TECHNICAL ASSISTANCE FOR CORRECTIONS DIVERSION This ¡presenta,on ¡is ¡supported ¡by ¡the ¡Health ¡Resources ¡and ¡Services ¡Administra,on ¡(HRSA) ¡of ¡the ¡U.S. ¡Department ¡of ¡Health ¡and ¡Human ¡Services ¡(HHS) ¡as ¡part ¡of ¡an ¡award ¡ totaling ¡$10.4 ¡million. ¡The ¡contents ¡are ¡those ¡of ¡the ¡author(s) ¡and ¡do ¡not ¡necessarily ¡represent ¡the ¡official ¡views ¡of, ¡nor ¡an ¡endorsement, ¡by ¡HRSA, ¡HHS ¡or ¡the ¡U.S. ¡Government. ¡
Presenter JOHN REES Criminal Justice Specialist fletchergroup.org
MY EXPERIENCE • 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"
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
CHAOS Recovery Housing is an unregulated industry prone to fraud and abuse. CONFUSION The Challenge Desperate families spend thousands of dollars with little to show. LACK OF RESOURCES Rural communities in particular lack the funds and resources to respond.
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
THE FLETCHER GROUP Founded in 2017 by former Kentucky Governor Ernie Fletcher. Uniquely adept at tapping existing government funds and resources to build Our History sustainable Recovery Housing. Mandated in 2019 with a HRSA Grant to provide Technical Assistance to rural communities suffering from a high incidence of drug addiction.
EVIDENCE-BASED TA Field-proven tools and expertise to maximize your effectiveness. 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 Our Focus With a particular emphasis on the homeless who are battling SUDs and engaged with the criminal justice system.
Our Unique Approach ¡ WITHIN A HOUSING MODEL A RECOVERY MODEL Sustainably funded through A ¡complete ¡Con,nuum ¡of ¡Care ¡ partnerships with Departments of from ¡intake ¡to ¡employment, ¡ Corrections, Housing Authorities, and including ¡MAT, ¡Peer-‑To-‑Peer ¡ many others, including the private Support, ¡Workforce ¡Development, ¡ sector. and ¡Social ¡Enterprise. ¡
OUR PARTNERS
ONE VOICE We work hand-in-hand with NARR to ensure a nationally unified voice for Recovery Residences. WE'RE DEDICATED TO: • The NARR Training Portal • The NARR National Directory • The NARR Outcomes Portal • Creating new NARR Affiliates wherever needed
Community Development A LONG-STANDING Funding 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 A MODEL A BRIGHT SPOT A PROGRAM OF THAT WORKS EVIDENCE-BASED IN TREATING EXCELLENCE PROGRAM PRESCRIPTION DRUG ABUSE The U.S. Department of Substance Abuse and Mental United Nations Office Health and Human Services Health Services Administration On Drugs and Crime Louisville Courier-Journal
HOUSING RECOVERY Transitional housing for up to Social recovery model with Highlights 24 months. peer-based 12-Step Program. EFFECTIVE DOCUMENTED Successfully halts the cycle of Documented outcomes equal Of a Recovery substance use disorders, to or exceeding the most dependency, poverty, and effective programs. Kentucky criminality. Residence INDEPENDENCE EMPLOYMENT Instills accountability and Provides life skills, meaningful responsibility for stable, employment, and a safe, independent living. supportive environment.
72.7% 38% Upon Entry referred from criminal justice reported homelessness 33 Years 52% average client age are males At 18 Recovery (ranging from 18 to 68) 48% are females Kentucky centers 2-3 Months 7.6 Months caring for over typical waiting list time average stay 2,000 residents (shorter stays associated with higher recidivism)
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
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