March / April 2018

MARCH/APRIL 2018 VOL. 27 NO. 2

MEDICATION THERAPY D.O.C.S. TAKE ON THE OPIOID CRISIS

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Tackling the Prison Opioid Crisis With Medication Therapies

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CANADA INDEPENDENT STUDY FINDS GREAT VARIANCE IN COST OF HOUSING OFFENDERS Canada’s federal prisons housed an average of 14,310 inmates last year, a March 22 report released by Parliament revealed, with the cost associated with each varying widely depending on the type of inmate and whether they were placed in segregation.

The report, authored by the Parliamentary Budget Officer (PBO), estimates an overall average cost for each inmate at $114,587 per year, or $314 a day, according to

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globalnews.ca.

But the cost of incarceration varies substantially depending on the type of housing the offender receives. A male prisoner in a minimum-security facility, for example, sets taxpayers back just $130 a day. A man in a maximum security cell (with armed guards and a perimeter fence) would cost $254.

Youth offenders cost just over $200 a day, and women (across all levels of security) average $230 a day.

But the cost of segregation is what causes a significant jump to the average cost. “This statistical model suggests the inmates who are in or who cycle through segregation account for a dispropor-

tionate share of costs,” the PBO report notes. “Our model suggested an incremental daily cost for inmates in segregation ranging from $891 to $1,775.”

“This report provides a starting point for understanding the financial cost of proposals impacting levels of incarceration and segregation,” the PBO report states.

At the other end of the cost spectrum, supervision of an offender in the community is far less expensive for taxpayers. In 2016-17, the PBO estimates an average of 8,572 offenders were in this situation, at an average cost of $18,058 per year (about $50 a day).

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HUMAN RIGHTS ABUSES CITED AT ALABAMA COUNTY JAIL The Etowah County Detention Center in Birmingham, Alabama, has been investigated for dire conditions and Etowah County Sheriff Todd Entrekin has come under scrutiny for the way he manages the jail following an AL.com report last week that revealed that he personally pocketed more than $750,000 in public funds allocated to feed its prisoners.

A litany of current and former inmates, civil rights advocates and lawyers have repeatedly alleged over the past five years that the food served in the jail is subpar, portions are inadequate and the conditions in the facility are inhumane.

Even an inspection report drafted by the U.S. Immigration and Customs Enforcement's Office of Detention Oversight following a three-day tour of the facility in December 2016 identified deficiencies in a range of areas including food service, health care and environmental health and safety.

As of 2016, an average of about 300 ICE detainees

were incarcerated in the facility at any given time under a federal contract that allows ICE to house detainees there in exchange for a per diem of $45 per inmate per day.

In November 2016, the Southern Poverty Law Center (SPLC) published a study called "Shadow Prisons: Immigrant Detention in the South" that includes insights gleaned from conversations with 67 immigrant inmates in the Etowah County Detention Center.

"This investigation found evidence of significant problems with the quality and quantity of food served to detainees," the report states. "Detainees reported very small portion sizes. Many detainees have lost weight during their time at the detention center. One man reported losing 25 pounds since his arrival at Etowah."

The SPLC report explicitly considers that question as it pertains to the jail overseen by Entrekin.

"It is worth noting that under Alabama law, sheriffs can keep as personal income any money not used by jail kitchens," the report states. "While it is not clear why the food portions are so small at the Etowah County Detention Center, researchers for this report are concerned about the law's potential to create an incentive for sheriffs to skimp on meals and cut corners."

Further, according to AL.com, the SPLC is not the only outfit raising such questions. An assemblage of more than 10 civil rights, social justice and immigrant advocacy groups have joined forces in support of a campaign founded in 2015 called Shut Down Etowah.

In mid-March, Lucia Hermo, public advocacy director for the American Civil Liberties Union of Alabama—a Shut Down Etowah campaign member—called for a federal investigation into the way inmate-feeding funds are used in Etowah County.

Hermo said the campaign has "received countless reports from people detained by ICE in Etowah about meager, rotten, expired and insect-infested food" that serve as anecdotal evidence that Entrekin may be saving money at the expense of properly feeding inmates.

INTRODUCING JUVENILES TO REAL-LIFE VIA VIRTUAL REALITY The Pennsylvania Department of Corrections is using modern technology to solve an age-old problem, according to usnews.com.

As the state with the largest number of juvenile lifers—inmates sentenced before they turned 18 to life without parole—the state faced a serious challenge when the Supreme Court ruled in 2012 that life sen-

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tences for juvenile offenders were unconstitutional.

The 518 juvenile lifers themselves had not been thinking about planning for a life after prison— many have been imprisoned for decades—so preparing them for release is more complicated than for many other offenders.

In response, the DOC implemented a series of programs to help ease juvenile lifers' re-entry into society, including classes, training and—in 2016—virtual reality. As of February 2017, 105 juvenile lifers had been released, and many of them had a chance to take a tour of their new homes via VR headsets.

The department's goal is to reduce the likelihood of these inmates returning to prison, a problem that can be triggered by struggles to readjust to society, said Daniel McIntyre, director of Pennsylvania's Bureau of Community Corrections.

VR technology helps reduce the anxiety that comes with entering a new environment for the first time in decades, said Mike Kutenits, a former juvenile lifer who participated in the VR program after spending 41 years in prison. Kutenits, who left prison in July 2017, now lives in a halfway house in Philadelphia. No longer paralyzed by the fear of living in a new place, he said he was able to focus on other life skills, such as opening a bank account.

Cyndi Rickards of Drexel University said she is skeptical of VR's potential in reducing recidivism rates.

The main problem, she said, is that the prison system fails to provide continual rehabilitation throughout inmates' imprisonment.

"Particularly for the cases of juvenile lifers, you have taken peo12 CORRECTIONS FORUM • MARCH/APRIL 2018

ple at a time where we know their brain is still developing, and you have moved them from a community into a punitive correctional facility and treated them as if they were adults," said Rickards, who is an assistant teaching professor of criminology and justice studies. "To think that a virtual reality tool is going to compensate for that approach is naive, in my perspective."

Corrections officers also use VR as a reward for positive behavior, McIntyre said, giving inmates a chance to virtually experience things like scuba diving in the ocean or hiking in the mountains.

And Nsena is developing a way to use VR to help inmates practice diffusing tension and dealing with conflict. "[Inmates] can experience something tough and traumatic and kind of get trained for it," Dreisbach said. "There's just so many different uses for it that we're just starting to scratch the surface."

SPIKE IN PANHANDLE PRISON DEATHS Century Correctional Institution inmate Jorge Slaughter ended his phone call last Father’s Day by telling his sister to take care of their mother, which, by her account, was an out-of-character request, according to the Penascola News Journal.

Slaughter is one of seven inmates who died while in custody at the Century Correctional Institution in 2017. His death is part of an alarming set of statistics that show Florida DOC facilities across the Panhandle are bearing the brunt of understaffing, high turnover and increased drug activity that propels violence behind bars.

The three major prisons in Escambia and Santa Rosa counties—

Century Correctional Institution, Santa Rosa Correctional Institution and Blackwater River Correctional Institution—investigated a total of six inmate deaths in 2016.

That number jumped to 23 in 2017, and in less than three months into 2018, there have been seven deaths at those three facilities.

In a statement released to the News Journal FDC Secretary Julie Jones said the department’s inspector general is conducting an ongoing audit in response to the high death toll.

Sen. Doug Broxson, who has toured prison facilities across the state in the wake of the spike in inmate deaths, attributed some of the rising brutality to an inexperienced, underfunded and overwhelmed staff.

In Century specifically, Broxson said there is an unprecedented situation in which fewer correctional officers are overseeing more prisoners. FDC in January said the vacancy rate for correctional officers across the state was 13 percent, breaking down to a total of 1,558 vacant positions.

“At some cases, it's in the point of a crisis," Broxson said.

According to FDC, the base salary for correctional officers in 2017 increased from $30,926 to $33,500.

Earlier this year, the FDC announced $1,000 hiring bonuses for new certain hires. Santa Rosa CI was one of the institutions eligible for the bonus.

"The hiring bonus is part of a three-tiered approach targeting staff recruitment and retention to ensure continued safety in Florida’s correctional institutions and communities," the release reads.

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BY BILL SCHIFFNER, CONTRIBUTING EDITOR

New Technologies Highlight Upcoming Spring Conferences As the weather across the country continues to warm up and turn to spring, the tradeshow market is also heating up in the corrections industry. A number of key equipment purchasing shows for facility administrators are being held during the month of April. Here is a preview of some of the new technologies and products and solutions you’ll find on the show floors at these upcoming must-attend events.

American Jail Association Conference April 21-25 Sacramento, Calif. www.americanjail.org/conference

Automated Software System Odyssey Jail Manager is part of the Odyssey product suite—a platform that delivers robust features to automate business processes and protect secure information.

Odyssey Jail Manager allows you to automate business processes to drive efficiencies at intake, release and everything in between. Seamless integration among justice agencies enables immediate access to critical information about 14 CORRECTIONS FORUM • MARCH/APRIL 2018

inmates. This creates a chain of efficiencies, including the automatic flow of information from one agency to the next, while maintaining protective layers of security around sensitive data. www.tylertech.com

ment system to display real-time detainee information on monitors. Facility personnel and visitors are informed of a detainee’s bond information, including the status of the detainee such as “booked,” “fingerprinted” or “ready for bond.” When autho-

Digital Signage JailCall, a digital signage solution for the correctional market, integrates with any jail manageVISIT US AT WWW.CORRECTIONSFORUM.NET

rized personnel make changes to the information in the JMS, the changes will be reflected on the JailCall displays in real time. www.infax.com, 1.770.209.9925

Pretrial Software Making evidenced-based decisions for bail, based on records and risk assessments, promotes public safety and the well-being of defendants and their families.

The Pretrial360 solution from Tribridge, a DXC Technology company, efficiently and accurately manages the pretrial process including supervision and programs. Analyzing that data can then identify trends. The software is based on Microsoft technology, interactive dashboards, and analytics that integrate with automated business rules and processes of case management. Pretrial360 delivers realtime information and visibility in a mobile-ready, CJIS-compliant environment. www.tribridge.com/pretrial360, 1.888.883.9797

Odor Eliminator Odor Hound is scientifically proven to destroy odors without

masking the smells or leaving behind any artificial fragrances.

