Residential Substance Abuse Treatment for State Prisoners

 

The goal of the RSAT for State Prisoners Program is to assist state, local, and tribal efforts to increase access to evidence-based prevention and Substance Use Disorder (SUD) treatment and reduce overdose deaths. The objectives are to: Enhance the capabilities of state, local, or tribal governments to initiate or continue evidence-based SUD or co-occurring substance use and mental health disorder treatment programs in the nations prisons and jails. Increase the number of prisons and jails offering MAT to incarcerated individuals with Opioid Use Disorder (OUD). Prepare individuals for reintegration into communities, including supporting continuity of treatment for OUD treatment and recovery supports prior to release. Assist individuals and communities through the reentry process by delivering community-based treatment, recovery, and other broad-based aftercare services to support successful reentry and continuity of care. Performance Measure 1: Number of participants in RSAT; and, Performance Measure 2: Percent jail based/residential successful completions.

Active 16.593 Office of Justice Programs, Department of Justice A - Formula Grants Fiscal Year 2017 1) Since September 2017, there have been 11 webinars, with up to 500 participants, including those downloading podcasts of the webinars. 2) The RSAT website interactive forum has sponsored three discussions, attracting a total of 694 participants. 3) RSAT TTA faculty has provided on-site technical assistance to jails in California and prisons in Michigan as well as off-site technical assistance in more than a dozen other states. 4) RSAT TTA convened two national roundtables to develop Promising Practices Guidelines for Residential Substance Abuse Treatment and Jail-Based Medication-Assisted Treatment, Promising Practices, Guidelines, and Resources for the Field. The roundtables included representatives of SAMHSA, NIC, NIJ, NIDA, BJA, and ONDCP as well as nongovernment organizations, American Probation and Parole Association, American Correctional Association, American Society of Addiction Medicine, National Sheriffs’ Association, and the National Association of Drug Court Professionals as well as researchers and RSAT practitioners from Kentucky, New York, Rhode Island, Massachusetts, California and Maryland. 5) Through its technical assistance, webinars and conference presentation, including presenting at the National Sheriffs’ Association State Authority, RSAT TTA has aggressively promoted the expansion of prison and jail MAT programming contributing to a new jail MAT program being opened on average every two weeks across the country. In addition, a half dozen state departments of corrections have established MAT programming in at least one prison facility over this fiscal year. 6) Through two webinars, RSAT TTA has introduced two new innovative adjuncts for model jail and prison drug treatment programs and reentry. The first featured the use of electronic tablets that inmates take with them when they reenter the community to better help them realize transitional and reentry plans and referrals made before release. So far, only Utah’s Department of Corrections and Parole Department have implemented this program. The second featured development of model naloxone distribution programs for exiting inmates and their families that has been shown to reduce the heightened risk of overdose deaths among recently released inmates. So far at least two state departments of corrections and a dozen jails have implemented this program. 7) Promising Practices Guidelines for Residential Substance Abuse Treatment was released in November, 2017 and has been widely circulated and cited by a major nongovernment organization in its funding of prison and jail treatment and reform program. Jail-Based Medication-Assisted Treatment, Promising Practices, Guidelines, and Resources for the Field is due to be released shortly by the National Sheriffs’ Association. Already, the California correctional officials have requested copies for twenty sheriffs funded this year to establish medication-assisted treatment in their jails.
