<DOC> [106th Congress House Hearings] [From the U.S. Government Printing Office via GPO Access] [DOCID: f:68775.wais] ALTERNATIVES TO INCARCERATION: WHAT WORKS AND WHY? ======================================================================= HEARING before the SUBCOMMITTEE ON CRIMINAL JUSTICE, DRUG POLICY, AND HUMAN RESOURCES of the COMMITTEE ON GOVERNMENT REFORM HOUSE OF REPRESENTATIVES ONE HUNDRED SIXTH CONGRESS SECOND SESSION __________ MARCH 27, 2000 __________ Serial No. 106-176 __________ Printed for the use of the Committee on Government Reform Available via the World Wide Web: http://www.gpo.gov/congress/house http://www.house.gov/reform U.S. GOVERNMENT PRINTING OFFICE 68-775 WASHINGTON : 2001 _______________________________________________________________________ For sale by the Superintendent of Documents, U.S. Government Printing Office Internet: bookstore.gpo.gov Phone: (202) 512-1800 Fax: (202) 512-2250 Mail: Stop SSOP, Washington, DC 20402-0001 COMMITTEE ON GOVERNMENT REFORM DAN BURTON, Indiana, Chairman BENJAMIN A. GILMAN, New York HENRY A. WAXMAN, California CONSTANCE A. MORELLA, Maryland TOM LANTOS, California CHRISTOPHER SHAYS, Connecticut ROBERT E. WISE, Jr., West Virginia ILEANA ROS-LEHTINEN, Florida MAJOR R. OWENS, New York JOHN M. McHUGH, New York EDOLPHUS TOWNS, New York STEPHEN HORN, California PAUL E. KANJORSKI, Pennsylvania JOHN L. MICA, Florida PATSY T. MINK, Hawaii THOMAS M. DAVIS, Virginia CAROLYN B. MALONEY, New York DAVID M. McINTOSH, Indiana ELEANOR HOLMES NORTON, Washington, MARK E. SOUDER, Indiana DC JOE SCARBOROUGH, Florida CHAKA FATTAH, Pennsylvania STEVEN C. LaTOURETTE, Ohio ELIJAH E. CUMMINGS, Maryland MARSHALL ``MARK'' SANFORD, South DENNIS J. KUCINICH, Ohio Carolina ROD R. BLAGOJEVICH, Illinois BOB BARR, Georgia DANNY K. DAVIS, Illinois DAN MILLER, Florida JOHN F. TIERNEY, Massachusetts ASA HUTCHINSON, Arkansas JIM TURNER, Texas LEE TERRY, Nebraska THOMAS H. ALLEN, Maine JUDY BIGGERT, Illinois HAROLD E. FORD, Jr., Tennessee GREG WALDEN, Oregon JANICE D. SCHAKOWSKY, Illinois DOUG OSE, California ------ PAUL RYAN, Wisconsin BERNARD SANDERS, Vermont HELEN CHENOWETH-HAGE, Idaho (Independent) DAVID VITTER, Louisiana Kevin Binger, Staff Director Daniel R. Moll, Deputy Staff Director David A. Kass, Deputy Counsel and Parliamentarian Lisa Smith Arafune, Chief Clerk Phil Schiliro, Minority Staff Director ------ Subcommittee on Criminal Justice, Drug Policy, and Human Resources JOHN L. MICA, Florida, Chairman BOB BARR, Georgia PATSY T. MINK, Hawaii BENJAMIN A. GILMAN, New York EDOLPHUS TOWNS, New York CHRISTOPHER SHAYS, Connecticut ELIJAH E. CUMMINGS, Maryland ILEANA ROS-LEHTINEN, Florida DENNIS J. KUCINICH, Ohio MARK E. SOUDER, Indiana ROD R. BLAGOJEVICH, Illinois STEVEN C. LaTOURETTE, Ohio JOHN F. TIERNEY, Massachusetts ASA HUTCHINSON, Arkansas JIM TURNER, Texas DOUG OSE, California JANICE D. SCHAKOWSKY, Illinois DAVID VITTER, Louisiana Ex Officio DAN BURTON, Indiana HENRY A. WAXMAN, California Sharon Pinkerton, Staff Director and Chief Counsel Gil Macklin, Professional Staff Member Lisa Wandler, Clerk Cherri Branson, Minority Counsel C O N T E N T S ---------- Page Hearing held on March 27, 2000................................... 1 Statement of: Noel, Hon. Thomas E., Associate Judge, Circuit Court for Baltimore City; Anne Swern, deputy district attorney, Kings County, NY; Ron Daniel, police commissioner; Stuart Simms, secretary, Maryland Department of Public Safety and Correctional Services; Peter Beilenson, commissioner, Baltimore Department of Public Health; Renee Robinson, treatment/criminal justice coordinator, Baltimore/ Washington HIDTA; and George McCann, executive director, Baltimore Addict Referral and Counseling Center............ 47 O'Malley, Martin, mayor of Baltimore; and Dutch Ruppersberger, Baltimore County executive.................. 9 Taxman, Faye, Ph.D., professor of criminology, University of Maryland; Ricky Phaison, program participant, project excel; and Israel Cason, president, I Can't, We Can........ 133 Letters, statements, etc., submitted for the record by: Beilenson, Peter, commissioner, Baltimore Department of Public Health, prepared statement of....................... 75 Cason, Israel, president, I Can't, We Can, prepared statement of......................................................... 151 Hynes, Charles J., district attorney, Kings County, NY, prepared statement of...................................... 119 Johnson, Judge Ken, article dated June 21, 1992.............. 126 McCann, George, executive director, Baltimore Addict Referral and Counseling Center, prepared statement of............... 106 Mica, Hon. John L., a Representative in Congress from the State of Florida, prepared statement of.................... 5 Noel, Hon. Thomas E., Associate Judge, Circuit Court for Baltimore City, prepared statement of...................... 51 O'Malley, Martin, mayor of Baltimore, prepared statement of.. 13 Robinson, Renee, treatment/criminal justice coordinator, Baltimore/Washington HIDTA, prepared statement of.......... 91 Simms, Stuart, secretary, Maryland Department of Public Safety and Correctional Services, prepared statement of.... 81 Swern, Anne, deputy district attorney, Kings County, NY, prepared statement of...................................... 114 Taxman, Faye, Ph.D., professor of criminology, University of Maryland, prepared statement of............................ 140 ALTERNATIVES TO INCARCERATION: WHAT WORKS AND WHY? ---------- MONDAY, MARCH 27, 2000 House of Representatives, Subcommittee on Criminal Justice, Drug Policy, and Human Resources, Committee on Government Reform, Baltimore, MD. The subcommittee met, pursuant to notice, at 10 a.m., in room 730 of the University of Maryland School of Nursing at 655 West Lombard Street, Baltimore, MD, Hon. John L. Mica (chairman of the subcommittee) presiding. Present: Representatives Mica and Cummings. Also present: Representative Cardin. Staff present: Sharon Pinkerton, chief counsel and staff director; Gil Macklin, professional staff member; Charley Diaz, congressional fellow; Lisa Wandler, clerk; Kimberly Hayes, intern; and Cherri Branson, minority counsel. Mr. Mica. Good morning. I would like to call this hearing of the Criminal Justice, Drug Policy, and Human Resources Subcommittee of the Government Reform Committee of the House of Representatives to order. We are pleased this morning to be in Baltimore at the invitation of my colleague, former ranking member with me on a number of subcommittees in Congress, the gentleman from Maryland, Mr. Elijah Cummings. I do appreciate this opportunity to be with you. We have delayed this hearing several times; I think the last time because of one of the largest snowfalls that we had in this area. But we are delighted to be with you. Again, I apologize for the delay in coming into your community, but thank you for your invitation. The order of our hearing this morning will be that I will start with an opening statement, yield to the gentleman from Maryland for his opening statement, and then we have three panels to hear from. The first panel is going to be the Honorable Martin O'Malley, mayor of Baltimore. And just for public notice, we have also added Dutch Ruppersberger, who is the Baltimore County executive. So we will have two individuals on that panel, and followed by two additional panels. Illegal narcotics are wreaking havoc on our neighborhoods, schools, and families across America. Drug abuse in America is tearing at the very fabric of our society. Nowhere is that more evident than here in Baltimore, MD, a city that certainly has experienced its share of pain and also the at risk consequences of illegal drugs. Unfortunately, Baltimore is a microcosm of what is happening across our country. The role of this Subcommittee on Criminal Justice, Drug Policy, and Human Resources is to examine the effectiveness of the Federal response to a growing national drug epidemic. We are here as an oversight committee of the U.S. Congress. We are an investigations and oversight subcommittee of the Government Reform Committee. Part of our responsibility is exercising our oversight and investigations capacity over our national drug policy. This hearing is a bipartisan effort. My good friend and colleague, the Congressman from Maryland, Elijah Cummings, requested this field hearing to be held in his district in Baltimore because of his deep concern for the citizens of Baltimore and the drug problems they face every day. I can't remember too many hearings that I have attended with Mr. Cummings--and he has been to almost all of our subcommittee hearings--when he hasn't put a human face on the tragedy that has befallen his community and the problems relating to illegal narcotics here in Baltimore. Even a recent tragic event here in Baltimore shows the havoc drugs are wreaking on this community. A 25-year old East Baltimore man, Raymond Pitchford, was shot to death because he asked two men to stop selling illegal drugs. The simple truth is that drugs destroy lives, and drugs are destroying lives here in Baltimore. I brought this chart along, and I have used it on the House floor and in our committee meetings and updated it. This information is provided by DEA and also some recently by the Baltimore Police Agency. In 1997, there were 312 homicides committed in Baltimore. In 1998, 314 people were murdered. Last year, this city lost an additional 308 lives, and I don't think the total is in because sometimes