Treatment Courts Adapt to Meet Challenges

Raton, a town once surrounded by eight coal mines, now has a main street of boarded-up buildings. There is reason for optimism as the town diversifies its local economy, betting on "a mix of small manufacturing businesses, health care and specialty services, and hospitality for travelers" to endure the sudden decline in mining revenue. Its calculated revitalization may hold lessons for other towns.

When the federal government fails to stimulate social change, local areas step up. Tennessee is giving more structure and funding to community college education, and it’s drastically increasing graduation rates. Alaska and other states are getting rid of money bail. All around the country, citizen activists are becoming advocates and attempting to make our political system accessible to everyone. Despite partisan politics in Washington, D.C., the country is nonetheless experiencing social progress.

In 2017, New Jersey eliminated the cash bail system – meaning that potential offenders awaiting court could not be held in jail for money. Instead, judges use an algorithm that considers the individual’s criminal history, flight risk, and threat level to the community. As New York considers doing the same, it looks the impact it has made in New Jersey.

A New York City opioid treatment startup called Groups is a solution for small towns with limited access to care for people struggling with opioid addiction. They overcome the hurdles of high cost, proximity to care, and stigma that stymy government response by offering simple, one-size-fits-all, medically assisted group recovery.

Leading up to Father’s Day, Philadelphia criminal justice organization Frontline Dads raised money to bail out fathers. Inspired by the annual Mother’s Day bailouts that happen around the country, Frontline Dad aims to not just free father’s, but raise awareness about the issue of cash bail as well. Beyond bailing out fathers, participants will also have access to services like haircuts, counseling, and job placement assistance.

Vermont's hub and spoke model of care has gained notoriety as being a system that has successfully played a positive role in creating better access to health care, especially as it relates to the opioid crisis. Now, officials in New Hampshire are looking to scale and adapt the program to work in their state.

In an effort to help get accurate information to the communities who are being disproportionately impacted by the coronavirus pandemic, a program called Live Chair Health has started to train barbers "on chronic issues that disproportionately affect Black communities" and teach them "how to have conversations with their clients about the diseases." Aside from providing COVID-19 information, the initiative has helped patrons access primary care and address other medical issues such as high blood pressure.

Fifty years on, America's war on drugs has failed at its principal goals: to eradicate illicit drug use and sales, to repair communities damaged by the drug trade, and to prevent drug-related deaths. Despite massive amounts spent on law enforcement, which has created great social harms and fueled incarceration, drug use has rebounded to 40-year highs, drug overdose deaths are peaking, and supply of illegal drugs is abundant. Policy advocates say a combination of legalization and public-health approaches to the problems would accomplish more than the wasteful, ineffective "war" mentality used to date.

To mark the 100th anniversary of the Tulsa Race Massacre, in which a white mob killed hundreds of Black residents and destroyed the thriving neighborhood of Greenwood, the Centennial Commission supported a number of initiatives to learn from the past and build a better future. At the base of an ancient elm tree that witnessed the massacre, Up With Trees distributed 100 elm seedlings to children to plant around Tulsa. The commission convinced state education officials to develop a new curriculum on the massacre for K-12 students.

The Defender Association of Philadelphia practices community-oriented public defense — also known as "holistic defense" — to connect clients with support services and resources that help address the root causes of crimes. The association works with social workers, investigators, and paralegals to get clients access to housing, food, jobs, and healthcare, as well as mental health and substance use treatment, with more than 150 people referred to treatment providers between September 2016 and January 2017.