7665E Alcohol Use Disorder in the Correctional Setting-MAUD CT DOC

MAUD CT DOC

Pdf Summary

This document, intended as a comprehensive guide for the Connecticut Department of Corrections, offers extensive insight into effective management strategies for alcohol use disorder (AUD), incorporating medication protocols, psychosocial approaches, and re-entry strategies for individuals post-incarceration. Authored by Andrea Jodat DNP, FNP-BC, CARN-AP, the training highlights the importance of community collaboration and technical assistance enabled by the SAMHSA-funded Opioid Response Network (ORN). ORN supports evidence-based prevention, harm reduction, treatment, and recovery resources catered to local needs.<br /><br />Key objectives include identifying FDA-approved medications for AUD—naltrexone, acamprosate, and disulfiram—while also discussing off-label medications like topiramate, baclofen, and gabapentin. The guide details the recommended administration, side effects, and precautions for using naltrexone, including its oral and extended-release forms. Naltrexone works by blocking opioid receptors indirectly stimulated by alcohol, reducing its reinforcing effects and cravings. Extended-release naltrexone is highlighted for its improved treatment compliance and hepatic safety. <br /><br />Acamprosate, renowned for balancing disrupted neurotransmitters, and disulfiram, which induces adverse effects upon alcohol consumption, are discussed for their roles in managing AUD. Each medication's administration guidelines, side effects, and clinical considerations are meticulously outlined. Psychosocial treatments play a vital role, with various programs like Alcoholics Anonymous and SMART Recovery providing structured support frameworks. <br /><br />Furthermore, the document underscores re-entry considerations into society, emphasizing recovery capital, clinical management, and addressing social and environmental factors like housing, employment, and legal support. Case management focuses on the continuity of care, counseling, peer support, and effective linkage to community resources. The detailed evidence and references cited provide strong support for these strategies, promoting holistic and sustainable recovery for individuals battling AUD.

Keywords

Connecticut Department of Corrections

alcohol use disorder

AUD management

medication protocols

psychosocial approaches

re-entry strategies

SAMHSA Opioid Response Network

FDA-approved medications

naltrexone

recovery resources