TASC Co-Convenes First-Ever National Summit on Deflecting People from Arrest

(Alexandria, VA) – Criminal justice, behavioral health, and public policy experts from across the country convened on March 1-2 for the first-ever national summit focused on strategies to deflect people with drug problems and/or low-level offenses away from the justice system before they enter it, and into behavioral health services instead.

Participants tweeted with the hashtag #Deflection2017, including a concise summary of the event from the Pretrial Justice Institute: “Big ideas. Big partners. Big conversation. #Deflection2017.”

Police, prosecutors, treatment/clinical experts, researchers, and representatives from national law enforcement and behavioral health associations discussed alternatives to arrest for low-level offenses, as well as new methods for confronting the opioid crisis and addiction, focusing on treatment-based solutions through which police can partner with behavioral health service providers in the community.

Hosted in Alexandria by the International Association of Chiefs of Police (IACP), the two-day 2017 Deflection Summit was convened by the Center for Health and Justice at TASC and the Civil Citation Network. The summit was sponsored by C4 Recovery Solutions, IACP, and Ad Care Criminal Justice Services.

Pre-booking or pre-arrest diversion initiatives—also called deflection—offer practical strategies for reforming the front end of the criminal justice system and preventing cycles of arrest and incarceration of people with treatable substance use or mental health issues.

Depending on local community needs and behavioral health capacity, police deflection programs across the country have varying designs, but their goals are consistent: to continue to promote and enhance public safety while also responding more effectively to substance use and mental health problems, and to low-level offenses. These solutions help reverse the tide of people with nonviolent offenses entering the justice system.

In his March 2017 article in Police Chief MagazineJac Charlier, who directs national justice initiatives for the Chicago-based Center for Health and Justice at TASC, describes a number of deflection models currently in place throughout the country, including programs within the Police Assisted Addiction Recovery Initiative (PAARI) network; Seattle’s Law Enforcement Assisted Diversion (LEAD); Baltimore’s Stop, Triage, Educate, Engage, Rehabilitate (STEER) program; citation in lieu of arrest; and drug overdose response teams, such as Lucas County, Ohio’s Drug Action Response Team (DART). Each of these programs, along with several others, brought forth their direct experience and insights at the deflection summit.

“Even a first-time arrest for a misdemeanor offense can end up having lifelong consequences, especially in employment,” said Greg Frost, president of the Tallahassee-based Civil Citation Network, a program offering counseling, education, and community service in lieu of arrest. “If people complete our program successfully, they can avoid an arrest record and the negative consequences that go with it.”

Robert Ryberg, CEO of C4 Recovery Solutions, an international not-for-profit working in substance use and addiction, explained, “Deflection is a key strategy for helping individuals access treatment services, especially those who have not yet self-identified as needing treatment and who are pursuing life strategies that often result in criminal activity. ”

“Police crisis intervention models for responding to mental health emergencies have been successful for many years, and deflection initiatives build from that experience,” added TASC’s Charlier. “Deflection programs are specifically designed to prevent people from going into the justice system when they can safely instead be connected directly to treatment services in the community. It’s a win-win for better safety in the community, for law enforcement, and for the people who get the help they need.”

According to the Centers for Disease Control and Prevention, 144 Americans die every day from a drug overdose, including 91 from an opioid overdose.

“Especially in this time as our nation faces the opioid epidemic, we can save lives by deflecting people to treatment,” said Charlier.

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TASC Offers Roll Call Videos for Law Enforcement: The Science of Addiction, Building Partnership with Treatment

(Chicago) – The Center for Health and Justice at TASC has produced two short videos designed to support law enforcement in connecting addicted individuals to treatment in the community.

The videos can be viewed on the Center for Health and Justice website.

When people are addicted to drugs, their decision-making abilities are compromised. With information on how addiction affects the brain, and how to effectively partner with drug treatment organizations, many law enforcement agencies are working to reduce crime and improve community relations by diverting low-risk individuals to treatment rather than arrest them when their offenses are related to addiction.

Designed for showing during roll call or staff meetings, the videos cover two specific areas:

What Happens When a Brain is Addicted

  • Dr. Timothy Condon, former science advisor to the White House Office of National Drug Control Policy and past deputy director of the National Institute on Drug Abuse, discusses addiction as a disease of the brain and the challenge of managing it, similar to other chronic diseases such as diabetes and hypertension.

Building Partnerships with Addiction Treatment

  • Peter Palanca, executive vice president of TASC, discusses opportunities to build partnerships between law enforcement and drug treatment providers in the community. This video provides questions that law enforcement can ask providers during an initial meeting to learn about the services they provide.

