The Bureau of Substance Abuse Program Services has recently restructured the institutional substance abuse programs by enhancing the services provided to inmates and modifying the "TIER" designation for its programs. All inmates are screened at reception, and those inmates identified as being in need of services are placed on the department's centralized Statewide Automated Priority List for placement in the appropriate substance abuse program. On July 1, 2000, the Bureau began the following redesigned service "MODALITIES" to accomplish the provision of substance abuse services for inmates assigned to major institutions, work camps, forestry camps, road prisons and work release centers.
MODALITY 1 is an intensive outpatient program, which is, located at approximately thirty-one (31) correctional institutions, including one (1) site that provides alternative services for inmates who object to participating in traditional services that may contain religious content. The program has a variable length of stay based on the individual's progress. The typical length of stay is four (4) months and may be extended up to six (6) months. A minimum of twelve (12) counselor-supervised hours of program activities occurs per week per inmate, a minimum of four (4) days per week.
Inmates who complete MODALITY 1 program services and who have time remaining on their sentences, and/or who will be transferred to a forestry/work camp, road prison or community work release center are required to participate in the on-going Substance Abuse Programs or Alumni group, if available, until the time of their transfer or release from the facility.
MODALITY 2 is a long-term residential therapeutic community (TC) program, located at approximately thirteen (13) major correctional institutions including one (1) site that provides alternative services for inmates who object to participating in traditional services that may contain religious content. MODALITY 2 encompasses a diverse curriculum which encourages participants who have similar problems of chemical abuse or dependency to live and work together to change their lives. The atmosphere is similar to a large family, with staff representing the "parent" or authority figures. There is a chain of command that must be followed and a hierarchy in which all residents strive to earn better jobs, better privileges, and a higher status in the community. Individuals gain upward mobility within the TC by complying with rules and regulations, participating in all groups and activities, and exhibiting high levels of motivation in their job functions.
The TC model emphasizes structure, responsibility, credibility, accountability, discipline, consistency and consequences/limit setting. MODALITY 2 services are dedicated to facilitating change, growth, and improved self-worth for each member of the community. MODALITY 2 services are a "school about life"; teaching how to live a life that is crime free and drug free, and providing the tools to accomplish this.
Inmates receiving MODALITY 2 program services are housed in an existing dormitory at the respective institution and are separated from the general inmate population to the fullest extent possible. The length of stay will vary based on the individual's progress in the program. The typical length of stay is nine (9) months and may be extended up to twelve (12) months.
MODALITY 2 program services, divided into four (4) phases, are directed at changing drug-abusing and criminal behaviors of inmates that have a history of substance abuse by utilizing Special Groups, Encounter Groups, Process Groups, Theme Groups, Phase -up Boards, Morning Start-up and Wrap-up House Meetings, re-entry/transitional planning, and other activities.
Clinical staff are available to provide and supervise activities seven (7) days per week, for a minimum of sixty (60) structured program hours per week (i.e., Monday-Friday 8 a.m.-8 p.m., Saturday and Sunday 8 a.m.-5 p.m.). The total hours include all breaks, TC activities and meetings, structured leisure/wellness activities, groups, individual counseling, support group activities, educational and vocational activities. These services attempt to instill educational, vocational and other work and social skills necessary for the inmates' successful re-entry into society.
MODALITY 3 offers three (3) Tracks of service: outpatient, relapse prevention and re-entry/transitional services, at approximately thirty-one (31) facilities including, work camps and work release centers. This MODALITY is designed primarily to be provided after completion of MODALITY 1 or MODALITY 2 and also offer a continuum of care for inmates who are not released from incarceration after completion of MODALITIES 1 or 2.
Track One is a relapse prevention program up to four (4) months in length for inmates who have a minimum of two (2) or more months remaining on their sentence and who have completed a department in-prison intensive outpatient, residential or co-occurring disorders program. Track One is also available for inmates who have completed Track Two of MODALITY 3 and who have two (2) months or more remaining on their sentence.
Track Two is an outpatient program of up to four (4) months for inmates with no prior history of participation in substance abuse services, who have a minimum of two (2) months prior to release, and who will have no opportunity to participate in MODALITY 1 or MODALITY 2 services before their release.
Track Three is a weekly continuing care program for inmates who have completed Track One and/or Track Two. Track Three is also available for inmates who have no prior history of participation in substance abuse services, who have two (2) months or less remaining until release, and who meet the program's substance abuse admission criteria. The inmates in Track Three are scheduled for release or transfer to a work release center, work camp, road prison or forestry camp.
These pre-program motivation/readiness classes are didactic in nature and focus on denial, addiction, recovery principles, program motivation, self and mutual help concepts and other related substance abuse topics. Weekly classes are provided as necessary for attendance by the referred inmate population. These classes are open-ended, with no completion requirements and no clinical documentation required. Inmates are directly admitted from these classes to either MODALITY 1 or MODALITY 2 at the earliest available date.
Alumni groups are held weekly for inmates who have completed MODALITY 1 or MODALITY 2. Inmates who complete MODALITY 1 or 2, with at least six (6) months remaining on their sentence are required to participate in the on-going Alumni groups. Inmates who are six (6) months from release from incarceration are admitted for full participation in MODALITY 3, Tracks One and Three, if the program and space are available. Inmates who complete MODALITY 1 or 2 with time remaining on their sentence and will be transferred to a community work release center, forestry camp, road prison or work camp are required to participate in the on-going Alumni group until the time of their transfer. Alumni groups may be peer-led, although a counselor is to be present when the group is conducted. Alumni groups are open-ended with no completion requirements.
Recovery and support group activities including AA/NA meetings, both for substance abuse program participants in each MODALITY and for designated inmates in the institution's/facility's general population, are coordinated by substance abuse staff.
Coordination includes establishing procedures for the following: coordinating and scheduling all recovery/support group meetings and activities in cooperation with designated institution/facility staff; obtaining, coordinating and training community volunteers; tracking inmate attendance at all meetings and activities and ensuring that attendance information is forwarded to the institution's/facility's designated staff for entry into the department's database.
This is a long-term (8-12 months) residential substance abuse program for inmates who have co-occurring substance abuse and mental health disorders. Specialized therapeutic community addresses the inmates' clinical issues through daily-specialized groups, which utilize a psychological-educational skill development curricula, group and individual counseling, and all other elements of a therapeutic community developed specifically for this population. The Department of Corrections has an eighty (80) bed male unit at Zephyrhills CI and a forty (40) bed female unit at Broward CI, both of which are funded by a Federal Residential Substance Abuse Treatment (RSAT) for State Prisoners Formula Grant.
Alternative programs are available at four (4) sites for inmates who object to participation in traditional substance abuse programs, which may contain religious content (i.e., Alcoholics Anonymous/Narcotics Anonymous and other traditional substance abuse interventions). Alternate substance abuse programs are non-deity, cognitive and behavioral modification based programs.