It’s safe, non-toxic, and contains no alcohol. Use it to treat property rooms, holding/drunk cells, inmate living areas, bathrooms/ shower areas, officer gear, vehicles, administrative areas, and more. Odor Hound is available as a gel for continuous odor elimination lasting up to 30 days, or as a spray for immediate, targeted control. www.bobbarker.com, 1.800.334.9880

Software Solutions Northpointe Inc. (d/b/a equivant) was formed in 1989 with a mission to refresh the criminal

Tortilla Variety Tortillas are a staple item in all commissaries and Union offers a wide variety of flavors to appeal to all flavor profiles and to add a little variety to the sometimes mundane commissary menus.

Besides the regular flour tortilla, the supplier also offers Sayulita butter flavored flour tortillas, and for the more health conscious, whole wheat tortillas. As an added benefit, these are both kosher and halal to satisfy religious preferences. www.unionsupplygroup.com, 1.310.604.4626

Inmate Monitoring Systems More than 1,100 correctional facilities now use Guard1 and The PIPE for cell checks and suicide watches. The Guard1 Real

Time system includes automated tracking of inmate movement and location, Guard1 Duress per16 CORRECTIONS FORUM • MARCH/APRIL 2018

sonal alarm devices for officer protection, and automates officer tasks with mobile devices. The company will be at booth 512. www.guard1.com, 1.800.THE.PIPE

justice system with tools supporting evidence-based practice and improving outcomes for offenders. The company understands the risks that criminal justice professionals face as they make decisions every day. Working side by side with agencies across the country, they have the hands-on experience to deliver software and services that support those decisions—giving you clear insight into what’s working and what’s not. www.equivant.com, 1.800.406.4333

Personal Detention Assistant

Black Creek’s Personal Detention Assistant (PDA) gives officers an unlimited range of control while offering full wireless touchscreen functionality.

The PDA is designed to allow the direct supervision dayroom officer, rover or shift supervisor to

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perform common security control and documentation functions from any location in the dayroom or facility, all in a wireless fashion. These wireless control functions enable the PDA to completely replace the fixed touchscreen control station typically installed in a direct supervision housing unit by providing all required control and communications functions. www.blackcreekisc.com, 1.205.949.9900

Pharmacy Services Provider As the nation’s largest correctional pharmacy services provider, Diamond fills 8 million prescriptions annually by relying on operationally efficient

processes and technological innovations. Diamond proudly services nearly 640,000 correctional patients nationwide (over 30% of the nation’s inmates) in approximately 1,500 correctional facilities in 45 states, including over 120 juvenile facilities and nine departments of corrections nationwide. www.diamondpharmacy.com, 1.800.882.6337

National Commission on Correctional Health Care April 21-24 Minneapolis, Minnesota www.ncchc.org

ALIVE Suicide/Self-Injury Program Wexford Health recently developed ALIVE (Actively Living: Inviting Valuable Encounters), a program that targets offenders at18 CORRECTIONS FORUM • MARCH/APRIL 2018

risk for self-injury and suicide.

ALIVE provides realistic, handson instruction in relaxation, acceptance, and distress tolerance techniques. ALIVE, consistent with NCCHC guidelines, prompts QMHP to assess and interact with suicidal offenders on a daily basis. It serves to move offenders away from feelings of hopelessness to self-empowerment and healing. www.wexfordhealth.com, 1.888.MED.MGMT (633-6468)

Health Programs NaphCare provides a proactive approach to health care programs for correctional facilities ranging from comprehensive healthcare, on-site dialysis, off-site manage-

ment, in-house pharmacy and TechCare, their electronic health record (EHR) clinical operational tool. www.naphcare.com, 1.800.834.8400

Oral Care OraBrite has now incorporated the needs of an aging correctional population into its well-established product line. The firm is introducing the GripEazy Expand and GripEazy Extend Toothbrush

Aids along with several other support products to assist the older correctional population in their preventive oral care needs. The GripEazy Toothbrush Aids give individuals with limited dexterity the ability to brush their own teeth. The company’s dry mouth toothpaste was designed specifically to addresses some of the side effects associated with having to take multiple medications. www.oraline.net, 1.888.296.6730

Vision Services Since 1983 Institutional Eye Care has been the nation’s leading supplier of on-site optometry, eyeglasses and other vision services to corrections. They are the largest on-site correctional vision services company in the country—currently servicing over 1,000 facilities in 44 states. The company’s most recent initiative, On Site Ocular Health Management provided primarily to State and Federal venues, has virtually eliminated all off-site ophthalmology trips for the medical management of routine glaucoma and reduced off-site trips for certain other eye diseases. www.institutionaleyecare.com, 1.866.604.2931

Health Care Services Centurion, LLC is a leading provider of health care services to state correctional agencies and serves seven state correctional sys-

tems (Florida, Massachusetts, Minnesota, Mississippi, New Mexico, Tennessee, and Vermont).

Founded by two of the oldest and most respected companies in correctional health care and managed Medicaid—MHM Services, Inc. and Centene Corporation—Centurion brings a level of innovative care coordination services never before VISIT US AT WWW.CORRECTIONSFORUM.NET

available to large correctional systems, the company says. www.centurionmangedcare.com, 1.800.416.3649

Correctional Health Services Corizon Health, a member of the Valitas Health Services corporate family, provides quality health care services to states and municipalities across the country offering the only comprehensive

up to the toughest demands while offering superior protection. It offers strong, durable 500 denier Cordura outershell construction; carrier interior fabric is constructed of Rashel nylon mesh; and outer front and back pockets accommodate hard armor plates. The vest is available in black, coyote, multi-cam, ranger green, olive drab green, and wolf grey. www.pointblankenterprises.com, 1.800.413.5155

Cuff Port solution for physical care, behavioral care and pharmaceutical services. With its corporate headquarters in Brentwood, Tenn., Corizon Health is the leading provider of correctional health care services in the United States.

The company will be exhibiting their latest programs for the corrections market. www.corizonhealth.com, 1,800.729.0069

Mock Prison Riot April 29-30 Moundsville, West Virginia www.mockprisonriot.org

Tactical Vest Streamlined and highly effective, the Operator Gen II blends the functionality of a tactical vest with a simple carrier construction that’s geared for high performance. Ideal for tactical officers who need loadcarrying capabilities with the versatility to adapt to any operation, the Operator Gen II is said to hold 20 CORRECTIONS FORUM • MARCH/APRIL 2018

H&H Security Cuff Ports would like to introduce the patent pending dual entry cuff port. The cuff port unlocks and slides open from either side of the door

allowing use where inmates are on both sides of the door moving to and from housing units and other areas of the correctional facility.

HHsecuritycuffports.com, 1.435.979.3072

Riot Suit Haven Gear manufactures riot suits to maintain superior quality you can count on. Made to protect law enforcement during high threatlevel crowd control events, its suits are fire resistant and multi-functional; shielding the wearer from direct contact and hurled objects while maintaining maximum flexibility for tactical mobility.

The company works with law enforcement directly on its designs to ensure products are

exactly what is needed for any crowd control event, they report. www.havengear.com, info@havengear.com

Directional Audio System The VersaTile directional audio system captures sound in challenging situations—such as high levels of noise or from a distance.

VersaTiles are versatile—tiles can be snapped together to fit each particular installation, noise background, and pick-up distance

Continues on page 49

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BY DONNA ROGERS, EDITOR-IN-CHIEF

Tackling the Opioid Crisis with Meds Rhode Island DOC finds success with a first-of-a-kind comprehensive Medication for Addiction Treatment (MAT) program.

Drug overdoses have become all too common in America.

There’s not usually much to be happy about around here, says Rhode Island Department of Correction’s medical director, but she is celebrating small achievements in the struggle against opioid overdoses/deaths. In a program initiated in June 2016, RIDOC is tackling offenders with opioid use disorderswith the first of its kind comprehensive Medication for Addiction Treatment (MAT) program. A study released last month has shown it has promising results.

It is well known the opioid crisis has reached epic 22 CORRECTIONS FORUM • MARCH/APRIL 2018

proportions and continues to grow. According to the Centers for Disease Control (CDC), the most recent data estimates that 142 Americans die every day from a drug overdose. Deaths from prescription opioids—drugs like oxycodone, hydrocodone, and methadone—have more than quadrupled since 1999, reports CDC’s wide-ranging online data for epidemiologic research (WONDER). Opioids are a prime contributor to our addiction and overdose crisis. In 2015, nearly two-thirds of drug overdoses were linked to opioids like Percocet, OxyContin, heroin, and fentanyl. Further sobering, according to the interim report prepared by President’s VISIT US AT WWW.CORRECTIONSFORUM.NET

Commission on Combating Drug Addiction and the Opioid Crisis: “The average American would likely be shocked to know that drug overdoses now kill more people than gun homicides and car crashes combined.”

The opioid crisis is significantly connected to the offender population. An estimated half to two-thirds of all prisoners have some form of substance abuse disorder. Doctors say there’s a public misconception that incarceration, particularly years-long incarceration, can help prisoners break an addiction.

Yet, one of the biggest problems for offenders who have an illicit substance addiction, is that they are taken off treatment while they are incarcerated and while they are inside they have little or no access to drugs. This lowers their tolerance and so once they are released they have a high risk for overdose and death, explains Jennifer Clarke, MD, the medical director of RIDOC. In fact a study (Binswanger, et al, 2007) found that in the first two weeks after release ex-offenders have a 13 times higher risk of death than the general population, and the leading cause was overdose of illegal narcotics, the researchers found. Though the study did not look at the reason for the high number of drug overdoses, the researchers surmised that the stress of release and the ex-prisoners' reduced tolerance to drugs after their sentences were major factors.

"If people have been avoiding drug use and they return to their usual doses after release, they will have lost tolerance," said lead researcher Dr. Ingrid Binswanger, of the University of Colorado Health Sciences Center. The 2007 study, which was published by the Journal of New England Medicine, suggests that the criminal justice system is doing an inadequate job easing the transition to society, experts said.

While it was published over a

decade ago, it still rings true today.

Once people are released from prison and exposed to their old triggers, there is a high risk for overdose and death, concurs Dr. Clarke. It was shown in several states that overdose deaths in the weeks post release were much higher with people who were incarcerated than with the general population, she reiterates. “That’s why it’s so important they are started on treatment before they

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are released.”