For information on how to use these videos in your law enforcement setting, please contact Jac Charlier, director of consulting and training for the Center for Health and Justice at TASC.

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Funding for the production of the videos was provided through a grant awarded by the Office of National Drug Control Policy, Executive Office of the President. Points of view or opinions in the videos are those of the presenters and do not represent the official position or policies of the Executive Office of the President.

TASC Releases Medicaid Policy Briefs, Offers Financing Strategies to Improve Community-Based Healthcare Access for Criminal Justice Populations

(Chicago) – Recent Medicaid policy reforms present new opportunities to improve community-based healthcare access for people under justice and corrections supervision. Access to care is critical to reducing recidivism, given high rates of substance use, mental illness, and chronic medical … Continue reading

International Policy Experts Visit TASC, Explore Alternatives to Incarceration

(Chicago) – Highlighting the value of evidence-based alternatives to incarceration for people with substance use disorders, TASC hosted a three-day visit last week of representatives from the White House Office of National Drug Control Policy (ONDCP), the U.S. State Department, the Organization of American States, and the judiciary of India.

Through conversations and site visits with justice and service partners in Cook and Lake counties, the visit highlighted the necessity of coordinated linkages between public health and justice systems.

In Illinois, TASC serves some 27,000 people each year by serving as a bridge between public systems and health services in the community.

“By the nature of what we do at TASC, and by the very definition of case management, we know that we cannot do our work alone,” said TASC President Pam Rodriguez. “Our successes come about through the combined efforts of partners who design and implement sound policies and practices every day.”

Partnerships highlighted during last week’s visit included prosecutorial diversion programs led by the Cook County State’s Attorney’s Office; strategies led by the Cook County Public Defender’s Office; Lake County’s A Way Out initiative organized by police, prosecutors, and the health department; Medicaid enrollment, treatment, and continuity of care at the point of release from jail, led by the Cook County Department of Corrections; alternative sentencing and problem-solving courts within the criminal division of the Circuit Court of Cook County; and community-based treatment, along with TASC case management.

The purpose of the visit was to highlight core components and strategies of successful alternatives to incarceration for people with substance use disorders. The team of visitors included Charlotte A. Sisson, senior foreign affairs officer with the Bureau of International Narcotics and Law Enforcement Affairs (INL) at the U.S. Department of State; Richard Baum, international division director with ONDCP; Antonio Lomba, acting chief of the Institutional Strengthening and Policy Coordination Section with the Organization of American States; and Chritharth Palli, law clerk to Justice T.S.Thakur, 43rd Chief Justice of India. Melody M. Heaps, president of MMH & Associates, worked closely with Rodriguez and TASC leaders to plan the visit.

For more than a decade, TASC has worked with federal and international partners to promote community-based systems of addiction recovery around the world. Through the leadership and support of INL, TASC Vice President George Williams has led curriculum development and week-long training events provided by TASC teams in South Africa, the Philippines, Sri Lanka, and Thailand. Rodriguez and Williams direct TASC’s international activities, working alongside partners at INL, ONDCP, the United Nations Office of Drugs and Crime, the Colombo Plan, and MMH & Associates.

Together, these entities share the goal of reducing substance use disorders and their consequences worldwide.

Rodriguez noted that local strategies and successes can elevate conversations at national and international levels. “We are grateful for the tremendous partnerships in Cook and Lake counties that showcase what system-wide interventions can do,” said Rodriguez. “It is gratifying to know that our work here can have an impact for families and communities around the world.”

TASC and partners welcomed guests from international agencies for a three-day site visit focused on diversion initiatives, jail interventions, and sentencing alternatives in Cook and Lake counties. Left to right: Charlotte Sisson, U.S. State Dept.; George Williams, TASC; Richard Baum, White House Office of National Drug Control Policy; Antonio Lomba, Organization of American States; Chritharth Palli, India judiciary; Pamela F. Rodriguez, TASC; Dr. Nneka Jones-Tapia, Cook County Dept. of Corrections; Melody M Heaps, MMH & Associates

Sept. 14-16, 2016: TASC and partners welcomed guests from international agencies for a three-day site visit focused on diversion initiatives, jail interventions, and sentencing alternatives in Cook and Lake counties. Left to right: Charlotte Sisson, U.S. State Dept.; George Williams, TASC; Richard Baum, White House Office of National Drug Control Policy; Chritharth Palli, India judiciary; Pam Rodriguez, TASC; Dr. Nneka Jones-Tapia, Cook County Dept. of Corrections; Melody M. Heaps, MMH & Associates; Antonio Lomba, Organization of American States.

 

TASC President Pam Rodriguez (center) describes the roles of case management in connecting justice systems to services in the community.

