Delegation of Ugandan Juvenile Justice Leaders Visits TASC

(Chicago) – A delegation of juvenile justice leaders from Uganda visited TASC on September 24 for an exchange of ideas and strategies for serving youth who come in contact with the justice system.

As part of the International Visitor Leadership Program (IVLP) of the U.S. Department of State, the delegation of six leaders representing the Ugandan high courts, public prosecutions, and non-government organizations (NGOs) visited TASC to learn about justice reform, community-based alternatives to detention, and reentry programs.

The discussion, led by George Williams, vice president of community and government affairs for TASC, highlighted key approaches for diversion and reentry programs, as well as common challenges in providing opportunities for youth.

“The most important thing we do is engage with the youth,” said Anthony Harden, TASC juvenile justice services administrator. He emphasized the critical role and dedication of TASC care coordinators like Breanna Hollie, who co-presented with Harden. “We try to find something positive that youth will connect with.”

For instance, Harden noted, if a youth is doodling while TASC is conducting an assessment, that’s an opportunity to find out about the youth’s interest in art.

“In that case, we’ll find resources on art to support their interest,” said Harden. “We’ll learn where they grew up, what they want to do, where their strengths are… And we’ll connect them with mentors. We help youth understand that we work with the justice system, but we’re not the justice system. Our role is to be there for the youth, to be their advocates.”

TASC’s services for youth include prevention programs, diversion alternatives, court services, and post-detention reentry.

“We are committed to ensuring that there are alternatives at every point in the system,” said Alicia Osborne, director of operations for TASC.

The discussion highlighted opportunities such as strength-based approaches and balanced and restorative justice (BARJ), as well common challenges for youth who come in conflict with the law, whether in the U.S. or Uganda. Many come from environments of poverty, where family and social structures have been weakened, and where opportunities for work and education are lacking. In Uganda, delegates noted, in addition to facing poverty, children may be detained hundreds of kilometers from home, where they are far from family and may encounter language barriers as well.

While challenges are ever-present, the Ugandan delegates and TASC leaders shared a commitment to solutions that give youth and their families the opportunity to succeed.

“We can’t necessarily change the community environment,” acknowledged Williams. “But we can help our clients develop the protective skills and mindset to help them as they navigate back to their community. We help them find out, ‘What is my personal capital so I can change my relationship with the community?’”

The International Visitor Leadership Program is the U.S. Department of State’s premier professional exchange program. Past participants in the program include 35 current and 300 former chiefs of state or heads of government. In partnership with IVLP, the visit was facilitated by WorldChicago, a nonprofit organization that promotes citizen diplomacy and international exchange.

 

Ugandan delegation visits TASC (24 Sept. 2018). Back row, left to right: Daphne Baille, TASC; Anthony Harden, TASC; Marion Sunday Ben-Bella; Directorate of Public Prosecutions, Uganda; Jacquelyn Akol Okui, Office of the Director of Public Prosecutions, Uganda; Judge Margaret Mutonyi, Republic of Uganda; George Williams, TASC; Breanna Hollie, TASC; Alicia Osborne, TASC. Front row, left to right: Samali Wakooli, Office of the Director of Public Prosecutions, Uganda; Winfred Adukule Meuter, Free Child Uganda; Lillian Alum-Omara, Directorate of Public Prosecutions, Uganda.

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Supporting International Efforts to Prevent Overdose and Treat Substance Use Disorders

(Chicago) – TASC’s work in Illinois is helping to inform international strategies to save lives and divert people with substance use disorders away from the justice system and into community-based treatment.

On August 20, TASC hosted visiting dignitaries from the U.S. Department of State, Bureau of International Narcotics and Law Enforcement Affairs (INL) for discussions on criminal justice responses to the opioid crisis and alternatives to incarceration, based on the recognition that international supply reduction strategies can inform and support, and be supported by, local efforts across the country.

