Patuxent Institution

Patuxent Institution began operations in 1955, a unique facility created to house Maryland’s most dangerous criminal offenders. Its mission was to ensure public safety through the psychotherapeutic treatment of “Defective Delinquents.” These were offenders who demonstrated persistent antisocial and criminal behavior, and who were designated by the court to be involuntarily committed to Patuxent Institution under an indeterminate sentence. From its inception, Patuxent Institution was specifically designed to be a self-contained operation that was staffed by full-time clinicians, including psychologists, social workers and psychiatrists, as well as by custody personnel. Patuxent Institution was also unique in that it was provided with its own admission, inmate review, and paroling authority separate from that of the Maryland Division of Correction (DOC). Thus, once designated as a defective delinquent, an offender was to be released from Patuxent only upon the findings of the court that the inmate’s release was for the " benefit and the benefit of society..."

A gubernatorial commission was formed in 1977 to review Patuxent Institution’s functioning, as well as the laws governing it. This review resulted in Article 31B being rewritten. The Defective Delinquent Law and indeterminate sentencing were abolished, and on July 1, 1977, the Eligible Persons, or “EP” Program came into existence. In 1987, fueled by a consent decree resulting from the court case of Brown, et al. vs. Gluckstern, another significant institutional change was implemented. The EP program, which initially served only male offenders, was expanded by this decree to include female offenders, as well. In 1990, the 109-bed Patuxent Institution for Women (PIW) opened on the grounds of the institution.

In 1992, the Correctional Mental Health Center - Jessup (CMHC-J) was established within Patuxent Institution to provide a more effectively coordinated and centralized treatment environment specifically tailored to the needs of an increasing number of inmates with serious mental illness. This 192-bed mental health unit consolidated services for DOC inmates throughout the state who were suffering from serious psychiatric disorders.

In 1994, Patuxent Institution shifted the approach of its core treatment program in response to the swelling numbers of young offenders entering the correctional system. The new approach, which targeted the needs of youthful offenders rather than those of the older more chronic offenders, was conceptualized as "remediation" rather than rehabilitation. Remediation identifies and treats an inmate's particular deficits, as opposed to trying to effect change in their overall personality. In order to implement the remediation approach, the treatment staff was reorganized into smaller, more flexible units called Remediation Management Teams (RMT’s). As well, treatment modules (such as Social Skills, Moral Problem Solving, and Relapse Prevention), as well as specialized programs (such as the Patuxent Drug Recovery Program, and the Sexual Offender Treatment Module), were introduced to broaden and enhance the traditional group therapy model.

The Regimented Offender Treatment Center (ROTC) was also implemented in 1994 as a cooperative effort with the Maryland Division of Parole and Probation. Now privatized, the program delivers a four-month treatment cycle to male and female inmates with significant substance abuse histories who are preparing for parole or mandatory release.

In 2000, the Mental Health Transition Unit, which was designed to augment the CMHC-J, was established at Patuxent Institution. This unit provides evaluation and support to inmates referred from DOC institutions who have mental health histories and who are scheduled for release to the community. A Step-Down Mental Health Unit, which is currently consolidated under the CMHC-J umbrella, was also developed in 2000 to serve inmates who have histories of positive response to mental health treatment, but who decompensate when returned to their "home" DOC institutions. The unit was specifically designed to provide those mentally ill inmates with the support necessary to prepare for an eventual lasting return to their "home" institution’s general population.

In March 2004, Patuxent Institution also developed a new six-week program for men located within Patuxent, and for women located within the Maryland Correctional Institution for Women, but managed by Patuxent Institution. The Substance Abuse Transition Program (SATP) is a correctional “time-out” designed to provide both relapse prevention and transitional planning modules to technical parole violators who have a modest substance abuse problem.