TASC President Pam Rodriguez (center) describes the roles of case management in connecting justice systems to services in the community.

Fundamentals of Alternatives to Incarceration

(Chicago) – In the United States, the majority of people who come into the criminal justice system have a substance use problem, which is a treatable health condition. As a response to non-violent offenses related to drug use and addiction, there are many alternatives to incarceration that are more effective and less expensive than keeping people behind bars.

“Program models are not enough,” said TASC President Pam Rodriguez. “What’s much harder to sustain—but what’s necessary if we want to achieve real impact—are whole systems where justice partners and health services in the community work together by design.

“Too often,” she added, “the justice system is the first place where people have a chance to get drug treatment and other health services. Adequate health services must be available in the community far before people reach the point of incarceration.”

For cash-strained governments, overburdened justice systems, and communities and families suffering the consequences of addiction, alternative sanctions for non-violent, drug-related offenses make sense.

First, incarceration is costly. In Illinois, it costs an average of $38,000 to keep someone in prison for a year. A single day in the Cook County Jail costs an average of $143, and even more in the segment of the jail that detains people with serious mental illness.

To borrow a term from the medical field, incarceration is iatrogenic, meaning that in and of itself it is harmful. Incarceration usually leaves people worse off—in terms of recidivism risk, job and family disruption, financial destabilization, and more—than when they went in. Even three days in jail has deleterious consequences.

Furthermore, without intervene early on, there are costs and consequences of a criminal conviction that last far beyond the period of incarceration or probation. The American Bar Association keeps a record of these consequences in each state.

Like other chronic health conditions, substance use disorders are treatable. It is estimated that 23 million people in the United States once had an alcohol or drug problem and no longer do.

Among individuals with a drug problem who were sent to TASC’s court and probation services, there was a 71 percent reduction in arrests for drug and property crimes over a two-year period after program enrollment.

“We know that addiction is treatable,” said Rodriguez. “We know that incarceration is expensive and iatrogenic. We also know that there are effective alternatives to incarceration. For these reasons and more, it makes sense to divert eligible individuals with substance use problems out of the justice system and into treatment and recovery support services in the community.”

There are numerous evidence-based practices and policies for preventing and stopping cycles of drug use and crime. The National Institute on Drug Abuse, the Institute of Behavioral Research at Texas Christian University, and TASC’s Center for Health and Justice are among many entities that publish and promote what works.

“What we know from extensive research and experience is that interventions must be matched to individuals’ risks for reoffending and their clinical needs,” said Rodriguez. “Mismatched interventions—such as the wrong level of care or supervision—not only waste resources, but actually can have the opposite of the intended effect.”

Sept. 14-16, 2016: TASC and partners welcomed guests from international agencies for a three-day site visit focused on diversion initiatives, jail interventions, and sentencing alternatives in Cook and Lake counties. Left to right: Antonio Lomba, Organization of American States; Chritharth Palli, India judiciary; Melody M Heaps, MMH & Associates; Pamela F. Rodriguez, TASC; Charlotte Sisson, U.S. State Dept.; Richard Baum, White House Office of National Drug Control Policy

Sept. 14-16, 2016: TASC and partners welcomed guests from international agencies for a three-day site visit focused on diversion initiatives, jail interventions, and sentencing alternatives in Cook and Lake counties. Left to right: Antonio Lomba, Organization of American States; Chritharth Palli, India judiciary; Melody M. Heaps, MMH & Associates; Pam Rodriguez, TASC; Charlotte Sisson, U.S. State Dept.; Richard Baum, White House Office of National Drug Control Policy.

Addiction Policy Forum and National Criminal Justice Association Partner to Translate Opioid Research to Practice

[On Monday, August 8 from 1:45-3:15 PM EDT (12:45-2:15 PM Central), the National Forum on Criminal Justice will livestream a panel discussion on Strategies for Combating the Opioid Epidemic. TASC President Pam Rodriguez is among the speakers. Register for livestream.]

The Addiction Policy Forum and the National Criminal Justice Association have announced a new partnership, the Translating Science into Practice Project, which will focus on translating the current research on opioid addiction and treatment into policy and practice in the field.

TASC is an active partner with the Addiction Policy Forum, which is comprised of organizations, policymakers, and stakeholders committed to comprehensive approaches to addiction prevention, treatment, recovery, and criminal justice reform.

The first step in the Translating Science into Practice Project is a livestream session on alternatives to incarceration during the National Forum on Criminal Justice in Philadelphia on August 8.  TASC President Pam Rodriguez, a leading voice in advancing front-end criminal justice diversion strategies, is among the expert panelists in this session. TASC has been involved in both studying diversion and in implementing innovative programming nationally as well as in its home state of Illinois.

