Purpose

 

The Harris County Sheriff's Office (HCSO) Vivitrol Pilot Program will provide a long acting non-narcotic, non-addictive medication (Vivitrol: Naltgrexone for extended release injectable suspension, 30 mg/vial) combined with comprehensive substance abuse counseling and case management services to eligible offenders upon release from the Harris County Jail. Administration of this drug prior to institutional release will allow newly-released participants to focus on immediate re-entry needs without having to struggle with drug cravings as Vivitrol is designed to reduce cravings for alcohol and/or opiates, also blocking the ability to get high or feel euphoria.

 

Program Objectives

  • Support the implementation of evidence-based programs and promising practices addressing substance use and behavioral health in the Harris County Jail
  • Support the implementation of a Medication Assisted Treatment (MAT) program in conjunction with behavioral health treatment in the Harris County Jail
  • Strengthen the inmate's cognitive, behavioral, social, and vocational skills

 

Program Goals

  • To assist inmates from relapsing into opiod and/or alcohol dependence
  • Decrease risk factors for substance use disorders and promote a healthy lifestyle without substance use
  • Lower reoffending and/or recidivism rates

 

Pilot Program Description

The HCSO will collaborate with the Houston Recovery Center (Sobering Center), Texas Health Clinic and Alkermes Pharmaceutical to conduct a 6-12 month pilot program utilizing Vivitrol medication in conjunction with case-management services.

Details of the program are as follows:

  1. The HCSO Substance Abuse staff will identify inmate candidates for the pilot program.
  2. HCSO Medical Staff will conduct medical clearance exams.
  3. Selected inmates will complete all required consent and release forms for the pilot program.
  4. HCSO Medical Staff will administer the first dose of Vivitrol to the inmate while in custody at the HCSO jail, and prior to release into the community. This first injection will occur 3-5 days prior to release.
  5. Upon release from jail, the Houston Recovery Center (HRC) will pick up the inmate and transport him/her to the HRC for their initial counseling appointment.
  6. Texas Health Clinic will administer monthly Vivitrol injections to the patient and provide counseling services as needed.
  7. On-going substance use counseling will be provided by HRC case managers throughout the pilot.
  8. HRC will track all data and performance measures regarding the pilot, including quarterly reports to all program partners.

 

Performance Measures

The Vivitrol Pilot Program must be able to report out on the performance measures below:

  • Number of inmates who are enrolled in the program
  • Percent of treatment goals met by participants
  • Number of participants in the program who have been re-incarcerated (3-month, 6-month, 1-year follow-up after release from jail) by arrest type/offense
  • Number of participants in the program who have been re-incarcerated (3-month, 6-month, 1-year follow-up after release from jail) due to committing an alleged drug and/or alcohol related criminal offense
  • Number of participants who relapsed after release from jail (3-month, 6-month, 1-year follow-up), including type of drug triggering the relapse