CORRECTIONS DIVERSION This presenta,on is supported by the - - PowerPoint PPT Presentation

TECHNICAL ASSISTANCE FOR

CORRECTIONS DIVERSION

Presenter

JOHN REES

Criminal Justice Specialist

fletchergroup.org

• Former Kentucky Commissioner of Corrections
• Has held leadership positions in Florida, Oklahoma,

New Mexico, and Tennessee

• Served as Vice President of Business Development

at Corrections Corporation of America

• Author of "Establishing Partnerships Between

Correctional Agencies and University Researchers To Enhance Substance Abuse Treatment Initiatives"

• Author of the book, "My Life: John D. Rees's Four-

Decade Career in Corrections"

MY EXPERIENCE

TODAY'S AGENDA

The War On Drugs The Benefits of Diversion Who We Are Our Partners Our HRSA Mandate Our Model Our Outcomes How The Money Works Documentation The Road Ahead

THE WAR ON DRUGS

WHAT THE DATA SHOWS

EVERY 25 SECONDS

SOMEONE IN AMERICA IS ARRESTED FOR DRUG POSSESSION

Source: “Every 25 Seconds: The Human Toll of Criminalizing Drug Use in the United States” at https://www.hrw.org/report/2016/10/12/every-25

300% Increase

IN DRUG POSSESSION ARRESTS SINCE 1980

Source: Peter Wagner and Wendy Sawyer, “Mass Incarceration: The Whole Pie 2018”

1 OUT OF 5

PRISONERS IS A DRUG OFFENDER

Source: Peter Wagner and Wendy Sawyer, “Mass Incarceration: The Whole Pie 2018”

1.5 MILLION MORE

ON PROBATION OR PAROLE FOR DRUG-RELATED OFFENSES

Source: Bureau of Justice Statistics, Probation and Parole in the United States, 2016 NCJ 251148 (U.S. Department of Justice, 2018)

THE EFFECT

WHAT THE DATA SHOWS

LITTLE BENEFIT

INCARCERATION HAS HAD LITTLE IMPACT ON SUBSTANCE MISUSE RATES

Source: Vera Institute of Justice, “The State of Opioids”

INCREASED DEATH

BY OVERDOSE IS DIRECTLY LINKED TO INCARCERATION

Source: “Release from Prison—A High Risk of Death for Former Inmates,” New England Journal of Medicine

A SAFER PUBLIC?

INCARCERATION OF DRUG OFFENDERS HAS BARELY AFFECTED PUBLIC SAFETY

Source: “The Prison Paradox: More Incarceration Will Not Make Us Safer” (New York: Vera Institute of Justice, 2017)

THE COST

WHAT THE DATA SHOWS

$33,274 PER YEAR

THE AVERAGE ANNUAL INCARCERATION COST PER INMATE

Source: Christian Henderson and Ruth Delaney, “The Price of Prisons: Examining State Spending Trends, 2010–2015 – Table 1” (New York, NY: Vera Institute of Justice, 2017)

$3.3 BILLION/YEAR

TO INCARCERATE DRUG OFFENDERS IN FEDERAL PRISONS

Source: Bureau of Prisons, Annual Determination of Average Cost of Incarceration, 81 Fed. Reg. 46957 (US Department of Justice, 2016)

$7 BILLION MORE

SPENT BY STATE GOVERNMENTS

Source: Henderson and Delaney, “The Price of Prisons: Examining State Spending Trends, 2010–2015”

$1 TRILLION

WHAT THE WAR ON DRUGS HAS COST AMERICA

Source: Bureau of Prisons, Annual Determination of Average Cost of Incarceration, 81 Fed. Reg. 46957 (US Department of Justice, 2016)

OPIOID EFFECT

WHAT THE DATA SHOWS

2.4 MILLION

AMERICANS HAVE AN OPIOID-USE DISORDER

Source: Laxmaiah Manchikanti and Angelie Singh, “Therapeutic Opioids: A Ten-Year Perspective on the Complexities and Complications of the Escalating Use, Abuse, and Nonmedical Use of Opioids”

289 MILLION

NUMBER OF OPIATE PRESCRIPTIONS WRITTEN ANNUALLY

Source: American Society of Addiction Medicine, “Opioid Addiction 2016 Facts & Figures”

