ASHLEY BROMPTON: Good afternoon, everyone. Thank you for joining our webinar today. I'm Ashley Brompton with the Center on Victimization and Safety at the Vera Institute of Justice. I'd like to welcome you to our webinar today. We're pleased to bring you this webinar as part of our 2020 End Abuse of People with Disabilities webinar series. Before we get started today, I want to provide a few quick reminders. Today we will have captioning and American sign language interpretation available. We will pause every 15 minutes for an American sign language interpreter switch. If you have any issues with the American sign language interpreters or captioning, please let us know in the chat. Feel free to use the chat. But if you have any questions for the presenters, use the Q&A so it doesn't get lost. We will be recording today's webinar. The webinar recording and materials will be posted on the End Abuse of People with Disabilities website within two weeks. A record of attendance and a PDF of the PowerPoint will be available for download via link in the chat. They'll also be provided via email. With that in mind, today the webinar is going to talk about meeting the needs of formerly incarcerated survivors with disabilities. This intersection of these three identities of being formerly incarcerated, being a survivor, and being a person with a disability is rarely addressed by service providers in really concrete ways. This is a personal passion of mine that I've been working a long time to be able to bring this content to you all. And my goal is that this webinar today will start conversations, conversations that go beyond this webinar into your organizations and into additional opportunities that we might have to work together on this issue. I'm really fortunate because I have two amazing colleagues here at Vera who center the needs of formerly incarcerated survivors in their work. And these are people with whom I am able to work on this intersection with. Those colleagues are our presenters today, Allison Hastings and Kaitlin Kall. Kaitlin Kall has been working with the Vera Institute of Justice since 2012. As a senior program associate, her work center is right increasing access to healing services for incarcerated and formerly incarcerated survivors and local jail reform. Allison Hastings is a project director at the Vera institute of justice. Her work focuses on eliminating sexual abuse in confinement settings and improving access to healing services for formerly incarcerated survivors. Thank you to both Allison and Kaitlin for joining us today. We're super excited for this webinar. And with that, I'm going to turn it over to you all. KAITLIN KALL: All right. Hello, everybody. This is Kaitlin Kall speaking. I'm really excited to be here with you today. I've been an audience member in this webinar series. And it's a thrill and an honor to present. As Ashley said, in some ways, this is an exploratory conversation. It's meant to kick off a dialogue. And throughout this presentation, I'll be talking about things that we know based on data and research and things that we're speculating about and things that we wish we knew more about. So, again, thank you for being here. Next slide, please. I will start by giving an overview of the agenda for today. To kick it off, I am going to provide a national picture of incarceration, including the impact that incarceration has on people with disabilities. Next, I intend to share what we know about the victimization experiences of people who have been incarcerated, including people with disabilities. And then I'm going to hand it over to Allison, who will begin a discussion about the barriers faced by formerly incarcerated survivors and those with disabilities. And she'll also talk about how barriers faced by disabilities and people with incarceration histories, these barriers compound. And then, finally, she'll wrap up today's discussion by sharing some promising strategies for reaching formerly incarcerated survivors with disabilities and closing existing service gaps. Next slide, please. So again, I'm going to start today by painting a scope of the-- a picture of the scope of incarceration in the United States. Next slide. So to ground this conversation, let's start with the fact that people with disabilities are overrepresented in jails and prisons. Another way of saying this is that people with disabilities are more likely to be incarcerated than people without disabilities. Next slide. And furthermore, people who are of have been incarcerated are more likely to have experienced violent victimization than those who have never been incarcerated. Next slide, please. Globally, America has the highest rate of incarceration in the world, so compared to all other nations. And so this means that when we think about incarcerated and formerly incarcerated survivors with disabilities, we are talking about a lot of people. Every day in the US, 2.3 million people are incarcerated. This slide shows some breakdown by correctional facilities. So 1.5 million people every day are in state and federal prisons. And about 600,000 are in local jails. On the next slide, I'll define what we mean by jail and prison and the differences. So this 2.3 million people is a lot of folks. But I want to remind you that this is just a one-day snapshot. This does not capture the millions of others who might pass through a jail or prison over the course of a year. So as I said, even though on the daily average, around 600,000 people are local jail, actually 10 million people will enter the front door of a jail each year. Next slide, please. So how are jails and prisons different and what do