Florida Department of Corrections
Michael D. Crews, Secretary

• Developed a new data management component that will permit individual screening of all inmates entering the prison system and provide cost analyses of the programs in operation;
• Established Phase 2 of the department's tobacco cessation programs for inmates. Inmates unsuccessfully completing the first phase offered by Wellness Education may enter a Tier II, III, or IV treatment program to assist them in their desire to cease tobacco use. A third phase is offered to inmates through Health Services;
• Opened two dual diagnosis programs designed to be long-term, specialized treatment for inmates who have a substance abuse problem and a co-occurring mental disorder. The inmates' treatment issues are explored through group and individual therapy, and;
• Developed guidelines for the Simple Screening Instrument to identify inmates for further assessment and treatment. Trained all Clinical Social Workers and Classification and Substance Abuse staff in the use of the tool.

Comprehensive Substance Abuse Treatment Programs are provided at 40 major institutions and 27 community correctional centers. These programs annually serve over 19,000 inmates with substance involvement, abuse, or related problems. The programs' principle objectives are to identify substance abusers, assess the severity of their drug problems, measure their readiness for treatment, and place them in the most appropriate treatment modality. These objectives are accomplished through inmate testing and interviewing at the time they enter reception centers for classification. Offenders assessed as being in need of services are either sent directly to appropriate programming or placed on a waiting list pending availability of such programming.

• Tier I
  Tier I is a 40-hour psychological-educational component specifically designed to address the needs of inmates who have never had drug treatment.
• Tier II
  Tier II is a 6-month intensive outpatient Modified Therapeutic Community (MTC) program. Tiers II and IV include Alternative Tier programs at four institutions that are designed for inmates who object to participation in substance abuse services which may contain religious content.
• Tier III
  Tier III is a nine-month intensive residential MTC Program.
• Tier IV
  Tier IV is a 12-month full-service residential Therapeutic Community (TC) program. It is the most restrictive and intensive of all the Tier Programs
• Tier V
  Tier V is a four-month program designed to provide counseling services to inmates assigned to community correctional centers or major institutions.

Dual Diagnosis - This is long-term treatment intervention for inmates who have a co-occurring substance abuse problem and mental disorder. This specialized therapeutic community deals with the inmates' treatment issues through daily group and individual therapy, psychological-educational skill development curricula, and a fostered therapeutic environment and structure.