Pima County Reentry Center PRC Pima County Adult Detention Center PCADC CMS Southern AZ Correctional Health Programs Medication Assisted Treatment Prescription Drug amp Opioid Addiction MAT PDOA Program ID: 810831
Download The PPT/PDF document "Drug Court & Drug Treatment Alternat..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Drug Court & Drug Treatment Alternative to Prison (DTAP)
Pima County Reentry Center (PRC)
Pima County Adult Detention Center (PCADC)
CMS Southern AZ Correctional Health Programs
Medication Assisted Treatment – Prescription Drug & Opioid Addiction (MAT PDOA) Program
AZ DOC Peer Support Training and Transition Planning Program
Federal Correctional Institution (FCI) MAT training and Service
1
Slide22
Slide3Demographics
3
Slide44
Slide55
Slide66
Slide77
Slide88
Slide99
Slide1010
Slide11Drug Court & Drug Treatment Alternative to Prison (DTAP)
CMS Southern AZ Correctional Health Programs
11
Slide12Drug Court & Drug Treatment Alternative to Prison (DTAP) - Data
Total Drug Screen compliance
(2016 - 2019)Year Total Negative Positive Negative % Total %
29 14 15 48.28% 48.28 % 161 114 47 70.81% 67.37% 199 150 49 75.38% 71.47% 276 235 41 85.14% 77.14%
Total 665 513 152 77.14%12
Slide13Drug Court & Drug Treatment Alternative to Prison (DTAP) - Data
Opioid Free Drug Screen (2016 - 2019)
Year Total Negative Positive Negative % Total % 29 19 10 65.52% 65.52%
161 138 23 85.71% 82.63% 199 182 17 91.46% 87.15% 276 245 31 88.77% 87.82%Total 665 584 81 87.82%
13
Slide14Drug Court & Drug Treatment Alternative to Prison (DTAP) - Data
Only THC &/or Alcohol in Drug Screens (2016 - 2019)
Year Total THC Alcohol Negative except Total % Only
Only THC/Alc. % 29 3 0 58.62% 58.62% 161 13 1 79.50% 76.32% 199 24 1 87.94% 82.26%
276 3 1 86.59% 84.06%Total 665 43 3 84.06%
14
Slide15Drug Court & DTAP Data Summation
Total Drug Screen compliance
(2016 - 2019)513 drug screens out of 665 were negative of all substances;
77.14% compliantOpioids Free584 of 665 drug screens negative for Opioids87.82% Opioid Free
THC & Alcohol + Only43 of 665 drug screens were positive for THC ONLY3 of 665 drug screen positive only for Alcohol559 of 665 screens negative for all substances excluding THC or Alcohol84.06%
compliance15
Slide16Pima County Adult Detention Center (PCADC)
CMS Southern AZ Correctional Health Programs
16
Slide17Pima County Adult Detention Center (PCADC) - Data
Data tracked on
3 groups of clients:Clients dosed in jail (clients incarcerated 9/10 – 3/31/20)Clients not dosed in jail (clients incarcerated 9/10 – 3/31/20)
Random sample control group (data from Sept. – March 2020)Able to combine clients dosed in jail and those not dosed in jail into one group of total jail clients.