INL helps countries across the globe strengthen their criminal justice systems in order to reduce the entry of illegal drugs and crime in the U.S.

INL Deputy Assistant Secretary James A. Walsh and Michele Greenstein, acting director of INL’s Office of Criminal Justice and Assistance Partnership (CAP), were welcomed by TASC President Pam Rodriguez, who facilitated a roundtable discussion with local criminal justice leaders, including Judge LeRoy Martin, presiding judge of the Criminal Division of the Circuit Court of Cook County, Cook County State’s Attorney Kim Foxx, Cook County Public Defender Amy Campanelli, Cook County Circuit Judge Charles P. Burns, Judge Lawrence Fox, director of specialty courts for Cook County, and Chief Eric Guenther of the Mundelein Police Department. Leaders presented a continuum of criminal justice diversion strategies and alternatives to incarceration that exist in Cook and Lake counties for people who have substance use disorders.

Following the roundtable discussion, Walsh and Greenstein visited TASC’s Supportive Release Center, meeting with TASC staff as well as Cook County Sheriff Tom Dart, whose website offers information on array of resources on overdose prevention and recovery.

“We are grateful and proud to be able to show our collective work in Illinois, knowing that lessons learned here can benefit other nations across the globe,” said Rodriguez. “We also recognize that much work lies ahead in continuing to reduce the numbers of people entering the justice system, and in increasing treatment and recovery options for people and communities affected by substance use disorders.”

Today, communities across the globe are recognizing International Overdose Awareness Day, observed annually on August 31 to raise awareness around overdose prevention, reduce the stigma of a drug-related death, and acknowledge the grief felt by families and friends who have lost loved ones to drug overdose.

INL dignitaries and Sheriff Dart at TASC Supportive Release Center, August 20, 2018. (l. to r.) Michele Greenstein, INL; Alicia Osborne, TASC; INL Deputy Assistant Secretary James Walsh; Cook County Sheriff Tom Dart; Dr. Jane Gubser, Cook County Dept. of Corrections; Joe Ryan, Cook County Sheriff’s Dept.; Robin Moore, TASC.

 

Governor Rauner, Illinois Lawmakers Weigh in on New Pre-Arrest Diversion Legislation

(Chicago) — Illinois lawmakers weighed in on the significance of Senate Bill 3023, signed on Wednesday by Governor Bruce Rauner. The first state legislation to authorize a comprehensive array of pre-arrest diversion program approaches, it supports law enforcement officers in creating handoffs to community-based treatment when they see people who have overdosed or are showing other signs of substance use disorder.

“Our police officers want to help us solve the problem, not just punish people,” said Rauner. “This effort builds community and allows our law enforcement and peace officers a way to give people help instead of a criminal record.”

The legislation supports “deflection” of individuals with substance use problems away from the justice system and into addiction treatment services. Traditionally, law enforcement has been faced with two options: arrest or walk away. Deflection provides a third option: connecting people to treatment and/or other social supports.

Chief sponsors Senator Melinda Bush (D-Grayslake), Senator Tim Bivins (R-Dixon) Representative Marcus C. Evans, Jr. (D-Chicago) and Representative Tom Demmer (R-Rochelle) spoke of its significance.

“We know the factors involved with treating mental health and substance abuse are multilayered and complex,” said Bush. “Early detection is key, as both issues can manifest into a lifetime of challenges if left untreated.”

“Substance abuse contributes to crime, hurts Illinois families and deteriorates communities,” said Evans. “Our Illinois law enforcement and human services leaders understand this reality, and I applaud their support of a solution in the form of SB 3023. I am happy to see this community- and family-improving idea become law.”

The bill originated based on the successes of the Safe Passage program in Dixon and A Way Out in Lake County, Illinois.

Demmer, whose district includes Dixon, lauded the role of the Safe Passage program as a model for the legislation. “Dixon has had great success with 215 people placed directly into treatment over incarceration,” he said. “This has resulted in a 39 percent reduction in arrests for drug crimes, as well as properly deflecting people to get the medically driven substance abuse help they need instead of making it difficult for them to get help because of a criminal record.”

