反差系列

American Society of Addiciton Medicine

Treatment in Correctional Settings Toolkit

Advocacy

Treatment in Correctional Settings Toolkit

Overview

Seventeen to nineteen percent of individuals in America’s jail and state prison systems have regularly used heroin or opioids prior to incarceration.i While release from jail and prison is associated with a dramatic increase in death from opioid overdose among those with untreated opioid use disorder (OUD), there are considerable data to show that treatment with opioid agonists and partial agonists reduce deaths and improves outcomes for those with opioid use disorders.ii,iii Preliminary data suggest that treatment with an opioid antagonist also reduces overdose.iv

These lifesaving medications and associated psychosocial support services are underutilized in America’s jail and prison system. As outlined in the , ASAM advocates for increased access to addiction treatment medications and psychosocial support services in America’s correctional system as well as appropriate screening, prevention, and reentry services to help identify individuals with addiction involving opioids or other substances and ensure that they have the tools to sustain treatment, remission and recovery when they return to their community after release.

Below you will find information and resources to help you advocate for policies to improve addiction prevention, treatment, and recovery and remission in correctional settings.  




ASAM BRIEF:

ASAM's brief on access to medications for addiction treatment (MAT) in correctional settings at the state level provides a background on the issue of access to MAT for individuals who are incarcerated, ASAM's policy positions on the issue, and a path forward for stakeholders interested in expanding access to MAT for individuals who are incarcerated in their state. 


Relevant Legislation

/  - Medicaid Reentry Act

ASAM supports the Medicaid Reentry Act, which would grant states limited new flexibility to restart benefits for Medicaid-eligible incarcerated individuals 30 days prior to release.




Worldgen crop

Learn more about how ASAM is supporting the use of evidence-based practices for the treatment of opioid use disorders in correctional settings.




Resources



The  has briefs, available for download, which describe opportunities to leverage Medicaid to improve OUD/SUD care access for people in the criminal legal system.  The briefs also offer related policy recommendations.

 

This resource prepared by the outlines many of the noteworthy reforms New York State has made for its justice-involved population to address the health and health care disparities that have coincided with criminal justice involvement in the United States.


Created by the and the this resource was developed to guide jails in developing medication-assisted treatment programs for opioid use disorder.


This guide, created by the focuses on using medication-assisted treatment for opioid use disorder in jails and prisons and during the reentry process when justice -involved persons return to the community. It provides an overview of policies and evidence-based practices that reduce the risk of overdose and relapse.




Sources
i BJS. (2017, June). Special Report. Drug Use, Dependence, and Abuse Among State Prisoners and Jail Inmates, 2007-2009.
ii Binswanger IA, Blatchford PJ, Mueller SR, and Stern MF. Mortality After Prison Release: Opioid Overdose and Other Causes of Death, Risk Factors, and Time Trends From 1999 to 2009. Ann Intern Med 2013 Nov 5; 159(9): 592–600.
iii Sordo L, Barrio G, Bravo MJ, et al. Mortality risk during and after opioid substitution treatment: systematic review and meta-analysis of cohort studies. BMJ 2017;357:j1550
iv Lee JD, Friedmann PD, Kinlock TW, et al. Extended-Release Naltrexone to Prevent Opioid Relapse in Criminal Justice Offenders. N Engl J Med 2016;374:1232-42.