Category Archives: Topic Series

Interview: Digital Media Activist István Gábor Takács

In our on-going series “Punishment to Public Health,” I interviewed István Gábor Takács who is the Video Program Director with the Hungarian Civil Liberties Union (HCLU).  Takács makes award-winning advocacy videos.

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(Image source)

The drug-policy focused videos he creates along with his colleague Péter Sárosi, head of the Drug Policy Program. Takács and Sárosi created a closing video of the International Drug Policy Reform Conference  (back in October, 2013) that was impressive. The video both reflected on the several days of the conference and rallied the assembled activists to leave the conference with a renewed commitment to transforming drug policy globally.  The video was so good created so quickly, and such a great example of digital video activism that I wanted to know more. I emailed questions to Takács and here are his replies.

Jessie Daniels: How did you get involved in working on drug policy?

István Gábor Takács:  While attending university in about 2001, I started working as an assistant at the HCLU, where I got to know a lot about harm reduction and drug policy. I then spent three months in Frankfurt working in a needle exchange program, called Cafe Fix, where I learned a lot about good social services and harm reduction. Later, in Budapest, I worked for four years at a needle exchange and worked at the drug policy program of the HCLU, where with Peter and Balázs Dénes, our boss at that time, we started experimenting with making videos. Then I got trained in Montreal, by Witness, in human rights video activism, and since then we have produced more than 500 videos at the HCLU, (not just in the field of drug policy), reaching around 3 million views online. We have also trained several activists in video production.

JD: Can you share a little bit about how digital video fits into your strategy for change?

IGT: Our video-making is always embedded in a wider advocacy environment. We always have a certain goal in mind, a change that we would like to happen. Video is a tool for achieving that change by educating and mobilising our audience. We are documenting what is happening with our movies, but documenting also serves a purpose. We record events, protests or conferences, where we try to chronicle, for example, the harm reduction and international drug policy reform movement, by highlighting the most important issues. We also document rights abuses by recording testimonies, which later can be used in court cases (which we also document for educational purposes).

Beyond documenting, we also try to educate the masses about important drug policy (and other human rights) issues through videos that try to be as short, interesting and understandable as possible. All our videos are freely available online, and they often appear on leading online news portals. By educating the masses, we hope to achieve attitude change, fighting stigma and discrimination and promoting public policies that help people instead of hurting them (for example decriminalisation of drug use and possession, and promotion of needle exchange or methadone treatment). With movies like the one on InSite, the only legal safer injection room in North America, or the one on Mexico’s Drug War and its consequences, we try to serve educational purposes. We know that our movies are used in universities worldwide.

We have also had feedback from decision-makers, that they use our movies as reference points to show where global drug policy is heading and what are the key challenges and good practices. We have also heard that our drug policy movies, published on our website Drugreporter, by thematising and showing good examples, and good ideas, help the drug policy movement define itself and clarify its messages. We also aim to reach out to the affected population and their relatives. Beyond documenting and educating, our main tool is mobilising. We try to get people engaged in acting for policy change. With viral videos like our Drug Lords Series, we try to get them involved in campaigns, like sending letters, signing a petition, spreading a message. We try to amplify the voice of the voiceless by working with activists who are drug users, Roma, sex workers,  or people living with disabilities or with HIV. We also use our movies to raise funds for particular programs, such as the Andrey Rylkov Foundation, the only needle  and syringe distribution program in Moscow. We use our movies in international campaigns like the Count the Costs of the Drug War campaign, as a support tool for research papers and policy papers, protests and other traditional, no less important advocacy tools.

JD: What sort of impact do you hope your videos have?

IGT: We try to improve people’s knowledge, and try to mobilise them to act for change. In our Romanian campaign for example we called on people to write to the ministers of Romania to ask them for financial support of harm reduction. In other campaigns, we ask for people to sign petitions, targeted at decision-makers. We believe that to a certain extent our movies contributed to the change in the strict drug related penal code in Poland, to the introduction of needle exchange in Stockholm, the opening of safer injection sites in Denmark, and the continued funding of harm reduction services in Russia by the Global Fund.

We were the first to produce video reports of the proceedings of the Commission on Narcotic Drugs, the annual UN gathering on drugs, with the aim of bringing more transparency to this level of decision-making. Making films like “Silenced NGO Partner,” that showed the head of the United Nations Office on Drugs and Crime avoiding the question, and shouting at a psychiatrist who asked how he explains the fact that in the Netherlands cannabis use is lower than in the surrounding countries, despite its legal availability, showed how decisions are made, and how really serious questions are avoided, at the UN level. This campaign resulted in several hundreds of letters being sent to Mr. Costa, head of the UNODC, which caused him to visit a coffee shop and a safer injection site in the Netherlands – something he’d never done before. (He still never answered the question though).

In non drug-related issues, our movies have also had a direct impact: We were able to stop a village from blocking deinstitutionalisation of a mass institution for people living with disabilities. We were able to stop the racist marches and the occupation of the Roma-populated parts of a village by radical right wing paramilitary in Gyöngyöspata, by documenting rights abuses and showing them to the masses. We documented the beating of Roma by the police, and this footage was used in a successful case at the Strasbourg Court of Human Rights. We were able to stop the wasting of taxpayer money, by using videos and the Freedom of Information Act to highlight corruption cases.

JD: Are there any ‘lessons learned’ on bringing together academics, activists and journalists in ways that promote social justice, civic engagement, and greater democracy that you could share? 

IGT: Our videos make use of academic knowledge, and try to translate that into short, easily understandable messages. By using personal stories, we bring the issues which are sometimes abstract, closer to the viewer. Traditional advocacy tools like protests, reports, scientific research can be complemented with videos to make them more successful. The voice of activists and academics is amplified by these videos. Journalists use our videos as background material or illustrations to their own work. Overall, in the age of internet videos and low-cost video production, self-made video production can be very successfully integrated into the work of activists, academics and journalists.

Journalism as Activism for Families Separated by Incarceration

After years writing technology articles for The New York Times and the Internet-only upstart News.com, I felt constrained as a journalist. I yearned to rekindle the inspiration that drew me to the field: covering marginalized communities and exploring new ways to report and share their stories.

Then in 2007, I met Alison Coleman, a woman who had struggled to support her two children while her husband served a 25-years to life sentence in a New York state prison for petty theft under the harsh Rockefeller-era drug laws. She told me that for years she had had nowhere to turn for social or emotional help. Her parents only said, “We told you so” for marrying a black man. She kept to herself at church fearing her congregation would reject her family.

While statistics and political attitudes about incarceration rates in America are closely tracked, the human stories of prisoner families—like Ms. Coleman’s—are virtually unknown to mainstream Americans because this exploding yet unaccounted population is viewed with suspicion and rejected as guilty by association.

I decided to launch a media project to create a geographic and digital community for prisoner families even as social stigma and iron bars conspired to keep them fragmented and fearful.

I came at this as a journalist with a perspective–to show Americans the social cost of imprisonment beyond the political or “get tough on crime” perspective.

I explored and shaped the contours of crowdsourcing (having the community you cover help you cover themselves) and collaboration. Before it became standard practice, I trained people to produce video and audio columns about their experiences. One 22-year-old woman shot a powerful video about spending her first Mother’s Day with her mother outside of prison. As she prepares a special dinner, the mother-daughter banter slowly turns into a tense exchange about the daughter’s feelings of abandonment. The video captures a moment in the fragility of their relationship.

Another novel concept I used was to post a Skype phone number and asked people to leave voicemail with their questions and experiences. I posted these on the site as audio clips. We hear one woman, for example, describe her struggle to care for a loved one as he undergoes cancer treatment in prison. Years later, newsrooms began to use the same technique to engage their audiences.

In all I’ve published nearly 150 multimedia pieces, which when viewed as a whole reveal the financial, social and emotional toll on prisoner families like no other news coverage has.

I’ve produced live Web radio shows–with a community member as co-host–on topics as diverse as finding a job after incarceration and coping with separation during the holiday season when a family member is imprisoned. I’ve posted finely edited videos, each delving into a discrete corner of people’s experiences. In one video, for example, a 14-year-old boy describes the difficulty of having a “perfect moment” with his father when a guard is always standing a few feet away, and his need for a strong father-son bond.

