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Report

Anticipating Changes in Regional Demand for Nursing Homes

By Laurel Beck, Landon Gibson

California’s nursing homes provide a major source of personal and medical care for the state’s most vulnerable residents—the elderly and the disabled. By 2030 the state’s 65-and-over population will grow by 87 percent. The number of people requiring skilled nursing care could increase by 32,000, far outstripping current capacities. We find that there will be significant disparities in regional growth rates across racial/ethnic groups and in regions’ abilities to absorb higher numbers of patients. Specifically:

  • The Bay Area and the Inland Empire have the largest discrepancies between existing nursing home capacity and projected demand in 2030; Los Angeles and Northern California (excluding the Bay Area) have the smallest.
  • Regional growth rates in the 65-and-over population vary widely within racial/ethnic groups. For example, rates among Latinos range from 159 percent on the state’s Southern Border (Imperial and San Diego Counties) to 193 percent in the Inland Empire; among Asians they range from 93 percent in the Central Coast to 212 percent in Northern California (excluding the Bay Area).

In order to meet the growing and changing demands for senior care at the statewide and regional levels, policymakers will need to address ways to increase nursing home capacity. These solutions must also include recruiting and training health workers who can provide effective, culturally competent care, whether in skilled nursing facilities or home- and community-based settings.

event

California’s Historic Corrections Reforms

About the Program
Overcrowding and poor conditions in California's prisons triggered sweeping changes to the state's correctional system. Has the prioritization of correctional resources toward more serious offenders eased overcrowding and contained costs? How are county jails coping, and have reoffending rates declined? Has crime increased, as critics predicted? PPIC researcher Magnus Lofstrom will outline findings from a new report, and a panel of state and local experts will discuss the effects of recent reforms on crime, costs, and incarceration.

Please register in advance. There is no charge to attend, but space is limited. Lunch will be provided.

Report

California’s County Jails in the Era of Reform

By Sonya Tafoya, Mia Bird, Ryken Grattet, Viet Nguyen

California’s county jails have been profoundly affected by several reforms over the last decade. Most importantly, in 2011, public safety realignment shifted responsibility for large numbers of non-serious, non-violent, and non-sexual offenders from state prisons to county correctional systems. This lowered the state prison population—allowing prisons to prioritize beds for more serious offenders—but increased county jail populations. Three years later, Proposition 47 downgraded a range of drug and property offenses from potential felonies to misdemeanors. The reduced population pressure has allowed jails to prioritize beds for more serious drug and property offenders who are no longer eligible for prison.

Despite the growing importance of jails, little is known about the basic characteristics of jail populations. In this report, we analyze state and local data on individuals moving through county correctional systems. Using data from 11 counties, we find that:

  • Reforms altered the offender composition of the jail population, especially among those held on drug and property crimes. After three years under realignment, the number of drug and property offenders in jails increased by 55 percent and 40 percent, respectively. One year after the passage of Proposition 47, the number of drug and property offenders fell by 35 percent and 13 percent, respectively.
  • Length of stay for felony drug and property offenders increased after realignment. For example, median time served for felony drug offenders released in October 2011 was 45 days, compared to 98 days for those released in October 2015. However, length of stay for people who served time for misdemeanors and felony crimes against persons has remained stable.
  • Releases due to overcapacity rose under realignment and dropped after Proposition 47, when jail population pressure eased.
  • The demographic composition of jails has largely remained stable. But the age distribution does show modest signs of change: the share of those ages 18–21 in jail has decreased slightly, as the share of those in their 30s has increased.

As jail populations shift toward more serious drug and property offenders, counties and the state will need to consider how jail security and rehabilitative programs might be made more effective. While researchers and policymakers continue to examine the longer-term effects of realignment and Proposition 47, it is also important to keep in mind that the recent reprioritization of jail beds may have implications for crime and recidivism.

blog post

Spending on Corrections and Higher Education

By Sonya Tafoya, Sarah Bohn

California spends more on corrections and less on higher education today, in relative terms, than at nearly any point in the past thirty years.

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Putting the Governor’s Sentencing Proposal in Context

By Magnus Lofstrom, Brandon Martin

Governor Brown’s proposed ballot measure could significantly alter sentencing in California. It follows the path of decreased reliance on incarceration that the state has been on since 2009.

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Proposition 47 and Crime

By Magnus Lofstrom, Brandon Martin

Reports of increases in violent crime in some areas have raised concerns. But it would be premature to blame Proposition 47.

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Video: Rating Realignment

By Linda Strean

Local law enforcement and corrections officials have risen to the challenge of California’s public safety realignment, a panel of local and state officials concluded last week. They also concurred that big challenges remain.

Report

Public Safety Realignment: Impacts So Far

By Magnus Lofstrom, Brandon Martin

Prompted by a federal court order to reduce prison overcrowding, California’s 2011 historic public safety realignment shifted many correctional responsibilities for lower-level felons from the state to counties. The reform was premised on the idea that locals can do a better job, and it was hoped that incarceration rates and corrections costs would fall. At the same time, critics predicted crime would rise. Four years since its implementation, realignment has made several important impacts:

  • Realignment significantly reduced the prison population, but the state did not reach the court-mandated population target until after the passage of Proposition 47 in November 2014, which reduced penalties for many property and drug offenses.
  • The reform challenged county jails and probation departments by making them responsible for a greater number of offenders with a broader range of backgrounds and needs.
  • The county jail population did not rise nearly as much as the prison population fell, reducing the total number of people incarcerated in California.
  • Realignment did not increase violent crime, but auto thefts rose.
  • Research so far shows no dramatic change in recidivism rates.
  • State corrections spending remains high, but there is reason to believe expenditures could drop in the future.

Realignment has largely been successful, but the state and county correctional systems face significant challenges. The state needs to regain control of prison medical care, which is now in the hands of a federal receiver. And the state and counties together must make progress in reducing stubbornly high recidivism rates.

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Expanding Education, Reducing Recidivism

By Mia Bird, Amy Lerman

A federal pilot program to allow access to Pell Grants to those incarcerated in prisons could not only expand access to higher education, but it could also improve public safety and reduce correctional costs.

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