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.

U.S. Senate Passes Comprehensive Addiction and Recovery Act (CARA), Bipartisan Bill Moves to House of Representatives

On March 10, the U.S. Senate overwhelmingly approved the Comprehensive Addiction and Recovery Act (CARA). The legislation embodies a comprehensive response to addiction and the opioid crisis, earning the support of over 130 organizations—including TASC—in the fields of prevention, treatment, recovery, law enforcement, and state and local governments.

CARA garnered strong, bipartisan support in the Senate, passing on a vote of 94-1. Among the bill’s strong leaders and supporters were Senators Sheldon Whitehouse (D-RI), Rob Portman (R-OH), Amy Klobuchar (D-MN), and Kelly Ayotte (R-NH), as well as both Illinois Senators, Dick Durbin (D-IL) and Mark Kirk (R-IL).

More people died in 2014 from drug overdoses than in any previous year on record, according to the Centers for Disease Control and Prevention. The vast majority of people who need addiction treatment do not receive it. The Substance Abuse and Mental Health Services Administration estimates that only 2.6 million of the 22.5 million people across the country who needed help with a substance use disorder got it in 2014. The treatment gap also exists for people in prisons and jails, where an estimated 85 percent have been found to be substance-involved, but only 11 percent received any kind of treatment.

CARA’s key provisions include:

  • Expanding the availability of naloxone—an overdose antidote—to law enforcement and first responders to help save lives.
  • Expanding resources to identify and treat incarcerated individuals with addiction disorders promptly by collaborating with criminal justice stakeholders and by providing evidence­based treatment.
  • Launching an evidence-­based opioid and heroin treatment and intervention program to expand best practices throughout the country.
  • Launching a medication-assisted treatment and intervention demonstration program.

Appropriations to implement the bill were not included in the legislation.

For more information about CARA, visit here, and to ask your U.S. Representative to support the bill, click here.