Difference between revisions of "Improve Recovery Support for People in the Criminal Justice System"

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Brief Description
 
Brief Description
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<span style="background:white"><span style="background:white"><u><span lang="EN" style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">SAFE Solutions Strategy: Improve Recovery Support for People in the Criminal Justice System</span></span></span></u></span></span>
  
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<span style="background:white"><span style="background:white">'''<span lang="EN" style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">Introductory Paragraph</span></span></span>'''</span></span>
  
= Overview =
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<span style="background:white"><span style="background:white"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">Arrests, convictions, and incarcerations continue to increase each year. Substance use is common among justice-involved individuals. More than half of those In US prisons and jails meet the criteria for Substance Use Disorders (SUDs). As the opioid epidemic unfolds, correctional institutions are looking for best practices that they can use to help handle the increased demand for substance abuse and addiction treatment. Prior research suggests that substance use can be associated with poorer outcomes among individuals including those under supervision in the community.</span></span></span></span></span>
  
<span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:" arial",sans-serif"=""><span style="color:#222222">Research consistently demonstrates a strong connection between criminal activity and substance abuse ([https://www.ncbi.nlm.nih.gov/books/NBK64142/ Chaiken 1986]; [https://www.ncbi.nlm.nih.gov/books/NBK64142/ Inciardi 1979]; [https://www.ncbi.nlm.nih.gov/books/NBK64142/ Johnson et al. 1985]). Eighty-four percent of State prison inmates who expected to be released in 1999 were involved with alcohol or illicit drugs at the time of their offense; 45 percent reported that they were under the influence when they committed their crime; and 21 percent indicated that they committed their offense for money to buy drugs ([https://www.ncbi.nlm.nih.gov/books/NBK64142/ Office of National Drug Control Policy [ONDCP] 2003]). Data from the Arrestee Drug Abuse Monitoring program indicate that in 2000, 64 percent of male arrestees tested positive for at least one of five illicit drugs (cocaine, opioids, marijuana, methamphetamines, and PCP). Additionally, 57 percent reported binge drinking in the 30 days prior to arrest, and 36 percent reported heavy drinking (Taylor et al. 2001).</span></span></span></span>
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<span style="background:white"><span style="background:white"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">A 2014 Pew Trusts study has shown more Imprisonment does not reduce drug related Issues. This study reinforces a large body of prior research that cast doubt on the theory that tough prison terms deter drug misuse, distribution, and other drug-law violations. The evidence strongly suggests that policymakers should pursue alternative strategies that research shows work better. Many states are revising their drug penalties and focusing on prevention, treatment and recovery,</span></span></span></span></span>
  
<span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:" arial",sans-serif"=""><span style="color:#222222">The consequences of crime related to substance abuse are substantial. The Bureau of Justice Statistics reports that in 1999 alone, 12,658 homicides—4.5 percent of all homicides for that year—were drug related ([https://www.ncbi.nlm.nih.gov/books/NBK64142/ Dorsey et al. 1999]). The emotional costs to people with substance use disorders, their families, and the victims of their crimes are immeasurable. The ONDCP estimates that the total crime-related costs of drug abuse were more than $100 billion in 2000 ([https://www.ncbi.nlm.nih.gov/books/NBK64142/ ONDCP 2001]).</span></span></span></span>
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<span style="background:white"><span style="background:white"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">By integrating evidence-informed practices, criminal justice agencies and communities can save lives and decrease costs associated with criminal justice system and healthcare system involvement.</span></span></span></span></span>
  
<span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:" arial",sans-serif"=""><span style="color:#222222">The devastating emotional and financial costs of drug-related crimes have led to a number of strategies to break the link between drugs and crime, including stricter drug laws, “three strikes and you're out” legislation, increased surveillance, mandatory sentencing laws, and severe penalties for drunk drivers, to name just a few. These approaches have had mixed results, and opinions vary on their usefulness.</span></span></span></span>
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<span style="background:white"><span style="background:white"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">https://www.pewtrusts.org/en/research-and-analysis/issue-briefs/2018/03/more-imprisonment-does-not-reduce-state-drug-problems?hd&utm_campaign=2018-03-14+PNN&utm_medium=email&utm_source=Pew</span></span></span></span></span>
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<span style="background:white"><span style="background:white">'''<span lang="EN" style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">Key Information</span></span></span>'''</span></span>
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<span style="background:white"><span style="background:white"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">Treatment Courts & Law Enforcement</span></span></span></span></span>
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<span style="background:white"><span style="background:white"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">65% of US Inmates have a substance use disorder. https://www.nadcp.org/treatment-courts-work/</span></span></span></span></span>
  