Initiating a program in a large corrections agency is not an easy task, most would agree. Asked about their implementation, says Clarke: “We are very fortunate Governor [Gina M.] Raimondo addressed the crisis head-on,” and put together a task force together to investigate the major areas to decrease mortality, and funds were put in place to address the problem. Because Rhode Island has a combined jail

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3 Drug Therapies for Opioid Addictions MAT consists of three therapies. Two, methadone and buprenorphine (often referred to as Suboxone), are opioids that help stave off withdrawal symptoms and reduce cravings, while the third, Vivitrol, is an “antagonist,” meaning it blocks people from getting high if they use drugs.

Inmates are screened when they arrive at Rhode Island DOC, and those with opioid use disorders are given the option of treatment.

Inmates can take methadone or buprenorphine for up to a year, and restart treatment before they are released. Vivitrol is given a month or two before release. Some law enforcement authorities have embraced Vivitrol because it is not an opioid, though other experts have questioned the data supporting Vivitrol and noted that there is more rigorous evidence supporting the use of methadone and buprenorphine.

Dr. Clarke points out that getting the right treatment the individual will stick with in the community is what counts. “We help them review their history and contraindications to make an informed choice. Together patient and provider come up with a plan.”

She notes that methadone is the oldest and a pure opioid agonist, which continues to produce effects on the receptors until either all receptors are fully activated, or the maximum effect is reached. It is highly addictive. Buprenorphine, as a partial agonist, does not activate receptors to the same extent as methadone. This means that, like opioids, it produces effects such as euphoria or respiratory depression. With buprenorphine, however, these effects are weaker than those of full drugs such as heroin and methadone.

Buprenorphine’s opioid effects increase with each dose until at moderate doses they level off, even with further dose increases. This “ceiling effect” lowers the risk of misuse, dependency, and side effects and it can be dispensed by doctors in less structured settings than methadone, significantly increasing treatment access, according to samhsa.gov. Also, because of buprenorphine’s long-acting agent, many patients may not have to take it every day. Clarke explains, “It’s difficult to overdose on this medication. The risks are a lot lower.”

As for methadone, she furthers, the drug has no ceiling effect, the point at which the drug becomes ineffectual, so doctors must be careful to give a correct dose.

Vivitrol, an opiate blocker, is a once-a-month injection given after the detainee is free from opioids. “It blocks opiate receptors and is shown to decrease cravings,” she details. It is designed so that if someone takes the drug, it will not have the effect it would have had otherwise. “They won’t get high but it could slow or stop their breathing,” she notes.

Vivitrol cannot be used if the offender recently took an opioid because it will put them into active withdrawal, Clarke notes. It is important that medical managed withdrawal (detoxification) from opioids be completed at least 7 to 10 days before extended-release injectable naltrexone is initiated or resumed.

If offenders are booked after taking an opioid, they first take a buprenorphine taper, then after a few weeks, they can start an oral naltrexone (the pill form and smaller dose of the drug found in Vivitrol). Then, she notes, as close to their release date as possible they should get the injectable extended-release form of the drug naltrexone (Vivitrol).

More study is expected on the efficacies of all these drugs in the near future.

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and prison system, the state can sidestep some issues other states have, she notes.

Now, significantly, she says, “We no longer take people off treatment when come in.”

Intakes are assessed and an appropriate treatment regimen of one of the three FDA approved drugs is agreed upon and followed through. If an offender is not on treatment when they are booked, the DOC addresses their need prior to release and they are also able to start on treatment 60 days prior to release. One advantage of the program, Clarke explains, is a community program that provides the medications is licensed within the DOC, so inmates are already enrolled in the program before they are released. “It allows for seamless enrollment into communitybased treatment.”

This is typically not the case in other states, and results from a recent study were encouraging.

The study compared overdose deaths in the general population to overdose deaths where a person was incarcerated in the year prior to their death and compared a year before Rhode Island started the MAT program to six months after the program was fully running.

RIDOC Med Study Results Promising To gauge the early results of the program, researchers compared overdose deaths in the first half of 2016 with those in the first half of 2017, according to STATnews.com, a national publication focused on health, medicine, and scientific discovery.

Results were announced online on February 14 in the American Medical Association-sponsored journal JAMA Psychiatry. In the 2016 period, 26 of 179 individuals (14.5%) who died of an overdose were recently incarcerated compared with 9 of 157 (5.7%) of individuals in the 2017 period, representing a 60.5% reduction VISIT US AT WWW.CORRECTIONSFORUM.NET

in mortality.

(Again, they defined recently incarcerated as being released from a correctional facility in the prior year.)

The researchers calculated that officials needed to treat only 11 inmates to prevent one overdose death.

Researchers involved in the

release tracking and referral to out-patient treatment including Vivitrol, individual counseling and group counseling.

According to Gateway’s 2017 annual report: “During fiscal year 2017, after screening almost 3,000 clients, Gateway provided opioid relapse prevention med-

Researchers in a recent study of an MAT program calculated that officials needed to treat only 11 inmates to prevent one overdose death. study said they “observed a large and clinically meaningful reduction” in post incarceration deaths from overdose among inmates released from incarceration after implementation of a comprehensive MAT program in a statewide correctional facility.

They add that it is “remarkable that the reduction in mortality occurred in the face of a devastating, illicit fentanyl-driven overdose epidemic.”

Dr. Clarke observes: Comparing the two time periods, with other factors relatively stable, “we attribute the difference to the MAT program.” In addition, she adds, the Narcan distribution (nasal form of naloxone for the emergency treatment of a known or suspected opioid overdose) decreased during that time period as well.

Missiouri’s Program Another particularly promising program, which was started in 2013, is a partnership Corizon Health has with the Gateway Foundation, the Missouri Department of Corrections and the Missouri Department of Mental Health to provide MAT services at several of the institutions within the state prison system. The Recidivism Reduction Project includes pre-release case management and Vivitrol for high-risk patients and post-

ication, Vivitrol, to 142 incarcerated clients at seven Missouri Department of Corrections institutions and to 128 clients post release….We continue to see outstanding outcomes in client engagement and retention in treatment of those who receive addiction medication as a component of holistic treatment and comprehensive reentry services both prior to and following release from the Missouri Department of Corrections.

“In 2017,” Gateway furthers, “95% of clients who received MAT engaged in community-based treatment upon release versus an average of 60 percent for non-MAT recipients. Impressively, 90% of the corrections involved clients served by Gateway’s Reducing Recidivism-Medication Assisted Treatment program did not return to custody in an 18-month retrospective through 2016.”

Regular Funding Going forward in Rhode Island, due to the “impressive results,” Dr. Clarke states, “the state legislature will provide funding for this program in the general budget now (it approved $2 million annually for MAT in their prisons).

“It saves lives, and that is the tip of the iceberg.” With it, she adds, “More are employed… recidivism goes down…more are

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engaged with their families.

Death is going down, and based on all other research, we have to assume those other things have improved as well.”

Other states have started to look to Rhode Island to learn from its MAT program and last August the White House’s commission on combating the national opioid epidemic released an interim report recommending that the Justice Department increase MAT in prisons. The panel noted that multiple studies have shown that inmates who received treatment had lower recidivism rates than those who did not, according to STAT News.com.

In Dr. Clarke’s view: “Governors need to step up to the plate with this crises. They should see it as an opportunity for treatment and thus put the resources in place to enable people to get treatment.”

Stepping It Up Going forward, RIDOC will continue what they are doing right. When the program began, they enrolled new intakes into the program within “five or six days,” Clarke explains. That number is down to just a few days. They are working toward “expanding treatment to the night they come in.”

Further, Rhode Island is expanding its use of “recovery coaches” an individual who is point of contact that every offender will have immediately at the time they are released.

While a few states may have the MAT therapy on a limited basis, Rhode Island DOC is the first to take it full scale. It is one that provides cause to celebrate and commend.

Says Dr. Clarke: “It has been so wonderful to see patients on the program really doing well in the community. They are participating in groups, and they can participate in other aspects of their recovery more because they aren’t craving the drugs.” ✪ CORRECTIONS FORUM • MARCH/APRIL 2018 25

BY DONNA ROGERS, EDITOR-IN-CHIEF

On Track Performance Electronically keeping tabs on detainees—no matter the type of technology—aids investigations, deters escapes, eliminates tedious manual duties and smooths work flows.

No

doubt, the majority of inmate tracking systems—if they work and they all don’t—increase staff productivity, provide evidence for investigations and may save food service budgets from double dippers.

With its ability to seamlessly record the location of all detainees, correctional staff, program staff, civilian employees, contractors and public visitors in a database in real time every several seconds with a positional accuracy of about three meters, RFID tracking has long been touted as the remedy for all the difficulties that beset correctional facility operators related to the 28 CORRECTIONS FORUM • MARCH/APRIL 2018

management of people, says I.E. Newton, III, president of Black Creek Integrated Systems, the makers of the TSI Prism Staff Reporting System.

In addition to cost saving, there are also “intangible benefits that are hard to put a dollar figure on,” points out another industry executive, Barry Markwitz, president of Timekeeping Systems Incorporated.

“What is the value of having complete inmate movement history that is always accurate? Or having that data available immediately, without the need to search through paper logs? What is the value of an escape that is avoided? Or getting real time

keep-separate or out-of-bounds alerts? Or of knowing immediately when a kitchen knife or set of keys is missing?”

This type of intangible benefit may give pause for thought to corrections officials. Yet, despite the fact that many systems have delivered on its promises, corrections managers continue to be slow to embrace the technology, Newton furthers. What does he believe is the reason?

The answers are simple, he says. The cost has been prohibitive, and “In spite of the fact that the technology pays its way in reduced claims and improved facility operating efficiencies, in the competition for public

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monies, corrections managers have difficulty articulating the very real value of improved behavior and increased safety to the people with oversight of their operating budgets.” He says the second reason is that in order to be successful an implementation must have a firm commitment from staff in light of inevitable pushback from the individuals whose behavior the system is designed to modify. “That commitment from a typically overburdened command staff is often difficult to come by.”

Prices are dropping for systems, Newton says, and statistics show that those that are implemented do deliver improved operational safety for both inmates and staff, reduced claims related to assaults, reduced investigative costs and other benefits.

Perhaps now is a time to take a second look at what systems have to offer. The following are overviews of several systems to compare and contrast.

TimeKeeping Systems, Incorporated www.guard1.com 216-595-0890 or 1.800.THE.PIPE info@guard1.com

30 CORRECTIONS FORUM • MARCH/APRIL 2018

WHAT IT DOES

INFORMATION IT PROVIDES

Guard1 Tracking is a zonebased system for real-time tracking of correctional inmates and residents and staff of juvenile facilities and psychiatric hospitals. Through its accurate automated active RF scanning of the detainee or resident’s wristband, staff can know where that individual is at all times.