people die as a result of injuries suffered in some type of an attack. This makes for 10 straight years in which there have been 300 or more homicides, making Baltimore the fourth deadliest city per capita in the United States which is a very sad statistic. And 75 percent of these slayings, it is estimated, involve drugs. The chief of the control bureau of the Baltimore Police Department has stated recently, ``We are losing ground on homicides.'' The situation that Baltimore faces is grave. It is the hub of a growing heroin epidemic, which has spread to the nearby suburbs. According to Baltimore Councilwoman Rikki Spector, one in eight citizens in Baltimore is a drug addict. That is a quote from one of the local newspapers. That could translate into an estimated 60,000 to 80,000 drug addicts. According to State and local health officials, neighboring Prince George's County has 37,000 drug addicts, second only to Baltimore City in the State of Maryland. How did this happen to a great city like Baltimore? What failed as far as local policies of the past 12 years to contain the drug program? What contributed to it? We must examine more effective ways to address the growing problem of illegal narcotics on our streets and also in our prisons. All of the witnesses here today have struggled to determine the best approach to combat illegal drugs and drug-related crime. What is the right mix of policies and programs to deter crime and to get repeat offenders off drugs? Developing alternatives to incarceration is becoming increasingly important as we draw closer to having two million Americans behind bars. We must determine the most cost-effective way to deal with drug addiction and also drug-related crime, both at the Federal and also at the local and State level. Sadly, the challenges faced by the newly elected mayor, Mr. O'Malley, and also by the Baltimore County executive who we will be hearing from, and other officials in the Baltimore area, are the very challenges increasingly faced by cities across America. Cities like Sacramento and San Diego, CA, where I recently held hearings. We conducted another hearing in Florida, where colleagues from this subcommittee went to hear the problems we are having even in my local, rather placid, and also blessed community as far as employment and opportunity. We will soon be in Indiana for a hearing, and other cities across the country, to examine this problem. But there are very few communities across our national landscape that have not been affected by this drug epidemic. This is an oversight hearing that will examine the drug abuse problem in Baltimore and its area, and also will look at alternatives to incarceration, what works and what doesn't work, and why. That has been the subject of our subcommittee's investigations. There have been serious proposals across our Nation, including our Nation's capital and here in Baltimore, on how best to combat drug violence and restore individual and community security and reduce overall drug use. These have ranged from needle exchanges and legalization of marijuana for medical use to tougher sentencing guidelines. For its part, Congress has provided local communities with some new tools, including the Washington/Baltimore High- Intensity Drug Trafficking Area. That is a designation by Federal law creating what is called a HIDTA, High-Intensity Drug Trafficking Area. We have also passed legislation relating to Drug-Free Communities Act, and we have also enacted $1 billion matched by $1 billion or more in donations in a national youth anti-drug media campaign. But clearly, more must be done. Individual field hearings like this help us to understand the plight of individual communities as we develop a broader national perspective. In order for the Congress to help Baltimore and cities like it, from the Federal level we must have a working knowledge of the problem at the local level. Armed with these insights, we can better evaluate the current Federal response to the drug crises in America and in communities like we are in today and push for needed changes. The good people of Baltimore and citizens across this country deserve no less. We came here today to listen. We came here today to hear a new administration of the city, particularly headed by the mayor, and also others from the surrounding area, to hear of their plans. We came here today also to offer a helping hand and assistance at the Federal level as good intergovernmental partners in facing the challenge of illegal narcotics, not only here in this community but, again, across our Nation. I might say in closing, Mr. Cummings, I have always felt that Baltimore is a great city with a great history. It is our opportunity at this difficult chapter in its history to come here to help you and also your community. With that, I yield to the gentleman from Maryland, my distinguished colleague, Mr. Cummings. [The prepared statement of Hon. John L. Mica follows:] [GRAPHIC] [TIFF OMITTED] T8775.001 [GRAPHIC] [TIFF OMITTED] T8775.002 Mr. Cummings. Mr. Chairman, I thank you very much for holding this hearing in Baltimore, and I am glad you ended on such a wonderful and positive note. We are a great city, and I thank you again for the sensitivity that you have shown. So many people on the Hill seem to be of the opinion that drug treatment does not work. But the fact is, that you have not only made it possible for us to move around the country looking at alternatives to incarceration, but you have concentrated your thoughts on having an open mind regarding treatment. And I appreciate that. I also want to take a moment to thank the dean of this wonderful school, the nursing school, Dean Heller, who is one of my mentors, for having us here this morning. As we examine the drug treatment policy this morning, it is quite fitting that we undertake our work in a place where young people are taught how to heal. Here in Baltimore, as elsewhere, drugs and violent crime are destroying our young people, their families, and entire communities. We must continue to work together to break this cycle of destruction. Although there is no simple solution to combatting the drug crisis, this hearing will provide additional perspectives on how we can reduce substance abuse and drug- related crime, and ultimately, on how we can revitalize our communities. This morning, we will be working to assess the current situation in Baltimore and examine programs that combine drug treatment, social services, supervision, and job placement, as an alternative strategy to incarceration. As we examine these alternatives, we are fortunate to have the assistance of a distinguished panel of witnesses. Baltimore City mayor, Martin O'Malley, and Baltimore County executive, Dutch Ruppersberger, and other experts joining us today, have been major players in our shared effort to rid America of the drugs and the death that plague us as a society for many years. From the firsthand knowledge and accumulated wisdom of our panel, we will be better able to assess the current relationship between drug addiction and criminal activity in Baltimore. And it is good that you talked about other areas of the country, Mr. Chairman, because so often what has happened is people have thought that drug problems are only based primarily in urban areas. But the fact is, that they are all over the country, as I am sure County Executive Dutch Ruppersberger will testify to. By doing so, we can better understand the impact of incarceration and the effectiveness of treatment alternatives. Our testimony today will indicate that incarcerating drug- addicted persons has not stopped the cycle of addiction, crime, and incarceration in Baltimore. Merely incarcerating non- violent offenders does not appear to reduce crime or drug abuse either. In Congress, I am seeking to obtain increased Federal funding for drug treatment. This hearing will emphasize the success of drug treatment programs for non-violent offenders that includes drug treatment, job placement, and social services components. The success of certain jail diversion programs that offer drug treatment and employment assistance provides the criminal justice system with an alternative to incarceration--a way to break the deadly cycle that dominates so many lives. Now, let me caution to add that there are some people that belong in jail. There are some that are wreaking havoc on our community. But there are some that find themselves falling into a trap of narcotics, as Ricky Phaison, a recovering addict since 1987, will testify. And I am glad that he is here with us today. During the hearing, we will highlight diversion programs that focus on drug treatment, such as the Baltimore Drug Treatment Court and a New York Drug Treatment Alternative Program. Diversion programs work on the premise that with treatment, intensive supervision, social services, and job placement, offenders return to society in a better position to resist drugs and crime, and, just as importantly, to contribute to society as opposed to taking away from it. Dean Heller, you did a great job of getting the lights on, and we really appreciate it. [Laughter.] I told them while you were gone that you are my mentor, so I saw you rush to the rescue. You know, we really appreciate it. All of us agree that the public funds we devote to public safety and drug treatment must be spent in an effective and cost-efficient manner. And I emphasize that. One of the things that we have