<DOC> [109 Senate Hearings] [From the U.S. Government Printing Office via GPO Access] [DOCID: f:30255.wais] S. Hrg. 109-608 THE FINDINGS AND RECOMMENDATIONS OF THE COMMISSION ON SAFETY AND ABUSE IN AMERICA'S PRISONS ======================================================================= HEARING before the SUBCOMMITTEE ON CORRECTIONS AND REHABILITATION of the COMMITTEE ON THE JUDICIARY UNITED STATES SENATE ONE HUNDRED NINTH CONGRESS SECOND SESSION __________ June 8, 2006 __________ Serial No. J-109-83 __________ Printed for the use of the Committee on the Judiciary U.S. GOVERNMENT PRINTING OFFICE 30-255 WASHINGTON : 2006 _____________________________________________________________________________ For Sale by the Superintendent of Documents, U.S. Government Printing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512-1800; (202) 512ÿ091800 Fax: (202) 512ÿ092250 Mail: Stop SSOP, Washington, DC 20402ÿ090001 COMMITTEE ON THE JUDICIARY ARLEN SPECTER, Pennsylvania, Chairman ORRIN G. HATCH, Utah PATRICK J. LEAHY, Vermont CHARLES E. GRASSLEY, Iowa EDWARD M. KENNEDY, Massachusetts JON KYL, Arizona JOSEPH R. BIDEN, Jr., Delaware MIKE DeWINE, Ohio HERBERT KOHL, Wisconsin JEFF SESSIONS, Alabama DIANNE FEINSTEIN, California LINDSEY O. GRAHAM, South Carolina RUSSELL D. FEINGOLD, Wisconsin JOHN CORNYN, Texas CHARLES E. SCHUMER, New York SAM BROWNBACK, Kansas RICHARD J. DURBIN, Illinois TOM COBURN, Oklahoma Michael O'Neill, Chief Counsel and Staff Director Bruce A. Cohen, Democratic Chief Counsel and Staff Director ------ Subcommittee on Corrections and Rehabilitation TOM COBURN, Oklahoma, Chairman ARLEN SPECTER, Pennsylvania RICHARD J. DURBIN, Illinois JEFF SESSIONS, Alabama PATRICK J. LEAHY, Vermont JOHN CORNYN, Texas JOSEPH R. BIDEN, Jr., Delaware SAM BROWNBACK, Kansas RUSSELL D. FEINGOLD, Wisconsin Mary Chesser, Majority Chief Counsel Mark Keam, Democratic Chief Counsel C O N T E N T S ---------- STATEMENTS OF COMMITTEE MEMBERS Page Coburn, Hon. Tom, a U.S. Senator from the State of Oklahoma...... 1 Durbin, Hon. Richard J. a U.S. Senator from the State of Utah.... 2 prepared statement........................................... 51 Feingold, Hon. Russell D. Feingold, a U.S. Senator from the State of Wisconsin, prepared statement............................... 53 Leahy, Hon. Patrick J., a U.S. Senator from State of Vermont, prepared statement............................................. 72 WITNESSES Gibbons, John J., Commission Co-Chairman, and former Chief Judge, U.S. Court of Appeals for the Third Circuit, Newark, New Jersey 12 Katzenbach, Nicholas de B., Commission Co-Chairman, and former U.S. Attorney General, Princeton, New Jersey................... 7 Maynard, Gary D., Commissioner, and Director, Iowa Department of Corrections, and President-Elect, American Correctional Association, Des Moines, Iowa.................................. 10 Morial, Marc H., Commissioner, and President and Chief Executive Officer, National Urban League, former Mayor of New Orleans, and former Louisiana State Senator, New York, New York......... 5 Nolan, Pat, Commissioner, and President, Prison Fellowship's Justice Fellowship, and Member, Prison Rape Elimination Commission, Lansdowne, Virginia................................ 8 QUESTIONS AND ANSWERS Responses of Nicholas Katzenbach to questions submitted by Senator Coburn................................................. 24 Responses of John J. Gibbons to questions submitted by Senator Coburn......................................................... 28 Responses of Gary Maynard to questions submitted by Senator Coburn......................................................... 33 Responses of Marc Morial to questions submitted by Senator Coburn 38 Responses of Pat Nolan to questions submitted by Senator Coburn.. 40 Responses of John J. Gibbons, Nicholas Katzenbach, Gary Maynard, Marc Morial, and Pat Nolan to questions submitted by Senator Feingold....................................................... 42 Responses of Gary Maynard and Pat Nolan to questions submitted by Senator Kennedy................................................ 47 SUBMISSIONS FOR THE RECORD Gibbons, John J., Commission Co-Chairman, and former Chief Judge, U.S. Court of Appeals for the Third Circuit, Newark, New Jersey, statement.............................................. 54 Horn, Martin F., Commissioner, New York City Department of Correction, New York, New York, statement and attachments...... 56 Katzenbach, Nicholas de B., Commission Co-Chairman, and former U.S. Attorney General, Princeton, New Jersey, statement........ 70 Maynard, Gary D., Commissioner, and Director, Iowa Department of Corrections, and President-Elect, American Correctional Association, Des Moines, Iowa, statement....................... 74 Morial, Marc H., Commissioner, and President and Chief Executive Officer, National Urban League, former Mayor of New Orleans, and former Louisiana State Senator, New York, New York, statement...................................................... 76 New York Post, David Seifman, December 21, 2004, article......... 78 New York Times, Paul von Zielbauer, August 22, 2003, article..... 79 Nolan, Pat, Commissioner, and President, Prison Fellowship's Justice Fellowship, and Member, Prison Rape Elimination Commission, Lansdowne, Virginia, statement..................... 80 THE FINDINGS AND RECOMMENDATIONS OF THE COMMISSION ON SAFETY AND ABUSE IN AMERICA'S PRISONS ---------- TH URSDAY, JUNE 8, 2006 U.S. Senate, Subcommittee on Corrections and Rehabilitation, Committee on the Judiciary, Washington, D.C. The Subcommittee met, pursuant to notice, at 3:01 p.m., in room SD-226, Dirksen Senate Office Building, Hon. Tom Coburn, Chairman of the Subcommittee, presiding. Present: Senators Coburn and Durbin. OPENING STATEMENT OF HON. TOM COBURN, A U.S. SENATOR FROM THE STATE OF OKLAHOMA Chairman Coburn. The Committee will come to order. We do have one more vote, and what we will do is I am going to start with an opening statement. Senator Durbin is still on the floor. What I will do is adjourn the hearing after my opening statement. We will have gotten that out of the way. When we finish this next vote, which is supposed to be at 3:15, then we will get rolling. First of all, I want to thank all our witnesses for being here and testifying and the effort that they have put forward. I will not read my statement into the record but, rather, make it a part of it. As a practicing physician, one of the things that I know is what happens in prison affects all of us. It affects us on the outside because the vast majority of people that experience incarceration are back among us. And if that is a positive process, it is great. If it is a negative process, it is terrible. And so the idea that we have a discussion about what is good and what is bad is very important for this country. The second thing I know is that this country has to make a major change in how it treats drug-addicted felons, non- violent. The fact is we know with good treatment two out of every three people who go through a good, qualified drug treatment program will be free and stay free of dependency. That is not a strong characteristic of many of our prisons today throughout the country, and it is something that, if we really want to make a difference in people's lives, we have to address. Another wonderful thing about that is when we do that, we each save ourselves money because the cost of drug treatment and incarceration, separate from regular incarceration, is about one-half to two-thirds the cost of regular incarceration. So it is my hope that this is the start of a discussion. I am very appreciative to the Commission for their hard work. We are not going to take everything at face value. We are going to look at this hard. And I know Senator Durbin is of the same mind to look at it and to make recommendations. This will not be the only hearing that we will have on this subject, and I am sorry that we are having a hearing at this late date. But it is, nevertheless, very important, with 2 million people incarcerated in this country. Some of them are our family members. Some of them are people that we love. Some are people that we know of. Some made bad choices. Some continue to make bad choices. The final thing I would say is mental health and mental illness is a significant component of a large number of people in our prison system today. Mental health parity outside of prison is something that has to happen in this country because I believe we could forego lots of the incarcerations if, in fact, we treated mental health illness as we treat every other illness in this country. So I am a strong advocate of that, and I believe that we can accomplish a lot in terms of prevention in the future for those that could be incarcerated, as well as better, more up-to-date scientific treatment for those that are incarcerated today. With that, I will end my statement. Have they called the vote? They have not, have they? And I would ask your forbearance until Senator Durbin gets here. This just happened today. I apologize. I know there are a lot of people in the room, but I think we have to hold up. I do not want your statements prior to Senator Durbin being here, if you would. And we will adjourn until after the 3:15 vote. So relax. [Recess 3:05 p.m. to 3:10 p.m.] Chairman Coburn. The Committee will reconvene. It gives me great pleasure to recognize