“This new law focuses on preventive measures in dealing with the opioid crisis and other substance abuse issues,” said Sen. Tim Bivins (R-Dixon). “It partners law enforcement agencies with licensed substance abuse service providers to treat individuals with substance abuse problems before they are arrested. Getting these individuals help before they enter the jail system will make it easier for them to resume their daily routines later without a criminal record, and will reduce the burden on local jail and court systems.”

“Deflection programs provide police officers with another option when dealing with someone they believe may have opioid or other substance abuse problems,” said Sen. Dan McConchie (R-Hawthorn Woods), who also sponsored the bill. “Continuously arresting and locking up such troubled individuals rarely fixes their underlying issue. It is my hope that with these deflection programs, we can get people the treatment and help they need to get better.”

Advancing Pre-Arrest Diversion in Illinois and Nationally

Leaders of the Safe Passage and A Way Out initiatives — Dixon City Manager and former Police Chief Danny Langloss and Police Chief Eric Guenther of Mundelein in Lake County, respectively — worked with TASC to spearhead the legislation.

“Senate Bill 3023 is the first of its kind legislation and recognizes a paradigm shift in law enforcement’s approach to those who struggle with substance use,” said Guenther. “I am very proud to have been a part of creating this legislation.”

“This is a hopeful day for Illinois law enforcement and those suffering from substance use disorder,” said Langloss. “The national opioid epidemic continues to impact every community. More than 72,000 Americans lost their lives last year to drug overdose. Behind every death there is a family. With this bill, the police now have new programs at their disposal that save lives and make our communities safer.

“We saw the successes of Chiefs Guenther and Langloss as meaningful and timely, and we wanted to help bring these opportunities for treatment to residents across the state,” said TASC President Pam Rodriguez. “From our work in the justice system, from police to parole and all points between, we’ve seen that public policy can serve as a launching pad for significant progress. This legislation is an example of that.”

As police departments across the country began developing programs in response to the opioid crisis at an increasing pace, TASC’s Center for Health and Justice identified five overarching pathways by which law enforcement was diverting or “deflecting” people away from arrest and into treatment, housing, and social supports in the community. Building from this work, Jac Charlier, national director for justice initiatives at TASC, co-founded the Police, Treatment, and Community Collaborative (PTACC), a national alliance of practitioners in law enforcement, behavioral health, community, advocacy, research, and public policy working to strategically widen  community behavioral health and social service options available through law enforcement diversion.

PTACC has illustrated these five pathways by which police departments are making connections to community-based treatment and social services; law enforcement and community partners can choose any or all of these pathways based on local needs and resources.

“Based on TASC’s and PTACC’s work identifying, communicating, and shaping deflection concepts and strategies nationally, it’s gratifying to see my home state of Illinois take the lead in shaping this public policy,” said Charlier. “We are seeding a national movement for the newly emerging field of deflection and pre-arrest diversion, which promises to reshape the relationship between law enforcement, behavioral health, and our communities to better respond to people with serious mental illness, save lives in the opioid epidemic, make our neighborhoods safer by reducing crime, and allowing police to better focus their resources on crime fighting.”

Governor Signs Illinois Law Enforcement Diversion Bill, First of Its Kind in the Nation

(Springfield) – Illinois Governor Bruce Rauner signed groundbreaking legislation on Wednesday that authorizes local law enforcement leaders and community partners to create local programs that “deflect” individuals who have substance use problems away from the justice system and into addiction treatment services.

Senate Bill 3023, also known as the Community-Law Enforcement Partnership for Deflection and Substance Use Disorder Treatment Act, sponsored by Senators Melinda Bush (D-Grayslake) and Tim Bivins (R-Dixon) and Representatives Marcus C. Evans, Jr. (D-Chicago) and Tom Demmer (R-Rochelle), encourages partnerships between law enforcement, substance use treatment providers, and community members to guide the development of deflection programs in their communities.

