Creating Institutional Change in the Criminal Justice System: White House Blog Post by Judge William Dressel

(Chicago, IL)  –  Judge William F. Dressel, president of the National Judicial College, discusses a collaborative effort for systems change in a new blog post for the White House Office of National Drug Control Policy.

The Judicial Leadership Systems Change Initiative was developed by the National Judicial College and TASC’s Center for Health and Justice, with support and participation from a number of researchers and federal entities, including the Substance Abuse and Mental Health Services Administration’s Center for Substance Abuse Treatment (SAMHSA/CSAT), the National Institute on Drug Abuse (NIDA), and the Bureau of Justice Assistance (BJA).

Please read Judge Dressel’s post to find out about this innovative effort to help jurisdictions use science-based, systemwide responses to interrupt cycles of drug-related offenses. The initiative is promoted as a model for institutional change in the 2011 White House National Drug Control Strategy.

Congressman Danny Davis, White House Drug Policy Director Gil Kerlikowske Headline Oct. 17 Forum on Drug Prevention, Treatment, and Adjudication Programs

(Chicago, IL) – Congressman Danny Davis (D-IL) will convene a forum featuring Gil Kerlikowske, director of the White House Office of National Drug Control Policy and local drug prevention and treatment advocates to discuss the impact of Federal and local initiatives to combat recidivism and substance misuse.

The forum will take place at A Safe Haven, 2750 W. Roosevelt Road in Chicago on Monday, October 17 beginnin at 9:00 A.M.                 

The criminal justice system is the largest single source of referrals to substance abuse treatment in the U.S., comprising 37 percent of those in treatment. Criminal justice referrals are less likely to drop out of treatment and more likely to complete treatment than all other referrals (U.S. Dept. of Health and Human Services, Substance Abuse and Mental Health Services Administration). Illinois has implemented several alternative-to-incarceration models that redirect eligible people into community-based treatment from all points in the justice system (e.g., prosecution, court, and sentencing), thereby reducing substance misuse and recidivism while maintaining supervision and accountability.

The forum will feature two panels with Federal officials and local advocates. The first panel will discuss Federal initiatives available in the Chicago area, including civilian and veteran drug prevention programs and drug courts, and the second panel will highlight the success of local drug treatment and adjudication programs and their impact on the health and safety of local communities. 

Congressman Davis is the Ranking Member of the Subcommittee on Health Care, District of Columbia, Census and the National Archives, and lead sponsor of the Second Chance Act, which authorizes federal grants to entities that provide drug treatment, mental health care, housing and jobs for people newly released from prison.

Who:                Panel 1

  Panel 2

TASC, Inc. is an advocate of cost-effective alternatives to incarceration and is a member agency of the Illinois Alcoholism and Drug Dependence Association, represented on Panel 2.  

Members of the media and the general public are welcome to attend the forum.

Survey: Drug Use Among 8th-Graders Surges; IL Treatment, Prevention Funding Cuts Aggravate Problem

(Chicago, IL) – Driven by increases in marijuana use, a new national survey says the rate of eighth-graders saying they have used an illicit drug in the past year jumped to 16 percent, up from 13 percent in 2007, but in Illinois, funding cuts to drug abuse prevention and treatment have left communities ill-equipped to respond to the spike, says a leading Illinois drug prevention advocate.

The survey, conducted by researchers at the University of Michigan under a grant from the National Institute on Drug Abuse (NIDA), also shows that about half of 12th-graders have tried an illicit drug, with about one in 16 using marijuana on a daily or near-daily basis. Marijuana has surpassed cigarette smoking in some measures. In 2010, 21.4 percent of high school seniors used marijuana in the past 30 days, while 19.2 percent smoked cigarettes.

“Increased youth use of marijuana risks long-term addiction, education failure, and, in too many cases, criminal activity,” said Pamela Rodriguez, president of Treatment Alternatives for Safe Communities (TASC), a Chicago-based non-profit that advocates for people in courts, jails, prisons, and child welfare systems who need treatment for alcohol and drug problems.

“In fact, more than nine times out of 10, kids who are referred to TASC by the justice system are using marijuana. Often they’re having trouble with school or have already dropped out. They’re on a risky path toward addiction and crime.

“The Obama Administration recognizes the critical role that prevention and treatment play in reducing demand for illicit drugs, proposing this year a 13.4% increase in spending on alcohol and other drug prevention programs and a 3.7% increase for addiction treatment,” she said.

And yet in Illinois, the funding trend has gone in reverse.