my co-Chairman on this Subcommittee, Senator Durbin from Illinois. I have made an opening statement. I would recognize you at this time. STATEMENT OF HON. RICHARD J. DURBIN, A U.S. SENATOR FROM THE STATE OF ILLINOIS Senator Durbin. Thank you very much, Mr. Chairman, and it is an honor to be a co-Chairman, which does not happen often around here. I am honored that you would give me that opportunity. I am pleased to have this opportunity to work with you on the Corrections and Rehabilitation Subcommittee. This is a first for this Subcommittee and this Congress. It is an important hearing about a subject we rarely discuss on Capitol Hill. Most of us in Congress and most Americans do not spend a lot of time thinking about the conditions in the prisons across our Nation, but we should. We should because, in the words of the Commission on Safety and Abuse in America's Prisons, ``What happens inside jails and prisons does not stay inside jails and prisons. The conditions in our jails and prisons directly affect millions of Americans who are incarcerated or work in the corrections system. They are also indirectly affecting family members, relatives, and friends. They affect the public safety and the public health of America.'' As the Russian author Fyodor Dostoyevsky once reflected, ``The degree of civilization in a society can be judged by entering its prisons.'' I would like to welcome the members of the Commission who will be presenting their report at this hearing. It reminds us that we need to judge our civilization from time to time--and this Commission did so--by entering our prison system. The Commission spent a year listening to experts across the Nation and from all viewpoints, covering many aspects of this complex world of corrections. Now they have laid down a challenge to all of us: to take a hard look at what is going on in our prisons. Most of us take the trash out and put it in the alley. I do at my home in Springfield. I do not want to know what happens from that point. I just want to know that after the truck leaves, the cans are empty and ready for more. We have to view our prison and incarceration system much differently. People who are removed from our neighborhoods and our towns and society because of wrongdoing are coming back. Most of them will return. And what will they return to? Will they return to a productive and different life or to the same mistakes that led to their initial incarceration? Some say that part of the punishment is to deny them the most basics--whether it is education, mental health counseling, whatever it may be--efforts to remove their addictions. And yet we know that if we do not deal with some of these fundamentals, they are likely to return to prison. But something else is likely to occur, too. There is likely to be another crime committed before that happens, another victim before that happens. And so it is penny-wise and pound-foolish not to really look at those in prison as people likely to someday be free and likely to someday be in our neighborhoods and towns again. I am glad Illinois has made prison reform a high priority. I want to thank our Governor, Rod Blagojevich, for several innovative programs that he started, such as the creation of the Model Meth Prison and Reentry Program. We could spend a whole hearing on meth and what it means to my State and what it means in terms of incarceration. This new unit, which is going to be funded from Federal and State sources, is modeled after other successful programs and many other innovations. Mr. Chairman, in the interest of time, because the witnesses have been patient, I would like to ask that the remainder of my statement be made a matter of record. Chairman Coburn. Without objection. Thank you, Senator Durbin. [The prepared statement of Senator Durbin appears as a submission for the record.] Chairman Coburn. Let me introduce our panelists, if I might. The Honorable John Gibbons is Director of Gibbons, Del Deo, Dolan, Griffinger & Vecchione, a member of the firm's litigation department and head of its alternative dispute resolution group and founder of the Gibbons Fellowship in Public Interest and Constitutional Law. He was formerly Chief Judge of the U.S. Court of Appeals, Third Circuit, and a member of that court for 20 years. He has authored approximately 800 published opinions. He was also formerly a professor of constitutional law and other subjects at Seton Hall University Law School. He is Past President of the New Jersey State Bar Association, a life member of the American Law Institute, and a fellow of the American Bar Association. He is a former member of the House of Delegates of the American Bar Association and former Chair of its Committee on Fair Trial and Free Press, and also a former Director of the American Arbitration Association. He is also Trustee Emeritus of the Practicing Law Institute, a Trustee Emeritus of Holy Cross College, and a Trustee of the Fund for New Jersey. Welcome. Nicholas Katzenbach we have known for a long time. A distinguished career of public service began when he joined the United States Army Air Force. During the Second World War, he was captured by enemy troops and spent 2 years as a prisoner of war in Italy and Germany. After the war, he attended Princeton University and then Yale Law School, becoming editor-in-chief of the Yale Law Journal. He also received a Rhodes scholarship and studied at Oxford University for 2 years. Early in his legal career, he was Associate Professor of Law at Yale University and also Professor of Law at the University of Chicago. He joined the U.S. Justice Department's Office of Legal Counsel and was promoted to Deputy Attorney General in April 1962. In that role, and working closely with President Kennedy, he was responsible for securing the release of prisoners captured during the Bay of Pigs raid on Cuba. He also oversaw the Justice Department's efforts to desegregate the University of Mississippi in September 1962 and the University of Alabama in June 1963, and worked with Congress to ensure the passage of the 1964 civil rights legislation. President Johnson appointed him Attorney General of the United States in 1965, and he helped to draft the 1965 Voting Rights Act. He then appointed him Under Secretary of State and one of a three- member commission charged with reviewing Central Intelligence activities. He also chaired the 1967 Commission on Crime in the United States. After President Johnson decided not to run for re- election, Mr. Katzenbach became General Counsel of the IBM Corporation, where he remained until 1986. He is currently Non- Executive Chairman of the MCI Board of Directors. Gary Maynard I am familiar with. I appreciate him being here. He is an Oklahoma native. He is Director of the Iowa Department of Corrections and President-Elect of the American Correctional Association. He has worked for more than 34 years in the field of corrections, beginning his career as a psychologist in El Reno Federal Reformatory in Oklahoma. Before assuming his position in Iowa, Gary Maynard held similar positions in the Oklahoma, Arkansas, and South Carolina corrections systems. He received the Courage and Valor Award from the Oklahoma Department of Corrections and the Roy Wilkens Award from the NAACP. For 32 years, he was a member of the Army National Guard, retiring as Brigadier General. In the course of his service, he received the Legion of Merit from the United States Army and is a member of the Hall of Fame of the U.S. Army Artillery and Missile Officer Candidate School in Fort Sill, Oklahoma. He has a master's in psychology from Oklahoma State University. I am an alumnus of that university as well. Mr. Marc Morial is President and CEO of the National Urban League, a position he has held since May 2003. Before becoming head of the Urban League, he served two distinguished 4-year terms as the mayor of New Orleans, becoming one of the most popular and effective mayors in the city's history. Under his leadership, crime plummeted by 60 percent, the police department was reformed, new programs for youth were begun, and stagnant economy was re- energized. During that time, he also served as President of the United States Conference of Mayors in 2001 and 2002. Prior to becoming mayor of New Orleans, he served for 2 years in the Louisiana State Senate, where he was recognized as ``Conservationist Senator of the Year,'' ``Education Senator of the Year,'' and ``Legislative Rookie of the Year''--that is not an honor I am going to get here, I don't think--for his outstanding accomplishments. [Laughter.] Chairman Coburn. He has a J.D. from Georgetown University Law Center and an Honorary Doctor of Laws degree from Xavier University. Pat Nolan is a friend, well-known to me for a long time. He is President of Justice Fellowship, the reform- oriented criminal justice arm of Prison Fellowship Ministries. He is the author of ``When Prisoners Return,'' which describes the important role the church can play in helping prisoners get back on their feet after they are released. His opinion pieces have appeared in numerous periodicals, including the Los Angeles Times, the National Law Journal, and the Washington Times. He is a much sought after speaker on issues of justice and faith. He was selected by Governor Geringer of Wyoming to be the speaker at his annual prayer breakfast in 2002, and he has testified on several occasions