Overview
SCSD did not ensure that it received all consent to participate forms from sentenced inmates enrolled in the Medication Assisted Treatment (MAT) Program. Specifically, we found that SCSD did not have a signed consent to participate form on file for 1 (2%) out of 60 sampled sentenced inmates designated as participating in the MAT Program.
By not ensuring that all sentenced inmates signed a consent to participate form, there is a higher risk that sentenced inmates may not have been informed of the program requirements to stay within the MAT Program and/or the risks associated with treatment.
Authoritative Guidance
Procedure 1 of SCSD’s Substance Use Disorder Services Policy S473H states,
5. Substance use disorder intake procedures will include, at a minimum, the following elements:
a. an individualized assessment depending on the inmate’s self-reported history of substance use; and
b. an individualized plan of treatment which includes:
- referral to the appropriate treatment programs; and
- an informed and voluntary written agreement to actively participate in the treatment plan.
Reasons for Issue
SCSD management stated the consent to participate form was missing because the sentenced inmate was enrolled in the MAT Program at another facility. When the sentenced inmate was readmitted to the Suffolk County HOC after a parole violation, the medical staff members continued MAT without obtaining a new consent to participate form.
Recommendation
SCSD should ensure that it provides, and receives signatures for, all consent to participate forms from inmates enrolled in the MAT Program.
Auditee’s Response
SCSD will continue to work with our medical vendor to ensure consent to treat forms are complete prior to the administration of medication.
Auditor’s Reply
Based on its response, SCSD is taking measures to address our concerns regarding this matter. As part of our post-audit review process, we will follow up on this matter in approximately six months.
| Date published: | December 24, 2025 |
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