• Fri, June 28, 2019 1:15 PM | Marsha Grant (Administrator)

    The "dope boys" hang out near the jail awaiting newly freed inmates with addiction. They'll hand you a free sample to get you back. Triggers to use drugs again – the corners where you've used, for one – are all around, and any plans for a fresh start easily evaporate.

    "In here, it’s black and white," said Ashley Pels, a Hamilton County jail inmate, looking around the recovery pod for women. Get released, she said, and "it’s like 'The Wizard of Oz.'”

    The opioid receptors in her brain just "light up," she said, and her cravings roar back.

    There's a big chance of relapse after release, and some who do will die. If they survive, three of four ex-inmates like Pels will end up returning to their addiction – and potentially returning to the crimes they committed to support their addiction.

    It's a vicious cycle for the addicted and their families, one that has safety, financial and other consequences for the rest of society. But since May, health care providers at the Hamilton County jail have been using medicine to help break the connection.

    Cincinnati | The Enquirer I will die' without it: Hamilton County jail offers addicted inmates meds behind bars

  • Fri, June 28, 2019 12:47 PM | Marsha Grant (Administrator)

    They’re classified as “unwanted’’ on hospital security and police reports.

    Betty, 76, was one -- a partially blind and homeless woman suffering from the onset of dementia last fall. She refused to leave the emergency department at Legacy Good Samaritan Medical Center.

    The Northwest Portland hospital called Portland police, who showed up about midnight.

    Betty told an officer she had no plans to leave. The officer contacted Multnomah County’s Adult Protective Services. The agency was familiar with the woman but wouldn’t provide a voucher to stay in a motel because she had a history of causing property damage and hoarding. The officer asked a sergeant if Betty could stay in the precinct’s lobby, but the police supervisor decided that wouldn’t be safe. READ MORE The Oregonian

  • Wed, November 15, 2017 11:07 AM | Marsha Grant (Administrator)

    From jail to treatment: Helping get the mentally ill on track 

    Dana LittlefieldDana Littlefield Contact Reporter

    San Diego Union Tribune 

    In San Diego County, help for mentally ill offenders can come from several sources — including the county and the courts — but demand is high, resources are limited and people, especially those living on the street, can fall through the cracks. Last month, the county Board of Supervisors approved a three-year spending plan for new and existing programs, some of which focus specifically on people with serious mental illness who are also in the criminal justice system. The funding — nearly $570 million over the next three years — comes from the Mental Health Services Act, passed by California voters in 2004, which imposes a 1 percent tax on millionaires’ income. (The county also receives money for mental health programs from other local, state and federal sources.)    READ ABOUT IT HERE 

  • Thu, November 09, 2017 1:49 PM | Marsha Grant (Administrator)

    Press Release
    Tonko Introduces Legislation to Prevent Overdose Deaths, Improve Care Transitions for Individuals Reentering Community

    Recent research indicates that individuals who are released back into the community post-incarceration are roughly eight times more likely to die of an overdose in the first two weeks post-release compared to other times. The risk of overdose is elevated during this period due to reduced physiological tolerance for opioids among the incarcerated population, a lack of effective addiction treatment options while incarcerated and poor care transitions back into the community. Allowing states to restart Medicaid benefits prior to release will dovetail with innovative reentry programs already being implemented in communities across the country and would give individuals reentering society a fighting chance to live a healthier, drug-free life.
    Rep. Paul Tonko (D-NY) introduced H.R. 4005, the Medicaid Reentry Act, a bill that would provide states with the flexibility to restart Medicaid coverage for eligible incarcerated individuals up to 30 days prior to their release.

  • Thu, November 09, 2017 11:44 AM | Marsha Grant (Administrator)

    The dismal state of transgender incarceration policies

    by Elliot Oberholtzer, November 8, 2017

    Delaware currently has the best policy for the treatment of transgender people in prison.

    Most states’ policies are sparse, and convey a clear discomfort with and ignorance about the trans community. We have, however, identified one state’s policy as representing current best practices in the field: the Delaware Department of Corrections policy. This twopart policy, revised in 2016 in response to an ACLU lawsuit, sets an informed and comprehensive standard.

    In this post we review the scope of the gaps and inadequacies in states’ transgender incarceration policies, hold up suggestions from Delaware and other leaders in the field as partial solutions, and make recommendations for further research that is desperately needed in this area...."

  • Thu, November 09, 2017 11:32 AM | Marsha Grant (Administrator)

    The Baltimore Sun
    Suboxone in Prisons: the forgotten front in the battle against the opioid epidemic

    Multiple leaders across the nation, including Maryland Gov. Larry Hogan and even President Donald Trump, have declared states of emergency in response to the opioid epidemic. Policymakers claim to be battling this public health crisis on all fronts, but one arena continues to be conspicuously ignored: our prisons and jails.

    "This is not a problem of resources. Many incarcerated patients currently receive appropriate care for other chronic conditions, including diabetes, HIV, cancer and even more-newly-recognized disorders, like gender dysphoria. Our federal and state corrections systems have the capacity to offer this treatment — a treatment defined as “essential medicine” by the World Health Organization. Anne Arundel's Road to Recovery program and other correctional facility programs (Rikers jail in New York, the prison system of Rhode Island and Vermont) demonstrate that success with medication-assisted therapy is possible."

  • Fri, October 27, 2017 11:07 AM | Marsha Grant (Administrator)

    A staggering number of women who are incarcerated are not even convicted: more than a quarter of women who are behind bars have not yet had a trial. Moreover, 60% of women in jail have not been convicted of a crime and are awaiting trial.

  • Mon, September 18, 2017 5:04 PM | Marsha Grant (Administrator)

    Medical care for inmates can be costly. But the county has found a way to reduce those costs by having medical staff come to the Dubois County Security Center.

    A registered nurse from the Dubois County Health Department visits the center about three times a week to check on inmates, review their medicines and check their medical problems. read more here....

  • Mon, September 18, 2017 12:14 PM | Marsha Grant (Administrator)

    Link to NEJM article Gabapentin and Pregabalin for Pain — Is Increased Prescribing a Cause for Concern?

    Christopher W. Goodman, M.D., and Allan S. Brett, M.D.

    N Engl J Med 2017; 377:411-414August 3, 2017DOI: 10.1056/NEJMp1704633

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