talked about constantly, Mr. Chairman, is whatever dollars we spend--the mayor and Commissioner Daniel have talked about this a lot, we want to make sure that they are spent in a cost-efficient and effective manner--diversion programs, law costs associated with incarceration, public assistance, health care, and recidivism. Further, they produce taxpayers that can make positive contributions to society. As a Member of Congress, my goal is to make Baltimore a more livable community. And there are so many of us--the people, Mr. Chairman, that sit in this room, that they spend their days and nights trying to figure out how to do that. And the person that will be testifying first, our mayor, is one who has made it clear that he wants our city to be more livable. One of the other things that I was so glad that you said--I wish I had a tape recorder here so I could play it over and over again--is that you said you came here to help, and I love that. I mean, you can say that 50 million times, because we do need help. I don't think there is a person in this room that would say that we don't. And I am glad that you come with the helping attitude. Finally, reducing the crime and drug abuse that afflict our community and returning our addicted neighbors to healthy and productive lives are essential steps toward a Baltimore that is a more livable place in which to live and raise our families. We are determined to break the cycle of drugs, destruction, and death. We can achieve that goal by creating a new cycle of renewed public health, productive employment, and life. And, again, I want to thank all of our witnesses, all of you, for taking the time out of your busy schedules to be with us today. Thank you for being on that front line of making our community a much more livable one. Mr. Mica. I thank the gentleman. I am pleased now to recognize our first panel of witnesses, if those individuals will please come forward, the Honorable Martin O'Malley, mayor of Baltimore; the Honorable Dutch Ruppersberger, Baltimore County executive. Let me, if I may, reiterate this is an investigations and oversight subcommittee of the House of Representatives. In that capacity, we do swear in our witnesses, which I will do in just a moment. If you have any additional or lengthy documentation, information, that you would like to be part of this congressional record of this hearing, upon request, through the Chair, that will be granted. Mr. Cummings, I think we have a previous agreement to allow the record to be open for at least 3 weeks. Mr. Cummings. That is correct, Mr. Chairman. Mr. Mica. Without objection, so ordered. And since we have three fairly full panels, and it is impossible to hear from everyone. There are many people, I am sure, Mr. Cummings, in this room that could contribute and be a part as an active witness to this hearing. With that said, we will leave the record open for 3 weeks. You can submit, through Mr. Cummings and to the subcommittee, any additional comments, even though you may not be a witness, or testimony you would like to be part of this record. Mr. Cummings. That is fine. Mr. Mica. All right. With that, I will ask our two witnesses to please stand. Raise your right hands. [Witnesses sworn.] Mr. Mica. The witnesses answered in the affirmative. I would like to, again, welcome both of you today. We are pleased to be in your community at the invitation of Mr. Cummings. We are anxious to hear from you, and I will recognize first Mayor O'Malley. You are recognized, sir. STATEMENTS OF MARTIN O'MALLEY, MAYOR OF BALTIMORE; AND DUTCH RUPPERSBERGER, BALTIMORE COUNTY EXECUTIVE Mr. O'Malley. Thank you very much, Mr. Chairman, and Congressman Cummings. I want to thank you for coming to Baltimore and assure you that we will in the future pay our BG&E bill in anticipation of your arrival. [Laughter.] Mr. Chairman, distinguished members of the committee, I want to thank you for the opportunity to address this topic-- ``Alternatives to Incarceration: What Works and Why?'' I have a number of people from my cabinet, who I think you are going to be hearing from later, including Commissioner Ron Daniel, who is the gentleman in the uniform seated behind me, and he has, coincidentally, a big profile in the Baltimore Sun today, which he claims he hasn't yet read. So people, please give him mixed reviews, and maybe he will read it. We also have with us Dr. Peter Beilenson, our commissioner of health, seated to Commissioner Daniel's left, and our criminal justice coordinator, Peter Saar, who is seated back there, who tries to keep it all together. What works and why? I would like to thank you for making this hearing possible. During the last city campaign this last summer, the people of Baltimore made it very clear that reducing crime was their top concern. Indeed, in the 3-months since we have begun this new administration, we have made it our top concern. In short order, we have zeroed in on 10 areas of the city, where we have gone through in a very comprehensive fashion, putting together not only renewed commitment to enforcement but also we have put out health experts and knocked on doors and gotten people the treatment that they need to get off the street. We have also eliminated the rotation of homicide detectives to end the brain drain that dramatically reduced our clearance rate in a once vaunted squad. We have moved detectives out of headquarters into our districts to improve intelligence sharing and followup. We have audited arrest records to get a true gauge of our city's baseline crime problem. We have replaced our department's leadership and reorganized its structure. And we have instituted the means and the method of improving every week and every day, as we followup on crime, and that is the Comstat process. This was used so successfully in other cities like New York, like New Orleans, like Newark, and now Baltimore, not just to map crime but to anticipate crime trends, prevent crime, rather than reacting after it has already become entrenched. Additionally, we have provided additional resources to the State's Attorneys Office--the first time in probably 12 years that the State's Attorneys Office has received a budget increase in city dollars--so that Mrs. Jessamie will be better able to prosecute repeat violent offenders. And we have worked with the judiciary to implement reforms to restore real justice and a sense of priorities to our criminal justice system. These changes will allow us to dispose of minor cases up front in the process and create more courtroom time to prosecute serious violent offenders. We have tried to do a great deal in a short period of time, Mr. Chairman. In the interest of saving a couple thousand words, I have brought with me two pictures that appeared in the Baltimore Sun. There is a couple of quotes from the Baltimore Sun that characterize some of our initial success. I want to show you first of all--stray from my script--this is an article that appeared on December 15, 1999, has an adorable little girl over at Eutaw-Marshburn Elementary School in West Baltimore. Now the headline on this is ``Addicts and Drug Dealers Overrun Playground.'' And if you look around the window that this little girl is peering out of, you see what appears to be a couple of metal doors that are absolutely pockmarked with bullet holes. That was on December 15th. It appeared the day after I met with our Governor and told him, ``We need more money for drug treatment, Governor.'' I wrote in the little margin of this--I sent him his own copy framed and matted--I said, ``This is why we need more drug treatment money. It is not so much for the addicts. It is not for the people that run the programs. It is because of kids that can't go outside because of the death and the violence spawned by the drug trade.'' That was December 15th. Thanks to Commissioner Daniel, and even though he did not receive any assurance of additional moneys for drug treatment in the Governor's first budget, come March 16th this was what appeared in the Baltimore Sun, Mr. Chairman. It is almost like the Wizard of Oz. The first one is black and white with the little girl peering out of pockmarked, bullet-holed doors, and this now is that same play area--Eutaw-Marshburn--color photographed with a bunch of adorable little girls. The headline is, ``Crime at Bay, Pupils Play,'' and a Mom says, ``This corner used to be wild. I just started bringing my kids out about 2 weeks ago.'' That is what can be done, Mr. Chairman, if we are committed not to simply arresting our way out of the problem, or to simply treating our way out of the problem, but to doing both-- to doing both in a concerted and coordinated fashion, and to improving the quality of life that can lead to the sort of decline that too many neighborhoods in this city have experienced. By upgrading our police department, enforcing the law, incarcerating violent offenders, and reforming our criminal justice system, we can and are making our streets safer. But we also have to recognize that the high crime rate is driven primarily by an illegal drug trade, which is true in so many cities across the country. While noting crime-fighting successes, the articles that have appeared recently in the Sun also refer to open air drug markets, which are a scourge in almost every corner of our city. In answer to your question, what works and why? I will focus primarily on drug treatment, which speaks to Baltimore's largest law enforcement