17
Slide18Pima County Adult Detention Center (PCADC) - D
ata
Jail Data collected:# of missed doses between jail release & return to OP treatment
% of clients missing doses between jail release & return to OP treatment# of illicit substances in pre- & post-jail drug screens% of clients with illicit substances in pre- & post-jail drug screens# and % of doses missed 30 days pre- & post-jail% of clients missing doses 30 days pre- & post-jailEngagement in Tx: 3, 6, 9 months & 1 year after release
18
Slide19Pima County Adult Detention Center (PCADC) - Data
Control Group
Data collected:# of illicit substances in drug screens% of dosing days missedEngagement in Tx: 3, 6, 9 months & 1 year after tracking period end
Able to compare:Clients dosed in jail (n = 41) & not dosed (n = 33) to compare effectiveness of dosing clients in jailTotal clients in jail (n = 74) with control group (n = 106) to look for patterns and predictors of increased risk of incarceration
19
Slide20Pima County Adult Detention Center (PCADC) –
Comparison Data
Individual level data pre- & post-incarceration for clients dosed in jail & not dosed in jail
Such as: Client’s drug screens pre- & post-incarceration to allow for comparisonsSpecific client’s data must contain pre- & post-jail information to be included in comparison data
20
Slide21Pima County Adult Detention Center (PCADC) –
Comparison Data
TABLE 1a: Missed Doses Between Last Jail & First Outpatient Dose
# of Clients
# of Missed Doses
# of Doses Missed per Client
# of Clients Missing Doses
(%)
Jail Dosed
34
6
0.1765
4
(11.76%)
Not Jail Dosed
25
14
0.5600
6
(24.00%)
All Jail Clients
59
20
0.3390
10
(16.95%)
Significance of Table 1a: Clients dosed in jail miss less doses between jail release and returning to treatment
21
Slide22Pima County Adult Detention Center (PCADC) –
Comparison Data
#
# of Illicit Substances pre-Jail per client
# of Illicit Substances post-Jail per client
Change
(%)
# of Illicit Substances pre-Jail per client (excluding THC/ alcohol)
# of Illicit Substances post-Jail per client (excluding THC/ alcohol)
Change
(%)
Jail Dosed
32
2.09
1.66
-0.44
(-20.90%)
1.63
1.44
-0.19
(-8.51%)
Not Jail Dosed
25
1.40
1.24
-0.16
(-11.43%)
1.16
1.04
-0.12
(-10.34%)
All Jail Clients
57
1.79
1.47
-0.32
(-17.65%)
1.42
1.26
-0.16
(-11.11%)
TABLE 1b(i):
Pre- & Post-Jail Drug Screen Results – Substances per Client
22
Slide23Pima County Adult Detention Center (PCADC) –
Comparison Data
#
# of Clients with Positive Drug Screens
pre-Jail
# of Clients with Positive Drug Screens
post
-Jail
Change
(%)
# of Clients with Positive Drug Screens
pre-Jail (excluding THC/ alcohol)
# of Clients with Positive Drug Screens
post-Jail (excluding THC/ alcohol)
Change
(%)
Jail Dosed
32
28
(87.50%)
24
(75.00%)
-4
(-14.29%)
26
(81.25%)
23
(77.88%)
-3
(-11.54%)
Not Jail Dosed
25
18
(72.00%)
17
(68.00%)
-1
(-5.56%)
15
(60.00%)
14
(56.00%)
-1
(-6.67%)
All Jail Clients
57
46
(80.70%)
41
(77.93%)
-5
(-10.87%)
41
(77.93%)
37
(64.91%)
-4
(-9.76%)
TABLE 1b(ii):
Pre- & Post-Jail Drug Screen Results – Clients Using Substances
23
Slide24Pima County Adult Detention Center (PCADC) –
Comparison Data
Significance of Table 1b(i): Clients dosed in jail saw larger decrease in number of illicit substances used per drug screen from pre- to post-jail than those not dosed in jail.
Significance of Table 1b(ii): Larger decrease in number of clients who dosed in jail testing positive for any illicit substances from pre- to post-jail than those not dosed in jail.
