Court Orders For Addiction Treatment In Jails

As western Massachusetts struggles with a dramatic spike in fatal overdoses, officials are embracing a controversial solution: sending men who have not committed any crimes to jails and prisons for court order addiction treatment. Hampden County Sheriff Nick Cocchi has designated a wing of his jail for the treatment of men civilly committed for substance abuse reasons. It’s the only facility in western Massachusetts housing the men, and just one of three in the entire state for men.

While some are trying to end the practice, Cocchi and his supporters including local mayors and lawmakers say the jail’s year-old Stonybrook Stabilization and Treatment Centers is key to curbing the opioid problem in the county; which includes the former manufacturing cities of Springfield and Holyoke. Fatal overdoses surged more than 80% in Hampden County from 2017 to 2018 even as they declined; statewide for the second straight year in 2018, according to state data.

The use of jails and prisons

“People coming into our program are angry, violent and sick,” Cocchi said as he and other officials celebrated the program’s anniversary earlier this week. “They are at the end of the road, and their families have recognize that if they don’t intervene, they might not survive.” But the civil rights group Prisoners’ Legal Services of Massachusetts has sued the state in an effort to end; so the use of jails and prisons for forcibly treating men with addiction.

The class action lawsuit was filed in March on behalf of 10 men who complain of poor conditions and mistreatment at another civil commitment program run out of a state Department of Corrections prison. A state commission has also recently recommend ending; so the practice of sending civilly commit men to jails and prisons, as the state did for women three years ago, following a similar lawsuit. Women are now sent to substance abuse treatment facilities run or contract by public health agencies; which as most civilly commit persons are in other states.

“This should not be a choice between prison or nothing,” said Bonnie Tenneriello, a staff attorney with Prisoners’ Legal Services. “Why are we giving money to a sheriff to run treatment programs rather than funding civilian treatment?” Under state law, family members can ask a judge to order their relatives into treatment if they’re unwilling to go voluntarily and are deem a danger to themselves or others. At least 35 states have such civil commitment laws; but Massachusetts is just one of a handful where it’s widely use, The Associated Press found last year.

Less secure facility

After a few weeks of detoxing at the jail, most are eventually transfer; so to a less secure facility locate off campus in a converted nursing home. There, the men can wear civilian clothes and are house in rooms that are larger and more dorm-like. Early results of the approach which also includes health care professionals administering addiction treatment medications; also leading counselling sessions are encouraging, Cocchi said. Since opening last May, more than 850 men have gone through the program; staying 47 days, on average weeks longer than they do at the state’s other two facilities.

The longer stays increase the odds that the men will stay sober, Cocchi said. So far, less than 5% have had to be recommitted, though two fatally overdose after leaving the program. Lawmakers, meanwhile, have commit $1 million to the program in the current state budget; which proving the effort has strong support, despite its detractors, he said. “Let us continue doing what we’re doing,” Cocchi said. “No one else is doing this work out here; but they’re doing it, and we’re doing it well.