Post on 29-Jan-2020
1
Recovery A*er Incarcera.on: Peer Supports as a Cri.cal
Re-‐Entry Service
2
BRSS TACS Webinar June 30, 2016 2:00-‐3:30 PM Eastern Time
Webinar Moderated by
Steven Samra BRSS TACS Deputy Director Center for Social Innova:on
BRSS TACS Major Goals
• Engage & promote leadership of people in recovery at all levels of state & local systems & services
• Disseminate state-‐of-‐the-‐art informa:on on recovery supports & services
• Through cross-‐sector collabora.on, implement Recovery Support Ac:on Plans for States, Territories, Tribes & communi:es
• Promote peer-‐driven, recovery-‐oriented supports and systems
Webinar Instruc.ons
• Webinar will last approximately 90 minutes
• Submit ques:ons at any :me in the box labeled, “Submit Ques:ons Here”
• Access to the recorded version of this webinar will be available in about a week
• Download presenta:on slides and other resources in the box labeled, “Access Materials and Links Here”
Today’s Agenda
• Mishelle O'Shasky, Wisconsin Statewide Network Coordinator, Grassroots Empowerment Project
• Mike Jones, Founder/Execu:ve Director, Breaking The Cycle Inc.
• Ayesha Delany-‐Brumsey, Director of Substance Use and Mental Health Program, Vera Ins:tute of Jus:ce
• Q&A Session • Closing Remarks
A Personal Journey to Recovery and Reentry
Mishelle O’Shasky Statewide Network Coordinator Grassroots Empowerment Project
8
My Rearview Mirror Reflec.on
Alcoholic, Bipolar, Clinically Depressed, Anxious, Criminal, Offender, Inmate, White Trash, Poor, Uneducated, Dysfunc:onal, Incorrigible, Pessimist, Repeat Offender, Unfit Mother, Manipula:ve, Unaccountable, Failure, Prisoner, Ex-‐Offender, Ex-‐Wife, Mentally Ill, Unlovable, Child of Domes:cally Violent Parents for Whom Alcohol Was the Norm
#258964
#258964
#258964
#258964
How I Got to Prison
9
Case # County Statute # Convicted 04CF00103 PORTAGE 346.65(2)(E) F 05/10/2004
04CF52 LACROSSE 939.32 , 939.62 , 940.20(2) F 08/07/2007
06CF00160 ADAMS 346.63(1)(B) F 10/17/2007
06CF160 ADAMS
343.44(1)(B) M , 939.62(1)(A) , 946.41(1) M , 948.21(1) M
10/17/2007
92CR129 MARQUETTE 943.34(1) M , 973.015 04/19/1993
97CM00402 PORTAGE 947.01 M , 968.075 07/29/1998 98CF00043 MARQUETTE 948.22(2) F 02/12/1999 98CM00133 PORTAGE 943.14 M 07/29/1999
The Results of My Behavior Incarcera.ons in the Wisconsin Correc.onal System
• 2000–2001 (2 Years) • 2004–2006 (2 Years) • 2006–2010 (3 ½ Years)
Proba.on, Parole, or Extended Supervision • 14 years + 7 ½ years incarcerated • 21 ½ years wasted to the system
What I Lost • My freedom • Rela:onships with my children and family • My dignity • My soul • Any opportunity to succeed and quality of life, or so I thought….
10
Factors and Barriers to Integra.on
• Trauma suffered at the hands of the Dept. of Correc:ons (DOC). Rape, humilia:on, stripped of all dignity, repe::ve inten:onal trauma
• Internet exploita:on of mugshots-‐BIG BUCKS! • Employment, s:gma, felony status, housing • Lack of medical care/medica:on • Unqualified contract holders (providers)/DOC-‐not evidence based or
required-‐If your even given the op:on for services • No adequate and realis:c support systems/families are s:ll in ac:ve
addic:ons • Linear approaches to recovery/not person-‐first or accommoda:ng to
individual’s needs and demographics/heavily directed towards 12-‐step programs and religion
• Proba:on and parole 11
12
What Worked for Me? Peer Support!
How Did I Get Here?
• First and foremost, an accurate diagnosis with medica:on designed as non-‐linear approach to my personal journey towards recovery and my needs
• Research materials provided via peer from the outside-‐Support/trauma/diagnosis/medica:on informa:on that was relevant to me
• Visits were easily accessible as well as reduc:on in collect call costs • Knowledge! • I took charge of my sentence structure and :meline, refused harmful
treatment for an early release/could have of had reduc:on of 18 months-‐WHY?
