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PolicyPolicy

III. Report on Programs and Initiatives

3. BREAKING THE CYCLE OF DRUGS AND CRIME

Perpetrators of our nation’s violent and income-generating crimes like robbery, burglary, or theft are more often than not illegal drug users. According to ADAM data, in 27 of the 34 sites reporting arrestee drug use data, over 60 percent of male adults had positive drug test results for at least of the following: cocaine, marijuana, methamphetamine, opiates, and/or PCP. The average rate for female adults was 67 percent in 1999, up three percent from 1998 data. Overall, however, most sites reported slight differences in drug use among male and female arrestees from 1998 to 1999.22

The nation’s incarcerated population is now more than 2 million.23 While the number of offenders in each major offense category increased, the number incarcerated in federal prisons for a drug offense accounted for the largest percentage of the total growth (63 percent). Public-order offenders accounted for 26 percent of the increase; violent offenders, 6 percent, and property offenders, 1 percent.24 Prisoners sentenced for drug offenses constitute the largest group of federal inmates (58 percent) in 1998, up from 53 percent in 1990. As of September, 1998, when the last data was collected, federal prisons held 63,011 sentenced drug offenders, compared to 30,470 at yearend 1990.

Criminal justice policy-makers have begun to realize how important it is to provide substance abuse treatment for drug-offenders while they are incarcerated and after their release into the community. It is no longer viewed as just a public health issue or the “right thing to do.” Correctional administrators have experienced the public safety and cost-saving benefits of providing these services in a continuum of care. Given the number of parole violators who are returned to prison for drug offenses, however, there is still much work to be done.

Correctional administrators and treatment providers alike look to the field of research and science to support their criminal justice policies. Delaware researchers have expended a great deal of effort to provide evidence that a “continuum of primary (in prison), secondary (work release) and tertiary (aftercare) therapeutic community treatment for drug-involved offenders” is effective in reducing incidents of relapse and recidivism. Past research had indicated substantial decreases in these two areas for offenders in the year after completing work release when they had participated in primary and secondary treatment. Unfortunately these results do not appear to last into their third year of release. The positive effects of the substance abuse programs are enhanced significantly when the offenders participate actively in the therapeutic communities, complete the programs, and obtain follow-up treatment as with aftercare. “Clients who complete secondary treatment do better than those with no treatment or program dropouts, and those who receive aftercare do even better in remaining drug-and arrest-free.”25

Results were similar for researchers studying in-prison therapeutic community treatment in Texas. “This study examined re-incarceration records for 394 nonviolent offenders during the 3 years following prison. Those who completed both ITC and aftercare were least likely to be re-incarcerated (25 percent), compared to 64 percent of the aftercare dropouts and 42 percent of the untreated comparison groups. Furthermore, those who completed high-severity aftercare were re-incarcerated only half as often as those in the aftercare dropout and comparison groups (26 percent vs. 66 percent and 52 percent). The findings support the effectiveness of intensive treatment when it is integrated with aftercare, and the benefits are most apparent for offenders with more serious crime and drug-related problems.”26

Substance Abuse Treatment for Incarcerated Offenders

Both state and federal agencies have established substance-abuse treatment programs in correctional institutions. Incarcerating offenders without treating underlying substance abuse simply defers the time when addicts return to the streets and start harming themselves and the larger society. As a crime-control measure alone, drug treatment for criminally active addicts is strikingly cost-effective. It offers the potential of reducing crime by two-thirds at about half the cost of incarceration alone.

According to the Federal Bureau of Prisons (BOP), the number of federal inmates receiving residential substance abuse treatment increased from 1,236 in 1991 to 12,541in 2000. BOP provides drug treatment for inmates prior to release. In FY 2000, four existing residential drug abuse treatment programs expanded capacity, and three institutions opened new residential drug abuse treatment programs bringing the number of institutions providing residential drug abuse treatment to 47, up from 32 in 1994. In FY 2000, over 40, 000 inmates received some sort of drug abuse service. Six female institutions currently house residential drug abuse treatment programs and two more female sites will be implemented by the end of FY 2002. The Federal Medical Center (FMC) in Carswell, Texas also includes a specialized program for female inmates with co-occurring disorders. In 2000, over 44,500 inmates participated in all types of BOP drug treatment services. Since 1992, the number exceeds 230,000.