before Congressional committees on prison work programs, juvenile justice, and religious freedom. Earlier in his life, Pat spent 15 years in the California State Assembly, 4 of those as the Assembly Republican Leader. He was a leader on crime issues, particularly on behalf of victims' rights, and was an original cosponsor of the Victims' Bill of Rights. He was given the Victims Advocate Award by Parents of Murdered Children and named Legislator of the Year in part for his work on behalf of Vietnam veterans. Then as part of an FBI sting operation, he was prosecuted for a campaign contribution he received and pled guilty to one count of racketeering. He served 25 months in Federal prison and 4 months in a halfway house, and that experience changed the course of his life work forever. Let me welcome you all, and do you have an order that you want to talk? I think, Marc Morial, I would love--since you have a time constraint, I believe if we would allow you to go first, and then followed by Attorney General Katzenbach. We just want to accommodate you to make sure that you make that flight. Mr. Morial. Train. Chairman Coburn. Train. Mr. Morial. Go Amtrak. STATEMENT OF MARC H. MORIAL, COMMISSIONER, AND PRESIDENT AND CHIEF EXECUTIVE OFFICER, NATIONAL URBAN LEAGUE, FORMER MAYOR OF NEW ORLEANS, AND FORMER LOUISIANA STATE SENATOR, NEW YORK, NEW YORK Mr. Morial. First of all, let me thank you. Chairman Coburn. Is your mike on, Mr. Morial? Punch the button on it. Is it on? OK. There we go. Mr. Morial. Let me thank you, Chairman Coburn and Senator Durbin. I want to thank you for the opportunity to testify today, and it has been a great pleasure to be a part of this very important process. Corrections is a tough profession and a poorly understood one. Corrections officers often work long shifts in tense, overcrowded facilities, without enough backup, support, or training--stressful conditions that take a toll on them personally as well as professionally. Many wardens run aging, understaffed, and outdated facilities and deal with a work force which experienced officers are likely to leave the profession for better paying, less stressful jobs just when they are ready to become good mentors to new recruits. And those who manage entire systems deal with ever-growing numbers of prisoners, comparatively fewer resources, and, indeed, for all of their hard work, corrections professionals receive very little positive recognition. These pressures on the labor and leadership of our prisons and jails cause stress, injury, and illness among the work force and contribute to a dangerous, very dangerous culture inside. Because the exercise of power is an important part of the job of a corrections officer, it is natural that in situations where officers are under stress, inexperienced, and undertrained they will be more inclined to abuse that power. In facilities where the culture has devolved, rules are not enforced, prisoner-on-prisoner violence is tolerated, and antagonistic relationships between prisoners and officers often erupt into overt hostility and physical violence. In many places, this kind of tension is exacerbated by racial and cultural differences between prisoners and the staff. This conflict and violence not only harms staff and prisoners, but the families and communities that officers and prisoners return home to as well. In the 1960's, my home State of Louisiana, by the State Department of Corrections' own admission, gained a reputation for running ``America's bloodiest prison,'' Angola, the maximum security prison in Louisiana. I do not know which prison today carries that distinction, but I can say with some confidence that it is no longer Angola State Penitentiary in Louisiana. Reforms there began decades ago, but the most dramatic changes were accomplished over the course of the last 10 years when the fundamental institutional culture of the prison was profoundly transformed. Prisoners at Angola are treated with dignity and respect by everyone who works in that facility, and the prisoners are equally expected to treat staff that way. Prisoners have been given hope through education and morally centered programming and responsibility through meaningful employment. And the fair and reliable enforcement of the rules for both prisoners and staff means--and I underscore this--less violence. Prisons that add punishment on top of the sentence-- those that are run in ways that stamp out hope and kill the spirit of people--will be violent places. In contrast, prisons that reward the best in those who are incarcerated, institutions that treat prisoners with basic human dignity and respect, are much more likely to be places where violence and abuse are the rare exception and not the rule. Institutional ``culture change'' may sound like a soft approach to combating violence behind bars, but this Commission heard overwhelmingly that when one changes the culture, one changes the entire institution. There are clear, concrete steps that every institution can take, and many are taking them, to create a safer environment for both prisoners and staff. Congress can support the National Institute of Corrections, Institutional Culture Initiative that is currently providing prison and jail managers with tools and training to change the culture of their institutions. But the NIC cannot do it alone. Managers and wardens need support at the local, State, and Federal level to be able to make change over time, and they need the resources to hire a qualified and diverse staff. Officers need training that emphasizes ways to resolve conflict without force and communication skills--particularly the ability to communicate across cultural, racial, and now language differences, which are so common in many facilities across this Nation. These are just some of the very important recommendations of this Commission. I hope that today's hearing does not represent the end of this Commission's work or the end of this Congress' attention to this matter but, rather, the beginning as we talk about and we seek to find ways to advance the important recommendations contained in this report. Thank you. [The prepared statement of Mr. Morial appears as a submission for the record.] Chairman Coburn. Thank you, Mr. Morial. General Katzenbach? STATEMENT OF NICHOLAS DE B. KATZENBACH, COMMISSION CO-CHAIRMAN, AND FORMER U.S. ATTORNEY GENERAL, PRINCETON, NEW JERSEY Mr. Katzenbach. Mr. Chairman, Senator Durbin, it is a real pleasure to be back before this Committee after all these years. Although its personnel has changed, it is a wonderful Committee. I would not want you to think that my interest in prisons is new. As Attorney General I brought before this Committee proposals later enacted into law to ease prisoner reentry into society and got bipartisan support for their enactment. Indeed, I remember perhaps the strongest advocate for the attention to the problems of prisons at that time and to their personnel was a conservative Republican from Nebraska, Senator Roman Hruska. It was not then a partisan issue, and in my view it need not be today. My co-Chair--Judge John Gibbons, a lifelong Republican-- agrees. My own interest did not begin with my time in the Justice Department. During World War II, I spent 27 months in Italian and German prison camps, and while that experience is very different from being in prison as a result of criminal activities and convictions, there are some similarities. You know, until one really experiences it, I think it is hard to appreciate what the loss of freedom entails: boredom, frustration, the tedium of idleness, the fear of the unknown that one cannot control. Most importantly, the need for enforceable standards and independent oversight of prison conditions--in that case through the Geneva Convention and the Swiss Government--cannot be overstated. When I was in the Department and chaired the Crime Commission, there were about 200,000 persons in prison. Now there are more than 10 times that many, and that is just on any given day. Over the course of a year, the number of Americans who spend some time in jail or prison exceeds 13.5 million. We spend more than $60 billion annually on corrections, but problems of public safety and public health persist. The Commission chose to focus on problems of safety and abuse, both within prisons--the safety of both prison officials and prisoners and the abuse of prisoners by guards and by other prisoners--and outside prisons, especially in the surrounding communities where prison officials live and those communities to which prisoners return. When people live and work in facilities that are unsafe, unhealthy, unproductive, or inhumane, they carry those effects home with them. Over the past year, we investigated these problems by listening to corrections officials, criminal justice experts, medical experts, lawyers who litigate for improved conditions, court-appointed monitors, and prisoners themselves. We found a surprising amount of agreement among these groups as to the nature of the problems and as to how they might be solved. For all the hard work of corrections officials--most of which the public never hears about--there is still too much violence in prisons and jails, far too little medical care, a culture which too often pits officers against prisoners and prisoners against each other, and far too little support for the men and women who work in the tiers