Addiction Recovery Services
Recovery While Incarcerated
The IDOC Addiction Recovery Services Division has been implementing a strategic program improvement plan since Spring 2017 in partnership with our medical services provider, Wexford Health Systems. This improvement plan, called Recovery While Incarcerated (RWI), is a multi-faceted approach aimed to improve the quality of addiction recovery services, increase access to care while incarcerated, implement updated evidence-based integrated care, and provide increased opportunities for collaboration and continuity with community-based services for those releasing. These improvements are currently in the implementation phase and will continue to be rolled out across all IDOC facilities over the next 6 months. Some key features/highlights include:
- Removal of time restriction policies that limited when an offender can access addiction recovery services. Previous policy required offenders to be between 36 and 14 months of their earliest possible release date (EPRD) in order to be referred. Under the new paradigm, offenders are referred to addiction recovery services towards the beginning of their incarceration period, and are offered access to some level of continued support throughout their entire stay.
- Implementation of a full continuum of care that provides individualized treatment services. Intensity of services will include an inpatient/residential style treatment called the “Recovery Oriented Community”, intensive outpatient treatment, outpatient treatment, and relapse prevention services. In addition, increased access to and integration with twelve-step models are an integral part of the provided continuum of care.
- Expansion of medication assisted treatment (MAT) for incarcerated offenders utilizing naltrexone in both oral (Revia) and long-acting injectable (Vivitrol) forms, for those with continued needs related to an opioid or alcohol use disorder.
- Targeted collaboration with community-based providers in order to link an offender to continued therapy and medication prior to their release from a facility.
- A general education strategy to reduce stigma and better inform both staff and offenders about substance use disorders and the possibility/hope of long term recovery.
To date, Recovery While Incarcerated has been made available at the Indiana State Prison and Westville Correctional Facility, with planned implementation at every adult facility by June 30, 2018.
** Please check back in the near future for updates regarding the implementation of Recovery While Incarcerated**
Purposeful Incarceration, or “PI,” is a sentencing order that judges or the Indiana Parole Board (IPB) can use in situations where the judge/IPB is committed to modifying a sentence upon the offender’s successful completion of an IDOC Addiction Recovery Treatment program. IDOC will provide a substance use disorder assessment to determine if clinical treatment is appropriate, and then make every effort to accommodate quick placement into an appropriate level of addiction recovery program.
Resources for PI:
- Frequently Asked Questions
- Webinar for the Court (video)
- PowerPoint for the Court
- Webinar for Community Supervision Providers
- PowerPoint for Community Supervision Providers
Outpatient Substance Abuse Program – Program
The Outpatient Substance Abuse program consists of three phases. Phase 1 is a guided self-study that is a basic drug education manual. Phase 2 consists of evidence-based “best practices” cognitive-behavioral treatment, including Federal Bureau of Prisons material and Dr. Stanton Samenow's "Commitment to Change". Phase 3 is a three-segment program focusing on relapse prevention and re-entry into society. The 12 Steps are covered as well as TCU Straight Ahead material. Outpatient Substance Abuse services are located at all IDOC facilities.
Therapeutic Communities (TC) – Program
The Department’s TCs are specialized intensive therapeutic communities designed to treat offenders with severe drug addictions. The program is a minimum of 8 months of intensive cognitive behavioral, evidence-based best practice counseling. Clients are exposed to up to 12-15 hours each day of programming to specifically assist the client to recover from addiction, build social skills acceptable in society, and learn job interview skills to help with their employment. Clients also work on peer and personal relationship skills to better assist in their recovery when released to their respective communities.