The project’s most pivotal success, however, relied on a fundamental aspect of reporting: persuading sources who feared stigma and worse to speak publicly about their situation. “Our words have been distorted so many times to fit sensational or superficial pieces on TV and in newspapers,” Coleman, wrote about Family Life Behind Bars. “But we came to trust you because you let us share our voices with each other and the world.”

As the project gained momentum, its work resonated with the community. Coleman, who founded Prison Families of New York, a networking group in upstate New York, said the site brings “together a mosaic of voices that let us learn from each other’s challenges and small emotional victories.

~ This post was written by guest blogger Sandeep Junnarkar, Associate Professor, CUNY Graduate School of Journalism. You can follow him on Twitter @sandeep_NYC.

Using Infographics to Shift the Debate on Gun Violence

Infographics, a blend of solid statistics and compelling graphic design, can help shift the debate on important social issues like gun violence. Our current series examines the ways that policy approaches rooted in criminalization might shift if they were re-framed as public health issues instead. In many ways, gun violence is the best example of how our criminalization has not solved a problem that seriously harms peoples’ health. As previous posts here have noted, the data on gun ownership and gun violence can be daunting. Infographics can help clarify what the patterns are, and what the harm to health really is, like this one:

Gun Violence in America

Explore more infographics like this one on the web’s largest information design community – Visually.

This inforgraphic was created using the web-based tool Visual.ly, which is among the best tools available for telling compelling stories with data.

The Interrupters: Public Health and Violence

The conventional response to violence has relied on criminalization, policing and longer prison sentences, yet violence persists. In 2011, Steve James released a documentary, The Interrupters, to capture the violent landscape of our cities through the eyes of “violence interrupters,” activists working in the tradition of non-violence to interrupt confrontations before they become violent. This documentary tells the story of three activists working to protect their Chicago community from the violence they once created.


The Interrupters, Trailer. 

The film’s main subjects work for an innovative organization, CeaseFire, founded by Gary Slutkin. Slutkin, an epidemiologist and physician who battled infections diseases in Africa, says that violence mimics infections like tuberculosis and AIDS. He believes that treatment for violence should follow the same plan as those for diseases: “go after the most infected, and stop the infection at its source.” Rather than thinking of violence from a moral issue (good people vs. bad people), Slutkin approaches violence from a public health one (healthful vs. unhealthful behavior).


Gary Slutkin, TedMed Talk. 

CeaseFire and the Violence Interrupters are part of an effort to apply the principles of public health to the violence of the streets. CeaseFire tries to deal with these quarrels on the front end through former gang members, or interrupters, who mediate criminal activity on city streets. They “operate in a netherworld between upholding the law and upholding the logic of the streets.

You can watch the full length documentary online here.

You may also read the interview with filmmaker, Steve James, here.

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This post is part of the Social Justice Topic Series on From Punishment To Public Health (P2PH). If you have any questions, research that you would like to share related to P2PH or are interested in being interviewed for the series, please contact Morgane Richardson at justpublics365@gmail.com with the subject line, “P2PH Series.”

 

Guns and Suicide: A Public Health Crisis

Guns, the most lethal means of committing suicide, represent a public health crisis.

Most imagery conjured up by the idea of gun violence in the national debate involves on one end, a bad person with a gun, and on the other end, another person scared senseless by the bad person with the gun, waiting for the cavalry.

But the numbers paint a different picture – one that continues to prove difficult to digest for folks on both side of the debate .  In fact, suicide is the leading type of firearm death, and teenagers, young adults, and males aged 75 and older are currently at the highest risk for this type of death. According to the CDC, suicide is now the third-leading cause of death for teenagers.

Of the 100 people who take their own lives every day in America  – that’s almost – 40,000 deaths a year –  most use a firearm.  More people choose a firearm over all other intentional means combined, including hanging, poisoning or overdose, jumping, or cutting. But Americans are not more suicidal than the citizens of other comparable countries (populous, wealthy). They just have more access to the most lethal means of committing suicide. A gunshot is an irreversible response to what is often a passing crisis – possibly worsened by the temporary depressive fog of alcohol. Suicidal individuals who take pills or inhale car exhaust or use razors have time to reconsider their actions or summon help, but gunshots are merciless game-changers.

prviate guns public health

According to the Harvard Injury Control Research Center, the states with the three highest suicide rates (Wyoming, Montana and Alaska) are also the top gun-owning states, and researchers agree that bringing a gun into the home not only increases the risk of gun-related accidents, but also the risk of suicide. Specifically, that research finds:

“Gun owners and their families are much more likely to kill themselves than are non-gun-owners. A 2008 study by Miller and David Hemenway, HICRC director and author of the book Private Guns, Public Health, found that rates of firearm suicides in states with the highest rates of gun ownership are 3.7 times higher for men and 7.9 times higher for women, compared with states with the lowest gun ownership—though the rates of non-firearm suicides are about the same. A gun in the home raises the suicide risk for everyone: gun owner, spouse and children alike.”

It is perhaps time, then, to abandon the myopic view that those who would take their own life are not influenced by the availability of suicide methods, and accept that whether or not they survive is dictated primarily by how they choose to go about it. About 85 percent of suicide attempts with a firearm end in death (drug overdose, the most widely used method in suicide attempts, is fatal in less than 3 percent of cases.)

Research on suicide by the Harvard Youth Violence Prevention Center has also shown that one of the biggest myths is that suicides are typically the result of careful advance planning. While this may be the case — individuals who attempt suicide often succumb to a complex series of problems — empirical evidence suggests that they act impulsively in a moment of heightened vulnerability.

While the recent enactment of the Mental Health Parity Rule (which will guarantee that most insurance coverage offers access to mental health services on par with physical health coverage) brings hope to many whose lives would be vastly improved by access to mental health services, the collection and study of gun-related data has been severely undermined in the past two decades, and with it a crucial means of pushing forward sensible gun policies.

Despite President Obama’s reversal earlier this year of the NRA-sponsored amendment that barred the CDC from studying the causes and prevention of gun violence, researchers are still unable to answer many key questions such as the number and distribution of weapons across the country – slowing down prospects for life-saving policy reform. So much grief could be softened, if not avoided, by addressing the public health crisis of guns and suicide.

~ This guest blog post was written by Alice Cini is a social justice advocate and Social Work Fellow at the John Jay College of Criminal Justice’s From Punishment to Public Health Initiative. You can follow her on Twitter @CinikAl.

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This post is part of the Monthly Social Justice Topic Series on From Punishment To Public Health (P2PH). If you have any questions, research that you would like to share related to P2PH or are interested in being interviewed for the series, please contact Morgane Richardson at justpublics365@gmail.com with the subject line, “P2PH Series.”

Understanding Gun Violence in New York City: 10 Charts to Get You Started

Understanding gun violence in New York City requires both a macro and micro perspective.  Yesterday’s interview with scholar and trained epidemiologist Ernest Drucker, from Columbia’s Mailman School of Public Health, a Scholar in Residence at John Jay College of Criminal Justice, highlighted some of the broad and underlying issues related to drugs and race and ethnicity in New York City.  

Recently, the NYPD released a an interactive Crime Map that allows you to see the instances of crimes as a heat map shaded by precinct when viewed zoomed out, and by graduated points when zoomed in.

NYC Crime Map  

Using data and charts from the Neighborhood Crime and Drug Project, directed by John Jay Faculty in the Department of Anthropology, Ric Curtis, Josh Eichenbaum, and Ernest Drucker, we decided to explore the more neighborhood and personal experiences with guns in New York City.

Specifically, I was interested in three things:

  1. Differences in how genders perceive and experience guns and gun violence.
  2. Difference in the experience of gun violence among age groups in New York City.
  3. Neighborhood level experiences with guns.

Using their data and the free data visualization tool, Tableu Public, I created my own graphics to supplement the findings presented by the Neighborhood Crime and Drug Project.  

Please note: These findings are based on a limited survey conducted throughout NYC neighborhoods, so it is not comprehensive.

  1. Residents in neighborhoods in South Bronx and Central Brooklyn report having heard the most gun fire.

This interactive bubble chart which you can access here, breaks down reports of hearing gun fire by NYC neighborhood.  The blue bubbles in the center represent those neighborhoods that report hearing gun fire.  Then the size of the bubble represents the numbers of reports for that given neighborhood.  I used a bubble chart in this instance because it can quickly display hundreds of individual values at once.

gun by neighborhood
Credit: JustPublics@365

2. The age group most likely to know someone with a gun is 18-29.  It peaks at age 21 and then drops accordingly by age. 

The second age group most likely to know someone with a gun is 30-44.  The age group less likely to know someone with a gun is over 60.  This hints at a possible social dimension to gun use and violence among NYC youth.

