Opioid Treatment Programs at the Baltimore City Detention Center

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Opioid Treatment Programs at the Baltimore City Detention Center"

Transcription

1 Opioid Treatment Programs at the Baltimore City Detention Center Greg Warren, MA, MBA Director of Substance Abuse Services Maryland Department of Public Safety and Correctional Services

2 OTP Interventions Maintain arrested OTP clients during Pre-Trial Status and reconnect them to their OTP at release Detox heroin-addicted inmates with non-opioids or with methadone Pregnancy protocol Buprenorphine conversion

3 Treatment Flow versus Episode AA/NA OUTPATIENT INTENSIVE OUTPATIENT INTERMEDIATE CARE FACILITY RESIDENTIAL REHAB/DETOX PRISON

4 Baltimore s Challenges Heroin addiction remains high: Supply falls short of demand despite expansion in treatment over past 10 years ~6,200 methadone treatment slots Terminal methadone admissions > 10,000 admissions for heroin treatment in FY 2006 High rate of violent crime Addicts killing addicts

5 Criminal History of Prison-based OTP Patients 1 Mean Age first crime 13.8 Age first arrest 16.5 Age first incarceration 20.6 Lifetime incarcerations 9.1 Past 30 days crime Kinlock, Schwartz Gordon (2005) Past 30 days crimeprofit Criminal Income ($/past 30 days) ,057

6 Scope of the Problem Number of Addicts in Baltimore City 58,000 60,000 Individuals/ 90,000 Bookings annually 90,000 60% Released within 24 hours 54,000 Inmates incarcerated longer than 24 hours 36, % of individuals Alcohol/Drug Dependent 25,200 67% Heroin is Drug of Choice for Baltimore City Residents 16,884 50% (?) Heroin addicts needing Detox 8,400 10% of 6,200 Methadone clients will get arrested annually 620

7 Males Jan- 08 Feb- 08 Mar- 08 April 08 May 08 June 08 July 08 YTD Total Committed 1,655 2,737 3,112 2,960 3,117 2,826 3,017 19,425 Detox w/o Methadone ,973 Detox with Methadone Methadone Maintenance Females Committed ,907 Detox w/o Methadone Detox with Methadone Methadone Maintenance

8 Regulatory and Relationship Issues

9 American Medical Association 2005 Annual Meeting RESOLUTION OPAITE REPLACEMENT THERAPY PROGRAMS IN CORRECTIONAL FACILITIES RESOLVED, That our American Medical Association endorse the medical treatment model of employing Opiate Replacement Therapy (ORT) as an effective therapy in treating opiate addicted persons who are incarcerated.. to institute voluntary (for inmates) opioid replacement treatment pilot programs, (including methadone and buprenorphine maintenance treatment) in jails and prisons and that these programs be accompanied by an evaluation process to determine whether such treatment modalities decrease recidivism, crime, and transmission of infectious diseases among populations at risk in incarcerated settings in the states being studied.

10 Regulatory Issues Pregnancy Protocol State Licensing requirements The concept of admission and discharge Referral process Urine testing Detox dosing periods HIPAA HIV and Hep C education, TB testing Release with a methadone dose

11 Law of unintended consequences Understanding needs means responsibility Overwhelming the Public treatment system New outcome measure for methadone programs and their treatment practices Buprenorphine Can the cultures integrate?

12 The Inevitability of Expansion Lawsuits will compel jurisdictions to act In-Reach from community programs Initiation of methadone prior to release from DOC sentences Methadone detox protocol expansion House all clients together in the same place Methadone for recurring Heroin positive sentenced inmates

13 Treatment Providers Institutional Challenges 42 CFR concerns Holding Treatment slots Willingness to absorb Criminal Justice clients Willingness to adapt tx. approaches to treat addicts with criminologic thinking Accountability issues

14 OUTCOMES OF THE OTP Time period for treatment and dose verification # of individuals treated # of methadone maintenance clients who return to their community program upon release # of heroin detox clients who enter treatment upon release Increasing the # of Clients who have been detoxed saves BSAS and the State money Cost benefit analysis between incarceration expenses and publicly funded treatment

15 Next Steps and Interesting Questions 1. If thousands are detoxed at the Detention Center what impact will that have on treatment capacity? 2. Can Interim Maintenance or Buprenorphine be used as a means to expand treatment capacity? 3. How can we integrate the treatment experience as the individual progresses through different modalities of care?

16 4. Is there a benefit to identifying the individuals who more frequently become incarcerated and who are the treatment failures? 5. Do your existing regulatory and information systems support a public safety and community program linkage?

Opioid Agonist Treatment in Correctional Settings

Opioid Agonist Treatment in Correctional Settings Opioid Agonist Treatment in Correctional Settings Robert P. Schwartz, M.D. Friends Research Institute Open Society Institute - Baltimore Treating Heroin-Addicted Prisoners Opioid agonist treatment is widely

More information

Medication Assisted Treatment For Opiate Addiction in Correctional Settings

Medication Assisted Treatment For Opiate Addiction in Correctional Settings Medication Assisted Treatment For Opiate Addiction in Correctional Settings Jeff Baxter, MD Dept. of Family Medicine UMASS Medical School Joshua Lee, MD, MS Dept. of General Internal Medicine New York

More information

Panel on Medication-Assisted Treatment for Heroin and Other Opioid Abusing Offenders

