Rhode Island Prisons Push To Get Inmates The Best Treatment For Opioid Addiction

Chesterfield County, Virginia implemented a multi-faceted response to the opioid crisis, including a jail-based recovery program, Helping Addicts Recover Progressively (HARP), that brings people in recovery to the local jail to talk about addiction and treatment resources. Combined with other efforts, overdose deaths have dropped by half in a single year, and around 4,000 people have participated in HARP.

Research has found that providing medications for opioid use disorder can help prevent overdoses after release from prison. The state’s Department of Adult Correction recently launched a pilot program to test this theory. 229 of the 287 participants received treatment, several of whom said the access to the medications helped save their lives.

Medically assisted treatment is proven to reduce fatal opioid overdoses, particularly among formerly incarcerated people. When people are denied treatment in jail or prison and then resume their previous doses once they're released, they are up to 40 times more likely to die of an overdose. Only 18 of New York's county jails and fewer than one in five of its prisons provide access to such treatment drugs as Suboxone and methadone. When Rhode Island became the first state to make MAT available throughout its prisons, its overdose deaths among people recently released from incarceration dropped 60%.

First Day Forward provides support and assistance to people with substance use disorders who are reentering the community after incarceration in seven rural counties. The program is driven by peer-support specialists who have lived experience to provide trusting support to those seeking assistance. The program has been shown to work as the recidivism rate for those who’ve successfully completed it has dropped to 23.5%, compared to 53.2% in a nearby county.

Women in Recovery is a diversion program for women who would otherwise face prison time for drug-related offenses. The comprehensive program lasts 18 months and helps participants restore their mental health, reunite with their children, develop skills that help them get jobs, secure housing and reenter the community. Women in Recovery helps reduce recidivism rates and 70% of women who start the program complete it and graduate.

To combat opioid overdose deaths among incarcerated people, the California prison system in January 2020 launched a treatment program that combines medication-assisted treatment with professional and peer counseling. The program uses the three most effective medications to reduce opioid dependency. The one-year program features intense counseling, individual and group, based on a workbook that takes gender and trauma-related causes for drug abuse into account. Preliminary data show a decrease in deaths at San Quentin prison. More than 15,000 people have enrolled in the program.

Newly passed legislation in Massachusetts is allowing prisons to take a step towards managing inmates health care by letting a third party company administer medication that helps treat opioid addiction. This step towards bridging the gap between punishment and help, also focuses on reducing racial inequalities and rates of addiction-caused deaths.

Inmates at Rhode Island prisons are given the option to participate in a program that provides doses of methadone or other medication to help them break free of opioid addictions, even after leaving prison. The medically-assisted treatment is part of a comprehensive plan to fight opioid addiction in Rhode Island and it's showing results, with 61% fewer fatalities from overdose for recently incarcerated people from last year.

The Ohio Reformatory for Women is a prison that offers inmates a chance to enroll in Tapestry, an inpatient drug treatment program that tries to delve into the deeper causes women turn to drugs. It also believes in connecting women who are addicts with one another because “on the outside there’s not enough support.” The 18 month program is “about healing mind, body and spirit.”

When inmates enter prison, they are required to discontinue use of any substances, causing many of them to suffer symptoms of detox. Medication-assisted Treatment combines use of slow-release opiates and cognitive behavioral therapy to help opiate addicts get sober and deal with the underlying issues associated with addiction. The Rhode Island Department of Corrections is piloting a program that streamlines opiate addicts entering prison into a MAT program that they participate in while behind bars.