As part of a package of critical legislation to support access to treatment for substance use and mental health disorders, Governor Rauner also signed SB682, which removes prior authorizations for certain levels of substance use disorders; SB1707, which adds critical parity enforcement and transparency provisions to the state law; SB2951, which pilots an early mental health treatment program, and SB3049, the Medicaid Telehealth Act.

“The members of the General Assembly delivered great results,” said Governor Rauner at a signing ceremony at the Memorial Center for Learning and Innovation in Springfield. “Illinois is now a proud leader in these efforts. I’m honored and proud to sign these five bills.”

Among the law enforcement leaders attending the signing ceremony were Mundelein Police Chief Eric Guenther and Dixon City Manager and former Police Chief Danny Langloss, who, along with TASC, helped conceptualize SB3023. The legislation was informed by Guenther’s and Langloss’ direct experience leading pre-arrest diversion programs (also known as law enforcement “deflection” programs), as the police departments of Mundelein and Dixon already operate such programs.

“Senate Bill 3023 is the first of its kind legislation and recognizes a paradigm shift in law enforcement’s approach to those who struggle with substance use,” said Guenther. “I am very proud to have been a part of creating this legislation.”

“This is a hopeful day for Illinois law enforcement and those suffering from substance use disorder,” added Langloss. “The national opioid epidemic continues to impact every community. More than 72,000 Americans lost their lives last year to drug overdose. Behind every death there is a family.

“With this bill, the police now have new programs at their disposal that save lives and make our communities safer,” he said.

“With the passage of Senate Bill 3023, Illinois is leading the way on police deflection to substance use treatment,” said TASC Policy Director Laura Brookes. “These programs provide an immediate warm hand-off to treatment, and give police a new tool for getting people the help they need even before crisis sets in.”

The Illinois Criminal Justice Information Authority (ICJIA) will lead the development of a set of minimum data to be collected in such programs and, for those that receive funding, serve as a performance measurement system.

“The data collection provisions mean that departments will be able to improve their programs and allow equal access to them regardless of race or ethnicity or any other factors,” said Brookes.

“We thank Governor Rauner, the bill’s sponsors, our partners in law enforcement, and all who supported this landmark legislation.”

Among the many groups filing their support for the bipartisan legislation were the League of Women Voters of Illinois, Illinois State University Police, the Illinois State Medical Society, the Illinois Association of Chiefs of Police, Illinois State’s Attorneys Association, the Chicago Urban League, and the City of Chicago Heights.

SB3023 becomes effective on January 1, 2019.

August 22, 2018 signing of Illinois Senate Bill 3023 (l. to r.): Chief Steve Howell (Dixon Police Dept.), Laura Brookes (TASC), Chief Brian Fengel (Bartonville Police Dept. and President of IL Assn. of Chiefs of Police), IL Governor Bruce Rauner, Chief Eric Guenther (Mundelein Police Dept.), Chief Dan Ryan (Leland Grove Police Dept.), Danny Langloss (City of Dixon), and Jeff Ragan (Dixon Police Dept.)

August 22, 2018: Governor Bruce Rauner signs five bills supporting access to substance use and mental health treatment, flanked by advocates including Sara Howe (left), CEO of the Illinois Association for Behavioral Health.

Supportive Release Center Marks One-Year Anniversary; Model Replicated in Albuquerque

(Chicago) – In Albuquerque, New Mexico, a “one-stop” program recently opened to assist people newly released from jail in accessing a place to stay, food, medicine, substance use treatment, and other social supports.

The Albuquerque program—known as the Bernalillo County (NM) Resource Re-Entry Center—came about after local officials teamed up with the National Association of Counties and TASC (Treatment Alternatives for Safe Communities), which has been devising and implementing collaborative linkages between justice systems and community-based services since 1976.