and pods and for those who run facilities and entire systems. It is not only wrong, but it is incredibly shortsighted not to talk honestly about what is going on behind bars and whether our approach to incarceration serves our country's best interests. Our failure to do so puts at ever- increasing danger the health, safety, and well-being of all of us. What has personally given me the greatest pleasure and satisfaction has been the fact that a Commission of 20 persons from differing backgrounds, experiences, and political preferences could agree on so many recommendations to deal with problems of safety and health and fair treatment. Thank you, Mr. Chairman. [The prepared statement of Mr. Katzenbach. appears as a submission for the record.] Chairman Coburn. Thank you, General. Pat? Mr. Nolan? STATEMENT OF PAT NOLAN, COMMISSIONER, AND PRESIDENT, PRISON FELLOWSHIP'S JUSTICE FELLOWSHIP, AND MEMBER, PRISON RAPE ELIMINATION COMMISSION, LANSDOWNE, VIRGINIA Mr. Nolan. Good afternoon, Mr. Chairman and Senator Durbin. Chairman Coburn. Good afternoon. Your mike is not on. Would you mind punching that little button? There we go. Mr. Nolan. Good afternoon, Mr. Chairman and Senator Durbin. I am Vice President of Prison Fellowship and the President of their criminal justice reform arm, Justice Fellowship. In addition to serving on this Commission, I am also Speaker Hastert's appointee to the Prison Rape Elimination Commission. I bring a unique background to this work. As the Chairman mentioned, I served for 15 years as a member of the California State Assembly, 4 of those as Assembly Republican Leader. I was prosecuted for a campaign contribution that I accepted, which turned out to be part of an FBI sting. I pleaded guilty to one count of racketeering and served 29 months in Federal custody. The best way to describe being imprisoned is that I felt like an amputee. I was cutoff from my friends, my family, my work, my church, and my community. And then, with my stumps still bleeding, I was tossed into a roiling cauldron of anger, bitterness, despair, and often violence. In prison, inmates are completely defenseless. They are deprived of the usual ways we protect ourselves. They do not choose here to sleep or live, they have no choice of their companions, they cannot avoid going in dark places, and they are prohibited from arming themselves for self- defense. Because prisoners are deprived of the ability to defend themselves, the Government has a responsibility to protect them from violence and harm. No sentence, no matter how terrible the crime, includes being threatened, beaten, or raped while in the custody of the Government. Sadly, many prisons fail in their responsibility to protect their inmates and staff from violence. At the Commission's hearings around the country, we heard many accounts of violence and abuse behind bars. These were reports not just from prisoners and their families, but from line officers and correctional administrators as well. But, on the other hand, we also heard many accounts of many facilities where prisoners and staff are healthy and safe. Plainly, there are practices and policies that make for safer prisons. The clear consensus among the experts is that to prevent violence in prison we must: reduce crowding; increase access to meaningful programs and activities; encourage a climate of mutual respect between inmates and staff; increase the transparency of the institutions by increasing accessibility to outside agencies and volunteers; identify at-risk prisoners and predators, and classify them accordingly, and separate them; make better use of surveillance technology; and strengthen family relationships by placing inmates close to their families, encouraging family visits, and lowering the cost of phone calls. How do we hold administrators of institutions plagued by violence accountable for adopting the reforms that are proven to make prisons so much safer? One important way Congress can help is to develop a uniform system for collecting data on violence in prison. Currently, there is no way to track the number of assaults by prisoners on other prisoners, by prisoners against staff, or the use of excessive force by corrections officers. This prevents us from comparing levels of violence in different facilities and systems around the country, or tracking trends over time. For instance, in the year 2000, one State with 36,000 prisoners reported just 17 assaults. Three States reported zero assaults among prisoners statewide. Zero. Now, that just is not credible. And we are confronting this same issue of the lack of credible statistics on the Prison Rape Elimination Commission. Without accurate numbers we cannot hold prison administrators accountable for the safety of their staff or inmates. We end up fighting over anecdotes--pitting good stories against bad ones. More importantly, it means that successful corrections leaders are not recognized and rewarded, and that dangerous institutions do not get the attention and the reform that they so desperately need. Corrections administrators need accurate information to monitor safety, and the public needs it to hold them accountable. Thank you. [The prepared statement of Mr. Nolan appears as a submission for the record.] Chairman Coburn. Thank you, Mr. Nolan. Mr. Maynard, on behalf of Senator Grassley, he had every intention of being here and had a schedule change at the last moment, so I am offering you his regrets for not being here, and you are recognized for 5 minutes. STATEMENT OF GARY D. MAYNARD, COMMISSIONER, AND DIRECTOR, IOWA DEPARTMENT OF CORRECTIONS, AND PRESIDENT-ELECT, AMERICAN CORRECTIONAL ASSOCIATION, DES MOINES, IOWA Mr. Maynard. Thank you, Mr. Chairman, Senator Durbin. I am the Director of the Iowa Department of Corrections and President-Elect of the American Correctional Association, but I am not speaking for those organizations today. I am here speaking as a member of this Commission. I want to discuss the medical and mental health issues in our prisons and jails and bring to your attention the reality I see in facilities across the country. We know how to secure prisoners behind walls, but the physical and mental health problems they bring with them are not so easily secured. These health problems quickly become problems for corrections officers, for other prisoners, and for surrounding communities. And the burden of solving these problems cannot rest solely with State and local correctional agencies. Prisoners are probably the least healthy group of Americans. They are ill with some of the most destructive diseases--ranging from diabetes to HIV, hepatitis C, and tuberculosis--and at far higher rates than other Americans. Every year, as many as a million and a half people are released from jail and prison to our communities carrying a potentially life-threatening infectious disease. In California, a Federal judge recently appointed a receiver to run the prison medical system after learning that every 6 or 7 days a prisoner dies unnecessarily from inadequate medical care. And correctional facilities are filled with people who have a mental illness. At least 16 percent, or 350,000, and maybe twice that number, are mentally ill. You have heard it said many times over because it is true: prisons and jails have become America's de facto psychiatric hospitals. I am not here to tell you that the mentally ill prisoners should not be held accountable. I am just saying that prisons and jails--try as we might--are not good places to help people cope with or recover from serious mental illness. In facilities around the country today, we are struggling to deal effectively with mentally ill prisoners. And we are releasing mentally ill prisoners without the necessary supply of medications and without any clear pathway to treatment. That threatens public safety and almost guarantees that those individuals will fail, commit new crimes, and reincarcerated. These are difficult problems, but they are not without solutions. We need real partnerships between correctional agencies, departments of public health, and health care providers working in the community. The health care challenges in prisons and jails are public health problems, and they demand public health solutions. We have come to a point where the doctors in some prisons and jails practice under licenses that restrict their work to correctional settings. They would not be permitted to provide care to you or me. Congress should find ways to encourage public health partnerships because they have been demonstrated to work and help correctional facilities hire only fully qualified medical staff. When we must incarcerate someone who is mentally ill, we need properly trained and caring staff to treat the person's illness. And we must avoid isolating mentally ill prisoners in high-security segregation units where their mental state deteriorates and their suffering increases. Money alone will not guarantee these crucial reforms, but without adequate funding for correctional health care, we have no hope for real change. Some correctional systems ration services by requiring prisoners to pay to see a nurse or doctor. Correctional systems that require medical co- pays by prisoners risk the spread of disease and the potentially high cost of delaying necessary care in exchange for a small cost savings. The Federal Government, along with State and local governments, should