The Addiction Recovery Story We Don't Hear Enough

Assertive community treatment teams working through outreach-centered programs in Maricopa County have become an industry standard for treating those with persistent and severe mental illnesses who have recently been incarcerated. They provide a long-term approach, aiming to halt a cycle of incarceration and hospitalization by focusing on underlying issues such as what caused the police interaction and incarceration.

A pilot program in Connecticut for young offenders matches them with older inmates as mentors who help them confront their pasts and the underlying reasons they’re in prison. They learn new life skills and personal money management as part of a growing trend to use neuroscience to inform incarceration of young adults. The program is based on prisons in Germany and two other states are setting up similar pilots, but no data is yet available on whether the approach reduces recidivism.

A New York City opioid treatment startup called Groups is a solution for small towns with limited access to care for people struggling with opioid addiction. They overcome the hurdles of high cost, proximity to care, and stigma that stymy government response by offering simple, one-size-fits-all, medically assisted group recovery.

Vermont's hub and spoke model of care has gained notoriety as being a system that has successfully played a positive role in creating better access to health care, especially as it relates to the opioid crisis. Now, officials in New Hampshire are looking to scale and adapt the program to work in their state.

Frustrated by a tight labor market, two locally owned Grand Rapids employers discovered the virtues – economic, not just moral – of hiring formerly incarcerated people, whose gratitude for an opportunity translated into excellent performance and less risk of adding to rapid turnover. The employers helped guarantee success by paying for support services that made post-prison transitions easier. The employers then talked hundreds of other local employers into doing the same. Besides providing a business advantage, the program changes lives and is evidently contributing to much lower rates of recidivism.

Fifty years on, America's war on drugs has failed at its principal goals: to eradicate illicit drug use and sales, to repair communities damaged by the drug trade, and to prevent drug-related deaths. Despite massive amounts spent on law enforcement, which has created great social harms and fueled incarceration, drug use has rebounded to 40-year highs, drug overdose deaths are peaking, and supply of illegal drugs is abundant. Policy advocates say a combination of legalization and public-health approaches to the problems would accomplish more than the wasteful, ineffective "war" mentality used to date.

New Hampshire's Rockinham County gives some people with extensive drug and criminal histories an offramp from the criminal legal system, in the form of housing at Cross Roads House and a drug court to emphasize treatment over punishment. But, while other cities in the state meet such needs with multiple programs, the second-most populous county in the state has a severe shortage of supportive housing and services. Such services can make the difference between prison and success, and even between life and death in a place with high rates of overdose deaths.

Great Circle Recovery is the first tribally run opioid treatment clinic in the state and is opening up its second location. Approximately 250 people visit the clinic on a daily basis to access medications that help those suffering from addiction. The centers also provide access to counselors, case management and other medical services to support patients on their recovery journey.

The Prisoner Correspondence Project connects LGBTQ2S+ people who are incarcerated in the United States and Canada with pen pals who are not incarcerated. The consistent communication helps combat isolation and improve mental health and rehabilitation outcomes.

To improve voter access for people in jail, the Davidson County Sheriff’s Office hired an election worker to comb through county records and identify incarcerated people who are registered to vote. The staffer then went from pod to pod in the jail to deliver absentee ballot request forms and give others an opportunity to register. In all, 70 people were able to request their absentee ballots.