The Square One Project, Harm Reduction at the Center of Incarceration, 2021
Download original document:
Document text
Document text
This text is machine-read, and may contain errors. Check the original document to verify accuracy.
THE SOUARE ONE PROJECT REIMAGINE JUSTICE EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY APRIL 2021 Dr. Nneka Jones Tapia Managing Director, Justice Initiatives at Chicago Beyond. Former Warden of Cook County Jail HARM REDUCTION AT THE CENTER OF INCARCERATION The Square One Project aims to incubate new thinking on our response to crime, promote more effective strategies, and contribute to a new narrative of justice in America. Learn more about the Square One Project at squareonejustice.org The Executive Session was created with support from the John D. and Catherine T. MacArthur Foundation as part of the Safety and Justice Challenge, which seeks to reduce over-incarceration by changing the way America thinks about and uses jails. E SAFETY+JUSTICE 15!. CHALLENGE Supported by the John D. and Catherine T. MacArthur Foundation 2 5 19 INTRODUCTION REDEFINING THE SCOPE OF TRAUMA IN CORRECTIONAL INSTITUTIONS CURRENT RESPONSES TO TRAUMA IN CORRECTIONAL INSTITUTIONS 21 24 30 A SHIFT TOWARDS HARM REDUCTION A FRAMEWORK FOR HARM REDUCTION IN CORRECTIONAL INSTITUTIONS CASE EXAMPLE OF HARMREDUCING PRACTICES IN A CORRECTIONAL INSTITUTION 36 37 39 CONCLUSION REFERENCES ACKNOWLEDGEMENTS 39 AUTHOR NOTE ■ 2 HARM REDUCTION AT THE CENTER OF INCARCERATION The American correctional system is not a system of accountability that rehabilitates people as it purports to do. Instead, it is a system of pain and punishment with reverberating impact on the people confined there, the people who work there, and the families and communities of both. EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 3 HARM REDUCTION AT THE CENTER OF INCARCERATION The reach of the pain from our current correctional system extends beyond the barbed wire fences and into our homes, our schools, our churches, and our communities. It’s in the soul of the 8-year-old girl who sits in the classroom wondering if her father will make it home safely from prison. It’s in the touch of the mother pumping breast milk into the sink of her cell and longing to hold her newborn son. It’s in the heart of the correctional officer who coaches the neighborhood soccer league but can’t shake feelings of doom and fear. It’s in the thoughts of the officer’s wife as she kisses him goodbye and hopes that he returns home safely. The trauma generated by correctional institutions is real and felt by tens of millions of people every day. For this reason, I believe we must all make transformational changes in the here and now to reduce the harms caused by these systems. For more than ten years, I worked for and eventually led the Cook County Jail in Chicago, Illinois—one of the largest single site jails in the country with a population that ranged over time from approximately 10,000 people when I started in 2006 to approximately 6,000 people when I retired in 2018, plus a staff of approximately 2,300 people. During that time, I experienced dozens of encounters that cumulatively form my perspective on the scope of trauma in correctional facilities and the opportunities for harm reduction. I retraced the final moments of numerous men and women confined in the facility that died by suicide; I attended the funerals of staff members who died too soon as a result of being constantly overtaxed, both physically and emotionally; I visited the hospital beds of staff who had been assaulted; I looked in the eyes of men and women who were being disciplined, fired, and laid off; THE REACH OF THE PAIN FROM OUR CURRENT CORRECTIONAL SYSTEM EXTENDS BEYOND THE BARBED WIRE FENCES AND INTO OUR HOMES, OUR SCHOOLS, OUR CHURCHES, AND OUR COMMUNITIES EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 4 HARM REDUCTION AT THE CENTER OF INCARCERATION and I looked in the faces of tens of thousands of young children with tears in their eyes as they were leaving their loved ones at the massive jail complex. Nothing prepared me for the trauma that existed within correctional facilities. There was no playbook on how to defeat the feelings that kept me awake at night in anticipation of the next incident—a massive fight, a fire, a suicide, a hostage situation, a murder, an escape, a death, a rape—all things that I encountered several times during my tenure in corrections. These are the experiences of every person touched by correctional facilities. Staff see it; the people confined in the facilities live it; and family members hear about it. The traditional perspective of trauma views people who are incarcerated, staff, and communities as distinct entities. With this framing we cannot fully understand the mechanisms of trauma at work, nor the opportunities for harm reduction. This paper offers my perspective: I am a former jail warden, a family member of a person who was incarcerated, and a family member of a current correctional professional. In this paper, I redefine the scope of trauma in the context of incarceration, quantitatively and qualitatively. I explain where policy currently misses opportunities to reduce harm and how Sheriffs and Correctional Commissioners are constrained. Finally, I propose a new framework for action that is both systemic and practical, ending with a case study and process and policy implications for correctional system leaders. THE TRADITIONAL PERSPECTIVE OF TRAUMA VIEWS PEOPLE WHO ARE INCARCERATED, STAFF, AND COMMUNITIES AS DISTINCT ENTITIES. WITH THIS FRAMING WE CANNOT FULLY UNDERSTAND THE MECHANISMS OF TRAUMA AT WORK, NOR THE OPPORTUNITIES FOR HARM REDUCTION EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 5 HARM REDUCTION AT THE CENTER OF INCARCERATION REDEFINING THE SCOPE OF TRAUMA IN CORRECTIONAL INSTITUTIONS EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 6 HARM REDUCTION AT THE CENTER OF INCARCERATION Trauma is commonly understood as an event that is experienced or witnessed by a person as harmful or life-threatening and that has lasting consequences on the person’s mental, emotional, spiritual, physical, and social wellbeing (Substance Abuse and Mental Health Services 2014). In this context, the experience is individualized and thus doesn’t fully capture the depth and range of the impact of trauma. Even when the reality of trauma in correctional institutions is fully appreciated, policies often only focus on programs for people who are incarcerated, as if they are the problem, instead of on the system itself. In doing so, they miss the opportunity to support the men and women who work in these institutions and carry the weight of things seen and unseen. EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 7 HARM REDUCTION AT THE CENTER OF INCARCERATION □ Neither people who are incarcerated (Sawyer and Wagner 2020). On any given day, nor correctional staff live in isolation. approximately 2.7 million U.S. children have They have families who are directly and a parent who is incarcerated, and more than indirectly exposed to their own traumatic 5 million children have experienced parental experiences and who feel the impact incarceration in their lifetime (Peterson, of the trauma faced by their loved ones Cramer, and Fontaine 2019). Perhaps through the ways in which they interact. even more striking is the fact that 113 million, The prevalence of trauma among people or 1 in 2, U.S. adults have experienced touched by correctional institutions far the incarceration of an immediate family surpasses the prevalence within the general member (for example, parents, siblings, community. Because of the connections spouse, romantic partner, or a co-parent) that exist among us and the large number (Enns, Yi, Comfort, Goldman, Lee, Muller, of people who are confined in and work Wakefield, Wang, and Wildeman 2019). in correctional institutions, the scope Additionally, jails and prisons are staffed of the impact of trauma is substantial. with approximately 415,000 correctional There are approximately 2.3 million officers and a significant number of civilians people confined in our nation’s jails and (U.S. Bureau of Labor Statistics 2018). prisons. And every year, people are placed Each of these people is connected