end the use of medical co-pays in correctional facilities. It will take tremendous political will to make that change, and the shift is much more likely to occur if we can also increase the financial resources available to States to pay for medical care in prisons and jails. One of the most important contributions Congress can make to improve the public health of this country is by changing Federal law so that correctional health care providers--just like every other public health care provider--can be reimbursed by Medicaid and Medicare. If I ran a public hospital system rather than a correctional health system, my facilities would be entitled to Federal reimbursement for the medical and mental health care we provide to persons who are low-income or elderly. The public health depends on seeing prisons and jails as part of the public health system. Medicaid reimbursement is a key part of that system. We have a responsibility to provide decent health care to people who are not free to seek medical care on their own. In conclusion, in over 30 years of working in corrections, this opportunity to participate with the Commission on Safety and Abuse in America's Prisons has been the best opportunity for others and me in my profession to have a public voice, and we thank you. [The prepared statement of Mr. Maynard appears as a submission for the record.] Chairman Coburn. Thank you, Mr. Maynard. Judge Gibbons, welcome. I have seen a lot of you lately at different hearings. Welcome. Please share with us, if you would. STATEMENT OF HON. JOHN J. GIBBONS, COMMISSION CO- CHAIRMAN, AND FORMER CHIEF JUDGE, U.S. COURT OF APPEALS FOR THE THIRD CIRCUIT, NEWARK, NEW JERSEY Judge Gibbons. Chairman Coburn and Senator Durbin, I would like to-- Chairman Coburn. Turn your mike on. Judge Gibbons. I would like to first apologize for my health problem. I am coughing. Is it on? Chairman Coburn. Now it is. Thank you. Judge Gibbons. I would like to reiterate what General Katzenbach said at the outset of this hearing: ensuring safe and humane and productive prisons and jails is not, and must not be, a partisan matter. Witness after witness before our Commission spoke of the closed nature of prisons and jails and the danger to the health and safety of all of us when there is insufficient oversight. A former prison warden told us: ``When we are not held accountable, the culture inside the prison becomes a place that is so foreign to the culture of the real world that we develop our own way of doing things.'' Our jails and prisons require the sort of external oversight systems that we demand for every important public institution, be it our public hospitals, our public schools, or our publicly traded corporations. Too few U.S. correctional systems are monitored by an independent Government body with enough authority and funding to regularly inspect conditions of confinement and to report findings to lawmakers and the public. Now, the Federal Government has an excellent model. The Office of Inspector General within the Department of Justice inspects Federal correctional facilities and answers to the Attorney General and Congress, rather than to the Bureau of Prisons. The office does an admirable job in maintaining its independence, and everyone, from the Bureau of Prisons to the public, benefits as a result. Congress, exercising the authority conferred on it by the 14th Amendment, should actively support a similarly independent and strong authority in every State. The Federal courts have played a historic role in watching over America's prisons and jails, shedding light on and remedying many of the most dangerous conditions and abuses. Indeed, we heard from a number of corrections professionals that they welcome--and sometimes quietly invite--lawsuits: they are often the only way to shake free the resources needed to make prisons safe and effective. The courts' role in prison oversight should in no way be impaired. The Department of Justice's activity in overseeing correctional facilities, through civil rights investigations and litigation, has diminished significantly in recent years. In fiscal years 2003 and 2004 combined, the Department of Justice's Special Litigation Section initiated only six investigations and filed only one civil case in Federal court addressing conditions in prisons and jails. This diminished activity is not the result of diminution of the problems in our penal institutions. The Prison Litigation Reform Act of 1996 brought down by nearly half the number of Federal cases by prisoners alleging constitutional violations. Now, in part, that was the Prison Litigation Reform Act goal--to reduce what were deemed to be frivolous lawsuits. But the PLRA has proven to be a crude weapon: meritorious lawsuits are suppressed at a greater rate than non-meritorious ones. The Commission recommends that the PLRA be amended to ensure that those individuals who suffer some of the worst abuses like rape, medical neglect, and physical violence have a meaningful way to achieve accountability. First, Congress should eliminate the requirement in the statute which bars the courthouse to prisoners, such as victims of sexual assault, unless they can prove a physical injury. Second, Congress must eliminate provisions that discourage prisoners from going to court and from having lawyers when they do go to court, such as the filing fee for indigent prisoners and the restrictions on attorneys' fees. Third, Congress should remove provisions that discourage consent decrees, such as the requirement that correctional agencies concede liability as a prerequisite to a settlement. And, finally, Congress should relax the ``exhaustion rule,'' which requires prisoners to fully exhaust all administrative processes, regardless of whether those processes are actually meaningful. As some courts have interpreted it, the PLRA bars the courthouse forever when a prisoner misses a single administrative deadline. We must hold out a genuine hope for humane treatment in our prisons and jails and be willing to let courts and other institutions shed light on how we treat the millions of people we incarcerate and the hundreds of thousands who work inside the corrections institutions. The Commission on Safety and Abuse and the Vera Institute look forward to an ongoing dialog on these issues with Members of the United States Congress. Thank you. [The prepared statement of Judge Gibbons appears as a submission for the record.] Chairman Coburn. I thank each of you for your input. I have been through the report and found it very interesting. I am going to ask each of you to--I see this divided into three areas. There is a Federal responsibility, there are certainly State responsibilities, and then there is the organizational responsibilities of the institutions that certify and evaluate prison practices. Could each of you go to each of those three areas? What is the No. 1 thing you see that the Federal Government ought to be active in? You have pretty well outlined what you think, Judge Gibbons, but Federal, then State, and then associational. In other words, as we start to look at this, what is the most important? I think both Senator Durbin and I have a keen interest in seeing some changes take place. But as you see it, General Katzenbach, what is the No. 1 priority that should be there for Federal? What is the No. 1 priority for State? And what is the No. 1 priority for the associations? Mr. Katzenbach. Thank you, Mr. Chairman, for such a simple question. [Laughter.] Chairman Coburn. I am trying to make this easy. I am a doctor. Mr. Katzenbach. I think as far as the Federal Government is concerned, I think the No. 1 priority in my view would be the modeling that it can do and the help that it can serve in assisting those people in the States that really want to run a better prison. And you have that in the academy, which is like the FBI Academy, and I think it needs more help on that. And I think that would be a major part, and the other part I think is also what it can do as far as health is concerned, which is such a big problem and a very expensive problem. And I recognize the difficulties of that. As far as the States are concerned, I think the single most important problem is getting people who are willing to try to change the culture within those prisons, and I think that really requires an effective oversight system. Now, it may be that the Federal Government can help on oversight as well, but I think the States should be creating effective oversight because that opens the doors and it gives--you know, keeping it secret, keeping it quiet only helps those who are not doing anything good, who want to keep what is going on out of the public eye. I think the good people can take advantage of oversight, and I think that is the most important thing from the State's point of view. I have forgotten what your third one was, frankly. Chairman Coburn. It was the association, American Correctional-- Mr. Katzenbach. Well, I think they have done some very good jobs in terms of establishing standards. The difficulty is that there are more words in it than there is reality, and that is, again, an oversight question. It is a question of putting--they have done tremendous work under tremendous difficult circumstances, and it is very valuable work. And I think it is up to the States and to private groups as well to try to make that much more of a