Below are two simple charts which illustrate this.  As you can see in the second chart below, the instances of knowing someone with a gun peaks at 21 and then drops the older you get.

18-29 year olds have the highest instances of knowing someone with a gun. 
gunbyage group
Credit: JustPublics@365
 21 year olds in New York City are the most likely to know someone with a gun.  age and knowingCredit: Neighborhood Crime and Drug Project at John Jay University

3. Men in NYC are more likely to know someone with a gun, but women in NYC are more likely to have heard a gun shot.

This chart highlights how experiences of gun violence can differ by gender in New York City; as men are more likely to report that they know someone with a gun.

gender and gun
Credit: Neighborhood Crime and Drug Project at John Jay University
scatterplot
Credit: JustPublics@365
gundont know themCredit: JustPublics@365

4. African Americans are more likely to know someone with a gun.  However, Latino/as on average tend to know more gun owners.    

race and gun
Credit: Neighborhood Crime and Drug Project at John Jay University

race and number of gun owners 

Credit: Neighborhood Crime and Drug Project at John Jay University

5. Residents in Public Housing and High-Rises Are More Likely To Know Someone with a Gun 

public housing and gun
Credit: Neighborhood Crime and Drug Project at John Jay University

 

high rise and guns
Credit: Neighborhood Crime and Drug Project at John Jay University

 

 

 

Special Interview with Ernie Drucker

JustPublics@365 Ernie Drucker
Ernest Drucker is an epidemiologist at Columbia’s Mailman School of Public Health, a Scholar in Residence at John Jay College of Criminal Justice, and author of the 2011 book, A Plague of Prisons: The Epidemiology of Mass Incarceration in America. He is licensed as a Clinical Psychologist in NY State and conducts research in AIDS, drug policy, and prisons and is active in public health and human rights efforts in the US and abroad.

 

 


Can you share a little bit about how your research speaks to the issues of criminalization of public health?

Well, I’m an epidemiologist. It’s principally looking at the numbers independent of the individual experience. They tell a story in their own right basically because of how large they are, how big the disparities are between by race and ethnicity and how much of it is related to drugs.


How does criminalization and mass incarceration affected the lives of people in your research?

Well, it’s the fact that you’ve programmed a level of involvement in the criminal justice system into the lives of such a large portion especially the poor black male community of the United States that it’s almost like in a water supply and the nutriments that they get in the opposite direction of course.

The facts that are important here are that about 40% of young black men at this point can expect to be, if rates continued at the same rate, can expect to be in prison basically some time in their lifetime. The current figure is over 30%, about 35% but it’s going up. Even though the prison rates are going down, the probability of any individual being involved in this is so great.

The experience of Stop-and-Frisk in New York is a good example of the way the system reaches as it were and involves people in experiences that are based on an assumption that they’re involved in criminal activity reaching a peak of 700,000 stops-and-frisks in a year and a half ago in New York City. That, as an epidemiologist, who used to work on occupational and environmental health, we looked at people’s exposures to things like asbestos, mercury, toxins in the environment.

You can look at this as a toxin that’s very widespread in the African-American community of United States especially affecting young men who are most prone to be involved in behaviors like drugs, violence, being on the street that makes them vulnerable to getting picked up by the system.

Once they’re picked up by it, and so they’ve been infected. They carry it with them really pretty much their whole life because so much of that the structure of punishment, of mandatory sentences are connected up to what’s called predicate offenses – the idea that the first time you do something you make a probation for it. The next time you get a sentence, the next time you get a bigger sentence for exactly the same behavior. It’s a system that I imagine it’s deterring people but in fact that they reappear again and again shows that that’s not so.


What are your thoughts on policy approaches that draw from public health rather than criminal justice? Are there any examples of policy approaches that draw from public health rather than criminal justice? If so, do you think these are better or just reproduce the same systems of inequality?

Well, the policies in the criminal justice system don’t intentionally draw from public health. That’s not their model to that crime and punishment. One of the biggest contradictions or conflicts between the two models is that criminal justice model very much like medicine or a law enforcement is inherently on an individual basis, right? It’s about an individual who commits a crime. He gets charged, tried, convicted, acquitted, whatever but it’s a highly individual matter. In fact in the courts, sociological evidences are not really admissible as part of the discussion of the significance of an individual’s action. Therefore the individual case of crime and punishment is the unit of the criminal justice system.

The statistics that you do about populations in the throne of justice system are very similar to the ones that we do in public health-what could be done to help populations instead of individuals. What most of them don’t realize is that public health like medicine which is alive too is an interventional field. It’s like medicine. It’s involved in doing something about things. However these things that does that are not on the individual case basis but on the population affected. You reduce exposure to toxic fumes for everybody, not just people who get sick for a moment.

Try to apply that model to the criminal justice system is a stretch and needs an explanation because its’ engine, it’s the basis of decision making and justification is highly individual.

Now of course the intention behind it is exactly not individual, it’s societal, it’s collective. The idea of deterrents as referred for criminal penalties as opposed to deterrents for other people from doing bad things is inherently social. The effects although not examined that way usually are also very social. A guy goes to prison and leaves behind a family. That family is profoundly affected but what they do even public health for example that affect the mortality rate, the life expectancy and the achievement in college, the likelihood of going to prison. All those things are dramatically affected for the children of people who go to prison. It’s set in motion before they’re even old enough to commit a crime and get arrested.

That becomes the epidemic aspect of it, that’s how something is transmitted from generation to generation or passed from individual to individual by exposure the same way a coal miner coming home from the coal mines with coal dust on his clothes would make his child more likely to get lung disease. Likewise for a parent involved in criminal justice system in addition to the … I mean the fact of it is clear and the mechanism of it. It’s not the same as a physical exposure. It’s a psychic exposure, more in common with war and PTSD and trauma than it has in common with physical exposure to toxins but yeah, it does act as toxin.

We have a concept now that’s gaining. Currency about toxic stress actually comes out of pediatrics and developmental studies. Children, the idea that levels of abuse in a family that go on over time-living with an uncle that sexually abuses a little girl who keeps quiet about it. The stress of that builds overtime. No doubt there’s damage and that’s being recognized now.

The same thing with this large rate of criminal justice involvement – arrest, prison time, coming out with a stigma, going back in again – its relation to other criminal activities that aren’t inherently, drug use especially, it’s not the same as natural, the things that everyone agrees that are bad and shouldn’t do them, like assault, rape, kidnapping. Everybody agrees that those are things people shouldn’t do and you want laws against doing it. You want to enforce those laws.

The issue of punishment is a separate one but the idea of criminalization and why criminalization takes the form that it does is a very good question. We are obviously in a period now of criminalization amongst everything. About 35% of all Americans have a criminal record at this point.


The last question I have is a major focus of the just publics at 365 Project is bringing together academics, activists and journalists in ways that promote social justice, civic engagement and greater democracy. What sort of lessons learned do you have from your experience with your research about academics entering a terrain more frequently trialed by activists and journalists?

