1. Substance Abuse Treatment and Corrections
An Investment in Public Safety
Kyle Pelletier
Department of Correction

2. 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
The National Center of Addiction and Substance Abuse at Columbia University February 2010 Behind Bars II: Behind Bars II: Substance Abuse and America's Prison Population 2010
National research shows that 85% of the U.S. inmate population has some substance abuse involvement
65% of inmates meet the clinical criteria for substance abuse addiction or dependence
Research has shown that Drugs and/or Alcohol are involved in
78% of all violent crimes
83% of all property crimes

3. Modern Approach to Substance Abuse Treatment in Corrections
Admission
Inmate assessed
Development of Case Plan
Referral Made to Appropriate Programming
Refusal
Case Plan Reviewed Annually
Inmate continuously encouraged to enroll in treatment
Enrollment
Program Not Available
Work with classification to get inmate to an institution that offers programming for that need.
Reentry Planning focusing on Aftercare Referrals
Several ways into the DOC
Awaiting Trial
Civil Commitments
State Sentence
County Sentence
All Admissions Receive:
Medical Entrance Screen
Correction/Recidivis/Public
Public Health Initative
Overdose prevention highlighted for inmates releasing offenders
Release
Meeting with Recovery Support Navigators

4. 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

5. Aftercare: A Warm Handoff to the Community
MassHealth
Application sent prior to release
Medication Assisted Treatment Reentry Initiative
Prior to release, 1st injection of Vivitrol
Post release referral Suboxone, Methadone
Referrals
First appointment in community scheduled prior to release
Recovery Support Navigators
Ability to follow up with clients in the community
Continuation of counseling post release

6. Challenges and Strategies
Gaps in Treatment for Releasing Inmates (From July 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
Only 26% of this gap is from inmates releasing from an institution without a residnetial treatment program
45% of this gap is from institutions with this level of treatment.
Creative strategies to get inmates enrolled started at MCI Norfolk and in the past year we have seen declines reduced at this facility by 54%, and we have seen an 8% reduction in terminations more importantly we have seen an 18% increase in completions

7. Civil Commitment Admissions by Facility