reality than I think it presently is in terms of not very many prisons are, in fact, approved, certified by them. And that would be a big help, to have more of those people, if you really had a good system for inspecting and for measuring. That is about as good as I can do. Chairman Coburn. That is very good. Thank you. Pat Nolan, please. Mr. Nolan. Yes, Senator, I think at the Federal level I think uniform standards, reporting standards of statistics is just crucial. There just are at the present time a patchwork of statistics, and it ends up, you know, with us fighting over anecdotes. So I think having that baseline so you can compare. I also think just the bully pulpit that you folks have, the opening statements of both of you, if we could just try to get the public to realize this is all of our problem, it is not just an in-prison problem--Senator Durbin's statement about the trash. Frankly, as a legislator, I frankly thought, Sent them to prison, we can forget about them. And that was a big mistake that I made. These people are coming out. And also, as a religious person, our brothers and sisters, we have to care about them. They have lives. They are children of God, too. So I think alerting the community to what is at risk, you can play--like holding this hearing is a tremendous step forward. As far as the States go, I absolutely believe that oversight and changing the culture to one of respect and caring about the future. And, you know, the State of California does not have--you know, the ACA has terrific standards. The State of California just ignores them. In fact, the ACA meeting was picketed by the guards' union in California because they advocated standards in California. That is just, you know, my former home State, but there needs to be some move on the State level to say we will have our prisons pass muster by these standards the ACA has developed so carefully. And you asked for one, but I would add another, and that is the funding of medical and mental health. The pot is empty for them, and their lives are totally dependent on the prison authorities for their care. You do not have the option-- Chairman Coburn. Well, let me go to my State. My state has $1 billion that they are trying to figure out how to spend right now. Why is that not a State responsibility in a State prison? Mr. Nolan. Oh, well, I agree, except that as Mr. Maynard pointed out, all the public institutions--the poor and the elderly are entitled to Medicaid reimbursement except if they are in prison. Chairman Coburn. Well, they are also entitled to vote except if they are in prison. So the question I have for you is: Is that a Federal responsibility to supply health care to States when the States are running surpluses and could, in fact, take care of the health of their prisoners? Mr. Nolan. You know, first of all, the first responsibility is on the State, but the first responsibility is on the State not to send mentally ill people to prison. You know, we have incarcerated so many of the people that are mentally ill, and they are crying--you know, it becomes a slippery slope. They are arrested for worshipping the newspaper rack in front of Denny's, and literally in L.A. County they call it ``mercy bookings.'' Mercifully, they take them off the street, but the place they take them is jail because there are no acute care beds for them and the L.A. County Hospital will not accept them. So they end up in jail. The L.A. Sheriff runs the largest mental health facility in the world. And the deputies don't want--these people are sick. They are not criminals. And yet then they have a record, and it just escalates from there. So the State could not save money, but the money would be better spent treating them in acute mental health beds, get them stabilized on their meds, not in prison making criminals out of them, and, frankly, putting them at risk because they are abused. I saw it. I saw the abuse of these mentally ill people by the other prisoners. They are taken advantage of, and it makes a correctional administrator's job virtually impossible to be dealing with criminals, but also mentally ill people. Chairman Coburn. Mr. Maynard? Mr. Maynard. Mr. Chairman, I think as we have been talking, the medical and the mental health issues are areas that States are not able to deal with. I think there needs to be some Federal support into the medical costs. The medical costs are rising tremendously, as are the pharmaceutical costs. And when those costs rise, they have to be met because of the law and just for doing the right thing, and money comes out of operations, which reduces staffing and so on. I think the Bureau of Justice Statistics, funding them to do more data collection, more research. The National Institute of Corrections, funding them, they do excellent training for corrections. They have for years. They are limited funding. I think that would be most helpful. As far as States, I am not sure other than what States are doing now. I think if they had overall guidance, I think they would probably do a better job. Organizational responsibilities, I think the accreditation process--I have been involved in accreditation of corrections for over 25 years, and I have seen the organization as a whole across the country improve because of the work of people to try to meet certain standards. And without those standards, they do not. We have about less than half of the prisons in the country are accredited. That was not the case 15 years ago. And that has all been a voluntary movement on the part of corrections professionals. I think we should really support that effort that people are doing voluntarily. Chairman Coburn. Judge Gibbons, you pretty well summarized the Federal side of that. Anything to say about the State side or the associational side? Judge Gibbons. Well, one thing I can say about the States is that they will react to Federal prodding. Chairman Coburn. I already got your message. [Laughter.] Judge Gibbons. If the Federal Government establishes standards, the States will have to comply with them, whether at State expense or otherwise. One particular problem that jumps out at me when I go to these prison facilities--it is essentially a State problem--is that they are dealing with an aging population and that the cost of health care particularly for that aging population is becoming a staggering burden. There are institutions where internally they are training prisoners to run hospice centers for the dying because the population is so old. Now, Senator, you said, well, isn't that a State responsibility? Why should Medicaid take care of some of those expenses? Well, you could say that about the whole Medicaid program. What is the justification for carving out of a Federal health program this very vulnerable aging population that has expensive medical care? Or else they are just going to die. But I think what my essential message is, Federal standards for the operation of correctional facilities will inevitably improve the situation. Chairman Coburn. Thank you. I want to give plenty of time to Senator Durbin. I just want to come back and talk on that issue a little bit on recidivism rates, because that is the key to a lot of this cost. Senator Durbin. Let me just say that I have been in the Senate for 10 years, on this Committee for 8 years. To my memory, this is the second time we have ever had a hearing on corrections. On the Senate Judiciary Committee, the second time. We do not want to talk about this. It goes back to Mr. Nolan's point and the one I made earlier. Take these dangerous people away and do not tell us anything about it. Keep the costs low and don't talk about it, please. You know, they are paying a price, and they do not deserve a second thought. Yet the reports suggest 95 percent are coming out, will be released. I do not know what current recidivism rates are. Does anybody have a current number? Mr. Nolan. It is about 66 percent stay there for 20 years. Senator Durbin. So two out of three of those released are headed back. So the obvious question that I raised in my opening statement is: Is there an intervention with that incarceration that can stop the second crime from being committed, the second victim from being created? And it strikes me--and I thought about this when I worked at the State level and the Federal level. One of the things going in, there are just a myriad of problems that have created the criminal mind. One of them is lack of self-esteem. And what I read in your report, not at length but certainly good reference, is that the educational courses in prisons have been diminished dramatically. It used to be that you would go to prison and pick up a skill or a GED, and I take it from what you say here that that is not the case very often anymore. And so they are emerging from prison with few skills, if any. I might just give a salute to Congressman Danny Davis of Illinois, who has focused more on this issue than any Congressman I know, because the West Side of Chicago, because of all the great faith-based operations there, has many more returning incarcerated people than other places. But the point he has found and I have found is that, absent some new skill or education, they return to the streets in the same or worsened condition. They have sharpened their criminal skills, but no other skills, and their criminal connections. Second, you have people with mental