<span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:" arial",sans-serif"=""><span style="color:#222222">One consistent research finding is that involvement in substance abuse treatment reduces recidivism (a tendency to return to criminal habits) for offenders who use drugs ([https://www.ncbi.nlm.nih.gov/books/NBK64142/ Anglin and Hser 1990]; [https://www.ncbi.nlm.nih.gov/books/NBK64142/ Harwood et al. 1988]; [https://www.ncbi.nlm.nih.gov/books/NBK64142/ Hubbard et al. 1984], [https://www.ncbi.nlm.nih.gov/books/NBK64142/ 1989]; [https://www.ncbi.nlm.nih.gov/books/NBK64142/ Knight et al. 1999''a'' ]; [https://www.ncbi.nlm.nih.gov/books/NBK64142/ Martin et al. 1999]; [https://www.ncbi.nlm.nih.gov/books/NBK64142/ McLellan et al. 1983]; [https://www.ncbi.nlm.nih.gov/books/NBK64142/ Wexler et al. 1988], [https://www.ncbi.nlm.nih.gov/books/NBK64142/ 1999''a'' ]; [https://www.ncbi.nlm.nih.gov/books/NBK64142/ Wisdom 1999]). For example, when researchers conducted followup studies of clients treated through comprehensive treatment demonstration programs funded by the Center for Substance Abuse Treatment (CSAT), they found substantial reductions in criminal activity, including a 64-percent decrease in arrests ([https://www.ncbi.nlm.nih.gov/books/NBK64142/ Wisdom 1999]). In part because of the reduced criminal activity associated with substance abuse treatment for offenders, treatment has also been found to be cost-effective.</span></span></span></span>
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<span style="background:white"><span style="background:white"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">In the late 1980s alternatives such as drug courts emerged as an innovative approach when professionals recognized the importance of treating substance use and mental health in order to prevent relapse and recidivism. The drug court approach Intention Is to reduce time in the criminal just system and provide treatment to individuals. Treatment courts are the single most successful intervention in our nation’s history for leading people living with substance use and mental health disorders out of the justice system and into lives of recovery and stability. Instead of punishment treatment courts offer a holistic approach to treatment. Through supervision, education, and resources, and providing evidence-based treatment drug courts provide success In breaking cycles, reducing stigma resulting In reform.</span></span></span></span></span>
  