One year ago in Chicago, TASC and partners launched the forerunner to the Albuquerque program.

Located just blocks from the Cook County Jail, TASC’s Supportive Release Center (SRC) offers a brief overnight stay and linkages to community-based services for men leaving the jail who are struggling with mental illness, substance use disorders, and/or physical health challenges, and who have no immediate place to go. The SRC serves as a guiding resource for voluntary participants who face vulnerabilities following their release from jail.

TASC care coordinators assist participants in accessing healthcare services, health insurance, identification, and other supports such as housing, food, job training, and legal aid resources. Connections to needed services are vital for individuals to become stabilized in the community, improve their health, and lessen their likelihood of returning to jail.

As an Urban Labs Innovation Challenge winner, and with funding from an array of private foundations and donors, the SRC represents a collaboration between TASC, the Cook County Sheriff’s Office and an array of partners to offer a “softer landing” for persons being released from the jail. Alongside TASC’s program administration and care coordination services, Heartland Health Alliance (HAH) provides intensive case management for individuals who require longer-term support, such as housing or treatment for serious mental illness. The UChicago Urban Labs is evaluating the SRC to ensure the efficacy of the program and lay the groundwork for improvements, expansion, and future replication.

Since the SRC’s ribbon-cutting on July 26, 2017, more than 600 men leaving the Cook County Jail have received services at the SRC.

“The hours immediately following release from jail are critical, especially for people who face vulnerabilities in terms of behavioral health, related medical issues, and housing,” said Alicia Osborne, director of operations for TASC. “It’s a privilege not only to be able to offer a place that eases that transition, but also to see that what we’re doing in Cook County can be beneficial to other counties facing these same challenges.”

Offering an overnight stay and linkage to services in the community, TASC’s Supportive Release Center welcomes men who are leaving the Cook County Jail and have no immediate place to go.

Senate Panel OKs Bush Bill to Give Police, Communities “Road Map” to Fight Opioid Crisis

(Grayslake, IL) – An Illinois Senate panel has approved a bipartisan plan that authorizes local police departments and community partners to develop local strategies to fight the Illinois opioid crisis.

The Senate Human Services Committee on April 10 voted 8-0 to advance legislation, Senate Bill 3023, that encourages local law enforcement to “deflect” from criminal arrest individuals who have overdosed or who have substance use problems, directing them instead into substance use disorder treatment.

The “Community-Law Enforcement Partnership for Deflection and Substance Use Disorder Treatment Act,” which is sponsored by State Senator Melinda Bush (D-Grayslake) and State Senator Tim Bivins (R-Dixon), provides a “roadmap” for partnerships between law enforcement, substance use treatment providers, and community members to guide the development of deflection programs in their communities, according to one of the bill’s chief proponents.

“Traditionally, local police have had two choices when faced with someone who they believe may have a substance use disorder—to arrest or to not arrest,” said Treatment Alternatives for Safe Communities (TASC) President Pam Rodriguez. “With the opioid crisis raging across the state, deflection provides a third option, to connect people with community-based substance use treatment services that address their underlying substance use problems. This bill lays out a roadmap to municipalities, offering guidance, program features, and a range of options.”

The number of Illinois overdose deaths from all opioids increased by 82% from 2013 to 2016.

The bill, which is also an initiative of the Village of Mundelein’s police chief and director of public safety, Eric Guenther, and the City of Dixon’s former police chief and current city manager, Danny Langloss, ensures that the impact of the programs is measured by requiring the Illinois Criminal Justice Information Authority (ICJIA) to lead the development of a set of minimum data to be collected and, for programs that receive funding, serve as a performance measurement system. Mundelein and Dixon’s police departments already operate deflection programs.

“The data collection provisions also provide a platform for ensuring that the racial disparities present in the criminal justice system can be prevented in deflection programs as they develop,” said Rodriguez. “The data collection and analysis are a crucial component.”