to larger in jails 10.6 million times and more than communities, extending the reach of trauma 600,000 people enter our nation’s prisons far beyond what has been measured. BECAUSE OF THE CONNECTIONS THAT EXIST AMONG US AND THE LARGE NUMBER OF PEOPLE WHO ARE CONFINED IN AND WORK IN CORRECTIONAL INSTITUTIONS, THE SCOPE OF THE IMPACT OF TRAUMA IS SUBSTANTIAL EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 8 HARM REDUCTION AT THE CENTER OF INCARCERATION □ ALMOST EVERY PERSON CONFINED IN OUR NATION’S JAILS AND PRISONS HAS BEEN EXPOSED TO TRAUMA PRIOR TO OR DURING THE PERIOD OF DETENTION PREVALENCE OF TRAUMA AMONG PEOPLE WHO ARE INCARCERATED Almost every person confined in our from a partner, and 60 percent reported nation’s jails and prisons has been exposed experiencing violence from a caregiver to trauma prior to or during the period of prior to age 18. detention (Wolff, Shi, and Siegel; 2009; Wolff, Huenig, Shi, and Frueh 2014, and And during incarceration, the experience Adams, Houston-Kolnik, and Reichert 2017). of trauma is multiplied. A study of One study of 592 adult men confined in approximately 7,500 men and women a high-security prison found that virtually confined in 13 U.S. prisons illuminated all of the respondents (99 percent) reported how harmful the prison environment is experiencing at least one traumatic event in for people who are incarcerated (Wolff their lifetime that involved violence directed et al.2009). More than 35 percent of the towards them and involved injury or shock men and 24 percent of the women reported (Wolff et al. 2014). Almost 71 percent of the being physically victimized by either group reported experiencing a traumatic a staff member or another person who was event prior to age 18—more than half of the incarcerated in the last six months in the men reported being hit with an object that prison. The highest percentage of physical caused bleeding or left marks, and more than victimization for men occurred by staff 30 percent reported being threatened or (25 percent vs 21 percent by another person harmed with a gun or a knife. who was incarcerated), whereas women were more likely to be physically victimized Another study found that 98 percent by another person who was incarcerated of women who were incarcerated had (21 percent) than by a staff member (8 at least one traumatic experience percent). More than 10 percent of the men prior to incarceration (Green, Miranda, who were incarcerated and more than 24 Daroowalla, and Siddique 2005). Intimate percent of the women who were incarcerated partner violence was the most common reported experiencing sexual victimization experience. Similarly, Lynch et al. (2012) in the previous 6 months in the prison. Men found that 86 percent of women confined who experienced sexual victimization were to jail reported experiencing sexual more likely to have been victimized by a staff violence in their lifetime, 77 percent member (8 percent) than by another person reported physical or sexual violence who was incarcerated (4 percent). EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 9 HARM REDUCTION AT THE CENTER OF INCARCERATION □ The effects of trauma exist on a continuum. people, or activities that remind the person The experience of traumatic stress typically of the traumatic event; negative thoughts follows exposure to a traumatic event, but and emotions; and changes in the person’s most people are able to recover shortly physical and emotional reactions (American thereafter. For some people, the exposure Psychiatric Association 2013). In the general to traumatic events happens with such community, an estimated 3 to 6 percent frequency, duration, or intensity that they are of men who experience a traumatic event at increased risk of developing posttraumatic go on to meet criteria for PTSD at some stress disorder (PTSD). PTSD is a mental point in their lifetime (American Psychiatric health condition with symptoms that are Association 2013). Yet Wolff et al. (2014) serious, persist for more than one month, found that 60 percent of the 95 percent and create significant distress or impairment of incarcerated men who have experienced to a person’s daily functioning (American direct physical violence in their lifetime have Psychiatric Association 2013). Symptoms experienced moderate to severe symptoms include intrusive memories of the traumatic of PTSD, while 29 percent have experienced event; avoidance of conversation, places, severe symptoms. DURING INCARCERATION, THE EXPERIENCE OF TRAUMA IS MULTIPLIED. A STUDY OF APPROXIMATELY 7,500 MEN AND WOMEN CONFINED IN 13 U.S. PRISONS ILLUMINATED HOW HARMFUL THE PRISON ENVIRONMENT IS FOR PEOPLE WHO ARE INCARCERATED. MORE THAN 35 PERCENT OF THE MEN AND 24 PERCENT OF THE WOMEN REPORTED BEING PHYSICALLY VICTIMIZED BY EITHER A STAFF MEMBER OR ANOTHER PERSON WHO WAS INCARCERATED IN THE LAST SIX MONTHS IN THE PRISON EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ HARM REDUCTION AT THE CENTER OF INCARCERATION PERCENT (%) 10 100 90 80 70 60 50 40 30 20 10 0 by a Correctional Staff Person by a Person who was Incarcerated PHYSICAL VICTIMIZATION FIGURE 1 Prevalence of Physical and Sexual Victimization of People Incarcerated. Source: Wolff et al. 2009. EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY by a Correctional Staff Person by a Person who was Incarcerated SEXUAL VICTIMIZATION - Men who are Incarcerated Women who are Incarcerated ■ 11 HARM REDUCTION AT THE CENTER OF INCARCERATION □ TRAUMA IN CORRECTIONAL INSTITUTIONS ALSO AFFECTS CORRECTIONAL STAFF PREVALENCE OF TRAUMA AMONG CORRECTIONAL STAFF The increased prevalence of trauma and higher rates than other professionals PTSD in corrections is not limited to the (Spinaris, Denhof, and Morton 2013). people incarcerated in these institutions, Direct exposure can occur when correctional although no other group’s experience professionals are assaulted (physically, of trauma is as dehumanizing. Trauma sexually, with bodily fluids) by persons in correctional institutions also affects detained in the institution. correctional staff. In 2013, Desert Waters Correctional Outreach completed a study Indirect exposure to traumatic events of 3,599 correctional professionals from occurs when correctional professionals: 49 states and 3 U.S. territories to determine the prevalence of PTSD and depression in — witness, respond to, or hear about this group (Denhof and Spinaris 2013). They a violent incident such as a colleague found that 27 percent of the entire sample being assaulted or a colleague met criteria for a diagnosis of PTSD and assaulting a person who is incarcerated, approximately 26 percent met criteria for self-harming behavior among staff and depression with a high rate of comorbidity people who are incarcerated, and death; between the two. Prevalence rates were even higher among security staff—with more than — see videotaped incidents involving 34 percent meeting the criteria for PTSD and assaults and other violent acts; 31 percent meeting criteria for depression with high comorbidity between the two. It is — witness an escape from the institution; important to compare these percentages to the prevalence in the general public where approximately 7 percent of all U.S. adults — read or hear about the reported crimes of people who are incarcerated; or have had a major depressive episode or experienced PTSD in their lifetime (National Institute of Mental Health 2017a; National — listen to the traumatic experiences of staff and people who are incarcerated. Institute of Mental Health 2017b). Additionally, the nature of the work requires Correctional professionals experience direct correctional staff to consider “what-if” and indirect traumatic events at significantly scenarios at all times to remain vigilant EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 12 HARM REDUCTION AT THE CENTER OF INCARCERATION and prepared to respond appropriately. and laughing with each other, I would walk It was a well-rehearsed scenario for throughout the unit and sit down to play me to stand at the front of the tier and cards because the risk was less salient talk with the officer for a few minutes to though still present. Ironically enough, assess his or her ability to respond quickly in the more than ten years that I worked