these terms mean? You're going to hear Allison and I talk about both in our conversation today. I'll start by talking a little bit about what jails are. So jails are generally operated by cities or counties. They're local facilities. And there are about 3,300 jails in the US. And not coincidentally, there are also around 3,300 counties in the US. Almost every county in America has its own jail. So jail is really regional, and it's local. Jails hold two different-- mostly hold-- two different types of population. The first are people who are considered pretrial. So these other people who are charged with a crime, but have not yet been convicted in a court or plead guilty to their charges. And this is the vast majority of people in jail. On average, around 75% of people in jail are pretrial. The second group that tends to be incarcerated in jails are folks who have been convicted of a misdemeanor charge. These are lesser charges, less serious charges, and therefore, sentences tend to be under year. Increasingly around the US, we're seeing jails being used to hold ICE detainees for the federal government. And because most cities and counties have a jail, or two jails, their locations can be urban, suburban, or rural. Prisons on the other hand, are operated generally by state governments and the federal government. And they hold people often who have been found guilty or have plead to a felony charge. So these are more serious charges, and therefore, sentences usually last a year or greater. The average length that someone is in a prison in several years. And locations vary. But generally, prisons are built in rural areas, much farther away from city centers. Next slide, please. A painful and unavoidable feature of America's criminal justice system is that the US disproportionately incarcerate people of color. On this slide is a chart that shows racial disparities and local jail incarceration rates. The left-most column shows that a Black American is three times more likely to be in jail than a white person. And the column to the right of it shows that a Native American person is twice as likely to be in jail than a white person. Although this slide is focusing on jail, we know that there are also tremendous racial disparities in the prison system. Although the US population is about 37% people of color, 67% of people in prison are people of color. And two further examples on this point-- a Black man in America is six times more likely than a white man to be incarcerated in a prison. And Latinx people are incarcerated at double the rate of white people. Next slide, please. And what do we know about the number of people with disabilities inside our jails and prisons? Well, we know for certain that people with disabilities are overrepresented in jails and prison. The CDC estimates that about 26% of Americans in the general public have at least one disability. And when do we look at prisons for example, we see that 32% of people report having at least one disability, as is true of 40% of people in jail. But we have good reason to think that this is actually underestimating the number of people with disabilities who are incarcerated. And this is for several reasons. We know from the stories of folks who have been incarcerated that there there's often hesitation to share about having a disability when someone is incarcerated. It can feel very vulnerable. There's mistrust of staff and other incarcerated folks. It's also very likely that people who enter jails and prisons do not have a formal diagnosis. They might not be unaware or have the terminology to express that they have a disability. And then finally, there's very little data collection, and there's very little screening. And so all of this makes us think that these number are actually undercount. But even assuming that this 40% of people in jail having disability is accurate, remember that 10 million people enter jail each year. So this alone suggests that at least 4 million people with disabilities will experience jail in the course of a year. And I'm going to pause here for an interpreter switch. We don't have a lot of information about the types of disabilities represented in jail and prison populations. But one area where there has been a lot of research and recognition is at the intersection of mental illness and incarceration. In fact, 3/4 of women in prison have a mental health issue, as do half of men. And again, when we look at jail, we see that men in jail have mental illnesses at four times the rate in the general population, and women at six times the rate. And this third bullet point reads that 75% of people in prison with a mental illness also have a substance abuse issue. Sometimes in this field, we use the term co-occurring issue to describe when someone has both a mental illness and an addiction issue. I've noticed recently, I think the field is moving away from this term a bit. And I've heard behavioral health embraced. And what I think is heartening about this term is that it includes addiction, mental illness, but also the acknowledgment of trauma and victimization and the acknowledgment that services really should incorporate all three for those who need it. Next slide, please. All right, so at this point today, I'm going to talk about what we know about the victimization experiences of people who have been incarcerated. I think generally this has been understudied and an ignored issue. In our society, and in the fields in which we work, we kind of think about victims and people who are in prison and jail a separate category. But what I want you to take away today is that the research that we do have really paints a picture