illness, and, Mr. Maynard, you made the point that my Director of Corrections made in Illinois, that he had no idea that he was getting into the business of running a mental health institution, which he is. And the numbers, from 16 to 54 percent, suggest the magnitude of this issue and how inhumane it is for us to take people who are ill and to put them in this vulnerable predicament. We would no more think of taking an innocent person suffering from a disease and abandoning them on an island for a long period of time to fend for themselves than we would--than we should in this situation. And so that lack of mental counseling, mental health counseling and help really makes a significant difference. And then the physical illnesses and diseases, whether they were sick going into the prison, a million and a half come out each year sick, if I heard the testimony correctly, with serious and communicable diseases. And now let's move to the issue of addiction. If you are an addictive person with an addictive mind and an addictive temperament going in a prison, what is the likelihood that you will be cured of that during your incarceration? Slim to none, I think, and sadly there still are narcotics coming into prison to deal with this. So now it comes back in our direction. Federal and State legislative leaders, as well as executive leaders, are we prepared to face the public criticism of putting resources into prisons that we have just described-- education, mental counseling, health care, dealing with addictions, saying to the public, if we don't spend the money here, you may be the next victim when they are released? Now, Mr. Nolan, you have been in this business. This is a tough political task. There were times not too long ago when we were debating whether or not to even give exercise equipment to prisoners because it was ``a reward,'' or let them watch television, another ``reward.'' So let me ask you: Come to our world for a moment here and talk about this. Mr. Maynard? Mr. Maynard. Senator Durbin, the Federal Government has supported the reentry projects throughout the country, and they are going to prove to be effective in helping people stay out of prison when they get out, and that is going to prove to be cost-effective for the system. There is no question about it. And there are programs, in addition to education, but drug treatment programs, we have found that--we first thought that meth treatment was not going to be effective, and we were all concerned about it. But we have pretty well proven that there is effective treatment for meth addiction. Anger management, some of the domestic abuse issues, people who are in treatment are less likely to reoffend in those cases. Senator Durbin. How common is that in the correctional setting? Mr. Maynard. We have, of course, the drug treatment; we have sex offender treatment; we have the-- Senator Durbin. Are you talking about one State or nationwide? Mr. Maynard. I am talking about one State right now, but I was just going to relate to--I think the majority of the State systems have those kinds of programs, but they continually fight to--when budget cuts come, education, unfortunately, is something I have seen that typically gets cut, chaplains and education and training. Senator Durbin. Isn't that the No. 1 indicator on recidivism--education? Mr. Maynard. It is a strong one. People that come to prison that could not read and write and learn to read and write in prison, they are, according to the research, three times less likely to come back to prison. And the same way with GED, if they do not have a GED, and they get it--it is the self-esteem you talked about--they are less likely to come back to prison. So those programs are cost-effective, and today, one thing that is encouraging is that most States are starting to look at evidence-based practices, where we--in fact, in Iowa, my budget is predicated on being able to prove that if we are given these resources, we will cause a reduction in recidivism, we will cause these people to do better and not come back. So a lot of States are starting to move in that direction, and I think that is the kind of data that you can take to constituents and say here is why we do this, it makes sense. Senator Durbin. Good. The results orientation. Mr. Maynard. Yes, sir. Senator Durbin. I think that is good. Can I address another issue which you touched on in this report but I want to ask for a little amplification? I bring this up at hearings from time to time. These statistics are old, but I do not think they are out of date. I think they are still largely true, and it is about drug crimes and the people who commit them and the people who are incarcerated because of them. African Americans comprise about 12 percent of America's population, but about a third of the drug arrests and about 65 percent of the drug incarcerations are African Americans. There is clearly an injustice built into those statistics. You in your report discuss diversity in terms of correctional officers. I am glad that you speak to the issue of correctional officers. I know a lot of them. It is not an easy job, and my hat is off to them because they do not get paid well, as you also note, and they risk their lives to keep peace in these correctional settings. But address for a moment this diversity issue as to whether or not the correctional officers reflect the diversity of the people that they are watching and whether there is an empathy there that does not exist because of it, because of this disconnect. Mr. Maynard. I could just say that-- Senator Durbin. I am sorry Mr. Morial is not here or Hilary Shelton, who I know was also part of your Commission. But if you would-- Mr. Maynard. I think it varies a little bit from State to State. I know my experience has been we typically have had more African-Americans in prison than an equivalent ratio of staff. Historically, prisons have been built in remote places, in rural areas, and typically been more white, a rural atmosphere, and difficult to recruit minorities to work in prisons from those areas. That has been the history. Senator Durbin. Did you find any correlation to the conduct at a prison relative to good time, as to whether or not prisoners were rewarded with good time for a certain time served? I know that the State transfer used to be much closer to one-to-one in Illinois. I don't know what it is today. But the Federal is much different. It is 1 day for 1 month, I believe. Is there any correlation between the conduct of prisoners and the good time that allows them to reduce their ultimate sentence? Mr. Maynard. I would think so. Most States have systems that give credits for work or credits for program completion. They give time off a sentence, either work time or good time. Senator Durbin. But you would not know nationwide or through the correctional system whether that has an impact on what prison life is like? Mr. Maynard. I think so. Yes, sir. I think it would have an impact on encouraging positive behavior, yes, sir. Senator Durbin. Mr. Nolan, you talked about vulnerable people in prisons, and you mentioned the mentally ill. Are there other vulnerable populations in prisons? Mr. Nolan. Yes. In fact, the Prison Rape Commission has had on sexual violence quite a bit of testimony. People of slight builds, people with effeminate characteristics, people that are homosexual are viewed as targets. Senator Durbin. Does age have anything to do with this? Mr. Nolan. Oh, yes, definitely, and the trend to housing juveniles in adult facilities is troubling. They are by nature vulnerable, and so we think it is important that on entrance those factors be looked into. In fact, I was meeting with the management team of the Los Angeles County jail system. They just had the riots and several deaths there. And I said, you know, ``You really need to classify these.'' And the head of operations said, ``Oh, we do.'' And then the head of training said, ``Well, we only classify them as a danger to us, not to each other.'' You know, it was a revelation that even with them they had not even thought about that factor. If I could answer a previous one, as politicians, one of the things that is important that we emphasize is these things are not for the prisoners. This is for safer communities and fewer victims, as you said. That is the bottom line, and we need to hold everybody accountable. I learned this from one of my colleagues, a liberal in the legislature, John Vasconsellos, who changed the name of the Committee on Criminal Justice to Committee on Public Safety. And I said, ``John, that is typical liberal nonsense,'' you know. And he said, ``No, no, Pat.'' He said, ``If we call it the Committee on Criminal Justice, the members and staff will view it as our job as building a stronger criminal justice system.'' He said, ``That system does not exist for stronger prisons. It exists to keep the public safer, and we have to hold it accountable for that. And if we change the language of discussion to public safety, how do we reduce the risk of harm to people?'' So I would say, as far as your question about good time, there is no one-on-one correlation of that. It is really a changed life. Have we changed their value system, their structure? Have we changed them but for a very self- centered focus, to realizing that there is something more important than them, that the community and we believe