Momentum is building to end medical co-pays in prisons and jails

Three states have taken action in 2019 to change one of the most harmful policies in prison healthcare.

by Wanda Bertram, August 8, 2019

Prison healthcare is almost always a depressing topic, but not today, when we can report an important victory: Illinois recently became the third state in 2019 to reform the practice of charging medical co-pays to incarcerated people.

Previously, we published a state-by-state analysis showing that most prisons charge medical copays to people inside – despite the fact that their patients are impoverished and earn little to no money for their work in prisons. Using prison and free-world wage data, we calculated what each state’s co-pay would cost if it was charged to free-world patients making the minimum wage. Our analysis revealed that fourteen states charge co-pay amounts equivalent to charging minimum wage workers over $200.

Policy details and sourcing information can be found in the Appendix of our original analysis.

Charging co-pays to incarcerated people to shore up a state’s correctional budget is simply wrong. In our analysis, we explained that not only does this policy squeeze poor people and their families; it hurts public health by making the choice to seek medical attention a costly one.

We’re glad to see that states are now paying attention and taking action:

• Illinois Governor J.B. Pritzker signed a bill in July eliminating the state’s $5 co-pay. Previously, people working in an Illinois state prison (where the minimum wage is 9 cents per hour) would have had to work for over 55 hours to afford the $5 fee. That’s like charging a non-incarcerated minimum-wage earner in Illinois over $460. In some cases, incarcerated people paid even more before getting adequate care, because paying the fee didn’t guarantee a doctor visit – only that a nurse would review one’s medical request.
• Earlier this year, the California Department of Corrections and Rehabilitation announced that it would stop charging a $5 medical co-pay to incarcerated people. CDCR’s press release acknowledged what advocates have long known: Charging co-pays is bad for public health. “Copayments,” it said, “may hinder patients from seeking care for issues which, without early detection and intervention, may become exacerbated.” The department’s decision came as the California legislature was considering AB 45, a bill to eliminate medical co-pays in both state prisons and county jails. AB 45 (for which we wrote a letter of support) continues to move through the state legislature.
• The Texas legislature stopped short of eliminating medical co-pays in prisons entirely, but made progress by replacing the notorious $100 fee Texas had charged incarcerated people with a $13.55 per-visit fee. While this change marks a substantial improvement, incarcerated people in Texas – who earn nothing for their labor – will continue to be charged the highest medical co-pay in state prisons nationwide.

State reforms like these can’t come soon enough. As we noted in our 2017 analysis, out-of-reach co-pays in prisons and jails have two inevitable and dangerous consequences. First, when sick people avoid the doctor, disease is more likely to spread to others in the facility – and into the community, when people are released before being treated. Second, illnesses are likely to worsen as long as people avoid the doctor, which means more aggressive (and expensive) treatment when they can no longer go without it.

It’s welcome news that states are finally taking action to change this risky and regressive policy. Will your state be next?

Who’s helping the 1.9 million women released from prisons and jails each year?

Women make up a growing share of incarcerated populations, and they have different needs than justice-involved men. Accordingly, some prison systems have begun to implement gender-responsive policies and programs. But what happens after release?

by Wendy Sawyer, July 19, 2019

We’ve released an updated version of this briefing with data from 2019.

Given the dramatic growth of women’s incarceration in recent years, it’s concerning how little attention and how few resources have been directed to meeting the reentry needs of justice-involved women. After all, we know that women have different pathways to incarceration than men, and distinct needs, including the treatment of past trauma and substance use disorders, and more broadly, escaping poverty and meeting the needs of their children and families. In recognition of these differences, and in an effort to reduce the harms of incarceration and the likelihood of re-incarceration, many prison systems have begun to implement gender-responsive policies and programs. But what’s being done to help women get the support they need to rebuild their lives after release?

A handful of programs have sprung up in communities around the country to meet the needs of women returning home: some founded by formerly incarcerated women themselves, some running on shoestring budgets for years, and all underscoring the need for greater capacity to meet the demand of over 81,000 releases from prison and 1.8 million releases from jail each year.

Women make up 1 in 8 individuals released from state prisons each year, but the numbers vary widely between states. The additional 1.8 million women released from local jails annually are not shown on this map, because not all states have data available for jail releases, and in most states, a significant portion of reported releases are missing data on sex. See the table below for the available jail data.

Sources and data notes: Bureau of Justice Statistics National Corrections Reporting Program: 1991-2016, Selected Variables, Prison Releases and, for Vermont, CSAT-Prisoners Custom tables, Count of total releases. Data for all states are from 2016 except for New Mexico (2015), North Dakota (2015), and Oregon (2013).

Annual releases of women from state prisons and local jails

In 2016, about 81,000 women were released from state prisons nationwide, and women and girls accounted for at least 1.8 million releases from local jails in 2013 (the last year all jails were surveyed). While many people are released from jail within a day or so and may not need reentry support, jail releases can’t be overlooked, especially for women, who are more likely than men to be incarcerated in jails as opposed to prisons. (Moreover, jails typically provide fewer programs and services than prisons, so individuals released from jails are even less likely to have received necessary treatment or services while incarcerated than those in prison.)

Those figures mean that nationally, about 1 in 8 (13%) of all individuals released from state prisons – and more than 1 in 6 (18%) jail releases – are women. In 20 states, at least 1 in 5 (20%) individuals released from any incarceration (either prison or jail) is female. Fully half of all states release at least 1,000 women from prison annually; in Texas, it’s over 12,000 women per year.