that people who are impacted by incarceration have often dealt with victimization and abuse before, during, and even after incarceration. Next slide, please. So what the research tells us is that most people who are incarcerated were victims first, before their incarceration. The national data we have is 20 years old. It was conducted by the federal government, the Department of Justice. And it did find that both men and women who are incarcerated had higher rates of victimization before incarceration than those in the general public. What this slide shows is some data from a study conducted by Bruce Western. Bruce Western is an academic who worked with folks who have returned home to the Boston area after being incarcerated. The study looks at a lot of different dynamics and barriers and includes victimization history. So in the 122 people that he worked with, he found that prior to their incarceration, 40% had witnessed someone being killed, nearly half were beaten by their parents, one third grew up with other forms of family violence, 16% reported being sexually abused, and half were seriously injured while growing up. And I'll mention that these findings and many others are included in a book that he wrote called Homeward, Life in the Year After Prison. Next slide, please. We also have data that show us that women in particular, have experienced high rates of violence before incarceration. When we look at women in jail, most women in jail have been were survivors of gender-based violence before their incarceration. 86% say that they have experienced sexual violence, and 77% have survived intimate partner violence. So I think of this as not all survivors of gender-based violence will end up in jail certainly, but all women, are almost all women in jail are survivors. And I want to say here that women in jail are actually the fastest growing correctional population in the United States. The rates of male incarceration in jail have actually gone down in the last couple years, but the rates of women have continued to skyrocket. So unfortunately, what this means is more survivors than ever are being impacted by jail. Next slide. We don't have a lot of research specifically about the victimization of incarcerated and formerly incarcerated survivors with disabilities prior to incarceration. But what we do know is that adults with disabilities are two and a half times more likely to experience violent victimization in the community compared to folks without disabilities. And so therefore, we feel pretty confident that we can say that people with disabilities who do end up in the system were likely victims first. Unfortunately, we know that when people are incarcerated, they're also likely to experience violence during their incarceration. On this slide is an infographic that displays that 1 in 10 people who are in state prison report that they were sexually abused while there. Victimization behind bars is certainly not limited to sexual abuse. But sexual abuse is a more studied area, because of the Prison Rape Elimination Act, which you might hear people refer to as PREA, P-R-E A. Out of this point as well, that that Bruce Western study also found that 3/4 of his participants said that they witnessed assaults while incarcerated. Next slide, please. Again, we have a limited data on the specific experiences of people with disabilities while incarcerated. However, there was one study, again, from the federal government, that found that people with psychiatric disabilities were nine times more likely to be sexually abused by another inmate while incarcerated than people without psychiatric disabilities. Next slide, please. And what happens when people return home after being incarcerated? Bruce Western of the Boston study found that a quarter of people had been threatened or attacked in the community after coming home after incarceration. And I'm going to read this quote that's in this box on the right. This is from his book, Homeward. And it reads, "As victims, the respondents were shot, stabbed, beaten, raped, and molested. But even beyond the familiar roles of victim and offender, nearly all respondents reported witnessing serious violence, and all reported fighting in which the roles of victim and offender were difficult to distinguish." I'll add that a more recent study from Florida State University echoes these findings based on interviews and surveys of people who had recently returned home after incarceration. The study found that half of participants had experienced at least one traumatic event in the first eight months of being back in the community, a quarter had experienced violent assault, and 18% had lost a loved one to homicide. So piecing all of these sources together, I do think it's clear that many people who have been incarcerated, including people with disabilities, have survived violence before, during, and after incarceration. And despite this evidence, people with disabilities and formerly incarcerated survivors continue to experience barriers to the [INAUDIBLE] and healing services. So at this point, I'm going to ask Allison to join us and to discuss some of these barriers with us. ALLISON: Thank you so much, Kaitlin. As Kaitlin said, I am now going to spend some time talking with you about the barriers to services for formerly incarcerated survivors with disabilities. As I go through these slides, keep in mind that the barriers are threefold. Survivors face barriers to reentry, healing, and disability services. I'm going to start by talking more generally about the barriers to healing that incarcerated and formerly incarcerated survivors face. And then I'll focus on how those