Recovery A*er Incarcera.on: Peer Supports as a Cri.cal Re- Entry Service. BRSS TACS Webinar June 30, :00-3:30 PM Eastern Time

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2 Recovery A*er Incarcera.on: Peer Supports as a Cri.cal Re- Entry Service BRSS TACS Webinar June 30, :00-3:30 PM Eastern Time 2

3 Webinar Moderated by Steven Samra BRSS TACS Deputy Director Center for Social Innova:on

4 BRSS TACS Major Goals Engage & promote leadership of people in recovery at all levels of state & local systems & services Disseminate state- of- the- art informa:on on recovery supports & services Through cross- sector collabora.on, implement Recovery Support Ac:on Plans for States, Territories, Tribes & communi:es Promote peer- driven, recovery- oriented supports and systems

5 Webinar Instruc.ons Webinar will last approximately 90 minutes Submit ques:ons at any :me in the box labeled, Submit Ques:ons Here Access to the recorded version of this webinar will be available in about a week Download presenta:on slides and other resources in the box labeled, Access Materials and Links Here

6 Today s Agenda Mishelle O'Shasky, Wisconsin Statewide Network Coordinator, Grassroots Empowerment Project Mike Jones, Founder/Execu:ve Director, Breaking The Cycle Inc. Ayesha Delany- Brumsey, Director of Substance Use and Mental Health Program, Vera Ins:tute of Jus:ce Q&A Session Closing Remarks

7 A Personal Journey to Recovery and Reentry Mishelle O Shasky Statewide Network Coordinator Grassroots Empowerment Project

8 My Rearview Mirror Reflec.on # # # # Alcoholic, Bipolar, Clinically Depressed, Anxious, Criminal, Offender, Inmate, White Trash, Poor, Uneducated, Dysfunc:onal, Incorrigible, Pessimist, Repeat Offender, Unfit Mother, Manipula:ve, Unaccountable, Failure, Prisoner, Ex- Offender, Ex- Wife, Mentally Ill, Unlovable, Child of Domes:cally Violent Parents for Whom Alcohol Was the Norm 8

9 How I Got to Prison Case # County Statute # Convicted 04CF00103 PORTAGE (2)(E) F 05/10/ CF52 LACROSSE , , (2) F 08/07/ CF00160 ADAMS (1)(B) F 10/17/ CF160 ADAMS (1)(B) M, (1)(A), (1) M, 10/17/ (1) M 92CR129 MARQUETTE (1) M, /19/ CM00402 PORTAGE M, /29/ CF00043 MARQUETTE (2) F 02/12/ CM00133 PORTAGE M 07/29/1999 9

10 The Results of My Behavior Incarcera.ons in the Wisconsin Correc.onal System (2 Years) (2 Years) (3 ½ Years) Proba.on, Parole, or Extended Supervision 14 years + 7 ½ years incarcerated 21 ½ years wasted to the system What I Lost 10 My freedom Rela:onships with my children and family My dignity My soul Any opportunity to succeed and quality of life, or so I thought.

11 Factors and Barriers to Integra.on Trauma suffered at the hands of the Dept. of Correc:ons (DOC). Rape, humilia:on, stripped of all dignity, repe::ve inten:onal trauma Internet exploita:on of mugshots- BIG BUCKS! Employment, s:gma, felony status, housing Lack of medical care/medica:on Unqualified contract holders (providers)/doc- not evidence based or required- If your even given the op:on for services No adequate and realis:c support systems/families are s:ll in ac:ve addic:ons Linear approaches to recovery/not person- first or accommoda:ng to individual s needs and demographics/heavily directed towards 12- step programs and religion Proba:on and parole 11

12 12 What Worked for Me? Peer Support!