Fiscal Year 2018 Since September 2018, there have been 8 webinars attended by a total of 776 registered attendees plus another approximately 150 downloading podcasts of the webinars. The RSAT website interactive forum has sponsored five discussions, attracting a total of 657 participants. RSAT TTA faculty has provided on-site technical assistance to jails in Massachusetts, Missouri, Guam, Colorado, and prisons in Connecticut, Louisiana and Georgia, as well as off-site technical assistance in more than a dozen other states. In November of 2018, AHP initiated a survey of state and county level RSAT programs across the country and US territories in an effort to obtain short descriptions of programming and operations. Most questions asked to RSAT Directors were based upon the PPG for RSAT, providing AHP with information to recognize that a more comprehensive fidelity assessment for RSAT programs would be beneficial. With the help field experts, AHP staff drafted a Fidelity Assessment Instrument (FAI) for RSAT. The FAI is based on the seven Promising Practices Guidelines for RSAT programs, obtains information through a combination of structured interviews and requested materials / data. A mixture of six county and state RSAT Programs were chosen to pilot the FAI, all originally a program interviewed for the RSAT survey. Each FAI pilot site has helped to revise the instrument to become more efficient as well as relevant to the Promising Practices Guidelines. The goal of the Fidelity Assessment Instrument- Revised (FAI-R) is to help strengthen state and local RSAT Program operations and services and to promote evidence-based / promising practices to better accomplish its mission of providing treatment to incarcerated individuals with substance use disorders. RSAT-TTA staff have developed and updated guides and references in response to requests from RSAT programs around the country. Role of Corrections Officers in Jail/Prison Substance Use Disorder Treatment Programs (RSAT) was developed to enhance correctional officers understanding of substance use disorder treatment programs and their role in contributing to the goals and objectives of these programs, namely breaking the cycle of drug use and contributing to public safety. Correctional Officers that review and reference this guide will gain a better understanding of the role RSAT substance use disorder treatment plays in addressing criminogenic risk factors and presumably will be more invested in contributing to the success of both individual inmates under their supervision and the overall treatment program. The RSAT Training Tool - Preventing, Detecting and Treating HIV/AIDS and Viral Hepatitis: Health Promotion and Risk/Harm Reduction in Substance Abuse Treatment was updated to educate RSAT staff about long-term treatment programs about prevention, the benefits of testing and early identification, and the availability of treatment. RSAT staff will also be able to offer support to clients diagnosed with serious health conditions so they can learn to cope, make informed choices about medical care, and take responsibility for protecting others from exposure. Ensuring RSAT clients are screened and tested for HIV and other infectious diseases and that they understand how to protect themselves, their partners and companions are all recommended components of addiction treatment. Comprehensive Update on State Medicaid Coverage of Medication-Assisted Treatments and Substance Use Disorder Services was also updated. The most recently updated version of this manual builds on the foundational knowledge of ASAM’s comprehensive review of state Medicaid coverage for FDA-approved medications and treatment services for individuals with opioid use disorders (OUDs) and SAMHSA’s review of state Medicaid coverage of medications for all substance use disorders also added information on coverage of drugs approved for MAT of alcohol use disorders (AUDs). Revisions reflect changes in Medicaid coverage for relevant services and to preferred drug lists/formularies. Changes to Medicaid Managed Care coverage guidelines, provisions of waiver applications and approved programs, and the implementation status of work requirements in various states have also been added. Overdose fatality rates for 2016 are based on Centers for Disease Control final mortality data, and projected provisional drug overdose fatality rates for 2017, as of August 2018. A summary of state prescription drug monitoring program (PDMP) mandates has been added. Health Literacy: Health and Wellness Recovery, Self-Management Tools for RSAT, Prison, Jail, and Aftercare Programs provides suggestions for health promotion activities and priorities for RSAT programs. It offers RSAT staff tools for assessing health literacy levels, materials that introduce health and wellness as a component of recovery self-management, and ways of increasing access to post-release care. It also includes a section on overdose prevention that can help RSAT programs impart basic, potentially life-saving information to participants.
Fiscal Year 2019 As of May 2019, the FAI has been piloted in two RSAT programs in state prisons (Tennessee DOC and a state Community Corrections program in Arkansas) and one RSAT program at a county jail (Essex County Sheriff’s Department in Massachusetts). The instrument and process has become more efficient since the first pilot site, and the goal is to prepare a revised Fidelity Assessment Instrument and process that can be implemented in corrections departments with RSAT-funded programs around the country. RSAT-TTA is in the process of collaborating with the National Criminal Justice Association (NCJA, International Community Corrections Association (ICCA) and Bureau of Justice Assistance (BJA) to plan the 2019 Forum on Criminal Justice in Arlington, VA this September.
