Integrated Substance Use Disorder Treatment …

Road To Recovery

Integrated Substance Use Disorder Treatment Program Overview

Board of Parole Hearings Training April 21, 2021

Donna Kalauokalani, MD, MPH Deputy Medical Executive

Complex Patient Populations

Objectives

Understand SUD as a Disease Mission of the Department & ISUDT Program Goals Recognize Major Components & Staffing of ISUDT Program Describe Populations Served

Why Care About Addiction?

Big Problem Nationally 21 Million in US suffer from an Addiction 70,000 Overdose Deaths in 2019 & Climbing Big Problem Locally # 1 Cause of Injury-Related Death Huge Problem for CDCR Affects Majority of People Incarcerated

Definition of Addiction

Addiction is a disease of the brain circuitry involved with reward, motivation, and memory characterized by:

Compulsive Use Despite Harms To Self & Others Dysfunctional Emotional Responses/Judgement/Decision Making Cycles of Relapse and Remission Without Treatment Can Progress to Disability or Premature Death

Effective Treatment is Available

Medication Assisted Treatment (MAT) for OUD ? Reduce Overdose Deaths ? Reduce Illicit Drug Use ? Reduce Criminal Activity ? Increase Retention in Treatment ? Improve Health and Lower Healthcare Costs

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