Well, academics have been involved in criminology forever. They’ve invented it but the more critical issue now is in the current world where you have ideas you want to have a voice in public policy and be understood by the general public are very important. You run up against, in terms of the way in which academics and journalists can play a role in public attitudes, literacy and ultimately support for or antagonism to new policies directly relates to what you’re talking about in just publics, and that is the development of public literacy, public understanding, public attitudes and not leave that to Fox News. The people who exploit to either gain attention, which is certainly true in politics like the tough-on-crime posture, is not particularly interested in statistics or outcomes because it’s another tool of promoting political careers and staking out of a place has become a mainstay of political strategies now. Anybody who doesn’t take that road get slammed by their opponents and so stays away from it. You haven’t heard a word about drugs and drug sentencing, drug regularization laws which are going on in the country. You haven’t heard a word about that in any political campaign in recent years, I haven’t at least. What was once upfront and can fit the most important issue even a dozen years ago isn’t there anymore because they recognize that there’s a lot of politicians, that there’s a lot of change in attitudes about drug recently, about drug laws, drug legalization now, a lot of legalizations now supported by 58% of adult population. You have legalizations in two states, Colorado and Washington for marijuana and other states doing a similar thing now. You can begin to see a crumbling on the war of drugs which has been the mighty engine that has driven massive incarceration but it will take its place in the immigration, immigration consulates and again the same thing again with the politicization of that discussion at the expense of immigrants who built this country with their hands, 400,000 deep rotations last year, a whole private industry. It’s imprisoning these people and transporting them. Sex offense is another growing issue of criminalization – watching porn on the internet. It can get you entrapped into major prison time. The financial crimes, not the Burney Maddox things but the small things like child support which fairly connects with child support. This is often built into the release arrangements, parole of people coming out of prison who are piling up to pay child support would come out of prison unable to earn any money certainly to pay back those debts. That becomes an example of something that’s set up to feed the criminal justice and prison system, which is going down from the drop in drug enforcement and drug arrest which is sad even though drugs are doing fine in America, methamphetamine trade especially. There isn’t the same appetite for pursuing it as there was. It becomes less of an issue in creating a prison population versus other things – immigration and financial crimes and sex offenses take its place.


Could you tell me about your work in harm reduction and, more broadly, organizations that have a desire to shift from a criminalization modality to a public health modality?


Harm reduction you asked about organization that have arisen, have a desire to change this model from criminal to public health. We have an organization called From Punishment to Public Health which is a collaboration of John Jay The City University, you guys, the Columbia School of Public Health, NYU School of Medicine and other departments on these institutions focusing on the issues for New York City that sit at the intersection of public health and criminal justice, things like domestic violence, drug overdoses, violence of all sorts actually done especially.

You really have to extend some effort to separate the public health view of something like gun violence from the criminal view of it, because the numbers and so even though they have a much lower than this, they’re still very substantial. You can’t pick up a paper in New York or Chicago. How do they know Los Angeles without review of awful shooting that destroyed people’s lives. When you count those up they become the major source of death and injury for many young adults and not to mention all the bystanders who get hit.
In the face of the politics of guns in United States and the NIH, it’s suppression of exactly public health research. The NIH managed to get the freeze on the CDC’s ability to do gun research going back to back 10 years, because when you look for the answers to these things, the question is like how many are affected, who, what makes a difference, what time of day – all those stuff is very hard to find because it allowed to be funded by CDC or NIH in the last decade. That’s changing now I think on the new machines that are coming in but there’s a real vacuum here. But that’s a natural place for public health methods looking at the angry kid effects, making maps looking at risk by age and location and gender. All are very, very powerful tools that in fact make a lot of sense for looking at criminal justice issues through a public health lens.

The harm reduction, how it relates to drugs and a view of accepting the fact that drug use is pretty universal. Always has been, always will be. That our goals have to be to reduce the consequences especially, those related to violence. More and more countries are thinking about drug policy in these terms.

Now, all the policy creates this violence. The most dramatic cases being those near us, in sexual marriage in Mexico, which is a huge epidemic of violence associated with the drug business to sell products that are essentially almost worthless. They are very worthless but free. The efforts to bring these drugs: cocaine, marijuana, heroin into the American market are associated with 60,000 murders in Mexico over the last 5, 6 years.

Talk about outsourcing. This is a problem that was in the United States at the time of the peak of the war on drugs in the 80s crack wars when between the start of the war on drugs in the 70s and the decline in crime in the 90s in the 20-year-period, there were 200,000 extra homicides compared to the 10 years before and the 10 years since when the enforcement and the violence associated with drug enforcement in the United States diminished dramatically but moved over to Mexico into the supply side and the local markets.

A wonderful film called The House I Live In by Jarecki which is really, does a very good job of telling the whole story but especially depicting the level of violence of drug enforcement in this period and the exposure to that of so many people. That’s was the mechanism that built the prison population and once you’re in it, you stay in it one way or another, reset in the prison, re-entry and all that.

 

Data on Gun Ownership: Hard to Find

Good data on gun ownership is hard to come by.

Anytime you hear claims about the prevalence of firearms from advocates on either side of the gun regulation debates, you should be skeptical of those statistical claims.

The fact is, there is no national registry of gun ownership.  A few states, such as California, do have registries. The lack of any national gun registry or any system for reporting when guns change ownership means that we can only estimate numbers of firearms owned and distributed.  Each firearm generates a paper trail which, theoretically, could be connected  to its date of manufacture or importation.  While recording manufacture or importation of a gun is required at the federal level, there is no central database of these reports, nor are they widely available so that they could be collected into a database.

Federal Firearms License(Federal Firearms License)

There are lots of problems with the gun-paper-trail.  The law does not require people to keep documentation of private sales (with some variation by state) and as a result the paper trail linking every firearm from manufacturer or importer to current holder can be broken.  Because every firearm can later be sold or gifted, statistics would have to track the chain of transfers from Federal Firearms Licensees (FFLs) to assure that the same gun is not counted multiple times as a “new” sale, or significant overcounts of the prevalence of firearms would result.

However, even if there are multiple undocumented private transfers, the Bureau of Alcohol, Tobacco, Firearms and  Explosives – known as the ATF – can usually trace a gun to its last transfer from an FFL. This is widely referred to as trace data.
There is much misunderstanding about what’s legal in terms of gun sales and transfers. Here are two key facts:

  • it is illegal to sell guns across state lines.
  • it is illegal to sell a gun to anyone who is prohibited by law from owning a firearm.

There are obvious weaknesses in enforcing these prohibitions.  As just one example, many of these peer-to-peer transfers involve relatives and close friends. Even if a means of checking backgrounds existed, the information would probably be ignored. These difficulties in tracking gun transfers also highlight some of the problems with collecting and maintaining reliable data on gun ownership.

Gun Show guns(Image from PBS Newshour:
Is Gun Violence a Matter of Public Health?)

In short, knowing how many guns are available in the USA today, where they are located, and who own them is practically impossible under current law.  The best we can do in estimating data on gun ownership is to take data from individual states and cities that require every sale or gift of a gun to be recorded, and aggregate these datasets.  At best, these describe local conditions only, not national patterns.

However, statistics about the origin of each firearm before it is distributed are robust.  The ATF trace data can usually trace a gun to the last FFL that sold that particular gun. So researchers can look at the ATF data to get a rough idea of where the guns recovered by police (after use in crime) originated.  But the question of source, rather than subsequent ownership or illegal importation numbers or use of various firearms, is the only issue that can be addressed accurately with these data.

Nevertheless, ATF trace data can be analyzed to produce subsets of particular types of gun usage.  ATF trace data is primarily a collection, almost exclusively, of guns recovered from crimes. So the population is “crime guns” which is a distinct subset (rather than a simple sample) of the total number of firearms in the US.

The simplest example is: most guns owned in the USA are long guns (shotguns and rifles,) but most crime guns are handguns.  Using ATF trace data and narrowing the subset even further, only guns that have been actually physically recovered can be traced, so the statistical population becomes:  “Guns Used in Crime which Have Been Recovered by Law Enforcement.” However, even these are undercounted because each law enforcement agency has its own rules about when to request a trace from the ATF. Some agencies have a policy of ‘always request a trace,’ but it is doubtful that all crime guns are actually traced, even from these agencies. Others request a trace only if the firearm looks new, where the trace would help the investigation. If the weapon is a handgun from the 1960s, for example, tracing it to the last FFL transfer will probably be unhelpful for linking the gun to potential criminal suspects, because the gun has likely had multiple private owners over the years. Additionally, many crime guns are stolen from legal owners and transferred among prohibited owners, making traces even less likely to be helpful from a law enforcement perspective. So, in practice, ATF trace data can accurately depict only a subset of gun prevalence, which can be described as:  “the population of guns recovered in crimes for which a particular law enforcement agency requested a trace from the ATF.”  This limited subset of cases is not very helpful for estimating prevalence, distribution, or use of firearms in the USA.

Considering how limited the official reporting of guns sold and licensed in the USA can be, researchers must look to other sources of data about gun ownership and usage.  Statistics from public health sources can help.  Mortality data from the Centers for Disease Control (CDC) is very useful because it includes almost all fatalities involving firearms, both suicides and homicides. However, it does not count gunshots in which wounds resulted, nor shots in which nobody is hit even if the gun is discharged. A large amount of data about misuse of firearms is therefore missing. CDC mortality data does not record any specifics about the type of firearm used, either.  In some cases, local medical examiners record detailed information about shootings (including approximate range of the gun to the decedent, type of gun, caliber,) but this data is not centralized or easily accessible. CDC data entails significant restrictions due to privacy concerns, but does often include a description of where the body the decedent was shot.

