The Center for Advancing Justice

We drive innovative responses to substance use and mental health disorders at every stage of the justice system.

Our Approach

Substance use, mental health, and co-occurring disorders are leading causes of justice involvement. We believe the justice system can deliver evidence-based responses that balance accountability with clinically appropriate treatment and support.

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Impact at Every Stage of the Justice System

We advance effective interventions for individuals impacted by substance use and mental health challenges at every stage of the justice system, from first contact with law enforcement to corrections and community reentry.

The Sequential Intercept Model offers a framework for aligning community-based responses to substance use and mental health disorders with stages of justice system involvement. Its six “intercept points” represent critical opportunities to apply evidence-based interventions that reduce offending, promote recovery, and improve community health and safety. We have expertise in building effective treatment and supervision strategies at each of these intercepts.

Intercepts

Rapid Screening, Assessment, and Referral to Services

Identifying and addressing criminogenic risk and needs

Around two-thirds of arrestees nationally have a substance use, mental health, or co-occurring disorder. By identifying these issues and intervening more quickly, justice systems can interrupt the destructive cycle of crime, arrest, and incarceration and improve outcomes for individuals and communities alike.

We help build capacity to quickly screen individuals for their criminogenic risks and needs, conduct in-depth clinical assessments when substance use or mental health concerns are indicated, and match each person to the appropriate services and supports. When resource gaps exist, we help communities develop new programs and services to meet local needs.

RNR

Overdose Prevention

Rapid referral to treatment and medications for opioid use disorder to reduce the risk of fatal overdose

Many justice-involved individuals are at risk for overdose, and justice involvement can even increase this risk. For example, the risk of death from overdose is more than 10 times higher among adults recently released from prison relative to the general population. Justice system agencies can dramatically impact the lives of the individuals and communities they serve by incorporating overdose prevention strategies.

We work with law enforcement, jails, courts, and others to implement strategies to decrease overdose risk in justice-involved populations. Strategies can be implemented at every stage of the justice system and may include pretrial screening and supervision, specialized overdose intervention courts, jail-based treatment and support services, reentry planning, and much more.

Opioid intervention courts (OICs) are just one of models we use to help communities address overdose risk. OICs are a rapid, lifesaving intervention for individuals at risk of overdose. These court-based programs intervene within 24 hours of arrest by rapidly screening individuals for risk of overdose and referring high-risk individuals to immediate treatment, peer support, and supervision. Research confirms that OICs speed up treatment referrals, promote the use of medications for addiction treatment, and reduce overdose deaths.

Crisis Response

Building better responses to mental health crises before justice involvement

In recent years, states and local communities have begun investing in efforts to improve their responses to mental health crises. Mobile crisis teams, co-responder models, law enforcement deflection programs, crisis centers, and other innovations have expanded access to care, while the launch of 988 as the easy-to-remember national crisis hotline has made it easier for people to report mental health crises. In many places, however, these efforts are in their infancy, and coordinated services are lacking.

We work with law enforcement, community-based service providers, peer support specialists, mental health advocates, and others to build better responses to mental health crises and connect people with care before they become drawn deeply into the justice system.

Judicial Training on Substance Use Disorders

Proven strategies and practices to respond to defendants with substance use and mental health disorders

Research on treatment courts and other approaches to individuals with substance use and mental health disorders in the justice system have deepened our understanding of what works to promote recovery and reduce reoffending. However, these practices are not widely used in regular criminal courts.

Our judicial training curriculum is designed to help all judges use proven strategies and practices to respond to defendants with substance use and mental health disorders. The curriculum is customizable and available for in-person delivery at local, state, and national training events or through online training videos.

Judicial Training

Reducing Childhood Trauma and Supporting Parents

Advancing actionable solutions every jurisdiction can use

For decades, research has demonstrated that adverse childhood experiences—such as having a parent in jail—have numerous negative impacts on children’s long-term health outcomes and increase their own risk of future justice system involvement.

We help justice system actors support the needs of children impacted by parental justice involvement, assist parents in building parenting skills, and strengthen family relationships.

In partnership with Sesame Street in Communities, we provide justice and treatment professionals with free educational tools, family-centered resources, and child-friendly play spaces to better serve justice-involved families.

Sesame

Supporting People-Centered Justice Across the Globe

Customized technical assistance to support the planning and development of effective alternatives to incarceration and other interventions

We support justice system innovation and improvement across the globe.

Our process begins with a thorough legal and health systems assessment using proven tools and methods, focusing on establishing partnerships with key stakeholders and local leadership to increase buy-in.

We then leverage our unparalleled subject matter expertise to deliver customized technical assistance to support the planning and development of effective alternatives to incarceration and other interventions—particularly for individuals with substance use and mental health treatment needs—and carefully monitor and evaluate results.

For more information about our international work, please reach out using the form below.

Customized Training and Curriculum Development

We support a wide range of justice system training needs

Our curriculum development experts help states and local jurisdictions develop in-person or virtual training for courts, attorneys, law enforcement, community supervision and corrections agencies, treatment providers, and other partners. Training curriculum is customized to meet your unique needs and built to ensure that the training content is practitioner-focused and actionable.

Examples of training opportunities include:

  • Risk-need-responsivity in theory and practice
  • Understanding substance use disorder and treatment
  • Overdose prevention strategies for courts
  • Using procedural fairness to support behavior change
  • Evidence-based decision making
  • Effective supervision practices

We invite you to reach out to learn more about our work.

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