Paying kids not to kill

Assertive community treatment teams working through outreach-centered programs in Maricopa County have become an industry standard for treating those with persistent and severe mental illnesses who have recently been incarcerated. They provide a long-term approach, aiming to halt a cycle of incarceration and hospitalization by focusing on underlying issues such as what caused the police interaction and incarceration.

The Office of Neighborhood Safety in Richmond, CA took a radical new approach to urban violence by creating mechanisms to financially stabilize perpetrators of violent acts in crime-ridden neighborhoods - essentially paying people not to kill. They have been dramatically successful at weening violent criminals off the destructive behavior by using a comprehensive approach that includes using solid data, employing mentors with similar backgrounds to the criminals, and monetary incentives.

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

The Centre for the Prevention of Radicalization Leading to Violence in Quebec has expanded rapidly, becoming a model for programs around the world. What sets it apart from projects in Europe and the United States is that it confronts extremism of all stripes — not just Islamist — and focuses on behavior that signals the risk of violence, not just radical ideas, only involving law enforcement as a last resort.

In Colorado, four communities are piloting a program that offers low-level drug or prostitution offenders an alternative to prison. This program, known as Law Enforcement Assisted Diversion, matches the offender with a case manager who in turn connects them with treatment and training resources.

Since Camden began addressing its high homicide rate in 2012 with closer collaboration with the community and stricter rules on the use of force, both murders and complaints about police have fallen dramatically. As part of what is considered some of the most extensive police reforms in the country, the city put more police on the streets. That had both good outcomes (interactions outside of crises) and bad (a troubling increase in low-level arrests). But, when many cities’ police-brutality protests in 2020 turned violent, Camden’s did not.

The Law Enforcement Assisted Diversion (LEAD) program in Alamosa, Colorado, gives police officers the option of sending people to substance abuse treatment rather than straight into the criminal justice system. Used in non-violent cases, the diversion program is based on a harm-reduction model that uses a health-care approach rather than a punitive approach to address the underlying issues when a crime is committed. Some police officers object to the program's mission, but proponents say that forcing compliance would be counterproductive.

As an alternative to traditional courts, community courts provide resources to those experiencing homelessness. Fines and jail time are often the punishment in traditional courts for those charged with trespassing or loitering, but community courts provide services that help people find housing, jobs, health care, and even offer mobile showers, food stamp assistance, and mental health care. While the long-term data are lacking and don't offer a clear picture of recidivism rates, community courts do provide a better quality of life for those living on the streets.

Frustrated by a tight labor market, two locally owned Grand Rapids employers discovered the virtues – economic, not just moral – of hiring formerly incarcerated people, whose gratitude for an opportunity translated into excellent performance and less risk of adding to rapid turnover. The employers helped guarantee success by paying for support services that made post-prison transitions easier. The employers then talked hundreds of other local employers into doing the same. Besides providing a business advantage, the program changes lives and is evidently contributing to much lower rates of recidivism.

New Hampshire's Rockinham County gives some people with extensive drug and criminal histories an offramp from the criminal legal system, in the form of housing at Cross Roads House and a drug court to emphasize treatment over punishment. But, while other cities in the state meet such needs with multiple programs, the second-most populous county in the state has a severe shortage of supportive housing and services. Such services can make the difference between prison and success, and even between life and death in a place with high rates of overdose deaths.