Substance Abuse Treatment and Corrections

An Investment in Public Safety

Kyle Pelletier Department of Correction

Substance Abuse and Offenders Current Sentenced MA DOC Inmate Population

75% population has a Substance Abuse Need based on the Texas Christian University Drug Screen

73% of those with a high risk to recidivate have a need for substance abuse treatment.

Evidenced Based Treatment programs can reduce Recidivism Massachusetts Results First Initiative Found:

Modified Therapeutic Communities- Drug Treatment Have a net benefit of $8,986 per participant For every dollar invested we see a $6.27 return Result in a 9.7% reduction in crime

http://www.mass.gov/eopss/agencies/mrfi/

Modern Approach to Substance Abuse Treatment in Corrections

Admission

Inmate assessed

Development of Case Plan

Referral Made to Appropriate Programming

EnrollmentRefusal•Case Plan Reviewed Annually•Inmate continuously encouraged to enroll in treatment

Program Not Available

•Work with classification to get inmate to an institution that offers programming for that need.

Reentry Planning focusing on Aftercare Referrals

Release

Meeting with Recovery Support Navigators

Types of Substance Abuse Treatment

Residential Modified Therapeutic Community Healthy Living Community (Female offender)

Non-Residential Substance Abuse Education Seeking Safety (Female offender)

Maintenance Treatment Support (Graduate Maintenance or Gateway to Treatment)

Medication Assisted Treatment Reentry Initiative (MATRI)

Aftercare In the community

Aftercare:A Warm Handoff to the Community

MassHealthApplication sent prior to release

Medication Assisted Treatment Reentry InitiativePrior to release, 1st injection of Vivitrol Post release referral Suboxone, Methadone

ReferralsFirst appointment in community scheduled prior to release

Recovery Support Navigators Ability to follow up with clients in the communityContinuation of counseling post release

Challenges and Strategies Gaps in Treatment for Releasing Inmates (From July 2014- December 2014 Releases)

Inmates with an assessed substance abuse need: 42% completed a residential treatment program 15% completed a non residential treatment program 37% of those with a need were not housed at a facility with a substance

abuse program Goal- 70% to complete substance abuse treatment prior to release by

July 2017

Inmates in the right program at the right time Expand incentives to enroll in programming

25% declined 22% terminated

Partners in the community

MASAC Civil Commitment AdmissionsMales

1278 1223

798

377

212

110

0

200

400

600

800

1000

1200

1400

1600

1800

FY 2013 FY 2014 FY 2015*July-Dec

Dual Civil CommitmentsStraight Civil Commitments

MCI Framingham Civil Commitment AdmissionsFemales

286

189

82

64

53

19

0

50

100

150

200

250

300

350

400

FY 2013 FY 2014 FY 2015*July-Dec

Dual Civil Commitments

Straight Civil Commitments

Civil Commitment Admissions by Facility