culture

In the wake of Philip Seymour Hoffman’s sad death, many are calling for various “harm reduction” approaches to substance use. Proponents of harm reduction have identified lots of ways to reduce the social and personal costs of drugs, but they often require us to shift our focus from the prevention of drug use itself to the prevention of harm. Resistance to such approaches often hinges on the notion that they somehow tolerate, facilitate, or even subsidize risky behavior.

This tension emerged clearly in my new article with Sarah Shannon in Social Problems. We re-analyzed an experimental jobs program that randomly assigned a basic low-wage work opportunity to long-term unemployed people as they left drug treatment. In some ways, the program worked beautifully. The job treatment group had significantly less crime and recidivism, especially for predatory economic crimes like robberies and burglaries. After 18 months, about 13 percent of the control group had been arrested for a new robbery or burglary, relative to only 7 percent of the treatment group. Put differently, 87 percent of those not offered the jobs survived a year and a half without such an arrest, relative to 93 percent of the treatment group who were offered jobs.

robbery

A randomized experiment that shows a 46 percent reduction in serious crime is a pretty big deal to criminologists, but the program has still been considered a failure. In part, this is because the “treatment” group who got the jobs relapsed to cocaine and heroin use at about the same rate as the control group. After 18 months, about 66 percent of the control group had not yet relapsed, relative to about 63 percent in the treatment group. So, there’s no evidence the program helped people avoid cocaine and heroin.

drugs

From an abstinence-only perspective, such programs look like failures. Nevertheless, even a crummy job and a few dollars clearly helped people avoid recidivism and improved the public safety of their communities. So, did the program work? From a harm reduction perspective, a jobs program for drug users surely “works” if it reduces crime and other harms, even if it doesn’t dent rates of cocaine or heroin use.

 

Productive Addicts and Harm Reduction: How Work Reduces Crime – But Not Drug Use

Christopher Uggen and Sarah K. S. Shannon
Social Problems
Vol. 61, No. 1 (February 2014) (pp. 105-130)

From the Works Progress Administration of the New Deal to the Job Corps of the Great Society era, employment programs have been advanced to fight poverty and social disorder. In today’s context of stubborn unemployment and neoliberal policy change, supported work programs are once more on the policy agenda. This article asks whether work reduces crime and drug use among heavy substance users. And, if so, whether it is the income from the job that makes a difference, or something else. Using the nation’s largest randomized job experiment, we first estimate the treatment effects of a basic work opportunity and then partition these effects into their economic and extra-economic components, using a logit decomposition technique generalized to event history analysis. We then interview young adults leaving drug treatment to learn whether and how they combine work with active substance use, elaborating the experiment’s implications. Although supported employment fails to reduce cocaine or heroin use, we find clear experimental evidence that a basic work opportunity reduces predatory economic crime, consistent with classic criminological theory and contemporary models of harm reduction. The rate of robbery and burglary arrests fell by approximately 46 percent for the work treatment group relative to the control group, with income accounting for a significant share of the effect.

IO card packets 2013Another of the projects my Inside-Out students took on this term was to create beautiful hand-decorated holiday cards for children visiting the Oregon State Penitentiary to take home with them, personalize, and mail back to their fathers, uncles, and other loved ones.  OSU (outside) student Lexie explains the rationale for these card packets:

These packets were made by the Inside-out class of fall 2013. These packets will be given to the children of inmates at OSP so that they may have a stamped, addressed, decorated card to send to a loved one with little to no barriers. It also included candy, extra writing paper and an extra envelope. Receiving things from family members on the outside means a lot to these guys and helps them to keep their heads up while working to improve their own lives and the lives of others for the duration of their sentences. Most of these examples of the cards are done by inmates and are beautiful. There are some that are not that great, haha, but have potential for the kids to make them great. These aren’t all of them, but a few we picked out to share.

It’s a small but important way for us to continue to support men in prison (including our own inside students) and the children who love them.

IMG_2135 memo_tumblr2013 marc_tumblr 2013

The We are the 1 in 100 tumblr site is an ongoing project of my Inside-Out classes, with submissions representing both the approximately  1 in 100 Americans behind bars and those affected by their incarceration.  The Fall 2013 inside and outside students have recently added some powerful new sentiments and images.  Check it out.

TheGreatPumpkinCharlieBrownI was fortunate to host one of the more meaningful Halloween events of my life this year.  Building on the work I have been doing in one of our state youth correctional facilities over the past couple of years, I approached the administration with the idea of holding a Halloween party for the incarcerated fathers and their young children.  The fathers, themselves, are in their late teens and early twenties, so their children are all very young and at the age when Halloween is a major holiday.