 
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<span style="line-height:normal"><span style="font-size:10.0pt"><span style="font-family:" arial",sans-serif"=""><span style="color:#222222">In response to research demonstrating the success of treatment in reducing criminal activity as well as the cost benefits of such treatment, policymakers over the past two decades have implemented a wide variety of strategies at the Federal, State, and local levels. These initiatives are aimed at improving the availability and quality of treatment for offenders. Drug Courts—courts with special unified dockets for individuals charged with crimes who are drug or alcohol involved—serve to divert offenders with substance use disorders away from the criminal justice system into a supervised treatment plan or to incorporate a coerced treatment plan as part of a judicial sentence. Other programs have been established for people with special needs, including individuals with co-occurring mental disorders. At the same time, other initiatives have increased funding for people already in prisons and jails. Examples of such initiatives include</span></span></span></span>
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<span style="background:white"><span style="background:white"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">Police Treatment And Community Collaborative</span></span></span></span></span>
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<span style="background:white"><span style="background:white"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">The Police, Treatment, and Community Collaborative (PTACC) is an alliance of practitioners in law enforcement, behavioral health, community, advocacy, research, and public policy, whose mission is to strategically widen community behavioral health and social service options available through law enforcement diversion. The purpose of the Collaborative is to provide vision, leadership, advocacy, and education to facilitate the practice of pre-arrest diversion across the United States. ''PTACC is the national voice of the pre-arrest diversion and deflection field.''</span></span></span></span></span>
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<span style="background:white"><span style="background:white"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">PTACC is organized in six strategic areas, but more are planned (e.g., Special Populations, Families and Children). Working within each strategic area are “workgroups,” or teams of practitioners who create resources, guides, webinars, and other deliverables to be used to guide the practice of early diversion programs. The existing areas are:</span></span></span></span></span>
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#<span style="background:white"><span style="background:white"><span style="color:black"><span style="tab-stops:list .5in"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"="">[https://ptaccollaborative.org/strategy-areas-2/leadership/ Leadership]</span></span></span></span></span></span>
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#<span style="background:white"><span style="background:white"><span style="color:black"><span style="tab-stops:list .5in"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"="">[https://ptaccollaborative.org/strategy-areas/behavioral-health/ Treatment, Housing, and Recovery]</span></span></span></span></span></span>
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#<span style="background:white"><span style="background:white"><span style="color:black"><span style="tab-stops:list .5in"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"="">[https://ptaccollaborative.org/strategy-areas-2/public-safety/ Public Safety]</span></span></span></span></span></span>
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#<span style="background:white"><span style="background:white"><span style="color:black"><span style="tab-stops:list .5in"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"="">[https://ptaccollaborative.org/strategy-areas-2/community/ Community, Diversion, and Equity]</span></span></span></span></span></span>
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#<span style="background:white"><span style="background:white"><span style="color:black"><span style="tab-stops:list .5in"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"="">[https://ptaccollaborative.org/strategy-areas-2/research/ Research]</span></span></span></span></span></span>
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#<span style="background:white"><span style="background:white"><span style="color:black"><span style="tab-stops:list .5in"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"="">[https://ptaccollaborative.org/strategy-areas-2/policy-and-legislation/ Policy and Legislation]</span></span></span></span></span></span>
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#<span style="background:white"><span style="background:white"><span style="color:black"><span style="tab-stops:list .5in"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"="">[https://ptaccollaborative.org/strategy-areas/special-populations-strategy-area/ Special Populations]</span></span></span></span></span></span>
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<span style="background:white"><span style="vertical-align:baseline">'''<span style="border:none windowtext 1.0pt; font-family:" inherit",serif;="" padding:0in"=""><span style="color:#4e4e4e">Pre-Arrest Diversion</span></span>'''</span></span>
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<span style="background:white"><span style="vertical-align:baseline"><span style="box-sizing:border-box"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-variant-numeric:inherit"><span style="font-variant-east-asian:inherit"><span style="font-stretch:inherit"><span style="line-height:inherit"><span style="orphans:2"><span style="widows:2"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="word-spacing:0px"><span style="font-family:" roboto",serif"=""><span style="color:#4e4e4e">Early diversion programs provide an alternative to arrest for individuals with substance use and/or mental health disorders, as well as for low-risk offenders, and allow these individuals to avoid the collateral consequences that result from arrest and contact with the criminal justice system. This movement is data-driven and is grounded in the belief that public safety and public health approaches must work in tandem to support vulnerable individuals with substance use disorder (SUD) and/or mental illness (MI). Instead of shifting responsibility or cost from one system actor to another, this collaborative approach creates additional tools and supports for those on the front line, appropriate treatment for eligible individuals with SUD and/or MI, and opportunities for systemic change for leaders looking for creative solutions to complicated problems.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span>
  
