Supporting Criminal Justice Reforms and Treatment Access: National Initiatives

(Chicago) – The majority of people who enter the justice system have a substance use or mental health condition, or both. In many cases, deflection and diversion to appropriate services can happen at the very front end of the system, even before arrest.

TASC and its Center for Health and Justice (CHJ) are active in a number of national initiatives to advance knowledge, policy, and practice to divert eligible participants away from the justice system and into appropriate services in the community.

Comprehensive Addiction and Recovery Act

Passed by Congress and signed into law in 2016, the Comprehensive Addiction and Recovery Act (CARA) is groundbreaking legislation that, among its many provisions, supports justice diversion practices, medication-assisted treatment, and naloxone for first responders to help curb the opioid overdose epidemic. TASC played a leading role in the bill’s inclusion of the first-ever Congressional authorization of funding for pre-booking police deflection programs. TASC and CHJ are partnering with the Addiction Policy Forum to help advance these innovative practices.

MD Magazine Peer Exchange Video Series on Addiction and Treatment in the Justice System

TASC’s Jac Charlier and Phillip Barbour are featured in a 14-part video series entitled Medication-Assisted Treatment in Drug Abuse Cases: A Path to Success. The series is produced by MD Magazine, a portal that provides physicians with clinical news, information, and resources designed to help them provide better care to patients. In the series, Charlier, Barbour, and other experts discuss an array of issues around drug treatment and medication-assisted therapies in justice and reentry settings.

Data-Driven Justice Initiative

The Data-Driven Justice Initiative (DDJ) is a coalition of over 100 cities, counties, and states that have committed to employing data-driven strategies to divert individuals out of the justice system and into care, with a specific focus on the small percentage of people with substance use and/or mental health disorders who account for a disproportionate amount of health and justice resources. This groundbreaking effort is merging the fields of big data and criminal justice reform.

Working with the National Association of Counties, TASC is providing technical assistance to the State of Illinois and five small-to-medium counties outside of Illinois as they pursue their respective DDJ initiatives. TASC is helping these jurisdictions develop partnerships, identify core data sources, and plan for pilot programs to address local concerns.

Roll Call Videos for Law Enforcement

The Center for Health and Justice at TASC produced two videos to be used by local police departments during roll call to help law enforcement officers and leadership better understand the nature of addiction and improve community relations as a foundation for deflecting drug-involved individuals into treatment rather than arrest. This project was funded by the Office of National Drug Control Policy.

Following recent consulting work to help initiate Baltimore’s Stop, Triage, Educate, Engage, and Rehabilitate (STEER) program, Charlier recently was quoted in the Wall Street Journal regarding the value of law enforcement deflection initiatives. “The policing world, through deflection efforts, is understanding that access to treatment and follow-up to treatment is a legitimate approach to public safety,” he said.

Read more about TASC ‘s national work and other news here.

TASC’s Jac Charlier (far right) and Phillip Barbour (second from left) appear in MD Magazine Peer Exchange series.

TASC’s Jac Charlier (second from right) and Phillip Barbour
(second from left) in MD Magazine Peer Exchange series.

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.

Best Practices for Jail Medicaid Enrollment: TASC in Modern Healthcare Article

(Chicago) Modern Healthcare has published an article on best practices for Medicaid enrollment at jail intake, noting approaches which TASC has helped implement in Cook County and is sharing with other jurisdictions around the country.

Harris Meyer writes:

Like inmates throughout the country, most people entering the Louisville Metro Jail lack health insurance and many suffer from long-untreated chronic conditions.

At least partly as a result, some people, particularly those with serious mental illness and drug or alcohol addiction, keep getting re-arrested and returning to jail, increasing costs to taxpayers.

In Louisville, Kentucky, there are processes to sign up people for Medicaid at jail intake, as well as provide support at release for individuals with multiple needs who often cycle in and out of jail. The program is based on initiatives begun at Cook County Jail in Chicago.

In these locations and in a number of jurisdictions across the country, the aim is to increase the number of people who have Medicaid when they are released from jail, so as to improve their access to healthcare in the community and reduce their likelihood of recidivism.