State and local police report data can also provide data. Any time the police respond to a firearm crime, someone will file a report. An incident may initially be filed by the police as a homicide but later determined by the medical examiner to be a suicide, or vice versa. Therefore we have to expect some differences in mortality data and police data. Additionally, there most people involved in altercations with firearms give conflicting accounts of what happened. Consequently, witness statements and officer determinations are more questionable in these cases than they are in others, to say nothing of the incidents in which witnesses refuse even to speak to the police, or conversely in which a gun discharge is reported but no corroborating evidence found.

Another police-related source of data is analysis of the firearms a given law enforcement agency actually confiscates.  But law enforcement agencies’ policies can differ. Policies for confiscations, policies for storage of the confiscated firearms, policies about granting researchers access, policies regarding recording and releasing statistics from these confiscations – all are idiosyncratic to the particular law enforcement agency. There is not a centralized data source covering firearms confiscated by police.  And, citing my own personal example in which I sought information about what kinds of guns and how many guns (as opposed to all weapons) have been confiscated in New York under that city’s aggressive stop-and-frisk policy, such information is not made available to the public.

When statistics describing particular phenomena are not widely available or are likely to be inaccurate, researchers often fall back on surveys in which people are asked how often they engage in particular behaviors (such as owning a firearm, or using it, and for what.)  The General Social Survey (GSS) is the most frequently used data sources to study firearms because it is one of the few nationally representative samples in which subjects are asked about firearm ownership. Of course, bias is possible here, too. Some have made convincing arguments that the GSS undercounts firearm ownership because many gun owners are suspicious of authorities asking about their guns, and that there are gendered and regional differences in likelihood of being willing to report a firearm in the house.  Still, it remains valuable resource for collecting gun ownership data.

gun culture(Image source)

Survey and interview data in general about firearms must be treated with care. Firearms are powerful symbols with multiple – and conflicting – meanings. As a result, survey answers about firearms are likely to be less than accurate.

Phillip Cook has produced a formula for estimation, using CDC and police data about homicide and suicide, to estimate use of guns. For now, Cook’s Index is the closest thing scholars studying firearms have agreed is the best measure – though scarcely a perfect one — for estimating firearm use in causing human deaths, though not the prevalence of gun ownership or usage generally.   His formula utilizes the overall numbers of homicide and suicides and determines the percentage of each committed with a firearm.  Local telephone surveys asking people about firearm ownership confirm that Cook’s Index correlates closely with firearm availability. It is expected that there are variations cross-nationally with this estimate, and over time.

Right now, the it is impossible to say with any precision how many guns are currently in use of guns in the US.  By piecing together data from a variety of law enforcement, federal statistics about gun origins, and public health sources, a rough picture can emerge.  Improving these databases is the next goal for researchers.

~ This guest blog was written by Candace McCoy Professor, John Jay College and The Graduate Center, CUNY.

 

Reframing Gun Violence as a Public Health Issue

Our series on “Punishment to Public Health” continues. This week, we turn our attention to gun violence as a public health issue.  In many ways, this is a key example of the way that our usual policies of criminalization around guns have failed us as a society.

No Gun Sign - Mall of America(Image source)

The harm from guns to peoples’ health is hard to deny.  The U.S. leads the world in gun deaths, according to a World Health Organization (WHO) study. Guns claim more than 30,000 lives each year in the U.S., more than five times the number of deaths from illegal drugs each year. While a great deal of media attention focused on the tragic shooting of elementary school children at Newtown, CT.,  the Children’s Defense Fund estimates that 2,391 children have been shot by guns since the beginning of 2013 alone.

Currently, our response to guns and gun policy is one that oscillates between a punitive criminalization of some gun owners and a staunch, Second Amendment defense of other gun owners.  How might society be changed if our approach to guns and gun violence were reframed as a public health issue, like seat belts or smoking?

no smoking sign(Image source)

We’ll explore some of the research on guns and look at some of the ways that activists and documentary filmmakers are contributing to a resistive reframing of gun violence as a public health issue.

Mapping Social Inequities: Using Evernote for Evidence-Gathering

 Mapping Social Inequities

Although my post last week discussed how data visualizations such as maps could be used to promote social change, often overlooked are discussions regarding tips and tools for gathering evidence which can be used for mapping social inequities.  Therefore, this post explores how Evernote 5 can be used as a free and powerful evidence-gathering digital tool for highlighting social inequities. Evernote 5 is available for free for both Mac and recently released for Windows.

In an interview with Eric Cadora from The Justice Mapping Center, for our From Punishment To Public Health (P2PH) Social Justice Topic Series, he showcases how maps can expose the cross-sections between public health and public safety in vulnerable communities.  Specifically, Cadora finds that populations which often experience chronic ill-health are often also the same populations which are in and out of prison and jail.  Other studies have found a correlation between crime and chronic disease, which are often reinforced by high levels of health illiteracy and disparity (The Poverty Clinic, Paul Tough).

As the worlds of public health and public safety continue to merge, this presents valuable opportunities for academics and social justice advocates to document and gather evidence of how these dynamics play out within their communities.

I decided to begin my own evidence-gathering efforts as I went about my travels throughout New York City.  For my exercise, I was interested in gathering evidence on the types and number of community health clinics that existed in high crime NYC neighborhoods.

In order to do this, I downloaded both the App and web version of Evernote 5 (App versions are available for Iphones and Android).

For those not familiar, Evernote is a note-taking and clipping application that lets you save all kinds of bits of information into various project-oriented “notebooks.” Academics have been using Evernote to write dissertations or articles, conduct classes and research, etc.  However, less is known about how it can be used for evidence and information-gathering.

FOR STARTERS – Aspects of Evernote that make it an especially useful tool for evidence-gathering are:

  • Ability to go almost completely paperless! Digitize your physical notes and back them up in the cloud. This can come especially handy when ensuring the protection of sensitive documents and information.
  • Allows you to collect an array of multi-media and documents and keep it neatly organized and searchable: You can further use Evernote’s tagging feature and then take advantage of their amazing search and filtering capabilities. In Evernote, you can search by: keywords, tags, dates, or note types (such as images, audio, PDF, etc.). Evernote’s optical character recognition capability (OCR) also converts images of letters/numbers into searchable text (for example as in words from a photo, scanned document, or PDF).
  • Use your personal Evernote email address @m.evernote.com: This allows you to email notes to specific project notebooks and keep your evidence well-organized.
  • Collaborate and share your work with others: Create a link to a private shared workspace and send it to everyone involved. At the same time, you can make any of your notebooks publics which can then be posted on a webpage or included in an email.
  • Dictate your thoughts, ideas or conversations if you have a smart mobile device. You can then use Voice2Note to then convert audio notes into text to make them easily searchable. Simply connect your Evernote account and the first 30 seconds of your notes will be transcribed.
  • Use the Atlas feature to capture GPS information along with the notes you take (now available in Evernote 5): For example, you can use this if you want to capture the specific location of an event, where evidence was found or collected, image taken, etc.
  • This in return allows you to start visualizing geo-specific trends that may either highlight gaps in your evidence-gathering or important issues and patterns that warrant further exploration.  Most importantly, it allows you to start outlining the key trends for your mapping visualization.
  • The Evernote app allows you to effortlessly capture evidence during your day-to-day activities: This means that you will always be prepared to quickly capture, geo-code, and catalog a valuable piece of information for future reference.

Setting Up Your Evernote Evidence-Gathering Notebook

Using the web version of Evernote 5, I create a notebook called, Community Public Health Clinics in High Crime Neighborhoods.  Once I created this notebook, I was then able to upload evidence of community public health clinics in several forms, notes, images, audio, or video.

evernote 5

My evidence-gathering notebook where I can upload notes, images, audio, or video and geo-code them.

evernote evidence gathering                    Here you can see images of the clinics I have uploaded for future reference. 

