Report Expanding Health Coverage in California: County Jails as Enrollment Sites By Shannon McConville, Mia Bird May 10, 2016 In 2014, the first year of Affordable Care Act (ACA) implementation, the number of Californians with health insurance increased substantially. However, millions of state residents continue to lack comprehensive health coverage, and those who remain uninsured are likely more difficult to enroll through traditional strategies. In this report, we find that uninsured rates are highest for young men and for those with low levels of education, income, and employment. The prevalence of these same characteristics among correctional populations suggests that the justice system—and, in particular, county jails—may offer points of contact for many uninsured individuals who would otherwise be hard to reach. Outreach and enrollment efforts aimed at local jail populations are set within the policy context of California’s 2011 Public Safety Realignment, which created incentives and resources for local corrections agencies to improve reentry outcomes. With expansions in access to health insurance coverage under the ACA, nearly all counties are establishing programs to provide enrollment assistance to jail inmates as part of a more comprehensive reentry strategy. But resources and capacity are limited, so it is important to identify effective models to maximize the potential of county correctional systems as sites of insurance enrollment.
Report Public Safety Realignment: Impacts So Far By Magnus Lofstrom, Brandon Martin Sep 28, 2015 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.
Report Alternatives to Incarceration in California By Ryken Grattet, Brandon Martin Apr 17, 2015 Three-plus years after implementing a major realignment of its public safety systems, California continues to face pressure to reduce both its prison and jail populations. California relied on some alternatives to custody-based punishment before realignment but it has been expanding its use of others. Current research on the effects of incarceration and its alternatives offers a general endorsement of the idea that increasing reliance on community-based alternatives is not likely to result in large increases in crime and recidivism. The evidence suggests that the effectiveness of both incarceration and community-based supervision depends on a number of factors, including the rate of incarceration in a given community, the offender characteristics, and the nature of the response to violations during and after supervision. Finally, intensive data collection on county implementation efforts can help the state identify the community-based strategies that produce the best outcomes.
blog post Testimony: A Data-Driven Approach to Corrections By Mia Bird Apr 23, 2014 California has effectively created 58 county policy laboratories and with them, the opportunity to use variation in county approaches to identify best practices that can be shared throughout the state and nationwide.
Report Capacity Challenges in California’s Jails By Magnus Lofstrom, Katherine Kramer Sep 27, 2012 In an effort widely known as "realignment,” California has given its counties enormous new responsibilities for corrections—including authority over many new types of felony offenders and parolees. Rather than go to state prison, these offenders now go to county jail or receive an alternative sanction. In the first few months of realignment, California’s jail population increased noticeably—but many jails were already facing capacity concerns. We find that some offenders who would have been incarcerated prior to realignment are now either not locked up or are not spending as much time in jail. Going forward, counties will need to consider a wide variety of approaches for handling their capacity concerns and their expanded offender populations.