Panel on Medication-Assisted Treatment for Heroin and Other Opioid Abusing Offenders National Institute of Justice Panel on Medication-Assisted Treatment for Heroin and Other Opioid Abusing Offenders October 3, 2007 Washington, DC The opinions and conclusions expressed in this document

More information

The Use of Non-Opioid Pharmacotherapies. for the Treatment of Alcohol Dependence

The Use of Non-Opioid Pharmacotherapies. for the Treatment of Alcohol Dependence M00K02 Alcohol and Drug Abuse Administration Department of Health and Mental Hygiene The Use of Non-Opioid Pharmacotherapies for the Treatment of Alcohol Dependence Introduction The 2011 Joint Chairmen

More information

Opioid Addiction & Corrections

Opioid Addiction & Corrections Opioid Addiction & Corrections Medication Assisted Treatment in the Connecticut Department of Correction April 30, 2015--CJPAC Kathleen F. Maurer, MD, MPH, MBA Medical Director and Director of Health and

More information

Presentation to the Boston HIV Planning Council. Lydie Ultimo, MSW Director Bureau of Substance Abuse Services

Presentation to the Boston HIV Planning Council. Lydie Ultimo, MSW Director Bureau of Substance Abuse Services Presentation to the Boston HIV Planning Council Lydie Ultimo, MSW Director Bureau of Substance Abuse Services Responsibilities of the Bureau of Substance Abuse Services License addiction treatment programs

More information

Treatment for Addiction in the Community Reduces Drug Use, Crime and Recidivism

Treatment for Addiction in the Community Reduces Drug Use, Crime and Recidivism Treatment for Addiction in the Community Reduces Drug Use, Crime and Recidivism Richard A. Rawson, Ph.D, Professor Semel Institute for Neuroscience and Human Behavior David Geffen School of Medicine University

More information

Welcome. This presentation is designed for people working in criminal justice and drug abuse treatment settings. It provides an overview of drug

Welcome. This presentation is designed for people working in criminal justice and drug abuse treatment settings. It provides an overview of drug Welcome. This presentation is designed for people working in criminal justice and drug abuse treatment settings. It provides an overview of drug abuse treatment principles for individuals involved in the

More information

All the Way Home: Re-entry and Housing. NAEH Conference July 13, 2005 Richard Cho Richard.cho@csh.org

All the Way Home: Re-entry and Housing. NAEH Conference July 13, 2005 Richard Cho Richard.cho@csh.org All the Way Home: Re-entry and Housing NAEH Conference July 13, 2005 Richard Cho Richard.cho@csh.org Prison and Jail Re-entry Overview Approx. 2 million individuals are incarcerated in State and Federal

More information

Division of Alcoholism and Chemical Dependency Programs

Division of Alcoholism and Chemical Dependency Programs Division of Alcoholism and Chemical Dependency Programs Virginia N. Price Assistant Secretary Wrenn Rivenbark Clinical Director Current Prison Population Prison Inmates 39,463 Male Inmates 36,608 Female

More information

Statistics on Women in the Justice System. January, 2014

Statistics on Women in the Justice System. January, 2014 Statistics on Women in the Justice System January, 2014 All material is available though the web site of the Bureau of Justice Statistics (BJS): http://www.bjs.gov/ unless otherwise cited. Note that correctional

More information

UTAH DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH SUBSTANCE USE DISORDER SERVICES MONITORING CHECKLIST (FY 2014) GENERAL PROGRAM REQUIREMENTS

UTAH DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH SUBSTANCE USE DISORDER SERVICES MONITORING CHECKLIST (FY 2014) GENERAL PROGRAM REQUIREMENTS UTAH DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH SUBSTANCE USE DISORDER SERVICES MONITORING CHECKLIST (FY 2014) Program Name Reviewer Name Date(s) of Review GENERAL PROGRAM REQUIREMENTS 2014 Division

More information

The NJSAMS Report. Heroin Admissions to Substance Abuse Treatment in New Jersey. In Brief. New Jersey Substance Abuse Monitoring System.

The NJSAMS Report. Heroin Admissions to Substance Abuse Treatment in New Jersey. In Brief. New Jersey Substance Abuse Monitoring System. New Jersey Substance Abuse Monitoring System The NJSAMS Report May 2011 Admissions to Substance Abuse Treatment in New Jersey eroin is a semi-synthetic opioid drug derived from morphine. It has a high

More information

POLICY AND PROCEDURES FOR PROVIDING NARCOTIC ADDICTION TREATMENT TO PREGNANT OPIOID DEPENDENT INMATES INCARCERATED IN THE COUNTY JAIL

POLICY AND PROCEDURES FOR PROVIDING NARCOTIC ADDICTION TREATMENT TO PREGNANT OPIOID DEPENDENT INMATES INCARCERATED IN THE COUNTY JAIL PURPOSE POLICY AND PROCEDURES FOR PROVIDING NARCOTIC ADDICTION TREATMENT TO PREGNANT OPIOID DEPENDENT INMATES INCARCERATED IN THE COUNTY JAIL To outline the procedures used in recognizing and providing

More information

Treating Opiate Addiction in Offender Populations. Kimberly Sperber, Ph.D.