We arranged to have the event on October 30th, so that it was an additional celebration and did not take the kids away from their own neighborhood celebration of Halloween.  Approximately seven young fathers participated, and family members brought their young children in their Halloween costumes into the facility to decorate pumpkins with their dads, decorate and eat cookies together, and to try to catch donuts and apples on strings (a more hygienic version of bobbing for apples). The culminating event was when the kids and their dads were able to trick or treat down the hallways of the institution’s school.  I had eight fabulous students from Oregon State University helping to run the event – the OSU volunteers were able to each go into a classroom and greet the little trick-or-treaters with kindness and candy.    After the little kids went home, we invited the full population of the facility to join us in the gym for pumpkin decorating, lively games, cookies, and candy.  I think it’s safe to say that the OSU volunteers and the young men in the facility all had a great time.

In the grand scheme of things, this event was a little thing that the youth correctional facility made possible.  All we had to do was suggest the idea; they then allowed us to make the plans, and then the administrators made it happen.  In the past 20 years (at least), they have never had an event like this.  For the kids and dads who participated, this was a big deal.  The dads got to be involved in an important childhood ritual, and they were able to make some unique memories with their kids.  I got to play photographer for much of the event, and I took some great family photos that both the kids and dads will be able to look back upon and enjoy for many years to come.

In my research and teaching, I think a lot about at-risk youth and children of incarcerated parents.  Small events like this one seem to me to be a small but important step to show that the community cares and wants what is best for these children.  It was a Halloween well spent.

purseFew (if any) of us have abstained from crime completely. And recognizing our own criminality is often an important first step in understanding the situation of those who are caught and punished for crimes. I use self-report delinquency surveys to show this commonality to my students, but the traveling exhibit We Are All Criminals makes the point far more emphatically.

The multimedia project tells our stories — the millions of people who have committed felonies and misdemeanors but managed to avoid the stigma of a criminal record. Its architect is Emily Baxter, a visionary Minnesota attorney and Director of Public Policy and Advocacy at the Council on Crime and Justice. From the site:

Participants in We Are All Criminals tell stories of crimes they got away with… The participants are doctors and lawyers, social workers and students, retailers and retirees who consider how very different their lives could have been had they been caught. The photographs, while protecting participants’ identities, convey personality: each is taken in the participant’s home, office, crime scene, or neighborhood. The stories are of youth, boredom, intoxication, and porta potties. They are humorous, humiliating, and humbling in turn. They are privately held memories without public stigma; they are criminal histories without criminal records. 

We Are All Criminals seeks to challenge society’s perception of what it means to be a criminal and how much weight a record should be given, when truly – we are all criminals. But it is also a commentary on the disparate impact of our state’s policies, policing, and prosecution: many of the participants benefited from belonging to a class and race that is not overrepresented in the criminal justice system. Permanent and public criminal records perpetuate inequities, precluding thousands of Minnesotans from countless opportunities to move on and move up. We Are All Criminals questions the wisdom and fairness in those policies.

You can see much of the project online, attend one of the public events, or attend Ms. Baxter’s presentation at the American Society of Criminology meetings in Atlanta this November 23rd.

GatesBrown2If I wrote a novel about an ex-prisoner who became a successful major league ballplayer and Detroit legend, I’d probably name him “Gates” Brown.

Nah, too obvious.

William “Gates” Brown died Friday at 74. Mr. Brown was among the greatest pinch hitters in baseball history, batting an absurd .450 in 40 pinch-hitting appearances (and .370 overall) for the Tigers in their 1968 championship season. As a kid, I admired him for his cool demeanor at the plate, the fine career he fashioned from a very specialized skill, and a near-Ruthian story about toting hot dogs on the basepaths. What’s not to like?

On the backs of baseball cards, they generally list information like “Bill enjoys bowling in the off-season!” rather than “Bill did 22 months for B&E!” — and athletes of the day were quite content to keep their criminal histories in the closet. Still, even as a little leaguer, I knew something about Mr. Brown’s past.  His 1974 Topps card, which I happen to have in my office (don’t ask) says, “Gates makes public appearances for the Tigers.” And he did just that, according to this 1974 piece from The Argus-Presswhich details his efforts to get kids “on the right track” and his television appearances discussing his prison history. He’d done 22 months in the Ohio State Reformatory at Mansfield — an iconic prison used in certain Shawshank Redemption scenes. 

Mr. Brown was also forthcoming about the racism he endured coming up the ranks in the Jim Crow south of 1960. Because the first year of his career was spent on probation, he knew that reacting physically to racist fans and coaches would quickly put said career to an end.  Nevertheless, Mr. Brown progressed quickly through the minor leagues, playing 13 years in Detroit and then serving as hitting coach from 1978 to 1984.

So, while baseball fans will remember Gates Brown as the consummate pinch hitter, the matter-of-fact and compelling manner in which he told his desistance story is also well worth remembering.

