B: Prison and Jail

Policy Statement 12: Substance Abuse Treatment

Provide effective substance abuse treatment to anyone in prison or jail who is chemically dependent.

In earlier policy statements, this Report addressed the need to fully assess a person's substance abuse treatment requirements using standardized, validated instruments (Policy Statement 8, Development of an Intake Procedure), and the need for an individualized programming plan to respond to substance abuse and other issues raised during the intake process (Policy Statement 9, Development of the Transitional Plan). This policy statement goes into further detail about the substance abuse treatment aspects of that individualized programming plan. Because a history of using drugs and/or alcohol is common to so many people in prisons and jails-both generally and in connection with particular criminal offenses-it is especially key that addictions issues be addressed during the period of incarceration. Failing to capitalize on this opportunity to treat addiction poses risks to successful prisoner reintegration, public safety, and public health. Utilizing programs proven to be effective, prioritizing resources for those nearing release, and encouraging community-based aftercare will ensure better outcomes for re-entering prisoners and the communities to which they return.

Recommendations:

A.
Determine the extent to which existing services are effective and sufficient to meet the demand for substance abuse treatment.
1.
The majority of people in prison and jail has a history of substance abuse.
B.
Assess candidates for program participation carefully, and prioritize treatment for drug-dependent prisoners and those approaching release.
2.
Relatively few individuals receive drug or alcohol treatment while incarcerated.
3.
Substance abuse treatment can reduce both criminal activity and drug use, particularly when in-prison treatment is coupled with community-based aftercare.
C.
Implement evidence-based treatment services that make the best use of available resources.
D.
Engage the community-based substance abuse system to provide effective, culturally competent services to people in correctional facilities who are in need of treatment.
4.
Substance abuse treatment is cost-effective.