Responding to the urgent need to assist state, local, and tribal government officials; jail administrators; correctional officers; and jail-based clinicians in the detection and proper management of acute withdrawal from substances among individuals in custody, the Bureau of Justice Assistance (BJA), in partnership with the National Institute of Corrections (NIC), formed a collaboration with Advocates for Human Potential, Inc. (AHP), the American Society of Addiction Medicine (ASAM), and the National Commission on Correctional Health Care (NCCHC) to develop guidelines to support the effective management of substance withdrawal in local jails. Collectively, they worked with an expert committee (EC) of medical and criminal justice professionals, who include addiction specialists, correctional health care providers, and jail administrators, to guide the development of the product.
This webinar, presented by the Bureau of Justice Assistance and the National Institute of Corrections, introduces the Guidelines for Managing Substance Withdrawal in Jails.
The Guidelines for Managing Substance Withdrawal in Jails is being developed via a multiphased process, ensuring the development of practical guidelines for local jails to implement that are grounded in evidence-based practices.
The publication of the guidelines is tentatively set for winter 2022.
The Guidelines for Managing Substance Withdrawal in Jails is being developed using a modified RAND/UCLA Appropriateness Method (RAM). The RAM process is a systematic approach—encompassing a review of existing clinical guidelines and standards, literature reviews, appropriateness ratings, stakeholder comment and reconciliation, and document development. The process typically combines scientific evidence and clinical knowledge to determine the appropriateness of a set of clinical procedures. The modified RAM process used for the development of these guidelines combined the best available scientific evidence with the collective judgment of clinical and jail administration experts to yield statements about the appropriateness of specific procedures that can be applied to the implementation of withdrawal management services in local jail settings.
Deaths from withdrawal in jails are preventable—as are the litigation and suffering by all associated with it. State, local, and tribal government officials and jail administrators can prevent deaths by establishing withdrawal management policy and protocols to comport with legal, regulatory, and clinical standards.
Litigation stemming from inadequate medical care increases costs to local governments, jails, and health care providers:
See Managing Substance Withdrawal in Jails: A Legal Brief for more information on the scope of the challenge. This legal brief provides an overview of key legislation and significant court cases related to substance withdrawal and outlines steps for creating a comprehensive response for individuals with substance use disorders.
Publication — 2/1/2022
Publication — 4/5/2022
Publication — 1/1/2018
Publication — 1/1/2015
Publication — 1/23/2020
Publication — 12/18/2019
The Bureau of Justice Assistance (BJA) provides leadership and services in grant administration and criminal justice policy development to support local, state, and tribal law enforcement in achieving safer communities. To learn more about BJA, visit www.bja.gov. BJA is part of the U.S. Department of Justice’s Office of Justice Programs.
The National Institute of Corrections (NIC) is the only federal agency with a legislative mandate (Public Law 93-41 5) to provide specialized services to federal, state, local, and tribal corrections from a national perspective. To learn more about NIC, visit www.nicic.gov. NIC is an agency within the Federal Bureau of Prisons.
Advocates for Human Potential, Inc. (AHP) improves health and human services systems of care and business operations to help organizations and individuals reach their full potential. To learn more about AHP, visit www.ahpnet.com. AHP serves as a training and technical assistance provider for the National COSSAP Jail-based Treatment and Community Corrections Program.