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USS, Department of Justice Andrew B. Leling United States Attorney Disriet of Massachusetts ‘Maras TH eae “Ti Tag Ht lia Cots December 4, 2018, Sheriff Kevin F. Coppinger [Essex County Sherif's Depnttment 20 Macning Ave P.O, Box 897 ‘Middleton, Massashuoets 01949-2807 Dear Sheriff Coppinger: Thank you for meeting with us on Noverbar 8 to discuss our iui ino te provision ‘of Modicaton Assisted Treatment in you facies an the Americans with Disabilities Act (ADA). I wantto rivet that wo so tas collaborlive process and appreciate your ‘yillngzess to work together toward addtossing this impactanssve. As Findicated, my office can bo rosource co provide suppurt in helping you achieve ADA compliance, which based cn aur discussion isa goal ve both share. Inthe interest of collaboration, plees at aside forthe moment our pending, eequest Lor documents. We instead ook forward 1a stating work with you te find x collaborative soliton 20 this issue that achieves compliasoe but also recognizes the estimate concerns 0° correctional sdminisiwors, goin, hank for your interest in eallaboralion und ve Tvoking to Forward to working Sincerely, b<t—— Andeow E, Lelling United States Attorney Essex County Sheriff's Department 20 Manning Ave P.O. Hox 807 Middleton, MA 01949-2807 Kevin F. Coppinger Sheriff swmessexsherifim. org, November 24, 2018 United States Attorney Andrews Lelling U.S. Federal Courthouse {Courthouse Way, Suite 9200 Boston, Niassachnsetts ouz0 Dear Mr, Lelliay, Twould like to once again thank you for taling time out of your busy schedule to ineet with me and our Chief of Siall Deaitis Newinan on November 8 to disenss the issnes of ‘Modlically Assisted “Treatment (MA) in oar correctional facilities here in Essex County and beyond, Since the concent of full MAT in our facilities iy still in ils infancy stage, T ‘was encouraned by your willingness to work with us in a collaborative effort to help desclup best prac: ters for the proper care of the inmates in need of trestment while addressing the operational, safety and security concerns of our lseilities in general Ins regard to your agency's letter dated October g, 2018, itis my understanding that ‘ue aro going to set that aside while we work vollaboralively towards the ubove staved goal, Obr degarlment louks forward to working with you on such an important topie, ‘Thank you again for your time and cooperation. Respectfully, Kevin F, Coppinger Sherit Prout sering the comummites of Essex County 18 45M EOLA Department of Justice United States Atvvary's Office eh Joseph Mosiley United States Corathouse ourhouge Way Sorte 9200 Poston, Massachusetts 02210 ‘Nein Reception: 17) 748-8109 Facsimile Transmission Cover Page Heal FT Andiow E Leting hited Sates atarnay Dinter of Mdaseochesette RECHUENT SENDFR. “Hiorany Whe Je “Wein {regen Donon, SATSA__ i | ETE 995 eee) ieee Parteten 0 Phone Comment, LI esetay 7 ipamrateny ory; é rims IN TRANGISSK Del 28 MPL EOdSA BOOP US. Bepartment of Justice “Andee B Lelting United States Attorney Ditrtet of Manvahutetet Ventas OO FT age toa ‘etka ano Deeaber 9.2018 Via Bipst Class Matt Atotney Richa Ytfory aoe Coury Sherkt’s Department 20 Mraning Ave. Middleton, MA 01998 Re: nvestigation of the Pssese Conn shesif's Department Punawant se Disgblies Act ‘Asneioae Dew Attorney Istfer: ‘We se ving inform yo ta eS, atorey’s Oe forthe Disc of Masmehers bo oso an invention of he Bet Cows Sheth Depersent (the Deporment x eompliones ha esromeet of Ti To the Amerivent with Diablos ‘Aceot 1990 (ADA), £4 U.S.C. 12131-12165 ane te inplementngYpultions, 28 CER. prt 35, Those ADA regulations may ho fonnd at waa ABS amv, Spsciialy, tl nveagution focuses en ti provision of even fr indvidale with Opioid Use Disorder (OUD) whose dae, prior conten, haa been idee oe sequlg Opioid-Agoniat Tkéument (087) fr eextma! Tavis in-wenrant foe OUD ero Desc by ho ADA. Tas eam to ove amerien at ndvédal in tenia for OUD anc tho Dopextment’s feos, wha ex bing tated with OAT, aca mt ellowed aves OAT wae in eta, 2 ark that you provide the dollowing ffrrmaticn within shiny (30) calendar days atthe dato ofthis totter. any of the faformation requestd is ot avluble tn saiting, please provide corresponding documenta. writen polices or other nen material tht addesoes the subetince ef informardon enrcoted: The rest falls within DOP dee nw enforcernant euthariy, Suah ruthougyeretss cxcoptions to satvios that may otbornise Brit dislosune of pivate sbumarian, Ioluding the Heath Iosarance Porsbilty and Accountability Act of 1956 " OAT inatudes rachadone and buprencrshine, shih is most commonly fovnd ta tae auga Srboxoue ms Swhxte, 28 420M ROLSA Cr ae (FUPAA") Bulle Lewy 1061912 1. INFORMATION REQUESTED Provide a Tt of all Salities Voensed, Unded, ox opéated by the Department For each acy, Ut the crys caprolly and caneect unber of nates mc deminses; Provide a sc of sl vendors wo prod seaihcervins or ublunce nse estnent services forthe Departs, including al vendors who are vader egeraet ut wha avs but yel begun providing sevice, ith a dacngtion nf sorvigcs