and appropriately if something occurred in corrections I was never threatened and scan all of the people detained in nor physically harmed by any person who the unit to see if there was tension. was incarcerated—only a sworn officer. If I saw several people standing against the wall with sneakers on and shoelaces As a result of the direct exposures tied tight, I would not go further, because to trauma that correctional staff face, I recognized that the possibility for an family members are often concerned incident was significant (I was trained that about the physical safety of their loved tightly tied shoelaces was an indication of ones every time they go to work. As the increased tensions in the living unit and that wife of a correctional professional, I am the probability of a fight was high). On the no exception. And when I worked in the jail, contrary, if I saw people sitting at tables my husband worried just the same. and playing cards or standing in flip flops □ CORRECTIONAL PROFESSIONALS EXPERIENCE DIRECT AND INDIRECT TRAUMATIC EVENTS AT SIGNIFICANTLY HIGHER RATES THAN OTHER PROFESSIONALS EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ HARM REDUCTION AT THE CENTER OF INCARCERATION PERCENT (%) 13 100 90 80 70 60 50 40 30 20 10 0 Prevalence of PTSD FIGURE 2 Prevalence of PTSD and Depression Among Correctional Professionals, Correctional Security Staff, and the General Population. Sources: National Institute of Mental Health 2017a and National Institute of Mental Health 2017b. EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY Prevalence of Depression -- General Population Correctional Professionals Correctional Security Staff Only ■ 14 HARM REDUCTION AT THE CENTER OF INCARCERATION PREVALENCE OF TRAUMA AMONG FAMILIES Incarceration not only affects the people While most studies have focused on who are detained in the institution and the number of parents in prison, less is the people who work there, but it also known about the number of parents in jails affects their families. As a child of (Cramer et al. 2017). To better understand the a parent who was formerly incarcerated, prevalence of parental incarceration in jails, and the wife of a correctional professional, I partnered with the Cook County Sheriff’s I’m still dealing with the traumatic effects Office in Chicago to gather one year of self- of both. reported data from people remanded to the custody of the jail. The Cook County Sheriff’s □ More than 2.7 million children in the United Office found that from approximately States currently have a parent who is March 2019 through February 2020, incarcerated and more than 5 million children 73,539 children under the age of 18 were (7 percent of all children in the United States) impacted by parental incarceration in Cook have had a parent incarcerated at some County. On average, each person entering point in their life (Cramer, Goff, Peterson, Cook County Jail had at least one child and Sandstrom 2017). This not only disrupts under the age of 18, and the average daily the family dynamic, but also the financial population during the period of review stability of the home and the community. was approximately 5,000 people. Taking Approximately 13 percent of children living into account the people newly admitted to in poverty have experienced parental the jail as well as those who were already incarceration compared to 4 percent confined there, we now know that close of children whose household income is to 80,000 youth under the age of 18 and at least twice the federal poverty level presumably living in Cook County, Illinois (Cramer et al. 2017). experienced parental incarceration in one INCARCERATION NOT ONLY AFFECTS THE PEOPLE WHO ARE DETAINED IN THE INSTITUTION AND THE PEOPLE WHO WORK THERE, BUT IT ALSO AFFECTS THEIR FAMILIES. AS A CHILD OF A PARENT WHO WAS FORMERLY INCARCERATED, AND THE WIFE OF A CORRECTIONAL PROFESSIONAL, I’M STILL DEALING WITH THE TRAUMATIC EFFECTS OF BOTH EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 15 HARM REDUCTION AT THE CENTER OF INCARCERATION year. According to 2010 census data, that behavior, engagement in the criminal represents approximately 7 percent of the justice system, poor school performance, youth under the age of 18 living in Cook risky health behaviors, and chronic health County (Census Viewer 2010). conditions (Parke and Clarke‑Stewart 2002). Youth who have positive supports and Parental incarceration affects children a healthy relationship with their parent who differently than other forms of parental is incarcerated are better able to actualize separation because of the uncertainty the innate strengths that exist within them, of the duration, the threat of harm to their thereby increasing their likelihood for loved one, and the shame and stigma that positive life outcomes. is often linked to the experience. When children are too young to fully understand Everyone within a correctional facility why they are separated from a parent who (staff and the people detained in the is incarcerated, feelings of abandonment facility) is exposed to traumatic events at and rejection can be magnified (Cramer et al. a significantly higher rate than the general 2017). While not a universal experience, population. In this sense, the institution itself youth without positive adult support, or is traumatic. And because of the connective youth with an unhealthy relationship with tissue that exists among all of us, the impact a parent who is incarcerated, are often of this traumatic system spreads beyond at increased risk of traumatic stress, the institutional walls and into families emotional distress, and social problems and communities. such as rule-breaking and law-breaking □ PARENTAL INCARCERATION AFFECTS CHILDREN DIFFERENTLY THAN OTHER FORMS OF PARENTAL SEPARATION BECAUSE OF THE UNCERTAINTY OF THE DURATION, BECAUSE OF THE THREAT OF HARM TO THEIR LOVED ONE, AND BECAUSE OF THE SHAME AND STIGMA THAT IS OFTEN LINKED TO THE EXPERIENCE EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 16 HARM REDUCTION AT THE CENTER OF INCARCERATION Trauma that originates in jails and prisons radiates through communities and is on ______, a constant loop, spreading to individuals and ultimately back to the institution. Work Staff ♦-~ j ~( ::::::: ,- n School Returning People Prison / Jail Community Events Worship FIGURE 3 The Spread of Trauma from Correctional Institutions Through Community. Trauma that originates in jail/prison radiates through community and is on a feedback loop back to the institution. Source: Chicago Beyond. EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY The Broader Community Home ■ 17 HARM REDUCTION AT THE CENTER OF INCARCERATION IMPACT OF TRAUMA ON INTERPERSONAL RELATIONSHIPS In normal human development, the brain When a person who has a history of trauma undergoes many changes throughout is incarcerated and experiences continued the lifespan. Depending on the age of the dehumanization or when a correctional person at the time of exposure to trauma, professional experiences job-related the specific impact will be different. Three traumatic stress, they are at increased primary areas within the brain are generally risk of significant personality change, impacted by traumatic stress: the prefrontal including more negative perceptions of cortex, the anterior cingulate cortex (ACC), the world; difficulty experiencing joy, hope, and the amygdala (Bremner 2006; Sweeton meaning, and other spirituality changes; 2017). The prefrontal cortex is responsible difficulty regulating their emotions; acting for rational thinking, planning, problem- out behavior; and conflict in interpersonal solving, empathy, and awareness of other relationships (Bremner 2006; Sweeton 2017). people. The ACC, which is connected to the prefrontal cortex, is partly responsible Figure 3 illustrates how trauma extends for regulating our emotions. The amygdala beyond a person. When a traumatic helps to determine if something is a threat, event occurs at a correctional facility, and if so it produces fear, which results everyone who experienced, witnessed, in our fight, flight, or freeze response. or heard about it is at risk for experiencing When traumatic stress is experienced, significant negative impact. That could the body experiences dramatic changes