*<span style="color:#222222"><span style="line-height:normal"><span style="tab-stops:list .5in"><span style="font-size:10.0pt"><span style="font-family:" arial",sans-serif"="">Project REFORM and later Project RECOVERY. These programs, funded in the late 1980s by the Bureau of Justice Assistance (BJA) and in the early 1990s by CSAT, provided technical assistance to 20 States in planning and developing substance abuse programming for prisoners with substance abuse problems ([https://www.ncbi.nlm.nih.gov/books/NBK64142/ Wexler 1995]).</span></span></span></span></span>  
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<span style="background:white"><span style="vertical-align:baseline"><span style="box-sizing:border-box"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-variant-numeric:inherit"><span style="font-variant-east-asian:inherit"><span style="font-stretch:inherit"><span style="line-height:inherit"><span style="orphans:2"><span style="widows:2"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="word-spacing:0px"><span style="font-family:" roboto",serif"=""><span style="color:#4e4e4e">In addition, these programs serve the best interest of the community, individual, and taxpayers. Pre-arrest diversion and deflection programs have the added benefits of:</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span>
*<span style="color:#222222"><span style="line-height:normal"><span style="tab-stops:list .5in"><span style="font-size:10.0pt"><span style="font-family:" arial",sans-serif"="">Residential Substance Abuse Treatment for State Prisoners Formula Grant Program. This program funds States seeking to develop comprehensive approaches to treatment for offenders who abuse substances, including intensive programs for inmates and relapse prevention training. Further information is available at [http://www.cfda.gov/ www.cfda.gov].</span></span></span></span></span>  
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<ul style="list-style-type:square">
*<span style="color:#222222"><span style="line-height:normal"><span style="tab-stops:list .5in"><span style="font-size:10.0pt"><span style="font-family:" arial",sans-serif"="">The National Drug Control Strategy, prepared annually by the Office of National Drug Control Policy ([https://www.ncbi.nlm.nih.gov/books/NBK64142/ 1997], [https://www.ncbi.nlm.nih.gov/books/NBK64142/ 1998], 1999, [https://www.ncbi.nlm.nih.gov/books/NBK64142/ 2000], [https://www.ncbi.nlm.nih.gov/books/NBK64142/ 2001]). This program has encouraged the development of treatment and rehabilitation services for offenders who use drugs (e.g., Treatment Accountability for Safer Communities, formerly Treatment Alternatives to Street Crime; drug court programs; prison treatment programs). For further information, go to [http://www.whitehousedrugpolicy.gov/ www.whitehousedrugpolicy.gov/].</span></span></span></span></span>  
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<li><span style="background:white"><span style="tab-stops:list .5in"><span style="vertical-align:baseline"><span style="font-family:" roboto",serif"=""><span style="color:#4e4e4e">Breaking the costly cycle of justice system involvement for eligible individuals;</span></span></span></span></span></li>
*<span style="color:#222222"><span style="line-height:normal"><span style="tab-stops:list .5in"><span style="font-size:10.0pt"><span style="font-family:" arial",sans-serif"="">The BJA, Office of Justice Programs, U.S. Department of Justice. Formerly known as the Drug Courts Program Office, established to administer the drug court grant program, the BJA provides financial and technical assistance, training, and programmatic guidance for drug courts throughout the country. BJA offers grants that enable communities to develop, implement, or improve drug courts. Information is available at [http://www.ojp.usdoj.gov/BJA/ www.ojp.usdoj.gov/BJA/].</span></span></span></span></span>  
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<li><span style="background:white"><span style="tab-stops:list .5in"><span style="vertical-align:baseline"><span style="font-family:" roboto",serif"=""><span style="color:#4e4e4e">Increasing cross-sector collaboration to create new pathways to community-based behavioral health services;</span></span></span></span></span></li>
