Implementation Guide

Behavioral Health Data Analysis Frequent Jail Users Incarceration Trends March 3, 2024

Creating Data-Informed Strategies to Understand the Needs of People in Your Jail

This publication delineates the importance of collecting and analyzing health-related and other disaggregated data within jails to address the complex needs of incarcerated individuals. As a how-to for jurisdictions seeking to improve outcomes through these means, the guide outline steps for integrating data from jail management and healthcare systems, conducting landscape scans, and developing data-sharing agreements to inform policies and improve outcomes.

Research Report

Data Analysis Incarceration Trends January 17, 2024

Turning Local Data into Meaningful Reforms

Rebecca Tublitz

Effective criminal legal reform requires a strong understanding of the key challenges jurisdictions face in building safe and equitable legal systems, as well as an equally strong understanding of the carefully designed solutions—and how to thoughtfully implement them. Data and information must play critical roles in supporting each stage of legal system reform. With this in mind, the John D. and Catherine T. MacArthur Foundation launched the Safety and Justice Challenge (SJC), a major initiative to support local criminal legal systems in reducing over-reliance on jails as a response to social problems. Today, the SJC supports a national network of 57 cities, counties, and states in implementing a range of policy and programmatic interventions to re- shape local justice systems, with the aim of safely reducing the number of people who go to jail and how long they stay. Data, measurement, and evaluation has played a pivotal role in guiding this initiative—for identifying drivers of the jail popu- lation, designing innovative decarceration strate- gies, monitoring progress, and evaluating and understanding performance. The Institute of State & Local Governance at the City University of New York (CUNY ISLG) plays a leading role in these data collection and analysis activities across the SJC, serving as a central liaison between local jurisdictions, external researchers, technical assis- tance providers, and the MacArthur Foundation. Safety and Justice Challenge cities and counties lowered jail populations by 18.6 percent—or 11,010 individuals on average—since the start of the initiative. This data is made possible by the data collection efforts detailed in the Main Report.

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A Better Approach for Managing Justice-Involved Veterans

By: Sergeant Major Alford L. McMichael

Collaboration Incarceration Trends Veterans November 9, 2023

Each year roughly 200,000 active-duty service members leave the United States military and return to civilian life. While most navigate this transition successfully, many struggle with mental health and substance use disorders, the effects of traumatic brain injury, homelessness, and criminality. One in three veterans report having been arrested and booked into jail at least once, a rate significantly higher than for non-veterans.

People who have served this nation in our armed forces have sacrificed to protect us. It is time for us to better recognize that sacrifice and take steps to ensure our veterans are treated fairly by the justice system. Veterans who encounter the criminal justice system should receive interventions that can help them resume their responsibilities to their families, their communities, and their country.

Last year the Council on Criminal Justice launched a national effort to help make that happen. Its Veterans Justice Commission, on which I serve, is chaired by former U.S. Defense Secretary and U.S. Senator Chuck Hagel and also includes former Defense Secretary and White House Chief of Staff Leon Panetta, the Chief Justice of the Georgia Supreme Court, two formerly incarcerated veterans, and other top military, veterans, and criminal justice leaders.

Our mission is straightforward: to examine veterans’ involvement in the criminal justice system and the risk factors that drive it, and to develop recommendations for evidence-based policy changes that enhance safety, health, and justice.

My fellow members and I have learned a lot since embarking on this endeavor. Above all, we have discovered that despite a patchwork of interventions designed to help veterans across the country, too many are falling through the cracks. Here is one example: while Veterans treatment courts have been a pioneering front-end intervention, just 14 percent of counties operate one, and eligibility requirements for such courts exclude many veterans.

Another challenge is that veterans who become incarcerated lose access to health care from the Department of Veterans Affairs (VA), which prevents them from receiving the specialized treatment they need to address post-traumatic stress disorder (PTSD) or other problems. The suicide rate for veterans is approximately 1.5 times higher than the rate among the general population, and it is especially high for veterans leaving incarceration.

In September, the commission released a policy roadmap that encourages the expansion of alternatives to prosecution and incarceration for justice-involved veterans. This blueprint outlines alternative sentencing options that not only recognize veterans’ service, but also consider the fact that their criminal behavior may have been influenced by that service. The options, which include expanded use of pretrial supervision and probation in lieu of a record of conviction or incarceration, are grounded in evidence-based practices. The commission also recommends allowing veterans whose cases are processed through such options to pursue record expungement.

Based on the policy framework a model policy called the Veterans Justice was adopted. This version of the framework will be shared with state legislatures as a blueprint for action on the issue. The policy framework reflects an initial set of recommendations released by the commission in March. Additional recommendations targeting veterans’ transition from service to civilian life will be forthcoming early next year.

As jurisdictions consider this model policy framework, my fellow commissioners and I hope the federal government will incentivize the widespread adoption and effective implementation of these reforms. Many of the framework’s elements will require updating existing systems, training personnel, and conducting ongoing evaluations. Federal funding can serve as a critical resource for jurisdictions pursuing these vital reforms, which will ensure that veterans nationwide can access correctional interventions designed for their specific needs.