in include dozens of people. Once each of cortisol levels, a hormone that facilitates the dozens of staff and people who are survival responses. As a result of trauma, incarcerated make contact with family the areas that regulate thinking and members, the experience may be described emotions become underactive, while in conversation or the impact may be felt the area that regulates fear becomes by the person’s interactions. Taking into overactive (Bremner 2006; Sweeton 2017). account the number of immediate family So with exposure to frequent, prolonged, members, the impact may then be expanded or intense traumatic stress, people are from dozens to hundreds of people. Each more likely to experience chronic fear and of those hundreds of people interact with have a hard time regulating their thoughts others at work, school, places of worship, and feelings. community events, and other places, and EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 18 HARM REDUCTION AT THE CENTER OF INCARCERATION can have those interactions impacted by things that can be done to assist people what they experienced, witnessed, or heard. with correcting the neurological impacts of The impact from there spreads throughout trauma is to de-activate the fear center by the larger community. creating environments where people feel safe (Bremner 2006; Sweeton 2017). When Fortunately the neurological changes that people feel physically and psychologically occur following traumatic stressors can safe, they are better able to activate and be minimized with intervention and healing strengthen the thinking and emotional supports (Bremner 2006; Sweeton 2017). centers of their brains, thereby making This is true for everyone, including people better decisions and are less likely to act who are incarcerated, correctional staff, out negatively. [] and families. One of the most important □ WHEN A TRAUMATIC EVENT OCCURS AT A CORRECTIONAL FACILITY, EVERYONE WHO EXPERIENCED, WITNESSED, OR HEARD ABOUT IT IS AT RISK FOR EXPERIENCING SIGNIFICANT NEGATIVE IMPACT EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 19 HARM REDUCTION AT THE CENTER OF INCARCERATION CURRENT RESPONSES TO TRAUMA IN CORRECTIONAL INSTITUTIONS EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 20 HARM REDUCTION AT THE CENTER OF INCARCERATION EXISTING FRAMEWORK FOR MITIGATING TRAUMA IN CORRECTIONAL INSTITUTIONS One of the most widely used models for to actively reducing harms imposed by becoming a trauma-informed institution the institution. This process requires was developed by the Substance Abuse more than avoidance of re-traumatization; and Mental Health Services Administration it requires action. These institutions must (SAMHSA). According to SAMHSA (2014), acknowledge the harm that is inherent and a trauma-informed institution is one that centralize harm reduction in every facet recognizes the prevalence, signs, and impact of operation. And the models that exist do of trauma and responds by integrating not fully encompass what, in my experience, knowledge about trauma into policies and is necessary to get us there, especially procedures and actively trying to avoid mitigating the effect on families. Because re-traumatizing people. families are natural extensions of people and almost immediately experience the If correctional facilities were to use impact of trauma, one of the primary areas the SAMHSA model, we would see some of focus for correctional facilities must be to improvements to today’s correctional support positive family engagement. In 2016, systems. Some staff would feel valued and the U.S. Office of the Assistant Secretary have a positive outlook on their jobs, which for Planning and Evaluation (ASPE) studied would improve some of the conditions re-entry success in a sample of 1,000 men for the people detained in the institution. from across 5 states who were re-entering Many people within the facility would be the community from correctional facilities knowledgeable about trauma and the (Lindquist, Steffey, Tueller, Feinberg, McKay, impacts of it, but that knowledge alone has and Bir 2016). The study found that men no clear pathway to harm reduction nor who had more contact with their families does it elevate the need to reduce the harm during the period of incarceration were caused to children and families impacted more likely to become employed, more by incarceration. likely to financially support their children, more likely to have a positive relationship While this and other existing frameworks with the co-parent upon release, and were addressing trauma are beneficial, we less likely to be re-incarcerated. □ have already established the importance of moving beyond understanding trauma EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 21 HARM REDUCTION AT THE CENTER OF INCARCERATION A SHIFT TOWARDS HARM REDUCTION EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 22 HARM REDUCTION AT THE CENTER OF INCARCERATION □ THE REALITY IS THAT SAFE SPACES DO NOT EXIST FOR PEOPLE WHEN THEY ARE INCARCERATED AND “ACTING OUT” BEHAVIOR CAN BE THE ONLY TOOL AT THEIR DISPOSAL TO INCREASE THEIR SENSE OF SAFETY MAKING THE CASE FOR HARM REDUCTION As a correctional administrator, I often husband that helped me realize that I was considered how I could help to shift the hurting as a result of how I approached the institution from a system of punishment job, and I needed to start my own healing and trauma to one of harm reduction, but process. Specifically, I needed to create there were countless challenges to consider. enough space between me and the job that I was responsible for the lives of more than I could take better care of my physical and 8,000 people who were incarcerated and emotional health and be better prepared to staff in a facility with high gang tensions, help the people detained in the institution tense relationships among staff, a significant and staff to take better care of their health. number of people with complex emotional I realized that by acknowledging my own and behavioral health needs, and a budget need for healing, I could also acknowledge that would not allow for costly tools the needs of others. The steps that I took and programs. to get back to a healthier version of myself gave me a foundation for what could help the Given all of the challenges and day-to-day staff and the people detained in the facility, activities that correctional administrators the staff, and ultimately their families contend with, there is often very little and the larger community. time left to think through how to best approach harm reduction. Perhaps the I started by creating a safe space for myself. most significant challenge I faced was To create that space, I set aside specific myself. About midway through my tenure times in the day when I would close my as a correctional administrator, I started office door or go for a walk outside of the to feel the impact of the job. I wasn’t institution. I recognized that it was not sleeping. I was eating poorly. I was slowly easy for staff to find space for themselves losing parts of myself to the institution, but outside of their breakroom, so we created I did not see it. On the surface, I thought a relaxation room for them to take 15 minutes I was relatively comfortable interacting to relax during their lunch break. with the men and women confined in the institution even though gang tensions were The reality is that safe spaces do not exist high. What I later realized was that I was for people when they are incarcerated and not only on high alert inside of the jail, but “acting out” behavior can be the only tool I was easily triggered at home and in the at their disposal to increase their sense community. It was a conversation with my of safety. It was not uncommon for a young EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 23 HARM REDUCTION AT THE CENTER OF INCARCERATION □ THE HEADLINE IS THAT WHEN WE TREAT PEOPLE WITH HUMANITY AND COMPASSION AND INVEST IN THE STRENGTHS THAT ALREADY EXIST WITHIN THEM, WE EFFECTIVELY TAKE STEPS TO REDUCE THE HARMS THAT THESE INSTITUTIONS CAUSE man or woman to threaten or to attack throughout the week and connect directly a person housed in their cell for fear of with them. At first, each walk ended with being attacked when sleeping. It