*<span style="color:#222222"><span style="line-height:normal"><span style="tab-stops:list .5in"><span style="font-size:10.0pt"><span style="font-family:" arial",sans-serif"="">The Serious and Violent Offender Reentry Initiative''.''In conjunction with several Federal partners, the U.S. Department of Justice is spearheading this initiative to provide funding to promote successful reintegration of serious, high-risk offenders into the community. The Initiative seeks to address all obstacles to successful reentry, including substance abuse. Information is available online at [http://www.ojp.usdoj.gov/reentry/learn.html www.ojp.usdoj.gov/reentry/learn.html].</span></span></span></span></span>
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<li><span style="background:white"><span style="tab-stops:list .5in"><span style="vertical-align:baseline"><span style="font-family:" roboto",serif"=""><span style="color:#4e4e4e">Enhancing relations between community members and law enforcement;</span></span></span></span></span></li>
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<li><span style="background:white"><span style="tab-stops:list .5in"><span style="vertical-align:baseline"><span style="font-family:" roboto",serif"=""><span style="color:#4e4e4e">Decreasing crime, incarceration, and recidivism rates;</span></span></span></span></span></li>
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<li><span style="background:white"><span style="tab-stops:list .5in"><span style="vertical-align:baseline"><span style="font-family:" roboto",serif"=""><span style="color:#4e4e4e">Lessening the burden on justice systems;</span></span></span></span></span></li>
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<li><span style="background:white"><span style="tab-stops:list .5in"><span style="vertical-align:baseline"><span style="font-family:" roboto",serif"=""><span style="color:#4e4e4e">Improving public health and safety;</span></span></span></span></span></li>
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<li><span style="background:white"><span style="tab-stops:list .5in"><span style="vertical-align:baseline"><span style="font-family:" roboto",serif"=""><span style="color:#4e4e4e">Reducing the burden on individuals who commit non-violent, low-level offenses;</span></span></span></span></span></li>
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<li><span style="background:white"><span style="tab-stops:list .5in"><span style="vertical-align:baseline"><span style="font-family:" roboto",serif"=""><span style="color:#4e4e4e">Ensuring equal access to pre-arrest diversion regardless of race, income, or geography; and</span></span></span></span></span></li>
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<li><span style="background:white"><span style="tab-stops:list .5in"><span style="vertical-align:baseline"><span style="font-family:" roboto",serif"=""><span style="color:#4e4e4e">Saving taxpayer dollars</span></span></span></span></span></li>
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= Tools and Resources =
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<span style="background:white"><span style="vertical-align:baseline"><span style="box-sizing:border-box"><span style="font-variant-ligatures:normal"><span style="font-variant-caps:normal"><span style="font-variant-numeric:inherit"><span style="font-variant-east-asian:inherit"><span style="font-stretch:inherit"><span style="line-height:inherit"><span style="orphans:2"><span style="widows:2"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><span style="word-spacing:0px"><span style="font-family:" roboto",serif"=""><span style="color:#4e4e4e">For more information on pre-arrest diversion, including case studies of specific pathways, read or download [https://secureservercdn.net/198.71.233.33/lpo.969.myftpupload.com/wp-content/uploads/2019/06/SAFE-Pre-Arrest-Guide_Final-.pdf ''<span style="border:none windowtext 1.0pt; font-family:" inherit",serif;="" padding:0in"=""><span style="color:#ee8a1d"><span style="text-decoration:none"><span style="text-underline:none">Law Enforcement Pre-Arrest Diversion Resource Guide</span></span></span></span>''].</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span>
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<div style="border-bottom:solid #a2a9b1 1.0pt; padding:0in 0in 10.0pt 0in">
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<span style="background:white"><span style="background:white"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">https://secureservercdn.net/198.71.233.33/lpo.969.myftpupload.com/wp-content/uploads/2019/06/SAFE-Pre-Arrest-Guide_Final-.pdf</span></span></span></span></span>
  
