Law Enforcement, Health Advocates, and Members of Congress Push to Reduce the Number of People with Mental Illnesses in Jails

WASHINGTON, DC—Not long ago, Paton Blough stood before a class of law enforcement officers to teach them effective ways to intervene with people with mental health needs. It’s a topic Blough knows all too well: He’s been arrested six times, in each instance while experiencing a mental health crisis. He remembers one arresting officer who wanted to help him.

“If there would have been an opportunity to take me some place besides an ER or a jail, he would’ve loved to have taken it,” Paton told a crowded room during a Capitol Hill briefing last week. “We’ve got to get behind these programs that prevent problems, improve lives and save us money while making the communities safer.”

Programs that can help reduce the number of people with mental illnesses in jails, ranging from police training to certified peer support, are the basis for a new wave of national efforts highlighted Tuesday as Congressional leaders joined the Council of State Governments (CSG) Justice Center and the National Association of Counties (NACo) to discuss potential federal reforms and a new national initiative driven by the two organizations.

The briefing, which featured remarks from U.S. Sen. Al Franken (MN-D) and U.S. Rep. Rich Nugent (R-FL), underscored bipartisan commitment to prioritize this issue for the 114th Congress, highlighted successful local efforts, and introduced a new national initiative emphasizing state-local collaboration and targeted action on the ground level.

“This is a moral issue and an economics issue,” said Sen. Franken. “When we use our jails to warehouse people with mental illnesses, we burden the judicial system, the public health system, our law enforcement offices, and the taxpayers. In confronting this problem, we know that some of the most innovative solutions come from our local communities. It’s our job to make sure they’re properly supported.”

Rep. Nugent added: “Senator Franken and I are probably a couple of odd fellows because on most of instances we won’t agree. But on this one we do agree, and this is where bipartisanship really has to come together. We have the ability to change where we go forward … This is one area that the federal government can actually make an impact on the people we represent, a typically unrepresented population.”

NACo and the CSG Justice Center, together with other leaders in behavioral health and criminal justice, also discussed plans for an unprecedented effort to lower the number of people with mental illnesses in jails by improving access to effective mental health and co-occurring substance use treatment, strengthening criminal justice collaborations with behavioral health stakeholders, and advancing public safety goals.

“Counties are working to reduce the number of people with behavioral health and substance abuse needs in jails across the country,” said NACo Executive Director Matthew Chase. “This cutting-edge initiative will help counties focus on results and take their efforts to the next level. It will support action-oriented, comprehensive strategies to provide needed services in appropriate settings.”

The problem is clear: Jails in this country have replaced in-patient mental health facilities as the largest institutional treatment provider for adults with mental illnesses. Each year, more than 2 million people with serious mental illnesses are booked into jails, as well as millions more coping with less serious mental illnesses that jails are required to address. The majority of these individuals also have co-occurring substance use disorders, increasing their chances of staying longer in jail and being reincarcerated following their release.

The centerpiece of the initiative is a “Call to Action,” in which county leaders commit to a concrete, multi-step planning and implementation process that is supported by state policymakers, behavioral health and criminal justice practitioners, and other stakeholders to help achieve measurable results. The Call to Action will be launched in spring 2015.

John Wetzel, secretary of the Pennsylvania Department of Corrections and a member of the CSG Justice Center’s Board of Directors, provided closing remarks at the event, where he urged public officials and other stakeholders to “step up and do the right thing” regarding individuals and offenders with mental illnesses.

“Prisons were not designed to treat individuals with mental disorders, but the courts send these offenders to us and we must do everything possible to provide them with appropriate mental health services,” Wetzel said. “But in addition to these efforts, society in general needs to address this issue and seriously consider mental health courts and diversionary programs to ensure treatment for this segment of our population that does not include sending them to prison.”




via: http://csgjusticecenter.org/mental-health/posts/law-enforcement-health-advocates-and-members-of-congress-push-to-reduce-the-number-of-people-with-mental-illness-in-jails/

A Conservative Case for Prison Reform

By RICHARD A. VIGUERIE

MANASSAS, Va. — CONSERVATIVES should recognize that the entire criminal justice system is another government spending program fraught with the issues that plague all government programs. Criminal justice should be subject to the same level of skepticism and scrutiny that we apply to any other government program.