A joint BOP/NIDA study is examining the program and has provided a report addressing the first 36 months after release from custody. Unlike most studies of prison treatment effects, the BOP/NIDA study employs sophisticated methods (e.g., weighting) to remove any possible selection bias and is more likely than other studies to underreport treatment effects. Nonetheless, the study found that, after 36 months, the male treatment population was 19 percent less likely to be re-arrested on a new offense and 16 percent less likely to use drugs than a comparison group that received no treatment. The male treatment population was 16 percent less likely to be rearrested or revoked for parole violation. The female treatment population was 18 percent less likely to be rearrested or revoked and 18 percent less likely to use drugs. The female treatment population was employed about 70 percent of the time, during the 36 months, the control group employed about 60 percent of the time. These results demonstrate savings in incarceration costs, an extended period of public safety for the community, and an increased contribution to local economies.

The Corrections Program Office (CPO) of the U.S. Department of Justice has funded state projects for substance abuse treatment through Residential Substance Abuse Treatment (RSAT) for State Prisoners grants. In addition, states may use 10 percent of the funds they receive through the formula Violent Offender Incarceration/ Truth In Sentencing Grant Program (VOI/TIS) for aftercare components of their treatment programs. One example of these projects is Delaware’s in-prison program which has provided institutional and transitional drug treatment since the late 1980s. State correctional authorities provide reports to CPO annually that demonstrate the effectiveness of these programs. These reports include drug testing results as well as data they have obtained regarding recidivism rates for the offenders who participated and completed their programs. In 1998, 555,153 urine specimens were collected from 1,099,131 inmates. 530,237 of these specimens tested negative for drugs. In 1999, of the 1,121,981 specimens tested from 1,139,373 inmates, 1,084,880 tested negative for illegal drugs. Of the states able to report any data on recidivism (some programs have not been in operation long enough to have data on recidivism), an average of 94.2 percent exinmates who participated in RSAT treatment were conviction free one year after release.

Providing Treatment in Prisons and Jails

According to the Bureau of Justice Statistics (BJS), 6.3 million people were on probation, in jail or prison, or on parole at the end of 1999—3.1 percent of all U.S. adult residents. State and federal prison authorities had under their jurisdiction 1,366,721 inmates at the end of 1999. Local jails held or supervised 687,973 persons awaiting trial or serving a sentence at the middle of 1999. Between 1990 and 1999, the incarcerated population grew an average 5.7 percent annually. Population growth during 1999 was significantly lower in State prisons (up 2.1 percent) and local jails (up 2.3 percent) than in previous years. The population in custody of federal prison authorities rose by 13.4 percent.27

Substance abuse has a much higher prevalence among the offender population than among the general population. Yet only a fraction of substance-abusing offenders in correctional facilities have access to much-needed treatment. A BJS study found that 57 percent of state prisoners and 45 percent of federal prisoners surveyed in 1997 said they had used drugs in the month before their offense—up from 50 percent and 32 percent reported in the 1991 survey. Thirty-three percent of state and 22 percent of federal prisoners said they committed their current offense while under the influence of drugs, and about one in six of both state and federal inmates said they committed their offense to get money for drugs. About three-quarters of all prisoners can be characterized as being involved with alcohol or drug abuse in the time leading up to their arrest. Among those prisoners who had been using drugs in the month before their offense, 15 percent of both state and federal inmates said they had received professional drug abuse treatment during their current prison term — down from a third of such prisoners in 1991.

To ensure that gains made during treatment in prison continue after release, OJP requires that preference be given to programs with aftercare as an essential component. Aftercare services should involve coordination between the correctional treatment program and other human service and rehabilitation programs, such as education and job training, parole supervision, halfway houses, and self-help and peer group programs that may aid in rehabilitation. Although programs such as aftercare are not eligible for RSAT funding, states are required to ensure coordination between correctional representatives and alcohol and drug abuse agencies at the state and, if appropriate, local levels.

Dual Diagnosis/Dual Disorder

Effective treatment addresses a range of issues. Many juvenile and adult offenders who abuse or are dependent on drugs and alcohol also have co-occurring mental disorders, primary health care needs, and a host of related housing, employment, and social service needs. More and more our jails and prisons are experiencing the entry of people with mental illness. A key factor influencing this trend, among many others, is the desinstitutionalization of State mental hospitals beginning 30 years ago when there was, and still is, a dearth of community mental health centers with needed resources to expand treatment. Thus, many seriously mentally ill people end up in the criminal justice system, as well as on the streets.