…But there are tough challenges, including poor coordination between local jail authorities and state Medicaid agencies, lack of funding to hire enrollment assisters, and chaotic conditions during jail intake, said Maureen McDonnell of the Chicago-based not-for-profit Treatment Alternatives for Safe Communities. In addition, there is sometimes political opposition to offering public health insurance to accused lawbreakers.

“Typically, these programs start with a motivated jail director, county commissioner or county behavioral health director who sees the writing on the wall about how many people have substance abuse and mental health conditions,” said McDonnell, who advises jail officials around the country in starting Medicaid enrollment programs. “The current national focus on mental health and substance abuse is helping a lot.”

Through these collaborative approaches, and with Medicaid coverage, people with long-untreated substance use, mental health, and other medical conditions may have new means to access healthcare services. Read the full article at modernhealthcare.com.
Modern Healthcare (MH) best practices for helping people in jail get Medicaid, including input from TASC. Source and image credit: Modern Healthcare

Modern Healthcare (MH) best practices for helping people in jail get Medicaid, including input from TASC. Source and image credit: Modern Healthcare

 

Revision of Automatic Transfer Law Achieves Common Cause for Illinois Juvenile Justice Reform

OP-ED: During the 2015 spring legislative session, bi-partisan cooperation and compromise led to agreed upon changes to the Illinois criminal code, creating a fairer and more effective justice system for youth.

Accomplishments include a new reform, House Bill 3718, sponsored by State Representative Elaine Nekritz (D-Northbrook) and State Senator Kwame Raoul (D-Chicago), which addresses one of the most critical issues in juvenile court—the treatment of children as adults in court.

In early August, Governor Bruce Rauner signed this bill into law, eliminating the automatic transfer of juvenile cases based solely on charges brought against them, and expanding judicial discretion to try juvenile cases in juvenile courts.

The new mandate, an initiative of Cook County Board President Toni Preckwinkle, expands the requirement of review by a juvenile court judge to examine relevant factors before transferring some cases to adult court. Specifically, the law, which takes effect on January 1, 2016, requires a juvenile court hearing in all cases involving children 15 and younger and in cases of older youth charged with particular crimes.

Currently, a prosecutor can automatically transfer a child to adult court—with no appearance before a juvenile court judge required—simply based on the charge lodged against them. As of January 1, for all children under 16, an individual review of the circumstances of the case as well as consideration of the rehabilitative services available in the juvenile court system will be required.

The automatic court transfer law has disproportionately affected children of color.

According to a report released by the Juvenile Justice Initiative, between 2010 and 2014, 580 children were transferred to adult court in Cook County, and of those, only 4 were white. In addition, 6-16 percent of the children transferred were later re-charged with a lesser offense that would have triggered no automatic transfer, but they remained in adult court. An earlier version of the report indicated that of the 257 children transferred between 2010 and 2012, more half of those convicted were either recharged before trial or plea or eventually found guilty of lesser offenses.

Moreover, a Centers for Disease Control and Prevention (CDC) survey of research included a study finding that children tried in adult court had 34 percent more re-arrests than their counterparts tried in juvenile court, and other studies supported this finding. Further, the report indicated that strengthened transfer laws are “counterproductive to reducing juvenile violence and enhancing public safety.”

The reforms authorized by the legislature and approved by the Governor are in much better alignment with these findings.

By reducing the scope of the automatic transfer law, a legal relic of the 1980s, the Governor and lawmakers have endorsed the merit of judicial review and discretion on child transfer to adult court while preserving the authority to transfer a child and, in some instances, will still allow automatic transfer.

Next year, juvenile judges will individually consider transfer decisions for children ages 15-17 who are charged with armed robbery, aggravated vehicular hijacking, and unlawful use of a weapon on school grounds. Children age 15 and younger charged with any crime will be entitled to judicial review. Youth ages 16-17 charged with serious offenses like murder, aggravated criminal sexual assault, and aggravated battery with a firearm will still be automatically transferred to adult court.

The new law seeks to restore some sense of legal decency and justice in the Illinois juvenile justice system that has been for far too long operating on automatic pilot when it came to decisions that bore on the future of an entire generation of principally African-American children.

By taking this critical step, the Governor and the legislature have jointly determined that in the Illinois juvenile justice system, the priority must be fairness.