As in other stages of the criminal justice system, most post-release policies and programs were created with the much larger male population in mind. But research makes clear that women returning home have “a significantly higher need for services than men,” and that reentry supports should be responsive to the particular needs of justice-involved women:

• Economic marginalization and poverty: As we’ve previously shown, formerly incarcerated women (especially women of color) have much higher rates of unemployment and homelessness, and are less likely to have a high school education, compared to formerly incarcerated men. These findings help explain why, in a 2012 National Institute of Justice (NIJ) study, 79% of women interviewed 30 days pre-release cited “employment, education, and life skills services” as their greatest area of need (followed closely by transition services). An earlier study (Holtfreder et al., 2004), found that poverty is the strongest predictor of recidivism among women, and “providing state‐sponsored support to address short‐term needs (e.g., housing) reduces the odds of recidivism by 83%” for poor women on probation and parole.
• Housing: A 2017 Prisoner Reentry Institute (PRI) report identified homelessness and the lack of stable housing as the biggest problem facing women in the New York City justice system, noting that 80% of women at Rikers said they needed assistance finding housing upon discharge. A 2006 California study found that 75% of formerly incarcerated women surveyed had experienced homelessness as some point, and 41% were currently homeless. Women who can’t secure safe housing may return to abusive partners or family situations for housing and financial reasons – a point echoed in interviews with paroled women in a study by Brown and Bloom.
• Trauma and gendered pathways to incarceration: The PRI report emphasizes the importance of gender-responsive and trauma-informed interventions for reducing recidivism among women. According to that report, such interventions should: provide a safe, respectful environment; promote healthy relationships; address substance use, trauma, and mental health issues; provide women with opportunities to improve their socioeconomic conditions; establish “comprehensive and collaborative” community services; and prioritize women’s empowerment.
• Family reunification: Most incarcerated women are mothers, and are frequently the primary caretakers of their children. The importance of family reunification – noted throughout the literature, by Carter et al. (2006), Brown and Bloom (2009), Wright, et al. (2012), the NIJ (2012), among others – cannot be overstated, especially given the trauma experienced by children when separated from a parent.

While the complexity of women’s reentry needs can be daunting, there are successful models in operation demonstrating how states, counties, and communities can best serve them. Notably, A New Way of Life Reentry Project operates eight houses in Los Angeles and is working toward expanding its model nationally. The program offers wraparound services including transitional housing, case management, and legal services to support women as they navigate reentry. Staff support women from initial reentry tasks like obtaining ID cards and applying for public assistance all the way through the process of regaining custody of children and finding permanent housing. Similar programs offering wraparound services exist in other cities, such as the Ladies of Hope Ministry’s Hope House in New York City; the Center for Women in Transition in St. Louis; and Angela House in Houston, which also provides programming tailored “to the health and psychosocial needs of women recovering from sexual exploitation.”

Frustratingly, despite their success, these programs lack the funding and capacity to serve all of the women who desperately need them: Angela House notes on its website that it can only serve 12 to 14 women at a time, but receives more than 300 applications every year. Unless state governments and federal agencies take action to grow the capacity of these service providers, hundreds of thousands of women every year will leave prison or jail without the resources they need to succeed. As lawmakers increasingly call for policy changes to help women in prison, they must not ignore the massive gap between the need and availability of women’s reentry programs.

A detailed spreadsheet including release data for both men and women is available on our Data Toolbox page.

Testifying before Congress about the mass incarceration of women

"Women’s experiences with the criminal justice system serve to highlight the faults of the whole system," our Legal Director explained to members of the House Judiciary Committee.

by Wanda Bertram, July 17, 2019

Yesterday, our Legal Director, Aleks Kajstura, spoke to members of the House Judiciary Committee at a hearing about the mass incarceration of women and girls. “Today’s hearing begins a discussion about women in the criminal justice system,” said subcommittee chair Rep. Karen Bass (D-CA). “After decades of policies that led to mass incarceration, we are finally at a point of examining the policies and the consequences.”

Testifying alongside Piper Kerman, Jesselyn McCurdy, Cynthia Shank and Patrice Onwuka, Kajstura spoke about the urgency of reducing women’s incarceration. She highlighted a few of the most alarming data points from our research on women and gender, including:

• The U.S. is home to only 5% of the world’s female population, but accounts for nearly 30% of the world’s incarcerated women.
• 1 in 4 incarcerated women have not even been convicted.
• In a number of states, women’s prison populations are growing faster than men’s; in others, women’s prison populations are growing even as men’s are declining.
• 3 out of 4 women under correctional control are on probation, a system that sets up women – and particularly mothers – to fail.

Despite this unacceptable status quo, the hearing sent a hopeful message: Lawmakers across the aisle are finally paying attention to women’s mass incarceration. “It is critical that we understand how and why women become involved in the system, what happens to them when they are incarcerated, and what their trajectory is once released,” said Bass.

Watch the full hearing here – jump to 1:03:00 for Kajstura’s testimony: https://judiciary.house.gov/legislation/hearings/women-and-girls-criminal-justice-system

Cruel and unusual punishment: When states don’t provide air conditioning in prison

13 states in the hottest parts of the country lack universal A/C in their prisons. We explain the consequences.

by Alexi Jones, June 18, 2019

Air conditioning has become nearly universal across the South over the last 30 years, with one exception: in prisons. Although 95% of households in the South use air conditioning, including 90% of households that make below $20,000 per year,¹ states around the South have refused to install air conditioning in their prisons, creating unbearable and dangerous conditions for incarcerated people.

The lack of air conditioning in Southern prisons creates unsafe—even lethal—conditions. Prolonged exposure to extreme heat can cause dehydration and heat stroke, both of which can be fatal. It can also affect people’s kidneys, liver, heart, brain, and lungs, which can lead to renal failure, heart attack, and stroke.

Many people in prison are especially susceptible to heat-related illness, as they have certain health conditions or medications that make them especially vulnerable to the heat. Conditions such as diabetes and obesity can limit people’s ability to regulate their body heat, as can high blood pressure medications and most psychotropic medications (including Zoloft, Lexapro, Prozac, Cymbalta, and more but excluding the benzodiazepines). Old age also increases risk of heat-related illness, and respiratory and cardiovascular illnesses, such as asthma, are exacerbated by heat.