Treating Opiate Addiction in Offender Populations. Kimberly Sperber, Ph.D. Treating Opiate Addiction in Offender Populations Kimberly Sperber, Ph.D. Numbers on the Rise Number of people meeting diagnostic criteria for heroin abuse or dependence doubled from 214,000 in 2002 to

More information

AN ACT RELATING TO SUBSTANCE ABUSE; PROVIDING FOR TREATMENT, BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

AN ACT RELATING TO SUBSTANCE ABUSE; PROVIDING FOR TREATMENT, BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO: AN ACT RELATING TO SUBSTANCE ABUSE; PROVIDING FOR TREATMENT, PREVENTION AND INTERVENTION EXPANSION; MAKING APPROPRIATIONS; DECLARING AN EMERGENCY. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

More information

Treatment of Opioid Use Disorders in Jails and Prisons Why, When, and How

Treatment of Opioid Use Disorders in Jails and Prisons Why, When, and How Treatment of Opioid Use Disorders in Jails and Prisons Why, When, and How Kevin Fiscella, MD, MPH Professor, Family Medicine, Public Health Sciences, Community Health University of Rochester School of

More information

An integrated approach to addressing opiate abuse in Maine. Debra L. Brucker, MPA, PhD State of Maine Office of Substance Abuse October 2009

An integrated approach to addressing opiate abuse in Maine. Debra L. Brucker, MPA, PhD State of Maine Office of Substance Abuse October 2009 An integrated approach to addressing opiate abuse in Maine Debra L. Brucker, MPA, PhD State of Maine Office of Substance Abuse October 2009 Background Defining the problem: Opiates pain relievers (OxyContin,

More information

ONDCP. Drug Policy Information Clearinghouse FACT SHEET John P. Walters, Director www.whitehousedrugpolicy.gov 1-800-666-3332

ONDCP. Drug Policy Information Clearinghouse FACT SHEET John P. Walters, Director www.whitehousedrugpolicy.gov 1-800-666-3332 UNUM Executive Office of the President Office of National Drug Control Policy E PLURIBUS OFFICE OF NATIONAL POLICY D RUG CONTROL ONDCP March 2001 Drug Policy Information Clearinghouse FACT SHEET John P.

More information

Depot Naltrexone Appears Safe and Effective for Heroin Addiction

Depot Naltrexone Appears Safe and Effective for Heroin Addiction of 2 http://www.drugabuse.gov/nida_notes/nnvol21n3/depot.html 10/20/2011 11:23 AM NIDA NEWS NIDA Home > Publications > NIDA Notes > Vol. 21, No. 3 > Research Findings Depot Naltrexone Appears Safe and

More information

ALAMEDA COUNTY SUBSTANCE USE DISORDER (SUD) SERVICES

ALAMEDA COUNTY SUBSTANCE USE DISORDER (SUD) SERVICES ALAMEDA COUNTY SUBSTANCE USE DISORDER (SUD) SERVICES Current Configuration and Vision for the Future Presentation to Board of Supervisors Health Committee March 23, 2015 1 Presentation Overview Demographic

More information

New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Admissions 1/1/2013-12/31/2013 Resident of Cape May County

New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Admissions 1/1/2013-12/31/2013 Resident of Cape May County New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Admissions 1/1/2013-12/31/2013 Resident of Cape May County Primary Drug Highest School Grade Completed Alcohol 733 31% Completed

More information

Hampden County Sheriff s Department. Special Commission on Substance Abuse Addiction Treatment in the Criminal Justice System March 20, 2015

Hampden County Sheriff s Department. Special Commission on Substance Abuse Addiction Treatment in the Criminal Justice System March 20, 2015 Hampden County Sheriff s Department Special Commission on Substance Abuse Addiction Treatment in the Criminal Justice System March 20, 2015 2 Who are these offenders? 3 In Hampden County 87% are male 40%

More information

Iowa Department of Corrections. Report to the Board of Corrections

Iowa Department of Corrections. Report to the Board of Corrections THOMAS J. VILSACK, GOVERNOR SALLY J. PEDERSON, LT. GOVERNOR DEPARTMENT OF CORRECTIONS GARY D. MAYNARD, DIRECTOR Iowa Department of Corrections Report to the Board of Corrections Substance Abuse First in

More information

Addressing Substance Abuse in the Child Welfare Population: Lessons Learned in Vermont

Addressing Substance Abuse in the Child Welfare Population: Lessons Learned in Vermont Agency of Human Services Alcohol and Drug Abuse Programs Blueprint for Health Addressing Substance Abuse in the Child Welfare Population: Lessons Learned in Vermont Tri-Branch Institute on Child Social

More information

TESTIMONY. March 17, 2014. Rutland, VT

TESTIMONY. March 17, 2014. Rutland, VT Community Solutions to Breaking the Cycle of Heroin & Opioid Addiction TESTIMONY Harry Chen, MD, Commissioner of Health March 17, 2014 Senate Committee on the Judiciary Franklin Conference Center at the

More information

Jail-Based Substance Abuse Treatment Program

Jail-Based Substance Abuse Treatment Program Jail-Based Substance Abuse Treatment Program Cost Analysis Study Prepared By: Iowa Consortium for Substance Abuse Research and Evaluation University of Iowa, Iowa City, Iowa 52242-5000 With Funds Provided

More information

Frequently Asked Questions (FAQs) of Drug Abuse Treatment for Criminal Justice Populations

Frequently Asked Questions (FAQs) of Drug Abuse Treatment for Criminal Justice Populations Frequently Asked Questions (FAQs) of Drug Abuse Treatment for Criminal Justice Populations From The National Institute on Drug Abuse (NIDA) 2. Why should drug abuse treatment be provided to offenders?