povided by each vendo, su ell ag what holies those vendors operate within, Mouse inctade all coment with sid vandors; Proven dosrption of any needs assessment oeé10 etennine if ary did iain aed of subulance uss ceatinest services; rove» deseviton ofl suhstancs ue octet regres nse win ths SSoprtuents fies, acuding a dsciton of ogi phlesopy’ mo gos, overview of progeam ries, anf party esponbilies, nd inchdiag pagan sural the pengniea is povided oy a vendo, ovide the name of ear (ods Provide a dassiipion of ay step ose by staffte manoge detoiication for individuals ‘whe bad kee ptewsbel msthadone ae medieatons containing buprenorptin prio to Provide a description of nike prucaduos,inluding tila medion! evufvations, Please inolude any Wank fora used during these peocedines; ‘Yeovide « dessrintion ofthe vevous seeusiy methods wa to odminluon medication (ans ‘a Mia pill Hes), Please oxplin fe ervia ured fo determine which redoations ar tehuinisorod using a pasticuler envious Provide a dascagrion of how sta detennine whisk medications are matstamed thr neil detained individuals, Plea inetuda the tf of do individu who perfonne this cexaluaoa; Proviter decision ofthe phaensey aceviocsavaleble at each fei, Provide tat ofall mediations— including, but not Himsied to meiuadome wd nedicationscomtainlng buprennaphine ~ihs are torsited wou intake, sd, ws HIPAA does st Hit de Commonwealth's abit @ daclue Ihe requested infermation to tie Dopartent is these aitomnstances, See AS CHR, § \64,S1AGd; United Stator terval Kapton v. Mama, Avbulance de Rirtltd Cove, 385 P, Supp. 41,4 (DALY, 2008) {ating thet The United Stores Depactment of Iusie is shealfa avorsight agency ea defined iu SIPAA), 1 12, 14 Mt. Is. % n ie al. A ee et BAG ralovtot, hot stomative madicatons ae provided, Provide the wuanes of the superintendent a cach figs Provide he’ names ofall medieal pesvonne] and slnieians, including vendors, and inlading any and all cextfcasons efiacnidale sutbocized ro presnibe wstieetien. or ny medical doctor, plea inlude the doctor's speielty, Provide wey sapons ov aveloetons asaeiined with opioid uso eeutent prague generated wich to past thre yours; Provide onplos of el ining metwila provided 1 staff canoeing aay opioid nee froammaant programs putin pleco a enh fig, Prove all policies wal procedures Sur hnaling individuals with opioid use disorder, inchudseg thao of any contransa! medical provider, Provide al police an define! provedues for Use lie emamagesaent of cheraicel dopendent inmates, nelnding whose polices tha eddeastowsment and observation of Fate nucifeting raildénedevas oynsptoms of withdrawal, and including those of my ‘onactuel medial provides, Provide n copy ofthe pharuueetieal fuemouery used at enh feliy Provide sopy of all nts records fr all uns ar detainee, where the mats had Aislosed that they were svescrihed wher methadone at madlestions conticing Ibyprenatphing, dain the previous tee years Plays ensure this iets the booking amber, ame vu aloces, cumrent uddys, data and ducatiox of confinement, svbstance vues histg, date of bith and sais seeuieyeabas, Provide copy ofeach monthly report prepared forthe Compxissisner of Comctions that iste all adeesame and veleases, forthe ost tes yeurs, Provide « copy af any ext epytoatioa, made eny antiy, wich was made fore ‘pinpose of finding ey aubstae use sroggam st-the Department, the grant ae Aaccepind, pleat faclude any eubteguent get document. Providethe somber f vontuband offenses oseuting within atc facility fo bo Inst ‘he yout thas favolved wisdlostions end Mlegel See, broken down Sy mediation dea and by mostly Provide, asa aptendshelt, line oll iam ox detanaesveleasedfkora custody fo the past three your, Pleas ili fst name, last sme, social eowety, dame oben ‘ate of toaae, Pleene jrovldecleteaioel'y soeed Information end docunents In thet macve esa del 2, WB 625M CORA No 442% 5/5 (6g, Microsc. Ward fie, Microanf xe Ml, EDF file). To he extent hat bemation oe ddocurents age stored inva non-olectrenie Foxx, oloase contact x09 mike srangernerts or ‘sabletincte ofthe dat, ‘We dafted our cequset with the goal af reusing your roduet.on buen hile remain, $imly win he conishrs of invantigaliva roots, we hnveninde arequcrthatneeds clarflosion, ot if yon think thet ther is abotieraleroativ, pleased not hesiare et us ns, -Although we haliova it ie appropri to hepit mn Savoitgvion ia light ofthe above: ‘referenced infarmation, vo bave not etched any conclusions about whether the ADA na beon violited, Ae we tormnsonce our isvertigetion se wll consider all eleven infearaion, and {nvita yey J enapenetion in Men fsing thas afbamation, We wil see eo mize any soteutaldiseption’ of omual operstions dung oa investigation, ‘Tas attomeya bundllog thi investigatnn are Civil Rights Cait Chic Younifer Sortie (GU7-749-3188) fel Special Ausistect U.S. atteniay Chogtey Dorehs (OY-748-3157}, Plaase ‘donot hsitate to conte i you have any gestions in the inte Binesssly, ‘Andrew E. Laling Uniked Sues attorney By: Gregory 1 Darah, Sansiter Semin Chie? . Gregory J. Dorks Spedle dsviaene US. itornay Gi Rags Uni