After Prison, Healthy Lives Built On Access To Care And Community

An array of services in Pima County, Arizona, greets hundreds of people getting released early from jail or helps keep them out of jail in the first place. By providing drug treatment, housing, job assistance, and other help that people need instead of incarceration, the county's Criminal Justice Reform Unit and Jail Population Review Committee saved the county $2 million in jail costs over just part of 2020. Drug use also declined and officials hope to see longer-range benefits in lower recidivism.

In rural North Dakota where clinical treatment centers are hard to find, a program called Free Through Recovery "seeks to drive down North Dakota’s prison rates by creating networks of sobriety and support around people on probation and parole." Although local law enforcement claims the program is not an alternative to incarceration, in the short time it has been in operation, it has served over 550 people with many participants securing both housing and work opportunities.

The Miami Police Department has joined efforts with health care and social services partners to offer an alternative to prison for opioid users. The Collaborative Law Enforcement Addiction Recovery (CLEAR) program consists of participants signing a binding agreement and entering treatment that lasts for 12 months, all while also helping to build trust between officers and their communities.

If juveniles in the Hinds County youth-court system, whose families tend to have limited resources, cannot get sustained, meaningful help at the center, they do not have many other options. But, thanks to a lawsuit on behalf of the juveniles in the facility, the county is starting to address the lack of mental-health services - whether in facilities or starting at home with the family.

Providing positive interventions reduces gun violence among struggling youths. In New Haven, Connecticut, the Project Longevity program offers social services, treatment, housing, and counseling to those who typically only face crackdowns by law enforcement. The program aims to assist and help gang members find a way out of violence, supported in the long-term by funding approved by the CT state legislature.

Connecticut is attempting to reduce prison recidivism by changing parole practices. Changes to the system are allowing parole officers to foster relationships with parolees and counsel them as people, not as cases.

Two columns on how Iran is treating its massive epidemic of injecting drug use by tackling it as a health problem, effectively lowering H.I.V. rates among drug users using an approach to drugs known as harm reduction.

Chesterfield County, Virginia implemented a multi-faceted response to the opioid crisis, including a jail-based recovery program, Helping Addicts Recover Progressively (HARP), that brings people in recovery to the local jail to talk about addiction and treatment resources. Combined with other efforts, overdose deaths have dropped by half in a single year, and around 4,000 people have participated in HARP.

An emergency shelter, a housing nonprofit, the City of Boise, and the Boise Police Department came together to coordinate efforts and give assistance to the growing number of residents experiencing homelessness and living in RVs and cars around the city. The “Street Outreach Support” program involves knocking on the vehicle doors and offering temporary housing and medical attention to those who need it. While there are a smattering of reasons that people are living in their vehicles, the city is searching for a more permanent solution to getting people access to affordable housing.

After two failed attempts, Oakland Ceasefire retooled its approach and since 2013 has been a significant factor in lowering homicides and nonfatal shootings. The program, used in various ways in many cities, identifies young men at high risk of getting shot or shooting others and then offers them life coaching and social services to keep them out of trouble. By de-emphasizing the role of police, pinpointing those most in need of help, boosting community involvement, and forming deeper personal relationships, the program is credited with a 32% reduction in gun homicides over a six-year study.