problem. Removing the most violent dealers and enforcers from the street will help the supply side of the drug trade, but the criminal justice system and elected officials must also address the demand side of the equation--the addicts--or new drug thugs who will take the place of Baltimore's current pool. To reduce demand for illegal narcotics, we must succeed in providing drug treatment. More treatment slots are needed to meet this overwhelming need. We can't simply arrest our way out of our drug problem, but we need not give up and decriminalize illegal behavior either. In order to break the cycle of crime and addiction, we have to build a seamless system of law enforcement, drug testing, escalating sanctions, and treatment. Society benefits by treating an addiction that will, if left unattended, invariably contribute to more crime. Additionally, a reduction in trial detention bed days and incarceration bed days after convictions will also save taxpayer dollars. The public is protected because the sanction of jail time remains if a non-violent offender fails to complete treatment or commits another crime. This system will leave more room in jail not only for repeat violent offenders, but it will also allow for more courtroom time to deal with those who should receive more serious incarceration penalties. For drug treatment to work as an alternative incarceration, above all there has to be strict accountability. According to a report by Baltimore/Washington HIDTA, offenders in treatment who were there under the threat of criminal sanctions are six times less likely to drop out of treatment, eight times less likely to test positive for drugs during treatment, and four times less likely to be arrested for a new offense. Baltimore will increase the number of treatment slots reserved for offenders. Hopefully we will do that with State help. The threat, and imposition when necessary, of criminal sanctions can be a powerful motivator for change. But it only works when treatment slots are available and participation is supervised. Treatment should also be provided in detention and prison facilities as part of that continuum of care for this problem, which is another push that we have on at the State level--to allow for some sort of detox capacity over at city jail and some better linkage with treatment after incarceration. Finally, alternatives to incarceration also must maximize the use of community service as penance for minor offenses in conjunction with drug treatment, mental health, medical, and job training referrals. Paying back in the community where an offender has violated the laws gives a visible reminder that there are consequences for wrongdoing. For too long in Baltimore, and presumably many other cities, accountability has been lacking in all aspects of our anti-drug efforts. But the solution is not to stop funding treatment or deny that it is a useful alternative to incarceration. The answer is to demand and document results and move toward best practices. One of the things that I told our Governor was that we were able to have this dramatic success because we had treatment slots available. So when the police went in, our health commissioner came in right on his heels, along with people from Housing to board up the houses. But our Health Department went in and literally with the easy supply removed from the street, it made the addicts far more amenable, far more susceptible, far more willing to go right into a drug treatment program. Those slots are filled up. We are now at 110 percent, and that is with putting about $26 million of our own city money into drug treatment. We are hopeful that through your leadership, Mr. Chairman, the Federal Government will make drug treatment a budget priority, that drug addiction and drug- related crime are critical concerns to our cities and counties and small towns across America. It is a national problem. It is not a problem that affects merely poor people living in cities. If you come out with us on any corner, Mr. Chairman, in the evening--and sometimes we have done this, the Congressman knows, when we have had a night out against drugs--you will see countless numbers of people from surrounding jurisdictions come in, usually young, white kids, from the suburbs coming in, making the U-turn, and booking out when they see that we have closed down the drug market for the night. It is a problem that crosses all jurisdictional lines. It is a national problem. And the course that we are pursing in Baltimore, I am glad to report, is having some initial success. And I want to thank you for the opportunity to address your distinguished panel. [The prepared statement of Mr. O'Malley follows:] [GRAPHIC] [TIFF OMITTED] T8775.003 [GRAPHIC] [TIFF OMITTED] T8775.004 [GRAPHIC] [TIFF OMITTED] T8775.005 [GRAPHIC] [TIFF OMITTED] T8775.006 [GRAPHIC] [TIFF OMITTED] T8775.007 [GRAPHIC] [TIFF OMITTED] T8775.008 [GRAPHIC] [TIFF OMITTED] T8775.009 [GRAPHIC] [TIFF OMITTED] T8775.010 [GRAPHIC] [TIFF OMITTED] T8775.011 [GRAPHIC] [TIFF OMITTED] T8775.012 [GRAPHIC] [TIFF OMITTED] T8775.013 [GRAPHIC] [TIFF OMITTED] T8775.014 [GRAPHIC] [TIFF OMITTED] T8775.015 [GRAPHIC] [TIFF OMITTED] T8775.016 [GRAPHIC] [TIFF OMITTED] T8775.017 [GRAPHIC] [TIFF OMITTED] T8775.018 [GRAPHIC] [TIFF OMITTED] T8775.019 [GRAPHIC] [TIFF OMITTED] T8775.020 [GRAPHIC] [TIFF OMITTED] T8775.021 [GRAPHIC] [TIFF OMITTED] T8775.022 [GRAPHIC] [TIFF OMITTED] T8775.023 Mr. Mica. Thank you, Mayor. We will now hear from the Baltimore County executive, Mr. Ruppersberger. You are recognized, sir. Mr. Ruppersberger. Well, thank you, Chairman Mica. Thank you for being here today, and we really appreciate your coming to Baltimore to really focus on the awareness of the problems that we are having here. Congressman Cummings, as usual, you are always on the front line trying to do the best you can for your constituents. I give you credit for putting this issue on the table, and it is great to work with you in that regard. To begin with, let me tell you a little bit about Baltimore County, Mr. Chairman. We are a separate jurisdiction from Baltimore City, but yet we surround Baltimore City. So we are impacted by what happens every day in Baltimore City, and then we have other counties within the jurisdiction. There is no question that our criminal justice system is failing when so many individuals who go through the system get right back on the street. We have had recently in the last month some unfortunate situations in Baltimore County. We had a police officer who was killed, and as it turns out we looked at the background of those individuals who allegedly killed the police officer, one of the individuals was arrested over 20 times within the criminal justice system. And that does not include juvenile crime. And it was--the system failed, and unfortunately we weren't able to get to that individual earlier. This revolving door as far as the criminal justice system has to stop. And I am not pointing fingers. I think from a Federal, State, and local level, we have to look at our criminal justice system, understand that it is not functional at this point, and there have to be some changes. We have situations right now where the recidivism rate is a continual rate, when people are in jail, they get out of jail, and they continue to commit crimes. We have parole officers and probation officers that literally don't have the time to monitor these individuals. We have individuals who were in jail, and they could be in jail between 18 months or 10 years, and when they get out of jail there is very little help from a job training point of view, or anything of that nature. So these individuals go back to the community where they committed crimes, and it happens over and over again. I know of a situation where an individual was a heroin addict, went to jail, I guess went through the cold turkey or whatever, a couple of years later came out of jail and went right on a methadone program. I mean, these are the type of things that are happening over and over again. Now, what can we do to really make a difference? To begin with, again, a Federal, State, and local issue. But if you are talking about doing and changing the criminal justice system, you have to talk about money. I mean, we have to make--we have to pick our priorities, and, in my opinion, there has to be an entire reevaluation of where we are in the criminal justice system, and are we willing to readjust our priorities and put money where it needs to go. To begin with, I think that the No. 1 issue is that we have to capture our children. We have to make sure that we start focusing on young children before they get to a level where they are going to make a difference. Now, how do we do this? I know that in our county, as an example, we have put a tremendous effort on what we call police athletic programs, where we have both our recreation and parks and our police working with children who after school get in trouble. We bring them into these programs. We have a PAL center in every precinct in our county right now, and we made that a priority. We have over 5,000 children in the last 5 years that have gone through this program. And we can show you, as an example, in an area of our county called Arbutus, where we put a PAL program in and within that year period we had a 30 percent reduction in juvenile crime. If we don't capture these children, they are going to be the next level. We also, in our PAL programs, do things to get