When a step back into prison is really a jump forward on the road to recovery

Northern Maine is home to some of America's poorest - but it ranks high on national measures of health. Hospital programs visit more patients in their homes where they can be more comfortable and receive everything they need, which in turn reduces medical costs.

In Seattle, the over-policing of drug users has been extensive and frequently racially biased. Looking for a new solution, the LEAD (Law Enforcement Assisted Diversion) program, driven by a harm reduction philosophy, is connecting users with key social services rather than punishment.

A growing number of tribal judges nationwide - including Judge Abby Abinanti of the Yurok Tribal Court - are using a framework of traditional culture and an approach known as "restorative justice" to address both the need for rehabilitation of offenders and resolution for people often failed by the dominant criminal justice system.

New Zealand introduced restorative justice practices for juveniles in their criminal justice system after incredibly high rates of child incarceration and an over-representation of minorities. The practice, in places since the late 80's, includes youth justice councils and limits police arrests. The "overall number of youth arrested, charged, and incarcerated" has fallen, but there is still disproportionate representation of minority groups in the system.

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.

Crossroads for Women, a New Mexico nonprofit, is helping formerly incarcerated women find community, support, and recovery. Using trauma-informed care practices, the program offers a comprehensive list of services like housing, mental health treatment, employment counseling, and substance abuse treatment. Underlying all services is the understanding that no individual is trauma free and that community and relationships are crucial to sustainable recovery.

Across New Hampshire, youth are leading the fight against substance abuse. Programs like Dover’s Youth-to-Youth, Stand Up Sachems, Youth Leadership Through Adventure, and the Making it Happen Coalition, are all youth-led, adult-supported initiatives that are empowering young adults to create and disseminate substance abuse awareness and prevention campaigns. Fundamental to each of these efforts effective communication and creating a sense of community as key to prevention.

By rapidly instituting mandatory testing of all inmates at a covid-19-stricken federal prison and segregating ill inmates, authorities reduced the number of new infections within weeks. At one point, nearly 70% of the inmates at the Terminal Island federal prison in San Pedro, California, had tested positive for the coronavirus as it raced through a facility where inmates normally interact constantly in crowded communal areas. As of mid-May, eight inmates had died and more than 500 had recovered.

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.