Guard1 Real Time software determines inmate location from the tag data. It displays the current location of every inmate, and keeps a history of every movement of every inmate. In addition, it provides real time alert management, notification and acknowledgement. Control room personnel can manage and log alerts, and supervisors and administrators can receive notifications via e-mail or text message for any types of alerts they want to see.

Guard1 Duress is personal duress alarm devices for officers and staff.

Guard1 Mobile provides task management for officers. Using low cost mobile devices, officers can see a list of all upcoming tasks, such as well-being checks and cell checks, or meal and medication distribution.

Overall, the system displays a map of the facility, whereby staff can click on a zone see a list of every inmate in the zone; doubleclicking brings up detail about the inmate. It can do virtual headcounts; staff can see and manage alerts in real time; it provides notifications to staff via text; and it has a robust reporting system.

HOW IT WORKS Inmates wear wristband tags (ID badges are also available).

These transmit to receivers mounted throughout the facility.

The data from the receivers is sent to the Guard1 Real Time server. Guard1 uses a proprietary RF technology in its tags and receivers. Tag and wristband are separate, so a facility can use Guard1 wristbands, or a tag on its own. Assets and equipment—like kitchen utensils, tools, keychains, or even defibrillators—can also be tracked.

Guard1Mobile makes it possible to monitor real-time information about security patrols on a smartphone even while the patrol is in progress. The officer’s GPS information will be uploaded immediately to their managers via the secure Guard1 Mobile website.

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UNIQUE CHARACTERISTICS & BENEFITS “Coordinate-based location systems are notorious for the many issues they have experienced,” notes Markwitz, company president, referring to a Rand Corporation study about a failed system at the Washington, DC, Central Detention Facility.

“Guard1 Tracking is a zone-based system. Guard1 determines the zone where an inmate is located using a fraction of the infrastructure required by coordinate systems.”

Compared to wristband scanning or manual logging of inmate movement, 100% of the effort is eliminated, so the labor cost of scanning—which is considerable—is eliminated entirely, he remarks. Further, wristband scanning and manual logging are prone to inaccuracy. Scans and manual log entries can be missed, either through human error, or most often simply because officers are busy, he states. Guard1 automated active RF scanning “is very accurate, close to 100%.”

Its next-generation wristband, to be released in Q2 2018, includes four-year battery life, a built-in scannable NFC tag, and removal detection. If it is removed or goes unseen, it can signal an alert—aiding a facility with escape detection.

ing systems to eliminate duplicate data entry. Inmate Tracking increases staff and inmate security by enabling you to know an inmate's location instantly.

Records can be tagged with special information or warnings to help staff manage offenders. A management console also displays the location of inmates in real time along with any associated images and data; it also provides a tracking history that can be viewed and searched. An optional PhotoManager mugshot

DataWorks Plus www.dataworksplus.com 1.866.632.2780 WHAT IT DOES The DataWorks Plus Inmate Tracking system is a fully integrated tracking system with unlimited tracking locations so that you can know the location of an inmate at any given time. It offers instant inmate identification, streamlines headcounts, and can interface to other jail, criminal history, and RMS systems. Your system can be customized and also integrated with booking, JMS or other existVISIT US AT WWW.CORRECTIONSFORUM.NET

CORRECTIONS FORUM • MARCH/APRIL 2018 31

tomized for every location, explains Todd Pastorini, general manager. “We also specialize in interfacing with JMS systems for data synchronization.”

Radianse www.radianse.com 603-994-2200 inquiry@radianse.com WHAT IT DOES

system allows mughots to be captured at booking and printed on the armband. The system is also compatible with biometric scanners for increased identifying accuracy.

HOW IT WORKS All of Data Works Plus current Inmate Tracking Manager™ systems in the field use either Bar Coding or fingerprints to track the inmates. The wristbands are being made in the jail with the firm’s BandWorks™ product, a heavy duty, virtually tamperproof plastic band.

INFORMATION IT PROVIDES The Inmate Tracking Manager tracks the whereabouts of an inmate based on the last scanned location. Staff can glean information regarding inmate movement and data; keep separates; dispensing of medical items; meal or pod head counts; distribution and collection of items such as razors, phone books, etc; court batch transfers; and, lastly, of course all tracked locations.

UNIQUE CHARACTERISTICS & BENEFITS The DataWorks Plus Inmate Tracking Manager system is cus32 CORRECTIONS FORUM • MARCH/APRIL 2018

Radianse provides intelligent solutions for its customers by automatically collecting and processing real-time location data, movement history, associations and relationship information on high-value assets, including equipment, people and staff. Its SkyView Correctional Facility Application Module is a set of tools, dashboards and special features specifically designed for prisons, rehabilitation centers and other inmate facilities.

This purpose-built application centers on tracking inmate location through defined areas to drive process improvement and enhance business decisions. Each inmate is monitored and tracked, with the resulting data being used to understand behavior patterns, improve inmate and staff safety, control contraband, understand elopement statics,

and provide insight into relationships within the facility.

HOW IT WORKS Radianse provides real-time location tracking via a variety of technologies. Primarily it uses Active RFID to track inmates and other high-value assets in real time, however it also incorporates passive RFID, NFC (near field communication) as well as Wi-Fi, and they are positioned to take advantage of emerging technologies.

Their Active Tags broadcast a signal that is heard by a network of antennas they call Readers.

These Readers are network devices and pass that tag traffic along to its server/application.

At the Application level, the location of the tag is determined via several patented algorithms.

This data is used in the User Interface to provide detailed location information in real time. The system includes waterproof inmate tags (worn on wrist or ankle), staff/contractor badges with duress button and mandown feature, food tray tags that are waterproof and withstand high temperatures of warewashing systems.

INFORMATION IT PROVIDES The application provides real time and historical information about movement of tagged people/equipment within the correctional environment. Radianse can be used to investigate incidents; meet reporting requirements for inmate programming schedules; count verifications; address blind spots by detecting motion and activity in hard to cover areas; monitor associations, including prohibited contacts; and associate inmates and property to lower incidents of lost property.

Chris Allen, director of sales, remarks that he has received feedback on many occasions where the application was used to resolve PREA accusations. In one instance, he notes, it was

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used to determine that an accused staff member was not even in the same building at the time the inmate claimed that he was assaulted.

In another instance, they were able to help an agency control the cost of food service by tagging and tracking individual food trays in order to provide counts of actual meals served in a pre-release facility.

Previously, there had been confusion as inmates tried to circle back for additional meals.

UNIQUE CHARACTERISTICS & BENEFITS Radianse provides the most rugged and durable inmate bracelet available on the market today, according to Allen.

“Additionally, our inmate bracelets have a five-year battery life, far exceeding that of any other competitor.” This means that staff has to put hands on inmates far less frequently to address battery issues.

Additionally, the bracelets are designed to be reused as detainees leave the facility, the bracelet can be cleaned and re-deployed to another offender. “This helps keep the system extremely cost effective,” he comments.

“The location algorithms that we use also provide best in industry levels of accuracy. This is important when tracking interactions between inmates, inmates and staff, etc.,” says Allen. The patented algorithms and advanced software applications help optimize business processes, reduce

costs and improve operational efficiency, according to the firm.

TracSynergy www.tracsynergy.com 770-285-5482 support@tracsynergy.com

them needing to be entered by the facility’s employees.

Tracking inmate actions are configurable and may include, but are not limited to, meals served, razors passed out/collected, meds passed—just to name a few, says Christopher J. Fisher, PhD., CEO, TracSynergy.

HOW IT WORKS WHAT IT DOES TracBlue utilizes Bluetooth Low Energy (BLE) devices known as beacons, and Android handheld devices running the TracBlue application to map strategic locations within the correctional facility. When the TracBlue Android device is near a beacon it is always transmitting its location without any interaction from the corrections personnel.

Correctional personnel carry the TracBlue Android device with them to log specific actions at predetermined areas within the correctional facility; these areas are usually housing areas or cells.

This allows them to do cell checks and security checks from the Android devices. These actions are then transmitted immediately to the TracBlue server which makes the information immediately available on the TracBlue Portal webpage.

TracBlue tracks inmates by integrating with the facility’s current Jail Management System (JMS). This allows TracBlue to be able to populate the tracking system with all of the facilities inmates and locations without

TracBlue keeps a real-time view of all inmates in the facility via a connection to the facility’s JMS system. It uses BLE technology throughout the facility, marking critical points such as intake, suicide prevention, and general population. Guards and management have a device that interacts with those critical points, logging them in as they simply pass by.

The data is synchronized from this system on a regular basis to ensure we have the most accurate, up-to-date inmate count and location, notes Fisher.

INFORMATION IT PROVIDES The staff/management can review all data that they collect on inmates via the TracBlue application. The data that they collect is determined by them therefore they can determine what is important to them to know about each inmate or group of inmates and collect only that data with our system, Fisher explains.

They can also set up specific alerts on each inmate or a group of inmates; an example of this type of alert would be to notify specific people if an inmate refuses five meals in a row. These notifications can be sent via email, text messages, or both.

UNIQUE CHARACTERISTICS & BENEFITS TracBlue is different from other systems because it can interact with the BLE beacons without correctional personnel interaction.

This allows the system to act like an indoor GPS system. Also, the TracBlue Android devices collect the data from the beacons, and any input from the user, and auto34 CORRECTIONS FORUM • MARCH/APRIL 2018

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Endur ID’s Secur Max Tracker

matically transmit this information to the TracBlue server without having to be manually uploaded by correction personnel.

TracBlue also has a unique alert system that will not only alert personnel when a violation has occurred but, can be set up to alert corrections personnel before a violation occurs. An example of this would be, all cells in a facility need to be checked at least once every hour, so a 60minute alert can be setup on each cell to notify a person or group of people when this does not occur.

You can then set up a 45-minute notification on this alert that will send a notification to all logged in TracBlue android devices for that facility when a cell has not been checked in 45 minutes.

TracBlue helps to eliminate double entry of data, which helps to lower personnel cost by making them more productive.

TracBlue stores all location, area, and inmate collection data for up to 10 years.

Endur ID, Inc. Endured.com info@endurid.com WHAT IT DOES Endur ID’s Secur Max Tracker is a system based upon bar code technology. The system uses hand held scanners that are used

to scan and record the barcode which are printed onto inmates’ Secur Max Wristbands.

