The Amity In-Prison and Post-Prison Therapeutic Community (TC) for by fhy50518

VIEWS: 98 PAGES: 29

									Building the First In-Prison
Therapeutic Community for
Level IV Custody Offenders at
the California State Prison-Los
Angeles County (LAC):
                  LAC

      An Overview
Background…
In order to talk about LAC, it is important
to understand both the background of the
California Criminal Justice Initiative..
And Amity’s background in that initiative.
 (More detail is available on the Amity
Foundation website ).
                                        
 www.amityfoundation.com
Beginnings…..
                1n November of 1987,
                CDC Director Jim
                Rowland asked Amity
                Chief Executive Rod
                Mullen and Deputy Naya
                Arbiter to consult.
                 “We’re filling up the
                prisons with drug
                offenders,” said Rowland,
                “and we are doing nothing
                effective about drug abuse
                while these offenders are in
                prison or on parole.”
Recommendations…..
 Mullen & Arbiter toured several prisons
and parole regions, then spoke to
Rowland’s Executive Staff.
 “Find a prison that has never had a drug
program, and a Warden who is respected
by his peers and who will support a
‘model’ program based on the therapeutic
community approach—which research
demonstrates is the most effective. If the
model shows good results, it can then be
expanded.” Mullen & Arbiter, 1987
Rowland’s actions
  Director Roland began a task force on the drug
 problem….this led to the formation of the Office
 of Substance Abuse Programs, headed by David
 Winette.
  OSAP proposed developing one model program
 in a prison, and two parolee “networks”—one in
 the San Francisco Bay Area (BASN); the other
 in San Diego (P3).
  Rowland then placed a call to Warden John
 Ratelle…
John Ratelle and R.J. Donovan
  Rowland Warden Ratelle, a 30
 year + CDC veteran and asked
 him if he would host the model
 program.
  Warden Ratelle and Associate
 Warden Tom Hornung visited the
 Amity/Pima County Jail Project
 in Tucson, which provided TC
 treatment for 50 incarcerated   A request for proposal was

 substance abusers.              issued in 1990.

  “I don’t like treatment,” said Amity was the successful
                                 bidder
 Ratelle, “but I like this.”
      Amity      Amity
      Housing   Program
       Unit      Trailers




Facility III at R.J. Donovan,
1100 Level III custody inmates
The housing unit, 200 men
double celled...
Outcomes / Drug Use in Prison
 Warden Ratelle conducted two
 complete surprise tests of ALL
 men in the Amity unit, no TC or
 custody staff were warned: all
 men locked down in their cells at
 the same time and not released
 until all had given a urine
 specimen
 In one test, only one man of 200
 was positive for drugs.
 In the second test, none of the
 men tested positive.
Outcomes / Benefits to CDC staff
 “ There is a similarly
 positive striking
 reduction of work injury,
 sick leave and other
 personal quality of
 life/cost impact among
 custody assigned to the
                               David Deitch, Ph.D, Director of the
 treatment unit {Amity}      Addiction Technology Transfer Center
                             at UCSD (1998) From a six month
 versus officers in all      study conducted by UCSD at the RJ.
                             Donovan Correctional Facility between
 other yards and housing     January 1, 1997 and June 30th, 1997.)
 units.”
Outcomes/Recidivism Reduction
     Comparisons of Inmates
     who did NOT participate
     show that 3/4ths of them
     were back in prison three   75.1
     years after release.
                                  %
     But only about 1/4 of the
     Amity participants who       No
     completed the program
     were in prison.              TX    27.4%
From a study conducted by
                                        Amity
  H.Wexler, Ph.D. 1998
 NDRI funded by NIDA
Outcomes / Cost benefits
 The 1997 Legislative Analyst’s Report on
 Prison Population growth determined that if the
 Amity results could be replicated through an
 expansion of substance abuse treatment to
 10,000 beds over seven years, the state would
 not have to build an additional 4,700 beds. That
 scenario would also result in a one time capital
 outlay savings of $210,000,000 with annual
 savings of $80,000,000 a year.
Amity Model adopted by CDC
The results of the Amity/RJD program have become
the “template” for the expansion of therapeutic
community type drug treatment within CDC.
In 1996 there were 400 TC beds…
 Currently 9,000 beds with funded aftercare have
been authorized by the State Legislature.
Amity’s TC at California State Prison at Los
Angeles County, started in 1998, is the first to bring
this type of intensive TC to Level IV
offenders…………..
Outcomes / Replication of Model
10000




                                                                                                           00
                                                                                                        100
 9000                               TC Ex pansion Progre ssion
 8000
 7000
        CAPACITY