In Texas, a state that has air conditioning in all inmate housing areas in only 30 of its 109 prisons, a high percentage of incarcerated people are particularly vulnerable to heat:

• 21% are prescribed psychotropic medications
• 19% are taking medication for high blood pressure
• 19% have asthma
• 7% are older than 55
• 5% have diabetes.

The structure of prisons and prison life can also make incarcerated people more vulnerable to heat. Prisons are mostly built from heat-retaining materials which can increase internal prison temperatures. Because of this, the temperatures inside prisons can often exceed outdoor temperatures. Moreover, people in prison do not have the same cooling options that people on the outside do. As Prison Legal News explains in a 2018 article on prison air conditioning litigation, “people outside of prison who experience extreme heat have options that prisoners often lack – they can take a cool shower, drink cold water, move into the shade or go to a place that is air conditioned. For prisoners, those options are generally unavailable.” Even fans can even be inaccessible. For example, despite the fact that incarcerated people in Texas are not paid for their labor, purchasing a fan from the Texas prison commissary costs an unaffordable $20.

The lack of air conditioning in prisons has already had fatal consequences. In 2011, an exceptionally hot summer in Texas, 10 incarcerated people died from heat-related illnesses during a month-long heat wave. (It’s just not incarcerated people who get sick from the heat in the state’s prisons. In August 2018, 19 prison staff and incarcerated people had to be treated for heat-related illnesses.) As David Fathi, director of the American Civil Liberties Union National Prison Project, explained to The Intercept, “Everyone understands that if you leave a child in a car on a hot day, there’s a serious risk this child could be injured or die. And that’s exactly what we’re doing when we leave prisoners locked in cells when the heat and humidity climb beyond a certain level.”

Courts in Wisconsin, Arizona, and Mississippi have ruled that incarceration in extremely hot or cold temperatures violates the Eighth Amendment. But these court cases have not had a national impact on air conditioning in prisons. As Alice Speri of The Intercept explains, “There’s no national standard for temperatures in prisons and jails, and as jurisdiction over prisons is decentralized among states and the federal system, and jurisdiction over jails is even more fragmented among thousands of local authorities across the country, fights over excessive heat in detention can only be waged facility by facility.” As a result, incarcerated people in the South are subjected to unbearable conditions that violate their basic human and constitutional rights. Benny Hernandez, an incarcerated man in Texas, describes how torturous heat gets in prisons: “It routinely feels as if one’s sitting in a convection oven being slowly cooked alive. There is no respite from the agony that the heat in Texas prisons inflicts.”

Refusing to install air conditioning is a matter not just of short-term cost savings, but of appearing tough on crime. State and local governments go to astonishing lengths to avoid installing air conditioning in prisons. In 2016, Louisiana spent over $1 million in legal bills in an attempt to avoid installing air conditioning on death row, an amount four times higher than the actual cost of installing air conditioning, according to an expert witness. Similarly, in 2014, the people of Jefferson Parish, LA only voted to build a new jail after local leaders promised there would be no air conditioning.

With air conditioning nearly universal in the South, air conditioning should not be considered a privilege or amenity, but rather a human right. States and counties that deny air conditioning to incarcerated people should understand that, far from withholding a “luxury,” they are subjecting people to cruel and unusual punishments, and even handing out death sentences.

Footnotes

When jails replace in-person visits with video, what happens when the technology fails?

As more jails ban face-to-face visits in favor of paid video chats, a growing number of people in jail are being cut off from their families when the technology breaks down.

by Sarah Watson, June 18, 2019

Jails are increasingly replacing in person visits with video calls. This high-tech fad goes against the recommendations of the American Correctional Association, the American Bar Association, and even the Department of Justice’s National Institute of Corrections. These jails ignore the many problems we’ve documented, such as high costs for families, poor quality of the systems and the loss of human contact. But there’s another liability that jails now have to consider: What happens when their shiny new technology fails?

Their vendors — who provide the systems for free in exchange for charging high rates to the families — will say that their technology is perfect. As every person who owns a computer knows, however, technology is not flawless, and these systems do fail — sometimes keeping people in jail from contacting their families for weeks at a time:

The good news is that counties are starting to take notice of the downsides to video calling. Most recently, the sheriff of Mecklenburg County, North Carolina (see table above) fulfilled a 2018 campaign promise to reinstate in-person visits, on the grounds that video should be used in addition to in person visits, not as a substitute.

“Allowing our residents to stay connected to family and loved ones through in-person visits improves public safety,” Sheriff McFadden explained. “This simple step alone has been shown to significantly lower the chances that a person will commit another crime after they get out. It also reduces the chance a person will commit an infraction inside the jail which could adversely impact their release. In addition, it improves mental health outcomes and strengthens family units and community ties.”

Mecklenburg County had the right idea. When this technology works, it should be considered a supplement to in-person visits, not a substitute; and when the technology fails, it’s useless. Instead of investing in flawed technology, jails should be looking for more ways to increase traditional methods of family contact.

Why haven’t presidential candidates proposed to end the criminalization of poverty?

The Democratic candidates are missing an opportunity to pitch sweeping criminal justice reform as an economic justice issue.

by Wanda Bertram, June 12, 2019

Multiple Democratic presidential candidates have staked their campaigns on promises to fight for economic justice and protect low-income people from ruin. So it’s mysterious and frustrating that none of these candidates have proposed to end our justice system’s criminalization of poverty – at least beyond the occasional nod to ending money bail.

These candidates are missing an opportunity. The incomes of people in U.S. prisons and local jails are overwhelmingly low, and one in two American adults has had a close relative incarcerated, meaning that a candidate who understands the criminalization of poverty could propose transformative reforms and speak to a huge number of voters. In particular, candidates are missing an opportunity to speak to Black voters, who are hit hardest by policies that punish poor people.