13 How Did I Get Here? First and foremost, an accurate diagnosis with medica:on designed as non- linear approach to my personal journey towards recovery and my needs Research materials provided via peer from the outside- Support/trauma/ diagnosis/medica:on informa:on that was relevant to me Visits were easily accessible as well as reduc:on in collect call costs Knowledge! I took charge of my sentence structure and :meline, refused harmful treatment for an early release/could have of had reduc:on of 18 months- WHY? Rebuilt rela:onships and took accountability for my role Got a job in prison no maqer what the job was/got LUCKY! Had the support of the Legal Aide of incarcerated persons to retain my visita:on rights with my youngest son Most Important- Organic Peer Support 13

14 What Can We Do? We must be smart, innova:ve, and crea:ve to overcome these barriers with them. Suppor:ng best prac:ces and evidence based recovery models is the most effec:ve way to bring posi:ve change to this overwhelming need. Bring criminal jus:ce- involved consumers, stakeholders, family, advocates, and communi:es together in a true collabora:on, respecrul dialogue, and build equal partnerships to overcome these obstacles. Posi:ve, healing rela:onships based on respect, shared responsibility, inclusive solu:ons, a mutual understanding, and power are the core elements of culture and systems change. RE- Entry Peer Support: It is necessary and what can poten:ally change the re- entry process for an individual that has never returned to a community, integrated successfully, or for the first :me reintegra:on. Three :mes and I nailed it finally. The only person that knows what it is like or feels like to return to society aser incarcera:on, is someone that has that lived experience. You will never be able to have the insight to properly support, and there is poten:al to harm! 14

15 What Successful Reentry Can Look Like Statewide Network Coordinator, Grassroots Empowerment Project Vice- Chair, WCMH Chair, WCMH Criminal Jus:ce Commiqee Commiqee Member, CJCC TAD Courts Cer:fied Peer Specialist 15

16 Becoming the Mom My Children Desperately Needed I Needed Them and They Needed Me Trevor: 25 years old Correc:onal officer, Dodge County Sheriff s Dept. Aria: 22 Years old UWSP Arts Major Employed Kali: 19 years old Nursing student Employed Casey: 17 years old Junior in high school Employed 16

17 Contact Informa.on Mishelle O'Shasky Statewide Network Coordinator Grassroots Empowerment Project EXT. 7 or mishelle@grassrootspower.org 17

18 Breaking the Cycle, Inc. Mike Jones Execu.ve Director Breaking the Cycle, Inc. 18

19 Mike Jones Served four and a half years in prison: three years for domes:c violence (state); one year for bank fraud (fed) Father of four children and two grandchildren Child of African- American and Puerto Rican parents Founded 19 Breaking the Cycle, Inc. in June 2008; in 2016 obtained CDCA license

20 About Breaking the Cycle Breaking the Cycle Inc. (BTC), a non- profit organiza:on located in Cleveland, Ohio, improves the lives of ex- offenders (returning ci:zens/otherwise eligible individuals) by providing comprehensive employment training and services and establishing posi:ve employer rela:ons. BTC prides itself on becoming a springboard for returning ci:zens to reenter society and become successful as well as a cuyng edge, innova:ve reentry organiza:on. On June 10, 2008 Michael L. Jones (Mike Jones), a returning ci:zen, founded BTC. Through the principals of BTC, along with hard work, determina:on, a strong mind, good work ethics, and family support, Mike worked his way from Burger King to General Motors. Aser seeing the plight of returning ci:zens, Mike wanted to make a difference. BTC is a job referral agency that educates and trains returning ci:zens to meet the community needs. The moqo of BTC is that there are two types of animals: jungle animals and zoo animals. Jungle animals get their own food and zoo animals wait to be fed. Mike and Ken Roye based BTC s curriculum on their own reentry trial and error process. 20