Fiscal Year 2020 BJA has continued to champion MAT in a variety of training and technical assistance programs. Federally funded RSAT prison and jail RSAT programs continue to take the lead in expanding correctional medication-assisted treatment programs across the United States. Not only are the number of prisons and jails offering MAT continuing to increase every month, but more and more are expanding MAT access to multiple opioid medications, including methadone and buprenorphine as well as naltrexone. BJA has concentrated in the past year on both promoting expansion of MAT to include both agonist as well as antagonist medications and to expand jail MAT programs to persons detained pretrial in jails, more than 10 million each year, as well as those committed after sentence. For example, the RSAT program in the jail serving Berkshire County in western Massachusetts which had pioneered MAT featuring injectable naltrexone for sentenced persons, is now expanding its MAT to include the many more persons detained for shorter pretrial periods and is providing access to agonist medications as well as antagonist. It also now provides, consistent with the developing research, multiple naltrexone injections prior to release to maximize craving reductions before persons reenter the community. There are now more than 135 jails and prisons systems in 32 states and the District of Columbia that offer at least two opioid medications, up from just 35 two years ago. Many directly benefited from BJA’s extensive training and technical assistance in implementing these programs. BJA continued its highly effective prison and jail MAT mentor host site trainings, allowing 26 corrections teams from 18 states to visit model MAT programs in the Middlesex House of Correction and the Philadelphia Department of Prisons. Both of these host sites not only provide participants with access to all opioid medications but also offer robust reentry and aftercare programming after release.
Fiscal Year 2021 The RSAT Program accomplishments: • Supported the participation of approximately 21,000 individuals in RSAT programs in FY 2021 with all receiving substance use treatment services. Participants receiving services in jail are suggested to remain in the program for a minimum of 3 months, while participants in prison-based programs must remain in the program for a minimum of 6 months. In addition to receiving treatment for substance use disorder treatment, many program participants also receive cognitive behavioral therapies and employment, transitional housing, and/or mental health services. In 2021, nearly 69 percent of jail- and prison-based participants successfully completed all program requirements. • Continue to promulgate the first national standards for prison and jail substance use disorder treatment, Promising Practices Guidelines (PPG) for Residential Substance Abuse Treatment. In 2019, BJA initiated a national program to assist RSAT programs in meeting program standards, creating and piloting a fidelity assessment in prison and jail RSAT programs in several states. In 2021, the PPGs were updated and fidelity assessment interview was revised to include updated research and program highlights. To date, fifty-one assessments have been completed in twenty-two states with corresponding training and technical assistance (TTA) recommendations to improve services in alignment with the PPGs. It is expected that a fidelity assessment will have been conducted with at least one program from each U.S. state and territory by the end of FY 2022. The efficacy of the assistance will continue to be measured and adjusted as required in conjunction with updates and revisions to the PPGs. • In previous fiscal years, the RSAT TTA provider worked with prisons and jails to conduct on-site training for correctional teams interested in replicating services of model programs. Due to recent travel restrictions in fiscal years 2020 and 2021, the RSAT TTA provider increased the number of virtual training webinars and online technical assistance via teleconferencing, and developed a geo-map of RSAT programs linking to a compendium of program descriptions highlighting RSAT-supported programs. • Continue to champion the expansion of Medication-Assisted Treatment (MAT) as an essential component of successful re-entry for inmates with alcohol and opioid use disorders. Jails and prisons with model best practice programs have been showcased through national webinars, onsite training sessions, and a national meeting of prison, jail, and juvenile correctional practitioners across the country. In 2021, approximately 50 percent of all RSAT programs offered MAT to offenders that were deemed eligible.