Solutions and Tools focused on this objective.
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<span style="background:white"><span style="background:white"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">http://www.centerforhealthandjustice.org/chjweb/tertiary_page.aspx?id=73&title=The-Police,-Treatment-and-Community-Collaborative-(PTACC)</span></span></span></span></span>
  
= Promising Practices and Case Studies =
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<span style="background:white"><span style="background:white">'''<span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">What are the Pathways?</span></span></span>'''<br/> <span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">PTACC recognizes that there are multiple models of pre-arrest diversion and refers to these models as “pathways,” because using one or more of them creates pathways to treatment or social services. These pathways are called “[https://secureservercdn.net/198.71.233.33/lpo.969.myftpupload.com/wp-content/uploads/2018/07/PTACC_visual.pdf Pathways to Community]” and are:</span></span></span></span></span>
  
Examples from communities that have implemented tools focused on this objective
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<span style="background:white"><span style="background:white">'''<span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">Self-Referral:</span></span></span>'''<span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">Drug–</span></span></span><span style="font-size:11.0pt"><span style="font-family:" cambria="" math",serif"=""><span style="color:black">‐</span></span></span><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">involved individuals are encouraged to initiate the engagement with law enforcement without fear of arrest, and an immediate treatment referral is made.</span></span></span></span></span>
  
= Scorecard Building =
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<span style="background:white"><span style="background:white">'''<span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">Active Outreach:</span></span></span>'''<span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">Participants are identified by law enforcement, but are engaged primarily by an outreach team, often with a clinician and/or a peer with lived experience, who actively contacts them and motivates them to engage in treatment.</span></span></span></span></span>
  
Possible Objective Details
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<span style="background:white"><span style="background:white">'''<span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">Naloxone</span></span></span>'''<span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">'''Plus: '''Engagement with treatment occurs following an overdose response and crisis-level treatment is readily available.</span></span></span></span></span>
  
Possible Measures
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<span style="background:white"><span style="background:white">'''<span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">Officer Prevention Referral:</span></span></span>'''<span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">At point of contact, law enforcement initiates the treatment engagement, but no charges are filed.</span></span></span></span></span>
  
= Actions to Take =
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<span style="background:white"><span style="background:white">'''<span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">Officer Intervention Referral:</span></span></span>'''<span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">At point of contact, law enforcement initiates the treatment engagement, and charges are held in abeyance or citations issued.</span></span></span></span></span>
  
Actions for Coalitions
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<span style="background:white"><span style="background:white"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">PTACC endorses all of these pathways and encourages communities to explore the approaches that best meet their needs. PTACC encourages availability of as many pathways as possible to maximize diversion opportunities and connection to treatment, recovery support, and community services.</span></span></span></span></span>
  
Actions for Individuals
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<span style="background:white"><span style="background:white"><span style="font-size:11.0pt"><span style="font-family:" pt="" serif",serif"=""><span style="color:black">https://secureservercdn.net/198.71.233.33/lpo.969.myftpupload.com/wp-content/uploads/2018/07/PTACC_visual.pdf</span></span></span></span></span>
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Revision as of 17:10, 21 April 2021

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Brief Description

SAFE Solutions Strategy: Improve Recovery Support for People in the Criminal Justice System

Introductory Paragraph

Arrests, convictions, and incarcerations continue to increase each year. Substance use is common among justice-involved individuals. More than half of those In US prisons and jails meet the criteria for Substance Use Disorders (SUDs). As the opioid epidemic unfolds, correctional institutions are looking for best practices that they can use to help handle the increased demand for substance abuse and addiction treatment. Prior research suggests that substance use can be associated with poorer outcomes among individuals including those under supervision in the community.

A 2014 Pew Trusts study has shown more Imprisonment does not reduce drug related Issues. This study reinforces a large body of prior research that cast doubt on the theory that tough prison terms deter drug misuse, distribution, and other drug-law violations. The evidence strongly suggests that policymakers should pursue alternative strategies that research shows work better. Many states are revising their drug penalties and focusing on prevention, treatment and recovery,

By integrating evidence-informed practices, criminal justice agencies and communities can save lives and decrease costs associated with criminal justice system and healthcare system involvement.

 

https://www.pewtrusts.org/en/research-and-analysis/issue-briefs/2018/03/more-imprisonment-does-not-reduce-state-drug-problems?hd&utm_campaign=2018-03-14+PNN&utm_medium=email&utm_source=Pew

 

Key Information

Treatment Courts & Law Enforcement

65% of US Inmates have a substance use disorder. https://www.nadcp.org/treatment-courts-work/

In the late 1980s alternatives such as drug courts emerged as an innovative approach when professionals recognized the importance of treating substance use and mental health in order to prevent relapse and recidivism. The drug court approach Intention Is to reduce time in the criminal just system and provide treatment to individuals. Treatment courts are the single most successful intervention in our nation’s history for leading people living with substance use and mental health disorders out of the justice system and into lives of recovery and stability. Instead of punishment treatment courts offer a holistic approach to treatment. Through supervision, education, and resources, and providing evidence-based treatment drug courts provide success In breaking cycles, reducing stigma resulting In reform.