• Rebuilt rela:onships and took accountability for my role • Got a job in prison no maqer what the job was/GOT LUCKY! • Had the support of the Legal Aide of incarcerated persons to retain my
visita:on rights with my youngest son
• Most Important-‐Organic Peer Support 13
What Can We Do?
• We must be smart, innova:ve, and crea:ve to overcome these barriers with them. Suppor:ng best prac:ces and evidence based recovery models is the most effec:ve way to bring posi:ve change to this overwhelming need.
• Bring criminal jus:ce-‐involved consumers, stakeholders, family, advocates, and communi:es together in a true collabora:on, respecrul dialogue, and build equal partnerships to overcome these obstacles.
• Posi:ve, healing rela:onships based on respect, shared responsibility, inclusive solu:ons, a mutual understanding, and power are the core elements of culture and systems change.
• RE-‐Entry Peer Support: It is necessary and what can poten:ally change the re-‐entry process for an individual that has never returned to a community, integrated successfully, or for the first :me reintegra:on. Three :mes and I nailed it…finally.
• The only person that knows what it is like or feels like to return to society aser incarcera:on, is someone that has that lived experience. You will never be able to have the insight to properly support, and there is poten:al to harm!
14
What Successful Reentry Can Look Like
15
Statewide Network Coordinator, Grassroots Empowerment Project
Vice-‐Chair, WCMH Chair, WCMH Criminal Jus:ce Commiqee Commiqee Member, CJCC TAD Courts
Cer:fied Peer Specialist
Becoming the Mom My Children Desperately Needed
16
Trevor: • 25 years old • Correc:onal officer, Dodge
County Sheriff’s Dept. Aria: • 22 Years old • UWSP Arts Major • Employed Kali: • 19 years old • Nursing student • Employed Casey: • 17 years old • Junior in high school • Employed I Needed Them and They Needed Me
Contact Informa.on
Mishelle O'Shasky Statewide Network Coordinator Grassroots Empowerment Project
1-‐800-‐770-‐0588 EXT. 7 or 715-‐423-‐2280 mishelle@grassrootspower.org
17
Breaking the Cycle, Inc.
Mike Jones Execu.ve Director
Breaking the Cycle, Inc. 18
Mike Jones
Served four and a half years in prison: three years for domes:c violence (state); one year for bank fraud (fed) Father of four children and two grandchildren Child of African-‐American and Puerto Rican parents Founded Breaking the Cycle, Inc. in June 2008; in 2016 obtained CDCA license 19
20
• Breaking the Cycle Inc. (BTC), a non-‐profit organiza:on located in Cleveland, Ohio, improves the lives of ex-‐offenders (returning ci:zens/otherwise eligible individuals) by providing comprehensive employment training and services and establishing posi:ve employer rela:ons.
• BTC prides itself on becoming a springboard for returning ci:zens to reenter society and become successful as well as a cuyng edge, innova:ve reentry organiza:on.
• On June 10, 2008 Michael L. Jones (Mike Jones), a returning ci:zen, founded BTC. Through the principals of BTC, along with hard work, determina:on, a strong mind, good work ethics, and family support, Mike worked his way from Burger King to General Motors. Aser seeing the plight of returning ci:zens, Mike wanted to make a difference.
• BTC is a job referral agency that educates and trains returning ci:zens to meet the community needs.
• The moqo of BTC is that there are two types of animals: jungle animals and zoo animals. Jungle animals get their own food and zoo animals wait to be fed.
• Mike and Ken Roye based BTC’s curriculum on their own reentry trial and error process.
About Breaking the Cycle
Seven Pillars (Radicals) of Reentry
• Employment: Successful rehabilita:on and transi:on of most people with a criminal past requires a stable, full-‐:me job that pays a living wage.
• Housing: Stable housing has become increasingly harder to obtain for returning ci:zens, as property management companies perform background checks going back 20 years.
• Health: This includes both physical and mental health. • Educa.on: In Ohio over 53% of returning ci:zens lack a high school diploma or G.E.D. • Family Supports: Possibly the most important ac:on for returning ci:zens, repairing
personal rela:onships and regaining trust must start with family. Support to not recidivate must also start with family. 80% of all youth (ages 16–24 or younger) in the juvenile system have at least one parent that has been incarcerated.
