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Dd Engl. 09


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Dd Engl. 09

  1. 1. 12 th EFTC Congress on Rehabilitation & Drug Policy 2-5 June, 2009 The Hague, Netherlands The TC in the California Department of Corrections and Rehabilitation: A 20 Year Retrospective, Present Assessment & Lessons Learned Rod Mullen, President & CEO, Amity Foundation
  2. 2. <ul><li>This presentation is NOT on Mindfulness---that will be at 2pm today in Central America with Wilma Bakker </li></ul><ul><li>Several People have inquired about how to obtain the DVD shown Tuesday, “TC Pioneers”. We will show again today at 5:15 in South America along with another short film about women in a prison TC. </li></ul><ul><li>e-mail me, [email_address] to obtain copies </li></ul>
  3. 3. Amity Foundation is dedicated to the inclusion and habilitation of people marginalized by addiction, trauma, criminality, incarceration, poverty, racism and violence. Amity is committed to research, development, and implementation of information regarding community building MISSION
  4. 4. Why Prison TCs? <ul><li>Improved Institutional Management </li></ul><ul><li>Cost benefit (recidivism reduction-and much more) </li></ul><ul><li>Public Safety (less crime of </li></ul><ul><li>all types—including violent crime). </li></ul><ul><li>Increased Employment (tax takers become tax payers) </li></ul><ul><li>Family reunification (break the cycle) </li></ul>
  5. 5. Why Prison TCs? <ul><li>Most serious, chronic addicts become involved in the criminal justice system. </li></ul><ul><li>Most serious, chronic addicts will not seek treatment “on the streets.” </li></ul><ul><li>BUT--most are incarcerated at some point, often multiple times---and can be accessed for treatment then. </li></ul>
  6. 6. Critical Path in U.S. Wexler DVD
  7. 7. Characteristics of original Amity TC (paper available) <ul><li>TC model </li></ul><ul><li>Ex-addict/ex-offender staff </li></ul><ul><li>Space separate from general population </li></ul><ul><li>Support from Corrections (top to bottom) </li></ul><ul><li>Intensity </li></ul><ul><li>Lifer mentors </li></ul><ul><li>Parole from prison TC… </li></ul><ul><li>Transition to Community TC operated by Amity </li></ul>
  8. 8. 200 man housing unit--R.J. Donovan
  9. 9. Institutional Management <ul><li>In a six month period, the average number of serious disciplinary write ups in a 200 person housing unit at R.J. Donovan was 53 </li></ul><ul><li>In the Amity unit there were only 7 </li></ul><ul><li>This is 87% lower </li></ul>
  10. 10. Amity Recidivism Reduction Data <ul><li>Comparisons of Inmates who did NOT participate show that 3/4ths of them were back in prison three years after release. </li></ul><ul><li>But only about 1/4 of the Amity participants who completed the program were in prison. </li></ul>From a study conducted by H.Wexler, Ph.D. 1998 NDRI funded by NIDA
  11. 11. A Morning Meeting in the Trailers Morning Meeting in the Prison
  12. 12. An Encounter Group
  13. 13. What Happened? <ul><li>Very Rapid Growth---from 400 beds in 1996 to 9,000 beds in 2002—dilution. </li></ul><ul><li>Loss of Support (Legislature, Institutions) </li></ul><ul><li>Changes in the model—4 hour ‘day’ programs—loss of intensity. </li></ul><ul><li>Problems with linkage to aftercare </li></ul>When does success contain seeds of failure?
  14. 14. What Happened? <ul><li>Inclusion of mentally ill & sex offenders </li></ul><ul><li>Failure to fund adequately (quality of staff) </li></ul><ul><li>Loss of Collaborative “joint venture” model—RFPs developed with no input. </li></ul><ul><li>Attacks on TC providers as “wasteful” </li></ul><ul><li>Corrections Dept in disarray—no consistent leadership </li></ul>
  15. 15. But—still the largest Tx initiative in corrections; and last year: <ul><li>23,000 male/female inmates received services in prison TCs </li></ul><ul><li>14,000 male/female parolees received services in the community </li></ul><ul><li>21.9% recidivism compared to 40% for no treatment comparison (females 9% vs. 30%) </li></ul>
  16. 16. Today <ul><li>California’s budget problems are enormous---massive cuts in government services must be made: schools, parks, welfare, health care for the indigent and elderly--- AND treatment in corrections. So the entire initiative could be dismantled in the next month…. </li></ul>
  17. 17. U.S.—punitive policies don’t pay <ul><li>1 in 100 persons in the US are locked up. $49 Billion spent on corrections in 2008. </li></ul><ul><li>1 in 31 under criminal justice supervision </li></ul><ul><li>1 in 9 for African American men between age 20-34—effects?? </li></ul><ul><li>No clear evidence of a public safety benefit (crime reduction) </li></ul>
  18. 18. Billions spent on consequences of addiction Only 1.9% on prevention & treatment!!
  19. 19. Lesson <ul><li>Good TC Treatment is NOT expensive </li></ul><ul><li>No treatment IS expensive—for society, for the individual </li></ul><ul><li>And it’s not just about drugs---it’s about productivity, it’s about families, it’s about citizenship, and the values of a society… </li></ul>
  20. 20. Making a difference for the community... <ul><li>This… .. </li></ul><ul><li>Is better than this! </li></ul>