BILL ANALYSIS                                                                                                                                                                                                    







             SENATE COMMITTEE ON public safety
                    Senator John Vasconcellos, Chair  S
                      1997-98 Regular Session         B

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SB 1089 (Lockyer and Rainey)                          9
As amended April 9, 1997 
Hearing date:  May 13, 1997
Penal Code and Welfare and Institutions Code (Urgency)
SH:js

         INTENSIVE SUBSTANCE ABUSE TREATMENT PROGRAMS  

                          HISTORY

Source:Author

Prior Legislation: SB 760 and AB 126 (1996) - in conference  
             at end of session (amendments prepared for  
             conference and discussed included language in  
             this bill; never taken to vote of conference)
                  AB 10 - Chapter 585, Statutes of 1993

Support: Therapeutic Communities, Inc.; California  
Healthcare Association; Sheriff, San Bernardino County

Opposition:None known

(SEE COMMENT 5 FOR RECOMMENDATIONS OF 5/12 SUBCOMMITTEE ON  
PRISON CONSTRUCTION AND OPERATIONS HEARING.)

                               
                         KEY ISSUES
  
SHOULD THE DEPARTMENT OF CORRECTIONS BE REQUIRED TO expand  
the number of beds in state correctional institutions for  
intensive SUBSTANCE abuse treatment using the therapeutic  
community model (aMITY pROGRAM MODEL) by 4,000 beds in  















addition to already authorized beds by January 1, 2002?

                                                 (CONTINUED)




should the department of corrections be required to establish a certification  
criteria for designating a public or private facility as a substance abuse  
treatment facility by July 1, 1998, so that additional offenders may be placed  
in those facilities during the final 12 months of the offender's sentence?

SHOULD RELATED CHANGES BE MADE?


                          PURPOSE

  Under existing law  the Director of the Department of  
Corrections is vested with the supervision, management and  
control of the state prisons and is responsible for the  
care, custody, treatment, training, discipline and  
employment of persons confined in those prisons.  The  
Director may prescribe rules and regulations for the  
administration of the prisons.  (Penal Code Sections 5054  
and 5058)
  
Under existing law  (P.C. Sec. 1203.03), any individual  
convicted of an offense punishable by state imprisonment  
may be diverted to a diagnostic facility of the Department  
of Corrections for examination and treatment of addiction  
as part of his or her sentence.  Similarly, the law  
requires the court to order the examination for treatment  
of any convicted defendant, or individual whose probation  
has been revoked, if it appears that he or she is or may  
become addicted to narcotics, for purposes of determining  
the propriety of commitment to the California  
Rehabilitation Center (W. & I. Code Sec. 3051).
  
Existing law  contains the Substance Abuse Community  
Correctional Treatment Act which is intended to establish  















substance abuse community correctional centers and programs  
to be operated locally in order to implement  
state-of-the-art rehabilitation programs commensurate with  
public safety considerations.  (Penal Code Sections 6240 -  
6247)  

This bill  would codify legislative findings and  
declarations that:

over 70 percent of the state's new commitment admissions to  
  prison have a known history of substance abuse.  Drug  
  charges are a known contributing factor in over 60  
  percent of the parolees returned to prison for parole  
  violations.

the relationship between public safety, recidivism, and  
  substance abuse is undeniable and significant.   
  Additional resources are necessary to intervene with  
  substance abuse and other behaviors that contribute to  
  criminality.

research has demonstrated the effectiveness of intensive  
  drug treatment programs in reducing recidivism of state  
  inmates.  The evaluation of the therapeutic community  
  model of intensive substance abuse treatment has shown a  
  significant reduction in recidivism for participants on  
  parole for one year after release from the Amity  
  Institutional Substance Abuse Treatment Program at the  
  Robert J. Donovan State Prison in San Diego.   
  Return-to-custody data for program participants and a  
  control group as of April 18, 1995, indicated that 26  
  percent of the program subjects with both institutional  
  and community treatment were returned to custody,  
  compared to 43 percent of the participants with in-prison  
  treatment only and 63 percent of the control group.

the provision of an effective model of treatment to the  
  offender population establishes the prospect of future  
  cost savings due to avoided incarceration.  The community  
  treatment services provided to the in-prison program  















  graduates will build on the treatment framework  
  established in the institution and contribute to a  
  greater degree of public safety due to reduced crime and  
  drug-related activity.

  This bill  creates a mandate for new/additional intensive  
substance abuse treatment programs.

  This bill  requires the Department of Corrections to do the  
following:

the Department of Corrections shall establish a  
  certification criteria for designating a public or  
  private facility as a substance abuse treatment facility  
  by July 1, 1998.  The department shall ensure that a  
  certified facility provides a cost-effective and secure  
  environment that minimizes risk to public safety and  
  provides 24-hour supervision of inmates placed in the  
  program.  

the department shall also develop treatment protocols based  
  on the therapeutic community model of intensive substance  
  abuse treatment.

the department shall contract for treatment of inmates in  
  those facilities.

it is legislative intent that the department contract for  
  at least 1,000 beds by July 1, 2001.

the Director of Corrections may place eligible offenders in  
  those facilities, as specified.

those criteria include less than one year remaining of a  
  sentence; a demonstrated history of alcohol/substance  
  abuse, with restrictions based upon such factors as  
  commitment offense and behavior while incarcerated.

the department shall expand the number of beds in state  
  correctional institutions for intensive substance abuse  















  treatment using the therapeutic community model by 4,000  
  beds in addition to already authorized beds by January 1,  
  2002.

the department shall report, as specified, to the Joint  
  Committee on Prison Construction and Operations, no later  
  than March 1, 2002, on the results of these requirements.

