Prerelease Prison Facilities

As previously discussed, the program the author would choose to evaluate is MAT treatment programs. This population consists of individuals that have been diagnosed with opiate use disorder, and receive opiate-substitution medications, such as Methadone or Suboxone. These program evaluations would be consumer-centered, performed in the clinics they receive services. Interested stakeholders would include the treatment center where the participants receive services, as well as other MAT service providers. Additionally, the funding sources for these individuals and program centers, such as county, state, and federal agencies, along with medical insurers, would also gain value from the program evaluation research.

THESIS STATEMENT: To investigate Methadone maintenance is found to be more effective in treating heroin addiction than 180 day detoxification. The objective is how methadone maintenance, a widely used but controversial method of weaning heroin addicts off the drug—with counseling has psychosocially enriched 180 day methadone assisted detoxification.

Until recently, there was a dramatic disconnect between this research and drug court operations. The consequences of this disconnect included relapse, overdose, and death. While drug courts were designed to accommodate those in need of medical care, most operated under the misguided and dangerous practice of requiring defendants, as part of their successful program completion, to stop taking life-saving addiction medication prescribed by their physicians. This practice, which is at odds with decades of scientific and medical research, put individuals with opioid addictions in the precarious position of either having to stop taking their effective medication and risk relapse or use their medication and face incarceration. To compound matters

The Maryland drug court system has failed plenty of people since it was first introduced 1993, because of the goals and requirements are unrealistic and the offenders with an actual serious drug problem in the program are not getting the proper treatments they need to successfully stay clean once they graduate. In this essay elaborate on the practices that should be changed and if rehabilitation, detoxification and opioid treatments need to be available were to be implemented it would improve the program and keep people like my loved one on the right track and not headed to prison.

There are three predominate forms of Medication Assisted Treatment (MAT) that have proven effective in combating opioid use disorder. Methadone, buprenorphine, and naltrexone have all shown to be effective in the treatment of substance use. When prescribed and monitored properly, MAT has been shown to reduce illicit drug use and reduce the rate of accidental overdose. However, while as many as 2.5 million people are suffering from substance use disorder, less than 40% have access to MAT

A research study was done by professors at the University of Denver on prisoners after they are released. Once released from prison, prisoners have an elevated risk of dying due to drugs within a short amount of time. The study compares prior drug history, prescriptions, and other overdoses. The inmates were contacted two months after they were released to see if they are using, suicidal, religion, or programs they are involved in. The study includes ways to help prevent relapse and death in recently released convicts.

There are a variety of treatment modalities, both conservative and emerging, that clinicians, therapists, and doctors use to treat heroin and opioid dependence. Cognitive behavioral therapy (CBT), motivational interviewing (MI), 12 step programs, and acceptance and commitment therapy (ACT) are just a few that have been used in the past, and even today, in the treatment of substance dependence. Medication-assisted treatment (MAT) is yet another form of therapy; particularly for opioid and heroin dependence, that has been around for decades. However, it has recently begun to spark interest and controversy in light of the growing epidemic.

Reduced health care coverage for substance abuse treatment has resulted in a diminished number of these programs, and the average length of stay under managed care review is much shorter than in early programs. Often, drug/alcohol abusers come into contact with the criminal justice system earlier than other health or social systems, and intervention by the criminal justice system to engage the individual in treatment may help interrupt and shorten a career of drug use. Treatment for the criminal justice-involved drug abuser or drug addict may be delivered prior to, during, after, or in lieu of incarceration.

Drug use and abuse is not a new problem for America’s prison system, and is one which speaks to the larger issue corrupting the judicial system as a whole. As of 2013, of those prisoners serving at least a year long sentence, 51 percent (98,200) of them were serving for drug offenses (Carson, 2014). To contrast the incarcerated with those on probation and parole, some 25 percent (977,662) of the 3.9 million people on probation were charged with drug

Those incarcerated today are not given the chance to change their behavior patterns, especially when it is in regard to drug addiction. The criminal justice system in general does not consider drug abuse as anything but a crime and does not think about treating the disease of addiction in order to reduce or eliminate the crimes that come as a

With California jails and prisons still struggling with finding a reform for non-violent drug offenders the states recidivism rates continue to reach unprecedented numbers. Between 1983 and 1998, drug admissions to state and federal prisons increased sixteen-fold, from over 10,000 drug admissions in 1983 to almost 167,000 new prison entries for drug offenses in 1998 (Worrall et al, 2009). This has been a direct result of our legal system incarcerating offenders who have substance abuse related issues instead of providing a way for treatment or rehabilitation outside of incarceration. Through public policies regarding criminal justice interventions that address drug use and crime, an initiative was created to provide treatment services

We have recently seen a change in the way that drug abuse and addiction are viewed. Considering addiction to be a chronic and relapsing disease is a new concept for the public, policymakers, and even health care professionals (Leshner 46). With this in mind, we can recognize that corrections without the benefit of treatment will fall short in correcting drug-seeking and addictive behaviors (Leshner 46). These, of course, are also the behaviors that most often cause an individual to return to crimes that promote their drug use upon leaving jail or prison (Leshner

The use of criminal restrictions for drug related crimes is not always an entirely punitive tool, and that penalties, or even the threat of them, often urge individuals struggling with addiction or substance abuse to get the treatment they might never seek or receive on their own, therefore increasing their opportunities to become productive members of society. In fact, more than one-third of all treatment referrals in the U.S.

The United States Correctional System is often challenged as to whether it wants to rehabilitate drug offenders or punish them, and because of this it mostly does neither. Even though drug abuse and drug trafficking are widely spread national issues, the mental, social, and economic costs of "healing" through incarceration are only making the "disease" worse. Never before have more prisoners been locked up on drug offenses than today. Mixed with the extremely high risks of today's prison environment, the concept of incarceration as punishment for drug offenders cannot be successful. Without the correct form of rehabilitation through treatment within Michigan's Correctional System, drug

Scientific research shows that treatment can help many drug using offenders change their attitudes, beliefs, and behaviors; avoid relapse; and successfully remove themselves from a life of substance use and crime. Treatment can cut drug use in half, decrease criminal activity, and reduce arrests. It is true that legal pressure might be needed to get a person into treatment and help them stay there. Once in a treatment program, however, even those who are not initially motivated to change can become engaged in a continuing treatment process. In fact, research suggests that mandated treatment can be just as effective as voluntary admission to rehab centers.