Abstract
Women are the fastest-growing population in the criminal justice system, and jails reach more people than any other component of the correctional system. About 1 million women pass through US jails each year. Most return to their communities within a few weeks of arrest, and few receive help for the substance abuse, health, psychological or social problems that contribute to incarceration. We describe a model program, Health Link, designed to assist drug-using jailed women in New York City to return to their communities, reduce drug use and HIV risk behavior, and avoid rearrest. The program operates on four levels: direct services, including case management for individual women in the jail and for 1 year after release; technical assistance, training, and financial support for community service providers that serve ex-offenders; staff support for a network of local service providers that coordinate services and advocate for resources: and policy analysis and advocacy to identify and reduce barriers to successful community reintegration of women released from jail. We describe the characteristics of 386 women enrolled in Health Link in 1997 and 1998; define the elements of this intervention; and assess the lessons we have learned from 10 years of experience working with jailed women.
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References
Currie E.Crime and Punishment in America: Why the Solutions to America's Most Stubborn Social Crisis Have Not Worked—and What Will. New York: Henry Holt and Company; 1998.
Bonczar T, Beck A.Lifetime Likelihood of Going to State or Federal Prison. Washington, DC: US Bureau of Justice Statistics; 1997.
Bennett WJ, Dilulio J, Walters J.Body Count, Moral Poverty and How to Win America's War Against Crime and Drugs. New York: Simon and Schuster; 1996.
Caulkins J, Rydell P, Schwabe W, Chiesa J.Mandatory Minimum Drug Sentences: Throwing Away the Key or the Taxpayers Money? Santa Monica, CA: The Rand Corporation; 1997.
Tonry M.Malign Neglect—Race, Crime and Punishment in America. New York: Oxford University Press; 1995.
Kerle KE.American Jails Looking to the Future. Boston: Butterworth-Heineman; 1998.
Bureau of Justice Statistics.Women Offenders: Special Report. Washington, DC: US Dept of Justice; 1999.
Singer M, Bussey J, Song L, Lunghofer L. The psychological issues of women serving time in jail.Social Work. 1995;40:103–113.
Mauer M, Potler C, Wolf R.Gender and Justice: Women, Drugs and Sentencing Policy. Washington, DC: The Sentencing Project; 1999.
Henderson DJ. Drug abuse and incarcerated women: a research review.J Subst Abuse Treat. 1998;15:579–587.
Waterston A.Street Addicts in the Political Economy. Philadelphia: Temple; 1993.
Browne A, Miller B, Maguin E. Prevalence and severity of lifetime physical and sexual victimization among incarcerated women.Int J Law Psychiatry. 1999;22:301–322.
Morash M, Bynum TS, Koons BA.Women Offenders: Programming Needs and Promising Approaches. Washington, DC: National Institute of Justice; 1998.
Prendergast ML, Wellisch J, Falkin G. Assessment of and services for substance-abusing women offenders in community and correctional settings.Prison J. 1995;75:240–256.
Taylor SD. Women offenders and reentry issues.J Psychoactive Drugs. 1996;28:85–93.
Wellisch J, Anglin MD, Prendergast ML. Treatment strategies for drug-abusing women offenders. In: Incardi J, ed.Drug Treatment and Criminal Justice. Thousand Oaks, CA: Sage; 1993:5–29.
Benson B, Rasmussen D.Independent Policy Report: Illicit Drugs and Crime. Oakland, CA: The Independent Institute; 1996.
Islambert C. The women of cell block B: chains of violence.Harvard Magazine. 1999; 101:25–32.
Gilliard DK.Prison and Jail Inmates at Midyear 1998. Washington, DC: US Dept of Justice; 1999:1–11. Bureau of Justice Statistics Bulletin NCJ173414.
Peters RH, Strozier AL, Murrin MR, Kearns WD. Treatment of substance-abusing jail inmates: examination of gender differences.J Subst Abuse Treat. 1997;4:339–349.
Blank S, McDonnell DD, Rubin SR. New approaches to syphilis control: finding opportunities for syphilis treatment and congenital syphilis prevention in a women's correctional setting.Sex Transm Dis. 1997;24:218–226.
Bond L, Semaan S. At risk for HIV infection: incarcerated women in a county jail in Philadelphia.Women Health. 1996;24:27–45.