barriers are compounded for formerly incarcerated survivors with disabilities. Before we talk about reentry, I want to take a minute to note that despite the picture of incarceration and victimization that Kaitlin just painted for you, despite how many people who have who are incarcerated have a prior history of victimization or experience victimization while they are incarcerated, many, many victims do not get help while they are incarcerated. There are many barriers to reporting and services while someone is still incarcerated. Some of these barriers are similar to barriers that victims in the community face. People might feel embarrassed or ashamed. They may not want anyone to know. And those are things that many, many people who've survived victimization in the community experience too. There are other barriers that are more specific or intense for folks who are incarcerated. They may be afraid of the perpetrator. Because in a prison or jail, it's quite hard to gain distance or space from another person. They may worry about not being believed and think that staff would not investigate their claim or their report. And they may fear staff retaliation or being punished by staff. For example, a victim might report a sexual assault while inside. And then in response to that, the facility might place the person in some type of protective custody. Protective custody is often very isolating and is experienced as punitive, even if it's for that person's protection. And it's much more devastating for incarcerated people with disabilities. The American Civil Liberties Union wrote a report in 2017 called "Caged In" that discusses how harmful solitary confinement is for incarcerated people with physical disabilities. So there are a lot of reasons why people do not get help, do not report while they are still incarcerated. And what it means is that a lot of people are coming home carrying the trauma of incarceration and the trauma of unaddressed needs stemming from victimization. But the truth is even during reentry and after people have come home, many victims do not get the services they need to heal. And I'm going to pause for an interpreter switch. Formerly incarcerated survivors-- so there are a number of barriers to accessing victim services during reentry for formerly incarcerated survivors. First, the language that we use is not always the language formerly incarcerated survivors use. We talk in terms of victimization or surviving a crime. But many folks coming out of prison or jail have been labeled as offenders. So that kind of language may not resonate for them. They may have internalized that label of offender and don't see themselves as a victim. We also have a false dichotomy in our society of, quote unquote, "victim," and, quote unquote, "perpetrator." Kaitlin mentioned this before, but we tend to think of people as either being victims or perpetrators. But as she described, many people who have committed harm experienced harm first. And people can switch between these different realities. They are not static identities. There is also a tremendous amount of stigma associated with being formerly incarcerated. People who are formerly incarcerated may never go through the door of a victim service office if they anticipate rejection. And many people have had terrible experiences with systems and will anticipate rejection. So the stigma can have a real negative impact on help seeking. Reentry services and victim services are also often siloed. They're not in touch with each other. And they don't coordinate. And there are few trauma-informed service programs for victim survivors who have incarceration histories. Formerly incarcerated survivors with disabilities face all the same barriers that I just described. But those barriers can be more frequent and have an even greater negative impact on their lives. So at the outset, I mentioned that barriers for formerly incarcerated survivors with disabilities are threefold. So first, formerly incarcerated people with disabilities face a lot of reentry challenges. Access Living of Metropolitan Chicago published a report last year urging a cross disability perspective to reducing jail incarceration. In that report, they note that reentry services are often not accessible for people with disabilities. Stable housing that is affordable, accessible, and open to people with conviction histories is also very limited. And this is a really important point, because formerly incarcerated people are 10 times more likely to be homeless than the general population. So the need for affordable accessible housing is critical. Benefits like social security and supplemental security income are also often terminated during incarceration, which presents more challenges when someone gets out. And they have this quote in their report, which I'm going to read. "When a person is disabled and has a criminal record, their discrimination is compounded by ever-shrinking options." Formerly incarcerated survivors with disabilities again, like they face all the same barriers that formerly incarcerated survivors without disabilities face. But they face additional specific barriers too. Services and materials related to victim services may not be in plain language, and therefore, they may be difficult for people with cognitive or intellectual disabilities to understand. Forms and intake policies may not be accessible to people with disabilities. There may be communication barriers. Service providers may not understand deaf culture. They may not have planned for American sign language interpretation or know how to access interpretation resources. And there is stigma around