HOW IT WORKS Secur Max is based upon a desktop application with a SQL Database. Scanning is accomplished by using portable handhelds linked back to the desktop via a wireless network.

Information is gathered by scanning barcodes on inmate wristbands, personal belongings and specific locations. Different processes can be designed to record information needed about the inmates, staff or items.

INFORMATION IT PROVIDES Secur Max Tracker does not offer a real-time location of an inmate as an active RFID System would, rather it records the information at specific locations.

Secur Max Tracker can be designed so a continuous chain of custody can be maintained—or to simply record attendance—for example going through a cafeteria line or attending a meeting.

UNIQUE CHARACTERISTICS & BENEFITS “Secur Max Tracker uses triedand-true bar code technology,” says Robert Chadwick, president.

“While considered old fashioned, bar codes provide a level of staff/ inmate interaction that cannot be matched by RFID-based sys-

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tems. Barcodes force the interaction with an inmate where RFID systems can and would record a discarded wristband as an inmate’s location. In addition, he furthers, the design and construction of a facility is not a factor, as we are not using radio waves to determine location. The system lends itself to being designed to match and enhance present processes while offering the opportunity to design new ones.

In all, Secur Max Tracker is designed to streamline many of the officer’s tedious information gathering activities, ideally we work to eliminate paper records or spreadsheet based inmate movement records, details Chadwick. We also assist the facility in providing information and reports to the courts about an inmate’s activities and create records which assist the facility in avoiding some of the costs associated with inmate lawsuits. “Secur Max Tracker is flexible,” Chadwick concludes, “so we work with facilities to eliminate ‘pain points’ and improve and smooth their workflow.”

TSI PRISM, a Division of Black Creek Integrated Systems 205.949.9900 www.blackcreekisc.com sales@blackcreekisc.com WHAT IT DOES The TSI PRISM™ RFID Tracking System has been proven in state prison facilities since August 2000. Unlike other tracking systems that periodically separate persons into zones of a facility, the TSI PRISM receivers provide continuous tracking and positioning—depicting graphically where an inmate is located in the facility at any time. It can be deployed as a stand-alone system or as part of Black Creek's Super Display™ touchscreen security management package.

Continues on page 48 CORRECTIONS FORUM • MARCH/APRIL 2018 35

Cost, Care, Control

BY G.F. GUERCIO, CONTRIBUTING EDITOR

The pharmaceutical balancing act consists of containing costs and maintaining integrity.

PharmaCorr provides in-depth reporting of purchases for a site or an entire contract.

Containing costs and maintaining integrity of corrections pharmaceutical administration strains against practical challenges such as shortages, new introductions and fluctuating prices.

“Drug shortages and sharp cost increases for selected generic medications have become an increasing issue over the last few years,” says Centurion’s clinical pharmacy specialist, Erik Hamel, PharmD, BCPS. Medications that have been available for years have seen sudden increases in cost or unavailability due to decreased participation by manufacturers. In addition, the devastation of recent storms for several manufacturers, such as from Hurricane Maria in Puerto Rico, has placed a strain on several medical supplies. “It is very difficult to forecast which medications will be affected by 36 CORRECTIONS FORUM • MARCH/APRIL 2018

these cost increase or shortages so monitoring supplies closely is needed,” says Hamel, who adds that as new drugs are approved by the FDA they will review them for formulary consideration as well as new-to-market generics.

As needed, he says they will participate in clinical protocol committees to provide input from the pharmacy perspective.

Infectious disease has always been a large portion of pharmacy costs for some, says Hamel, and within the last few years, the new direct acting antivirals for hepatitis C agents have had a large impact on pharmacy expenditures for state systems. “We are also seeing an increasing number of patients that are being prescribed specialty pharmaceuticals for autoimmune or oncology indications. Several of those medications are restricted to a limited distribution network of pharmacies and are the cost drivers for meds outside of infectious dis-

ease.” To contain the cost of these medications, Centurion optimizes patient drug selection and dosage or investigates other treatment options available.

There are several exciting emerging therapies that have been recently been approved or are in late-stage clinical trials that will greatly enhance treatment of certain cancers, autoimmune diseases and infectious diseases, believes Hamel. “It is difficult to predict which ones will have the greatest impact on correctional health.

“One area that I do expect greater impact is expansion of medication-assisted therapy for substance abuse. State governments are expanding programs to address increasing prescription and illicit opioid abuse in the community that will also expand to include treatment within the walls. This will probably result in increasing use treatments such as methadone or buprenorphine for

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Blister packs organize pills, make dosing safer and more accurate, and can extend the product’s shelf life.

new intakes and pre-release administration of long-acting agents such as injectable naltrexone formulations and now the new long-acting buprenorphine formulations. Key to expansion of this type of program would be close partnership with state government departments and the manufacturers to ensure this treatment is made readily available,” says Hamel.

Bio-similar Medications “One of the biggest changes to correctional pharmaceuticals is the barrage of new biologic medications that are hitting the market,” states Michelle Marrone, PharmD, senior clinical pharmacist, Wexford Health. “They treat cancer and other prevalent diseases, but often drive up pharmaceutical costs. Luckily, many pharmaceutical companies are developing bio-similar medications that are helping to drive those costs back down, saving our clients’ money.”

Adaptation and understanding of bio-similar medications and alternatives to novel branded biologics should be encouraged, notes PharmaCorr President Gaylan Williams, Corizon Health, “or high costs of pharmaceuticals, especially those without generic or therapeutic 38 CORRECTIONS FORUM • MARCH/APRIL 2018

alternatives, will continue to test budget capacity of the correctional systems.”

“Drug shortages are a fact of life in healthcare today,” Williams states. “Aggressive contracting, group purchasing, effective purchasing, monitoring the marketplace and having multiple sources when possible all work to minimize disruptions in patient therapy. In those situations where a drug product is truly in short supply or unavailable, our clinical department can work with our providers to develop alternative treatment strategies.”

New Dashboard for Cost Containment “As of late, several developments have had an effect on costs and cost containment,” according to Ron Manuello, R.Ph, pharmacy director, Correct Care Solutions (CCS), but first he points out one of latest innovations, theTableau dashboard, a new business software that provides specific data for sites and providers. “This enables healthcare professionals to easily identify differences in utilization, and that information serves as an educational tool providing multiple avenues for cost containment.

Using provider-specific data to

drive positive outcomes is a very significant management platform.”

In addition, he notes three new generic approvals introduced to the HIV market that “will have a positive impact on cost containment with no compromise in clinical efficacy or patient outcomes.”

He adds, “While not necessarily innovative, the removal of gabapentin from the formulary and the addition of alternatives has had a positive effect on safety as well as a reduction in cost.

Formulary decisions to remove drugs with questionable safety profile have also reduced costs.”

Formulary management is not an innovation as such but an important element to affect and contain pharmacy costs, concurs PharmaCorr’s Williams. “The innovation is the implementation of a set of clinical criteria to

Rx Terms Refresher Formulary: Official list of medicines that may be prescribed.

P&T: Pharmacy and therapeutics committee that decides which drugs will appear on an entity’s drug formulary.

PAR (Periodic Automatic Replenishment ) Levels: The minimum level of inventory necessary for a specific period.

Polypharmacy: The simultaneous use of multiple drugs to treat a single ailment, or by a single patient for one or more conditions.

Biologic: A biological product manufactured in a living system as opposed to drugs that are manufactured through chemical synthesis.

Biosimilar: A biologic medicine highly similar to an existing biological product, differing from generic, which by legal definition, is an exact copy.

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ensure consistent, clinically appropriate, and fair evaluations of non-formulary requests to ensure clinically-appropriate and cost-effective options are chosen.

“Because of our high level of automation, PharmaCorr is able to provide in-depth reporting of a site’s—or an entire contract’s— purchases. The data may be produced in many different ways and can be valuable in tracking expenses, establishing drug usage trends and establishing stock PAR levels.”

Diamond Pharmacy enforces formulary compliance and provides pro-active first line pharmacist reviews of non-formulary medication requests, according to Jeff DiGiorgio, R.Ph., director of Correctional Business Development. “Our drug information center and non-formulary process screens for daily orders that are non-formulary. If requested, Diamond will provide your facilities and prescribers with email, fax, or phone consultation with alternative treatment recommendations that best meet your clinical and cost-avoidance goals.” Diamond also provides customized patient care plans and tele-pharmacy capabilities in addition to routine participation as an active member of customer P&T committees.

Additionally, Sapphire, Diamond’s web-based electronic ordering and electronic medication administration record (eMAR) program, provides online prescription order entry, reconciliation (medication check-in), reporting, inventory management, point of order entry drug utilization clinical reviews, medication return processing (where permitted by law), formulary management, and more.

Diamond pioneered the concept of web-based electronic reconciliation software and was the industry first mover in deploying this software, adds Matt Valasek, R.Ph., director of Pharmacy Operations.

“Analyzing monthly utiliza-

tion, formulary management trends, medication expenditures, clinical service metrics, polypharmacy information, and clinicians’ overall prescribing habits is critical for properly managing budgetary dollars as well as for ensuring proper care and maximizing positive patient outcomes,” says Valasek.

Bar-coding Benefits “Diamond innovated the industry with the release of our web-based Online Reporting Program dashboard which is available 24/7/365,” he adds.

“Facilities utilizing our reporting program save money as spending and ordering trends and non-formulary management analytics are at the customer’s fingertips.

Reporting and cost containment go hand in hand.”

Marrone notes Wexford Health’s barcode technology works to benefit clients facing investigations and reporting issues. “We apply barcode technology as a form of diversion, medication reconciliation, and accountability for the pharmaceuticals we provide. It also has served as an auditing tool for budget and finance personnel.”

With barcode technology, a simple program can eliminate errors, says President Robert

Braverman, explaining the labeling simplicity of the Medi-Dose packaging system. “Knowing how people are multi-tasking, we make our software as intuitive as possible so there is no invitation for error. We want to minimize any potential for medical error to protect the patient as well as the practitioner.”

“You can label any way you want,” Braverman says: barcode, internal tracking numbers, lot numbers, expiration dates, instructions, or graphics/photos.

As for cost savings, with the Medi-Dose system the pharmacist or correctional facility can purchase in bulk and repackage solid oral medications into unit doses, effectively lowering the cost of providing medications, Braverman says. “We serve a niche market where it could be a large metro facility to a small jail, whether we are their main dispensing method or backup, we provide easy, tamper-evident dispensing that is not cost prohibitive. Our flagship product, the blister pack, is moisture resistant, tamper evident, and allows packaging for one year beyond use dating.”