I also hope policymakers at the state and federal level consider this disturbing reality: We are prosecuting and imprisoning veterans while denying them the care and consideration they need and deserve. And we are doing so even though their criminal justice involvement is often due, at least in part, to their willingness to fight for their country. As a result, we are not only doing a disservice to veterans, but also jeopardizing the safety of the public they once fought to protect.

The challenge of veterans returning home from wars and landing in the criminal justice system is not new. But our response can be.

Peer-Support Programs for Domestic Violence in Jail—A Starting Point

By: Katy Maskolunas

Human Toll of Jail Incarceration Trends Victims Women August 3, 2023

One in four women experience domestic violence in their lifetime. But three in four women who have been, or are, incarcerated have experienced it. Despite these disparately high rates among incarcerated women, jails too often lack organized domestic violence-specific services for women. Very few jails have programs to address women’s needs related to abuse and trauma. It is time to change that because more research shows providing such services is a good idea. They can help increase the success of reentry services and improve well-being. And that is an important part of efforts to reduce jail populations across the country.

Peer-support groups are the focus of a new report co-authored by survivors. It is a project of the National Center for Victims of Crime with support from the John D. and Catherine T. MacArthur Foundation’s Safety and Justice Challenge. Along with our panel of experts with lived experience, we convened a listening session to discuss how to create domestic violence peer-support groups in jails. The experts from this working group identified five principles to guide the development of domestic violence peer-support groups for women who are incarcerated. This is not an exhaustive list, but a starting point for engagement and implementation in institutions. We are hopeful that communities will want to partner with us to embed these principles.

Principle 1: The jail intake process should screen for whether a woman is a domestic violence survivor.

The intake process for women who are incarcerated should include an assessment to detect past domestic violence victimization, and jails should utilize gender-responsive assessment tools for this. Still, women who are incarcerated may not be ready to fully disclose their histories of domestic violence victimization when they arrive at a facility. Jails, therefore, should offer continuous opportunities for women to disclose information about their past.

Principle 2: Implement comprehensive and easily accessible compensation to peer domestic violence guides for their work. 

It is vital that women serving as domestic violence peer guides are compensated, financially or otherwise, for their service. Women should be compensated regardless of whether they serve as peer guides during or after their incarceration. Furthermore, work as a domestic violence peer guide while incarcerated, at a minimum, should constitute an internship with a partnering domestic violence program and qualify as requisite experience for a paid position with the organization upon release. Building relationships with external domestic violence organizations can also help institutions strengthen their policies around working with women who are survivors of domestic violence.

Principle 3: Supportive partnership and collaboration between peer guides and external domestic violence programs is needed. 

In addition to bringing domestic violence programming into jails, community-based domestic violence providers should train incarcerated victims and survivors to serve as peer guides. Community-based domestic violence programs should hire formerly incarcerated domestic violence survivors to work with domestic violence peer-support groups in jails and ensure that peer-support specialists receive just compensation. This duality of lived experience is necessary for peer guides to fully understand the traumas that have occurred before, during, and even after incarceration, and allows the guides to provide stronger and more relevant support for domestic violence victims who are incarcerated.

Principle 4: Ensure access to holistic care to treat the whole person.

Domestic violence peer-support programs in jails should engage holistically with incarcerated victims and survivors. Trauma is an emotional response to an intense event that threatens or causes harm. It is often the result of an overwhelming amount of stress that exceeds one’s ability to cope with the emotions involved with that experience. Educating incarcerated victims and survivors about trauma can help women realize that they are recovering from a serious stressor and learn more about their own stress responses and coping strategies, allowing them to build a sense of control over those responses. Trauma education can also minimize self-blame and build community among victims and survivors through a better understanding of their shared experiences. 

Principle 5: Correctional officers (CO) who transport women to and oversee domestic violence peer-support groups should be trauma-informed and trained on the dynamics of domestic violence.

The majority of individuals who interface with the criminal justice system, including jails, have been exposed to traumatic events, like domestic violence. However, institutional confinement, like jail, is not intended to house victims and often does not acknowledge or recognize that individuals involved in the criminal justice system are often victims before they committed their offense. Instead, incarceration is another traumatic event. Being locked in a cell is one of the most horrific, stressful experiences a person can endure. The act of locking another human being in a cell is also traumatic and potentially dangerous to the correctional staff. Incarcerated people and correctional staff alike are traumatized, forcing them to react to the world around them from a position of fear, making them more likely to respond with aggression. The trauma shared by staff and people who are incarcerated exists in a constant feedback loop in which no one feels safe.

Given the prevalence of preexisting victimization and ongoing trauma, especially in women who are incarcerated, jails need to embrace a trauma-informed approach and culture. A key part of creating this kind of environment is providing ongoing training to ensure that correctional officers understand the impact and prevalence of trauma and its pervasive effects on the brain and body, as well as the specific dynamics of domestic violence. Doing so can help to break the cycle of trauma for both women who are incarcerated and the staff who work with them.

