Transcript Slide 1

Systematizing Recovery Management
in the Criminal Justice System
Integrating Justice and Health to Lower
Recidivism among Drug-Involved Offenders
Melody M. Heaps, President
TASC (Treatment Alternatives for Safe Communities)
Chicago, Illinois
Presented at the Recovery Symposium
Philadelphia, Pennsylvania
May 2, 2008
THE ABOMINATION
• The U.S. has less than 5% of the world’s
population, but our incarcerated population
makes up almost 25% of the world’s
incarcerated population
• An African-American child born today has an
estimated 33% chance of being under the
jurisdiction of the criminal justice system some
time in his or her life
• More than 3 times as many African Americans
live in prison cells as in college dorms
Crisis: Incarcerating Addiction
• The solution = a “No Entry” approach to
incarceration for drug-involved offenders
– Prevents or provides early intervention
– Provides treatment alternatives to
incarceration
– Provides a recovery-oriented system of care
Crisis: Incarcerating Addiction
• The prevalence of people with substance
use disorders involved in the criminal justice
system is exponentially higher than in the
general population
Estimated Rates of Substance Use
Disorders in Criminal Justice Populations
General
Population
Probation
Jail
Prison
Parole or
Supervised
Release
9%
40%
68%
45-53%
37%
(BJS: Harrison & Beck, 2006; Mumola & Karberg, 2006; Karberg & James, 2005 / SAMHSA, 2007)
Crisis: Incarcerating Addiction
• Across the nation…
– 41% of state prisoners in 2004 were behind
bars for non-violent drug or property
offenses = 515,000 people
– 59% of federal prisoners in 2006 were
behind bars for non-violent drug or property
offenses = 103,766 people
– TOTAL = 618,766 people
(BJS: Sabol, Couture, & Harrison, 2007)
Crisis: Incarcerating Addiction
• 700,000 people released from prison
each year
• Within 3 years of release…
– 68% rearrested
– 52% returned to prison
(BJS: Sabol & Harrison, 2007; BJS: Langan & Levin, 2002 / PDOC, 2006 / IDOC, 2005)
Recovery-Oriented System of Care
• Recovery-Oriented System of Care (ROSC)
is the most effective approach to addressing the
crisis of incarcerating addiction
• Without a mechanism and/or infrastructure to
manage the implementation of a ROSC in
criminal justice populations in a systemic,
widespread manner, significant progress will not
occur
Recovery-Oriented System of Care
•
Recovery management within a ROSC
means treating addiction as a lifelong
process, shifting focus of care from…
1. episodes of acute care / treatment, to
2. symptom stabilization, to
3. client-directed management of lifelong
recovery
Recovery-Oriented System of Care
• One episode of treatment (the norm, if
any treatment at all)…
1. only represents the acute-care phase
2. can occur more than once
3. must be integrated into a larger system
of care
Recovery-Oriented System of Care
• Recovery management within a ROSC
combines traditional acute-care
treatment with:
– Pre-recovery support services to enhance
treatment readiness
– In-treatment recovery support services to
enhance the strength and stability of
recovery initiation
– Post-treatment recovery support services to
enhance the durability and quality of
recovery maintenance
Recovery-Oriented System of Care
• A continuum of care supports ongoing
recovery within a ROSC
• Critical elements of a continuum of care:
– Acute care / treatment
– Symptom abatement / ongoing counseling
– Employment
– Education / job training
– Family connection and support
– Housing
– Life management
Recovery-Oriented System of Care
• Challenge of ROSC is creating a system
in which recovery management is
possible
– It must be organized in the broadest possible
scale
– Treatment programs, community programs,
and public systems must be working in
concert
Recovery-Oriented System of Care
• There needs to be a mechanism and/or
infrastructure to manage recovery
management for the system =
• TASC
– Facilitates mandated reporting to public
systems
– Manages clients’ movement through stages
of recovery, from acute care to recovery in
the community
A Model for ROSC:
Sheridan Reentry Prison
• 46% of Illinois prisoners in 2005 were
behind bars for non-violent drug or
property offenses = 20,541 people
(IDOC, 2005)
A Model for ROSC:
Sheridan Reentry Prison
• Specialty drug treatment prison in Illinois
• Approximately 950 beds, expanding at
Sheridan and in other facilities (SWICC)
• Designed to treat prisoner substance
abuse and reduce recidivism
• Offers continuous substance abuse
treatment and supportive services
throughout the prison stay and after
release
A Model for ROSC:
Sheridan Reentry Prison
• Continuum of services
– In-facility treatment (therapeutic community)
– Peer support
– Clinical reentry planning and case
management (TASC)
– Parole supervision
A Model for ROSC:
Sheridan Reentry Prison
• The Sheridan model relies on the
availability of recovery management
support services following release
– Halfway houses
– Treatment
– Employment
– Relationships with family and friends
– Job training / education
– Transportation
A Model for ROSC:
Sheridan Reentry Prison
• Recovery-management supportive
services are undergirded by clinical case
management throughout the recovery
process (TASC)
A Model for ROSC:
Sheridan Reentry Prison
(Olson, Rapp, Powers, & Karr, 2007)
Thank you!
Contact:
Melody Heaps, President
TASC, Inc.
[email protected]
References
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