A new product called MPB (Multi-Purpose Blister) has a deeper well, and allows for bigger or oddly-shaped medications to be packaged, even multiple doses,

Medi-Dose allows the pharmacist or facility to purchase in bulk and repackage solid oral medications into unit doses to lower the cost of medications.

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CORRECTIONS FORUM • MARCH/APRIL 2018 39

Drug shortages are a fact of life in health care today, says PharmaCorr.

Having strategies in place minimizes disruptions to patient care.

“because we were being asked about a product like this.”

Dealing with budget constraints some facilities can’t afford high-ticket items, says Braverman, “The Medi-Dose system is designed to be cost-effective and easy, but also to prevent medical errors.”

Some of the challenges to prevent errors in medication administration addressed by Judd Bazzel, patient safety officer, CCS, are ensuring that medication is accurately dispensed to the assigned patient at the point of care as well as dealing with patients refusing their prescriptions. A bar code/scanning system for patient identification helps eliminate confusion, he says for accuracy, and education for provider and patient deters refusals. “The provider needs to understand how to effectively communicate the value of the medication to the patient. The patient oftentimes needs a better understanding of what they are taking and how it is going to help their short and long-term wellness.”

The other challenge he notes is the difficulty of verifying medications at the point of intake.

“There are several electronic solutions that we are considering that will query all pharmacy data banks based on unique patient identifier (social security number, 40 CORRECTIONS FORUM • MARCH/APRIL 2018

etc.) and feed the medication lists automatically back to the point of care. Health information exchanges among various electronic medical records will also help streamline this process,” he says.

For PharmaCorr, on-site drug information is provided through MicroMedex, an online drug information resource with information that ranges from patient information in several different languages, to clinical data for prescribers, says Williams. Medication Therapy Management (MTM) is utilized to ensure patients are on the best medication for their situation.

Polypharmacy reports look at patients on multiple medications to see if those medications can be adjusted to provide the most appropriate to meet the needs of the patient, Williams says.

Corizon Health and PharmaCorr developed the MedRoom software to provide medication management, allowing facilities to place electronic orders, submit non-formulary requests, place refill requests, check in medications, see the status of medication orders, and return medications to PharmaCorr.

And staff education is key to providing good medication therapy, Williams furthers. “Policies and procedures are only as good as how they are understood and applied. We provide indepth

training to site medical personnel to be sure that proper procedures are understood and applied.”

And, as an added improvement, Wexford’s Marrone refers to the expanding role of the pharmacist in the case management of inmate patients.

“Pharmacists are not just filling prescriptions anymore. They are actually managing patients on medications and taking an active role in cost containment.”

As the pharmacist’s role increases, they—as well as the facility—will continue to balance containing costs and maintaining integrity. ✪ For more information: Correct Care Solutions, Jim Cheney 615.202.8936, jcheney@correctcaresolutions.com www.correctcaresolutions.com Corizon Health/PharmaCorr, 314.

919.8604, www.corizonpharmacy.com, Gaylan.williams@corizonhealth.com Centurion, LLC, 800.416.3649, www.CenturionMCare.com Diamond Pharmacy Services, 1.800.882.6337, www.diamondpharmacy.com, info@diamondpharmacy.com Wexford Health Sources, Inc., 412.937.8590, www.wexfordhealth.com, info@wexfordhealth.com Medi-Dose, 800.523.8966, www.medidose.com

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DIRECTORY Companies by Category

Apparel Damascus Protective Gear Keefe Group Laundry Loops

Architectural/Construction Services Epic Metals HDR SMRT STV

Furnishings/Furniture Chestnut Ridge Foam

Health Care Management & Services Corizon Health Diamond Pharmacy Services Institutional Eyecare Wexford Health

Cell Phone Detection Tecore Networks

Inmate Products and Services Endur ID Keefe Group Union Supply Group

Cleaning Supplies Emsco

Kiosk & Tablet Applications Union Supply

Commissary Products, Services, Endur ID Keefe Group Plastocon Union Supply Group

Kitchen Equipment Hatco Insinger Machine Company JonesZylon Plastocon

Communications Systems Buford Satellite Systems Correctional Cable TV Keefe Group

Laboratory Testing forensic, body fluids Independent Forensics

Detention Equipment JG Innovations, Inc.

Laundry Systems & Equipment Laundry Loops Pellerin Milnor

Doors, Gates & Operator Systems HYSecurity

Managed Access Systems Tecore Networks

Educational/Training Buford Satellite Systems Correctional Cable TV Hatco

Mattresses, Bedding, Safety Pillows Chestnut Ridge Foam

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Medical/Healthcare Services Corizon Health Diamond Pharmacy Services Endur ID Institutional Eyecare Medi-Dose, Inc/EPS, Inc. MHM Correctional Services, Inc. Naphcare, Inc. Wexford Health Medical and Surgical Services Endur ID Wexford Health

Non Profit Charity Correctional Peace Officers Foundation

Pharmacy Services and Distribution Corizon Health Diamond Pharmacy Services Perimeter Detection & Security Autoclear Garrett Metal Detectors Personal Protection Equipment Damascus Protective Gear Renco TimeKeeping Systems Plumbing and HVAC JG Innovations, Inc. Satellite/Cable TV Buford Satellite Systems Correctional Cable TV Security and Safety Autoclear Chestnut Ridge Foam Damascus Protective Gear Doorking, Inc Epic Metals JG Innovations, Inc. Renco Corporation SMRT TimeKeeping Systems Security - Electronic Systems Autoclear Black Creek Doorking, Inc. Garrett Metal Detectors Security - Physical Hardware Doorking, Inc. Garrett Metal Detectors Renco TimeKeeping Systems Weapons and Protection Renco Corporation Video Applications Black Creek

Mental Health Services Centurion, LLC Endur ID MHM Correctional Services, Inc. Wexford Health Metal & Contraband Detectors Autoclear Garrett Metal Detectors CORRECTIONS FORUM • MARCH/APRIL 2018 41

DIRECTORY DIRECTORY

2 Gardner Rd Fairfield, NJ 07004 tel: 973-276-6000 contact: Sales email: info@autoclear.com website: www.autoclear.com ...Autoclear delivers innovative and affordable security screening systems to detect and identify explosives, weapons, contraband and narcotics. Applications include checkpoint, mail and cargo screening using X-ray inspection, explosives/narcotics trace detection and metal detection technologies.

Autoclear proudly serves the military, government and private industry worldwide for their security needs.

Black Creek Integrated Systems PO Box 101747 Irondale, AL 35210 tel: 205-949-9900 email: sales@blackcreekisc.com website: www.blackcreekisc.com ...From Revenuegenerating Video Visitation Systems to Enterprise-class Jail Management Solutions, Black Creek Integrated Systems is your turn-key source for modern Touchscreen-based, correctional facility security control systems and security management software solutions that reduce the cost of corrections. Black Creek focuses only on the corrections market installing integrated security and records management solutions in jails, prisons, courthouses and government facilities across the nation.

42 CORRECTIONS FORUM •MARCH/APRIL 2018

16255 CR 178 Tyler, TX 75703 tel: 866-480-1844 contact: Nancy Bolton, VP of Operations email: nancy@bufordmedia.com website: www.bufordsatellitesystems.com ...Buford Satellite Systems provides cost effective secure Cable Television and Satellite services to federal, state, and private correctional facilities using the most updated technology available.

Facilities have the freedom to choose from an array of programming choices. All equipment, repair, and maintenance up to the headend are provided at no additional cost.

PO Box 781 Latrobe, PA 15650 tel: 800-234-2734 contact: John McManamy, Sales Manager, Facilities Furnishings email: jmcmanamy@chestnutridgefoam.com website: www.chestnutridgefoam.com ...Durable SAFGUARD® fire-resistant mattresses and pillows. Mattress longevity provides lowest cost per inmate.

Built-in pillow mattresses also available. Optional ClearView® covering materials for locating an identifying contraband.

SAFGUARD® avoids fire hazards associated with polyester fiber mattress alternatives. Excellent results for stringent mattress fire tests within ASTM F-1870 and F-1085 Annex A.

103 Powell Court Brentwood, TN 37027 tel: 850-841-9337 contact: Martha Harbin email: martha.harbin@corizonhealth.com website: www.corizonhealth.com ...Corizon Health, provides quality healthcare services to states and municipalities across the country offering the only comprehensive solution for physical care, behavioral care and pharmaceutical services.

With its corporate headquarters in Brentwood, Tenn. Corizon Health is the leading provider of correctional healthcare services in the United States.

For more information, please visit www.corizonhealth.com.

311 NNW Loop 323 Tyler, TX 75702 tel: 800-477-5219 contact: Dianne Huffstickler, General Manager email: Dianne.Huffstickler@suddenlink.com website: www.correctionalcabletv.com ...CCT is the largest satellite provider in the correction industry serving over 150 sites across 24 states. You select the programming and leave the rest to us. No up-front cost for equipment and installation--just one low monthly rate for programming and service.

VISIT US AT WWW.CORRECTIONSFORUM.NET

DIRECTORY DIRECTORY

Correctional Peace Officers Foundation

1346 N. Market Blvd.

Sacramento, CA 95834 tel: 916-928-0061 800 800-CPOF contact: Charleene Corby, CAO email: mail@cpof.org website: www.cpof.org ... The Correctional Peace Officers (CPO) Foundation is a national, non-profit charity for surviving families of Corrections personnel killed in the line of duty. The CPO Foundation also operates an extensive Catastrophic Assistance Program for Corrections personnel in times of emergency, crisis or other great need.

Announcing the CPO Foundation’s Annual National Memorial Ceremony Friday June 15, 2018, Houston, TX

Damascus Protective Gear 194 Seward Rd. Rutland, VT 05701 tel: 800-451-4167 contact: Customer Service customerservice@damascusgear.com website: www.damascusgear.com ...Damascus® has been making premium quality hand gear for the men and women of the US Armed Services and other facets of law enforcement worldwide, since 1955. Damascus® provides the highest level of personal protection including full body riot control gear, gloves, protective knee and elbow pads and more. Attention to design, function and the smallest of details, along with the use of only the finest quality leathers and materials have delivered consistent and trusted protection to our customers. Our line continues to swiftly evolve as new technologies become available and are subsequently incorporated into our products.

