Difference between revisions of "Expand the use of MAT in Correctional Facilities"
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| − | + | Return to [[ZOOM_Map_-_Expand_Access_to_MAT|the Zoom Map (Expand Access to Optimized MAT)]]<span style="font-size: 13px;"></span><span style="font-size: 13px;">or </span>[[Expand_Access_to_Medication-Assisted_Treatment|Expand Access to Optimized Medication-Assisted Treatment]] | |
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| − | + | = Current Status = | |
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| − | =Current Status= | ||
| − | * 65 percent of the nation’s 2.3 million inmates are addicted to drugs or alcohol | + | *65 percent of the nation’s 2.3 million inmates are addicted to drugs or alcohol |
| − | * Of the roughly 3,200 jails, 40 provide | + | *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.” | + | *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 | + | *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 | + | *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 |
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| − | + | == Why MAT is Essential == | |
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| − | * < | + | *Majority of inmates who undergo treatment during incarceration don't make it follow-up treatment when released |
| − | =Training= | + | *Half of inmates do not show for post-release treatment at least 2 times in 30 days; fewer than half complete aftercare program<sup class="reference">[1]</sup> |
| − | Residential Substance Abuse Training RSAT training and technical assistance tool<br /> <br /> <br /> | + | *Up to a third of those incarcerated are revoked probationers/parolees, disproportionately for treatment failures,, including positive urine samples<sup class="reference">[2]</sup> |
| + | *Death rate for those released with opioid use disorder within 24 days is more than 170 times that of the general population<sup class="reference">[3]</sup> | ||
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| + | == Best Practices for Treating Opioid Use Disorders == | ||
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| + | *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 = | ||
| + | |||
| + | * | ||
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| + | = Training = | ||
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| + | Residential Substance Abuse Training RSAT training and technical assistance tool | ||
| + | |||
| + | |||
| + | other | ||
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| + | *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<sup class="reference">[4]</sup> | ||
| + | *Up to a third of those incarcerated are revoked probationers/parolees, disproportionately for treatment failures,, including positive urine samples<sup class="reference">[5]</sup> | ||
| + | *Death rate for those released with opioid use disorder within 24 days is more than 170 times that of the general population<sup class="reference">[6]</sup> | ||
| + | * | ||
| + | |||
| + | = Tools & Resources = | ||
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| + | [[TR_-_Expand_the_use_of_MAT_in_Correctional_Facilities|TR - Expand the use of MAT in Correctional Facilities]] | ||
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| + | = Scorecard Building = | ||
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| + | [[PO_-_Expand_the_use_of_MAT_in_Correctional_Facilities|Potential Objective Details]]<br/> [[PM_-_Expand_the_use_of_MAT_in_Correctional_Facilities|Potential Measures and Data Sources]]<br/> [[PA_-_Expand_the_use_of_MAT_in_Correctional_Facilities|Potential Actions and Partners]] | ||
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| + | = Resources to Investigate = | ||
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| + | [[RTI_-_Expand_the_use_of_MAT_in_Correctional_Facilities|More RTI on Expand the use of MAT in Correctional Facilities]]<br/> <br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span><br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span> | ||
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{| class="wiki_table" | {| class="wiki_table" | ||
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|- | |- | ||
| − | | | + | | '''Reviewer''' |
| − | | | + | | '''Date''' |
| − | | | + | | '''Comments''' |
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|} | |} | ||
| − | =Sources= | + | |
| + | = Sources = | ||
---- | ---- | ||
| − | # Justice Center, Access to Treatment, 2016 | + | #Justice Center, Access to Treatment, 2016 |
| − | # Bureau of Justice Statistics, Revised January 21, 2015 | + | #Bureau of Justice Statistics, Revised January 21, 2015 |
| − | # Binswanger, et al., 2007 | + | #Binswanger, et al., 2007 |
| − | # Justice Center, Access to Treatment, 2016 | + | #Justice Center, Access to Treatment, 2016 |
| − | # Bureau of Justice Statistics, Revised January 21, 2015 | + | #Bureau of Justice Statistics, Revised January 21, 2015 |
| − | # Binswanger, et al., 2007 | + | #Binswanger, et al., 2007 |
| − | </div> | + | </div> </div> |
Revision as of 23:36, 1 February 2019
Return to the Zoom Map (Expand Access to Optimized MAT)or Expand Access to Optimized Medication-Assisted Treatment
Contents
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
Scorecard Building
Potential Objective Details
Potential Measures and Data Sources
Potential Actions and Partners
Resources to Investigate
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
- Justice Center, Access to Treatment, 2016
- Bureau of Justice Statistics, Revised January 21, 2015
- Binswanger, et al., 2007
- Justice Center, Access to Treatment, 2016
- Bureau of Justice Statistics, Revised January 21, 2015
- Binswanger, et al., 2007