“The State of Illinois has cut drug prevention and treatment funding by 30 percent in the past three years,” said Rodriguez, noting that the use of illicit drugs among youth has gone up during the same period that funding for prevention and treatment have gone down. “With unprecedented funding cuts, our efforts to curb the demand for illicit drugs are severely hampered.”

Most measures of marijuana use increased among eighth-graders, and daily marijuana use increased significantly among all three grade levels tested in the survey. The 2010 use rates were 6.1 percent of high school seniors, 3.3 percent of 10th-graders, and 1.2 percent of eighth-graders compared to 2009 rates of 5.2 percent, 2.8 percent, and 1.0 percent, respectively.

“These high rates of marijuana use during the teen and pre-teen years, when the brain continues to develop, places our young people at particular risk,” said NIDA Director Nora D. Volkow, M.D. “Not only does marijuana affect learning, judgment, and motor skills, but research tells us that about one in six people who start using it as adolescents become addicted.”

“The increases in youth drug use reflected in the Monitoring the Future Study are disappointing,” said Gil Kerlikowske, director of the White House Office of National Drug Control Policy. “Mixed messages about drug legalization, particularly marijuana, may be to blame. Such messages certainly don’t help parents who are trying to prevent kids from using drugs.” 

The survey also showed a significant increase in the reported use of MDMA, or Ecstasy, with 2.4 percent of eighth-graders citing past-year use in 2010, compared to 1.3 percent in 2009.  Similarly, past-year MDMA use among 10th-graders increased to 4.7 percent in 2010 from 3.7 percent in 2009.

OP-ED: Prison Drug Treatment Would Reduce Crime, Recidivism, Budgets; Deficit Commission Should Heed Savings by Treatment, Recommendations in National Drug Control Strategy

COMMENTARY 

By Robert Weiner and Daphne Baille

See op-ed published in the Chicago Sun-Times.

Two million, three hundred thousand Americans are in prison today—number one in the world.  That’s up  from 500,000 in 1980.  Seven million Americans are now in the criminal justice system—incarcerated, on probation or on parole—also the most in the world.  Imprisonment is one of the most expensive items of state and local budgets.  The cost of incarceration in the U.S. is estimated at over $60 billion dollars a year. 

Most of the increases are due to the prosecution of drug abusers starting in the 80s. Drugs were rampant during that time period; in 1980, 14% of Americans abused illegal drugs monthly.  That number is now down to 8%, but a whopping 68% of arrestees test positive for illegal drugs, according to Justice Department surveys of 30 cities. The nexus of drugs and crime is undeniable.

There is a solution other than putting drug abusers behind bars—drug treatment. Despite the fact that 68% of arrestees test positive for drugs, only 14% of prisoners receive treatment.

Photo by Steve Smedley of The Pantagraph

Marc Mauer, the director of the highly respected Sentencing Project, called the prison-drugs recidivism cycle “a 25-year quagmire.”  The Sheridan Correctional Center, a medium security facility that houses male offenders 70 miles west of Chicago, found that prisoners who completed treatment after release were 40% less likely to be arrested a year later and 85% less likely to return to prison – with counseling, job training, and supervision critical to this success.

Instead of mandatory sentencing for drug abuse, more drug treatment in prison and more “drug courts” providing treatment instead of prison should be what’s mandatory.

The Urban Institute in 2008 reported that 1.5 million arrestees meet the legal and clinical standards for drug court, which require effective treatment and supervision. Yet only 55,000 arrestees are now receiving such treatment. If all 1.5 million at-risk arrestees were treated, there would be $46 billion in savings to society.  The study reaffirms that crime is 4-6 times higher under the influence of drugs.

Former U.S. Drug Czar Barry McCaffrey calls support for drug courts everywhere in America “a no-brainer.”  We pay $25,000 a year to incarcerate someone; treatment costs a few thousand for an entire year, and many can stop after a few months as long as they have monitored counseling in prison and when they leave.

In Illinois, virtually every criminal court can be a “drug court” because State law allows nonviolent offenders to ask for supervised drug treatment instead of incarceration. Every eligible offender who takes this route saves the State $18,000 in prison costs but  treatment must be available. The State slashed treatment funding 22% last year and another 8% this year.   

The President’s National Commission on Fiscal Reform (“Deficit Commission”) is scheduled to recommend how to lower the deficit right after the November elections.  They should heed House Judiciary Committee Chair John Conyers’ (D-Detroit) comments at his committee’s Prison Overcrowding hearing on September 28. The bipartisan hearing was originally aimed to curb the bureaucracy and jail sentences for minor crimes like snowmobiling in the wrong place in a national park—fine to change, but hardly the major cause of prison overcrowding. 