• Legal Concerns: Child support, driver’s license issues, and expungement are main concerns for returning ci:zens. BTC connects clients to helpful community resources.
• Financial Literacy: Since September 2009, BTC has presented over 7,000 returning ci:zens with an opportunity to open a no-‐money-‐down checking account. In addi:on to showing clients how to open a bank account, BTC also teaches clients how to manage money and restore credit.
21
Changing Mindsets
22
The Four E’s of Breaking the Cycle, Inc.
• EMPLOYMENT: We help our unemployed members find jobs, build careers, and become entrepreneurs. We search high and low to find job openings that fit our membership, and when we know something fits, we make specific recommenda:ons.
• ENCOURAGEMENT: Many in our group are :red of trying and have been beaten down with failures for years. We are ra:onal cheerleaders. We promote, encourage, and stay connected with our members, so they know that they are not alone. To ignore the spiritual and emo:onal needs of our members is to ignore them altogether.
• EDUCATE: We deal with issues of incarcera:on, recidivism, psychology, economics, educa:on, release, lifestyle choices, and more. We do not avoid these issues; we embrace and discuss them in a factual way, remaining sensi:ve and maintaining realis:c expecta:ons.
• EMPOWER: We help people become self-‐sustaining. We understand the need for support at different :mes in each person’s life and promote people and agencies that provide such support.
23
Effec.ng Change Since June 2008
• Due to frustra:on from local Career Fairs that did not include employment opportuni:es for the Returning Ci:zen community, BTC (under the advise of Gary L. Baney) began to network with area employers and advocate for employment opportuni:es for the Returning Ci:zen community.
• BTC hosted Returning Ci:zen Resource and Career Fairs from September 2009 – October 2013 in the communi:es of Cleveland, Ohio and Atlanta, Georgia (2013 only).
• 155 vendors • Over 3,658 aqendants • 40 employment and entrepreneurship opportuni:es • 833 employed
• Since in October 2013, BTC has collaborated with Catholic Chari:es and the VOA, to host similar Career and Resource fairs in Cleveland, Ohio.
• In November 2014 BTC collaborated with Job Corps to host the Children Of Incarcerated Parents Resource and Career Fair. • 400 youth served • 88 employed • 25 vendors including 8 employers
• In September 2012, BTC conducted two Voter Registra:on “Take Back Your Voice” events • 57 Returning Ci:zens registered
• January 1, 2010 – December 31, 2012 BTC its social media classes in other community agencies for their clients. • In 2011-‐2012 partnering, with Collabora:on Sta:on, BTC has helped train 11 clients as entrepreneurs to start a business. • In 8 years BTC has served 2,208 returning ci:zens and helped 882 become employed. • From May 2009–December 2013, BTC par:cipated in the STAR (Successful Transi:on Aser Release) forum with NORC and ODRC’s proba:on departments, serving 2,160 returning ci:zens. 24
Breaking the Cycle Success Stories
James Walker
25
Breaking the Cycle Success Stories
26
Kenneth Roye
Effec.ve Strategies
• Employer Equity Seminars: Two-‐day workshops (five hours) in which BTC helps you protect your company from EEOC/FCRA discrimina:on lawsuits
• Social Media Strategies for Employment: One-‐day workshops (6 hours) for any agency interested in tapping into the power of social networking
• Social Media Strategy for Social Agencies: Equipping agencies with knowledge and ideas on how to leverage social media tools
• Social Media Training for Returning Ci.zens: Equipping formerly-‐incarcerated individuals for employment marketplace with computer and social medial tools
• Job Readiness Training for Returning Ci.zens: Assists your organiza:on in educa:ng and equipping ex-‐offenders for the workplace
• Resource and Employment Fairs: Assists your organiza:on in effec:vely execu:ng a successful job fair in your community
• Financial Literacy Educa.on: For any agency interested in showing clients how to open a bank account, manage money, and restore credit