Many of these individuals self-medicate with illegal drugs or as a result of their untreated mental disorders may behave in a disorderly way. By mid-year 1998, approximately 283,800 offenders with mental illness were being held in prisons and jails in the United States, and 547,800 offenders with mental illness were on probation. They are more likely than other inmates to be in prison for a violent offense (53 percent to 46 percent respectively) and are less likely than others to be incarcerated for a drug related offense (12 percent to 22 percent respectively). Even so, about 60 percent of mentally ill offenders state that they were under the influence of alcohol or drugs at the time of their current offense. The combination of the condition of mental illness and the concurrent use of substances is frequently the precursor to disorderly behavior, not the simple presence of mental illness by itself.

Who are these offenders with mental illness? These individuals have reported relatively high rates of previous physical and sexual abuse, loss of one or both parents from the primary caretaking role, serious problems with alcohol and drug abuse in one or both parents, and early developmental expressions of symptoms that may indicate emotional disorders that are typically unaddressed and untreated. Treatment programs will have to focus on the mental health needs of such offenders with the same intensity that they address substance abuse issues. The two disorders are so closely linked that treatment requires attention to both issues. This is both a public safety issue as well as one of public health and humane treatment.

Drug Free-Prison Zone

The Drug Free-Prison Zone demonstration project is being conducted jointly by ONDCP, the National Institute of Corrections, and BOP to interdict and control the availability of drugs in prisons. The program combines policy, testing, technology, treatment, and training, including a program of regular inmate drug testing, the use of advanced technologies (e.g., ion spectrometry) for detection of drugs entering facilities, and the training of correctional officers and other institutional staff.

Twenty-eight BOP facilities are participating and gathering information on visitor screening, inmate drug testing, and five types of inmate misconduct. Interim results from the BOP show that through June 2000, over 140,000 visitors had been screened using a drug detection device and over 3,000 (2.6 percent) tested positive for one or more drugs and thus were denied the opportunity to visit. At the 28 institutions where visitor screening for visitors is being conducted, before and after comparisons of randomly tested inmates show substantial decreases (23 percent or more) in drug detections in medium security, low security, and administrative facilities. Among inmates tested in the suspect category (past history of drug use, etc.), drug detections were down substantially (22 percent or more) in highs, mediums, and administrative facilities. Other types of misconduct such as fighting, assaults, alcohol use, etc. were down somewhat in medium security facilities and considerably in administrative facilities.

Eight states (Alabama, Arizona, California, Florida, Kansas, Maryland, New Jersey, and New York) began participating in January 1999 and are employing a variety of education, training, interdiction, and treatment measures. The states have reviewed approaches to drug detection previously unknown to them. California has linked technology and intelligence with law-enforcement agencies such as DEA, leading to arrests. New Jersey has created a highly effective mobile interdiction team that moves among state prisons. New York and Maryland are linking treatment with enforcement efforts. All states are putting comprehensive policies in place and making extensive use of testing and detection equipment. The initiative is being independently evaluated.

Operating Standards for Prison-Based Therapeutic Communities (TCs)

The field testing of operating standards was conducted by Therapeutic Communities of America (TCA), with ONDCP support. The resulting document was made available in December 1999. This is a groundbreaking contribution that brings a new level of discipline to practitioner discussion of drug treatment. This comprehensive set of operating standards for prison-based TCs—over 120 standards across 11 program domains—has now been validated in operational prison settings. In its present form, the standards document provides a blueprint for state and local leaders, and it will eventually be put into a format appropriate for use by national accrediting organizations. The document is available at the National Assembly Star on the ONDCP Web site.

Substance-Abuse Treatment Provided with Community Supervision

In 1996, states and localities spent over $27 billion in corrections, of which $22 billion was used for prison operations alone. The average annual cost per inmate was $20,142, ranging from a low of $8,000 to a high of $37,800. For the federal system, the annual cost per inmate was $23,500.28 By comparison, probation and parole costs in 1997 ranged from $1,110 per year for regular supervision to $3,470 for intensive supervision, and $3,630 for electronic supervision. Cost variation is explained primarily by caseload. The average caseload for regular probation was 175, and sixty-nine for regular parole. Average caseloads for intensive supervision probation and parole were thirty-four and twenty-nine, respectively; electronic supervision was twenty and eighteen.