Fiscal Year 2022 Please visit https://www.justice.gov/opa/pr/department-justice-awards-more-300-million-fight-opioid-and-stimulant-crisis-and-address The RSAT Program accomplishments: • Supported the participation of approximately 21,000 individuals in RSAT programs in FY 2021 with all receiving substance use treatment services. Participants receiving residential services in jail are suggested to remain in the program for a minimum of 3 months, while participants in prison-based programs must remain in the program for a minimum of 6 months. In addition to receiving treatment for substance use disorder treatment, many program participants also receive cognitive behavioral therapies and employment, transitional housing, and/or mental health services. In 2021, nearly 69 percent of jail- and prison-based participants successfully completed all program requirements. • Continue to promulgate the national standards for prison and jail substance use disorder treatment, Promising Practices Guidelines (PPG) for Residential Substance Use Treatment. In 2019, BJA initiated a national program to assist RSAT programs in meeting program standards, creating and piloting a fidelity assessment in prison and jail RSAT programs in several states. In 2021, the PPGs were updated and fidelity assessment interview was revised to include updated research and program highlights. To date, fifty-one fidelity assessments have been completed in thirty seventwenty two states with corresponding training and technical assistance (TTA) recommendations to improve services in alignment with the PPGs. It is expected that a fidelity assessment will have been conducted with at least one program from each U.S. state and territory by the end of FY 2022. The efficacy of the assistance will continue to be measured and adjusted as required in conjunction with updates and revisions to the PPGs. • In previous fiscal years, the RSAT TTA provider worked with prisons and jails to conduct on-site training for correctional teams interested in replicating services of model programs. Due to recent travel restrictions in fiscal years 2020 and 2021, the RSAT TTA provider increased the number of virtual training webinars and online technical assistance via tele-conferencing, and developed a geo-map of RSAT programs linking to a compendium of program descriptions highlighting RSAT-supported programs. • Continue to champion the expansion of Medication-Assisted Treatment (MAT) as an essential component of successful re-entry for inmates with alcohol and opioid use disorders. Jails and prisons with model best practice programs have been showcased through national webinars, onsite training sessions, and a national meeting of prison, jail, and juvenile correctional practitioners across the country. In 2021, approximately 50 percent of all RSAT programs offered MAT to offenders that were deemed eligible. 34 U.S.C. 10421
Statute 133,2317, 2409
Violent Crime Control and Law Enforcement Act of 1994, Public Law 103-322
Department of Justice Appropriations Act, 2023, Public Law 117-328 States, the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, America Samoa, Guam, and the Northern Mariana Islands are eligible to apply. By statute (34 U.S.C. ? 10421), BJA must award RSAT grants to the State office (www.ojp.usdoj.gov/saa/index.htm) for the state administering agencies list) designated to administer the Byrne Justice Assistance Grant Program. The State office may award subgrants to state agencies and units of local government (including federally recognized Indian tribal governments that perform law enforcement functions, as determined by the Secretary of the Interior). Applicant States must agree to implement or continue to require urinalysis and/or other proven reliable forms of drug and alcohol testing of individuals assigned to residential substance abuse treatment programs in correctional facilities. State and local correctional agencies will implement programs to provide treatment to incarcerated offenders. The applicant must submit a completed Application for Federal Assistance (Standard Form 424), including signed assurances that it will comply with statutory and administrative requirements. The applicant is also required to submit a description that includes the goals of the program, the implementation process, timetable for implementation, how the State will coordinate substance abuse treatment activities at the State and local levels, and the State's law or policy requiring substance abuse testing of individuals in correctional residential substance abuse treatment programs. Preapplication coordination is required. An environmental impact statement is required for this listing. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review. An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review. 