Conyers stated, “My emphasis is directed to the way the drug war incarcerates people in the United States. What we need are drug courts diverting people to treatment, and treatment rather than mandatory sentences. [Now] there is more attention to law enforcement than treatment of the drug problem as a health crisis.”

Expanded drug treatment for offenders would take the proverbial “bite out of crime.” It would reverse overcrowding, reduce crime and recidivism, and help federal, state, and local budgets. The White House’s 2010 National Drug Control Strategy recommends more alternatives to incarceration for people with serious substance abuse problems.

Congress should heed the strategy and double the $5 billion currently budgeted for all treatment and prevention, in and out of prison.

According to a UCLA study, for every dollar invested in treatment, taxpayers save $7 in reduced crime and other benefits.  This $5 billion investment would translate to real savings of $35 billion for American taxpayers.

Did you hear that, Deficit Commission?

Robert Weiner is former spokesman for the White House National Drug Policy Office, the House Government Operations Committee, and the House Narcotics Committee.  Daphne Baille is the communications director for Treatment Alternatives for Safe Communities (TASC), a Chicago-based justice and health services and advocacy group. 

TASC Model Recommended in National Drug Control Strategy

The 2010 National Drug Control Strategy includes specific mention of TASC as a model to help break the cycle of drug use, crime, delinquency, and incarceration.

Released by the White House, the strategy establishes five-year goals for reducing drug use and its consequences.  It was developed by the Office of National Drug Control Policy (ONDCP) with input from federal, state, and local partners. 

With 50 percent of 7 million adult offenders in the U.S. classified as dependent on drugs, one of the strategy’s recommendations is that the infrastructure be developed to promote alternatives to incarceration when appropriate. Recommended actions include:

A. Enhance and Promote Diversion Strategies

B. Support Drug and Other Problem-Solving Courts

C. Promote TASC Model of Intensive Case Management

D. Foster Equitable Drug Sentencing

E. Promote Best Practices as Alternatives to Incarceration

Under the TASC recommendation, the National Drug Control Strategy reports:

 “Treatment Alternatives for Safe Communities (TASC) offers a state-level model for how intensive case management of drug offenders might work to reduce crime and incarceration and support reentry programs. In many states and localities, governments have provided access to treatment as an alternative to prison for nonviolent offenders with substance abuse or dependence disorders. If clients meet eligibility criteria under the statute, TASC conducts an indepth assessment of their criminal justice history, the nature and extent of addiction, readiness for treatment, and likelihood of treatment success. Through a specialized system of clinical case management, TASC initiates and motivates positive behavior change and long-term recovery for individuals in criminal justice, corrections, juvenile justice, child welfare, and public aid systems.

“TASC case managers develop individualized service plans that include links to community-based substance abuse treatment, medical/mental health services, vocational/educational programs, and other needed social services. This approach has translated into substantial cost-savings through referrals to treatment and services. States should look to places that have effectively implemented the TASC process, such as Illinois and New York, and the Department of Justice will continue to fund alternatives to incarceration so that TASC and TASC-like processes can work effectively.”

In Illinois, TASC’s case management services increase the success rates of those mandated to treatment as part of their probation sentence. Clients who receive TASC’s services are twice as successful in treatment as other treatment clients in Illinois. Two thirds (64%) of TASC clients complete treatment successfully, compared to only one third (33%) of all criminal justice-referred clients in Illinois.

Please click here to access the full strategy.

White House Official to Speak at IL Drug Prevention, Treatment Conference

Dr. Kevin Sabet, White House Office of National Drug Control Policy(Chicago) – Dr. Kevin Sabet, special advisor for the White House Office of National Drug Control Policy, will speak at a statewide conference on drug prevention and treatment at the Hilton Lisle/Naperville on Tuesday, September 29.

Dr. Sabet, a longtime advocate of alternatives to incarceration for drug-using offenders, will speak at the annual event of the Illinois Alcoholism and Drug Dependence Association (IADDA). He is expected to reinforce the Administration’s position that addiction to alcohol and drugs must be recognized as a preventable, treatable disease.

Dr. Sabet will be part of the opening panel that will also feature Paul Samuels, president of the Legal Action Center in New York and Lonnetta Albright, director of the Great Lakes Addiction Technology Transfer Center. The panelists will come together to discuss the future of addiction healthcare in the United States, including global and national trends, healthcare reform, regional trends, and the outlook for 2010 and beyond.

TASC is a member of IADDA. For more information on the IADDA conference, please visit http://www.iadda.org/.

(Post-script: Above photo taken Sept. 29 as Dr. Sabet spoke at the IADDA conference. Photo by D. Baille, TASC.)