Paradigm Shift: A Model for Eliminating Restrictive Housing in the United States (PID057)

4.30pm – 5pm EDT, 23 October 2023 ‐ 30 mins

Workshop Session

Prisons in the United States have long relied on Restrictive Housing, known as solitary confinement in other nations, to manage threats and punish misconduct. As evidence grows regarding the impact of restrictive housing on the health and behavior of those placed in such conditions, many in the United States seek ways to limit its use.
 
Recognizing the need for change, the Massachusetts Department of Correction (MADOC) retained industry experts to complete a system review, leading to recommendations which included the elimination of restrictive housing by any definition. In the two years since receiving the study, MADOC successfully eliminated the use of restrictive housing through the implementation of Behavior Assessment Units (BAUs) and Secure Adjustment Units (SAUs). BAUs are an opportunity to assess individual risk and need; while the SAUs provide access to evidence-based treatment, education, programs, recreation, and healthcare services to address the underlying causes of the behavior. Incarcerated individuals are assigned to specific program tracks, including substance use, antisocial cognition, impulsivity, and negative peer influences.
 
This MADOC team presents a model for applying principles of risk-needs-responsivity to address misconduct. The first of its kind, the program eliminates the use of any restrictive housing, replacing it with assessment, classification, and evidence-based programming matched to the individual. The team will describe the program and its impact on culture, including discussion of the development and implementation of structured program interventions, training and support, and early outcome data.