I don’t recall any “So, your dad’s in prison” discussions on Mr. Rogers’ Neighborhood or Captain Kangaroo, but United States criminal punishment has increased greatly since my preschool days. Arturo Baiocchi sends along this powerful Sesame Street clip addressing parental incarceration in their “Little Children, Big Challenges” series. The short video is heartbreaking in concept and in execution, but I’m glad to see more people and institutions reaching out to support the children of incarcerated parents. For those interested in the numbers and the effects of parental incarceration, I’d recommend the excellent series of articles and upcoming book by our friends Sara Wakefield and Chris Wildeman.

mnloveYou might have heard that Minnesota Governor Dayton just signed Freedom to Marry legislation, but he also made Ban the Box the law-of-the-land-of-10,000-lakes.  Megan Boldt describes it succinctly at twincities.com:

Gov. Mark Dayton this week signed a bill that would ban employers from considering a job applicant’s criminal history until the applicant has an interview or is offered a job.

Supporters of the bill, dubbed “ban the box,” have argued the change allows people who have made mistakes to be considered for a job on their merits and skills, instead of having their application immediately discarded.

Since 2009, Minnesota has required all public employers to wait until a job candidate has been selected for an interview before inquiring about criminal history.

I can take no credit (or blame, I suppose) for this development, but I can brag a bit about amazing Minnesota graduate students like Sarah Walker and Rob Stewart, community leaders like Mark Haase at the Council on Crime and Justice, and many formerly incarcerated men and women who came forward to tell their stories and build support for this legislation.

Yes, employers can and will still discriminate on the basis of a criminal record, but the research literature suggests that ban the box is a tremendously important step. In my Minnesota audit study on low-level records, for example, 25% of the hiring authorities we interviewed told us they wouldn’t consider any (hypothetical) applicant with a record, but they were much less likely to discriminate on that basis when confronted with a real human being applying for a job. And in Devah Pager’s important audit studies (and my own as well), personal contact with a hiring authority is a powerful, powerful predictor of “callbacks” from employers. So, I’m optimistic that Ban the Box won’t simply waste applicants’ time — or that of employers.

For a national perspective on these laws, check the recent EEOC guidance on the topic and a useful page from the National Employment Law Project. And, yes, I’m already scheming to evaluate implementation and outcomes…

Today’s post is coauthored with Jason Schnittker for the Robert Wood Johnson Foundation Human Capital blog

More than 650,000 inmates are released from prison every year.[i]  Although their debt to society may be paid, their struggles have just begun.  Reentry is not easy.  Former inmates need to find a place to live.  They need to find a job.  And many need to support families.  All told, 4 million people in the U.S. are dealing with the “mark” of a prison record and its consequences for their work and personal lives.[ii]  Most will struggle for years following their release.

Given all these difficulties, it’s hard to imagine health being a major part of their struggle.  After all, many former inmates are still quite young and, for that reason, unlikely to suffer from major health problems.  Mental health is part of the picture, but usually considered through a different lens:  policy-makers ask how mental illness affects criminal offending—that is, what leads to prison in the first place—but rarely consider the pivotal role of mental health in making a successful return to the community.

Yet the role of mental illness is just as relevant after release as before.[iii]

Many former inmates suffer from poor mental health.  And these problems often get worse following release, given the many disadvantages they face.  Former inmates suffer from many of the same disorders as other people, including depression and anxiety, albeit at higher rates. We know that substance disorders and psychosis are related to criminal offending, but former inmates suffer from mood and anxiety disorders too, and these conditions have received far less attention.  Our own research suggests that depression plays an especially powerful role in shaping the reentry prospects of former inmates.[iv]

Insofar as we demand that former inmates become productive and responsible members of society, we may need to provide them with a little more help.  Reintegration requires persistence, motivation, and a strong social network, all of which are undermined by mental health problems.  Mood and anxiety disorders, in particular, can rob individuals of motivation and initiative and undermine their relationships.  Psychosis and substance abuse are, of course, important as well, especially in preventing new offending.  But good health is more than the absence of these particular conditions, just as reintegration is more than the absence of particular criminal behaviors. Reintegration also implies successful adjustment to challenging work and family situations — and good overall health fortifies us all in meeting such challenges.

To date, enthusiasm for better mental health treatment among former inmates has been limited.  From a cost-benefit perspective, the role of treatment in reducing crime is inconclusive.[v]  But evidence on the effectiveness of mental health treatment for other outcomes, including employment, is more favorable.[vi]  The Affordable Care Act will help.[vii]  A robust safety net of low cost service providers will help too.  But true reform requires something more ambitious:  the recognition that good health is a precondition to getting back on your feet.

