Expand the use of MAT in Correctional Facilities

From Media Wiki
Jump to: navigation, search

Return to Opioid Top-Level Strategy Map or the Zoom Map (Expand Access to Optimized MAT) 

Current Status

  • 65 percent of the nation’s 2.3 million inmates are addicted to drugs or alcohol
  • Of the roughly 3,200 jails, 40 provide
  • The biggest challenge is getting inmates to continue taking the medication once they leave the facility: "The physical symptoms of their addiction clear up pretty quickly and they feel like they’ve licked it, so they stop showing up for the monthly injections,” Klein said. “That’s when they tend to relapse.”
  • 161 jails (out of 3,200) in 27 states have MAT reentry programs
  • Most common prison and jail MAT program model: Company that makes vivitrol provides it free to corrections for one use, most corrections give one dosage just before release as it is good for 28 days, this gives time to get plugged into community and treatment options

 

Why MAT is Essential

  • Majority of inmates who undergo treatment during incarceration don't make it follow-up treatment when released
  • Half of inmates do not show for post-release treatment at least 2 times in 30 days; fewer than half complete aftercare program[1]
  • Up to a third of those incarcerated are revoked probationers/parolees, disproportionately for treatment failures,, including positive urine samples[2]
  • Death rate for those released with opioid use disorder within 24 days is more than 170 times that of the general population[3]

 

Best Practices for Treating Opioid Use Disorders

  • Concurrent with treatment programs (6 months)
  • Informed about all FDA approved medications (including adverse effects)
  • Volunteer to participate
  • Enroll in Medicaid or health insurance exchange before release
  • Medical examination (liver test, drug test for 7-10

Benefits

  •  

Training

Residential Substance Abuse Training RSAT training and technical assistance tool
 
  other
 
  • Majority of inmates who undergo treatment during incarceration don't make it follow-up treatment when released
  • Half of inmates do not show for post-release treatment at least 2 times in 30 days; fewer than half complete aftercare program[4]
  • Up to a third of those incarcerated are revoked probationers/parolees, disproportionately for treatment failures,, including positive urine samples[5]
  • Death rate for those released with opioid use disorder within 24 days is more than 170 times that of the general population[6]
  •  

Tools & Resources

TR - Expand the use of MAT in Correctional Facilities

 

More RTI on Expand the use of MAT in Correctional Facilities

PAGE MANAGER: [insert name here]
SUBJECT MATTER EXPERT: [fill out table below]

Reviewer Date Comments
     

Sources


  1. Justice Center, Access to Treatment, 2016
  2. Bureau of Justice Statistics, Revised January 21, 2015
  3. Binswanger, et al., 2007
  4. Justice Center, Access to Treatment, 2016
  5. Bureau of Justice Statistics, Revised January 21, 2015
  6. Binswanger, et al., 2007