 

Finally, Evernote 5’s Atlas feature allows me to see my notes, images, and pictures in map view.  This map views helps (a) to ensure that you are covering all the locations/areas that you want to focus on and (b) helps ensure the accuracy of the location for each piece of evidence collected.  

evernote 3Here you can see images and notes regarding community health clinics which I have uploaded for future reference.

Final Thoughts

Moving beyond map visualizations, there are many contexts and ways to use evidence for promoting social justice.  Consider, these real-life examples from the New Tactics in Human Rights website of the types of social justice contexts which Evernote’s features could be most useful for:

Documenting cases of injustices that can be used as legal documentation in courts: See example of collaboration between a human rights group and local monitoring teams in Yemen.

For coordinating and gathering info during participatory research: Read about how groups and individuals in Mozambique launched a collaborative effort to train locals on data gathering which also gave local NGOs a concrete research instrument they could use for future endeavors.
Using technology to share and gather information on environmental hazards: This is where Evernote’s mapping/Atlas feature can really come in! Read about how Environmental Defense used technology to categorize information about harmful environmental hazards such as air pollutants, toxic chemicals, etc.
Collect and preserve community stories and testimonies: Read about how scholars trained in reading and interpreting the texts worked with locals in Tibet to enter ancient text into an electronic database.

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This post is part of the Monthly Social Justice Topic Series on From Punishment To Public Health (P2PH). If you have any questions, research that you would like to share related to P2PH or are interested in being interviewed for the series, please contact Morgane Richardson at justpublics365@gmail.com with the subject line, “P2PH Series.”

Special Interview with Eric Cadora on Mapping, Criminalization, and Public Health

eric-cadora

I had the opportunity to interview Eric Cadora, the founder of the Justice Mapping Center. In this interview, we talk about Mapping, Criminalization and Public Health.

 

 


Can you share a little bit about how your writing or your data visualizations speak to issues of criminalization and public health?

First and foremost, I think, what we were trying to do through using maps and geography to talk about criminal justice was we’ve been trying to reframe the conversation about crime and public safety onto communities rather than on crime, and one of the things that occurred to me when we first started doing this was that if you shift the focus from crime events to where people live who are going in and out of prison and you map that, you’re going to have a very different story than if you’re looking at crime maps, which were much more popular. By shifting it to show the disproportionate concentration of criminal justice in particular neighborhoods, you can start to talk about places rather than get pigeon holed in that getting tough, being soft polemic that everyone got stuck on. It was a story that I didn’t think had really been told empirically, so we started collecting data from places about where people lived who were going in and out of prison and jail, and that helped us paint a geographic picture and, of course, maps are a much more compelling way to portray the issue because everyone gets it, whether you’re a researcher or a legislator, and everybody sees immediately what’s going on, which turns out to be really this mass migration, population displacement and resettlement project, even if unintentional, so that when you map where people are going in and out of prison from and returning to, you see this almost pattern of mass migration.

Then we thought, “Let’s try to dramatize the trade offs in the underwriting of this whole cycling process. Because we had collected data on where everyone lived who was going in and out of prison, where they went to and for how long, and you know how much it cost per day, we were able to translate the data into dollar estimates of block by block, how much is New York State paying to remove and return people from each of these blocks? When we first looked at Brooklyn, we found 35 of what we then coined as “Million-dollar blocks,” single city blocks for which the State was paying more than a million dollars a year to remove and return people to and from prison on average for about three-and-a-half years or so. Of course, none of that money was going into those places. It was renting prison cells, and so, by doing the million-dollar blocks graphics and geographics, we were able to shift the conversation and suggest that there’s a trade off there, and that those dollars are really there for the benefit of the well being of those places.

Then you ask the imaginary question. If you had the million dollars a year, that block and those guys, what would you do? Would you spend it all on sending them away for two or three years and then having them come back with no changes to the neighborhood, or would you try to reinvest them in some other conditions that are prevalent in the neighborhood itself?

Ultimately, what we’ve done is tried to show that these places are inundated with criminal justice and that no more criminal justice is going to make any difference, and that, in fact, when we look at the other kinds of data about those neighborhoods, like living environments, housing costs, income, poverty levels, health, etc., we start to find that there are many weak civil institutions, and in some ways, the criminal justice system is responding to that poverty and ill health with more criminal justice, as if that could sort of balance it out for the weakness of those other institutions, and of course, it doesn’t.

Portraying all this vis a vis maps of neighborhoods has been a way of showing where the rubber really hits the road because even though we know about about a lot of the statistics about mass incarceration and disproportionality, those disproportionalities are mild compared to the ones between one neighborhood and another in any particular major city. That’s where the real differences are, and you really start to see where the system takes effect.

As time has gone on, though, we’ve been looking more at these neighborhoods, and what becomes evident and what linked up in our mind with public health and the inevitability of really thinking more about this in terms of public health and public safety is that these neighborhoods are increasingly characterized by emergency response systems, urgent care response systems, so not just the prison or the jail but also the emergency room. The homeless shelter, foster care, etc. Last resort options. Last resort techniques, but mainly into populations that suffer from chronic issues. Increasingly, once we start to add these up, we see incredible amounts of money being spent for emergency response systems for people who need chronic neighborhood network care, not emergency response care, and that’s where we’ve been increasingly focusing our vision on how do you dramatize that issue and start to suggest ways in which you can pull out of those emergency response approaches and start to develop the more useful neighborhood chronic care networks and outreach systems.


What are your thoughts on policy approaches that draw from public health rather than criminal justice? Do you think that these are better or just reproduce the same systems of inequality?

That’s an awfully good question. There is an increasing realization in public health about the need for harm reduction approaches rather than emergency, and I think there’s also an increasing realization that these emergency response systems are simply making up for weak civil chronic care systems. Increasingly, I think there is attention to, “Why are we treating asthma, why are we treating outcomes of obesity, why are we treating drug addiction in emergency rooms at incredible costs and very little effect when these are issues that are more chronic and require prevention, education, and on-the-ground kinds of services that are a little more sophisticated than the big institution?”

Instead of plopping a big hospital or a big community center or a big … All these kinds of things are suggesting increasingly that integrating networks of public health and public safety into the networks that are already active in those neighborhoods. People are already grappling with health issues, are already grappling with problems of unemployment and problems of criminal justice, so what’s a little more difficult but much more effective is this understanding that we should tap into those networks and let’s help mobilize those that are already on the ground. I think public health environments are increasingly realizing that, but I also think that criminal justice solutions can really find a purchase in public health thinking, particularly around harm reduction and chronic care, so that we come up with the kinds of responses to crime and criminal offenses and so on that are not simply harmful and costly with very little productivity and a great deal of cost to the community but in fact, could be integrated into those networks in the community, into developing community service work, into a whole range of options that don’t necessarily require iron bars and concrete walls for punishment, and I think public health, because the public health environment suffers from some of the same over urgent care responses, it also has a lot more tested solutions, I think, to those problems that criminal justice can borrow and take advantage of.

I also think that people just don’t realize how closely the populations are overlapping; that is, populations that are in chronic ill health over time due to relationships with poverty and so on are the same populations that are going in and out or prison and jail, and so understanding those two as a single group in a certain way gives you more opportunity to wed solutions that are greater, where the whole is greater than the individual parts. I think it’s inevitable, in fact, that public health and safety will be increasingly considered a thing, a single unitary way of thinking, rather than this more fractured sense of criminal justice and healthcare.


A major focus of JustPublics@365 is bringing together academics, activists and journalists in ways that promote social justice, civic engagement and greater democracy. What sort of ‘lessons learned’ do you have from your experience with entering a terrain more frequently trod by activists and academics?

Yeah. I’ll admit, that’s kind of what one of the sort of planks of our approach has been to say, “Look. Most stories are about crime in the criminal justice journalist’s word, and those that aren’t are about reentry or prisons and tend to be anecdotal or, if they’re statistics, they tend to be very far reaching, but I think journalists can find better purchase in stories that focus on specific neighborhoods and understanding the hyper concentration of criminal justice in those places and starting to reveal those or tell those stories in a way that both highlights these new data and this new realization about these highly-concentrated, incarceration hotspots, you might say, and the collective impact on those neighborhoods of such a large proportion of mainly parenting-aged and working-aged men recycling through the prison system back into the community en masse, in a way that makes the whole community downwardly mobile and instead of being a solution to what’s been going on to crime and so on, the cure itself has become a measure of disadvantage in those neighborhoods so that when you look at a place and you say, “Well, it’s high poverty, low income, high incarceration itself is now one of those disadvantages because of the terrible impact it has on future life chances, whether it’s employment or health or education or even staying out of jail.