The report would not have been possible without the expertise of our co-authors, Tanisha Murden and Rylinda Rhodes. We would like to thank them for sharing their knowledge, ideas, and experiences, as well as helping us create a more healing space for all survivors. We hope communities will find the recommendations in the report useful and explore implementing them in their policies. Just because someone is incarcerated does not mean they are not also victims of crime. In the case of domestic violence survivors, often the very actions that resulted in someone’s incarceration could have stemmed from self-defense or another means of escaping an abusive situation. It is incumbent on us, as a society, to support victims of crime in all circumstances.

Reducing Frequent Jail Contact to Lower Jail Populations

By: Sarah Desmarais, Samantha Zottola

Data Analysis Frequent Jail Users Incarceration Trends July 25, 2023

If they go to jail at all, most people in America only do so once. But in communities across the country, there is often a small group of people who account for a large number of jail admissions. They also account for a large portion of total jail expenditures. A new two-year research project sought to better understand this population in three communities and makes policy recommendations from which others can learn. The John D. and Catherine T. MacArthur Foundation funded the study as part of their Safety and Justice Challenge, which seeks to reduce jail populations.

How Did the Researchers Work and What Did They Find?

The study incorporated quantitative and qualitative methods. Researchers drilled into at least eight years’-worth of data from each of three communities to identify and describe the population of people with frequent jail contact. They also conducted interviews with 27 practitioners across a range of service sectors and 23 people with lived experience. Finally, they used both the quantitative and qualitative data to examine the strategies used by each community participating in the study to reduce jail contact.

The research found people with frequent bookings accounted for about one-half of all the bookings that occurred during the study period. Across communities participating in the study, people with frequent jail contact account for a majority of bookings, but account for a minority of the people booked. People of color and people with behavioral health needs are overrepresented. The study’s findings also emphasize complex interrelationships between race and ethnicity, gender, and behavioral health needs. They point to potential disconnects between the perceived and actual characteristics of people with frequent jail contact.

Different communities used different strategies to aid people with frequent jail contact but most did not have strategies intended for that exclusive purpose. Rather, they implemented strategies intended to aid everyone. All participating communities selected diversion strategies for people with behavioral health conditions as their primary intervention for the study’s focus. And the study found that behavioral health diversion strategies may improve outcomes for people with frequent jail contact. More broadly, the study findings underscore the importance of comprehensive community-based resources to support the success of behavioral health diversion programs. Findings also show the need for strategies that cross many systems and levels of policy and practice.

Policy Recommendations

Based upon the study findings, the researchers have nine policy recommendations:

  1. Create a Data Sharing Ecosystem

To meet the complex needs of people with frequent jail contact—especially individuals with behavioral health challenges—criminal legal and behavioral health systems need a common data sharing language and platform. Ideally, the common language and platform would extend to other systems as well, such as social and emergency services.

  1. Establish Formal, Jurisdiction-Specific Definitions

Jurisdictions should develop formal definitions or criteria to support the consistent operationalization and identification of people with frequent jail contact. These definitions should drive the development and implementation of related policies.

  1. Use Validated Behavioral Health Screening Tools

Consistent with the standards for health services in jails and prisons, universal screening using validated screening tools should take place during the intake process at each door into and away from the criminal legal system.

  1. Implement Psychiatric Advanced Directives

Psychiatric advance directives are intended to enable self-determined treatment, and effective and clear communication from a past and competent self, for individuals who are at risk of losing decisional capacity at some point in the future.

  1. Facilitate Jail In-Reach Programs

Trust and engagement are key to successful reentry for people with frequent jail contact. Jail in-reach programs allow practitioners to meet with people in the jail before release, assess their needs when back in the community, develop a plan to meet those needs, identify how community providers can assist, and provide coordinated support as people transition into the community.

  1. Increase Peer Support Programs

Peer support programs should be a key feature of policies designed to reduce frequent jail contact. While the focus is typically on lived experience with behavioral health systems, people with lived experience of the criminal legal system, specifically, share a common understanding of the challenges and resources necessary for successful reentry.

  1. Improve Access to Housing

Affordable housing is scarce in most communities. Providing safe, sustainable, and supportive housing for people involved in the criminal legal system with behavioral health conditions can be a challenge, but it is critical to reducing frequent jail contact.

  1. Increase Utilization of Community-Based Services

When possible, people should be given the necessary supports in navigating the continuum of care. In addition to warm handoffs from one service provider or program to another, other examples include a shared video chat with a new provider or engaging peer support services during transitions.

  1. Center and Evaluate Efforts for Racial Equity 

Evaluations suggest that efforts to reduce frequent jail contact have had limited success in improving racial equity in this population, likely due to multiple, intersecting factors. Communities should work to mitigate systemic racism through the operations of their criminal legal and behavioral health services for people with frequent jail contact and examine the success of these efforts through formal evaluations.