302 W. Washington St, Room E-334
Indianapolis, IN 46204
Assistant Director of Addiction Recovery
Recovery While Incarcerated
The IDOC Addiction Recovery Services Division, in partnership with our medical services provider Wexford Health Systems, has implemented a strategic program improvement plan. 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. RWI replaces previous Addiction Recovery Services known as “Therapeutic Communities,” “CLIFF,” “GRIP,” or “Outpatient Treatment Services (Phases)”
Some key features/highlights of the RWI program 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 projected release date (EPRD) in order to be referred. With RWI, 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.
- A comprehensive screening and assessment process that identifies substance use disorders, motivation for treatment, and co-morbid criminogenic risk factors.
- Implementation of a full continuum of care that provides individualized treatment services. Intensity of services includes an inpatient/residential style treatment called the “Recovery Oriented Community”, intensive outpatient treatment, outpatient treatment, and relapse prevention services. Increased access to and integration with twelve-step recovery 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. The IDOC supports all pathways to recovery that include evidence-based practice.
The RWI program is now available at all 17 IDOC adult facilities, and is in the implementation phase at all 3 Division of Youth Services facilities.
IDOC Addiction Recovery Services Highlights
- The IDOC has added approximately 350 residential-style treatment beds across our facilities since September 2017, utilizing updated evidence-based clinical treatment models, to bring the total number of treatment beds to over 2,500 statewide.
- As of April 2019, more than 750 incarcerated offenders have been prescribed naltrexone for medication-assisted treatment (MAT), and more than 50 have received a pre-release VIVITROL injection as part of their re-entry strategy.
- The IDOC Parole Services Division has implemented a substance use matrix that provides a graduated correctional response to those with substance use disorders that relapse. This include support for all three evidence-based forms of MAT (including naltrexone, buprenorphine, and methadone products).
The Purposeful Incarceration (PI) initiative is a means by which a sentencing authority (a judge or the Indiana Parole Board) agrees to consider a modification to an offender’s sentence, provided that the offender successfully completes the RWI addiction recovery program during their incarceration. Candidates for PI are those offenders for whom the sentencing authority believes their crimes are related to substance use, and that the offender will benefit from treatment for substance use disorder(s) during their incarceration. The 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 the appropriate level of care within the RWI program.
Common Misperceptions About PI
- PI is not a program within IDOC. PI is an initiative by which an offender may be granted a sentence modification if they successfully complete addiction recovery treatment while incarcerated. The program that PI-designated offenders must complete is RWI.
- PI is not a court order for substance abuse treatment. Offenders may refuse to participate in RWI if they choose. Substance abuse treatment may only be mandated by a court order for involuntary civil commitment for substance abuse treatment.
- PI does not guarantee automatic or immediate admission to RWI. Offenders must still meet clinical and administrative eligibility criteria to participate in RWI.