All-Inclusive Support Services (AISS), through the Hampden County Sheriff's Office, began in 1996 with the goals of reducing recidivism, improving public safety, and supporting the whole person. It has served over 20,000 people since its inception.

Realizing that unemployment, unstable housing, lack of social support, undeveloped life skills, and discontinuation of substance use treatment increase recidivism, AISS provides comprehensive wrap-around services to the former inmates that are navigated with the help of a case manager.

In the context of the opioid crisis, we know from several studies that recently incarcerated individuals are at much greater risk of overdose death compared with the general population. In the Hampden County jail over the last ten years, the prevalence of SUD among the jail population has increased from 79% to 88%, with those meeting criteria for OUD increasing from 20% to 43%.

Treatment starts behind the walls at Hampden County jail, consisting of a 154-bed substance abuse unit with additional focuses on:

• education
• vocation
• conflict resolution
• mindfulness
• anger management
• interpersonal conflict

Upon release, the former inmates have access to AISS which includes:

• educational opportunities
• vocational training
• employment and housing support
• assistance in obtaining identification documents

There is also linkage to medical and behavioral healthcare, mutual support groups, and a mentorship program.

Vivitrol is already being used upon reentry and the jail is participating in a pilot program that will offer all three forms of medications for opioid use disorder starting in September 2019. This program has been replicated in other counties and more information can be found in this presentation.