 6000




                                                                                                   0
                                                                                                600
 5000
                                 Amity begins in 1990
 4000
 3000




                                                                                           8
                                                                                        299
 2000




                                                                                  8
                                                                               187
 1000
                           200

                                  320




                                                320
                                        320
            0




                                                                400
                                                        320




                                                                        400
    0
       89

                      90

                               91

                                       92

                                               93
    19




                                                       94
                   19




                                                               95
                            19




                                                                       96
                                    19




                                                                               97
                                            19




                                                                                       98
                                                    19




                                                                                               99
                                                            19




                                                                                                       00
                                                                    19

                                                                            19

                                                                                    19
                     YEAR




                                                                                            19

                                                                                                    20
Breakthrough…
 “The Amity program at R.J. Donovan ,
and the results that it has achieved, can be
considered a breakthrough in
corrections—one of those rare occasions
when that overused term, “paradigm shift”
is genuinely appropriate.”

 James Rowland, Director, California Department of Corrections
(retired)
 Significance…..
“…the Criminal Justice Treatment Initiative in the
California Department of Corrections is the largest
single state initiative in U.S. history targeting criminal
drug offenders.

The growth of this initiative can be credited to the
outcomes obtained by the Amity Foundation, which
established the Amity Prison Therapeutic Community
at the Richard J. Donovan Correctional Facility in
November of 1990.”
Robert Presley, Agency Secretary, Youth and Adult Correctional
Agency, November, 2000
CSP-LAC
Five year contract awarded to Amity Foundation
beginning June, 1998.
Amity’s 2nd In-Prison TC (SAP)—now have added
CTF Soledad & CSP Ironwood (Blythe).
Target Population: 200 Level IV inmates with identified
substance abuse problems in their files (or volunteers).
 Amity participants housed on yard D, Building 3.
Trailers built in the vocational area (behind work
change) for Amity program activities.
Who are the men in the Amity TC?
 Average age 31 years
 old-younger than other
 male SAPs
 Length of current
 incarceration 4.4 years—
 over twice as long as any
 other SAP, and and eight
 times longer than those at
 CRC.
 52.5% African-
 American; 19.1% White-
                              Data   from UCLA-DARC
 --20% difference from
 other SAPs
A Morning Meeting During
one of the Quarterly “retreat”
workshops
Who are the men in the Amity TC?
 65.5% never married---higher than that of other
 SAPs
 63.3% not employed in the 30 days prior to
 incarceration—higher than other SAPs
 Heroin cited as the first, second, and third “drug of
 choice”---no other male SAP cites heroin as any of
 the the first three drugs of choice.
 16.1% identified on DSM-IV criteria as having no
 drug or alcohol dependence—higher than most
 SAPs
A Group in the
Trailers
Who are the men in the Amity TC?
 16% report suicide attempts---higher than other SAPs
 14.2 years reported as age of first arrest—lower than
 other SAPs
 21.2 lifetime arrests—higher than other SAPs
 Number of felony convictions = 5.2; higher than other
 SAPs
 Number of years incarcerated = 10.2; much higher than
 other SAPs
 Number of violent felony convictions = 2; higher than
 other SAPs
 38.9% most recent crime was a crime against a person—
 much higher than other SAPs (CRC programs report 3%-
 5%).
Participants
articulate their
rationalizations for
engaging in criminal,
anti-social behavior
as part of the
curriculum.
Unique Features
 Amity Staff
 Amity Curriculum
 Quarterly intense retreats/workshops for
 participants
 Quarterly Cross Trainings
 Use of Ceremony
 Use of peer mentors/workers
 Focus on emotional safety, “sanctuary”
The Conclusion of our
second retreat—
Resistance, Resentment,
Rationalization.
Challenges/Obstacles
  Security Obstacles-building key relationships
  Design of Trailers
  Lockdowns
  Rolling Blackouts
  No dedicated housing unit
  Level IV “culture & men’s lengthy
 incarceration
  Difficulty of obtaining staff
  Two years with no CCIII; PAII injured
TC Curriculum
          All participants are involved in an
          comprehensive written curriculum
          developed by Naya Arbiter (Extensions,
          LLC) specifically for Amity, and
          specifically for incarcerated drug abusing
          offenders. Counselors are trained in the
          delivery of the curriculum.
          The Curriculum is phased and involves
          encounter groups, workshops, seminars,
          video playback, psychodrama, written
          and oral exercises, post-release planning;
          relationship training; emotional
          intelligence and moral development
          exercises.

								
To top