This bill also requires the following pertaining to the  
existing Narcotic Addicts Commitment and Treatment program  
in the Welfare and Institutions Code:

provides that a judge in a superior court  may  suspend,  
  rather than  shall  suspend, an order that a defendant be  
  sent to state prison, if the judge finds that the  
  defendant may be addicted to narcotics or may be in  
  imminent danger of becoming addicted to narcotics.

adds as an option for confinement in the intensive  
  substance abuse treatment programs created by this bill.

limits such confinement unless all of the following apply:

        (1)  The defendant has a pattern of habitual  
           nonviolent criminality related to substance  
           abuse and addiction.
        (2)  The defendant previously has been referred to  
           a community-based substance abuse treatment  
           program, but has failed to complete or benefit  
           from that treatment.
        (3)  The defendant would benefit from custodial  
           treatment.
        (4)  The defendant's current conviction is not for  
           a violent crime, as specified, and the defendant  
           does not have a prior conviction for a violent  
           crime

  This bill  requires the department to expand the number of  
beds in the intensive substance abuse treatment program by  
an additional 3,000 beds by January 1, 2002 (in a new W. &  















I. Code Section 3051.5).

  The purpose  of this bill is to expand the use of intensive  
substance abuse treatment programs based upon the  
therapeutic community model for persons confined in the  
Department of Corrections, as specified.

















































                          COMMENTS


1.   Need for This Bill  

The author's office has provided the following background:

     Over 70 percent of the state's prisoners have a  
     history of substance abuse.  The failure to provide  
     effective drug treatment while inmates are in prison  
     jeopardizes public safety when they are released and  
     increases recidivism.  Research has proven that  
     intensive drug treatment programs can reduce  
     recidivism by more than 50%.  By investing additional  
     resources to expand existing programs that work,  
     recidivism can be reduced.  This could avoid the need  
     for 8,000 beds by the year 2002-2003.

     Institutional Treatment and Community After Care.   
       Expand existing program use therapeutic community  
       model of intensive treatment (Amity program model).   
       Existing program would expand by 4,000 beds over 5  
       years.  First year cost:  $3.6 million. 

     Intensive Substance Abuse Treatment Program for  
       Judicial Commitments.  Expand existing program,  
       which uses the therapeutic community model of  
       intensive treatment, by 3,000 beds over 5 years.   
       Judges would determine inmate eligibility for the  
       program.  Second and third strikers would be  
       excluded.  Inmates in this program could also be  
       placed in locked, community drug treatment  
       facilities with 24 hour supervision.  First year  
       cost:  $2.7 million. 

     Community Based Treatment Facilities.  State would  
       contract with community based facilities for  
       intensive drug treatment using the therapeutic  
       community model.  Placement in a 24 hour supervised  
       locked facility would be in lieu of state prison  















       housing for the final 12 months of an offenders  
       sentence.  In addition to savings related to reduced  
       recidivism, this would free up state prison beds.  

2.   Department of Corrections and Substance Abuse Treatment  
Expansion  

The department is opening a 1,500 bed substance abuse  
treatment facility at Corcoran II in August of this year.   
That facility has a 4-bed dorm configuration.   

Discussions during the last session pertaining to the  
conference on SB 760/AB 126 involved proposals to develop  
additional substance abuse capacity for state prison  
inmates.  Integral to that discussion was the number of  
beds which could feasibly be developed within a given  
period of time.  The Amity/therapeutic community model of  
intensive treatment involves a "community" which requires  
some period of time to develop in a facility as well as a  
community for post-release support.

Questions raised about the implementation of this bill are  
likely to involve whether or not the number of beds in  
facilities can be created within the timeframes set by the  
bill; whether or not post-release support communities may  
be developed in those timeframes; whether or not the  
inter-related approach proposed by this bill may be  
implemented without any negative impact upon any of the  
three programs; and whether or not the proposed expansion  
to private and public contracting facilities may be  
implemented?

Presumably these and other issues will be discussed as the  
year progresses and after the CDC adopts a formal position  
with suggestions for amendments to this bill.

3.   Cross-Reference in This Bill to SB 295 - Proposed New  
Penal Code Section 19.3  

This bill contains restrictions on the transfer of inmates  















to the public or private substance abuse treatment programs  
which the CDC will designate in the bill.  For example, no  
person who has ever been convicted of a violent felony may  
be transferred to those programs.   Nor may the person have  
been convicted of "any felony listed in subdivision (e) of  
Section 19.3" of the Penal Code  .  

There is currently no such section of the Penal Code.   
However, SB 295 (Rainey and Lockyer) which is viewed by the  
authors' as paired with this bill does propose a new Penal  
Code Section 19.3.

At some point, it may be appropriate to either add the  
identical proposed new Penal Code Section 19.3 to this bill  
or to make the bills contingent upon each other.  That  
amendment may not be necessary at this time, although it  
would appear that anyone reading this bill may otherwise be  
confused by the cross-reference to Penal Code Section 19.3.

4.   Additional Related Legislation  




































AB 875 (Takasugi) modifies the community correctional  
center statutes and adds new authorization for the Director  
of Corrections to "contract for the establishment and  
operation of community correctional facilities that offer  
programs for the treatment of addiction to alcohol or  
controlled substances based on the therapeutic community  
model, only if the cost per inmate of operating the  
facilities will be less than the cost per inmate of  
incarcerating inmates in a state correctional facility."   
That bill is currently in this Committee without a hearing  
date set. 











































5.   Recommendation of Subcommittee

  On May 12, 1997, the Subcommittee recommended "Do Pass and  
Rerefer to the Committee on Appropriations" 4-0.



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