Using the Federal Bureau of Prisons as a representative program, the annual cost of residential and transitional treatment and services was estimated at $3,000 per inmate. Generally accepted estimates of annual treatment costs per person in the community are: regular outpatient, $1,800; intensive outpatient, $2,500; short-term residential, $4,400; and long-term residential, $6,800. Combining the most expensive community supervision with the most expensive treatment yields an estimated average cost of $10,430 per person per year compared to $20,142 for incarceration alone, and $23,142 for incarceration combined with treatment and transitional services. Drug courts, TASC, BTC, and Zero-Tolerance have all helped make community supervision and treatment more effective.

Criminal Justice Treatment Networks

CSAT’s Criminal/Juvenile Justice Treatment Networks (CJTN) project, a five-year systems integration initiative launched in FY95, continued its fifth year of federal funding in FY99. The networks have developed an integrated system of intake, supervision, and treatment across justice agencies for adult and juvenile offenders in eight metropolitan jurisdictions. In this past year, the networks expanded services and partnerships. In FY 1999, SAMHSA/CSAT published Strategies for Integrating Substance Abuse Treatment and Juvenile Justice Systems: A Practice Guide, which describes the range of substance-abuse treatment services provided in juvenile justice settings.

Drug Courts

Drug courts divert drug offenders out of jails or prisons and refer them to community treatment. Drug courts seek to reduce drug use and associated criminal behavior by retaining drug-involved offenders in treatment. Defendants who complete the program either have their charges dismissed (in a diversion or pre-sentence model) or probation sentences reduced (in a post-sentence model). Title V of the Violent Crime Control and Law Enforcement Act of 1994 (P.L. 103-322) authorizes the Attorney General to make grants to state and local governments to establish drug courts. As of October 31, 2000, 593 drug courts were operating nationwide, including adult, juvenile, tribal, and family drug courts. Also, as of October 31, 2000, 456 were in planning stages, up from a dozen in 1994.29

Drug courts have been an important step forward in diverting non-violent offenders with drug problems into treatment and other community resources, leaving the criminal justice system to address violent acts. Fifty-seven thousand people have graduated from drug courts since their inception. A review of thirty evaluations involving twenty-four drug courts found that these facilities keep felony offenders in treatment or other structured services at roughly double the retention rate of community drug programs. Drug courts provide closer supervision than other treatment programs and substantially reduce drug use and criminal behavior among participants.30

CSAT is piloting three Family Drug Courts projects in which alcohol and other drug treatment, combined with intervention and support services for children and families, are integrated into the legal processing of the family’s case. In some jurisdictions there is coordination between the criminal courts and the civil Family Drug Court. Family Drug Courts should be able to help states comply with the Adoption and Safe Families Adoption Act of 1997, P.L. 105-89. Family Drug Courts will substantially reduce the time taken for final disposition of abuse and neglect cases and will increase the percentage of family reunification.

Treatment Accountability for Safer Communities (TASC)

Created in the early 1970s and originally named Treatment Alternatives to Street Crime, TASC has demonstrated that the coercive power of the criminal justice system can be used to get individuals into treatment and manage their behavior without undue risk to communities. Through TASC, some drug offenders are diverted out of the criminal justice system into community- based supervision. Others receive treatment as part of probation, and still others are placed into transitional services as they leave an institutional program. TASC monitors client progress and compliance—including expectations for abstinence, employment, and improved personal and social functioning—and reports results to the referring criminal justice agency.31

Breaking the Cycle (BTC)

BTC encompasses the integrated application of testing, assessment, referral, supervision, treatment and rehabilitation, routine progress reports to maintain judicial oversight, graduated sanctions for noncompliance, relapse prevention and skill building, and structured transition back into the mainstream community. Since its inception in Birmingham, Alabama in June 1997, 8,891 assessments have been conducted on felony offenders to ascertain treatment needs. Currently, 1,676 offenders are active within the BTC Program. Over 72,447 drug tests have been performed on offenders, and over 6,652 treatment referrals have been made at the point of assessment. A bond has been implemented requiring felony offenders to report to TASC within 48 hours for assessment and urinalysis. The period of time that elapsed between a BTC offender’s entry into the system and his/her TASC assessment has dropped from 24 days in December 1997 to four days in August 1999. Disposition alternatives including the deferred and expedited dockets have been established. These sentencing options were designed to utilize BTC compliance information to qualify defendants for early dispositions. By diverting these cases prior to the grand jury, circuit court docket space is available for jail cases. These expedited calendars have allowed Birmingham to postpone construction of a new jail pending full review of needs.