645 Kolter Drive Indiana, PA 15701 tel: 800-882-6337 contact: Mark Zilner, COO email: info@diamondpharmacy.com website: www.diamondpharmacy.com ...Diamond is the nation's largest correctional pharmacy, providing comprehensive pharmacy services for approximately 640,000 inmates nationwide. Diamond offers overnight delivery, formulary management services, competitive pricing, med carts, free Sapphire eMAR software with barcode technology, and a full line of medical supplies.

120 S. Glasgow Avenue Inglewood, CA 90301 tel: 800-826-7493 310-645-0023 contact: Richard Sedivy, Director of Marketing email: info@doorking.com website: www.doorking.com ...DoorKing manufactures a complete line of access control products including maximum security vehicular gate operators and parking control equipment.

Our products include single and multidoor card access systems, high security RF access systems, telephone entry systems, magnetic locks and all related accessories.

Emsco Group P.O. Box 151 Girard, PA 16417 tel: 814-774-3137 contact: Customer Service email: info@emscogroup.com website: www.emscogroup.com ...Emsco Group is the originator and innovator of Rhino inmate-safe (shankfree) cleaning products for the Corrections Industry. Our keystone product, the Rhino Bucket is the cornerstone for our full line of products that includes mop buckets, handles, wet mops, dust mops, brushes, brooms and much more.

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8 Merrill Industrial Dr., Unit 4 Hampton, NH 03842 tel: 603-758-1488 contact: Robert Chadwick, President email: info@EndurID.com website: www.EndurID.com ...Endur ID Inmate Identification Solutions.

Endur ID’s solution includes Secur Max wristband media, Secur Loc clasps and software.

Wristbands are in color, easy to produce and use, and require no tools. Use Secur Max Bands for Commissary, Healthcare or Inmate Management.

11 Talbot Avenue Rankin, PA 15104 tel: 877-696-3742, 412-351-3913 contact: Richard Fuller, Mktg. Mgr. email: info@epicmetals.com website: www.epicmetals.com ...EPIC Metals’ Security Ceilings EPIC Security Ceiling Systems provide a combination of structural floor/ceiling or roof/ceiling, providing designers and architects reduced noise levels and security in one system. These panels can accommodate a variety of utility systems, such as sprinklers, electricity, or monitoring devices. Contact EPIC to discover all the advantages of a security ceiling.

CORRECTIONS FORUM • MARCH/APRIL 2018 43

DIRECTORY DIRECTORY

1881 W. State Street Garland, TX 75042 tel: 972-494-6151 contact: James Hurst, Security Sales email: security@garrett.com website: www.garrett.com ...Garrett Metal Detectors is the global leader in the research and manufacturer of security walk-through, hand-held and ground search metal detectors.

The company supplies walk-through hand-held and ground search products for special events,airports, court houses, schools, correctional facilities and government buildings.

Visit www.garrett.com for complete product and application information.

P.O. Box 340500 Milwaukee, WI 53234 tel: 800-558-0607, 414-671-6350 contact: Mike Whiteley, SVP Sales & Marketing email: support@hatcocorp.com website: www.hatcocorp.com ...Since 1950, Hatco has a history of excellence in the quality design, production and servicing of warming, toasting, holding, cooking, sanitizing and cooling equipment. Today, Hatco has introduced the versatile Hot/Cold Built-In Shelves and Rapide Cuisine® Induction Ranges into its extensive line of innovative foodservice equipment.

44 CORRECTIONS FORUM •MARCH/APRIL 2018

8750 N. Central Expressway, Ste. 100 Dallas, TX 75231 tel: 972-960-4011 contact: Mike Brenchley, Justice Director email: mike.brenchley@hdrinc.com website: www.hdrinc.com/markets/justice

...For over 40 years we’ve forged partnerships and created tailored solutions to transform your pressing needs into specialized justice facilities.

From implementing bond programs through design and partnered construction, we deliver justice one client at a time.

6623 S 228th St. Kent, WA 98032 tel: 800-321-9947 contact: Megan McBride email: mmcbride@hysecurity.com website: www.hysecurity.com ...HySecurity is the leading manufacturer of hydraulic security gate operators for high security corrections applications. Our signature green SlideDriverTM slide gate operator secures correctional facilities nationwide. Our Correctional Facility model series use a heavier cover for added protection and three high security locking options. Our specification engineers are available to assist you in creating a turnkey solution for your application.

500 Waters Edge, Suite 210 Lombard, IL 60148 tel: 866-433-2400 or 708-234-1200 contact: Dina Mattes email: info@ifi-test.com website: www.ifi-test.com ...Support your Officers - Forensic testing and analysis from splashing incidents. Legally defensible identification of evidence from urine, feces, saliva, semen, blood by accredited and experienced forensic DNA laboratory. Additional lab testing for chemicals, drugs, food contaminants, unknown particulates is available.

Competitive pricing, fast turn-around, and expert witness support.

6245 State Road Philadelphia, PA 19135 tel: 215-624-4800 contact: Niklas Markley email: nmarkley@insingermachine.com website: www.insingermachine.com ...Insinger manufactures commercial warewashing equipment specifically designed for corrections environments.

The insinger tray washer was developed to wash and sanitize compartment trays and is the only NSF approved tray washing system in the industry. By using a vertical spray pattern, tray washers remove debris that standard warewashers leave behind, compartment trays come out clean and sanitized with the first pass. Insinger’s security package is designed for high risk areas - providing added protection from vandalism and thievery.

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DIRECTORY DIRECTORY

Institutional Eye Care

27499 Riverview Center Blvd, Ste 429 Bonita Springs, FL, 34136 tel: 866-604-2931 contact: Jeffrey R. Lose, OD email: info@institutionaleyecare.com website: www.institutionaleyecare.com On-Site Optometry – Fully equipped On-Site Glaucoma Management / Telemedicine – Eliminate Off Site Trips for medical management of routine glaucoma $14.95 Rx Eyeglasses Largest on-site correctional vision service provider in the country, over 1,000 facilities in 44 states; Federal in all 50 states & US Territories and international since 2000.

Corrections Experience Since 1983.

JG Innovations, Inc. 121 E. Burbank Ave P.O Box 8128 Janesville, WI 53547 tel: 888-933-2248 contact: Allen Stowers email: sales@jgius.com website: www.jgius.com

...JG Innovations Soffi-Steel® and Interlock™ Concealment Systems are made in the USA, produced from A60/G90 galvannealed steel and are completely independent from your sprinkler pipe; no special hangers are required. Our custom fabricated soffit is available in a variety of shapes, sizes, and gauges to accommodate your individual enclosure requirements.

10880 Lin Page Place St Louis, MO 63132 tel: 800-325-8998 contact: Missy Akihiro, Dir of Marketing email: customerfirst@keefegroup.com website: www.keefegroup.com ...Keefe Group, through its affiliates, Keefe Supply Company, Keefe Commissary Network, Access

Securepak, Access Corrections, ICSolutions and Advanced Technologies Group, is the nation’s leading supplier of food products, personal care products, electronics, clothing, technology, telecommunications and software solutions to the correctional market.

JonesZylon 305 N. Center St. West Lafayette, OH 43762 tel: 800-848-8160 email: rzachrich@joneszylon.com website: www.joneszylon.com

...Fully integrated meal delivery systems.

Deliver meals from kitchen to housing unit with truly corrections grade cart sized for your needs. Comes with free trays that perfectly fit with cart. Largest selection in the corrections industry to choose from. We can solve your problems with food temperature, service efficiency, inmate safety, and complaint reduction.

PO Box 5167 Bozeman MT 59717 tel: 888.246.5667 contact: Peggy Durney email: info@laundryloops.com website: www.laundryloops.com ...Laundry Loop with Sock Snare® “Clothes stay sorted while they wash & dry!”

Compared to mesh bags, Laundry Loops® improve sanitation and dry clothes in ½ the time.

New! Contact us about Laundry Loops PLUS®, for EXTREME laundry demands. Five-inches longer than the original Loop, with TWO Sock Snares.

VISIT US AT WWW.CORRECTIONSFORUM.NET

Medi-Dose, Inc./EPS, Inc.

70 Industrial Dr. The Milton Building Ivyland, PA 18974 tel: 800-523-8966 contact: Robert Braverman, Director of Marketing email: info@medi-dose.com website: www.medi-dose.com ...Medi-Dose is a tamper-evident, solid oral unit dose packaging system that is ideal for correctional health facilities. MediDose features 13 types of blisters, including new Mini Medi-Cup Blisters for small medications and Deep & Jumbo blisters for larger or multiple meds. Medi-Dose features 1year beyond use dating and tamperevidence protection. Our MILT software complements the Medi-Dose system and provides a variety of innovative features for all medication labeling needs…solids, liquids, IV’s, syringes, ampules, even equipment.

PO Box 400 Kenner, LA 70063 tel: 504-467-9591 contact: Marketing Department email: milnorinfo@milnor.com website: www.milnor.com ...For over 70 years, Pellerin Milnor has been the leader in industrial laundry equipment quality and innovation. Our washer-extractors range in size from 25 700 lb and dryers from 30 - 750 lb.

Correctional facility models are available with tamper-resistant fasteners and Lexan(r) covers for enhanced security and safety. Controls range from very simple to quite sophisticated, depending upon your needs. Contact us today for a complimentary laundry planning file.

CORRECTIONS FORUM • MARCH/APRIL 2018 45

DIRECTORY DIRECTORY

STV

MHM Correctional Services, Inc & Centurion, LLC

1593 Spring Hill Road, Suite 600 Vienna, VA 22182 contact: Bob May, Sr. VP, Marketing website: www.MHM-Services.com ...MHM provides medical and behavioral health services for state agencies in 16 states for over 300,000 individuals.

NaphCare, Inc. 2090 Columbiana Rd, Suite 4000 Birmingham, AL 35216 tel: 800-834-2420 contact: Bradley Haywood Director of Business Development email: sales@naphcare.com website: www.naphcare.com ...NaphCare provides a proactive approach to healthcare programs for correctional facilities ranging from comprehensive healthcare, on-site dialysis, off-site management, in house pharmacy and TechCare™ our electronic health record (EHR) clinical operational tool.

PLASTOCON 1200 West Second St Oconomowoc, WI 53066 tel: 800-966-0103 contact: Jerry Marks, National Sales Manager email: jerry.marks@plastocon.com website: www.plastoconinc.com

...Plastocon ... The premiere provider of Meal Delivery Systems to the correctional market. See our full line of inmate Meal Trays, Delivery Carts, Drying and Storage Racks, Cutlery, Small-Wares and More.