21 Seven Pillars (Radicals) of Reentry Employment: Successful rehabilita:on and transi:on of most people with a criminal past requires a stable, full- :me job that pays a living wage. Housing: Stable housing has become increasingly harder to obtain for returning ci:zens, as property management companies perform background checks going back 20 years. Health: This includes both physical and mental health. Educa.on: In Ohio over 53% of returning ci:zens lack a high school diploma or G.E.D. Family Supports: Possibly the most important ac:on for returning ci:zens, repairing personal rela:onships and regaining trust must start with family. Support to not recidivate must also start with family. 80% of all youth (ages or younger) in the juvenile system have at least one parent that has been incarcerated. Legal Concerns: Child support, driver s license issues, and expungement are main concerns for returning ci:zens. BTC connects clients to helpful community resources. Financial Literacy: Since September 2009, BTC has presented over 7,000 returning ci:zens with an opportunity to open a no- money- down checking account. In addi:on to showing clients how to open a bank account, BTC also teaches clients how to manage money and restore credit. 21

22 Changing Mindsets 22

23 The Four E s of Breaking the Cycle, Inc. EMPLOYMENT: We help our unemployed members find jobs, build careers, and become entrepreneurs. We search high and low to find job openings that fit our membership, and when we know something fits, we make specific recommenda:ons. ENCOURAGEMENT: Many in our group are :red of trying and have been beaten down with failures for years. We are ra:onal cheerleaders. We promote, encourage, and stay connected with our members, so they know that they are not alone. To ignore the spiritual and emo:onal needs of our members is to ignore them altogether. EDUCATE: We deal with issues of incarcera:on, recidivism, psychology, economics, educa:on, release, lifestyle choices, and more. We do not avoid these issues; we embrace and discuss them in a factual way, remaining sensi:ve and maintaining realis:c expecta:ons. EMPOWER: We help people become self- sustaining. We understand the need for support at different :mes in each person s life and promote people and agencies that provide such support. 23

24 Effec.ng Change Since June 2008 Due to frustra:on from local Career Fairs that did not include employment opportuni:es for the Returning Ci:zen community, BTC (under the advise of Gary L. Baney) began to network with area employers and advocate for employment opportuni:es for the Returning Ci:zen community. BTC hosted Returning Ci:zen Resource and Career Fairs from September 2009 October 2013 in the communi:es of Cleveland, Ohio and Atlanta, Georgia (2013 only). 155 vendors Over 3,658 aqendants 40 employment and entrepreneurship opportuni:es 833 employed Since in October 2013, BTC has collaborated with Catholic Chari:es and the VOA, to host similar Career and Resource fairs in Cleveland, Ohio. In November 2014 BTC collaborated with Job Corps to host the Children Of Incarcerated Parents Resource and Career Fair. 400 youth served 88 employed 25 vendors including 8 employers In September 2012, BTC conducted two Voter Registra:on Take Back Your Voice events 57 Returning Ci:zens registered January 1, 2010 December 31, 2012 BTC its social media classes in other community agencies for their clients. In partnering, with Collabora:on Sta:on, BTC has helped train 11 clients as entrepreneurs to start a business. In 8 years BTC has served 2,208 returning ci:zens and helped 882 become employed. From May 2009 December 2013, BTC par:cipated in the STAR (Successful Transi:on Aser Release) forum 24 with NORC and ODRC s proba:on departments, serving 2,160 returning ci:zens.

25 Breaking the Cycle Success Stories James Walker 25

26 Breaking the Cycle Success Stories Kenneth Roye 26

27 Effec.ve Strategies Employer Equity Seminars: Two- day workshops (five hours) in which BTC helps you protect your company from EEOC/FCRA discrimina:on lawsuits Social Media Strategies for Employment: One- day workshops (6 hours) for any agency interested in tapping into the power of social networking Social Media Strategy for Social Agencies: Equipping agencies with knowledge and ideas on how to leverage social media tools Social Media Training for Returning Ci.zens: Equipping formerly- incarcerated individuals for employment marketplace with computer and social medial tools Job Readiness Training for Returning Ci.zens: Assists your organiza:on in educa:ng and equipping ex- offenders for the workplace Resource and Employment Fairs: Assists your organiza:on in effec:vely execu:ng a successful job fair in your community Financial Literacy Educa.on: For any agency interested in showing clients how to open a bank account, manage money, and restore credit Professional Customer Service Training: For any agency interested in overthrowing conven:onal business prac:ces, inspiring clients to be great employees, and changing the world one client and one business at a :me 27