them in there. For instance, we provide karate, so we get the young kids who think they are tough--we get them in, we teach them karate, and then we also hook them and we teach them values and homework and leadership. And that does make a difference. We also have another program called JOINS, where the first- time offender for a juvenile--a lot of times juveniles understand they are not going to get in trouble, so they keep committing crimes. And our police officers aggressively work with our juvenile justice people to work with these individuals right away, the first crime they have committed. And we have shown that if we can get these individuals early, it does make a difference. The issue of drugs--we have got to do more as far as drug treatment is concerned. We need programs that work, not just warehousing. There are some people, as Congressman Cummings said, that should be in jail. These people are a menace to our society, and our police officers have to arrest them and they have to be put in jail. These are the people who are murdering on a regular basis. But there are other individuals who are in jail that should not be in jail. There is a program in Baltimore County that we have that has been rather successful, and it is called Right Turn of Maryland. This is a privately operated residential program that serves the adult residents of Baltimore County who are currently involved in the criminal justice system, have a history of criminal justice behavior, and have a diagnosed substance abuse problem, and substance abuse is a contributing factor to their criminality. Now, this is a long-term program with close monitoring from both parole and probation, and from random drug testing, to ensure their sobriety. This is a comprehensive program because it looks at each individual and tries to examine the cause of his or her addiction, criminal record, and drug history to determine ways to improve his or her life. We have been very encouraged by the results of this program. It is in its 6th year in operation within our county. This program combines an atmosphere of minimum security work, work release setting, and drug abuse treatment program. Individuals are mandatory sentenced to this program by the courts for 1 year and 28 days, no less. They spend 28 days in residential treatment, followed by a 1-year closely monitored followup program mandated by the courts. Now, in a followup study of just 250 graduates of this program, the recidivism rate when they entered the program was 35 percent after 2 years. The recidivism rate dropped 7.4 percent after going through this program. It is important that we continue to move forward in those type of programs that make a difference and make a result. In closing, we need to refocus our priorities as far as money is concerned. As a local elected official, when we needed police help, when we received money from Washington directly to the local government, we were able to put police officers on the street right away. So many times when you go through a Federal bureaucracy and a State bureaucracy, by the time the local government gets the money, half the money is gone. And I would encourage you to really look at some of these programs, and if money is going to be coming bring it directly to the local government who is working with respect to that program. And we feel very strongly that if we have the resources and we are held accountable for what we can do, we can make a difference. I have here with us today our Health Officer, Dr. Michelle Leverett; our deputy director of Social Services, LaFrance Muldrow; and chief of staff, Terry Young, are also here today to observe and take part in this. Thank you very much for coming to Baltimore. Mr. Mica. Thank you. Let me, if I may, ask a few questions. And I will start with the mayor. One of the things that has concerned me about Baltimore is the incredible rate of addiction. I have various reports that are given to me from DEA, which estimates around 40,000, which was several years old, addicts. I have heard repeated 1 in 10 citizens is a drug addict, and then I read one of the city councilwomen, Ms. Spector, said it is more like 1 in 8. The Census Bureau estimates that the city of Baltimore has a population of 645,593. I don't know if that is current. We will soon find out. Using her statistics, it would indicate that Baltimore has somewhere in the neighborhood of 80,000 addicts. Something has gone wrong here, dramatically wrong. If we had this and applied this, even the 1 in 10 figure, across the Nation, we would be looking at 20 million drug addicts. And I don't know of too many other communities that have this size of an addictive population. Mayor, can you shed some light on how we got into this situation? Mr. O'Malley. Yes. Let me try to do that delicately. Mr. Chairman, I was a prosecutor for my first couple of years as a lawyer. Before I got this full-time job, I was a lawyer. And I actually used to work for Stu Simms, who is here, our Secretary of---- Mr. Mica. I understand also--is your wife a prosecutor? Mr. O'Malley. She is a prosecutor in Baltimore County, yes. Mr. Mica. I might have to subpoena her and ask her her opinion. [Laughter.] Mr. O'Malley. Good. I would enjoy the opportunity to talk with her. [Laughter.] Mr. Mica. It might give you two some face time. [Laughter.] Mr. O'Malley. You know, one of the things I learned from the Jesuits when I was in high school is that expectations become behavior. There was a debate raging about 8 years ago, 10 years ago, and I think many who advocated that felt honestly that there was nothing we could do about illegal narcotics and the violence and the despair and the addiction that had spawned until we legalized it. Now, imagine if you would a Governor of a State saying that we should treat environmental pollution as an economic challenge rather than a crime. You can imagine the sorts of businesses that would be attracted to a jurisdiction where the top elected officials espouse that view. So I think what went on was a number of things. Our police department for years was told, even by its top commanders, that there is nothing we can do about it. There is nothing we can do about it. I wish I had a dime for every time I heard our former police chief say, ``You can't arrest your way out of the problem.'' And so we kind of got diverted, and we thought that if we opened enough PAL centers that that would somehow miraculously take violent offenders off the streets. So that is what has gone on in the past. I think other cities, though--and I think that maybe we should have gotten out of that ``should we legalize it or not legalize it'' debate years ago in our city. And we are a little bit behind the curve on this. Other cities, like New York, Pittsburgh, Newark, New Orleans, started showing that while you might not be able to simply arrest your way out of the problem, if you start being more proactive, more data driven, more relentless in your police efforts, you actually can take a lot of the violent offenders off the street. You can have a lot more interaction with your addicted population. And you can be much more successful in restoring that quality of life to our street corners. So I think to answer your question, the way we got into this problem was, we were very late, among other American cities, to abandon the notion that this is simply a health problem and that it should not be treated like a criminal problem. I think now we have restored a sense of balance. I have asked the former administration's health commissioner, Dr. Beilenson, to stay on with us because he does understand addiction. He does understand treatment. As the same time, we brought in experts from New York City, who have also been active in Newark and New Orleans and put them together with our new police commissioner, who understands this department's challenges and the nuances of this city, and doing both treatment and better enforcement together we are going to--you are going to see us join the ranks of the dramatically safer cities of America. Mr. Mica. Absolutely pleased to hear that. You know, God bless the people with the bleeding hearts, but it does take some tough enforcement combined with treatment. I am convinced of that the more I see. We have looked at cities. We have been to New York City. We held a hearing on tough enforcement--Richmond. They were slaughtering people at probably the same rate you have had, cut it in half with Project Exile, which also goes after guns, those who misuse guns in offenses. But it has given this city not only a nightmare, but you have inherited a formidable task. And I am sure this has spilled over into the suburbs. Unfortunately, it spreads like a cancer. The other thing we found, too, and where we put pressure on tough enforcement, they do flee to the next jurisdiction. We have seen that. You indicated that you have had problems getting money from the State for drug treatment. Is that correct? Mr. O'Malley. Yes, sir. Mr. Mica. Well, that concerns me, too. Since Mr. Cummings and I have worked together, we have increased drug treatment funding some 26 percent in less than 5 years at the Federal level. And I am seeing the money go to the State level, and we try to send it there with as few strings attached as possible. That has been our philosophy; the locals know best. But then we have seen that the money isn't getting down to where the problem is. And there is also a lot--I don't want to say