• Professional Customer Service Training: For any agency interested in overthrowing conven:onal business prac:ces, inspiring clients to be great employees, and changing the world one client and one business at a :me 27
Links and Video Resources
• Execu:ve Director/Founder of Breaking The Cycle Inc. hqp://www.mikejonesbtc.com/introduc:on/ • Introduc:on To Breaking The Cycle Inc. (overview) hqps://youtu.be/ls9ReiXrruw • NEWS CHANNEL 5 Cleveland, Ohio Helping inmates 'Break the Cycle’ • hqp://www.youtube.com/watch?v=fijEFJv25yg&feature=plcp • 1st Annual Ex-‐Offender Resource and Career Fair September 30, 2009 • hqps://www.youtube.com/watch?v=NTtE0fMZxhE • 2nd Annual Ex-‐Offender Resource and Career Fair November 9, 2010 • hqps://youtu.be/LdOqLdWdmVw (TV20 News coverage, from Ex-‐Offenders perspec:ve of
posi:ve opportuni:es and HOPE) • hqps://youtu.be/qJpVbUgglNc (BTC coverage, from the Ex-‐Offenders perspec:ve of
disappointment, that 11 employers did not show up. We desire a 2nd chance not a handout) • Voter registra:on for ex-‐offenders aka RESTORED CITIZENS. September 8 and 14, 2012
hqp://www.youtube.com/watch?v=gcF-‐iGBJaJ4 OFCCP Employment Equity Seminar
• 1st Annual Coffee and Donuts "Hire-‐a-‐Vet & Returning Ci:zen" HR Meet-‐and-‐Greet (at Tri C Metro Campus (UTC Building) 2415 Woodland Ave Cleveland, Ohio 44115) October 29, 2013 8:00 am to 11:30 am (also done in Conyers, Georgia (outside Atlanta) on October 11, 2013 8:30am – 11:30am:
• hqp://www.youtube.com/playlist?list=PLLiYq9l6jf_zK179rw97dCbwiXmG9xXtS 28
Hat Tip to 2016 NBA Champions!
29
Contact Informa.on
Mike Jones Founder/ExecuNve Director
CeoMikeJones0612@gmail.com 216-‐372-‐1372
Kenneth Roye
KRoye72@gmail.com 216-‐543-‐2850
30
Na.onal Data on Peer Supports at Reentry
Ayesha Delany-‐Brumsey, PhD Director, Substance Use and Mental
Health Program Vera Ins.tute of Jus.ce
31
Mental Health and Criminal Jus.ce
0%
5%
10%
15%
20%
25%
30%
35%
Male Female
Serious Mental Illness
General Population Adults Jail Inmates
32
Substance Use and Criminal Jus.ce
0% 10% 20% 30% 40% 50% 60% 70% 80%
Met medical criteria for
substance use disorder
Used illicit drugs regularly
Under the influence of
drugs or alcohol at the time of crime
History of alcohol
treatment
Drug law violation
Committed crime for
money to buy drugs
Percent of Inmates Who Are Substance Involved
33
High Rates of Comorbidity
34
High Social Service Needs
• Within eight months of release from prison, 65% of individuals had a period of employment, but only 45% were currently employed.
• Within two years aser release from prison, 11% of individuals experienced at least one shelter stay.
35
Most Pressing Reentry Challenges
0% 10% 20% 30% 40% 50% 60%
mental health care
educa.on
transporta.on
staying out of trouble
health
reintegra.on
substance use
other
money
housing
employment
rela.onships
36
Reentry as Risk
0% 10% 20% 30% 40% 50% 60% 70% 80%
Serious mental illness only Substance use disorder only Co-ocuring SMI and SUD
Reincarceration Within Four Years of Release
Mortality: Two weeks aser release, the risk of death of former inmates is 12.7 :mes greater that of the general popula:on. This risk is due in large part to drug overdose, cardiovascular disease, homicide, and suicide.
37
Reentry as Opportunity
38
Peer Support
• Who -‐ History of jus:ce involvement -‐ Mental health condi:on, substance use disorder, or both
-‐ In recovery • What
-‐ Bridge to community services -‐ Assist with socializa:on -‐ Engage in wider systems-‐level advocacy -‐ Validate shared experience -‐ Demonstrate that recovery is possible
39
Challenges of Peer Reentry Support
• Differences in health and jus:ce agencies’ culture and mission -‐ Community safety vs. improving health -‐ Inmate vs. pa:ent/client -‐ Tolerance for relapse
• Correc:ons does not always adhere to community healthcare standards -‐ Fewer evidence-‐based prac:ces
40
Challenges of Reentry Peer Support
• Lack of coordina:on between correc:onal and community health -‐ Discharge planning -‐ Informa:on sharing
41
The Promise of Peer Support
• Meta analyses and reviews indicate mixed, but osen posi:ve, results.
