Middlesex DUIL Program, Tewksbury, MA - Administered by the Middlesex Human Service Agency, Waltham, Massachusetts
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This is the official Middlesex Human Service DUIL Program web site for the DUIL Program on the grounds of the Tewksbury Hospital in Tewksbury, Massachusetts. The information about the program and necessary forms are provided at NO COST as a service to the community.


Welcome to the Middlesex Human Service DUIL Program web site*.


Please review all information
on our FORMS page carefully!
Any questions, please contact us.




The Middlesex Driving Under the Influence of Liquor (“DUIL”) Program was founded in 1985 to provide an educational and counseling-based alternative to incarceration for those convicted of a second offense of driving while under the influence of liquor in the Commonwealth of Massachusetts.  Since that time, it has served more than 40,000 clients, over 98% of whom have completed the program successfully.  A division of the Middlesex Human Service Agency, Inc., a non-profit, tax-exempt corporation, the DUIL Program is licensed by the Massachusetts Department of Public Health Bureau of Substance Abuse Services.


The DUIL Program accepts clients on referral directly from the Courts of the Commonwealth, usually upon conviction resulting from a second drunk driving offense.  Convicted individuals generally may opt for the (14)-day program at DUIL in lieu of an extended jail sentence.  DUIL also accepts clients between the ages of 18 and 21 convicted of a first offence under “Melanie's Law,” as well as occasional special referrals from the courts. DUIL maintains frequent communication with probation officers throughout the state.


Repeat offenders are admitted to Middlesex DUIL under court mandate, for a fourteen (14) day intensive treatment program designed specifically to allow them to address their alcohol (and/or other substance) abuse problems.  The principal goals of the program are three-fold:

  • To provide information and education on alcohol and alcoholism;

  • To provide professional support for self-examination of alcohol and other drug use;

  • To motivate the client to accept and pursue further treatment upon discharge

Philosophy and Observations


The program is based on the premise that addiction to alcohol and/or other drugs is a disease and that the majority of repeat offenders suffer from this disease, and the remainder generally have abusive drinking patterns.  Over the years,  however, it has been observed that those who have a problem with alcohol abuse frequently have other serious problems as well.  These range from a history of abuse to health problems and mental illness.  Based on our experiences, we have come to believe that identifying these other issues and helping the client find the support needed to deal with them can be a determining factor to successful treatment and long term recovery.


Another observation we have made over the years is that problems with alcohol abuse do not discriminate.  They do not recognize gender, ethnicity or socio-economic background.  In the early years of the DUIL Program, our clients were largely Caucasian males.  But demographics are changing.  We are seeing higher numbers of female and minority second offenders.  Our client demographics now closely represent the general population of the state. Changes have been made in the program to help in adapting to these changing demographics in order to best serve our clients.


Our objective is to offer all clients excellent educational and counseling opportunities while they are attending our program.  DUIL also makes every effort to locate adequate resources for all clients upon completing the program.

Program Summary

DUIL clients are encouraged to examine their drinking and drug use patterns in order to fully understand the role these patterns have played in their arrest and to recognize the serious consequences that may result should they fail to change their alcohol and/or other drug use patterns. Clients are encouraged to develop goals involving reducing or eliminating their alcohol and /or drug use and are further encouraged to carry these goals over to Mandatory Court Ordered Aftercare Treatment.

In order to initiate, accelerate and sustain treatment, DUIL provides seven (7) major service elements. 

These include:

  1. An initial basic medical screening at the time of admission. (Please note that we are not a medical facility or a detox. This medical screening serves only to ensure that clients are medically stable and able to safely participate in our program. There are no medical staff on duty at anytime during the program other than during the admission process.);

  2. Three individual assessment, treatment planning and referral sessions with an individual counselor;

  3. Ten group counseling sessions;

  4. Core educational and other educational classes and films;

  5. Introduction, orientation and nightly attendance at AA and other self-help groups;

  6. HIV/AIDS and other Sexually Transmitted Disease (“STD”) Education; and,

  7. Discharge/aftercare and referral transitioning to Mandatory Court Ordered Second Offender Aftercare;

Staff and clients engage in an open and honest dialogue involving the Stages of Change Model and the goals and expectations of the program.

All clients develop individualized treatment plan which is reviewed during their two week stay.  All services are provided in a caring, supportive and confidential manner in an environment that is physically and emotionally safe.

