Testing

To reduce the risk of opioid overdose and death when reentering the community after incarceration, individuals with opioid use disorder who are incarcerated should have access to jail-provided medications for opioid use disorder (MOUD) – methadone, buprenorphine, and naltrexone – and are promptly connected to services in the community upon release. Planning for reentry from jail is challenging under normal circumstances but is even more challenging when people are admitted and released within days.

In recent years, there has been alarming growth in methamphetamine (meth) and cocaine use and their involvement in overdose fatalities. In 2004, they were the most common illicit drugs used by state and federal prison inmates and convicted jail inmates. However, usage steadily declined among arrestees for more than a decade and was overtaken by opioids. The “meth problem” never really disappeared, and it began to accelerate around 2013, a trend that is expected to continue.

Addressing substance use disorders (SUDs) in juvenile corrections is essential. Not only do half of juveniles involved in the justice system have problems with drugs and alcohol (compared to only 10 percent of juveniles in general), but research confirms that effective intervention during adolescence has the potential to offset or mitigate the long-term course of SUDs.

While addressing the needs of female clients, screening and assessment are critical steps for ensuring that individuals receive services and clinical support. Ethnicity, race, and gender plays an important role in treatment and therapy modalities. Cultural dynamics impact communication, screening, referrals, interventions, and substance use disorders and its relationship to diversity issues.

Dutchess county is seeking support to help us stand up a pilot program we are seeking to do with City of Poughkeepsie Police. Assistance is needed with officer training; case manager and peer training as well as curriculum development.

10.22.21 CHJ held a call with Dutchess County about planning and implementation of LEAD modeled programs. CHJ followed up with many resources (OFR resources, motivational interviewing, resource library, case studies, etc.).

Dutchess County requested time to review all resources and requested a follow up meeting in the new year

For decades, drug courts have been the leading model serving justice-involved individuals with opioid use disorders, and they continue to play a role in combating the overdose crisis. Drug courts alone, however, are not enough. New courtroom and community-based strategies are needed to ensure swift linkages to evidence-based treatments — including medications for opioid use disorder — wraparound supports, and harm reduction services.

National Perspective of MAT during COVID Environment: presentation by Dr Kletter
-Review of efficacy of MAT, Opioid Deaths continued to increase, treatment challenges, federal guideline changes, Telehealth options, recent change in buprenorphine prescribing guidelines, operations changes, lack of current data, outcome of MAT during COVID TBD, positive impacts.
Speaker: Jason Kletter, Ph.D., Baymark Health Service
Facilitator: Kathleen West, Dr.PH, Advocates for Human Potential, Inc.

AHP, in partnership with Policy Research Associates, Inc., convened a series of five virtual expert roundtables focused on MAT programs in rural jails, with support from BJA’s Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP). The purpose of these roundtable meetings was to discuss and explore issues related to creating, implementing, and sustaining rural jail-based MAT programs. The end goal is to inform a publication with practical information on establishing and maintaining jail-based MAT programs in rural jails.

Worked with the National Advocacy Center to deliver online workshop. This makes up for the FY2018 and FY2019 workshops that were cancelled.

Deschutes County District Attorney’s Office contacted CHJ via email requesting information on the technical and training assistance CHJ offers and how our services can assist her organization.