28 Links and Video Resources Execu:ve Director/Founder of Breaking The Cycle Inc. hqp:// Introduc:on To Breaking The Cycle Inc. (overview) hqps://youtu.be/ls9reixrruw NEWS CHANNEL 5 Cleveland, Ohio Helping inmates 'Break the Cycle hqp:// 1st Annual Ex- Offender Resource and Career Fair September 30, 2009 hqps:// 2nd Annual Ex- Offender Resource and Career Fair November 9, 2010 hqps://youtu.be/ldoqldwdmvw (TV20 News coverage, from Ex- Offenders perspec:ve of posi:ve opportuni:es and HOPE) hqps://youtu.be/qjpvbugglnc (BTC coverage, from the Ex- Offenders perspec:ve of disappointment, that 11 employers did not show up. We desire a 2 nd chance not a handout) Voter registra:on for ex- offenders aka RESTORED CITIZENS. September 8 and 14, 2012 hqp:// igbjaj4 OFCCP Employment Equity Seminar 1st Annual Coffee and Donuts "Hire- a- Vet & Returning Ci:zen" HR Meet- and- Greet (at Tri C Metro Campus (UTC Building) 2415 Woodland Ave Cleveland, Ohio 44115) October 29, :00 am to 11:30 am (also done in Conyers, Georgia (outside Atlanta) on October 11, :30am 11:30am: hqp:// 28

29 29 Hat Tip to 2016 NBA Champions!

30 Contact Informa.on Mike Jones Founder/ExecuNve Director Kenneth Roye

31 Na.onal Data on Peer Supports at Reentry Ayesha Delany- Brumsey, PhD Director, Substance Use and Mental Health Program Vera Ins.tute of Jus.ce 31

32 Mental Health and Criminal Jus.ce 35% Serious Mental Illness 30% 25% 20% 15% 10% General Population Adults Jail Inmates 5% 0% Male Female 32

33 Substance Use and Criminal Jus.ce 80% 70% 60% 50% 40% 30% 20% 10% 0% Met medical criteria for substance use disorder Percent of Inmates Who Are Substance Involved Used illicit drugs regularly Under the influence of drugs or alcohol at the time of crime History of alcohol treatment Drug law violation Committed crime for money to buy drugs 33

34 34 High Rates of Comorbidity

35 High Social Service Needs Within eight months of release from prison, 65% of individuals had a period of employment, but only 45% were currently employed. Within two years aser release from prison, 11% of individuals experienced at least one shelter stay. 35

36 Most Pressing Reentry Challenges rela.onships employment housing money other substance use reintegra.on health staying out of trouble transporta.on educa.on mental health care 0% 10% 20% 30% 40% 50% 60% 36

37 Reentry as Risk 80% 70% 60% 50% 40% 30% 20% 10% 0% Reincarceration Within Four Years of Release Serious mental illness only Substance use disorder only Co-ocuring SMI and SUD Mortality: Two weeks aser release, the risk of death of former inmates is 12.7 :mes greater that of the general popula:on. This risk is due in large part to drug overdose, cardiovascular disease, homicide, and suicide. 37

38 38 Reentry as Opportunity

39 Peer Support Who - History of jus:ce involvement - Mental health condi:on, substance use disorder, or both - In recovery What - Bridge to community services - Assist with socializa:on - Engage in wider systems- level advocacy - Validate shared experience - Demonstrate that recovery is possible 39

40 Challenges of Peer Reentry Support Differences in health and jus:ce agencies culture and mission - Community safety vs. improving health - Inmate vs. pa:ent/client - Tolerance for relapse Correc:ons does not always adhere to community healthcare standards - Fewer evidence- based prac:ces 40