was for a list of problem areas. As we tackled some this reason that we recognized a need to of the identified problems, my interactions increase the number of living units focused became more conversational. Through those on programming in the facility. As we tracked interactions, I started to see similarities incidents, we realized that people who between the ways that I experienced the jail participated in enrichment programming as harmful and the ways that staff and the were less likely to act out. And we found people detained there experienced the jail. that staff who were interested in facilitating some of these programs were more likely to Understanding the value of connection, have positive interactions with people who we created more opportunities for staff were incarcerated. and the people detained in the institution to see value and similarities in each other. When staff and the people detained in We instituted dozens of programs for the the institution would share their concerns people detained in the facility including with me, I started being more transparent mental wellness, employment skills training, with them about the complexities of the education, and spiritual groups. We also problems they identified and inviting championed a staff-led movement to create them to assist with finding solutions positive work environments that encouraged that would work for all. Typically, fellowship and healthy lifestyle practices. correctional institutions have paramilitary In the first year, the movement garnered communication practices, requiring staff the support of a quarter of the staff. and the people detained in the institutions to direct their communications to their The headline is that when we treat immediate supervisors. It was my experience people with humanity and compassion that both groups were harmed by things and invest in the strengths that already that the executive staff knew nothing about, exist within them, we effectively take creating a greater divide. I made it a practice steps to reduce the harms that these to walk through the institution multiple times institutions cause. a EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 24 HARM REDUCTION AT THE CENTER OF INCARCERATION A FRAMEWORK FOR HARM REDUCTION IN CORRECTIONAL INSTITUTIONS EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 25 HARM REDUCTION AT THE CENTER OF INCARCERATION THE STAAC FRAMEWORK To acknowledge the importance of reducing resources, signage, procedures, and more harms caused by the institution to the people all promote a sense of safety. detained in correctional facilities, the staff and their families, I created the Safety, Transparency and Trust-building: The Transparency and Trust-building, Agency, people detained in the facility, correctional Asset-based Approach, and Connectedness staff, and their families and communities (STAAC) framework. The intention of the must be made aware of policy, institutional STAAC framework is aspirational and operations, and data points to build trust and outlines necessary shifts in correctional collaboration between these groups. system policy, procedure, and training to support the intersection of harm reduction Agency: The people detained in the facility, for the people detained in the facility correctional staff, and their families and and their families, correctional staff and communities have the tools and resources their families, and the larger community. to support their own healing and support As consideration for all stakeholders the healing of their peers. Although must occur simultaneously, institutions incarceration historically inhibits agency must also simultaneously elevate each among people who are detained and of the framework components. For their families, the centralization of harm example, it is imperative that institutions reduction requires these institutions to acknowledge that safety cannot be actively increase the ability of these two present where connectedness is not groups to act in their own best interest allowed. The framework supports the towards healing. notion that even in a system that is inherently traumatic, we must shift the Asset-based Approach: The facility values of the institution so it is rooted administrators and policy makers believe in humanity and compassion. in the strengths of the people detained in the facility, correctional staff, and their Safety: The people detained in the families and communities and build upon facility, correctional staff, and their these strengths to promote voice, build families and communities feel physically resilience, and influence harm reduction and psychologically safe and are held through language, programs, policies, accountable when they cause harm. procedures, and training. The people Interpersonal interactions, programs, detained in the facility, correctional staff, EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 26 HARM REDUCTION AT THE CENTER OF INCARCERATION □ THE FRAMEWORK SUPPORTS THE NOTION THAT EVEN IN A SYSTEM THAT IS INHERENTLY TRAUMATIC, WE MUST SHIFT THE VALUES OF THE INSTITUTION SO IT IS ROOTED IN HUMANITY AND COMPASSION and their families and communities also Engage people detained in the institution believe in the strengths of each other and in discussions about the policies and build upon those strengths. procedures. Administrators should be prepared to discuss the purpose of the Connectedness: Positive interpersonal policies and procedures as it relates to the interactions are essential to harm intersection of safety for the people detained reduction. The facility actively promotes in the facility, the staff, and the larger positive interpersonal connectivity and seeks community and to incorporate feedback to minimize power dynamics within and across when applicable (Safety; Transparency the people detained in the facility, the people and Trust-building; Agency; Asset-based who work there, and their families and Approach; Connectedness). communities to reflect the collective responsibility of harm reduction. — Policies, procedures, post orders, and staff should use person-first language While the shift towards harm reduction when talking with or about people is a multi-year journey, I have listed a few detained in the institution, referring tangible ways that the framework can be to them as people instead of “inmate,” implemented. Some of the strategies are “detainee,” or “offender.” more difficult to implement than others. More important than the list of strategies Engage people detained in the institution is the need to center harm reduction for in discussions about the supports they everyone touched by the institution in such believe would be beneficial to them. a way that no one group experiences injury Administrators should be prepared as a result of institutional policy, practice, to incorporate the feedback received and training. (Transparency and Trust-building; Agency; Asset-based Approach). FOR PEOPLE DETAINED IN THE INSTITUTION Facilitate onsite programming for mental wellness, substance use services, education, life skills (e.g., computer skills, banking Acknowledge the magnitude of the trauma and budgeting, resume writing), parenting that people detained in the institution skills, peer support, and job training skills experience and raise their awareness (Safety; Agency; Asset-based Approach; about the importance of self-care Connectedness). techniques (Agency). EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 27 HARM REDUCTION AT THE CENTER OF INCARCERATION Ensure facility disciplinary practices are and Trust‑building; Agency; Asset‑based humane and focused on accountability Approach; Connectedness). in lieu of punishment (Safety; Agency; Asset-based Approach). Develop a family engagement program (Safety; Trust-building Make the correctional environment as and Transparency; Agency; Asset-based aesthetically pleasing and relaxing as Approach; Connectedness). possible using calming paint, soft music, plants and flowers, etc. (Safety). — Administrators should engage families of people detained in the institution in Provide re-entry services including ongoing discussions about the supports a network of support services building they believe would be beneficial to off of the institutional programs that their healing