ripped off, but absorbed in administrative overhead, which we just held a hearing on. And we are trying to get that money to the people who are on the front lines and where it is intended to go. So I am going to ask the staff if we can review the Maryland block grant program, and also funding into this jurisdiction. The next question I would have is the HIDTA, the effectiveness of the HIDTA, which is supposed to be our effort to help your effort in going after the traffickers, the dealers and death. How can we do a better job there? And how would you assess where we are now? Mayor. Mr. O'Malley. You know, the person who would be in a better position to answer that, Mr. Chairman, would be our police commissioner---- Mr. Mica. We will hear from him and his---- Mr. O'Malley [continuing]. As he hits me in the kidneys. Mr. Mica. OK. [Laughter.] We will hear from him in a minute. Mr. O'Malley. OK. Mr. Mica. But---- Mr. O'Malley. My experience with HIDTA---- Mr. Mica. You have been on the council and---- Mr. O'Malley. Sure. I was on the council. I was also a member of the defense bar for a time. I have been on both sides of it. I think the most effective law enforcement we do in this city when it comes to doing some higher level drug investigations is through HIDTA. Mr. Mica. Well, I don't want to--I don't--you know, it is sort of sensitive working with some of these agencies. But I want to know how--what your relationship is with the Federal agencies--DEA, FBI, Customs, whoever it takes. Is there a good working relationship, in your opinion? Or is that developing? Is the HIDTA assisting you in your efforts to go after--this stuff is coming in from outside your community. Mr. O'Malley. Right. Mr. Mica. I don't know any coca that is grown here, or poppies--[laughter]--in this area. Could you comment? Mr. O'Malley. Sure. I think in the years past HIDTA has operated almost as a sort of island out there. And there has not been the level of cooperation or the enthusiasm to that partnership from the local standpoint that there could be. A lot of our police officers really want to get assigned to HIDTA, and I think now over these last few months there has been a lot more--how can I say it--optimism, both on the Federal side and on ours certainly. I mean, HIDTA has all of the best tools. They have the best intelligence. And we are looking forward to having a much better working relationship with them. Mr. Mica. OK. That is good to hear, Your Honor. In that regard, Mr. Cummings, I am going to ask all of those individuals involved at the Federal level with the HIDTA, and the local officials, to meet with us in Washington within the next 2 weeks. We will meet in Washington, and we will see what is working, what isn't working, and why it isn't working, and what we need to do to make it function as efficiently as possible. Thank you. Mr. Ruppersberger. Mr. Ruppersberger. Mr. Chairman, in that regard, I would suggest that maybe we talk to our commissioner and our chief of police. The mayor and I were both former prosecutors. In my role as a prosecutor, I was an investigative prosecutor and worked with FBI, DEA, all of the different agencies. We find that on a local level the money, the informants, the ability to help us on long-term wiretap investigations, helps with respect to HIDTA. But, you know, crime has no geographical boundaries. The mayor and I have committed to work together on a lot of the issues that you have talked about. Just in Baltimore County, 39 percent of our violent crime comes from persons who live in Baltimore City. And we realize that as the city goes, our other jurisdictions are impacted. As a result of this--and I am glad to hear you say about the money coming--not getting to the local government, and I believe that is the case in a lot of situations. I think a good program that I mentioned before in my testimony was when we received police money directly. It went right to the local government, and within a short period of time allowed us to put a lot of police officers on the street. And we were able to be very--we were effective. We brought our crime rate down. It makes a difference. You know, we all deal--we manage bureaucracies. But we find that if we can get the money directly without a lot of people who have to write reports and manage--and we want to be held accountable--but if we have shown that we can handle it, I would suggest that we need money directly, right now, for these drug programs, and also for other programs in helping to take these criminals off the street that should be in jail. Mr. Mica. Finally, before I yield to Mr. Cummings, one question. Last night, my wife and I came--we were in Pennsylvania and came back, stopped in Baltimore for dinner. She was driving and got lost, so we ended up in Little Italy and parked, actually, I think next to a public housing project. And those projects receive a great deal of Federal funds. Do we have an effective--and it didn't look like it was exactly the best situation. Do we have an effective enforcement program and drug-free zone in there? I just visited last Sunday--we held a hearing in Honolulu. It was fun to get off a plane and go to a prison in Hawaii, which was my Sunday afternoon. I flew out there all night, and then went into a housing project, and it was quite a dramatic program that they had had in the housing project. They had police officers in the housing project who lived--or actually had offices in all of the units, and a great cleanup effort. Is that going on here? Mr. O'Malley. Yes, sir. We are probably leading the Nation in terms of our use of HOPE 6 funds to literally tear down projects and redesign them. But also on the security front, you know, one of the challenges we are faced with is how do we manage, direct, and make as effective as possible the housing authority police when you have a policy of trying to decentralize public housing. So one of the moves that we have is to develop a memorandum of understanding between our housing authority police and our police commissioner. Mr. Mica. And that is working effectively? Mr. O'Malley. It is starting to. We are only a couple months on the job, and there is a lot--it is like changing a tire on a rolling car, our reform of this police department. So we are working on a memorandum of understanding. From my personal experience, I can tell you--and the Congressmen can probably back me up--I have run into a lot more individuals on the street who are saying that they are being denied public housing because of drug distribution records. So I know that that is going into effect. And I think it is having an effect. You do not have the problems to the degree that they were even 4 years ago in our high-rise projects. And there has been some improvement there. Mr. Mica. Well, we will look at that also. Mr. Cummings. Mr. Cummings. Thank you very much, Mr. Chairman. I just have a few questions. Again, I want to thank you all for being here. It is a tough schedule. I want to go to Mr. Mayor, and you, county executive, Faye Taxman, who is going to testify toward the end of this hearing, wrote a very compelling piece that--and she spends a lot of time talking about how we put people on probation a lot of times. But we don't give them the kind of supervision that they need. And it is her belief that if we really zero in more on that supervision, and, I mean, not just--she says it is sometimes referred to as a ``wait and see'' period as opposed to a ``get a person straightened out'' period. She believes that we could save a lot of resources and help a lot of people, and I just wondered what your opinions are on that. Is that a part of your plan? Mr. O'Malley. Yes. I haven't sat around and waited on enough VOP cases and had addicted clients. I think that there is a lot we can do to improve supervision. And one of the key components of that, I believe, is to get the judges out of it. I think you need to sign up people for graduated sanctions right up front. Those are the terms of probation. Right now, we have probation agents who are utterly overwhelmed, although the State is allocating more money so we can hire some more probation agents. But we have probation agents that have scores of people they are supposed to be supervising, and yet when those people relapse or start using again or get a subsequent offense, there is this wait and see, string it out, OK, four postponements later in the district court, 8 months down the road, then maybe we go back and see how we resolve this violation and probation. Huh-uh. What we need to do--if we really want people to supervise those who should be turning their lives around, what we need to do is give them the power to enforce those graduated sanctions. And I know that there are some legitimate constitutional concerns with that, but I don't think that any of it is insurmountable. And what we really need to do is get our judges out of the natural human habit of wanting to micromanage and personally review every VOP before a sanction is imposed. And I think people need to--if they are going to be given the break of a suspended sentence or probation before judgment, they need to agree up front to abide by certain conditions, and know that if they don't abide by those conditions then your penalty for coming off the first time is whatever--a weekend, 2 weekends for a second offense. And it needs to be immediate, and it needs to happen right away. We just feed into the whole suspension of reality