41 Challenges of Reentry Peer Support Lack of coordina:on between correc:onal and community health - Discharge planning - Informa:on sharing 41

42 The Promise of Peer Support Meta analyses and reviews indicate mixed, but osen posi:ve, results. Outcome Finding Study Relapse rates + Treatment reten:on + Social supports + Reif et al. (2014) Sa:sfac:on with treatment + Hospitaliza:ons? Symptoms? Sa:sfac:on with services? Lloyd- Evans et al. (2014) Hope or recovery and empowerment 42 +

43 What is Needed Liqle research on clients with criminal jus:ce histories, although there are some promising results from individual programs (e.g., FUSE, transi:ons clinics) More research/descrip:on of model programs is necessary 43

44 References Binswanger, I.A., Stern, M.F., Deyo, R.A., Heagerty, P.J., Cheadle, A., Elmore, J.G., Koepsell, T.D. (2007). Release from prison A high risk of death for former inmates. The New England Journal of Medicine, 356, COCHS. (n.d.). The prevalence of health condiaons in correcaonal populaaons [presenta:on]. Davidson, L., Chinman, M., Sells, D., & Rowe, M. (2006). Peer support among adults with serious mental illness: A report from the field. Schizophrenia BulleAn, 32(3), Lloyd- Evans, B., Mayo- Wilson, E., Harrison, B., Istead, H., Brown, E., Pilling, S.,... & Kendall, T. (2014). A systema:c review and meta- analysis of randomised controlled trials of peer support for people with severe mental illness. BMC Psychiatry, 14(1), 1. Mallik- Kane, K. & Visher, C. A. (2008). Health and prisoner reentry: How physical, mental, and substance abuse condiaons shape the process of reintegraaon [research report]. Urban Ins:tute Jus:ce Policy Center. Retrieved from hqp:// pdfs/ Health- and- Prisoner- Reentry.PDF Metraux, S. & Culhane, D. P. (2004) Homeless shelter use and reincarcera:on following prison release. Criminology and Public Policy, 3(2), The Na:onal Center on Addic:on and Substance Abuse at Columbia University. (2010). Adapted from Behind bars II: Substance abuse and America s prison populaaon. Retrieved from hqp:// research/reports/substance- abuse- prison- system Pfeiffer, P. N., Heisler, M., Pieqe, J. D., Rogers, M. A., & Valenstein, M. (2011). Efficacy of peer support interven:ons for depression: A meta- analysis. General Hospital Psychiatry, 33(1), Reif, S., Braude, L., Lyman, D. R., Dougherty, R. H., Daniels, A. S., Ghose, S. S.,... & Delphin- Riqmon, M. E. (2014). Peer recovery support for individuals with substance use disorders: Assessing the evidence.psychiatric Services. Repper, J., & Carter, T. (2011). A review of the literature on peer support in mental health services. Journal of Mental Health, 20(4), Steadman, H.J., Osher, F.C., Clark Robbins, P., Case, B., Samuels, S., (2009) Prevalence of serious mental illness among jail inmates. Psychiatric Services, 60(6), doi: /appi.ps Visher, C., Debus- Sherrill, S., & Yahner, J. (2008). Employment aser prison: A longitudinal study of releases in three states. Urban Ins:tute Jus:ce Policy Center. Retrieved from hqp:// pdfs/ Employment- aser- Prison- A- Longitudinal- Study- of- Releasees- in- Three- States.PDF 44

45 Contact Informa.on Ayesha Delany- Brumsey Director, Substance Use and Mental Health Program Vera InsNtute of JusNce 45

46 Q & A Session

47 For More Informa.on Check out the BRSS TACS Webpages at hqp:// tacs Learn more about other training and technical assistance opportuni:es! Join the BRSS TACS listserv! Send an to to start receiving regular project updates

48 Thank You