Jason Schnittker, PhD, and Chris Uggen, PhD, both recipients of Robert Wood Johnson Foundation (RWJF) Investigator Awards in Health Policy Research, recently published a study in the Journal of Health and Social Behavior on incarceration and psychiatric disorders. They found that incarceration increases the risk of mood disorders after release and that these disorders increase disability. Schnittker is an associate professor in the Department of Sociology at the University of Pennsylvania. Uggen is the Distinguished McKnight Professor in the Department of Sociology at the University of Minnesota.

I’ve been reluctant to write about the terrible events at Sandy Hook Elementary School because the wounds are still too fresh for any kind of dispassionate analysis. As a social scientist, however, I’m disappointed by the fear-mongering and selective presentations of the research evidence I’ve read in reports and op-eds about Friday’s awful killing.

Such events could help move us toward constructive actions that will result in a safer and more just world — or they could push us toward counter-productive and costly actions that simply respond to the particulars of the last horrific event. I will make the case that a narrow focus on stopping mass shootings is less likely to produce beneficial changes than a broader-based effort to reduce homicide and other violence. We can and should take steps to prevent mass shootings, of course, but these rare and terrible crimes are like rare and terrible diseases — and a strategy to address them is best considered within the context of more common and deadlier threats to population health. Five points:

1. The focus on mass shootings obscures over 99 percent of homicide victims and offenders in the United States. The numbers should not matter to parents who must bury their children, but they are important if policy makers are truly committed to reducing violent deaths. There are typically about 25 mass shootings and 100 victims each year in the United States (and, despite headlines to the contrary, mass shootings have not increased over the past twenty years). These are high numbers by international standards, but they pale relative to the total number of killings – about 14,612 victims and 14,548 offenders in 2011. In recent years, the mass shooters have represented less than two-tenths of 1 percent of the total offenders, while the victims have represented less than one percent of the total homicide victims in any given year. We are understandably moved by the innocence of the Sandy Hook children, but we should also be moved by scores of other victims who are no less innocent. There were 646 murder victims aged 12 or younger  in the United States in 2011 alone — far more than all the adults and children that died as a result of mass shootings.

2. The focus on mass shootings leads to unproductive arguments about whether imposing sensible gun controls would have deterred the undeterrable. As gun advocates are quick to point out, many of the perpetrators in mass shootings had no “disqualifying” history of crime or mental disorder that would have prevented them from obtaining weapons. And, the most highly motivated offenders are often able to secure weapons illegally. Even if such actions do little to stop mass shootings, however, implementing common-sense controls such as “turning off the faucet” on high capacity assault weapons, tightening up background checks, and closely monitoring sales at gun shows are prudent public policy. But the vast majority of firearms used in murders are simple handguns. I would expect the no-brainer controls mentioned above to have a modest but meaningful effect, but we will need to go farther to have anything more than an incremental effect on mass shootings and gun violence more generally.

3. The focus on mass shootings obscures the real progress made in reducing the high rates of violence in the United States. I heard one commentator suggest that America had finally “hit bottom” regarding violence. Well, this is true in a sense — we actually hit bottom twenty years ago. The United States remains a violent nation, but we are far less violent today than we were in the early 1990s. Homicide rates have dropped by 60 percent and the percentage of children annually exposed to violence in their households has fallen by 69 percent since 1993. We can and should do better, of course, but these are not the worst of times.

4. The focus on mass shootings exaggerates the relatively modest correlation between mental illness and violence. Those who plan and execute mass shootings may indeed have severe mental health problems, though it is difficult to say much more with certainty or specificity because of the small number of cases in which a shooter survives to be examined. We do know, however, that the correlation between severe mental illness and more common forms of violence is much lower — and that many types of mental health problems are not associated with violence at all.

5. The focus on mass shootings leads to high-security solutions of questionable efficacy. Any parent who has attempted to drop off a kid’s backpack knows that security measures are well in place in many schools. Rates of school crime continue to fall, such that schools are today among the safest places for children to spend so many of their waking hours. In 2008-2009, for example, only 17 of the 1,579 homicides of youth ages 5-18 occurred when students were at school, on the way to school, or at school-associated events. Of course we want to eliminate any possibility of children being hurt or killed at school, but even a 2 percent reduction in child homicide victimization outside of schools would save more lives than a 90 percent reduction in school-associated child homicide victimization. While every school must plan for terrible disasters in hopes that such plans will never be implemented, outsized investments in security personnel and technology are unlikely to serve our schools or our kids.

In the aftermath of so many deaths I am neither so cynical as to suggest that nothing will change nor so idealistic as to suggest that radical reform is imminent. I’m just hoping that the policy moves we make will address our all-too-common horrors as well as the rare and terrible events of the past week.