To be sure, many Democratic candidates have alluded to economic inequality in connection with criminal justice reform — and Bernie Sanders even uses the phrase “criminalizing poverty” on his campaign website — but I’ve seen no indication that any of the candidates can speak to either the specifics or the scale of this problem. Candidates must go beyond criticizing money bail, and promise to end the unequal treatment of poor people at every stage of the justice process:

1. End poverty-related arrests and jail bookings. Far too many Americans who can’t afford housing, drug treatment or mental health services are instead arrested on minor charges related to their homelessness or illness. Many others end up in jail because they can’t afford burdensome fines and fees. An unfortunate downstream effect is jail overcrowding, which leads counties – largely in rural areas – to spend public money on harmful jail expansion rather than social welfare.

Presidential candidates should commit to helping state and local governments shift their priorities, making it easier to support low-income people and harder to jail them:

• Equip cities and towns with universal housing, mental health services, and drug treatment, and invest in public schools and after-school programs in cash-strapped school districts.
• Whenever appropriate, redirect federal funding for county jail expansion to instead fund these critical public goods.
• Decriminalize possession and low-level sales of all drugs, and expunge the criminal records of people convicted of these offenses.
• Incentivize states to decriminalize behaviors stemming from homelessness, such as sleeping outside.
• Stop county courts from imposing fees without first considering one’s ability to pay, and incentivize states to abolish court-imposed fees and discharge all fee debt.

2. Guarantee poor people equal justice before trial. Two major injustices — pretrial detention and lack of access to counsel — ensure that low-income people are disproportionately convicted. Pretrial detention doesn’t just make defendants more likely to plead guilty; it also puts them at risk of losing their jobs and homes, and imposes huge costs on their families, before they’re ever convicted.

Candidates should promise to:

• Ensure that local public defender systems are fully funded, that they no longer charge co-pays to defendants, and that counsel is guaranteed at any hearing that could result in detention.
• Incentivize counties to drastically reduce pretrial detention by ending commercial money bail, and replacing it with release on recognizance, unsecured bonds, and other alternatives.
• Use the power of the Federal Communications Commission to regulate the cost of phone calls from jail, which can strain public defenders’ resources, not to mention those of family members.
• Subsidize county-level pretrial services to help low-income people make their court dates, such as text reminders and free childcare at court.

3. Stop forcing low-income families to subsidize the prison system. When someone goes to prison, their loved ones become their source of financial support. The financial pressure on these families grows when prisons fail to provide basic services, often driving families into debt. It shouldn’t be on relatives — disproportionately women — to pay for phone calls, medical care, nutritious food and educational resources for those behind bars, often when they’ve just lost a breadwinner.

Presidential candidates should commit to paying for incarcerated people’s needs to lift this burden on families:

• End the Medicaid exception for people in prison, and abolish all charges for doctor visits and over-the-counter medication. Ensure that all federal and state prisons offer medication-assisted opioid treatment.
• Incentivize states and counties to pay for the cost of phone calls, email, and other technologies that allow incarcerated people to stay connected to their families.
• Use the muscle of federal agencies like the Consumer Financial Protection Bureau and Federal Trade Commission to regulate the market for prison services, such as money transfer services (which currently charge families exorbitant deposit fees).
• Restore Pell Grants to incarcerated people, and fully fund in-prison programs granting high school and college degrees.
• Require state departments of correction to provide nutritious meals that meet daily caloric requirements, instead of forcing incarcerated people to supplement their meals by buying from the prison commissary.

4. Protect people from going back to prison just because they’re poor. Incarcerated people who come from under-resourced neighborhoods tend to return to those same neighborhoods after prison, now saddled with criminal records and far poorer than before.

Presidential candidates should avoid old narratives about how more surveillance, monitoring and job training are needed to “reduce recidivism” among people leaving prison. Instead, they should call the reentry process what it is: a period of extreme vulnerability that mostly affects impoverished people, and that can’t be improved without serious investments in formerly incarcerated people’s welfare. They should commit to:

• Identify the communities to which most formerly incarcerated people return, and subsidize additional low-income housing, drug treatment and mental health services in those communities.
• Help states create Departments of Reentry that connect people nearing release to permanent housing, medical care, and other resources.
• Incentivize states to pass laws expanding criminal record expungement, including automatic expungement for people convicted of minor offenses.
• End the harmful restrictions on association that prohibit formerly incarcerated people from helping each other rebuild their lives.
• Restore welfare benefits, including housing assistance, to people with criminal records.
• Urge states to abolish probation and parole fees, including fees for ankle monitors. End so-called “pay-only” probation schemes, which extract fees without providing any “services” at all.
• Incentivize states to “ban the box” on job applications, and to end restrictions on occupational licenses that lock people with criminal records out of good jobs.
• Expand federal tax benefits for businesses that hire people with criminal records.
• Incentivize states to end laws suspending driver’s licenses for non-driving offenses.

To be sure, there are many other policy changes that could help end the criminalization of poverty; this list is only a starting point. But it should be alarming that most of these policy options have gone unmentioned by any presidential candidate. Until the candidates commit to ending our criminal justice system’s abuse of poor people from arrest to release (and afterwards), their visions for economic justice won’t be complete.

BJS fuels myths about sex offense recidivism, contradicting its own new data

A new government report reinforces harmful misconceptions about people convicted of sex offenses. Here's our take on how to parse the data.

by Wendy Sawyer, June 6, 2019

By now, most people who pay any attention to criminal justice reform know better than to label people convicted of drug offenses “drug offenders,” a dehumanizing label that presumes that these individuals will be criminals for life. But we continue to label people “sex offenders” – implying that people convicted of sex offenses are somehow different.

A new report released by the Bureau of Justice Statistics should put an end to this misconception: The report, Recidivism of Sex Offenders Released from State Prison: A 9-Year Follow-Up (2005-2014), shows that people convicted of sex offenses are actually much less likely than people convicted of other offenses to be rearrested or to go back to prison.