The forum will be followed by a five-webinar series in the fall of 2016 that will provide policymakers and practitioners with details about policies that are working to reduce and treat addiction, including to prescription drugs, heroin and other opioids.

The Addiction Policy Forum has identified 11 practices across six key elements of addressing addiction: prevention, treatment, overdose reversal, recovery, law enforcement, and criminal justice reform. The state criminal justice administering agencies represented by the National Criminal Justice Association conduct comprehensive statewide planning and fund innovative, data-driven criminal justice policies and practices. They are engaged in finding and funding solutions to the opioid epidemic.

In collaboration with the Addiction Policy Forum, the Center for Health and Justice at TASC served as a partner in planning and facilitating briefings on addiction treatment and recovery, which contributed to the Comprehensive Addiction and Recovery Act, introduced originally in 2014 by U.S. Senators Sheldon Whitehouse (D-RI) and Rob Portman (R-OH), and signed into law on July 22 by President Barack Obama.

 (Source: Addiction Policy Forum)

TASC Consulting Supports New White House Data-Driven Justice Initiative

(Chicago) – On June 30, the White House launched the Data-Driven Justice Initiative with a bipartisan coalition of 67 city, county, and state governments who have committed to using data-driven strategies to divert low-level offenders with mental illness out of the criminal justice system. Coalition participants are changing approaches to pretrial incarceration so that people with lower-level charges no longer stay in jail simply because they cannot afford a bond.

These innovative strategies, which have measurably reduced jail populations in several communities, help stabilize individuals and families, better serve communities, and often save money in the process.

“The Data-Driven Justice communities are leading by example by committing to adopt these proven strategies that reduce unnecessary arrests and incarceration. These approaches provide much needed stability to individuals and families, and make our communities stronger while saving taxpayer dollars,” ‎said DJ Patil, U.S. Chief Data Scientist.

To help advance these efforts, TASC responded to the White House’s call to action and will provide telephone and on-site consulting to several jurisdictions within the coalition that are developing data-driven diversion practices.

“We are thrilled to be working with the White House and with partners across the country to support good diversion policies and practices, based on the evidence of what works,” said TASC President Pam Rodriguez.

The DDJ communities will implement the following strategies that have proven to be effective in reducing unnecessary incarceration in jails:

  • Use data to identify and proactively break the cycle of incarceration. DDJ communities will bring data together from across criminal justice and health systems to identify the individuals with the highest number of contacts with police, ambulance, emergency departments, and other services, and link them to health, behavioral health, and social services in the community, with a goal of reducing over-reliance on emergency healthcare and encounters with the criminal justice system.
  • Equip law enforcement and first responders with the tools they need to respond and divert. Recognizing that police officers, emergency medical technicians (EMTs), and firefighters are often front-line responders to people experiencing mental health crises, DDJ communities will create systems and protocols to help effectively de-escalate crisis situations and safely divert people to the appropriate service providers instead of arresting them.
  • Use data-driven, validated, pretrial risk assessment tools to inform pretrial release decisions. DDJ communities will work towards using objective, data-driven, validated risk-assessment tools to identify low-risk defendants held in jail and identify opportunities for their safe release.

“Just as the power of ‘big data’ is being used in the private sector to have greater insight and impact than ever before on their decision making, so too is it the right time for it be put to use by criminal justice decision makers for the same reasons,” said Jac Charlier, who directs training and consulting services for the Center for Health and Justice at TASC. “The vision of safer communities and our citizens leading better lives is very compelling.”

Each year, more than 11 million people move through America’s 3,100 local jails, many on low-level, non-violent misdemeanors, costing local governments approximately $22 billion a year.

Leveraging the opportunities of Medicaid expansion, TASC and its Center for Health and Justice have been working with local, state, and national partners to develop and implement strategies to safely divert people out of the justice system as early as possible.

Maureen McDonnell, who directs healthcare strategies for TASC and provides consulting services nationally, sees the tremendous advances possible through such diversion strategies.

“Through coordinated efforts taking place within jurisdictions across the country, millions of people with substance use and mental health disorders ultimately can be diverted away from the front end of the justice system and into appropriate care in the community,” she said. “This is a very exciting time.”

(left to right): TASC’s Jac Charlier, Pam Rodriguez, and Maureen McDonnell participated in the Data-Driven Justice inaugural workshop at the White House on June 13.

(left to right): TASC’s Jac Charlier, Pam Rodriguez, and Maureen McDonnell participated in the Data-Driven Justice inaugural workshop at the White House on June 13.