). Among federal prisoners, the mortality rate increased from 230 to 262 deaths per 100,000, and the rate for inmates in local jails increased from 136 to 140 deaths per 100,000 jail inmates over the year. These findings are based on data from BJS's Deaths in Custody Reporting Program (DCRP), which has annually collected counts of inmate deaths in local jails since 2000 and deaths in state and federal prisons since 2001.

  • Recidivism Rate for Individuals Incarcerated for Drug Offenses Released From Prison in 2005 Tops All

    A BJS study of 404,638 state prisoners released from 30 states in 2005 found 76.6% were rearrested for a new crime by 2010. Of the 404,638, 31.8% had been incarcerated for a drug offense. The most common post release arrest was for a public order offense (58%) followed by a drug offense (38.3%). Most previously incarcerated for drug offenses committed new public order offenses (56.1%) followed by new drug offenses (51.2%). Their overall rearrest rate was almost the same as all of the others released from prison, 76.9% compared to 76.6%, but their rearrests for violent crimes were less, 33.1% compared to 38.4%.

  • Signed Out Of Prison But Not Signed Up For Insurance, Inmates Fall Prey To Ills

    The Marshall Project Survey of State Medicaid Departments and Department of Correction thru September 2016 has found that most of the state prison systems in the 31 states that expanded Medicaid have either not created large scale enrollment programs or operate spotty programs that leave large numbers of exiting inmates without insurance. This includes people who are chronically ill and are in need of medication and treatment upon release. Local jails, that process millions a year, are doing worse. There are a few bright spots, including the Cook County jail that signs up inmates upon entrance into the jail because jail exit dates are so unpredictable. Often individuals are released with a two week to 30 day supply of needed medication. However, left on their own, most cannot negotiate state bureaucracies to get enrolled in time before their medications run out. They end up in emergency rooms…if they are lucky.

  • 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.

  • 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?