Integrated Substance Use Disorder Treatment (ISUDT)
What is ISUDT?
The Integrated Substance Use Disorder Treatment (ISUDT) program is a comprehensive approach to treating Substance Use Disorder (SUD) in California prisons. ISUDT requires active involvement of all business areas within the California Department of Corrections and Rehabilitation (CDCR) and California Correctional Health Care Services (CCHCS) to provide timely and effective evidence-based treatment and transitions to incarcerated individuals with SUD. The long-term goals of ISUDT are to reduce SUD-related morbidity and mortality, and recidivism.
ISUDT encompasses several areas that promote recovery, including:
- Identifying, screening, and assessing possible participants
- Placing participants into appropriate Cognitive Behavioral Interventions (CBI)
- Prescribing Medication-Assisted Treatment (MAT), when appropriate
- Creating Supportive Housing spaces for recovery-focused living while incarcerated
- Providing robust transition planning for people preparing to leave prison
- Forming community partnerships to assist participants after prison
- Monitoring and supporting participants through their release
What is a Substance Use Disorder (SUD)?
SUD is a disease that affects a person’s brain chemistry and behavior and leads to an inability to control the use of alcohol or a drug. Dopamine is the brain chemical that plays a large part in motivation, mood, sleep, memory, learning, concentration, and motor control. When a drug is put into the body, it produces a pleasurable surge of dopamine, pushing past the normal amount our body produces naturally. Over time, our body adapts to the artificially produced dopamine, which causes natural dopamine levels to drop, resulting in needing more of the drug just to feel normal. This is known as tolerance. If the drug is not taken, withdrawal symptoms can result. Although alcohol and other drugs affect dopamine levels to a different degree, they all affect dopamine. When dopamine levels are too low, it significantly affects motivation and the ability to engage in treatment.
How do I learn more about ISUDT?
Implementation information is being released to the field as it becomes available. An ISUDT overview IST course will be mandatory for all staff. Additional training is being provided based on a staff person’s role in ISUDT. For more information, please email SUD@cdcr.ca.gov.