More information

Attachment EE - Grant Application RSAT Aftercare

Attachment EE - Grant Application RSAT Aftercare Attachment EE - Grant Application RSAT Aftercare Residential Substance Abuse Treatment (RSAT) for State Prisoners Program CFDA #16.593 Statement of the Problem The Maryland Department of Public Safety

More information

National Perspectives in Medication Assisted Treatment

National Perspectives in Medication Assisted Treatment National Perspectives in Medication Assisted Treatment Addiction Medicine Asheville March 21,2014 Melinda Campopiano, MD Medical Officer Substance Abuse & Mental Health Services Administration Guten Appetit

More information

Jennifer Sharpe Potter, PhD, MPH Associate Professor Division of Alcohol and Drug Addiction Department of Psychiatry

Jennifer Sharpe Potter, PhD, MPH Associate Professor Division of Alcohol and Drug Addiction Department of Psychiatry Buprenorphine/Naloxone and Methadone Maintenance Treatment Outcomes for Opioid Analgesic, Heroin, and Combined Users: Findings From Starting Treatment With Agonist Replacement Therapies (START) Jennifer

More information

Supplementary appendix

Supplementary appendix Supplementary appendix This appendix formed part of the original submission and has been peer reviewed. We post it as supplied by the authors. Supplement to: Rich JD, McKenzie M, Larney S, et al. Methadone

More information

Presented by. 13 Principles 10/27/09. Principles of Drug Addiction Treatment: A Research Based Guide

Presented by. 13 Principles 10/27/09. Principles of Drug Addiction Treatment: A Research Based Guide Presented by Principles of Drug Addiction Treatment: A Research Based Guide Rick Moldenhauer, MS, LADC, ICADC, LPC Treatment Services Consultant, Alcohol and Drug Abuse Division PO Box 64977, St Paul,

More information

Services Provided for Polk County Residents

Services Provided for Polk County Residents Providing Successful, Evidence-Based Substance Abuse and Mental Health Treatment to Men, Women and Adolescents in Polk, Highlands and Hardee Counties for over 39 years. 1 Services Provided for Polk County

More information

Prison and Jail Health January 18, 2007. Viewer Call-In. Evaluations. www.t2b2.org. Phone: 800-452-0662 Fax: 518-426-0696. 518-402-0330 www.t2b2.

Prison and Jail Health January 18, 2007. Viewer Call-In. Evaluations. www.t2b2.org. Phone: 800-452-0662 Fax: 518-426-0696. 518-402-0330 www.t2b2. Prison and Jail Health January 18, 2007 Guthrie S. Birkhead, M.D., M.P.H Director, AIDS Institute and Center for Community Health New York State Department of Health (NYSDOH) Lester N. Wright, M.D., M.P.H.

More information

Florida s Mandatory Minimum Drug Laws: Ineffective, Expensive, and Counterproductive

Florida s Mandatory Minimum Drug Laws: Ineffective, Expensive, and Counterproductive Florida s Mandatory Minimum Drug Laws: Ineffective, Expensive, and Counterproductive In 1999, Florida passed mandatory minimums for drug trafficking. Those laws were designed to deter drug trafficking

More information

The Rise of Heroin and Prescription Opioid Addiction. Pennsylvania Department of Drug and Alcohol Programs

The Rise of Heroin and Prescription Opioid Addiction. Pennsylvania Department of Drug and Alcohol Programs The Rise of Heroin and Prescription Opioid Addiction Pennsylvania Department of Drug and Alcohol Programs 1 Overview Overview of the role of addiction as a cost driver Impact of clinically appropriate

More information

Vermont s Experience A Systematic Approach to Health Care Integration Barbara Cimaglio, Deputy Commissioner. NASADAD 2015 Annual Meeting

Vermont s Experience A Systematic Approach to Health Care Integration Barbara Cimaglio, Deputy Commissioner. NASADAD 2015 Annual Meeting Vermont s Experience A Systematic Approach to Health Care Integration Barbara Cimaglio, Deputy Commissioner NASADAD 2015 Annual Meeting Background Goal of Health Care Reform Triple Aim: Better Population

More information

Applicant Webinar for BJA s Drug Court Discretionary Grant Solicitation

Applicant Webinar for BJA s Drug Court Discretionary Grant Solicitation Applicant Webinar for BJA s Drug Court Discretionary Grant Solicitation Cynthia Caporizzo, Senior Criminal Justice Advisor, Office of National Drug Control Policy (ONDCP) - Review of the administration

More information

Increasing Access to Opioid Addiction Treatment

Increasing Access to Opioid Addiction Treatment Report to The Vermont Legislature Increasing Access to Opioid Addiction Treatment In Accordance with Act 75, 2013, Section 14b An Act Relating to Strengthening Vermont s Response to Opioid Addiction and

More information

Overview of Federal Health Care Reform and NYS Medicaid Redesign

Overview of Federal Health Care Reform and NYS Medicaid Redesign Overview of Federal Health Care Reform and NYS Medicaid Redesign Issues and opportunities for Criminal Justice organizations and their clients Paul N. Samuels, Director and President, Legal Action Center