According to results of the 1998 Arrestee Drug Abuse Monitoring Program, 64 percent of male offenders were positive for drug use at the time of arrest. In contrast, only 23 percent of BTC offenders tested positive during routine random urinalysis after intervention had occurred. Retention rates have exceeded 70 percent and the rearrest rate has remained in the single digits. A Policy and Advisory Oversight Committee composed of criminal justice system representatives has proactively identified systemic barriers and made substantial steps to develop solutions, including the development of a management information system to automate the assessment, offender tracking, and drug testing functions of the TASC effort.

An outcome evaluation of Birmingham BTC, conducted by the Urban Institute, found arrests, illegal activities, drug use, family problems, and employment problems significantly lower for the BTC population than for the control group. Other findings of potential significance: many drug using offenders do not require formal treatment and can be managed with testing and monitoring alone; and the use of formal sanctions has a significant positive impact on compliance.

For Fiscal Year 2001, the Jefferson County Council set aside $1.4 million in state and local funds to continue the innovations begun under BTC, effectively transitioning the program from Federal grant to locally-owned initiative. In addition, Birmingham received $150,000 from the Bureau of Justice Assistance to implement a mental health court. The assessment, screening, and judicial oversight features of this court were patterned after those initiated under BTC.

In 1998, three additional jurisdictions were selected to participate under the Breaking the Cycle initiative. Jacksonville, Florida and Tacoma, Washington are conducting Breaking the Cycle in their adult criminal justice systems. Lane County (Eugene), Oregon is conducting a juvenile Breaking the Cycle program These sites are began implementation in October 1999 (Jacksonville and Tacoma) and May 2000 (Eugene). During the first year of implementation, over 5,500 drug-using offenders in Jacksonville and Tacoma combined and over 100 minors in Eugene have been ordered into BTC. All sites are subject to process and outcome evaluations.

Zero Tolerance Drug Supervision Initiative

This Presidential initiative proposes comprehensive drug supervision to reduce drug use and recidivism among offenders. The federal government will help states and localities implement tough new systems to drug test, treat, and sanction prisoners, parolees and probationers. This initiative will ensure that states fully implement the comprehensive plans to drug test prisoners and parolees that they are required by law to submit to the Justice Department, while also supporting the efforts of states like Maryland and Connecticut to begin drug testing probationers on a regular basis.

Initiatives Currently Underway

Over the past two years, ONDCP has joined with DOJ and HHS to lay the foundation for systemic collaboration between justice and public health. Working together, these federal agencies have documented the state-of-the-science at the March 1998 consensus meeting of scholars, clinicians, and other practitioners and then proceeded on two fronts:

  • Applying the science: expanding breaking-the-cycle demonstrations to additional sites, demonstrating interdiction, intervention policies, and technology through the drug-free prison zone demonstration, and validating operating standards for prison-based TCs.

  • Crafting a policy—in concert with federal, state, and local agencies as well as national organizations—to contribute to public safety and health.

This science-based policy calls for the criminal and juvenile justice systems to operate together with other service systems as a series of intervention opportunities for disordered drug and alcohol offenders. Intervention must be systematically applied as early as possible:

  • To prevent entry into the criminal/juvenile justice system of individuals who can be safely diverted to community social-service systems.

  • To limit entry into the criminal/juvenile justice system of adult and juvenile nonviolent offenders through community justice interventions in concert with other social-service systems.

  • To intervene with people who must be incarcerated or securely confined, through appropriate treatment and supervision, both during and after the period of confinement.

One example of a current initiative is the Department of Justice’s Operation Drug TEST (Testing, Effective Sanctions, and Treatment). This program is a pilot project designed to identify drug abusing defendants as soon as they enter the federal criminal justice system and to provide appropriate supervision, sanctions, and treatment to help them become and remain drug-free. It was developed in response to a 1995 Presidential directive to the Attorney General, who worked to secure the strong support of the federal judiciary for this project. The Department of Justice and the Administrative Office of the United States Courts (AO) entered into a Memorandum of Understanding and began implementing the program in 25 federal judicial districts in fiscal year 1997. One of these districts opted out of the program, leaving 24 as the core initial group. Since 1997, $4.7 million annually has been allocated for this program.