At the Senate committee hearing, a diverse group of 157 proponents filed their support for the legislation, including the League of Women Voters of Illinois, Illinois State University Police, the Illinois State Medical Society, the Illinois Association of Chiefs of Police, Illinois State’s Attorneys Association, the Chicago Urban League, and the City of Chicago Heights, among others.

Rodriguez also expressed her appreciation of the bipartisan leadership of Senators Bush and Bivins.

“We must recognize the bipartisan leadership of Senator Bush and Senator Bivins for advancing this legislation and their commitment to fighting the opioid scourge in Illinois,” said Rodriguez. “Because of them, Illinois is the first state in the nation to consider deflection legislation this comprehensive.”

The bill now faces the full Senate.

Averting Crisis: Safe Withdrawal in Jail Settings

(Chicago) – Lawsuits and news coverage across the country point to an alarming issue faced by jails: people are going into withdrawal from opioids, alcohol, or other substances while in jail and facing extreme discomfort and sometimes death. From 2010 to 2015, families in at least six states were awarded nearly $11 million in compensation for loved ones who died while being denied routine withdrawal management care in jails.

Jurisdictions can save lives and reduce their possible exposure to costly and time-consuming litigation by creating and enacting policies that ensure adequate care for individuals experiencing withdrawal while in jail. In order to support these efforts, the Center for Health and Justice at TASC has developed a brief for jail administrators, public safety leaders, and county and state policymakers. This brief contains information about safe withdrawal management in jail and resources to aid in developing these procedures.

As the opioid crisis continues, jails across the country are encountering people who are actively using heroin and other opioids and who may go into withdrawal while in jail. Abrupt discontinuation of non-opioid substances, including alcohol and benzodiazepines, can also cause withdrawal.

Jail administrators and personnel play an instrumental role in addressing these issues. They are legally responsible to care for the health and safety of people detained in their facilities and are often involved in identifying and addressing acute and chronic health issues, including substance use disorders. As the opioid crisis endures, jails face a growing need to save lives and reduce their own exposure to litigation risk by ensuring safe withdrawal from illicit opioids and other substances while in jail.

  • A recent national survey found that only 22 percent of individuals serving sentences in jails who met diagnostic criteria for substance abuse or dependence received any type of drug treatment while incarcerated, and only 2 percent of them were provided withdrawal management services.
  • Between 2014 and 2016, at least 20 lawsuits were filed alleging that individuals in jail died from opiate withdrawal complications.
  • Previous court rulings have indicated that failure to provide incarcerated individuals medical treatment for withdrawal symptoms or forcing them to go through withdrawal without proper medical supervision may be a violation of constitutional rights.

“Providing adequate care to people going through withdrawal in jail is a win-win-win—counties reduce their exposure to risk, people going through withdrawal in jail avoid the possibility of an unwarranted death sentence, and their families and friends don’t lose their loved one to a really horrible death,” said Brad Bullock, TASC’s area administrator in southeast Illinois. “From both an ethical and a pragmatic standpoint, enacting these procedures is the right thing to do.”

Several advisory organizations provide guidelines or standards on the provision of care for individuals who are going through withdrawal syndrome while in correctional custody, including the Federal Bureau of Prisons, the World Health Organization, and the National Commission on Correctional Healthcare. These organizations call on jails that do not already have sufficient withdrawal management protocols to develop them, and to hire and train staff to respond to withdrawal and the associated symptoms.

There is consensus that medically supervised withdrawal is ideal whenever possible. Partnerships with local medical providers can help jails safely manage withdrawal syndrome. Additionally, relationships with drug treatment providers can help jails connect people to needed treatment upon release.

The Center for Health and Justice at TASC helps states, counties, and local jurisdictions develop practical, collaborative strategies for improving community health, reducing re-arrest, and saving public dollars.

For more information, please contact Laura Brookes, TASC’s director of policy.