Hammett TM, Harmon P, Maruschak LM.1996–1997 Update: HIV/AIDS, STDs, and TB in Correctional Facilities. Washington, DC: US Dept of Justice; 1999.
National Institute of Justice.Annual Report on Drug Use Among Adult and Juvenile Arrestees. Washington, DC: National Institute of Justice; 1999.
National Institute of Justice.Annual Report on Opiate Use Among Arrestees. Washington, DC: National Institute of Justice; 1999.
Richie BE.Compelled to Crime: the Gender Entrapment of Battered Black Women. New York: Routledge; 1996.
Richie BE, Johnsen C. Abuse histories among newly incarcerated women in a New York City jail.J Am Women's Med Assoc. 1996;51:111–114.
Teplin LA, Abram KM, McClelland GM. Prevalence of psychiatric disorders among incarcerated women.Arch Gen Psychiatry. 1996;53:505–512.
Bureau of Justice Statistics.Women in Prison: Special Report. Washington, DC: US Dept of Justice; 1994.
Donziger SR.The Real War on Crime: the Report of the National Criminal Justice Commission. New York: Harper-Collins; 1996.
Mishel L, Bernstein J, Schmitt J.The State of Working America 1998–1999. Ithaca, NY: ILR Press; 1999.
Kozol J.Savage Inequalities. New York: Crown Publishers; 1991.
Panel on High Risk Youth.Losing Generations of Adolescents in High-Risk Settings. Washington, DC: National Academy Press; 1993.
US Department of Housing and Urban Development.State of the Cities—1999. Washington, DC: US Government Printing Office; 1999.
Halpern R.Rebuilding the Inner City: a History of Neighborhood Initiatives to Address Poverty in the United States. New York: Columbia University Press; 1995.
Grasmick H, Blackwell BS, Bursik RJ, Mitchell S. Changes in perceived threats of shame, embarrassment, and legal sanctions for interpersonal violence, 1982–1992.Violence Victims. 1993;8:313–325.
Drucker E. Drug prohibition.Public Health Rep. 1999;114:14–29.
Currie E.Reckoning Drugs, the Cities and the American Future. New York: Hill and Wang; 1993.
Bonta J, Pang B, Wallace-Capretta S. Predictors of recidivism among incarcerated female offenders.Prison J. 1995;75:277–294.
Reinarman C, Levine HG.Crack in america: Demon Drugs and Social Justice. Berkeley, CA: University of California Press; 1998.
Wallerstein N. Powerlessness, empowerment and health: Implications for health promotion programs.Am J Health Promotion. 1992;6:197–205.
Coleman JS.Foundations of Social Theory. Cambridge: Harvard University Press; 1990.
Putnam RD.Bowling Alone: the Collapse and Revival of American Community. New York: Simon and Schuster; 2000.
Stokols D. Establishing and maintaining health environments: towards a social ecology of health promotion.Am Psychol. 1992;47:6–22.
Veysey BM, Steadman H, Morrissey JP, Johnsen M. In search of missing linkages: continuity of care in US jails.Behav Sci Law. 1997;15:383–397.
Belenko S. The challenges of integrating drug treatment into the criminal justice process.Albany Law Rev. 2000;63:833–876.
Freudenberg N, Wilets I, Greene MB, Richie BE. Linking women in jail to community services: factors associated with rearrest and retention of drug-using women following release from jail.J Am Med Women's Assoc. 1998;53:89–93.
Gray TG, Mays L, Stohr MK. Inmate needs and programming in exclusively women's jails.Prison J., 1995;75:186–202.
Rhodes W, Gross M.Case Management Reduces Drug Use and Criminality Among Drug-Involved Arrestees: an Experimental Study of an HIV Prevention Intervention. Washington, DC: National Institute of Justice and National Institute of Drug Abuse; 1997.
Center on Addiction and Substance Abuse.Behind Bars: Substance Abuse and America's Prison Population. New York, Center on Addiction and Substance Abuse: 1998.
Gerstein DR, Harwood HJ.Treating Drug Problems. Washington, DC: National Academy Press; 1990.
Hammett, TM, Gaiter J, Crawford C. Reaching seriously at-risk populations: health interventions in criminal justice settings.Health Educ Behav. 1998;25:99–120.
Steadman HE, Veysey BM.Providing Services for Jail Inmates With Mental Disorders. Washington, DC: National Institute of Justice; 1997.