that is involved in drug addiction by letting these cases drag on forever without any penalty. It would be better not to have them supervised at all than to have them supervised and to do nothing at all. Mr. Cummings. Well, it is interesting that you said that, because Ms. Taxman--part of her theory is that you must have swift, graduated punishment when people don't do what they are supposed to do. And I just--I mean, and it--you mentioned recidivism and with regard to probation. What she notes in her report is that 35 percent of the people who end up in--well, in prisons are people who violate parole or probation. Unfortunately, what happens is that in the process of being on parole or being on probation, they don't have the supervision. And it is almost like you put them on a train for failure without giving them the support system. Mr. Ruppersberger. I think a lot of it has to do with the volume. I think if you would interview probation officers, parole officers, they will tell you that they have a job that is overwhelming, that they can't do the job because they don't have the resources, they have too many people that are there. And, consequently, you can't work with people, you can't deal with people who violate parole or probation. The four individuals who allegedly killed our police officer were all individuals going through that system. You can look at it over and over again. And I think a lot of it has to do with management--management at the top also--and where the priorities and moneys are going. We are lucky we have Stuart Simms. He is a hardworking individual who is a good manager. But he does not have the resources to do the job. And it is going to take millions and millions of dollars from the Federal, State, and local level to reevaluate where we are in our criminal justice system. And if there is an example that--we have to do it, it is right here in the State of Maryland in Baltimore City, based on what we have here and what is on the board. I would suggest that we look at what we need, that we go to the front line. You know, we sit sometimes as leaders and we don't go to the front line to hear what they really need to do the job. And I think it is important that we go to probation officers, parole officers, without threat that they are concerned about their job, and say, ``What do you need to do to do the job better? Where are the problems?'' And then we have to start there, and then we have to make the decision, as elected officials, where do we fund? Where are our priorities? In my opinion, we have got to reevaluate where we are in this whole criminal justice system, from juvenile to adult, or it is going to continue. From drug--you can't put everyone and warehouse them in jail because there are a lot of people that shouldn't be there. But yet you have to make that determination. When somebody does make a mistake, they have been given a chance, then you have to come on them swiftly and make a difference. And it just has to be, because those people are impacting our society every day. Mr. Cummings. I just have a few more questions. Mr. Mayor and county executive, one of the things that I have discovered in moving around the streets of Baltimore, and Baltimore County, is that there is a huge community of people who are recovering addicts. I mean, it is huge. And these are the people who work every day, who turn around--and part of their recovery is to turn around and help somebody else come out of recovery. As a matter of fact, you have got one sitting right behind you, Ricky Phaison, who like I said a little bit earlier is a recovering addict for over 13 years. And I guess what I wonder about is, how do we make sure--and you talked about it briefly, county executive, how do we make sure the treatment that we do give is effective? That is one of my biggest arguments with the Republicans. [Laughter.] But one of my biggest arguments is, that ``We don't want to throw money out there, and the money isn't working.'' I mean, it is not doing what they claim it is supposed to do. So how do we make sure that we get effective drug treatment? And I think all of us here don't want to just be spending money to spend it, but we want to make sure that whatever we do works. Mr. O'Malley. Right. We probably have, in the city of Baltimore, one of the--we are probably ahead of the rest of the country, believe it or not, when it comes to evaluating how many programs we have, how many slots we have, and how effective they are. Now, the problem with determining how effective some of these programs are depends on your definition of effective. You know, somebody is in treatment for a while. They are in for 6 months or in for a year. They stop coming on a regular basis. Well, it is--the sort of tracking that all of us want to see is also expensive. But we actually have made some great strides, with help from the Able Foundation--one of our local foundations--and according to our health commissioner--may be blowing his own horn now--but according to our health commissioner, the only city that is better in terms of monitoring and promoting some sense of accountability for a drug treatment program is San Francisco. So we have gone--we have jumped through a lot of hoops at the State level, trying to convince our Lieutenant Governor and our Governor of the fact that we actually do know where the dollars go, we do know what works. And what works also depends on the person. You know, certain modality--some of the most effective programs in the city are those that don't involve any methadone at all. If their core is a spiritual element, the Government is very bad at administering. But I was at the Help Up Mission just yesterday--was it yesterday? Day before yesterday in our big spring cleanup. They have a lot of men who are really doing phenomenal things, have certainly overcome bigger challenges than I have ever faced and are turning it around. Of course, methadone is also what works for others. So what we need is not only a continuum of the modalities, but we also need to be better about wraparound services, accessing TANF moneys for job training and for transitional housing, and that is sort of the move that we are making now. But Dr. Beilenson can talk to you at great length about what we have, how we monitor it, and whether there may be a need to move from thinking in terms of slots to, instead, moving toward the notion of fee for service in some of these cases. Mr. Ruppersberger. A lot of it has to do with basic management, whether you are managing a criminal justice system or a public works department. What is your mission? What are your goals? And then you hire people to follow through with that. Now, the people that follow through need resources. In today's age, the technology, everybody should be in--there is a data base that can be followed. And then you analyze your results and the accountability of where it needs to go. And then you pick not a lot of different programs, you pick your basic priorities, in my opinion. Your priorities in this system are dealing with the children, dealing with families, dealing with hardened criminals, and then pulling all of that together. And then if these individuals are on probation or parole-- you know, we keep talking about probation and parole and being either soft or being hard, whatever. But the bottom line, when someone eventually gets out of the system on parole or probation, then there is no job training, or very little. So what is going to happen is there is going to be recidivism again. So how do we stop it? It is a system that goes from juvenile all the way through. And in each level we need funding, we need priority, we need good management, because in my opinion there has been a lot of mismanagement throughout the whole country, not just here. And I am not putting the blame--I will put blame on myself that--that anything that we do has to be managed well and be held accountable. The money has to be there. Mr. Cummings. Dutch, one of the things that you said, and then I have just got two points and then I am finished, the-- one thing we are going to hear about, the DTAP program up in Brooklyn, NY. And one of the things that they do is they work real hard with the business community to help people find jobs. And what they have been able to do, from what I understand, is to create a good reputation. The guys who enter and get the treatment, the supervision, the jobs, and do a good job, become almost a reference. The business community then comes to them and says, ``Look, we want a guy or a lady from the program, because we know that we have got good supervisor, they are trying to make their lives better.'' And one of the things I noticed about this recovering community that we talked about a little bit earlier, Mr. Mayor, is that all of them have jobs. I am just wondering if that is a part of your program? Mr. Ruppersberger. A job is the best social program, in my opinion. But if you take an individual who gets out of jail, and this individual probably cannot be hired, say, at a fast food restaurant because he has a criminal record, or she has a criminal record. If we don't start focusing on that job, there is no place for these individuals to go but to go back where they were before. But it has to come together. There needs to be funding and reevaluation, and there needs to be more accountability. We have a lot of well-meaning people out there, but there are a lot of programs that aren't