But you wouldn’t know this by looking at the report’s press release and certain parts of the report itself, which reinforce inaccurate and harmful depictions of people convicted of sex offenses as uniquely dangerous career criminals. The press release and report both emphasize what appears to be the central finding: “Released sex offenders were three times as likely as other released prisoners to be re-arrested for a sex offense.” That was the headline of the press release. The report itself re-states this finding three different ways, using similar mathematical comparisons, in a single paragraph.

What the report doesn’t say is that the same comparisons can be made for the other offense categories: People released from sentences for homicide were more than twice as likely to be rearrested for a homicide; those who served sentences for robbery were more than twice as likely to be rearrested for robbery; and those who served time for assault, property crimes, or drug offenses were also more likely (by 1.3-1.4 times) to be rearrested for similar offenses. And with the exception of homicide, those who served sentences for these other offense types were much more likely to be rearrested at all.

The new BJS report, unfortunately, is a good example of how our perception of sex offenses is distorted by alarmist framing, which in turn contributes to bad policy. That this publication was a priority for BJS at all is revealing: this is the only offense category out of all of the offenders included in the recidivism study to which BJS has devoted an entire 35-page report, even though this group makes up just 5% of the release cohort. This might make sense if it was published in an effort to dispel some myths about this population, but that’s not what’s happening here.

Framing aside, the recidivism data presented in the BJS report can offer helpful perspective on the risks posed by people after release. Whether measured as rearrest, reconviction, or return to prison, BJS found that people whose most serious commitment offense was rape or sexual assault were much less likely to reoffend after release than those who served time for other offense types. The BJS report shows that within 9 years after release:

• Less than 67% of those who served time for rape or sexual assault were rearrested for any offense, making rearrest 20% less likely for this group than all other offense categories combined (84%). Only those who served time for homicide had a lower rate of rearrest (60%).
• People who served sentences for sex offenses were much less likely to be rearrested for another sex offense (7.7%) than for a property (24%), drug (18.5%), or public order (59%) offense (a category which includes probation and parole violations).
• Only half of those who served sentences for rape or sexual assault had a new arrest that led to a conviction (for any offense), compared to 69% of everyone released in 2005 (in the 29 states with data).

While the data was more limited on returns to prison,¹ the study found that within 5 years after release, people who had served sentences for rape or sexual assault also had a lower return-to-prison rate (40%) compared to the overall rate for all offense types combined (55%). BJS notes that some of these returns to prison were likely for parole or probation violations, but because of data limitations, it is impossible to say how many were for new offenses, much less how many were for rape or sexual assault.

In sum, the BJS data show that people who served time for sex offenses had markedly lower recidivism rates than almost any other group. Yet the data continue to be framed in misleading ways that make it harder to rethink the various harmful and ineffective punishments imposed on people convicted of sex offenses.

The recidivism data suggest that current legal responses to people convicted of sex offenses are less about managing risk than maximizing punishment. The desire for retribution is understandable; unquestionably, rape and sexual assault inflict serious and lasting trauma. But our criminal justice system does a poor job of providing survivors of rape, sexual assault, and other violent crimes what they really want. In a 2016 survey of crime survivors, the Alliance for Safety and Justice found that, “Survivors of violent crime — including victims of the most serious crimes such as rape or murder of a family member — widely support reducing incarceration to invest in prevention and rehabilitation and strongly believe that prison does more harm than good.” But more prison time is the default response: those released after serving sentences for rape and sexual assault served longer sentences, with a median sentence of 5 years (compared to 3 years for all others combined) and over a quarter serving 10 years or more before release.

And for many people convicted of sex offenses, confinement doesn’t end when their prison sentence does. Twenty states continue to impose indefinite periods of involuntary confinement under civil commitment laws – after individuals have completed a sentence (or, in some cases, before they are even convicted). Proponents justify the practice as “treatment,” but conditions of civil commitment are punitive and prison-like, and this confinement is hard to justify with the recidivism data we have. The likelihood of post-release arrest for another rape or sexual assault for this group is less than 2% in the first year out of prison, and after 9 years, less than 8% have been rearrested for a similar offense. Those who are released at age 40 or older are even less likely to be rearrested for another sex offense, with re-arrest rates about half those of people who are released at age 24 or younger.

After prison, a number of other special restrictions make reentry especially challenging for those who have served sentences for sex offenses, including registration, public notification, and restrictions to residence and employment. A current proposal suggests banning them from using New York City mass transit. (Even before release, some restrictions make it difficult for some people to leave prison when they would otherwise be paroled.) But these restrictions tend to cause more problems than they solve. Residence restrictions in particular have contributed to homelessness and other problems in cities where they leave little room for returning citizens. According to a 2015 U.S. Department of Justice brief, “residence restrictions may actually increase offender risk by undermining offender stability and the ability of the offender to obtain housing, work, and family support.”

In another recent academic article, Hanson et al. agree that these additional restrictions are “justified on the grounds of public protection,” even though the underlying assumptions may be wrong: “Individuals are targeted because policy-makers believe they are likely to do it again. This is a testable assumption, and, as it turns out, not entirely true.” Their analysis shows that individual recidivism risk varies widely, can be low enough to be indistinguishable from that of people convicted of non-sex offenses, and drops predictably over time. The data published by BJS track with those findings.

Collectively, the research seems fairly clear: our responses to people convicted of sex offenses do not reflect the actual – generally low – risks they present. Instead of panicking about the small portion who reoffend after release, it’s time we talk more rationally about responses that effectively support desistence from crime – and serve the actual needs of victims of violence.

Footnotes

Policing Women: Race and gender disparities in police stops, searches, and use of force

We analyze gender and racial disparities in traffic and street stops, including arrests, searches, and use of force that occurs during stops.

by Prison Policy Initiative, May 14, 2019

Jails have been described as the criminal justice system’s “front door,” but jail incarceration typically begins with the police, with an arrest. Before any bail hearing, pretrial detention, prosecution, or sentencing, there is contact with the police. But despite their crucial role in the process, we know less about these police encounters than other stages of the criminal justice system.