Program Services

The Middlesex  DUIL Program provides many major services including these described below:

Medical Evaluation:  All clients are medically evaluated to determine their eligibility for admission.  DUIL will not admit intoxicated individuals or individuals in need of detoxification services. The medical evaluation is designed to establish whether an individual's health status is appropriate for the level of care provided. Clients deemed unsuitable for admission are told the specific reasons why and are offered referral assistance. Referring probation officers will be informed by phone immediately. 

Individual Assessment, Treatment Planning, and Referral:  Clients entering the DUIL Program come from diverse socioeconomic backgrounds are multi-racial and culturally unique. Many have had issues with impulse control and have exhibited poor judgment. During the time available for one to one assessment, the primary counselor sets conditions of treatment, details program expectations and requirements, and clearly outlines what will be occurring throughout the fourteen (l4) days of the program. Once this is accomplished, the clinician then moves on to gathering information necessary to form an accurate assessment and develops a treatment plan and engages aftercare planning with the client. 

Group Counseling:    DUIL clients receive ten group counseling sessions, over the course of two weeks. Group time is used to explore drinking patterns, consequences of drinking/drugging patterns and behaviors, to gain an understanding and some insight into these behaviors and to encourage and motivate clients to make all necessary behavioral changes. The group experience offers an excellent opportunity for clients to realistically recognize the damage caused by their drinking, to identify obstacles to sobriety and to give and receive encouragement and motivation to make changes.

Substance Abuse Education:  The intent of the educational component of the DUIL Program is to provide clients with a body of factual information about alcohol, substance abuse and dependence. This increased knowledge gained in individual and group counseling serves to encourage necessary behavioral change and to demonstrate the need for, and benefit of, aftercare services. In addition, a special skill building curriculum is in place during the evenings. Through a combination of short film clips, lectures, group discussions, and group and individual exercises, clients are taught communication skills, problem-solving techniques, and methods of coping with personal feelings such as anger, frustration, guilt, shame and hopelessness. 

AIDS/STD Education:  Given that alcohol/drug abusing populations constitute high risk for HIV/AIDS, a discrete program component was developed many years ago and regularly updated to adequately address this issue. 

Self-help Groups:  Due to the critical role self-help groups play in the long-term recovery process, nightly AA and NA meetings are held and attendance by all clients is mandatory. Other self-help groups are routinely invited also. Group commitments are coordinated by DUIL staff, who make a concerted effort to ensure that invited groups represent the diverse cultural, racial and economic groupings of the clients served by DUIL.

Aftercare Planning:  Outpatient based Aftercare is Mandatory and Court ordered. Prior to discharge, each client will have a specific agency to report to along with name of therapist, time, date, length and cost of treatment.

Program Facility

The Middlesex DUIL Program is located on the campus of Tewksbury Hospital in an old nurses' quarters, designated as Hall III.  Middlesex Human Service Agency (“MHSA”) has invested heavily in the building which dates back over 125 years.  The DUIL Program occupies the first two (2) floors and the basement of the historic brick building located just west of the main building on the campus, the Saunders Building.  It is the first building on the right off of the Chandler Street entrance to Tewksbury Hospital.

The building contains a large classroom, a cafeteria, a kitchen and food preparation area, and two adjoining recreation rooms on the basement level. The first floor includes a separate women's wing and a day room, and a wing dedicated to accommodate men with ambulatory or health problems. Most of the Program's administrative and counseling staff offices are also located on the first floor, as is the reception area and the medication room. The second floor consists of three men's wings, including two day rooms, as well as staff offices.

A full institutional bathroom with three showers, sinks and toilets is contained in the women's wing, and two such bathrooms are on the second floor serving the three (3) men's wings there. The first floor “medical wing” has two accessible individual bathrooms.

Accessible bathrooms are also contained on the basement level off one of the recreation rooms. There are a total of forty-five client rooms in the building, most of which are double occupancy.

Smoking is NOT permitted anywhere on the Tewksbury Hospital Campus in accordance with State mandate. (Rules pertaining to smoking are strictly enforced.)

Three (3) nutritionally balanced meals are provided to clients each day. Snacks are available in vending machines in the basement recreation rooms.  Washers and dryers are available, as are pay telephones during designated times each day.

    Voice:    978-863-0048
    Fax:      978-863-9914
TTY/TDD:  978-863-9913

Address:  P.O. Box 149
    Tewksbury, MA 01876

E-Mail:  DUIL@MHSAInc.org


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