disability. There may be the idea that people with disabilities can't change or that they can't participate in services. And again, like the silos I described before, victim services, disability services, and reentry services are often siloed. You know, Kaitlin and I have worked with a lot of different providers over the years. And when I think about the silos, I think about one provider we worked with who works at the intersection of healing incarceration and reentry. And he's noted to us before that a real challenge, which is sometimes dictated by funding or maybe an organization's mission or their history, is that service providers offer what they have, rather than what a person needs. And those two things don't always line up. So finally, when we get to the third prong of the barriers, we're really looking at the barriers that formerly incarcerated survivors with disabilities face when it comes to disability services. So I mentioned before that in our society, we typically draw a bright line between victims and perpetrators. The same is true of disability programs. They often draw a bright line between these two groups. This means that people may be automatically disqualified from services regardless of the type of conviction in their history. We really want to encourage providers to assess what will feel safe for their staff and their clients and create more nuanced eligibility requirements. And we're not saying that you should eliminate all exclusions for people with conviction histories. But the fact is that almost half of the people who are in state or federal prison are there for nonviolent offenses. So we think it's important to really think about what type of offenses, what type of conviction histories might compromise the safety of your staff, the comfort of your staff and of your clients, and think about what you might be able to include and then what you feel like is important to exclude. For example, a disability program might decide they can't provide services to people who've been convicted of violent sex offenses. We recommend that programs make that very clear that those folks are not going to be able to get services. However, if it's possible to find a place that might accept that person, we think that doing a little bit of research and having referrals in mind could be helpful. Another issue is that people who've been incarcerated are less likely to have formal diagnoses, which are often required to receive state disability services. And I know I keep talking about stigma, but stigma is such a huge barrier in so many ways. And the stigma of incarceration can be especially challenging for disability organizations, because of their long-standing concerns about protecting the safety of people with disabilities. That emphasis on protecting safety may lead to real reluctance on the part of service providers about including people who have criminal justice system involvement in their past. So now for the good news. We've talked about a lot of difficulties. And now, we want to talk about what is promising. I mean, again, we are at the beginning of really looking at this intersection of incarceration, disability, and healing. But we think that we have some good ideas and ways that we can chart a path forward. In February of this year, the National Resource Center for Reaching Victims published a report based on a needs assessment that Kaitlin and I conducted. The report is not specific to formerly incarcerated survivors who have disabilities, but a lot of the material applies to that population. What we have in this report, what we present is what we learned about those who live with both a history of victimization and a history of incarceration. The barriers that I described earlier, we really learned those during this assessment. And then we make some recommendations based on our assessment about how we can ease barriers and open the door to healing. So here are some of our recommendations for how we can open the door to healing for formerly incarcerated survivors. And as I said, we believe all of these apply to formerly incarcerated survivors who have disabilities as well. First, hire victim service providers who are professionally trained, trauma informed, and comfortable with people-- and comfortable working with people who have been incarcerated. And then train staff to develop more knowledge and increase their skills. And I would add that you want to be hiring providers who are also comfortable working with people who have disabilities and then working to train them on important access considerations. Second, develop and nurture partnerships between victim service providers and reentry programs. And again, I would add disability service programs too, because again, these partnerships can allow folks to really expand their thinking and the services that they're able to offer to folks so that they do give folks more of what they need and not just what they have, or have traditionally had. And then the third one is to adopt broader definitions and terms for victimization. Discussing victimization in terms of people harmed by violence, any one affected by violence, or survivors of trauma or harm may resonate more with people who have been incarcerated, especially with men. And 90% of people who are incarcerated are men, so we are talking about a lot of folks. These things I think, are important for access too. The more descriptive and plain language that providers use, the more folks will recognize their experience in the words, and the more willing they may be to seek services. We have a few ideas for how to improve access to healing and reentry services for formerly incarcerated