Pam Rodriguez, president and CEO of TASC, is a member of the Governor’s Commission on Criminal Justice and Sentencing Reform.

Governor Rauner Boosts Criminal Justice Reform; Solutions Include Diversion and Alternatives to Incarceration

At the signing of executive order establishing criminal justice commission, Governor Rauner greets Mike Torchia, director of Court Services for Sangamon County Adult Probation.  (Photo by TASC.)

Governor Bruce Rauner (right) greeted Mike Torchia, director of Court Services for Sangamon County Adult Probation, at the February 11 signing of an executive order establishing a criminal justice reform commission. (Photo by TASC.)

OP-ED: Governor Bruce Rauner signed an executive order on Wednesday to establish the Illinois State Commission on Criminal Justice and Sentencing Reform. Given that Illinois’ prison population has grown by 700 percent in the past 40 years, the commission will make recommendations to reduce the state’s prison population by 25 percent.

At the same time, the Illinois General Assembly’s Joint Criminal Justice Reform Committee, created last May and chaired by State Representative Michael J. Zalewski (D-23) and State Senator Michael Noland (D-22), recognizes the need to reduce incarceration of individuals with non-violent offenses and those with mental illness and addiction.

These initiatives by the Governor’s office and the General Assembly are critical and timely. They can be accelerated by leveraging proven solutions already working in Illinois.

First, sound reforms must recognize that the Illinois prison system is one of largest under-funded health operations in the country. Half of adults in prison have a mental health problem, and two thirds of adults in jail and prison have a substance use disorder requiring intervention. Many have co-occurring conditions. However, failed policies of the past 40 years have favored incarceration over treatment, driving prison and jail crowding and the clogging of courts.

Second, to slow the flood of non-violent offenders who churn through Illinois prisons, prosecutors and judges across Illinois must have means to systematically identify and divert non-violent defendants who have substance use or mental health conditions out of the justice system and into licensed treatment programs in the community.

More than 31,000 people were admitted to Illinois prisons in FY 13 (the most recently published data), with an estimated 57 percent sentenced for non-violent offenses eligible for diversion. Meanwhile, Illinois is paying $21,000 per year to incarcerate each of these men and women, when treatment and case management are only one-fifth that cost. No Entry diversion policies and programs—from “drug schools” to mandated community-based treatment with case management—reduce recidivism, save system and taxpayer costs, and address the behavioral health and social issues that often contribute to criminal behavior.

Last year, for example, TASC (Treatment Alternatives for Safe Communities) diverted more than 2,000 non-violent defendants away from prison and into supervised drug treatment in the community, saving the State of Illinois $35 million.

We know what works. To achieve real reform and cost savings, Illinois must bring these proven approaches to scale.

Pamela F. Rodriguez

President & CEO

TASC, Inc.

 

New Illinois Law Automatically Expunges Records of Juvenile Arrests That Don’t Lead to Convictions

(Chicago) – In early June, Governor Pat Quinn signed legislation to automatically clear arrest records for less serious, non-violent juvenile cases that do not lead to convictions, providing a “clean slate” to young people and avoiding a permanent, professional handicap weighing on their future.

“Many young residents are arrested each year for minor offenses that have the potential to negatively affect their future,” Quinn said upon signing the bill. “These juveniles are often unaware that the record of their arrest can follow them into adulthood.”

The legislation, Senate Bill 978, sponsored by State Senator Kwame Raoul (D-Chicago) and State Representative Art Turner (D-Chicago), automatically clears juvenile arrest records for youth who have since turned 18 years old and have not incurred other subsequent arrests or juvenile delinquency charges in the past six months. Serious felony offenses and sex offenses are ineligible for automatic expungement.

“The substance of juvenile expungement was already on the books, but required lengthy, expensive, and unnecessary legal red tape to achieve,” said TASC President Pamela Rodriguez. “The new law eliminates the burden of going through the time-consuming process of court to expunge his or her arrest record for minor offenses that were not proven.”

Rodriguez added that the new law eliminates a major obstacle on a youth’s path to adulthood.

Raoul hailed Quinn for his “swift action.”