In particular, the experiences of women and girls¹ – especially Black women and other women of color – are lost in the national conversation about police practices. They are also largely invisible in the the data. But as Andrea Ritchie details in Invisible No More: Police Violence Against Black Women and Women of Color, women, too, are subject to racial profiling, use of excessive force, and any number of violations of their rights and dignity by police. In fact, women make up an increasing share of arrests and report much more use of force than they did twenty years ago. Yet while increasing recognition of women as a growing share of prison and jail populations has prompted facilities to adopt gender-responsive policies and practices, women’s rising share of arrests and other police contact has received less attention and policy response.

The current study

To shed more light on how women’s experiences at the front end of the criminal justice system differ from men’s experiences, we look at both arrest data and data about women’s other contacts with police. We first look at trends in arrest data from the FBI’s Uniform Crime Reporting (UCR) Program. To complement this data, we also examine differences in other police encounters reported in the Bureau of Justice Statistics (BJS) Contacts Between Police and the Public (CPP) reports, which are based on responses to the Police-Public Contact Survey (PPCS).

Critically, the UCR Program does not require police to report arrests by both sex and race/ethnicity, so that dataset offers no way to compare arrest trends of white, Black, and Latina women to each other or to their male counterparts. The PPCS partially fills that gap by including both sex and race/ethnicity of survey respondents; however, the BJS reports based on that survey do not engage this valuable intersectional data.² The second section of this briefing includes our analysis of the most recent PPCS survey (conducted in 2015), to finally offer a view – from nationally representative data – of how women of different races and ethnicities experience police-initiated encounters differently than each other and men.

Part 1: Gender differences in interactions with police

Arrests: Women make up an increasingly large share of arrests

In the past two decades, the total number of arrests in the U.S. has dropped by more than 30 percent, from 15.3 million in 1997 to 10.6 million in 2017. However, this drop was mostly due to fewer arrests of men: the number of men arrested declined by 30.4 percent in that time, while the number of women arrested declined only 6.4 percent. As men’s arrest rates have fallen women’s arrest rates have remained fairly flat. As a result, women make up an increasingly large share of all arrests; as of 2017, women accounted for 27 percent of all arrests, up from 21 percent in 1997, and just 16 percent in 1980.³

An increase in arrests of women for drug offenses helps explain why women’s arrest rates have remained steady, even as crime rates have hit historic lows and men’s arrest rates have plummeted. Of the more than 2 million arrests of women in 2017, 13.9 percent were for drug abuse violations – second only to property crimes (15.8 percent), and far more frequent than arrests for violent crimes (3.8 percent). Over the past five years – while the country has been in the throes of the opioid epidemic – drug arrests have increased 6 percent among men, but almost 25 percent among women.⁴

Changes in arrest patterns over 5 years, by sex

Other police-initiated contact: Women interact with police more than arrest statistics suggest

A key finding from the Contacts Between Police and the Public series is the true scale of women’s interactions with police, which is far greater than arrest numbers alone suggest. While arrests are sometimes used as a measure of the “first stage” of involvement with the criminal justice system, many encounters between the public and police do not result in arrest. This is especially true for women, who account for a much greater share of public-police interactions than they do actual arrests.

In 2015, there were about 2.1 million arrests – but about 12 million police-initiated contacts⁵ – with women ages 16 and over.⁶ That means that for every woman arrested, five more women were approached by police, either in a traffic stop, street stop, or in the execution of an arrest warrant. All police-initiated contacts are non-voluntary encounters, which are more likely than resident-initiated contacts (e.g. calling the police for help) to lead to arrest, further justice involvement, and other negative outcomes. The 2015 survey shows that women made up almost half (44 percent) of all police-initiated contacts, 41 percent of traffic stops (in which they were the drivers), and 36 percent of street stops, compared with 27 percent of all arrests. This is a critical point when assessing the need for gender-responsive policing policies and practices: basing an analysis solely on arrests would grossly underestimate the non-voluntary interactions women have with police.⁷

Use of force: Nearly doubled for men since 1999, but more than quadrupled among women

As with women’s share of arrests, women’s share of police encounters that involve the use or threat of force has increased significantly since 1999.⁸ That year, women made up just 13 percent of the approximately 422,000 people who experienced use of force during a police encounter. This percentage almost doubled by 2015, when women accounted for 25 percent of all people who experienced police use of force. Moreover, the total number of people experiencing police use of force more than doubled in that time, to 985,300 in 2015. But the increase in use of force was especially dramatic among women: the number of women experiencing police use of force in 2015 was 4.5 times (353%) the number experiencing force in 1999, up from 55,181 to 250,200. Meanwhile, the number of men experiencing police use of force doubled from 366,533 in 1999 to 735,100 in 2015.

Traffic stops: Stops declined more for men, and women make up a larger share of those searched during stops

The 2015 survey shows another noteworthy shift in the numbers of men and women stopped by police while driving. While the percentages of both men and women experiencing traffic stops declined since 1999, women saw a smaller decline in stops than men did. In 2015, 10 percent of male drivers were stopped (down from 12.5 percent in 1999) compared with 7 percent of female drivers (down from 8.2 percent). These changes may sound small as percentages, but the decline in the rate among women actually masks a 378,000 increase in total number of traffic stops of women since 1999, while men were stopped 451,000 fewer times than in 1999.⁹

Women also make up a larger percentage of all people searched during traffic stops. In 1999, men who were stopped while driving were about four times as likely to be searched during the stop than women; by 2015, men were just twice as likely to be searched. The narrowing of this gap reflects a decline in searches of men; for women, the share of stops that resulted in search remained the same, at 2.3 percent. In 1999, police searched the driver or vehicle in 9.4 percent of stops of men, which amounts to over one million stops involving a search. In 2015, however, the percentage of stops involving male drivers that resulted in search or arrest dropped by half, to 4.7 percent – or over 500,000 stops. Female drivers, however, saw no change in their likelihood of search or arrest during a traffic stop.

