• Case Management & Medication Addiction Treatment for Individuals Leaving Jail: The Bridge/El Puente Program in Hampden County

      Lincoln, Thomas; Simon-Levine, Dominique; Guerrero, Edward; Desabrais, Maureen (2017-03-03)
      The Bridge/El Puente program will serve 300 newly released inmates from the Hampden County Correctional Center (HCCC) over 3 years. Inmates have a history of opiate and/or alcohol addiction, and are at high risk or are diagnosed with HIV or HCV. HCCC is now offering medication assisted treatment (MAT), extended release naltrexone (Vivitrol), buprenorphine and methadone, prior to release. Bi-cultural/bi-lingual case managers help inmates to continue or to start MAT once back in the community. This includes bridge prescriptions, addressing insurance issues, setting up first appointment and logistical help with getting to MAT appointments. Additionally, Bridge case managers address the often-large array of other needs newly released people struggle with upon return to the community. Bridge/El Puente is funded by SAMHSA/CSAT. In our second year, we recently obtained IRB approval to examine differences in outcomes between inmates who choose buprenorphine, naltrexone or methadone prior to release from jail and those who reject/are not offered MAT prior to release despite having an opioid use disorder. While many do start MAT once back in the community, we are interested in understanding whether initiation of MAT while in jail significantly improves outcomes.
    • Struggles and Strategies for Survival Beyond the Walls of Jail

      Halpin, Susan M.; Diaz, Louie (2020-01-01)
      Louie Diaz is a substance use disorder counselor and re-entry specialist with the Middlesex County, Massachusetts Sheriff’s Office. In his youth, Louie sold drugs and stolen jewelry and was part of a crime theft ring. During his struggles with addiction, he received a 10-year prison sentence for stabbing a police officer while trying to flee a crime scene. It was during his last sentence that he made a commitment to change his life and developed a passion for helping other returning citizens. As a counselor and re-entry specialist, Louie now tends to the emotional and physical needs of others. Louie knows drugs and crime from both a criminal and a treatment perspective. “No re-entry program is going to go under the bridges and into the tent cities of the homeless looking for the guys who come out of jail and fall between the cracks. But if you are not willing to go to their places, they will end up back in jail.’ In this webinar Louie will share his own story of substance use disorder and incarceration as well as the work he is doing in the cities of Lowell and Lawrence, Massachusetts to address the addiction crisis. He will discuss what it was like to be followed by a film crew for 5 years as this documentary was being made. He will also share why this film is important as we begin to treat substance use disorder as a public health issue instead of a law enforcement issue. Learning Objectives: Understand the barriers individuals face when returning to the community after incarceration and how those barriers might affect the success of their transition back into society. Learn what “recidivism” is, and why 95% of people return to drugs and alcohol after release from prison and how substance use disorder relates to recidivism. In the film, Billy Cabrera says, “We get a handbook on how to conduct ourselves in prison, when you get released you don’t get a handbook on how to live life.” Learn what jails and prisons are doing to prepare individuals for re-entry into the community.