Barr H.Prisons and Jails: Hospitals of Last Resort. The Need for Diversion and Discharge Planning for Incarcerated People with Mental Illness in New York New York: Correctional Association of New York and Urban Justice Center; 1999. Available at: www.soros.org/crime/MIReport.htm. Accessed January 16, 2001.
Hanke PJ, Faupel CE. Women opiate users' perceptions of treatment services in New York City.J Subst Abuse Treat. 1993;10:513–522.
Marsh JC, Miller NA. Female clients in substance abuse treatment.Int J Addict. 1985; 20:995–1019.
Reed BG. Drug misuse and dependency in women: the meaning and implications of being considered a special population or minority group.Int J Addict. 1985;20:13–62.
Leh SK. HIV infection in US correctional systems: its effect on the community.J Community Health Nurs. 1997;16:53–63.
Office of National Drug Control Policy.Drugs, Alcohol Abuse and the Criminal Offender Breaking the Cycle—Breaking Free of the Cycle: Policy for Community and Institutional Interventions to Safeguard Public Safety and Restore Public Health. Washington, DC: Office of National Drug Control Policy; 1999.
New York City Department of Correction.Statistics and Charts. New York: New York City Department of Correction; 1999. Available at: www.ci.nyc.ny.us/html/doc/html/docstats.html. Accessed January 16, 2001.
McCord C, Freeman H. Excess mortality in Harlem.New Engl J Med. 1990;322:173–178.
Kozol J.Amazing Grace: the Lives of Children and the Conscience of a Nation. New York: Crown; 1995.
Freudenberg N, Trinadad U. The role of community organizations in responding to the AIDS epidemic in two Latino neighborhoods in New York City.Health Educ Q. 1992; 19:219–232.
Freudenberg N.Health Link: Description of a Model Program to Reduce Substance Abuse and Recidivism. New York: Hunter College on AIDS, Drugs and Community Health; 1997.
Healey KM.Case Management in the Criminal Justice System. Washington, DC: National Institute of Justice; 1999.
Martin S, Inciardi J. Case management approaches for the criminal justice client. In: Inciardi J ed.Drug Treatment and Criminal Justice. Thousand Oaks, CA: Sage; 1993.
Falck RS, Seigal HA, Carlson RG. Case management to enhance AIDS risk reduction for injection drug users and crack cocaine users: practical and philosophical consideration.Progress and Issues in Case Management. 1992;127:167–180.
Bokos P, Mejta CL, Mickenberg JH, Monks RL.Case Management: an Alternative Approach to Working With Intravenous Drug Users. Washington, DC: National Institute on Drug Abuse; 1992.
Simpson DD, Joe GW, Rowan-Szal GA, Greener JM. Drug abuse treatment process components that improve retention.J Subst Abuse Treat. 1997;14:565–572.
Fiorentine R, Anglin MD. Client engagement in drug treatment.J Subst Abuse Treat. 1999;17:199–206.
Broome KM, Knight DK, Hiller ML, Simpson DD. Drug treatment process indicators for probationers and prediction of recidivism.J Subst Abuse Treat. 1996;13:481–497.
Hien D, Hien NM. Women, violence with intimates, and substance abuse: relevant theory, emprical findings, and recommendations for future research.Am J Drug Alcohol Abuse. 1998;24:419–438.
Physician Leadership on National Drug Policy.New Studies Find Drug Courts and Drug Treatment of Prisoners, Parolees and Teens Cut Crime and Drug Use. Washington, DC: Physician Leadership on National Drug Policy; 1998.
Bernstein J, Houston E.Crime and Work: What We Can Learn From the Low-Wage Labor Market. Washington, DC: Economic Policy Institute; 2000
Western B, Beckett K. How unregulated is the US labor market? The penal system as a labor market institution.Am J Sociol. 1999;104:1030–1060.
Leukefeld CG, Tims FM.Compulsory Treatment of Drug Abuse: Research and Clinical Practice. Washington, DC: US Government Printing Office; 1998.
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Richie, B.E., Freudenberg, N. & Page, J. Reintegrating women leaving jail into urban communities: A description of a model program. J Urban Health 78, 290–303 (2001). https://doi.org/10.1093/jurban/78.2.290
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DOI: https://doi.org/10.1093/jurban/78.2.290