Part 2: Race, Ethnicity, and Gender in Police Stops

Data from the Police-Public Contact Survey (PPCS) allow us to take a more intersectional view of women’s contact with police, going beyond gender differences to include racial and ethnic differences among men and women, too. Again, this is the only national data we are aware of that enables any intersectional analysis of civilian experiences with police, and the Bureau of Justice Statistics (BJS) does not attempt this analysis in its report on the survey’s results. That arrest data indicate racial disparities is well documented, but little is known – outside of individual stories – about how Black, Latinx, and white women experience police contact differently from each other and from their male counterparts.

Our analysis examines how race and gender, together, affect police-initiated stops, including arrests and use of force that occur during stops. It’s worth noting that police stops and arrests during these stops are relatively infrequent events, and that our findings are based on survey data from over 90,000 respondents, not the total U.S. population. That said, we find that the race, ethnicity, and gender affect policing outcomes differently depending on the context:

• Both race and gender affect the likelihood of a traffic stop.
• Race seems to matter more for men when it comes to street stops and more for women when it comes to arrests during a stop.
• Racial disparities are most apparent in use of force during a police-initiated stop, with Black and Latino men experiencing use of force more often than other groups, and Black women reporting similar use of force rates to white men.

Traffic stops: Black women are more likely than white or Latina women to be stopped

Both race and gender affect a person’s chances of being stopped by police while driving (excluding accidents or when they were passengers). Most broadly, the PPCS data shows that women were less likely than men to be stopped, and Black drivers were more likely to be stopped than white and Latinx drivers.¹⁰ More specifically, Black women were about 17 percent more likely to be in a police-initiated traffic stop than white women, and 34 percent more likely to be stopped than Latina women. Among men, Black drivers were about 12 percent more likely than white drivers – and 17 percent more likely than Latino drivers – to be stopped.

Percentage of drivers who experienced a vehicle stop in 2015

These estimates are not adjusted for driving behavior, however, and given reported differences in driving patterns between demographic groups, it is likely that traffic stops of Black and Latina women per mile driven could be even higher compared to other groups than the survey data suggest.¹¹

Street stops: Significant racial disparities among men, but not women

In contrast to traffic stops, the survey data on police-initiated street stops only showed significant racial disparities among men – not among women. Less than one percent of white, Black, and Latina women surveyed experienced a police-initiated street stop in 2015. However, the percentage of Black men who experienced a street stop (2.2 percent) was double that of white men (1 percent). A slightly greater portion of Latino men (1.2 percent) reported experiencing a street stop than white men, but this difference was not statistically significant.

Percentage who experienced a street stop in 2015

Arrests during stops: Significant racial disparities among women, but not men

Police-initiated traffic and street stops sometimes result in arrest, and the survey data show that Black women were at least as likely as white men to be arrested during a stop. White women, meanwhile, were about half as likely as white men to be arrested during a stop. Black women were arrested in 4.4 percent of police-initiated stops, which was roughly three times as often as white women (1.5 percent), and twice as often as Latinas (2.2 percent).

Among men, racial disparities in arrest-during-stop rates appear to be more related to the frequency of being stopped than the likelihood of being arrested if stopped. For women, on the other hand, racial disparities seem to be more related to what happens during the stop than whether they are stopped at all.

Percentage who were arrested during a traffic or street stop in 2015

Use of force during stops: Rates of Black women similar to white men; Black and Latino men most likely to experience force

About one percent of people surveyed indicated that they had experienced force or threat of force¹² during a police-initiated stop, but use of force rates were higher for Black women than white or Latina women,¹³ and were highest among Black and Latino men. Black women actually experienced use of force during a stop about the same rate as white men, while white women were significantly less likely to experience use of force than white men. The marked gender disparity in reported use of force that is included in the BJS report Contacts Between Police and the Public, 2015 (2.7 percent for men versus 0.9 percent for women) masks the reality that these percentages are averages of racial and ethnic groups that are experiencing force at markedly different rates.

Percentage who experienced force during a police-initiated stop

Conclusion

As women become a more visible presence in our criminal justice system, it becomes increasingly urgent that we understand their experiences within it, both to better meet their needs and to enhance our analysis of how justice works (and doesn’t work) in the U.S. The policing of women, especially women of color, has received less attention than the policing of men; it’s even received less attention than the incarceration of women. Similarly, while correctional facilities are increasingly adopting gender-responsive policies and programs, there have been virtually no concerted efforts to create or implement trauma-informed or gender-responsive policing practices.

This oversight has serious consequences. Rates of sexual and physical abuse are high among justice-involved women – estimates range from half to over 90 percent – and are much higher than reported for men. Almost a third (31 percent) of women in jail have a current serious mental illness, which is over twice the rate among men in jail (14.5 percent) and over six times the rate among women in the general population (4.9 percent). With 12 million women per year experiencing police-initiated contacts – many of which involve searches, use of force, and other traumatizing experiences – it is critical that law enforcement take seriously the need for more female police officers,¹⁴ protocols, and trainings that can improve police-public interactions and reduce the harms to women.

Finally, the invisibility of Black women and other women of color in the national discourse about policing – even in the wake of high-profile tragedies like the arrest and jail death of Sandra Bland – means that the full scope of racial discrimination in policing is unknown, and certainly understated. Making policing more transparent, accountable, effective, and just will mean bringing the experiences of these women to light.

Data sources and methodology

Arrest data come from the FBI Uniform Crime Reporting Program (reported annually in the Crime in the United States series). Other police contact data are from the Bureau of Justice Statistics’ Police-Public Contact Survey (PPCS), most recently conducted in 2015 and published in 2018. The police contact data in Part 1 comes from the BJS reports based on the results of that survey, in the Contacts Between Police and the Public series. The analysis in Part 2 used the raw PPCS data, available from the National Archive of Criminal Justice Data (NACJD) here.