More information

SAMHSA/CSAT Justice Initiatives: Partnerships and Opportunities

SAMHSA/CSAT Justice Initiatives: Partnerships and Opportunities SAMHSA/CSAT Justice Initiatives: Partnerships and Opportunities H. Westley Clark, M.D., J.D., M.P.H., CAS, FASAM Director Center for Substance Abuse Treatment Substance Abuse Mental Health Services Administration

More information

Community Supervision Texas Association of Counties October 2015

Community Supervision Texas Association of Counties October 2015 10/26/2015 Community Supervision Texas Association of Counties October 2015 Presented by District Judge Todd Blomerth, 421 st Judicial District Court of Caldwell County 1 10/26/2015 2 10/26/2015 Your Possible

More information

Fairfax-Falls Church Community Services Board

Fairfax-Falls Church Community Services Board LOB #267: ADULT RESIDENTIAL TREATMENT SERVICES Purpose Adult Residential Treatment Services provides residential treatment programs for adults with severe substance use disorders and/or co occurring mental

More information

Current Model of Drug Care. Components of a Full Drug Care Service

Current Model of Drug Care. Components of a Full Drug Care Service Current Model of Drug Care Treatment Detox Rehab Components of a Full Drug Care Service (1) (2) (3) (4) (5) (6) (7) (8) (9) Community Preparation Treatment Detox Rehab Community Community Prison work Halfway

More information

Community Based Treatment and Care for Drug Use and Dependence

Community Based Treatment and Care for Drug Use and Dependence CBTx Community Based Treatment and Care for Drug Use and Dependence Information Brief for Southeast Asia Community Based Treatment refers to a specific integrated model of treatment for people affected

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call

More information

Treatment System 101

Treatment System 101 Treatment System 101 A brief overview for courtroom decision-makers and people working in criminal justice sectors March 11, 2015 West Toronto Human Services & Justice Coordinating Cttee. Agenda Introduction

More information

Part I Improvements to Existing Programs

Part I Improvements to Existing Programs Section-by-Section Analysis of the Second Chance Act: Sec. 1. Short Title. Part I Improvements to Existing Programs This section names the short title of the act as the Second Chance Act of 2007: Community

More information

Use of Pharmacotherapies by Substance Abuse Treatment Facilities

Use of Pharmacotherapies by Substance Abuse Treatment Facilities Use of Pharmacotherapies by Substance Abuse Treatment Facilities Cathie E. Alderks, PhD Substance Abuse and Mental Health Services Administration Department of Health and Human Services November 2007 1

More information

Orange County Heroin Task Force Recommendations

Orange County Heroin Task Force Recommendations Orange County Heroin Task Force Recommendations Law Enforcement Subcommittee 1) Continue Joint Enforcement Details with the Orange County Sheriff s Office, the Orlando Police Department and state and federal

More information

Practice Protocol. Buprenorphine Guidance Protocol

Practice Protocol. Buprenorphine Guidance Protocol Practice Protocol Buprenorphine Guidance Protocol Developed by the Arizona Department of Health Services Division of Behavioral Health Services Effective Date: 02/23/11 Title Buprenorphine Guidance Protocol

More information

New Haven/Fairfield Counties Ryan White Part A Program Substance Abuse Service Standard SUBSTANCE ABUSE

New Haven/Fairfield Counties Ryan White Part A Program Substance Abuse Service Standard SUBSTANCE ABUSE I. DEFINITION OF SERVICE New Haven/Fairfield Counties Ryan White Part A Program Substance Abuse Service Standard SUBSTANCE ABUSE CORE MEDICAL SERVICE Support for Substance Abuse Treatment Services-Outpatient,

More information

Substance Abuse Overview 2013

Substance Abuse Overview 2013 New Jersey Drug and Alcohol Abuse Treatment Substance Abuse Overview 2013 Prepared by Limei Zhu Department of Human Services Division of Mental Health and Addiction Services Office of Research, Planning,

More information

Manatee County Drug Court Overview. The Drug Court concept began in 1989 in Miami-Dade County in response to the crack

Manatee County Drug Court Overview. The Drug Court concept began in 1989 in Miami-Dade County in response to the crack Manatee County Drug Court Overview Prepared by: Manatee County Drug Court Alfred James, Manager January 2014 Drug Court History The Drug Court concept began in 1989 in Miami-Dade County in response to

More information

Washington State Interagency Opioid Working Plan

Washington State Interagency Opioid Working Plan Washington State Interagency Opioid Working Plan INTRODUCTION January 2016 Washington State is currently experiencing an opioid abuse and overdose crisis involving prescription opioids and heroin. Approximately

More information

Substance Abuse Treatment

Substance Abuse Treatment Substance Abuse Treatment Ken Martz, PsyD CAS Special Assistant to the Secretary Pennsylvania Department of Drug and Alcohol Programs 1 Overview Overview of the role of addiction as a cost driver Impact

More information

Guidance on Medical Treatment of Drug Abusers in Substitution Treatment for Opioid Dependency

Guidance on Medical Treatment of Drug Abusers in Substitution Treatment for Opioid Dependency Guidance on Medical Treatment of Drug Abusers in Substitution Treatment for Opioid Dependency Pompidou Treatment Platform, Cyprus, May 2009 Helle Petersen Senior Medical Officer National Board of Health

More information

FRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma

FRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma FRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma Background A growing opiate abuse epidemic has highlighted the need for effective treatment options. This study documents