and provide access were offered (Safety; Agency; Asset-based to these supports. Approach; Connectedness). — The correctional system should actively seek out partnerships with community FOR FAMILIES OF PEOPLE DETAINED IN THE INSTITUTION organizations focused on supporting the wellbeing of the family unit. — Families should be informed of the potential stressors their loved ones Acknowledge the trauma that families who are incarcerated faces and how to of people detained in the institution effectively engage with them in visits, experience and work to limit the phone calls, letters, and upon release continuation of harm (Safety). from the facility. — The correctional system should provide Offer seminars to families where comprehensive family engagement they are able to offer feedback about efforts such as family-friendly institutional policies and procedures. visitation that allows for physical Administrators should be prepared to contact and child-centered activities. explain the purpose of the policies and Video visitation should only be used procedures as it relates to the intersection as an adjunct to in-person visitation of safety for the people detained in or in emergent situations. the facility, the staff, and the larger — Families should have access to free community and to incorporate feedback telephone communication with their when applicable (Safety; Transparency loved ones who are incarcerated. EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 28 HARM REDUCTION AT THE CENTER OF INCARCERATION Provide correctional staff with pre- staff, the people detained in the facility, employment and annual training on effective and the larger community; and increase engagement with children and families. transparency with all stakeholder groups Training should include information on the when violence is used (Safety; Transparency impact of parental incarceration on children and Trust‑building; Agency; Asset-based and effective ways to engage with children Approach; Connectedness). and families. Additionally, the training should allow staff opportunities to practice, Engage staff in ongoing discussions about ask questions, and reflect on experiences the healing supports they believe would (Safety; Agency; Asset‑based Approach; benefit them. Administration should be Connectedness). prepared to incorporate the feedback (Transparency and Trust-building; Make the correctional environment that Agency; Asset-based Approach). families experience (e.g. visitation spaces, bonding rooms, and pick-up locations) Train all staff, including administrators, as aesthetically pleasing and relaxing as on effective ways to engage with others possible--using, for example, calming paint, (Safety; Agency; Asset-based Approach; soft music, plants and flowers, and child- Connectedness). friendly signage and play areas. (Safety). Incorporate comprehensive staff wellness Reduce the harms experienced seminars into the pre-employment and annual by families entering and exiting trainings. The trainings should include a staff the institution (Safety). resource guide for services within and outside of the department (Safety; Agency; FOR STAFF Asset-based Approach). Make the work environment as aesthetically Engage staff in ongoing discussions pleasing and relaxing as possible using about policies and procedures and what calming paint, soft music, plants and they believe would help them feel safer. flowers, etc. (Safety). Administration should be prepared to explain how positive interactions reduce Acknowledge the experiences the likelihood of violence; explain the of trauma for staff and raise their awareness purpose of policies and procedures as it about the importance of self-care relates to the intersection of safety for techniques (Agency). EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 29 HARM REDUCTION AT THE CENTER OF INCARCERATION FOR FAMILIES OF STAFF As correctional facilities make the necessary Acknowledge the impact of trauma inspire the shift within other organizations. on the families of employees and raise their awareness about the importance of self-care techniques. Administration must be prepared to provide access to the resources necessary for the self‑care of staff families (Agency). Offer seminars to employee families about the stressful nature of the job, signs of toxic partner stress, and wellness resources for the staff and their partners (Transparency and Trust‑building; Agency; Asset-based Approach; Connectedness). Engage families in discussions about the supports they believe would be beneficial to them and make attempts to incorporate their feedback in the organization (Transparency and Trust-building; Agency; Asset-based Approach). EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY shifts towards harm reduction, they will likely More importantly, correctional facilities will position themselves to be rooted in and accountable to the community. As the award-winning author S. Kelley Harrell said, “We don’t heal in isolation but in community.” □ ■ 30 HARM REDUCTION AT THE CENTER OF INCARCERATION CASE EXAMPLE OF HARM-REDUCING PRACTICES IN A CORRECTIONAL INSTITUTION EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 31 HARM REDUCTION AT THE CENTER OF INCARCERATION FAMILY-FRIENDLY VISITATION PILOT AT COOK COUNTY JAIL The Sheriff of Cook County Jail had long Policies: Language changes to been wanting to support children who reflect person-centered references; were visiting their loved ones who were harm‑reducing practices that center the incarcerated. In 2020, Chicago Beyond, experiences of children and families; and an impact investor focused on youth equity inclusion of information specific to contact and where I serve as the Managing Director visitation and key elements of the experience of Justice Initiatives, partnered with the (Safety; Transparency and Trust‑building; jail to revise its policies, procedures, Agency; Asset-based Approach; training, and visitation to reduce harms Connectedness). associated with family visitation for the people detained in the facility and their Culture and Environment: Clear vision children and families. In an effort to create shared by facility leadership and articulated a model for family-friendly visitation that to staff; staff training; and provision would allow for widespread use by all people of cohort wellness programming and detained in the correctional facility, increase parenting classes to build opportunities family engagement, and garner staff buy-in, for peer support (Safety; Transparency Chicago Beyond developed the following and Trust-building; Agency; Asset-based visitation model (see Figure 4). Approach; Connectedness). DIMENSION 1: INSTITUTIONAL TRANSFORMATION AND ENGAGEMENT Family Engagement: Understanding the number of children impacted by parental incarceration; identification of family needs; development of community resource guides for families; and referrals to community programming and support (Transparency and Trust-building; Agency; Asset‑based Approach; Connectedness). EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 32 HARM REDUCTION AT THE CENTER OF INCARCERATION Dimension 2 Trauma-Informed & Family-Friendly Visitation Dimension 1 Institutional Transformation & Engagement o. I ~f~ Engagement ~ Human-Centered & Trauma-Informed Practices Expansive Visitation Experience VISITATION DEVELOPMENT CYCLE Culture& Environment Dimension4 Stakeholder & Community Voice • ,-, ---••• FIGURE 4 Source: Chicago Beyond. EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ••• ••• L8 J Support for the Person who is Incarcerat ed Policies Jail Visitation Development Cycle. Dimension3 Reentry & Post-Visit Engagement Family Support ■ 33 HARM REDUCTION AT THE CENTER OF INCARCERATION DIMENSION 2: TRAUMA‑INFORMED AND FAMILY‑FRIENDLY VISITATION DIMENSION 3: RE‑ENTRY AND POST‑VISIT ENGAGEMENT Human-Centered and Trauma-Informed Support for the Person Who Is Incarcerated: Practices: Non-invasive and trauma- Re-entry planning starting at intake into informed searches of families; casual the facility; transition support when clothing for staff and people who are transitioning to prison and to the community incarcerated; humanistic interactions (Safety; Agency; Asset-based Approach; between staff and people who are Connectedness). incarcerated and families/community; and calming rooms for families and people Family Support: Access to community who are incarcerated to use prior to programming and support; access to and following the visit (Safety; Transparency resources (Safety; Transparency and and Trust-building; Agency; Asset-based Trust-building; Agency; Asset-based Approach; Connectedness). Approach; Connectedness). Expansive Visitation Experience: Authentic family interactions (e.g., playing games; sharing snacks); support DIMENSION 4: INCORPORATING STAKEHOLDER AND COMMUNITY VOICE from non-uniformed correctional and programming staff; structured Stakeholder Voice: Community feedback programming during the visit; and that ensures the facility is engaging in harm- spaces that are appropriate for multiple reducing practices and offering authentic ages (Agency; Asset-based Approach; engagement for families; staff debriefings; Connectedness). and sharing of information on infraction reductions to build buy-in (Transparency and Trust-building; Agency; Asset-based Approach; Connectedness). EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 34 HARM REDUCTION AT THE CENTER OF INCARCERATION In partnership with the local children’s both visits were deemed successful by museum and a trauma-focused mental correctional staff, the participating fathers, health organization, we piloted two visitation and their families. At the moment that the experiences to demonstrate the positive doors of the visitation room opened and impact of this visitation model. One visitation children ran to their fathers to embrace occurred outside of the correctional facility them, everyone in the room was overcome in the children’s museum, and the other with emotion. For two hours, the room occurred in an area of the correctional was filled with fathers, children, and staff facility that was temporarily repurposed (sworn and civilian staff from each partner for child-friendly visitation using exhibit organization) who helped to facilitate play structures from the children’s museum. instead of filling the stereotypical roles Both visits had key elements that were occupied by staff and the people confined. rooted in harm reduction, including the One participating father expressed his elimination of uniforms for the people thoughts in a post-visit meeting, saying detained in the facility as well as the staff “Seeing my kid and being able to have this (they were allowed to wear their personal opportunity motivates me to be a better dad.” clothing), humane security practices, During a post-visit debrief, one four-year-old positive engagement between the staff daughter said, “I feel better knowing that and others using given names as opposed my daddy has friends in here.” In a debriefing to terms like “offender” or “inmate,” family with correctional staff, one staff member activities, and case management services stated, “The visit helped change how for families to access community resources law enforcement relates to the community (see Figure 4). and combat the stigma and bias associated with law enforcement.” a Because the facility is in the process of expanding the visitation model throughout the jail, quantitative outcome data is not yet available. As the visitation model is expanded with fidelity, it is anticipated that more families will be able to maintain positive relationships with their loved ones who are incarcerated, people who are incarcerated will have greater re-entry success, and the facility will experience a decrease in incidents. Qualitatively, EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 35 HARM REDUCTION AT THE CENTER OF INCARCERATION TABLE 1 Family-Friendly Visitation Pilot at the Cook County Jail VISIT STRUCTURE PRE-VISIT ACTIVITIES Trauma-Informed Environment: Fathers selected from an in-custody wellness program Touch visits Fathers placed into a ‘cohort,’ which allowed the visit to feel more comfortable given familiarity Limited carceral elements (e.g., wires, bars) clearly present Fathers and officers dressed in plain clothes Time check on remaining visitation time to allow families time to prepare for goodbyes Staff: All staff (including officers) positively engaged with children All staff (including officers) positively engaged with fathers and used person-first language Visit Activities: Various activities for youth of different ages Lunch available throughout the visit Photo booth for family pictures Children received books selected by fathers with signed messages Bilingual mental health clinicians on-site EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY Fathers attended parenting classes Calming room allocated in case a father needed to de-escalate Transportation assistance offered to families Tailored orientation scripts for families and fathers in English and Spanish Joint trauma training for staff POST-VISIT SUPPORT Case Manager present to talk with families and share information about available resources Community resource packets available for families ■ 36 HARM REDUCTION AT THE CENTER OF INCARCERATION CONCLUSION Incarceration is traumatic, and the reduction is critical from this perspective. institutions charged with that function— There are many specific measures that can prisons and jails—operate in a way that be used in correctional settings to decrease is most traumatic for the people who are harm, including incarcerating fewer people. incarcerated, and also for the staff who But the key ideas center around one core work in them, families, and the broader concept: correctional leaders promoting community. This paper has tried to human interaction that is respectful, reconceive how prisons and jails might warm, and supportive in contexts function if addressing trauma was adopted of safety and mutual trust. a as a first priority. The project of harm □ THE KEY IDEAS CENTER AROUND ONE CORE CONCEPT: CORRECTIONAL LEADERS PROMOTING HUMAN INTERACTION THAT IS RESPECTFUL, WARM, AND SUPPORTIVE IN CONTEXTS OF SAFETY AND MUTUAL TRUST EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 37 HARM REDUCTION AT THE CENTER OF INCARCERATION REFERENCES Adams, Sharyn, Jaclyn Houston-Kolnik, Cramer, Lindsey, Margaret Goff, Bryce Green, Bonnie L., Jeanne Miranda, and Jessica Reichert. 2017. Trauma- Peterson, and Heather Sandstrom. Anahita Daroowalla, and Juned Informed and Evidence-Based Practices 2017. ‘Parent-Child Visiting Practices Siddique. 2005. ‘Trauma exposure, and Programs to Address Trauma in in Jails and Prisons: A Synthesis of mental health functioning and program Correctional Settings. Illinois Criminal Research and Practice.’ Washington, needs of women in jail.’ Crime and Justice Information Authority Research DC: Urban Institute. Retrieved February Delinquency 51:133-151. Hub. Retrieved February 17, 2021 17, 2021 (www.urban.org/sites/default/ (https://icjia.illinois.gov/researchhub/ files/publication/89601/parent- articles/trauma-informed-and- child_visiting_practices_in_prisons_ evidence-based-practices-and- and_jails.pdf). programs-to-address-trauma-in- Lindquist, Christine, Danielle Steffey, Stephen Tueller, Rose Feinberg, Tasseli McKay, and Anupa Bir. 2016. ‘Predictors of Reentry Success.’ Denhof, Michael D., and Caterina G. Washington, DC: Office of the Assistant Spinaris. 2013. ‘Depression, PTSD, Secretary for Planning and Evaluation, American Psychiatric Association. and Comorbidity in United States U.S. Department of Health and Human 2013. Diagnostic and Statistical Manual Corrections Professionals: Prevalence Services. Retrieved February 17, 2021 of Mental Disorders (5 ed.). and Impact on Health and Functioning.’ (https://aspe.hhs.gov/system/files/ Florence, CO: Desert Waters pdf/255886/reentrysuccessbrief.pdf). correctional-settings). th Bremner, J.D. 2006. ‘Traumatic Stress: Effects on the Brain.’ Dialogues in Clinical Neuroscience 8(4):445-461. Census Viewer. 2010. ‘Population of Cook County Illinois: Census 2010 and 2000 Interactive Map, Demographics, Statistics, Graphs, Quick Facts.’ Retrieved February 17, 2010 (http://censusviewer.com/county/ IL/Cook). Correctional Outreach. Retrieved February 17, 2021 (https://desertwaters. com/wp-content/uploads/2013/09/ Comorbidity_Study_09-03-131.pdf). Enns, Peter K., Youngmin Yi, Megan Emily A. Wang, Chrisopher Wildeman. 2019. ‘What Percentage of Americans Have Ever Had a Family Member From Chicago Beyond. (FamHIS).’ Socius: Sociological Research EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY violence, treatment needs, and mental health.’ Feminist Criminology Family History of Incarceration Survey From Chicago Beyond. women’s experiences of interpersonal 7(4):381-400. Visitation Development Cycle.” Institutions Through Community.” surface: The nature of incarcerated Lee, Christpher Muller, Sara Wakefield, Incarcerated?: Evidence from the of Trauma from Correctional M. Heath. 2012. ‘Looking beneath the Comfort, Alyssa W. Goldman, Hedwig Chicago Beyond. 2021. “Jail Chicago Beyond. 2021. “The Spread Lynch, Shannon, April Fritch, and Nicole for a Dynamic World 5:1-45. National Institute of Mental Health. 2017. ‘Major Depression’. Retrieved February 17, 2021 (www.nimh.nih.gov/health/statistics/ major-depression.shtml). ■ 38 HARM REDUCTION AT THE CENTER OF INCARCERATION National Institute of Mental Health. Sawyer, Wendy, and Peter Wagner. Sweeton, Jennifer. 2017. ‘How to Heal 2017b. ‘Post Traumatic Stress 2020. ‘Mass Incarceration: The Whole the Traumatized Brain’. Psychology Disorder’. Retrieved February 17, Pie 2020.’ Northhampton, MA: Prison Today, March 13. Retrieved February 2021 (www.nimh.nih.gov/health/ Policy Initiative. Retrieved February 17, 17, 2021 (www.psychologytoday.com/ statistics/post-traumatic-stress- 2021 (www.prisonpolicy.org/reports/ us/blog/workings-well-being/201703/ disorder-ptsd.shtml). pie2020.html). how-heal-the-traumatized-brain). Parke, Ross, and K.A. Clarke-Stewart. Spinaris, Caterina, Michael Denhof, U.S. Bureau of Labor Statistics. 2021. 2002. ‘Effects of Parental Incarceration and Gregory Morton. 2013. ‘Impact ‘Occupational Employment Statistics. on Young Children’. Washington, DC: of Traumatic Exposure on Corrections Correctional Officers and Jailers’. Urban Institute. Retrieved April 8, 2021 Professionals’. Washington, DC: Retrieved February 17, 2021 (www.bls. (https://www.urban.org/sites/default/ National Institute of Corrections. gov/oes/2018/may/oes333012.htm#(1)). files/publication/60691/410627- Retrieved April 8, 2021 (https://info. Effects-of-Parental-Incarceration-on- nicic.gov/virt/sites/info.nicic.gov. Young-Children.PDF). virt/files/06Impact_of_Traumatic_ Peterson, Bryce, Lindsey Cramer, Exposure.pdf). Wolff, Nancy, Jessica Huening, Jing Shi, and B.Christopher Frueh. 2014. ‘Trauma Exposure and Posttraumatic Stress Disorder Among Incarcerated and Jocelyn Fontaine. 2019. “Policies Substance Abuse and Mental Men’. Journal of Urban Health and Practices for Children of Health Services Administration. 91(4):707-719. Incarcerated Parents: Summarizing 2014. ‘SAMHSA’s Concept of Trauma What We Know and What We Do Not and Guidance for a Trauma-Informed Know.” Pp. 331-343 in Handbook on Approach’. Rockville, MD: U.S. Children with Incarcerated Parents, Department of Health and Human edited by J. Mark Eddy and Julie Services. Retrieved February 17, 2021 Poehlmann-Tynan. Cham, CH: (https://ncsacw.samhsa.gov/userfiles/ Springer Nature. files/SAMHSA_Trauma.pdf). EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY Wolff, Nancy, Jing Shi, and Jane A. Siegel. 2009. ‘Patterns of Victimization Among Male and Female Inmates: Evidence of an Enduring Legacy’. Violence and Victims 24(4):469–484. ■ 39 HARM REDUCTION AT THE CENTER OF INCARCERATION ACKNOWLEDGEMENTS AUTHOR NOTE The author would like to thank Executive Session colleagues Kevin Thom, Danielle Sered, Liz Glazer, Vinny Schiraldi, Emily Wang, and Vivian Nixon for their thoughtful feedback. She would also like to thank Madison Dawkins, Anamika Dwivedi and Katharine Huffman for their research, editing, feedback, and tremendous support in preparing this publication. The author would like to acknowledge the Cook County Sheriff’s Office for their support of this publication. Lastly, the author would like to thank the entire Chicago Beyond team and Kayla Woodard for their editing, feedback, and support. Dr. Nneka Jones Tapia is a clinical psychologist and the Managing Director of Justice Initiatives at Chicago Beyond, an impact investor fighting for all young people to achieve their fullest human potential by investing in organizations, ideas, and individuals in Chicago and nationally. Chicago Beyond helped to determine the prevalence of youth impacted by parental incarceration in a jail and supported the transformational visitation pilots at Cook County Jail. designbysoapbox.com EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY ■ 40 HARM REDUCTION AT THE CENTER OF INCARCERATION MEMBERS OF THE EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY Abbey Stamp | Executive Director, Multnomah County Local Public Safety Coordinating Council Amanda Alexander | Founding Executive Director, Detroit Justice Center & Senior Research Scholar, University of Michigan School of Law Arthur Rizer | Vice President of Technology, Criminal Justice and Civil Liberties, Lincoln Network Bruce Western | Co-Founder, Square One Project; Co-Director, Justice Lab & Bryce Professor of Sociology and Social Justice, Columbia University Danielle Sered | Executive Director, Common Justice Daryl Atkinson | Founder and Co-Director, Forward Justice Elizabeth Glazer | Former Director, New York City’s Mayor’s Office of Criminal Justice Elizabeth Trejos-Castillo | C. R. Hutcheson Endowed Associate Professor, Human Development & Family Studies, Texas Tech University Elizabeth Trosch | Chief District Court Judge, 26th Judicial District of North Carolina EXECUTIVE SESSION ON THE FUTURE OF JUSTICE POLICY Emily Wang | Professor of Medicine, Yale School of Medicine; Director, SEICHE Center for Health and Justice; & Co-Founder, Transitions Clinic Network Greisa Martinez Rosas | Executive Director, United We Dream Jeremy Travis | Co-Founder, Square One Project; Executive Vice President of Criminal Justice, Arnold Ventures; President Emeritus, John Jay College of Criminal Justice Katharine Huffman | Executive Director, Square One Project, Justice Lab, Columbia University & Founding Principal, The Raben Group Nancy Gertner | Professor, Harvard Law School & Retired Senior Judge, United States District Court for the District of Massachusetts Nneka Jones Tapia | Managing Director of Justice Initiatives, Chicago Beyond Patrick Sharkey | Professor of Sociology and Public Affairs, Princeton University & Founder, AmericanViolence.org Robert Rooks | Chief Executive Officer, REFORM Alliance & Co-Founder of Alliance for Safety & Justice Kevin Thom | Sheriff, Pennington County, SD Sylvia Moir | Interim Police Chief, Napa, CA & Former Chief of Police, Tempe, AZ Kris Steele | Executive Director, TEEM Thomas Harvey | Director, Justice Project, Advancement Project Laurie Garduque | Director, Criminal Justice, John D. and Catherine T. MacArthur Foundation Tracey Meares | Walton Hale Hamilton Professor, Yale Law School & Founding Director, The Justice Collaboratory Lynda Zeller | Senior Fellow Behavioral Health, Michigan Health Endowment Fund Matthew Desmond | Professor of Sociology, Princeton University & Founder, The Eviction Lab Melissa Nelson | State Attorney, Florida’s 4th Judicial Circuit Vikrant Reddy | Senior Fellow, Charles Koch Institute Vincent Schiraldi | Senior Research Scientist, Columbia University School of Social Work & Co-Director, Justice Lab, Columbia University Vivian Nixon | Executive Director, College and Community Fellowship THt SQUARt ONt PRDJrCT REIMAGINE JUSTICE The Executive Session on the Future of Justice Policy, part of the Square One Project, brings together researchers, practitioners, policy makers, advocates, and community representatives to generate and cultivate new ideas. The group meets in an off-the-record setting twice a year to examine research, discuss new concepts, and refine proposals from group members. The Session publishes a paper series intended to catalyze thinking and propose policies to reduce incarceration and develop new responses to violence and the other social problems that can emerge under conditions of poverty and racial inequality. By bringing together diverse perspectives, the Executive Session tests and pushes its participants to challenge their own thinking and consider new options. ~ COLUMBIA UNIVERSITY I JUSTICE LAB