The Rikers Island Hot Spotters: Defining the Needs of the Most Frequently Incarcerated

We used "hot spotting" to characterize the persons most frequently admitted to the New York City jail system in 2013.

We used our Correctional Health Services electronic health record to identify 800 patients admitted in 2013 who returned most since November 2008. We compared them to a randomly selected control group of 800 others admitted in 2013, by using descriptive statistics and cross-tabulations, including data through December 2014.

The frequently incarcerated individuals had a median of 21 incarcerations (median duration 11 days), representing 18 713 admissions and $129 million in custody and health costs versus $38 million for the controls. The frequently incarcerated were: 

• significantly older (42 vs 35 years), 
• and more likely to have serious mental illness (19% vs 8.5%) 
• and homelessness (51.5% vs 14.7%) in their record. 
• Significant substance use was highly prevalent (96.9% vs 55.6%). 
• Most top criminal charges (88.7%) for the frequently incarcerated were misdemeanors; assault charges were less common (2.8% vs 10.4%). 

Frequently incarcerated persons have chronic mental health and substance use problems, their charges are generally minor, and incarceration is costly. Tailored supportive housing is likely to be less costly and improve outcomes.

Via: http://ht.ly/SB6Xh Purchase full article at: http://goo.gl/tg5GQO

By: MacDonald R1, Kaba F1, Rosner Z1, Vise A1, Weiss D1, Brittner M1, Skerker M1, Dickey N1, Venters H1.

• 1All of the authors are with the New York City Department of Health and Mental Hygiene, Bureau of Correctional Health Services, Queens, NY.

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Maricopa County Arizona Jail Costs

Maricopa County jail costs | Create infographics

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Local Jail Inmates, 1980 - 2013

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Total Correctional Population in U.S.

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Intensive Vipassana Meditation Practice: An Intervention with Promise for Traumatized Prisoners

The United States has the highest rate of incarceration in the world. According to the Bureau of Justice Statistics, 2,266,800 adults were incarcerated in U.S. federal and state prisons and county jails at year-end 2010 – about 0.7% of the resident adult population. Childhood trauma increases the likelihood of criminal justice involvement in adulthood (Wolf & Shi, 2010). A high percentage of prisoners are survivors of childhood abuse and other traumas before they are imprisoned (Wallace, Connor, & Dass-Brailsford, 2011), and prisons are notoriously violent and traumatic places for inmates. In a survey of inmates in Midwestern prisons, 54% of men and 28% of women reported having been raped in their current facility (Struckman-Johnson & Struckman-Johnson, 2000). In short, prisons are veritable warehouses of traumatized adults.

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Examining Recidivism among Foreign-Born Jail Inmates: Does Immigration Status Make a Difference Over the Long Term?

The topic of ‘illegal’ immigration is currently the focus of intense ideological and policy debate in the United States. A common assertion is that those without legal immigration status are disproportionately involved in criminal offending relative to other foreign-born populations. 

The current study examines the long-term recidivism patterns of a group of male removable aliens compared to those foreign-born with legal authorisation to be present in the United States. The sample includes 1297 foreign-born males released from the Los Angeles County Jail during a 1-month period in 2002, and the follow-up period extends through 2011. 

Using three measures of rearrest and a rigorous counterfactual modelling approach, we find no statistically significant differences between the two groups in likelihood, frequency, or timing of first rearrest over 9 years. The findings do not lend support to arguments that removable aliens pose a disproportionate risk of repeat involvement in local criminal justice systems.

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By: Jennifer S. Wong, Laura J. Hickman, Marika Suttorp-Booth

• ^a School of Criminology, Simon Fraser University, Burnaby, BC, Canada
• ^b Criminology and Criminal Justice Division, Portland State University, Portland, OR, USA
• ^c Quantitative Analyst, RAND, Santa Monica, CA, USA

Disparities in Mental Health Referral and Diagnosis in the New York City Jail Mental Health Service

Below:  Timing of entry into mental health services (n = 6673): New York City jail, 2011–2013. Note. Mean = 24.62 days; SD = 65.929 days. The sample size was n = 6673.

Below:  Timing of mental health service entry with respect to the first solitary confinement episode (n = 876): New York City jail, 2011–2013. Note. 0 = service entry on the first day of solitary confinement. Mean = –43.82 days; SD = 168.822 days. The sample size was n = 876.

