Shift from Punishment to Treatment Approach

Introductory Paragraph

Evidence shows that addiction is a treatable disease of the brain, however many individuals do not receive treatment and as a result they end up involved in the criminal justice system from illegal drug-seeking behavior.

Treating those with substance use disorders and illegal behavior helps decrease substance abuse ongoing as well as provides the opportunity to reduce associated criminal tendencies. There are evidence-based strategies that play a role in transforming traditional punishment-based approaches that may be used within the criminal justice system. Moving from a punishment to treatment approach improves both public health and public safety while decreasing rates of future incarceration.

Key Information

"Opioid use disorders are highly prevalent among criminal justice populations. According to data from the U.S. Department of Justice, approximately half of state and federal prisoners meet criteria for substance use disorder."

Once incarcerated for drug-related crimes, people with substance use disorders have an extremely high risk of using substances and reoffending once released. This has substantial impacts on the economy, the criminal justice system, and the individuals living with this substance use disorder. Not only does this cycle cost taxpayers billions each year, but it also does not adequately provide the individuals with the resources they need in order to treat their addiction and break the vicious cycle. These individuals are more likely to commit crimes at a higher rate once released from prison when compared to those who are not using substances

One option that seems promising is providing drug treatment inside the prisons and jails while the offenders are incarcerated. Since the 1990’s researchers have discovered highly effective interventions that can be implemented while offenders are incarcerated and after they are released

A critical component of this approach is adequate prerelease and post-release counseling and support in order to reduce detrimental impacts of individuals returning to their previous stressful home-life, environments, and negative peer influences. Lack of access to treatment upon release increases the likelihood of relapse and death due to overdose due to the changes in an individual’s tolerance after being incarcerated.

Relevant Research

Treating Drug Abuse and Addiction in the Criminal Justice System: Improving Public Health and Safety

Impactful Federal, State, and Local Policies

Please list any federal, state, or local laws, policies, or regulations that support this topic or ones that could be a possible barrier. Are there laws or policies other states should know about and replicate for success?

Promising Practices

Buffalo, New York- An innovative triage approach called Buffalo Opioid Court, reduced the risk of overdose deaths and substance use by providing funding for court staff and treatment programs such as addiction counseling and medical interventions. The court staff has the ability to deploy a Rapid Integration Team that connects individuals with immediate treatment, assessment, and access to a licensed professional counselor

Video: Reforming Criminal Justice to Help Inmates Live a Life of Dignity, not Dependency