I think increasingly journalists an turn to these new sources of data, and this stuff has, I’d say, emerged over the last decade where the focus of the crime conversation is no longer simply crime prevention techniques but rather, a better understanding of what hyper criminal justice activity, what kind of damage that is causing, and the pretty obvious and straight forward, available solutions there are to remedy that.

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This post is part of the Monthly Social Justice Topic Series on From Punishment To Public Health (P2PH). If you have any questions, research that you would like to share related to P2PH or are interested in being interviewed for the series, please contact Morgane Richardson at justpublics365@gmail.com with the subject line, “P2PH Series.”

Criminalization, Unemployment and Health: Kai Wright, William Gallo and Glenn E. Martin in Conversation

In a recent piece,  “Boxed In: How a Criminal Record Keeps you Unemployed for Life,”  Kai Wright, editorial director at Colorlines and a contributor to The Nation, takes an in-depth look at the impact of a criminal record on future employment.  In our ongoing effort to curate conversations between journalists, academics and activists around social justice issues for broad audiences, we partnered with TechChange and invited Kai Wright, Professor William Gallo and Glenn E. Martin to have a conversation about the connections between criminalization, unemployment and health, moderated by JustPublics@365 Digital Fellow Heidi Knoblauch.

In this extended discussion (1:55), our panel of experts Kai Wright (@Kai_Wright),  William (Bill) Gallo, Professor of Public Health at The Graduate Center, CUNY and Hunter College, and an expert in the health consequences of unemployment, and Glenn E. Martin (@glennEmartin), is vice president of development and public affairs of Fortune Society, a New York-based prisoner re-entry advocacy group, each discuss how journalists, academics and activists approach the same issue from different vantage points but with a shared goal of creating a more just society.

Women in Prison: Twice as Likely to Have History of Abuse

The rate of women who are incarcerated, whether in prison or jail, is increasing. According to the ACLU, more than 200,000 women are currently in jail or prison, and another 1 million are under the control of the probation and parole system.

women in prison(Image source)

While many of the demographics for women in prison parallel those of men – that is, they are disproportionately black and poor – a closer look reveals another story.  Women bring a gendered life experience with them to incarceration.  And, being gendered ‘woman’ in this society often means a series of difficult life circumstances and hardships, like physical or sexual abuse in childhood or as an adult.  Incarceration places the additional burdens of isolation, humiliation, and systemic marginalization to these gendered life experiences.

It is precisely because of their gendered life experiences prior to incarceration that women need gender-based interventions in order to re-enter their communities and rejoin their families.

National Profile of Women Offenders
A profile based on national data (NICIC.gov: “Gender-Responsive Strategies”) for women offenders reveals the following characteristics:

  • Disproportionately women of color.
  • In their early to mid-30s.
  • Most likely to have been convicted of a drug-related offense.
  • From fragmented families that include other family members who also have been involved with the criminal justice system.
  • Survivors of physical and/or sexual abuse as children and adults.
  • Individuals with significant substance abuse problems.
  • Individuals with multiple physical and mental health problems.
  • Unmarried mothers of minor children.
  • Individuals with a high school or general equivalency diploma (GED) but limited vocational training and sporadic work histories.

One in three
One can hardly talk (intelligently) about women in prison without talking about childhood trauma and physical and sexual abuse.

Earlier this year, the Correctional Association of New York – a 170-year-old advocacy organization that leads efforts to protect and advance the rights of incarcerated women and their families – published the following facts about women and the criminal justice system:

  • At least one in three girls in the United States is sexually abused by the time they reach the age of 18.
  • Women in prison are twice as likely as women in the general public to report childhood histories of physical or sexual abuse.
  • Nationally, more than 37% of women in state prisons have been raped before incarceration.
  • 90% of women incarcerated at Bedford Hills reported suffering physical or sexual violence in their lifetimes.
  • 82% of women at Bedford Hills reported having a childhood history of severe physical and/or sexual abuse.

Yet another casualty of the war on drugs, most women are behind bars because of non-violent drug-related offenses. Much of their substance abuse is generally understood as “self-medication”, a device to help them cope with the aftershocks of traumatic childhood experiences – such as, in many cases, parental incarceration. In addition, the flood of crack cocaine that hit urban areas in the 1980s increased women’s experience of another kind of sexual trauma, street-level prostitution – a mainstay survival strategy for women addicts along with low-level drug dealing and petty property crimes.

free marissa signs(Image source)

The recent case of Marissa Alexander, sentenced to 20 years in a Florida prison for firing warning shots into the ceiling in an attempt to fend off her abusive husband, brought the national spotlight to the fate of many women who dare defend themselves and their children from their abusers.  Marissa’s appeal was successful and she has been granted a new trial – although she has been incarcerated since 2010. The Correctional Association has been spearheading the campaign to pass the Domestic Violence Survivors Justice Act, which would change New York State laws that require long, harsh sentences for survivors who protect themselves from an abuser’s violence.

Impact of Incarceration on Children, Families
Attorney General Eric Holder’s recent declaration that “too many Americans go to too many prisons for far too long, and for no truly good law enforcement reason” has drawn public attention to the issue of mass incarceration.  One area that still needs even greater attention is the impact that incarceration has on children and families.

Screen Shot 2013-12-03 at 1.14.53 PMClick image to enlarge.

(Sources: Christopher Wildeman, “Parental Imprisonment, the Prison Boom, and the Concentration of Childhood Disadvantage,” Demography, May, 2009;  and The New York Times, July 4, 2009)

Over 2.3 million children in the United States currently have a parent who is incarcerated in the jail or prison system and over 10 million children have experienced parental incarceration in their lifetime.  The social and health risks and outcomes that parental incarceration has on children include increased stress, family disruption, feelings of abandonment, traumatic separation, loneliness, stigma, unstable childcare arrangements, strained parenting, reduced care giving abilities upon reunification, and home, school, and neighborhood moves.

Visitation with children in prison is not an option for most mothers in prison for the duration of their time behind bars and, on average, the children of incarcerated mothers will live with at least two different caregivers during the period of their incarceration.  More than half will experience separation from their siblings.

Upon release from incarceration, reuniting with the incarcerated parent with his or her children is often desirable; however, the actual impact of the reunification process on children and families merits further investigation.  Reunions often causes stress to both parent and children because for better or for worse it constitutes a disruption of the status quo, and as such demands that both adults and children adapt to new household dynamics, especially if children had previously been placed in foster care. Bonds broken by incarceration are not easily mended, and children may experience difficulty in forming meaningful attachments for the rest of their lives.

Generally lacking adequate job skills, most women have trouble supporting a family upon their release from prison, and the communities to which they return are unprepared to receive them. And after serving their time, a woman’s criminal record may bar them, through law or practice, from accessing vital resources, such as employment; public housing; welfare benefits; food stamps; financial assistance for education. These post-conviction penalties constitute an ongoing and self-perpetuating additional layer of punishment that endures far beyond their prison sentence.

Designing programs for impact
According to the Women’s Prison Association, programs aimed at supporting women returning from prison must take account of the family responsibilities women bear.  Programs should be designed with the understanding that women and their families are often burdened with conflicting and inflexible requirements of multiple agencies.  Criminal justice, welfare and child welfare agencies may set competing or conflicting goals and conditions for women, while limiting or denying access to essential services needed to stabilize and maintain the family unit.

Family reunion(Image credit: Michael Kirby for The New York Times)

Family-focused Alternative to Incarceration (ATI) programs such as Drew House in Brooklyn, NY, have been successful at providing selected women charged with felonies and their children with the tools and the chance to strengthen these families without compromising public safety. However, the need to collect and coherently use women-centered data when addressing incarcerated women remains crucial for the relevance and success of any intervention.

~This post was co-authored by Alice Cini and Stephanie Hubbard.  Alice Cini is a social justice advocate and Social Work Fellow at the John Jay College of Criminal Justice’s From Punishment to Public Health Initiative. You can follow her on Twitter @CinikAl. Stephanie Hubbard is a public health professional and advocate for youth and humans rights at Columbia University’s Mailman School of Public Health.