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. See the current fiscal year's solicitation available at www.bja.gov. Upon approval by the Office of Justice Programs Assistant Attorney General, successful applicants are notified via DOJ's Justice Grants System (JustGrants). The grant award must be accepted electronically by the receiving organizations authorized official in JustGrants. Contact the headquarters or regional location, as appropriate for application deadlines See the current fiscal year's solicitation available at www.bja.gov For Formula awards, please see 28 CFR Part 18. There are no appeal rights for rejection of a discretionary application, but for discretionary awards, please see 28 CFR Part 18. Formula grants will be renewed each year, contingent upon Congressional appropriations. RSAT is a formula-based grant program. Each participating state is allocated a base award of 0.4 percent of the total funds available for RSAT. BJA will allocate a portion of the total remaining funds to each participating state in the same percentage that the state's prison population represents relative to the total prison population of all states. The RSAT Program’s requirements, which support the implementation of a residential program that engages individuals who are incarcerated in prison or juvenile detention centers for 6 to 12 months and individuals who are incarcerated in jail for at least 3 months, include: Requiring urinalysis and/or other proven reliable forms of drug and alcohol testing, including both periodic and random testing, for program participants and former participants while they remain in the custody of the state or local government. Providing residential treatment facilities set apart—in a separate facility or dedicated housing unit in a facility exclusively for use by RSAT participants—from the general correctional population. Ensuring that individuals who participate in the BJA-funded SUD treatment program will be provided with aftercare services when they leave incarceration. Ensuring that aftercare services must involve coordination of the correctional facility treatment program with other human service and recovery support services and programs such as educational and job training, parole supervision, and recovery housing, as well as participation in individual and peer group programs that provide ongoing support for maintenance of long-term recovery after reentry. Coordinating use of RSAT and any federal funding received from the Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration (SAMHSA) to support SUD treatment, including MAT, and aftercare services. RSAT Program residential participation is limited to individuals who are incarcerated with 6 to 12 months remaining in their confinement in a prison or juvenile detention center or with 3 months remaining in their confinement in a jail. RSAT funds may also be used to support: Jail-based SUD treatment programs that initiate or continue evidence-based SUD treatment programs, including medication-assisted treatment, in pretrial populations and/ or foster connections to SUD treatment in the community upon pretrial release. Aftercare services include case management and the full continuum of recovery and aftercare services, which may include human service and rehabilitation programs such as educational and job training, parole supervision, half-way house, self-help, and peer group programs. Performance Reports: To assist in fulfilling the Departments responsibilities under the Government Performance and Results Act of 1993 (GPRA), Public Law 103-62, and the GPRA Modernization Act of 2010, Public Law 111–352, recipients must provide data that measures the results of their work. . In accordance with the requirement set forth in 2 CFR 200, Subpart F, grantees must maintain all financial records, supporting documents, statistical records, and all other records pertinent to the award for at least 3 years following the close of the most recent audit. For additional guidance, please visit http://ojp.gov/financialguide/DOJ/PostawardRequirements/chapter3.16a.htm. Statutory formula is not applicable to this assistance listing.

Matching is mandatory. 25%. This solicitation requires a 25 percent cash or in-kind match. Federal funds awarded under this solicitation may not cover more than 75 percent of the total costs of the project being funded. An applicant must identify the source of the 25 percent non-federal portion of the total project costs and how it will use match funds. If a successful applicant’s proposed match exceeds the required match amount, and OJP approves the budget, the total match amount incorporated into the approved budget becomes mandatory and subject to audit. (“Match” funds may be used only for purposes that would be allowable for the federal funds.) Recipients must satisfy this match requirement with cash or in-kind match.

MOE requirements are not applicable to this assistance listing. Funds for each fiscal year will be awarded for a period that includes the fiscal year of the appropriation plus three additional years, for a total of four years. See the following for information on how assistance is awarded/released: Department of Justice Grants Financial Guide (www.ojp.usdoj.gov/financialguide/DOJ/index.htm) and Post Award Instructions (www.ojp.usdoj.gov/funding/pdfs/post_award_instructions.pdf). None/Not specified. Meg Chapman
U.S. Department of Justice
Office of Justice Programs
Bureau of Justice Assistance
810 7th Street, NW
Washington, DC 20531 US
Margaret.T.Chapman@usdoj.gov