24
Slide25Pima County Adult Detention Center (PCADC) –
Comparison Data
#
Pre-Jail # of Missed Doses
(per client)
Pre-jail % of Doses Missed
Post-jail # of Missed Doses
(per client)
Post-jail % of Missed Doses
Change (per client)
% Change Pre- to Post-Jail Missed Doses
Jail Dosed
27
116
(4.30)
14.32%
120
(4.44)
14.81%
4
(0.15)
3.45%
Not Jail Dosed
20
64
(3.20)
10.67%
68
(3.40)
11.33%
4
(0.20)
6.25%
All Jail Clients
47
180
(3.83)
12.77%
188
(4.00)
13.33%
8
(0.17)
4.44%
TABLE 1c(i): 30 Days Pre- & Post-Incarceration Missed Doses
25
Slide26Pima County Adult Detention Center (PCADC) –
Comparison Data
#
# of Clients Missing Pre-Jail doses
% of Clients Missing Pre-Jail doses
# of Clients Missing Pre-Jail doses
% of Clients Missing Post-Jail doses
# of Clients
Change
Pre- to Post-Jail
% Change of Clients Pre- to Post-Jail
Jail Dosed
27
18
66.67%
19
70.37%
+1
+5.56%
Not Jail Dosed
20
12
60.00%
15
75.00%
+3
+25.00%
All Jail Clients
47
30
63.83%
34
72.34%
4
+13.33%
TABLE 1c(ii): 30 Days Pre- & Post-Incarceration Clients Missing Doses
26
Slide27Pima County Adult Detention Center (PCADC) –
Comparison Data
TABLE 1c(iii): 30 Days Pre- & Post-Incarceration Missed Doses – Overall
# of Clients
Pre-Incarceration % of Doses Missed
# of Clients
Post-Incarceration % of Missed Doses
Jail Dosed
40
12.69%
33
13.32%
Not Jail Dosed
33
16.61%
24
15.95%
All Jail Clients
73
14.46%
57
15.34%
27
Slide28Pima County Adult Detention Center (PCADC) –
Comparison Data
Significance of Table 1c(i): Clients dosed in jail show less increase in missed doses in 30-day period after jail compared to before jail than clients not dosed in jail.
Significance of Table 1c(ii): Number of clients dosed in jail missing dosing days in 30-day period after jail increased less from same period before jail than those not dosed in jail.
28
Slide29Pima County Adult Detention Center (PCADC) –
Comparison Data
Significance of Table 1c(iii): In non-comparison samples both groups of clients increased percentage of missed dosing days in 30-day period after jail compared to same period before jail.
Clients dosed in jail saw larger % increase than clients not dosed in jail.Important Point: Both groups increased in missed dosing days. This shows jail is a barrier to stability in treatment even if dosed while in jail.
29
Slide30Pima County Adult Detention Center (PCADC) –
Comparison Data
TABLE 1d: Treatment Engagement 3 Months After End of Incarceration (Measured Period for Controls)
Significance of Table 1d: Similar rates of treatment engagement 3 months after jail release for clients dosed in jail than those not dosed in jail.
# of Clients
# Engaged in Treatment
% Engaged in Treatment
Jail Dosed
33
25
75.76%
Not Jail Dosed
26
20
76.92%
All Jail Clients
59
45
76.27%
Control Group
48
42
87.50%
30
Slide31Pima County Adult Detention Center (PCADC) –
Comparison Data
Important Points:Dosing in jail showed increased post-incarceration results
for:Reengagement in treatment immediately after release.Decrease in positive drug screens (increased for those not dosed in jail).
Lower % increase in number of dosing days missed after jail release compared to clients not dosed in jail & decreased number of clients missing doses (increased for those not dosed in jail).Similar treatment retention 3 months post release than those not dosed in jail (& control).
Jail still barrier to treatment – number of missed doses increased.