More information

Phoenix Futures Prison Treatment programmes

Phoenix Futures Prison Treatment programmes Phoenix Futures Prison Treatment programmes Karen Biggs Chief Executive, Phoenix Futures Overview of Presentation Political and Strategic context in England Overview of some of our programmes. Outcomes

More information

This module will assist participants to:

This module will assist participants to: BUPRENORPHINE TREATMENT: A Training For Multidisciplinary Addiction Professionals Module V: Coordinated Care Effective Coordination of Care Effective coordination combines the strengths of various systems

More information

Subject: Health; food and drugs; treatment of opiate addiction. Statement of purpose: This bill proposes to require the department 6of health to

Subject: Health; food and drugs; treatment of opiate addiction. Statement of purpose: This bill proposes to require the department 6of health to 2012 Page 1 of 6 1 2 3 4 5 H.627 Introduced by Representative Pugh of South Burlington Referred to Committee on Date: Subject: Health; food and drugs; treatment of opiate addiction Statement of purpose:

More information

Colorado Substance Abuse Treatment Clients with Co-Occurring Disorders, FY05

Colorado Substance Abuse Treatment Clients with Co-Occurring Disorders, FY05 Colorado Substance Abuse Treatment Clients with Co-Occurring Disorders, FY05 Introduction Many clients who have chronic substance use disorders often simultaneously suffer from a serious mental disorder.

More information

The Heroin and Opioid Epidemic in Northeast Ohio: One Year Report to the Community

The Heroin and Opioid Epidemic in Northeast Ohio: One Year Report to the Community The Heroin and Opioid Epidemic in Northeast Ohio: One Year Report to the Community The Heroin and Opioid Epidemic in Northeast Ohio: One Year Report to the Community November 2014 INTRODUCTION The Heroin

More information

New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Admissions 1/1/2013-12/31/2013 Resident of Camden County

New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Admissions 1/1/2013-12/31/2013 Resident of Camden County New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Admissions 1/1/2013-12/31/2013 Resident of Camden County Primary Drug Highest School Grade Completed Alcohol 1,278 22% Completed

More information

Presenters: Linda Freeman Amir Chapel

Presenters: Linda Freeman Amir Chapel Presenters: Linda Freeman Amir Chapel Advantages of Pretrial Risk Assessments Each year, 12 million people are booked into local jails across the country. The vast majority for nonviolent crimes. More

More information

ARTICLE 4.4. ADDICTION TREATMENT SERVICES PROVIDER CERTIFICATION

ARTICLE 4.4. ADDICTION TREATMENT SERVICES PROVIDER CERTIFICATION ARTICLE 4.4. ADDICTION TREATMENT SERVICES PROVIDER CERTIFICATION Rule 1. Definitions 440 IAC 4.4-1-1 Definitions Affected: IC 12-7-2-11; IC 12-7-2-73 Sec. 1. The following definitions apply throughout

More information

Commission on Criminal Justice and Sentencing Reform. Wednesday, June 3 rd, 2015 1:00pm to 5:00pm

Commission on Criminal Justice and Sentencing Reform. Wednesday, June 3 rd, 2015 1:00pm to 5:00pm Treatment Capacity in Illinois Commission on Criminal Justice and Sentencing Reform Wednesday, June 3 rd, 2015 1:00pm to 5:00pm Introduction What is the treatment capacity in Illinois? For mental health?

More information

The Substance Abuse Felony Punishment Program: Evaluation and Recommendations

The Substance Abuse Felony Punishment Program: Evaluation and Recommendations The Substance Abuse Felony Punishment Program: Evaluation and Recommendations Criminal Justice Policy Council Prepared for the 77 th Texas Legislature, 2001 Tony Fabelo, Ph.D. Executive Director The Substance

More information

SUPERIOR COURT OF NEW JERSEY CRIMINAL DIVISION APPLICATION TO THE DRUG COURT PROGRAM

SUPERIOR COURT OF NEW JERSEY CRIMINAL DIVISION APPLICATION TO THE DRUG COURT PROGRAM SUPERIOR COURT OF NEW JERSEY CRIMINAL DIVISION APPLICATION TO THE DRUG COURT PROGRAM OCEAN VICINAGE DATE OF APPLICATION: NAME: ALIAS: ADDRESS: TELEPHONE #: CITY: STATE: ZIP: HOW LONG AT THIS ADDRESS: _

More information

1. Youth Drug Use More than 40% of Maryland high school seniors used an illicit drug in the past year.

1. Youth Drug Use More than 40% of Maryland high school seniors used an illicit drug in the past year. 1. Youth Drug Use More than 4% of Maryland high school seniors used an illicit drug in the past year. Any Illicit Drug Alcohol Marijuana Ecstasy Cocaine Percentage of Maryland and U.S. high school seniors

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)

More information

THE CENTER ON ALCOHOLISM, SUBSTANCE ABUSE, AND ADDICTIONS 25 years generating high quality prevention and treatment research

THE CENTER ON ALCOHOLISM, SUBSTANCE ABUSE, AND ADDICTIONS 25 years generating high quality prevention and treatment research THE CENTER ON ALCOHOLISM, SUBSTANCE ABUSE, AND ADDICTIONS 25 years generating high quality prevention and treatment research University of New Mexico Barbara S. McCrady, Ph.D., Director CASAA exists because