 

Police Treatment And Community Collaborative

The Police, Treatment, and Community Collaborative (PTACC) is an alliance of practitioners in law enforcement, behavioral health, community, advocacy, research, and public policy, whose mission is to strategically widen community behavioral health and social service options available through law enforcement diversion. The purpose of the Collaborative is to provide vision, leadership, advocacy, and education to facilitate the practice of pre-arrest diversion across the United States. PTACC is the national voice of the pre-arrest diversion and deflection field.

PTACC is organized in six strategic areas, but more are planned (e.g., Special Populations, Families and Children). Working within each strategic area are “workgroups,” or teams of practitioners who create resources, guides, webinars, and other deliverables to be used to guide the practice of early diversion programs. The existing areas are:

  1. Leadership
  2. Treatment, Housing, and Recovery
  3. Public Safety
  4. Community, Diversion, and Equity
  5. Research
  6. Policy and Legislation
  7. Special Populations

Pre-Arrest Diversion

Early diversion programs provide an alternative to arrest for individuals with substance use and/or mental health disorders, as well as for low-risk offenders, and allow these individuals to avoid the collateral consequences that result from arrest and contact with the criminal justice system. This movement is data-driven and is grounded in the belief that public safety and public health approaches must work in tandem to support vulnerable individuals with substance use disorder (SUD) and/or mental illness (MI). Instead of shifting responsibility or cost from one system actor to another, this collaborative approach creates additional tools and supports for those on the front line, appropriate treatment for eligible individuals with SUD and/or MI, and opportunities for systemic change for leaders looking for creative solutions to complicated problems.

In addition, these programs serve the best interest of the community, individual, and taxpayers. Pre-arrest diversion and deflection programs have the added benefits of:

  • Breaking the costly cycle of justice system involvement for eligible individuals;
  • Increasing cross-sector collaboration to create new pathways to community-based behavioral health services;
  • Enhancing relations between community members and law enforcement;
  • Decreasing crime, incarceration, and recidivism rates;
  • Lessening the burden on justice systems;
  • Improving public health and safety;
  • Reducing the burden on individuals who commit non-violent, low-level offenses;
  • Ensuring equal access to pre-arrest diversion regardless of race, income, or geography; and
  • Saving taxpayer dollars

For more information on pre-arrest diversion, including case studies of specific pathways, read or download Law Enforcement Pre-Arrest Diversion Resource Guide.

https://secureservercdn.net/198.71.233.33/lpo.969.myftpupload.com/wp-content/uploads/2019/06/SAFE-Pre-Arrest-Guide_Final-.pdf

http://www.centerforhealthandjustice.org/chjweb/tertiary_page.aspx?id=73&title=The-Police,-Treatment-and-Community-Collaborative-(PTACC)

What are the Pathways?
PTACC recognizes that there are multiple models of pre-arrest diversion and refers to these models as “pathways,” because using one or more of them creates pathways to treatment or social services. These pathways are called “Pathways to Community” and are:

Self-Referral:Drug–involved individuals are encouraged to initiate the engagement with law enforcement without fear of arrest, and an immediate treatment referral is made.

Active Outreach:Participants are identified by law enforcement, but are engaged primarily by an outreach team, often with a clinician and/or a peer with lived experience, who actively contacts them and motivates them to engage in treatment.

NaloxonePlus: Engagement with treatment occurs following an overdose response and crisis-level treatment is readily available.

Officer Prevention Referral:At point of contact, law enforcement initiates the treatment engagement, but no charges are filed.

Officer Intervention Referral:At point of contact, law enforcement initiates the treatment engagement, and charges are held in abeyance or citations issued.

PTACC endorses all of these pathways and encourages communities to explore the approaches that best meet their needs. PTACC encourages availability of as many pathways as possible to maximize diversion opportunities and connection to treatment, recovery support, and community services.

Insert PTACC Visual:

https://secureservercdn.net/198.71.233.33/lpo.969.myftpupload.com/wp-content/uploads/2018/07/PTACC_visual.pdf