Of this cohort, 21.2% were aged 21 years or younger, 46.0% were Hispanic, 40.6% were non-Hispanic Black, 8.8% were non-Hispanic White, and 3.9% experienced solitary confinement. Overall, 14.8% received a mental health diagnosis, which was associated with longer average jail stays (120 vs 48 days), higher rates of solitary confinement (13.1% vs 3.9%), and injury (25.4% vs 7.1%). Individuals aged 21 years or younger were less likely than older individuals to receive a mental health diagnosis (odds ratio [OR] = 0.86; 95% confidence interval [CI] = 0.80, 0.93; P < .05) and more likely to experience solitary confinement (OR = 4.99; 95% CI = 4.43, 5.61; P < .05). Blacks and Hispanics were less likely than Whites to enter the mental health service (OR = 0.57; 95% CI = 0.52, 0.63; and OR = 0.49; 95% CI = 0.44, 0.53; respectively; P < .05), but more likely to experience solitary confinement (OR = 2.52; 95% CI = 1.88, 3.83; and OR = 1.65; 95% CI = 1.23, 2.22; respectively; P < .05).

More consideration is needed of race/ethnicity and age in understanding and addressing the punishment and treatment balance in jails.

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No Escaping Medical Co-Payments, Even in Prison

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Social and Structural Factors Shaping High Rates of Incarceration among Sex Workers in a Canadian Setting

In light of the emphasis on enforcement-based approaches towards sex work, and the well-known negative impacts of these approaches on women's health, safety and well-being, we conducted a study to investigate the prevalence and correlates of recent incarceration among a cohort of women sex workers in Vancouver, Canada. 

Data were obtained from an open prospective community cohort of female and transgender women sex workers, known as An Evaluation of Sex Workers' Health Access (AESHA). Bivariate and multivariable logistic regression analyses, using generalized estimating equations (GEE), were used to model the effect of social and structural factors on the likelihood of incarceration over the 44-month follow-up period (January 2010-August 2013). 

Among 720 sex workers, 62.5% (n = 450) reported being incarcerated in their lifetime and 23.9% (n = 172) being incarcerated at least once during the study period. Of the 172 participants, about one third (36.6%) reported multiple episodes of incarceration. In multivariable GEE analyses, younger age, being of a sexual/gender minority, heavy drinking, being born in Canada, living in unstable housing conditions, servicing clients in public spaces (versus formal sex work establishments) and experiencing police harassment without arrest remain independently correlated with incarceration. 

This prospective study found a very high prevalence and frequency of incarceration among women sex workers in Vancouver, Canada, with the most vulnerable and marginalized women at increased risk of incarceration. Given the well-known social and health harms associated with incarceration, and associations between police harassment and incarceration in this study, our findings further add to growing calls to move away from criminalized and enforcement-based approaches to sex work in Canada and globally.

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Mortality in Local Jails and State Prisons, 2000–2013

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Distribution of Prison Sentences

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Plea Offer Types for Felonies

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Dentention Status After Arraignment for Felony Defendants

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Hand and Nasal Carriage of Discordant Staphylococcus aureus Isolates among Urban Jail Detainees

Below:

In 928 Dallas County Jail detainees, nasal carriage of Staphylococcus aureus was found in 32.8% (26.5% methicillin-susceptible Staphylococcus aureus [MSSA] and 6.3% methicillin-resistant S. aureus [MRSA]), and hand carriage was found in 24.9% (20.7% MSSA and 4.1% MRSA). Among MRSA nasal carriers, 41% had hand MRSA carriage; 29% with hand MRSA carriage had no nasal S. aureus carriage. The prevalence of carriage was not associated with duration of the jail stay up to 180 days.

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Health Priorities among Women Recently Released from Jail

Below:  Priorities among Women Recently Released from Jail

Five out of 28 women listed health as their top post-release priority. However, many women had competing priorities after release, including housing, employment, and children. We found that women described several reasons why health was not a priority; however, participants reported regular use of the healthcare system upon release from jail, indicating that health was important to them to some degree.

Our findings may inform intervention efforts that connect women to healthcare resources and increase health-promoting behavior during the transition from jail to community.

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Being Arrested Is Nearly Twice As Deadly For African-Americans As Whites

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Why It Will Be Hard for President Obama to Downsize Prisons

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The HIV Care Cascade Before, During, and After Incarceration: A Systematic Review and Data Synthesis

Below:  HIV care cascade—before, during, and after release from incarceration: systematic review and data synthesis indexed up to January 13, 2015, United States and Canada.

The HIV care cascade following diagnosis increased during incarceration and declined substantially after release, often to levels lower than before incarceration. Incarceration provides an opportunity to address HIV care in hard-to-reach individuals, though new interventions are needed to improve postrelease care continuity.

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Mississippi Reentry Guide is New Resource for Ex-Offenders

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Average Annual Caseload for a U.S. Public Defender

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