National Assembly

Over the past three years, ONDCP has joined with the Departments of Justice and Health and Human Services to lay the foundation for systemic collaboration between justice and public health. A March 1998 Consensus Meeting of scholars, policy makers, and practitioners, ONDCP, DOJ, HHS, took stock of existing knowledge regarding drug treatment and the justice system, probing scientific research and clinical experience to determine what is known with reasonable confidence. This was followed by a June 1999 meeting of forty stakeholder organizations to advise DOJ, HHS, and ONDCP, regarding policy to reflect established knowledge. Building on these efforts, a December 1999 a National Assembly on Drugs, Alcohol Abuse, and the Criminal Offender was co-sponsored by ONDCP, DOJ, and HHS. This unprecedented gathering of over 800 health and justice officials presented and discussed approaches to link the justice system with other service systems, to provide a series of opportunities for intervention with drug and alcohol disordered offenders:

  • To prevent entry into the criminal/juvenile justice system for those who can be safely diverted to community social service systems.

  • To limit penetration into the criminal/juvenile justice system for adult and juvenile nonviolent offenders through community justice interventions in concert with other social service systems.

  • To intervene with those who must be incarcerated or securely confined, through appropriate treatment and supervision, both during and after confinement.

The National Assembly yielded widespread consensus regarding: the need for public safety and public health agencies to work together in a consistent, collaborative manner, to provide the breadth of services required and to make full use of limited funding; the need for formal agreements to overcome the obstacles presented in bringing all of the essential actors to the table; the need to seize the opportunity presented by the juvenile and criminal justice systems’ authority to mandate treatment; the critical importance of thorough assessment at the beginning of the process, to properly match services with needs and manage compliance with treatment requirements; the critical importance of post-incarceration transitional and follow up services and support to foster safe re-entry into the community; and the need to make specific guidance on best practices available to practitioners.

The planning committee for the National Assembly formed an interagency committee, the Public Health/Corrections Working Group, to respond to requests for technical assistance, to develop a Web site by which information on public health and public safety concerns could be disseminated, and to establish a national compendium of interventions for substance abusing persons involved with the justice system. This working group is comprised of representatives from the Justice Department, the Department of Health and Human Services, ONDCP, and the Department of Education. Together they have supported several states initiatives to host state assemblies and to establish systems that integrate corrections and treatment agencies. The group also assisted National TASC with their annual conference by participating in developing the agenda, obtaining funds, and making presentations at the event.

Other follow-up includes interagency agreements between CSAT, CPO, and the Surgeon General’s office and a spring 2001 conference that will bring public safety and public health officials together to discuss the issues facing offenders with mental illness and co-occurring disorders.

Juvenile Justice

The juvenile justice system presents an opportunity to prevent the cycle of substance abuse and crime. The juvenile justice system was specifically developed to respond differently than the adult justice system to youth who commit crimes. Since its inception, the primary goal has been rehabilitation, rather than punishment, of the youth in the context of the family system. It is vital that we develop policy, pass laws, and implement programs which preserve and enhance this approach. Research in recent years has supported the wisdom of developing a separate juvenile justice system. By nature youth are risk takers and experimenters, and as part of the normal developmental process will engage in behaviors that are illegal. From a developmental perspective, adolescence is a major transitional phase that is defined by significant physical development coupled with increases in aggressive behavior, increased conflicts with parents and other authority figures, and an orientation away from family and towards peers and experimentation. Family, community, and schools all play prominent roles in a juvenile’s development, and they must be incorporated into any comprehensive solution. The “strength-based approach” treatment approach looks to the positive attributes of youth, and builds on those, rather than focusing exclusively on what the youth has done wrong.

System Integration

Another challenge for the justice system is to reach beyond the immediate defendant and address family crises, domestic violence, juvenile delinquency, abuse and neglect, and a host of related problems. The justice system must incorporate means of intervening in a child’s first problems with adults—often in his or her own home during the early years of life. Community involvement in legal issues, particularly when they intersect with families and children, is essential for breaking the cycle of substance abuse, crime, and violence. An example of this concept in action is New Jersey’s Unified Family Courts, which encompass a network of six thousand volunteers who bring together diverse segments of the court and community to collaborate on effective approaches to families in crisis.