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A Snapshot of HIV and Incarceration. More than 1 in 100 people in the U.S. are currently in prison . 1 1 in 31 people are currently in prison, on probation or on parole . 2 1 in 7 people with HIV will pass through prison this year. 3
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A Snapshot of HIV and Incarceration More than 1 in 100 people in the U.S. are currently in prison.1 1 in 31 people are currently in prison, on probation or on parole.2 1 in 7 people with HIV will pass through prison this year.3 1Pew Center on the States.(2008) “One in 100: Behind Bars in America 2008.” 2Pew Center on the States. (2009)“One in 31: The Long Reach of American Corrections.” 3Spaulding AC, Seals RM, Page MJ, Brzozowski AK, Rhodes W, et al. (2009) “HIV/AIDS among Inmates of and Releases from US Correctional Facilities, 2006: Declining Share of Epidemic but Persistent Public Health Opportunity.” PLoS ONE 4(11): e7558. doi:10.1371/journal.pone.0007558
Two Crises, the Same Communities The link among race, prison and HIV is so strong that it almost completely explains the disproportionate impact of HIV in the Black community.4 4Rucker C. Johnson & Steven Raphael. (2005) “The Effects of Male Incarceration Dynamics on AIDS Infection Rates Among Africa-American Women and Men.” S\ee Also: Robert Fullilove. (2006)“African Americans, Health Disparities and HIV/AIDS: Recommendations for Confronting the Epidemic in Black America.” National Minority AIDS Council.
LegislatingHIV Vulnerability Just as the War on Drugs was gaining speed in the 1980s, the AIDS crisis broke. The same policies that have built mass incarceration in the US have also become primary forces fueling the domestic AIDS epidemic. Kevin Caplicki, Justseeds portfolio ‘Voices from Outside’
Financial Instability Lack of Jobs Loss of Caregivers Broken Family Ties Fractured Communities Fractured Communities Arrest–Jail/Prison–Reentry Need for Services and Support Lack of Social Services Relationship Instability Community Health in a Time of Mass Incarceration
Ready Employment Financial Stability Family Support Family Reintegration Community Wholeness Community Wholeness Arrest – Jail/Prison – Reentry Comprehensive Care and Support Access to Social Services Relationship Stability A Vision for Community Healing
Beyond Prison-BasedTesting, Prevention and Care “We must remember… that incarceration itself —not just inadequate prevention and care behind bars— contributes substantially to the global burden of HIV, particularly among drug users and sex workers. In fact, we would argue that the single most important strategy in controlling HIV in prison isto stem the rate of incarceration itself.”5 5Duncan Smith-Rohrberg Maru, Sanjay Basu, & Frederick L Altice. (2007) "HIV control efforts should directly address incarceration.” The Lancet Infectious Diseases: Vol. 7 No. 9. Nicolas Lampert, Justseeds portfolio ‘Voices from Outside’
Structural Interventions forPreventing HIV and Incarceration • In Communities: • Sentencing reform • Communitypolicing • Prison budget reinvestment • Youth empowerment • At Reentry: • Civic participation • Community-led mentoring • Job creation and retention • Housing expansion • In Jail/Prison: • Harm reduction programs • Treatment education and advocacy • Good time earned time
~thank you~ contact: Laura McTigheCo-Director lmctighe@community-justice.org 215.525-0460 x402 (office)267.205.3998 (cell) www.community-justice.org Pete Yahnke, Justseeds portfolio ‘Voices from Outside’