Using the PPCS data for the analysis in Part 2, respondents were coded into one of eight mutually exclusive sex-race categories: Black female, Black male, Latina (female), Latino (male), white female, white male, non-Hispanic other race female, and non-Hispanic other race male (the last two categories include multi-racial respondents, and results were not included in this report because of the small sample sizes and the disparate racial and ethnic categories they included.)

Our analysis focuses on non-voluntary, police-initiated stops. Therefore, the two types of police contacts included in the analysis were “stopped by police in public place (non-vehicle)” and “stopped by police while driving.” Types of police contacts excluded from the analysis were: “respondent in vehicle stopped by police” (i.e. not driving), “in traffic accident,” “other police stops or approaches,” “crime/non-crime emergencies,” and “seeking other help from police.”

“Arrests” in our analysis of the PPCS (in Part 2) refer to only those arrests that occurred during non-vehicle (street) stops, vehicle (traffic) stops, or either type of stop. Use of force refers to whether, during the encounter, the police officer did any of the following to the respondent: push, grab, kick, hit, spray with chemical or pepper spray, use an electroshock weapon (Taser), or point a gun at them.

We used Wald tests to determine whether there were statistically significant differences in average (mean) incidence of stops, arrests, and use of force between each sex-race category in comparison to two references categories: white women and white men. We used the weighting provided by the Bureau of Justice Statistics to approximate a nationally representative sample.

Acknowledgements: This briefing was a collaborative effort, but Wendy Sawyer served as the editor and created the graphics. We thank Public Welfare Foundation for their support of our research into the experiences of women who come into contact with the criminal justice system.

Footnotes

New report, Does our county really need a bigger jail?, helps counties avoid needless jail growth

All too often, proposals to expand local jails receive no pushback or critical attention. A new report helps counties think twice.

May 6, 2019

Easthampton, Mass. – A new Prison Policy Initiative report gives cities and counties a long-needed tool for fighting mass incarceration: a guide to preventing unnecessary jail expansion. The report, Does our county really need a bigger jail?, lays out 33 questions that local decision-makers should ask in evaluating proposals for new or bigger jails.

“It’s very common today for jails to be overcrowded, because the number of people in jails nationwide has tripled in the last 30 years,” said report author Alexi Jones. “But in too many counties, jail growth is rooted in known policy failures like an overreliance on money bail. Local policymakers owe it to their constituents to find out if there is a better fix to overcrowding than just building a new or bigger jail.”

The report’s 33 questions for policymakers include:

• On a typical day, how many people are confined in the existing jail who have not been convicted?
• How many people in the county are incarcerated because they cannot afford to pay fines and fees?
• What specialized “diversion” courts and treatment programs is the county using to divert people struggling with substance use and mental illness into more effective treatments than jail?
• Do official cost estimates for building new jail space include not only the cost of construction, but the cost of debt service on the loan, annual operation costs, and collateral costs such as adverse impacts on public health?

“Building new jail space typically costs tens of millions of dollars or more, even as other options that are both more cost-effective and more compassionate are ignored,” said Jones. “If policymakers can’t answer these questions about why more jail space is necessary, they should not be undertaking jail expansion.”

For all 33 questions, the report also offers a set of alternatives and best practices, including:

• Releasing more pretrial defendants on their own recognizance, and investing in pretrial services to help them make their court dates;
• Requiring judges to set fines and fees based on a defendant’s ability to pay;
• Investing in specialized “problem-solving” courts for people with mental health or substance use disorders that serve as true alternatives to jail time.

The report’s recommendations are accompanied by helpful graphics, as well as examples of local and state governments successfully implementing alternatives to jail expansion. “We know that the answer to mass incarceration begins at the local level,” said Jones. “That’s why it’s critical to help cities and counties think beyond jail expansion when it comes to improving public safety.”

Prison Policy Initiative files objections to unreasonable jail phone rates, asks Iowa Utilities Board to protect families

At a time when phone calls for the rest of us cost almost nothing, there is no reason to force the poorest families in Iowa to pay outlandish rates.

April 26, 2019

For immediate release — The Prison Policy Initiative has filed objections to five phone companies’ proposed phone rates for Iowa county jails. At a time when the cost of a typical phone call is approaching zero, phone providers in Iowa jails frequently charge incarcerated people and their families 30 cents per minute or more for a phone call. (And one provider charges as much as $4.41 for the first minute.)

In January, the Iowa Utilities Board required these providers to file rate disclosures – or “tariffs” – for state approval. By state statute, the Utilities Board must ensure that rates are just and reasonable and that “no unreasonable profit is made.” The Prison Policy Initiative’s research has found that phone calls from Iowa’s jails are among the most expensive in the nation, and more than four times as expensive as calls from the state’s prison system.

In February, the Prison Policy Initiative report State of Phone Justice uncovered the cost of phone calls in over 2,000 jails nationwide, explaining why sheriffs sign lucrative phone contracts that prey on people in jail and their families:

• Phone providers compete for jail contracts by offering sheriffs large portions of the revenue – and then charge exorbitant phone rates.
• Providers exploit sheriffs’ lack of experience with telecommunications contracts to slip in hidden fees that fleece consumers.
• State legislators, regulators and governors traditionally pay little attention to jails, even as they continue to lower the cost of calls home from state prisons.

The report found that calls home from Iowa jails are the 13th most expensive in the nation. “There is no reason to force the poorest families in Iowa to pay these outlandish rates, particularly at a time when phone calls for the rest of us cost almost nothing,” said Peter Wagner, Executive Director of the Prison Policy Initiative.

The objections were filed with the research assistance of volunteer attorney Stephen Raher, and the organization is now being represented pro bono before the Iowa Utilities Board by David Yoshimura of Faegre Baker Daniels in Des Moines.

The Prison Policy Initiative’s objections to the tariffs are available for: Global Tel*Link, Public Communications Services, Prodigy Solutions, Reliance Telephone of Grand Forks, and Securus.

Yesterday, the Iowa Utilities board granted our request to intervene and docketed the tariffs for further review. Further comments about the proposed tariffs are due May 13.