More information

FISCAL IMPACT STATEMENT. LS 7351 NOTE PREPARED: Feb 6, 2015 BILL NUMBER: SB 464 BILL AMENDED: Feb 5, 2015

FISCAL IMPACT STATEMENT. LS 7351 NOTE PREPARED: Feb 6, 2015 BILL NUMBER: SB 464 BILL AMENDED: Feb 5, 2015 LEGISLATIVE SERVICES AGENCY OFFICE OF FISCAL AND MANAGEMENT ANALYSIS 200 W. Washington, Suite 301 Indianapolis, IN 46204 (317) 233-0696 http://www.in.gov/legislative FISCAL IMPACT STATEMENT LS 7351 NOTE

More information

Discontinuation: Involuntary Discharge

Discontinuation: Involuntary Discharge Discontinuation: Involuntary Discharge TYPICALLY A PROCESS NOT AN EVENT Objectives 2 Review indications for discharge. Develop a therapeutic approach, in the context of the nature of Substance Use Disorders.

More information

Contents Opioid Treatment Program Core Program Standards... 2

Contents Opioid Treatment Program Core Program Standards... 2 2016 OPIOID TREATMENT PROGRAM PROGRAM DESCRIPTIONS Contents Opioid Treatment Program Core Program Standards... 2 Court Treatment (CT)... 2 Detoxification... 2 Day Treatment... 3 Health Home (HH)... 3 Integrated

More information

Subject: Health; food and drugs; treatment of opiate addiction. Statement of purpose: This bill proposes to require the department 6of health to

Subject: Health; food and drugs; treatment of opiate addiction. Statement of purpose: This bill proposes to require the department 6of health to 2012 Page 1 of 8 1 2 3 4 5 H.627 Introduced by Representative Pugh of South Burlington Referred to Committee on Date: Subject: Health; food and drugs; treatment of opiate addiction Statement of purpose:

More information

TREATMENT MODALITIES. May, 2013

TREATMENT MODALITIES. May, 2013 TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.

More information

Rationale for and approach to treating Opiate Use Disorders

Rationale for and approach to treating Opiate Use Disorders Rationale for and approach to treating Opiate Use Disorders Gavin Bart, MD PhD FACP DFASAM Director, Division of Addiction Medicine Department of Medicine Hennepin County Medical Center Associate Professor

More information

Recovery Outcomes for Opiate Users. FRN Research Report November 2013

Recovery Outcomes for Opiate Users. FRN Research Report November 2013 Recovery Outcomes for Opiate Users FRN Research Report November 2013 Introduction Opiate use in America is at epidemic levels. The latest surveys show 4.5 million Americans using prescription painkillers

More information

Substance Abuse Service Delivery Model

Substance Abuse Service Delivery Model Substance Abuse Service Delivery Model SERVICE CATEGORY: SUBSTANCE ABUSE SERVICES Goal: Provide access to quality Substance Abuse services that follow federal, state, and local standards in order to facilitate

More information

Substance Abuse Overview 2014 Statewide

Substance Abuse Overview 2014 Statewide New Jersey Drug and Alcohol Abuse Treatment Substance Abuse Overview 2014 Statewide Prepared by Limei Zhu Department of Human Services Division of Mental Health and Addiction Services Office of Planning,

More information

HOPE Helping Opiate- Addicted Pregnant women Evolve

HOPE Helping Opiate- Addicted Pregnant women Evolve HOPE Helping Opiate- Addicted Pregnant women Evolve Medical Director: Michael P. Marcotte, MD TriHealth-Good Samaritan Hospital Cincinnati Ohio MHAS MOMs Grant 2014-2016 Ohio MHAS MOMs Grant 2014-2016

More information

Summary: There are four major initiatives underway that address integration of substance abuse care with physical and mental health.

Summary: There are four major initiatives underway that address integration of substance abuse care with physical and mental health. Summary: Section E.306.2(b)(1) requires the Secretary of Administration and the Chief of Health Care Reform to submit a report on current and additional strategies to achieve a more comprehensive health

More information

Treatment of Opioid Dependence: A Randomized Controlled Trial. Karen L. Sees, DO, Kevin L. Delucchi, PhD, Carmen Masson, PhD, Amy

Treatment of Opioid Dependence: A Randomized Controlled Trial. Karen L. Sees, DO, Kevin L. Delucchi, PhD, Carmen Masson, PhD, Amy Category: Heroin Title: Methadone Maintenance vs 180-Day psychosocially Enriched Detoxification for Treatment of Opioid Dependence: A Randomized Controlled Trial Authors: Karen L. Sees, DO, Kevin L. Delucchi,

More information

Maryland Medicaid HealthChoice Use Form Instructions

Maryland Medicaid HealthChoice Use Form Instructions Maryland Medicaid HealthChoice Use Form Instructions Form Instructions for the following Community-Based Substance Use Disorder Services: Individual Outpatient Therapy, Group Outpatient Therapy, Intensive

More information

Department of Health Services. Alcohol and Other Drug Services Division

Department of Health Services. Alcohol and Other Drug Services Division Department of Health Services Alcohol and Other Drug Services Division Summary of Programs and Services Rita Scardaci, MPH, Health Services Director Gino Giannavola, AODS Division Director Alcohol and

More information

OPTUM By United Behavioral Health OPTUM GUIDELINE EVIDENCE BASE: Level of Care Guidelines

OPTUM By United Behavioral Health OPTUM GUIDELINE EVIDENCE BASE: Level of Care Guidelines OPTUM By United Behavioral Health OPTUM GUIDELINE EVIDENCE BASE: Level of Care Guidelines Guideline Evaluation and Treatment Planning Discharge Planning Admission Criteria Continued Stay Criteria Discharge

More information

Evidence Based Practice in the Treatment of Addiction Treatment of Addiction. Steve Hanson

Evidence Based Practice in the Treatment of Addiction Treatment of Addiction. Steve Hanson Evidence Based Practice in the Treatment of Addiction Treatment of Addiction Steve Hanson History of Addiction Treatment Incarceration Medical Techniques Asylums What We Learned These didn t work Needed

More information

Governor s Task Force on Mental Health and Substance Use. www.ncdhhs.gov/mhsu

Governor s Task Force on Mental Health and Substance Use. www.ncdhhs.gov/mhsu Governor s Task Force on Mental Health and Substance Use www.ncdhhs.gov/mhsu Problem Statement 97 Painkiller prescriptions per 100 North Carolinians Number of deaths by drug overdose in North Carolina

More information

Financing Systems: Leveraging Funds to Support a Comprehensive Program

Financing Systems: Leveraging Funds to Support a Comprehensive Program Financing Systems: Leveraging Funds to Support a Comprehensive Program National Association of County Governments Jail Diversion Educational Forum October 1, 2009 Leon Evans President and Chief Executive

More information

Substance Abuse Overview 2014 Hunterdon County

Substance Abuse Overview 2014 Hunterdon County New Jersey Drug and Alcohol Abuse Treatment Substance Abuse Overview 2014 Hunterdon County Prepared by Limei Zhu Department of Human Services Division of Mental Health and Addiction Services Office of

More information

Substance Abuse During Pregnancy: Moms on Meds. Jennifer Anderson Maddron, M.D LeConte Womens Healthcare Associates

Substance Abuse During Pregnancy: Moms on Meds. Jennifer Anderson Maddron, M.D LeConte Womens Healthcare Associates Substance Abuse During Pregnancy: Moms on Meds Jennifer Anderson Maddron, M.D LeConte Womens Healthcare Associates 2010 National Survey on Drug Use and Health An estimated 4.4% of pregnant women reported

More information

Testimony Center for Rural Pennsylvania PUBLIC HEARING - Heroin and Opioid Addiction Treatment and Recovery Scranton, PA July 29, 2015

Testimony Center for Rural Pennsylvania PUBLIC HEARING - Heroin and Opioid Addiction Treatment and Recovery Scranton, PA July 29, 2015 Testimony Center for Rural Pennsylvania PUBLIC HEARING - Heroin and Opioid Addiction Treatment and Recovery Scranton, PA July 29, 2015 John Knowles, CADC Senior Marketing Representative Clearbrook Treatment

More information

New Jersey Drug and Alcohol Abuse Treatment Substance Abuse Overview 2010 Passaic County

New Jersey Drug and Alcohol Abuse Treatment Substance Abuse Overview 2010 Passaic County New Jersey Drug and Alcohol Abuse Treatment Substance Abuse Overview 2010 Passaic County Prepared by: Department of Human Services Division of Mental Health and Addiction Services Office of Research, Planning,

More information

Testimony on Addressing Heroin and Opioid Addiction. Theodore Dallas. Secretary, Department of Human Services. Center for Rural Pennsylvania

Testimony on Addressing Heroin and Opioid Addiction. Theodore Dallas. Secretary, Department of Human Services. Center for Rural Pennsylvania Testimony on Addressing Heroin and Opioid Addiction Theodore Dallas Secretary, Department of Human Services Center for Rural Pennsylvania July 29, 2015 1 P a g e Introduction Good morning Senator Yaw,

More information

CURE & CARE 1 MALAYSIA CLINIC

CURE & CARE 1 MALAYSIA CLINIC CURE & CARE 1 MALAYSIA CLINIC TOWARDS AN INTEGRATED TREATMENT AND REHABILITATION FOR PEOPLE WHO USE DRUGS By : DR.SANGEETH KAUR NATIONAL ANTIDRUGS AGENCY MINISTRY OF HOME AFFAIRS BACKGROUND The Cure &

More information

Mental Health & Addiction Forensics Treatment

Mental Health & Addiction Forensics Treatment Mental Health & Addiction Forensics Treatment Sheriffs: Help needed to cope with September 15, 2014 mentally ill INDIANAPOLIS - A sheriff says county jails have become the "insane asylums" for Indiana

More information

Testimony of The New York City Department of Health and Mental Hygiene. before the

Testimony of The New York City Department of Health and Mental Hygiene. before the Testimony of The New York City Department of Health and Mental Hygiene before the New York City State Assembly Committee on Alcoholism and Drug Abuse on Programs and Services for the Treatment of Opioid

More information

Disclosure. C.R. Sullivan, MD 1. Carl R. Sullivan, M.D. Professor and Director Addictions Program csullivan@hsc.wvu.edu. The West Virginia Model

Disclosure. C.R. Sullivan, MD 1. Carl R. Sullivan, M.D. Professor and Director Addictions Program csullivan@hsc.wvu.edu. The West Virginia Model West Virginia University School of Medicine BEHAVIORAL MEDICINE & PSYCHIATRY Morgantown, WV Carl R. Sullivan, M.D. Professor and Director Addictions Program csullivan@hsc.wvu.edu Disclosure Reckitt Benckiser

More information