The Monroe County Sheriff’s Office has achieved a gold standard in medical care for opioid addiction by making medication and treatment available to incarcerated people with opioid use disorders ( OUD).
Monroe County Sheriff Troy Goodnough and his office signed up to the program in April 2020 and are the first in the state to offer such services to people held in the county jail.
“It’s the right thing to do,” Goodnough said. “We see that a portion of people who suffer from addiction suffer from concurrent mental health issues. We must give them the opportunity to be productive members of society.
The certification was awarded by the Center for Behavioral Health and Justice at Wayne State University School of Social Work earlier this year. In order to receive this certification, counties must implement specific elements of the prison drug-assisted treatment model created at Wayne State.
These items require the administration of standard screening for opioid use disorders during prison reservations and the availability of the three drugs approved by the Food and Drug Administration for OUD (MOUD). They also require the county to implement simultaneous psychosocial services for inmates who receive medication for OUD. Finally, the county should create a comprehensive inmate discharge plan that includes Medicaid reactivation assistance, a naloxone discharge kit, and coordination with a community MOUD provider.
The Sheriff’s Office has partnered with the Michigan Health Endowment Fund, the Monroe Community Mental Health Authority, Advanced Correctional Healthcare, the Passion of Minds Healing Center and Therapeutics to develop and implement this drug-assisted treatment program in within the county jail.
“Without these partnerships, the program would undoubtedly fail,” Goodnough said.
Monroe County Jail has started using the Rapid Opioid Dependence Screen (RODS) to screen inmates as they are registered in the County Jail and the information collected is entered directly into the Case Management System. electronic prison records.
Since using this system, they have achieved a screening rate of almost 100%, with about 19% of those screened at risk for opioid use disorder. In the first year of the program, 96 people were signed up for MOUD treatment.