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This post is part of the Monthly Social Justice Topic Series on From Punishment To Public Health (P2PH). If you have any questions, research that you would like to share related to P2PH or are interested in being interviewed for the series, please contact Morgane Richardson at justpublics365@gmail.com with the subject line, “P2PH Series.”

Special Interview with gabriel sayegh on Municipal Drug Strategies

gabriel sayeghThis week I interviewed gabriel sayegh, the director of the Drug Policy Alliance’s New York policy office. In this interview, we talk about municipal drug strategies in Canada and Europe and explore opportunities for New York to implement these types of municipal-drug strategies.

 

 

 


What are municipal drug strategies?

Municipal drug strategy is simply a city-based strategy for approaching the problems of drugs and that when you have a situation of opening our drug market as an example or drug-related disorder, cities are often the first jurisdictions that have to address and deal with those problems. Of course, not every element of drug use is a problem. That’s not the case at all but there are instances particularly in cities when drug use can become deeply problematic, either because of overdose fatalities or the transmission of HIV and AIDS or drug related crime or disorder related to open drug markets or public drug consumption. Continue reading

Data Advocacy: Visualizations for Promoting Change

The report, Blueprint for a Public Health and Safety Approach to Drug Policy, by the Drug Policy Alliance and The New York Academy of Medicine provides a comprehensive set of recommendations for fixing a broken drug policy that is a “bifurcation between two different and often contradictory approaches – one which treats drug use as a crime and the other view, as a chronic relapsing health or behavioral condition.”

Anyone who has spent time working in human services knows that multiple programs (whether offered through community groups, nonprofits, churches, or government agencies at the local, state, and federal level), own a piece of the puzzle when it comes to helping and healing people and families. In the case of substance abuse treatment, there’s a myriad of actors in health/mental health, schools, substance abuse services, law enforcement, corrections, and departments of children and families who all need to be coordinating and working together. However, as the Blueprint highlights, this does not always happen. Rather, “without a united framework and better coordination, these actors and agencies often work at cross-purposes” (Blueprint Report, pg. 4). The themes of coordination, overlapping, and cross-purposes appear throughout the report, and these are what I highlight in the discussion of data visualization here.

Provoking Change: Your Data Can Tell a Story

Data visualizations can tell a clear concise story about why an issue is important and why change is needed. So, they are ideal tools for fostering greater awareness and supporting advocacy efforts.

Data visualizations are often associated with their popular counterparts, information graphics (aka infographics).  Although both allow you to use and transform your data into a compelling presentation or powerful story, there is a key difference between the two. While data visualizations take complex sets of data and display them in a graphical interface, like a chart or map, so users can gain insight into patterns and trends, infographics use data visualizations in concert with text and other tactics to tell a story, make a point or communicate a concept (“Data Visualization and Infographics: Using Data to Tell Your Story”).

Visualizations are especially effective for data advocacy because they:

  • Make your message more compelling: Let’s face it, visualizations are simply much better at stimulating thought and conversation than more traditional textual or numerical data.
  • Allow you to reach a wider and more diverse audience:  The reason for this is that visualizations allow you to convey complex data and abstract information in an easily digestible and shareable formats.
  • Visualize information, systems, networks and flows which can be valuable for highlighting social problems and need for policy changes.
  • Illustrate timelines and relationships that can help readers put the dots together in understanding a problem (“Data Visualization and Infographics: Using Data to Tell Your Story”).

Visualizing New York Drug Policy

This next section outlines step-by-step instructions to create your own data visualization. I searched NYC Open Data and Open Data NY Gov for the best data set that would help me highlight the idea of overlapping human services agencies that work on substance abuse issues in New York State. The best data set I found was one which provided information on Local Mental Health Program in New York State, broken by county and program subcategory.

Because of the geographic nature of this data, I opted to create a heat map.  Because I was also interested seeing the distribution of the types of substance abuse mental health programs in New York according to county, I found a histogram to be useful as well.  I then selected two free and easy-to-use data visualizations tools: Many Eyes and Tableau Public.

This brings me to the first lesson in creating data visualizations:

 (1) Don’t be seduced by the exciting and cool visualization tools: In creating visualizations for advocacy and social change, it’s critical to keep in mind your objective and to avoid visualizations which just offer eye-candy.   You want the reader to be attracted to your message, not your methodology or the cool visual tools you used.  So, ask yourself if you want your data to provide (a) description, (b) exploration, (c) tabulation, or (d) decoration (see Tufte’s “The Visual Display of Quantitative Information.” )   There is a lot you can accomplish visually with basic free tools such as the two that I used.  However, for a full list of all data visualizations tool available visit Bamboo DiRT.

(2) Prep your data: Every great visualization begins with a coherent and well-organized data set.  As a result, it’s important to clean your data and only leave the most essential variables organized in the best possible format to reveal the main relationships that you want to highlight between your variables.

Two free tools which can help you clean and prep  your data for visualization are:

For my data set of Local Mental Health Program in New York State, I filtered the data according to those that provided substance abuse counseling and then I created a frequency distribution with a pivot table.  Pivot tables (also called contingency tables and cross tabulation tables) are a powerful means of data visualization and data summarization.  You can download my pivot table here if you would like to experiment with it.

Mental Health Program Sub-Categories

Assertive Community Treatment Care Coordination
Clinic Treatment Comprehensive Psychiatric
Emergency Continuing Day Treatment
Crisis Day Treatment Education Forensics
General Hospital Psychiatric IP Unit General Support
Intensive Psychiatric Rehabilitation
Partial Hospitalization Personalized Recovery-Oriented Services
Private Psychiatric Hospital Residential Treatment Facility
Self-Help State Psychiatric Hospital
Support Program Treatment Program
Unlicensed Housing Vocational

Many Eyes provides information on how to format your data according to the visualization that you chose.

Pivot Table into Many Eyes

After creating a pivot table of my data which adds up the total number of program subcategories according to county in New York, I am then able to upload the data onto Many Eyes.

 finalizing pivot data

After uploading the data, I compared how the pivot data appears on Many Eyes versus my spreadsheet to ensure data accuracy.

To see the final interactive heat map designed on Many Eyes click on the image below:

 Many Eyes Heat Map

 This heat map showcases the density of mental health programs that deal with substance abuse in New York State.  The heat map is interactive because the key allows you to select different sub-program categories to see which counties have the most programs and which don’t.  

(3) Ensure Content Focus: The best visualizations are transparent about the data used.  As a result, in designing my interactive heat map, I also included drop down menus for people to see what types of substance abuse programs were available in which counties and which were not.  As a result, I wanted to keep the focus on the content of the data and not necessarily on the very cool heat map that I just made!

(4) Reveal the data at several levels of detail, from a broad overview to the fine structure:  Tableau Public offers much more customization features which allow you to showcase your data on many different levels.

Tableau dashboard

Tableau dashboard features more options for organizing your data and highlighting specific trends geographically broadly or on a more granular level.  

(5) Avoid Distorting the Data: A good visualization should always showcase the data honestly.  As a result, things such as pie graphs and charts are frowned upon because they of their distortion of the data and lack of clarity.  This is what’s often deemed as avoiding “chart junk” (Tufte).

For example, my pivot table histogram below does a better visual picture of highlighting consistencies and gaps in mental health services across program sub-categories and counties than the map using pie charts.  

pivot table chart

Pivot table histogram highlighting the distribution of each mental health program sub category by counties.  As a result, this visual quickly shows you the overlaps as well as gap in services.

Now look at my same pivot table data but this time using pie charts rather than heat map or histogram.  Although, somewhat visually appealing, the pie charts do not shows how the programs each make up a whole, thereby, disguising the potential problems of overlap.

piegraphs

Becoming a Data Visualization Expert: Final Tips and Resources

 (6) Make it memorable:  Studies have found that memorability alone can enhance the effectiveness of visualizations.   A recent study, which is the most comprehensive study of visualizations to date, found that visualizations that were most memorable had:

  • Human recognizable objects”, these were images with photographs, body parts, and icons–things that people regularly encounter in their daily lives.
  • Effective use of color, specifically, visualizations with more than six colors were much more memorable than those with only a few colors or a black-and-white gradient.
  • Visual density, meaning that visuals that had a lot going on were more memorable than minimalist approaches.

For inspiration on data visualizations that promote advocacy and social change visit: