MEDICATION ASSISTED TREATMENT for the JUSTICE INVOLVED - PowerPoint PPT Presentation

MEDICATION ASSISTED TREATMENT for the JUSTICE INVOLVED Collaborating with Justice Impacted Agencies and Community Providers presented by L I E U T E N A N T B R A D R O S E S A C R A M E N T O S H E R I F F ’ S D E P A R T M E N T C H I E F D E P U T Y M I C H E L E V E L A – P A Y N E S A C R A M E N T O C O U N T Y P R O B A T I O N D E P A R T M E N T

ARRESTEE DRUG ABUSE MONITORING II (ADAM II) PROGRAM ADAM I I wa s a se c o nd g e ne ra tio n fe de ra l da ta c o lle c tio n pro g ra m tha t sho we d drug use pa tte rns a nd re la te d issue s a mo ng a rre ste e s in 5 site s AT L ANT A, GA CHICAGO, IL DE NVE R, CO NE W YORK, NY SACRAME NT O, CA Surve ys a nd drug te sts a re use d to g a the r info rma tio n fro m b o o ke d a dult ma le a rre ste e s within 48 ho urs o f the ir a rre st

New York Chicago Sacramento Denver Atlanta HOW DOES SACRAMENTO COUNTY COMPARE TO OTHER ADAM II SITES

SACRAME NT O T OPS AL L SI T E S F OR POSI T I VE DRUG T E ST S I N 2013 83% 79.5% 2012 2013 83% OF ARRE ST E E S ARE POSI T I VE F OR AT L E AST ONE DRUG

SACRAME NT O OPI AT E USE 2 0 0 0 – 2 0 1 3 18% 11% 10% 7% 8% 6% 6% 6% 5% 4% 3%

AVE RAGE AGE OF SACRAME NT O ARRE ST E E S F OUND POSI T I VE F OR OPI AT E S 38 37 34 2 0 0 0 - 2 0 0 3 2 0 0 7 - 2 0 0 9 2 0 1 0 - 2 0 1 3 AVE RAGE AGE OF OPI AT E USE RS HAS DROPPE D

PUNISHMENT VS. TREATMENT - A CHANGE IN PERCEPTION Studie s and pr ac tic al e xpe r ie nc e have shown us the following: I nc a rc e ra tio n fo r punishme nt a lo ne ha s little e ffe c t I nc a rc e ra tio n utilize d fo r SUD sta b iliza tio n AND to de live r tre a tme nt is e ffe c tive T ra ditio na l tre a tme nts (me tha do ne , b upre no rphine ) I nno va tio n in tre a tme nt me tho ds Na ltrxo ne (o ra l) E xte nde d-re le a se inje c ta b le na ltre xo ne - Vivitro l

THE “WHY” - ENDLESS BENEFITS Cost a voida nc e I nc a rc e ra tio n c o sts $125 pe r da y Re duc e d de ma nd o n c o rre c tio na l he a lth c a re E mployme nt I nc re a se d numb e r o f o ffe nde rs re c e iving po st-re le a se e mplo yme nt Ove ra ll re duc tion in c rime Whe n re c idivism ra te s de c re a se , o ve ra ll c rime ra te s sho uld de c re a se

BUILDING A COLLABORATIVE PROGRAM Climate of Change The time is now Funding General Fund Grants – BJA, State and Private Collaborate Cannot be done alone Continuity of Care Post-release engagement Success Increases with Continued Client Engagement

SACRAMENTO’S PROGRAM - 2013 – PRESENT Par tne r ships She riff’ s De pa rtme nt, Pro b a tio n, Co rre c tio na l He a lth Se rvic e s, Co mmunity Ba se d Org a niza tio ns Par tic ipant ide ntific ation and sc r e e ning Risk a nd Ne e ds a nd o the r Asse ssme nt T o o ls E vide nc e - base d tr e atme nt c ur r ic ulums Re la pse Pre ve ntio n, Sub sta nc e Misuse , CBT In- c ustody use of AOD c ounse lor s CADC – CCAPP Ce rtific a tio ns MAT administr ation Co rre c tio na l He a lth Se rvic e s We llSpa c e He a lth Afte r c ar e se r vic e s Co ntinuity o f Ca re Supe rvise d Re le a se

WHAT WE LEARNED The Good WellSpace Health Probation In-Custody Human Services Navigators Data Collection The Bad We Started One Dimensional Few Programs to Learn From in the Beginning

COLLABORATIVE COURTS “Recovery is a Journey not a Destination” Recovery Court (Drug Court) 24 years Onsite Treatment 9-12 months Methadone and Suboxone Vivitrol since 2014

2018 RECOVERY COURT Total Intake METH/HEROIN HEROIN OPIATES METH COCAINE METH/CRACK ALCOHOL 88 5 14 3 66 2 1 1 Drug Of Choice 1% 1% 6% 2% 15% METH/HEROIN 3% HEROIN OPIATES METH COCAINE 72% METH/CRACK ALCOHOL

ADULT DAY REPORTING CENTERS 3 ADRCS (Established 2010) Case management Treatment MAT Employment programs Community service Education (GED)

MAT PROGRAM RESULTS All Justice Involved Participants Re c idivism De fine d Califor nia Boar d of State and Community Cor r e c tions (Histo ric a l Ave ra g e - 67-73%) Othe r Importa nt Prog ra m Be ne fits Inc r e ase d post- r e le ase e mployme nt r ate s

T HE RE SUL T S PROGRAM RE CIDIVISM RAT E S 36.8% 34.6% 29.4% A LC O HO L USE D ISO RD ER O PIA TE USE D ISO RD ER HISTO RIC A L O V ERA LL 2013 to Pre se nt Re c idivism Ra te s fo r a ll Justic e I nvo lve d Pa rtic ipa nts

CONTACT INFORMATION Lieutenant Brad Rose Chief Deputy Michele Vela-Payne Sacramento Sheriff’s Office Sacramento County Probation Department Reentry Services Unit Adult Community Corrections Division (916) 874-1874 (916) 875-4204 brose@sacsheriff.com velam@saccounty.net