Over fifty years of experience in the Food Service Industry. USA made.

"All inmate trays are not the same!"

46 CORRECTIONS FORUM •MARCH/APRIL 2018

225 Park Ave. S. New York, NY 10003 tel: 212-777-4400 contact: David Miles Ziskind, FAIA website: www.stvinc.com ...STV provides broad-based services to the corrections industry that address all aspects of architectural design, including master planning, programming and interior design. The firm provides architectural, engineering, planning and design services nationwide and overseas. A 100 -year-old firm, STV is 100 percent employee owned.

P.O. Box 412 Beaver Dam Road #6 Manchester, MA 01944 tel: 978-526-8494 email: renco@rencogloves.com website: www.rencogloves.com ...Renco’s Secure Fit Restraining Mitts tightly lock down fingers/hands of handcuffed inmates, detainees and patients helping prevent escapes, assaults, suicide, and interception of weapons. Invented by a former prison guard/disabled Marine Veteran, SFRM combines US manufactured leather, Kevlar and Velcro with secure clips for maximum restraint and safety.

SMRT Architects and Engineers 144 Fore Street Portland, ME 04101 tel: 877-700-7678 contact: Graham Vickers, AIA Associate Principal email: gvickers@smrtinc.com website: www.smrtinc.com ...SMRT Architects and Engineers’ Justice and Public Safety Team is nationally recognized for its intelligent and innovative design of secure facilities, including prisons, jails and special needs population facilities. We provide needs assessments, feasibility studies, programming and design services for new and renovated facilities of all sizes and levels of security.

7030 HiTech Drive Hanover, MD 21076 tel: 410-872-6500 contact: Tim Smith email: sales@tecore.com website: www.tecore.com ...Tecore Networks is the inventor of Managed Access technology and a pioneer supplier of multi-technology 3G and 4G LTE mobile core and network infrastructure. From millions of subscribers, to small private networks, Tecore Networks has serviced the commercial and government sectors for over 25 years.

Coming in May/June Inmate Finance & Commissary Operations Personal Protection Apparel Treating Mental Health in Prison Correctional Software Applications

VISIT US AT WWW.CORRECTIONSFORUM.NET

DIRECTORY DIRECTORY

Union Supply Group

30700 Bainbridge Road Solon, OH 44139 tel: 216-595-0890 contact: Stephane Barsella email: info@guard1.com website: www.guard1.com

...GUARD1 technology helps correctional officers and administrators to work more safely and efficiently.

GUARD1 Tracking provides real-time inmate location, without scanning.

GUARD1 Mobile manages officer tasks and workflows, including meal and medication distribution, inmate movement, and well-being checks.

GUARD1 Duress personal alarms keep officers and staff safe with emergency signaling and real time location.

Reliability and innovation since 1986.

2301 E. Pacifica Place Rancho Dominguez, CA 90220 tel: 310-603-8899 contact: L.D. Hay email: ldhay@unionsupplygroup.com website: www.unionsupplygroup.com ...For over 25 years, Union Supply Group has exclusively supplied the correctional industry with commissary goods and services. Union Supply Group guarantees that your entire commissary and direct-to-inmate needs will be satisfied from the best and friendliest staff in the industry.

Medi-Dose EPS

501 Holiday Dr., Foster Plaza Four Pittsburgh, PA 15220 tel: 888-MED-MGMT (888-633-6468, Opt 1) contact: Wendelyn R. Pekich, MBA, CCHP, Dir of Marketing & Communications email: info@wexfordhealth.com website: www.wexfordhealth.com ...With more than 26 years of industry experience, Wexford Health offers economic, clinically sound programs to manage inmate health care costs while maintaining quality of care. Contact us to learn how Wexford Health’s comprehensive clinical expertise, state-of-the-art technological solutions, and innovative strategies can help improve your facility’s bottom line.

®

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Tamper Evident Products

Unit Dosse e, e, Bar Cod odin ing, g Pharmacy & Nursing ng Sup uppl ply y Experts!

180 110

Featuring: • ShrinkSafe ID Bands

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JOMY, stroke survivor.

THIS IS WHAT HIGH BLOOD PRESSURE LOOKS LIKE. You might not see or feel its symptoms, but the results – a heart attack or stroke – are far from invisible or silent.

If you’ve come off your treatment plan, get back on it, or talk with your doctor to create a new exercise, diet and medication plan that works better for you.

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LowerYourHBP.org before it’s too late.

MediDose.com ∙ 800.523.8966 VISIT US AT WWW.CORRECTIONSFORUM.NET

CORRECTIONS FORUM • MARCH/APRIL 2018 47

Continued from page 35

HOW IT WORKS Officers and staff wear beltmounted TSI Prism Personal Safety Device transmitting units that send a unique radio signal every two seconds. When the red emergency button is depressed, an alarm is sent to Central Control. If an officer is “down” for longer than a pre-specified time, an alarm is automatically sent to Central Control. Inmates wear wrist-mounted, tamperresistant transmitting units that send a unique radio signal every two seconds. The unit resists removal by the inmate, and sends an alarm if it is removed.

Network antennas receive signals and route them to a computer, where they are displayed on a monitor with colored dots that differentiate staff from inmates.

Information is archived for possible use in future investigations.

INFORMATION IT PROVIDES It delivers real-time tracking, which encompasses: headcounts and immediate officer down alerts; immediate alarm notification of attempted escapes or removal from a pod; a computer archive (weeks or optionally,

months) of the location of every inmate every second of every day; ingress and egress data for work details or court proceedings; time-keeping for officers shifts; maintenance of commissary accounts, and meal and medication distribution.

Black Creek firmly believes that the implementation of a TSI Prism Staff Duress Reporting and Inmate Tracking System will result in dramatic improvements in facility operations including: Improved operational safety for both inmates and staff; reduced claims related to inmate-oninmate and inmate-on-staff assaults; improved PREA compliance; reduced investigative costs; and reduced overtime through real-time headcounts.

UNIQUE CHARACTERISTICS Black Creek’s TSI Prism Division was the first firm to successfully implement RFID Tracking in a corrections environment and remains a leader in the technology today, Newton says. Extensive R&D efforts have allowed us to address the cost problem, he furthers, with the rollout of a system in 2018 that will feature “more robust body-worn devices with extended battery life, improved tracking accuracy by 50% and cost approximately half of our previous systems.” ✪ 48 CORRECTIONS FORUM • MARCH/APRIL 2018

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Continued from page 20 requirements and then hidden with cloth or other materials.

Once an operation is complete, VersaTiles can be reconfigured for the next one. www.wavesciencescorp.com, 1.843.793.3030

TCP Launcher The new PepperBall compact, ultra-light weight fits comfortably on standard duty belt. A molded duty holster is included.

The unit offers semi-auto action

Access Control System The Millennium PACS unit was created with personnel safety in mind, combining functionality with the highest level of security available through design. It effectively protects personnel from direct contact with violent and destructive inmates. The company says it is proven to increase security, safety, and savings. www.millenniumpacs.com, 1.888.242.2219

AD INDEX Page No.

Alkermes ..........................8 Black Creek Integrated Systems Corp. ............29 Bob Barker .....................51 California Coast University .....................4 Corizon Health ................7 Correctional Cable TV .....................19 Endur ID Incorporated ..............31 Institutional Eye Care ....50

Tactical Launchers

and fires six round projectiles or VXR-shaped projectiles. Round projectiles are reported accurate to 65 ft./20 meters, while VXRshaped projectiles are accurate to 150 ft./50 meters. It is designed for use with CO2 or nitrogen. www.pepperball.com, 1.877.887.3773

Manufactured exclusively for Defense Technology, the 40LMTS and 37LMTS are tactical single shot 40mm and 37mm launchers. They are lightweight (3.5lbs), offer lateral single point sling mount, offer an adjustable integrated front grip/light rail and picatinny top rail with bead sight, single/double action S&W trigger group, ambidextrous breech release with a 14-inch barrel. www.safariland.com, 1.800.347.1200

Keefe Group ..................52 Medi-Dose Company.....37 MHM Correctional Services, Inc..................2 NaphCare.......................23 Point Blank Industries ...13 StunCuff Enterprises, Inc.............4 STV Architects, Inc...........6 Swintec Corporation .....26 Time Keeping

The Millennium PACS unit

Systems, Inc................33 Trinity Services Group, Inc. .................15 Western Union.................5 Wexford Health Sources .......................21 Wild Buffalo Technologies and Innovations .........17 This advertisers index is provided as a service to our readers only. The publisher does not assume liability for errors or omissions.

VISIT US AT WWW.CORRECTIONSFORUM.NET

CORRECTIONS FORUM • MARCH/APRIL 2018 49

Infax Infax’s JailCall solution gives correctional facility personnel the ability to provide up-to-date detainee information electronically. With JailCall, personnel and visitors of the jail are informed of the inmate’s bond information, as well as the status of the detainee such as booked, fingerprinted, or ready for bond. This solution seamlessly integrates with any jail management system in order to pull real-time information about the detained.

www.infax.com

The Monster Wash Press features a Muffin Monster® grinder to precondition screenings before they enter the wash zones. The grinder effectively shreds rags, plastics and trash which promotes removal of soft organics and fecal matter from the screened debris during washing. The end result of the shred and wash systems of the Monster Wash Press is that organics are returned back into the wastewater treatment process while the inorganic solids are compacted into a dry plug and discharged into a collection bin. www.jwce.com

Reduce the Potential for Razor Blade Related Incidents The Maximum Security Colored Razor Blade’s vibrant green color reduces the inmate’s ability to replicate the blade and makes tampered blades easier to detect, collect, and inspect.

1-800-334-9880 www.bobbarker.com

Protect Against Fentanyl The MicroFlex Lifestar Exam Gloves have been tested for their ability to protect against fentanyl and gastric acid. The double dipped, dual color helps users quickly identify if the glove has been compromised.

COMPLETE EYEGLASSES

$14.95

RX Eyeglasses On-Site Optometry On-Site Ophthalmology Testing

1000 Facilities Nationwide 44 States - Federal in all 50 States Correctional Vision Care Since 1983

1-800-334-9880 www.bobbarker.com

Institutional Eye Care LLC website: institutionaleyecare.com email: info@ institutionaleyecare.com

50 CORRECTIONS FORUM • MARCH/APRIL 2018

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