But it’s not just the excessive and unwise spending that offends conservative values. Prisons, for example, are harmful to prisoners and their families. Reform is therefore also an issue of compassion. The current system often turns out prisoners who are more harmful to society than when they went in, so prison and re-entry reform are issues of public safety as well.

These three principles — public safety, compassion and controlled government spending — lie at the core of conservative philosophy. Politically speaking, conservatives will have more credibility than liberals in addressing prison reform.

The United States now has 5 percent of the world’s population, yet 25 percent of its prisoners. Nearly one in every 33 American adults is in some form of correctional control. When Ronald Reagan was president, the total correctional control rate — everyone in prison or jail or on probation or parole — was less than half that: 1 in every 77 adults.

The prison system now costs states more than $50 billion a year, up from about $9 billion in 1985. It’s the second-fastest growing area of state budgets, trailing only Medicaid. Conservatives should be leading the way by asking tough questions about the expansion in prison spending over the past three decades.

Increased spending has not improved effectiveness. More than 40 percent of ex-convicts return to prison within three years of release; in some states, recidivism rates are closer to 60 percent.

Too many offenders leave prisons unprepared to re-enter society. They don’t get and keep jobs. The solution lies not only inside prisons but also with more effective community supervision systems using new technologies, drug tests and counseling programs. We should also require ex-convicts to either hold a job or perform community service. This approach works to turn offenders from tax burdens into taxpayers who can pay restitution to their victims and are capable of contributing child support.

The good news is that a national conservative movement to reform our criminal justice system, including volunteer pastoral counseling for prisoners and encouraging frequent contacts with family members, has been growing.

This Right on Crime campaign supports constitutionally limited government, individual liberty, personal responsibility and free enterprise. Conservatives known for being tough on crime should now be equally tough on failed, too-expensive criminal programs. They should demand more cost-effective approaches that enhance public safety and the well-being of all Americans.

Some prominent national Republican leaders who have joined this effort include Jeb Bush, Newt Gingrich, the anti-tax activist Grover Norquist, the National Rifle Association leader David Keene and the former attorney general Edwin Meese III.

Right on Crime exemplifies the big-picture conservative approach to this issue. It focuses on community-based programs rather than excessive mandatory minimum sentencing policies and prison expansion. Using free-market and Christian principles, conservatives have an opportunity to put their beliefs into practice as an alternative to government-knows-best programs that are failing prisoners and the society into which they are released.

These principles work. In the past several years, there has been a dramatic shift on crime and punishment policy across the country. It really started in Texas in 2007. The state said no to building eight more prisons and began to shift nonviolent offenders from state prison into alternatives, by strengthening probation and parole supervision and treatment. Texas was able to avert nearly $2 billion in projected corrections spending increases, and its crime rate is declining. At the same time, the state’s parole failures have dropped by 39 percent.

Since then more than a dozen states have made significant changes to their sentencing and corrections laws, including Georgia, South Carolina, Vermont, New Hampshire and Ohio. Much of the focus has been on shortening or even eliminating prison time for the lowest-risk, nonviolent offenders and reinvesting the savings in more effective options.

With strong leadership from conservatives, South Dakota lawmakers passed a reform package in January that is expected to reduce costs by holding nonviolent offenders accountable through parole, probation, drug courts and other cost-effective programs.

By confronting this issue head on, conservatives are showing that our principles lead to practical solutions that make government less costly and more effective. We need to do more of that. Conservatives can show the way by impressing on more of our allies and political leaders that criminal justice reform is part of a conservative agenda.

Richard A. Viguerie is the chairman of ConservativeHQ.com and the author of “Conservatives Betrayed: How George W. Bush and Other Big Government Republicans Hijacked the Conservative Cause.”