“I’d like to thank the Governor for his swift action in bringing about this forward-thinking change in law,” said Raoul, “which is a step towards ensuring our young adults who are doing the right thing in pursuing opportunities to advance themselves are not handicapped with a criminal record for an offense that was never pursued by prosecutors.”

The new law is effective January 1, 2015.

Highlights from Celebrations of Recovery Month 2014 in Illinois

In celebration of the 25th anniversary of National Recovery Month, communities and organizations across Illinois have hosted various events to celebrate recovery from mental health and substance use disorders. Over the past two Saturdays, TASC was engaged in events in Chicago, Rockford, and University Park.

Pictured left to right, back row: Derrick Watson, Rev. Tommie Johnson Middle row: Mike Seeler, Alicia Fiestamel, Debra Hammer, Miki Hendricks, Angela Daniels Front row:  Peter Palanca; Benneth Lee

TASC staff at the September 20 Walk for Recovery at Governors State University in University Park, Illinois.  From left to right, back row: Derrick Watson, Rev. Tommie Johnson.  Middle row: Michael Seeler, Alicia Feistamel, Debra Hammer, Micki Hendricks, Angela Daniels.  Front row: Peter Palanca; Benneth Lee.

On September 20, the Governors State University (GSU) Addiction Studies Alumni Club hosted its third annual Walk for Recovery in University Park, drawing more than 250 people. Led by TASC Executive Vice President Peter Palanca as Master of Ceremonies, the event honored individuals in recovery as well as treatment providers dedicated to helping those seeking recovery. In the spirit of this year’s Recovery Month theme — Join the Voices for Recovery: Speak Up, Reach Out! — event speakers also encouraged citizens to continue to speak up on behalf of those in need of services.

According to the National Survey on Drug Use and Health by the Substance Abuse and Mental Health Services Administration, more than 23 million people over the age of 12 needed treatment for a substance use problem in 2009. Of these, fewer than three million received it at a specialty facility, making the role of organizations like TASC vital for many.

“We know that investing in recovery makes sense,” said Palanca. “When people with alcohol and drug problems get the help and support that they need, we see positive results.”

Palanca, who has served as Master of Ceremonies at the previous GSU Recovery Walks, added that the importance of recovery should be recognized year-round.

“Let’s not stop celebrating recovery as September comes to a close,” said Palanca. “Recovering people and their families are engaging in recovery each and every day with our continued support, guidance, and service.”

People in recovery, family members, community leaders, service providers, and recovery advocates celebrated at the sixth annual Recovery Rally on the Rock, held September 20 in Rockford.

People in recovery, family members, community leaders, service providers, and recovery advocates celebrated at the sixth annual Recovery Rally on the Rock, held September 20 in Rockford.

Also on September 20, the sixth annual Recovery Rally on the Rock took place on the banks of the Rock River. With inspirational speakers, entertainment, prizes, and refreshments, the event celebrates recovery and raises awareness of local resources to prevent and treat substance use and mental health conditions.

The Reverend Tommie Johnson, recovery support services coordinator for TASC, led the annual Winner’s Circle “Outside the Walls” event, which took place Saturday, September 13 in Chicago’s Douglas Park. “Outside the Walls” is a celebration of hope and healing in the spirit of recovery, promoting reconnected families broken by incarceration. The event offered a spiritual atmosphere emphasizing the importance of faith-based consciousness in productive reentry, and featured local gospel artists, food, family activities, and ongoing encouragement for health and wellness.

The keynote inspirational speaker at the September 13 “Outside the Walls” event was Reverend E.F. Ledbetter III, who is the pastor of the historic Mt. Pisgah Baptist Church in the South Side of Chicago.

The keynote inspirational speaker at the September 13 “Outside the Walls” event was Reverend E.F. Ledbetter III, who is the pastor of the historic Mt. Pisgah Baptist Church in the South Side of Chicago.

“For those engaged in the struggle to get their lives back on track, with all the obstacles they must overcome, it is good to have a moment that they are celebrated and not just tolerated,” said Johnson. “Everyone, no matter who they are, can use some encouragement from time to time.”

National Recovery Month spreads the positive message that behavioral health is essential to overall health, that prevention works, treatment is effective, and that people can and do recover. TASC is a National Recovery Month planning partner.