God, you know, is more important. And if you change their focus of their life so it is not just focused on ``gimme, gimme, gimme,'' then a lot of other things fall into place. I think there are several factors, and I need to make clear: recidivism, the 66 percent is rearrested within 3 years of release. The reincarceration rate is 52 percent, so that is a distinction. Senator Durbin. Still, that is high. Mr. Nolan. So it is still high, but it is the rearrest that is 66 percent. But if we have meaningful relationships with healthy, moral people--Dr. Martin Luther King, Jr., said, ``To change someone, you must first love them, and they must know that you love them.'' And programs cannot love people. People can. So the more people we have actually making a difference, the greater the density of loving moral people we pack around them, the better the chance they will make it. The second thing is job preparation, and I would commend to you the chief probation officer in St. Louis has set up a fabulous job, absolutely sensational. I could not design a better job on this, and he got the permission of the chief judge there, and the unemployment rate of the people under his jurisdiction is lower than the unemployment rate in St. Louis itself. That is working, it is changing lives, and it involves the community. The third thing is a safe place to live. You know, people do not think about it, but, you know, when you are in prison, you have people guarding you. There is a violence there, but when you are out on the street, you know, where do you sleep at night? If you are sleeping under a bridge or in a park, you are vulnerable. And so having a safe place where they can live is important. Yet most neighborhoods do not want ex-offenders there, so we need to deal with that. And the fourth thing is treating addictions, and, unfortunately, a lot of systems play ``okey-doke'' with that. I was at the Virginia Reentry Committee meeting, task force meeting, and I said that less than 10 percent of inmates get treatment for addiction before they are released and that is a reality. And so one of the directors of Virginia said, ``Well, we have drug treatment in every prison.'' Well, he is begging the question. Yes, they have drug treatment, but only a tiny fraction of the prisoners get it that need it. So having it in prisons is different than making sure everybody with an addictive personality has the treatment to help them, to teach them the coping mechanisms to deal with that aspect of their life. And then one other thing, so many of the programs--for the 10 percent that do get treatment, after they are released, they have to wait in the queue to get community treatment, 6 to 8 months before they get into a community treatment. Well, if you have that discontinuity, you lose all the benefit. So I would say those are the major things, but the key thing is relationship more than programs. We focus on programs. But it is linking them with good, moral people that are making it in life and that care about them. Senator Durbin. Nothing works better than to have someone who cares. Judge, a last question the Chairman has been kind enough to allow me to ask. Talking about loving people, let's talk about lawyers. [Laughter.] Chairman Coburn. I believe that doctors think they are the least lovable. Senator Durbin. I know. You appealed to our sense of fairness and justice, saying that those incarcerated should be able to have a day in court or a hearing or a review if they are being mistreated. Now, we also know that many of these prisoners have access to great law libraries and maybe computers these days--I am not sure--and file extensive briefs to the court about all sorts of things, some of which are meritorious, and some are not. All of them are not Mr. Gideon of Gideon v. Wainwright, and many of them tax the system. Is there a way, is there a screen or a method to give justice where there is none today and yet not open the system up to the idle filings of those who are seeking attention beyond what they deserve? Judge Gibbons. Well, there are ways. They have been operating for many, many years. We really did not need the PLRA to screen out frivolous cases. Federal judges were doing it regularly without the inhibitions that have now been placed in the path of often very meritorious prisoner cases. The problem with Federal judges getting rid of frivolous litigation to me has always been greatly exaggerated. Diverting from the subject matter of this hearing, now the big complaint is that Federal resources are being frivolously diverted to handling immigration appeals. And if the solution to the immigration crisis is to impose on asylum seekers these bars that have been imposed on prisoner litigation, that is going to be counterproductive. Chairman Coburn. I want to make sure everybody--I am very proud of what is, as a matter of fact, a lot of what you started, Mr. Maynard, in Oklahoma, and I want to read into the record some positive things that are happening in Oklahoma, because I think they lend credence to what this report says. Oklahoma is going to open an acute-care, 262- bed facility for our elderly prisoners and those with chronic and debilitating diseases. We have the Bill Johnson Correctional Center, which is a premier drug treatment center. That is all it does, prisoners with drug treatment. We have over 10,000 volunteers working in our prisons in Oklahoma, mentoring and assisting. And the history of Oklahoma is we were under court supervision at one time, and through great leadership and attention to it, that has changed. In Oklahoma, we have four areas of oversight, which I think are interesting. The Office of State Finance oversights it., the Fire Marshal oversights it, the Department of Health oversights it, and the Attorney General oversights it. So we have four separate oversights, as well as the legislature in terms of doing that. So I think the results of Federal intervention have borne some great fruit, and Oklahoma is going to do better, and we know that. We have a tremendous problem in terms of paying our staff appropriately and recognizing those needs. Judge Gibbons, you mentioned the meritorious versus the non-meritorious, the data on that. Could you reference that to my Committee staff if we send you a letter on that in terms of the cases and the filings? You said that the meritorious have been blocked and the non-meritorious have not, and I would just like to have that information as we look at the PRLA. Judge Gibbons. We will respond. Chairman Coburn. Thank you. One of the things that was cited--I served as a jail doctor for 4 years as the Muskogee County Jail, and there was no question that some prisoners had significant needs. But how do you balance--if you do not even have a little, small co-pay, what we found is they did not want--all they had to do was complain of an illness, and they got out of the work detail that day. And, of course, when I was there seeing them, they were not ill. They were ill from work. So there has to be some balance in terms of your recommendations of how we do not get a secondary motivation for illness to display a requirement in that. And I know that you all have thought of that, and we will send you all these questions. We would love to have your individual responses on how we balance that so that we do not influence it inappropriately. There is a good balance that should not require a significant cost but still cost something, which is the same problem we have in our own health care system. We have tremendous overutilization in a lot of areas because there is not an appropriate skin in the game. So there has got to be an answer to that, and I will not spend any more time on that. I would just relate that we will be sending several sets of questions to each of you, if you would try to respond to those within 2 to 3 weeks. I would commit to you, I am interested in us making a difference, one, in terms of treatment of mental health. As a physician, one out of every three patients I see as a primary care doctor, it is a mental health issue. One in three. No. 2, drug treatment we know works. We have to incentivize that. We have to pray for the rewards of that. No. 3, health care. We have got to--we do not have to just fix health care problems in our prison. We have to fix health care in America. We cannot afford what we are doing now. We are going to spend $2.3 trillion this year. We cannot afford it. And one out of three dollars does not go to help anybody get well. So we have got to work on that, and I think your suggestions have merit, and we need to look at how we do that. Then, finally, how do we incentivize to raise the level of compensation and professionalism within our prisons so that we meet the requirements that put forward something similar to what Pat Nolan has--how do you be a supervisor in a prison and love your prisoners? I mean, that is where we really want to be, because if that is felt and seen, it is modeled, and it changes lives. Senator Durbin, anything else? Senator Durbin. No. Thank you. Chairman Coburn. I want to thank each of you for being here. We will discuss among ourselves where we go with followup on this, and I appreciate your time and your testimony. Thank you very much. The record will be kept open for additional statements for 1 week. The Committee is adjourned. 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