80% FOR 5%

AMERICA—5% OF THE WORLD’S POPULATION— CONSUMES 80% OF ALL THE WORLD'S OPIOIDS

Source: “What Explains The Rising Overdose Rate Among Latinos?” NPR, May 16, 2018

OVER $500 BILLION

WHAT THE OPIOID EPIDEMIC COSTS THE U.S. EACH YEAR

Source: The Council of Economic Advisers, The Underestimated Cost of the Opioid Crisis (2017)

DIVERSION

WHAT THE DATA SHOWS

87% LESS LIKELY

TO BE INCARCERATED WHEN DIVERTED TO TREATMENT OR SOCIAL SERVICES

Source: Seema Clifasefi, Heather S. Lonczak and Susan E. Collins, “LEAD Program Evaluation: The Impact of LEAD on Housing, Employment and Income/Benefits” (Seattle, WA: University of Washington Harm Reduction Research and Treatment Lab, 2016)

33% MORE LIKELY

TO HAVE INCOME OR BENEFITS WHEN DIVERTED TO TREATMENT OR SOCIAL SERVICES

Source: Susan E. Collins, Heather S. Lonczak, and Seema Clifasefi, “LEAD Program Evaluation: Recidivism Report” (Seattle: University of Washington Harm Reduction Research and Treatment Lab, 2015)

46% MORE LIKELY

TO BE EMPLOYED OR IN VOCATIONAL TRAINING

Source: Susan E. Collins, Heather S. Lonczak, and Seema Clifasefi, “LEAD Program Evaluation: Recidivism Report” (Seattle: University of Washington Harm Reduction Research and Treatment Lab, 2015)

89% MORE LIKELY

TO OBTAIN PERMANENT HOUSING WHEN DIVERTED

Source: Susan E. Collins, Heather S. Lonczak, and Seema Clifasefi, “LEAD Program Evaluation: Recidivism Report” (Seattle: University of Washington Harm Reduction Research and Treatment Lab, 2015)

DIVERTED TO WHAT?

THAT'S WHERE WE COME IN

The Challenge

CONFUSION

Desperate families spend thousands of dollars with little to show.

LACK OF RESOURCES

Rural communities in particular lack the funds and resources to respond.

CHAOS

Recovery Housing is an unregulated industry prone to fraud and abuse.

OUR FOUNDER

Board-certified physician, three-term U.S. Congressman, and 60th Governor of Kentucky. Co-developer of the innovative and highly effective Recovery Kentucky program. That program has been named a “model evidence-based program” by SAMHSA and has grown to 18 centers serving over 2,000 people at any given time.

Ernie Fletcher

Our History

THE FLETCHER GROUP

Founded in 2017 by former Kentucky Governor Ernie Fletcher. Uniquely adept at tapping existing government funds and resources to build sustainable Recovery Housing. Mandated in 2019 with a HRSA Grant to provide Technical Assistance to rural communities suffering from a high incidence

• f drug addiction.

NATIONAL REACH

We're working in rural communities in Idaho, Montana, Washington, Oregon, Kentucky, Georgia, West Virginia, Ohio, and other rural communities as requested

HOUSING FOCUS

With a particular emphasis on the homeless who are battling SUDs and engaged with the criminal justice system.

EVIDENCE-BASED TA

Field-proven tools and expertise to maximize your effectiveness.

Our Focus

Our Unique Approach ¡

A RECOVERY MODEL WITHIN A HOUSING MODEL

Sustainably funded through partnerships with Departments of Corrections, Housing Authorities, and many others, including the private sector.

A ¡complete ¡Con,nuum ¡of ¡Care ¡ from ¡intake ¡to ¡employment, ¡ including ¡MAT, ¡Peer-­‑To-­‑Peer ¡ Support, ¡Workforce ¡Development, ¡ and ¡Social ¡Enterprise. ¡

OUR PARTNERS

WE'RE DEDICATED TO:

• The NARR Training Portal
• The NARR National

Directory

• The NARR Outcomes

Portal

• Creating new NARR

Affiliates wherever needed

ONE VOICE

We work hand-in-hand with NARR to ensure a nationally unified voice for Recovery Residences.