Phone: (202) 514-8066 https://bja.ojp.gov/program/rsat/overview 15-0404-0-1-754 (Formula Grants) FY 22$36,851,973.00; FY 23 est $45,000,000.00; FY 24 est $35,000,000.00; FY 21$33,248,137.00; FY 20$28,267,617.00; FY 19$27,444,000.00; - Individual state and territory awards ranged from $35,000 to $908,000. Solicitation guidelines are posted on the Office of Justice Programs web site at http://www.ojp.gov/funding/solicitations.htm. For additional guidance reference the Department of Justice Grants Financial Guide (www.ojp.usdoj.gov/financialguide/index.htm ) and Post award Instructions (www.ojp.usdoj.gov/funding/pdfs/post_award_instructions.pdf). Applicable OMB Circulars and Department of Justice regulations applicable to specific types of grantees can be found in title 2 of the Code of Federal Regulations (2 C.F.R.). Fiscal Year 2019 1) RSAT program develops peer Recovery Coaches and focuses on family reunification as part of its re-entry planning: The Women's Therapeutic Residential Center (WTRC) in the West Tennessee State Penitentiary provides a healthy, safe and secure environment within which gender-responsive treatment, educational services, career development and reentry services focus on treating substance use disorders and changing criminal behavior. WTRC is a modified women's therapeutic residential community behavioral model program that utilizes cognitive behavioral therapy, motivational interviewing skills and Certified Peer Recovery Coaches. Eligible women have the opportunity to have the children stay for weekends once a month on-site in a building rebuilt and repurposed by residents. The WTRC a highly structured environment where peer interaction mediated through a variety of group processes is emphasized as the medium for change. 2) RSAT Program offers specialized mental health services and MAT to inmate population with co-occurring disorders: The RSAT Program within the East Central Arkansas Community Corrections Center (EC CCC) in West Memphis is a separate 90-bed Unit at a facility that houses 350 women. The Special Needs program is a therapeutic community that provides services for women with co-occurring disorders: substance use disorders, mental health disorders and women with physical disabilities / limitations. The residents are provided evidence-based services, trauma-informed care, utilize tablet technology and are offered MAT/Vivitrol. 3) RSAT Program provides MAT and a variety of special programming focused on re-entry, criminogenic behavior and family planning: The Steve Hoyle Intensive Substance Abuse Program (SHISAP) is a RSAT funded program that is sited within its own facility on a three-building state correctional campus in Bossier Parrish Correctional Center, Plain Dealing, LA. The facility is a 600-bed treatment program for men that focuses on substance use disorders, criminogenic and re-entry needs. SHISAP is a six-month program but many graduates will enter a three month or more Re-Entry / Aftercare program on-site. All programming utilizes evidence-based interventions such as cognitive behavioral principles, family involvement and structured curriculum. Men with an opiate use disorder complete a longer program which lasts approximately a year. For those men who wish to utilize MAT / Vivitrol, there is an educational track with opiate specific groups three months prior to release. SHISAP also offers an evidence-based parenting course which includes 1 – 3 sessions which family members and children prior to release.
Fiscal Year 2020 The following are examples of FY 20 funded RSAT Program Accomplishments 1) The Topeka, Kansas Correctional Facility prioritizes its 48-bed program for the substance abuse population, uniquely staffed by licensed mental health professionals and community-based providers who deliver evidence-based treatment in group and individual sessions. 2) The Taycheedah Correctional Institute in Wisconsin is a 14-bed program that provides a therapeutic community for women where issues such as grief, loss, domestic abuse, and coping skills are addressed through evidence-based individual and group work. 3) The Nebraska Correctional Center for Women’s program assists participants in navigating the process of regaining custody of their children along with parenting and parental reunification classes. 4) The MonDay Community Correctional Institute in Ohio offers parenting classes as well as a monthly family meeting event for residents. 5) The Turbeville Correctional Facility program is for young adult men (18 – 24) in South Carolina that provides education for participants and family members on the biology of substance use disorders, their effect on family relationships and how families can be support the treatment process. 6) The Nevada Department of Corrections is the first in the nation to introduce injectable buprenorphine in two RSAT facilities. 7) The new Maine Department of Corrections RSAT program has begun collaboration with community-based providers to provide MAT and Recovery Coach coordinators
Fiscal Year 2021 • Jail MAT Begins with Immediate Clinical Intake is a film that showcases the comprehensive four-hour intake at the Philadelphia Department of Prisons where every individual entering the facility is screened for mental health and substance use disorders, and the referral to treatment and community reintegration planning begins immediately. A follow-up film, Philadelphia Dept of Prisons Intake/Screening COVID-19 Protocols was developed to highlight the necessary health and safety precautions taken due to COVID-19 to continue providing medication for opioid use disorder during the pandemic.
Fiscal Year 2022 Jail MAT Begins with Immediate Clinical Intake is a film that showcases the comprehensive four-hour intake at the Philadelphia Department of Prisons where every individual entering the facility is screened for mental health and substance use disorders, and the referral to treatment and community reintegration planning begins immediately. A follow-up film, Philadelphia Dept of Prisons Intake/Screening COVID-19 Protocols was developed to highlight the necessary health and safety precautions taken due to COVID-19 to continue providing medication for opioid use disorder during the pandemic.