survivors with disabilities. So these are some more specific items that we recommend. The first is to increase communication access. Again, as I was just saying, using plain language to describe your services in the materials that you use would help broaden access to your services. Planning for and providing access to interpreters for people who are deaf would also help communicate-- help increase communication access. I'm going to pause here for an interpreter switch. OK, so number two, we encourage folks to broaden their thinking about people with disabilities who have experienced incarceration and violence. Again, rethink automatic disqualifications and strive for holistic service provision. We recommend that you affirmatively acknowledge that there may be people who are not safe to serve, but we urge you to be thoughtful about who is not safe to serve and look beyond the criminal record when making those determinations. It may be an important factor. But we would encourage you to think about it being one of several factors for consideration. And then finally, increase capacity to serve formerly incarcerated survivors with disabilities. Train staff on what it means to be incarceration informed. We have a colleague in this field at the Boston Area Rape Crisis Center who talks a lot about this concept of understanding more about the trauma of incarceration. And that can help inform how you saw formerly incarcerated survivors, in the same way that service providers who provide healing services need to understand more about disability and access. And to that end, form partnerships with disability organizations. You know, Kaitlin talked before about how many people with disabilities [? are ?] in jails or prisons. It's a large number of folks. And there needs to be more cross training and coordination for serving people when they come home. I want to conclude by drawing your attention again, to this 2019 report from Access Living of Metropolitan Chicago. This report offers big structural recommendations. But it also emphasizes different ways of providing services and the importance of having a cross disability perspective. This is similar to what I just described, having there be some cross training between different types of providers. So again, people who have multiple identities, who have complicated histories, layered histories of trauma, get the services that they need. Here are some of their recommendations. Increase storytelling and advocacy opportunities for people with disabilities who've been in the criminal legal system. Train staff working in the system on a cross- disability framework so that they can identify and support people with disabilities. Kaitlin mentioned this before, but mental illness or psychiatric disability has been an area where there's been a lot of efforts to-- it's been an area that has been a focus of the Criminal Justice Reform Movement. But other forms of disability have often been left out. So we really encourage more of a emphasis and more training and skill building around other types of disabilities. And to that end, collecting and sharing more data related to people with disabilities in the system. We don't have a lot of data. And invest in housing options that are affordable and accessible for people with a range of disabilities and to people who have a conviction history. Again, the risk of homelessness is high for people who are formerly incarcerated, and likely higher for those who have disabilities as well. And lastly is to expand Medicaid enrollment in jails. On this point, we know that Medicaid is crucial for obtaining access to health care, but it's also a vital component of accessing behavioral health care, which Kaitlin talked about earlier. And that relates to issues like addiction. And having greater access to behavioral health care can reduce instances of reincarceration and generally improves well-being So with that, that concludes our presentation here today. And we appreciate being with you and sharing this information and look forward to opportunities to continue to build on the work that has been done and to deepen it at this intersection of disability reentry and healing. Thank you. ASHLEY BROMPTON: This is Ashley. Thank you so much, Allison and Kaitlin as well. Thank you for really providing an introduction to this sort of unique intersection that again, we haven't really been talking about. We're really excited to dive more into this work and have further conversations with all of you about this work. Please note that we do have a survey regarding this webinar. The link will be emailed out to you as well. Webinar materials are also available for download, so we will make sure you get that link so that you're able to download materials, as well as a record of attendance. And the other thing to think about is if you have questions, or if there's anything that you're curious about or that you want to know more about, please email us. You can email the CBS email address, which is CBS@vera.org. Or you can email me directly, which is abrompton-- B-R-O-M-P-T-O-N-- @vera.org, and we'll make sure that Kaitlin or Allison gets those questions. We really want to hear from you about where you want this conversation to go. Again, opening up this dialogue was really important for us. But we want to make sure that we are meeting the needs of all of you who might be interested in this intersection or doing work at this intersection already. Thank you all so much for your time today. We appreciate each and every one of you. Thank you to the interpreters who have worked so hard for us today to get this accomplished. And have a great day everyone. Thank you.