31
Slide32Pima County Adult Detention Center (PCADC) –
Jail vs. Control Data
TABLE 2a(i): Pre- & Post-Jail Drug Screen Results – Drugs per Client – Overall Data
# of Clients
# of Drug Screens
# of Illicit Substances per Drug Screen
# of Illicit Substances per Drug Screen (Excluding THC & alcohol)
Jail Clients Pre-Jail
72
72
1.93
1.61
Jail Clients Post-Jail
58
58
1.52
1.31
Total Jail Clients
72
130
1.75
1.48
Control Group
98
266
1.17
0.85
32
Slide33Pima County Adult Detention Center (PCADC) –
Jail vs. Control Data
TABLE 2a(ii): Pre- & Post-Jail Drug Screen Results – Drugs per Client – Overall Data
#
# of Clients with Positive Drug Screens
(%)
# of Clients with Positive Drug Screens (Excluding THC & alcohol)
(%)
Jail Clients Pre-Jail
72
56
(77.78%)
50
(69.44%)
Jail Clients Post-Jail
58
42
(72.41%)
38
(65.52%)
Total Jail Clients
72
62
(86.11%)
57
(79.17%)
Control Group
98
71
(72.45%)
63
(64.29%)
33
Slide34Pima County Adult Detention Center (PCADC) –
Jail vs. Control Data
Significance of Table 2a(i): Control group clients had lower number of illicit substances per drug screen including & excluding THC & alcohol
than clients who went to jail.Significance of Table 2a(ii): Lower percentage of control group clients used illicit substances than clients who went to jail.
34
Slide35Pima County Adult Detention Center (PCADC) –
Jail vs. Control Data
TABLE 2b(i): Percentage of Dosing Days Missed – Overall Data
# of Clients
% of Days Missed
Jail Clients Pre-Jail
73
14.46%
Jail Clients Post-Jail
57
15.34%
Total Jail Clients
73
14.83%
Control Group
91
5.87%
Significance of Table 2b(i): Control group clients missed less percentage of dosing days than clients who went to jail.
35
Slide36Pima County Adult Detention Center (PCADC) –
Jail vs. Control Data
TABLE 2b(ii): Percentage of Clients Missing Doses – Overall Data
Significance of Table 2b(ii): Lower percentage of control group clients missed any dosing days than clients who went to jail.
# of Clients
# of Clients Missing Doses
% of Clients Missing Doses
Jail Clients Pre-Jail
73
45
61.64%
Jail Clients Post-Jail
57
39
68.42%
Total Jail Clients
73
55
75.34%
Control Group
91
37
40.66%
36
Slide37Pima County Adult Detention Center (PCADC) –
Jail vs. Control Data
Important Point:
There are predictors for clients becoming incarcerated:Clients who test positive for illicit substances.Clients who test
positive for more types of illicit substances.Clients who miss doses.Clients who miss more doses.
37
Slide38Pima County Reentry Center (PRC)
CMS Southern AZ Correctional Health Programs
AZ DOC Peer Support Training and Transition Planning Program
Federal Correctional Institution (FCI) MAT training and Service
38
Slide39Pima Reentry Center (PRC
)
Established to prevent/reduce recidivismSuccessful reintegration to societyHow do we ensure success? Transition planning
Realistic ExpectationsLife Skills/Training“GEAR UP, Ready for Reentry” Group Peer LeadGroup drivenPlan of Action
39
Slide40AZ DOC Peer Support Training and Transition Planning Program
Established to Support DOC Peer Support Specialist Program
Supporting DOC PSS’s with Resources Supporting DOC PSS’s with Problem Solving ToolsHow do we ensure success?
PSS professional development sessionsRealistic ExpectationsIdentifying inmate barriers to successTransitional planning Inmate action steps while incarceratedAction plan for release.
40
Slide41First Step Act and Federal Facilities
working to establish MAT support and training with 3
rd
party medical provider in FCI’s. https://www.whitehouse.gov/briefings-statements/president-donald-j-trump-committed-building-successes-first-step-act/
https://www.bop.gov/inmates/fsa/overview.jsp
Federal Correctional Institution (FCI) MAT training and Service
41
Slide42Doyle R. Morrison
Community Programs & Integrations Manager
520-775-3500doyle.morrison@CMSgiveshope.comMichael White
Director of Community Programs541-808-1340Michael.white@CMSgiveshope.com
QUESTIONS?
42