Community Development Funding

A LONG-STANDING PARTNERSHIP WITH FAHE

FAHE is a national leader in facilitating collaboration across sectors to increase health outcomes and reduce healthcare costs.

WHAT OTHERS SAY ABOUT US

A MODEL THAT WORKS

The U.S. Department of Health and Human Services

A MODEL EVIDENCE-BASED PROGRAM

Substance Abuse and Mental Health Services Administration

A BRIGHT SPOT IN TREATING PRESCRIPTION DRUG ABUSE

Louisville Courier-Journal

A PROGRAM OF EXCELLENCE

United Nations Office On Drugs and Crime

Highlights

Of a Recovery Kentucky Residence

HOUSING

Transitional housing for up to 24 months.

RECOVERY

Social recovery model with peer-based 12-Step Program.

INDEPENDENCE

Instills accountability and responsibility for stable, independent living.

EMPLOYMENT

Provides life skills, meaningful employment, and a safe, supportive environment.

DOCUMENTED

Documented outcomes equal to or exceeding the most effective programs.

EFFECTIVE

Successfully halts the cycle of substance use disorders, dependency, poverty, and criminality.

Upon Entry

At 18 Recovery Kentucky centers caring for over 2,000 residents

38%

reported homelessness

72.7%

referred from criminal justice

33 Years

average client age (ranging from 18 to 68)

52%

are males 48% are females

7.6 Months

average stay (shorter stays associated with higher recidivism)

2-3 Months

typical waiting list time

Substance Abuse Outcomes

Opioid Abuse Outcomes

Mental Health Outcomes

Community Living Outcomes

Economic Indicator Outcomes

Recidivism Outcomes

Return On Investment

Tax Savings

HOW THE MONEY WORKS

Regional Men’s Recovery Center Owensboro, Kentucky Construction Cost $5.9 Million

How Debt-Free Construction Works

How $5.9 million in construction costs were covered at the Regional Men's Recovery Center in Owensboro, Kentucky

$5,000,000

LIHTC (OVER 10 YEARS)

$250,000 $150,000 $500,000

1

HOME FUNDS

2

AFFORDABLE HOUSING TRUST

3

FEDERAL HOME BANK LOAN

4

WHAT'S AN LIHTC?

The Low-Income Housing Tax Credit is the key to debt-free construction. INVESTOR

Investors who make a lot of money have to pay a lot of taxes (investors can include banks)

FEDERAL GOVERNMENT

Wants to help low-income residents live in a decent home

STATE HOUSING AUTHORITY

Administers program by issuing annual tax credits for ten years to developers of worthy projects

DEVELOPER

Can cover most construction costs by passing annual tax credits to the investor

COMMUNITY

Win-win for the project, the residents, the investor, construction workers and the local economy

Men's Addiction Recovery Center Bowling Green, Kentucky Annual Operating Costs: $1.3 Million

How Operational Day-To-Day Sustainability Works

How $1.3 million in annual day-to-day operating costs are covered at the Men's Addiction Recovery Center in Bowling Green, Kentucky.

$550,000

DEPARTMENT OF CORRECTIONS

$200,000 $300,000 $150,000 $100,000

1

HOUSING CHOICE VOUCHERS

2

COMMUNITY DEVELOPMENT BLOCK GRANTS

3

FOOD STAMPS (SNAP)

4

LOCAL

5

THE VALUE OF DOCUMENTION

Eight consecutive years of detailed outcome documentation earns the trust of stakeholders and plays a key role in winning tax credits and other governmental assistance.

Where Will We Be In Three Years?

CAPACITY

increased capacity to provide services addressing SUDs.

HOUSING

At least one new Recovery Residence in each community we serve.

PRIDE

A community-wide sense of progress in meeting the challenges posed by the

• pioid epidemic.

Potential Partners

WE'RE IN THIS TOGETHER

• Departments of Community Health
• Departments of Corrections
• Departments of Behavioral Health and

Development Disabilities

• Departments of Community Affairs
• Housing Authorities
• Faith-Based Initiatives
• Private Sector employers and others

Thank you! Questions? Thoughts? Suggestions?

Contact Information

EMAIL ADDRESS

jrees@fletchergroup.org

PHONE NUMBER

(812) 528-6867

JOHN REES

Fletcher Group Justice System Specialist