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The millions of people who cycle through the nation’s criminal justice system every year have higher rates of chronic health problems, substance use, and serious mental illness than the general population. But instead of providing treatment, the country’s overly punitive system often exacerbates these problems.[]Ram Subramanian, Ruth Delaney, Stephen Roberts, et al., Incarceration’s Front Door: The Misuse of Jails in America (New York: Vera Institute of Justice, 2015).

Top Things to Know

  1. Voters elect another cohort of prosecutors committed to justice reform.
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  2. High profile mass shootings bookend the year—and a group of young people says: Enough.
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  3. Violence Against Women Act expires, a casualty of the government shutdown.
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  4. Legislators focus on punishing overprescription—with a nod to prevention.
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  5. Syringe exchange programs open in some jurisdictions, close in others.
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  1. Efforts to establish safe injection facilities face pushback.
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  2. Judge fines Arizona Department of Corrections in ongoing lawsuit about substandard prison health care.
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  3. Texas implements new heat protocols—and agrees to air condition one prison.
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  4. For a new vision of prison, leaders are looking outside the United States.
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  5. Study finds incarcerated people often spend more than they earn at prison commissaries.
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  6. A renewed focus on mental health for police—and the vulnerable populations they encounter.
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  7. Law enforcement leaders wade into debate on gun control.
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  8. America is in the midst of a jail construction boom.
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  9. Deaths in jail continue to make headlines—and suicide is on the rise.
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On Our Radar

  • The federal government pushes for more capital punishment.
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  • Media and nonprofit reports spotlight the widespread sexual abuse of people with disabilities—and offer insights to those trying to prevent it.
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  • Courts consider state, county, and city lawsuits against opioid manufacturers and distributors.
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  • Medication-assisted treatment in corrections facilities shows promising results—and some are suing to obtain it.
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  • Federal programs focus on putting resources where they’re needed most.
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  • Massachusetts passes landmark prison reform bill.
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  • Illinois legislature eliminates health care co-pays for incarcerated people—but governor vetoes measure.
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  • California reviews thousands of marijuana cases for possible expungement.
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  • California adopts strict rules on collecting DNA from children.
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  • New campus sexual assault investigation unit opens in New York.
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Best of 2018