42
Outcome Finding Study
Relapse rates +
Reif et al. (2014) Treatment reten:on +
Social supports +
Sa:sfac:on with treatment +
Hospitaliza:ons ?
Lloyd-‐Evans et al. (2014)
Symptoms ?
Sa:sfac:on with services ?
Hope or recovery and empowerment +
What is Needed
• Liqle research on clients with criminal jus:ce histories, although there are some promising results from individual programs (e.g., FUSE, transi:ons clinics)
• More research/descrip:on of model programs is necessary
43
References Binswanger, I.A., Stern, M.F., Deyo, R.A., Heagerty, P.J., Cheadle, A., Elmore, J.G.,
Koepsell, T.D. (2007). Release from prison—A high risk of death for former inmates. The New England Journal of Medicine, 356, 157– 165.
COCHS. (n.d.). The prevalence of health condiAons in correcAonal populaAons [presenta:on]. Davidson, L., Chinman, M., Sells, D., & Rowe, M. (2006). Peer support among adults with serious mental illness: A report from the field. Schizophrenia
BulleAn, 32(3), 443-‐450. Lloyd-‐Evans, B., Mayo-‐Wilson, E., Harrison, B., Istead, H., Brown, E., Pilling,
S., ... & Kendall, T. (2014). A systema:c review and meta-‐analysis of randomised controlled trials of peer support for people with severe mental illness. BMC Psychiatry, 14(1), 1.
Mallik-‐Kane, K. & Visher, C. A. (2008). Health and prisoner reentry: How physical, mental, and substance abuse condiAons shape the process of reintegraAon [research report]. Urban Ins:tute Jus:ce Policy Center. Retrieved from hqp://www.urban.org/sites/default/files/alfresco/publica:on-‐pdfs/411617-‐Health-‐and-‐Prisoner-‐Reentry.PDF
Metraux, S. & Culhane, D. P. (2004) Homeless shelter use and reincarcera:on following prison release. Criminology and Public Policy, 3(2), 139–160. The Na:onal Center on Addic:on and Substance Abuse at Columbia University. (2010). Adapted from Behind bars II: Substance abuse and America’s prison
populaAon. Retrieved from hqp://www.centeronaddic:on.org/addic:on-‐research/reports/substance-‐abuse-‐prison-‐system-‐2010 Pfeiffer, P. N., Heisler, M., Pieqe, J. D., Rogers, M. A., & Valenstein, M. (2011). Efficacy of peer support interven:ons for depression: A meta-‐ analysis.
General Hospital Psychiatry, 33(1), 29-‐36. Reif, S., Braude, L., Lyman, D. R., Dougherty, R. H., Daniels, A. S., Ghose, S. S., ... & Delphin-‐Riqmon, M. E. (2014). Peer recovery support for individuals with
substance use disorders: Assessing the evidence.Psychiatric Services. Repper, J., & Carter, T. (2011). A review of the literature on peer support in mental health services. Journal of Mental Health, 20(4), 392-‐411.
Steadman, H.J., Osher, F.C., Clark Robbins, P., Case, B., Samuels, S., (2009) Prevalence of serious mental illness among jail inmates. Psychiatric Services, 60(6), 761–765. doi:10.1176/appi.ps.60.6.761.
Visher, C., Debus-‐Sherrill, S., & Yahner, J. (2008). Employment aser prison: A longitudinal study of releases in three states. Urban Ins:tute Jus:ce Policy Center. Retrieved from
hqp://www.urban.org/sites/default/files/alfresco/publica:on-‐pdfs/411778-‐Employment-‐aser-‐Prison-‐A-‐Longitudinal-‐Study-‐of-‐Releasees-‐in-‐Three-‐States.PDF
44
Contact Informa.on
Ayesha Delany-‐Brumsey Director, Substance Use and Mental Health
Program Vera InsNtute of JusNce
www.vera.org adelanybrumsey@vera.org
45
Q & A Session
For More Informa.on
• Check out the BRSS TACS Webpages at hqp://www.samhsa.gov/brss-‐tacs
• Learn more about other training and technical assistance opportuni:es!
• Join the BRSS TACS listserv! Send an email to brsstacs@center4si.com to start receiving regular project updates
Thank You