working. Is there an accountability of this--of these programs? I don't know. Mr. O'Malley. There are also programs that are, and the ones that work best are the ones that have a spiritual component. Sister Gwenette Proctor--I mean, the men that she works with have performed miracles in their own lives, turning them around. And you are right. They have jobs. And before they have jobs they have--there is something that clicks. In the most successful of these programs, it is not so much the modality as it is the mentality of the person that is looking to change. But there is nothing compassionate about a criminal justice system that imposes suspended sentence after suspended sentence, that has so-called supervised probation where only half of the people referred for drug treatment as a condition of their probation ever get into it, where if there is a relapse it takes 30 to 90 days even to get a warrant for that person. We need to tighten up all around. A lot of people cry out for help, and the criminal behavior is their means of doing that. And we are just not there to tighten up and to provide the sort of reinforcement that they need. So---- Mr. Cummings. Will there come a point when we say, or have you said to the business community, ``Look, if we are able to do this, to pull this off and get treatment, will you help us and get people jobs?'' Mr. O'Malley. Yes, we can say that. But, I mean, the very fact that we notice that they have jobs I think shows that the market is there. We are about to launch a big summer jobs program because we are not getting a lot of Federal stand-alone dollars for that. Just thought I would slip that in. Mr. Cummings. Yes, please do. [Laughter.] Mr. O'Malley. Thought I would slip that in. So we are going to be doing a radiothon and a telethon to get summer jobs for our young people. But the business community is always in a desperate search for dependable workers, especially in our city. It is a big economic disincentive to have so many people addicted to drugs. So I think these programs, Congressman, start to speak for themselves. I don't think the problem so much is the business community willing to take on these things. I think if we tighten up our act on the enforcement front, and on the court front, I think that we will be able to drive a lot more people into those programs that work. And I think they create, as you say, their own sort of references just by the success stories that come out of them. Mr. Cummings. Well, I wanted to tell you both that your testimony has yielded two very positive things, if not more. One, the chairman said, we are going to look at HIDTA, and also at this flow of the funds. One of the things that we have been able to do, not only in this subcommittee, but in the last subcommittee that we shared as ranking member and chairman, is that we were able to move some things very quickly. Mr. O'Malley. That is great. Mr. Cummings. And so we want to thank you for being here. Mr. Ruppersberger. Thank you. And just with respect to HIDTA, I think if you talk to my chief of police and Commissioner Daniel, who deal with it every day, so that we can work together--as a former prosecutor, I used to see that different agencies would have jealousies. But I have seen in the last couple of years more teamwork. And in this hostage situation that has just had our whole community seized, we had Federal agencies, we had State agencies, we had jurisdictions from all over, and it took all of that to do what we had to do. So I think we are going in the right direction. But I don't think the mayor and I at this point have enough knowledge on every day operations so that we can comment one way or another with respect to that. Mr. Cummings. Thanks. Mr. O'Malley. Thank you. Mr. Mica. Well, I want to thank both of our witnesses for being with us today. I hope if we do nothing else the rest of the year, Mr. Cummings, that we are able to do something to impact the figures that are on that chart over there. Those are multiplied, unfortunately, just in 10 years I have been in-- around Congress by probably 3,000 dead citizens of Baltimore, most of them probably minority young males, whose great potential of lives are snuffed out and destroyed. Something has to be done, and I am so pleased to hear administration chief executive officers of this locale committed to hopefully working together, maybe taking some new approaches, and find out what we can do to make this a success. I am also pleased to welcome a gentleman from Maryland, Mr. Cardin. Welcome to our subcommittee, and we are so pleased to be in your State in this local community looking at a very serious problem. While we still have these two witnesses, did you want to make a statement for the record? Mr. Cardin, you are recognized. Mr. Cardin. Well, thank you, Chairman Mica. Thank you very much for being here in Baltimore. I thank my colleague, Congressman Cummings, for all of his leadership, particularly on these drug treatment issues. Let me just acknowledge, you have our two leaders here with Mayor O'Malley and County Executive Ruppersberger. The nice thing is that we not only have outstanding leaders in Baltimore City and Baltimore County, but they work together recognizing that the problems that we confront know no geographical boundary. And we just very much appreciate their commitment to working with our communities so that we can improve the safety and health of the people in Baltimore. And thank you for bringing the hearing here to Baltimore. Mr. Mica. Thank you for joining us today. Again, I thank each of our first two witnesses, and this panel is excused at this time. Mr. O'Malley. Thank you, Mr. Chairman. Mr. Ruppersberger. Thank you. Mr. Mica. I would like to call our second panel this morning. The second panel consists of the Honorable Thomas E. Noel, who is associate judge for the Circuit Court for Baltimore City; Ms. Anne Swern, deputy district attorney for Kings County, NY; Mr. Ronald Daniel, police commissioner; Mr. Stuart Simms, secretary of the Maryland Department of Public Safety and Correction Services; Mr. Peter Beilenson, commissioner of the Baltimore Department of Public Health; Ms. Renee Robinson, she is involved in treatment and correctional justice as treatment/criminal justice coordinator with the Baltimore/Washington HIDTA; Mr. George McCann, he is executive director of the Baltimore Addict Referral and Counseling Center. As I indicated at the opening, this is an investigations and oversight subcommittee of Congress. In just a moment, I will swear you in. If you have any lengthy statements, which you would like to be made part of the record, we will be glad to take them, and upon request enter them into the record, or additional background charts, materials. We will run a little clock here on the timer, which will allow you to summarize any lengthy remarks you may have, and then we will put the entire statement in the record, and, again, material that may be pertinent to today's hearing. With that, if I could ask all of our witnesses to please stand. Raise your right hands. [Witnesses sworn.] Mr. Mica. The witnesses answered in the affirmative. We have got one stray back here. Sir? Have I recognized this gentleman? Could you identify yourself for the record? Judge Johnson. I am Judge Ken Johnson. I was invited to testify, and I asked the person who heads up Drug Court to testify in my stead. I am just here to observe. Mr. Mica. Thank you, Your Honor. We are pleased to have you, and also you have to be sworn, too, for the record, in case we need to ask or refer questions to you. With those comments, I am pleased to recognize, at this point, the Honorable Thomas E. Noel. He is the associate judge of the Circuit Court for Baltimore City. Welcome, sir, and you are recognized. You may have to pull that up as close as you can. STATEMENTS OF HON. THOMAS E. NOEL, ASSOCIATE JUDGE, CIRCUIT COURT FOR BALTIMORE CITY; ANNE SWERN, DEPUTY DISTRICT ATTORNEY, KINGS COUNTY, NY; RON DANIEL, POLICE COMMISSIONER; STUART SIMMS, SECRETARY, MARYLAND DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES; PETER BEILENSON, COMMISSIONER, BALTIMORE DEPARTMENT OF PUBLIC HEALTH; RENEE ROBINSON, TREATMENT/CRIMINAL JUSTICE COORDINATOR, BALTIMORE/WASHINGTON HIDTA; AND GEORGE McCANN, EXECUTIVE DIRECTOR, BALTIMORE ADDICT REFERRAL AND COUNSELING CENTER Judge Noel. I will keep my voice up. Mr. Mica. Great. Thank you. Judge Noel. Good morning, Mr. Chair, Mr. Cummings, Mr. Cardin. It is good to see all of you, and thank all of you so much for inviting me and coming to Baltimore. I wanted to acknowledge Judge Kenneth L. Johnson. He and I collaborated on the paper that I submitted, and some years ago, in 1992, he began efforts to open our eyes to how devastating the drug problem in Baltimore City had become. My comments will primarily focus on Baltimore City, the illegal narcotics impact, and our treatment efforts. I have recently sat for 3 years in our Drug Felony Court, and that is a real penalty. And I have also presided over one of our drug treatment courts for an 18-month period, which proved to be truly one of the most educational and enlightening experiences I have had as a judge. Sometimes we almost felt as if we were taking off the robes and acting as social workers. I have also served as a liaison between Baltimore's Circuit Court and District Court regarding the drug treatment program. There is no doubt that the illegal narcotics epidemic has affected all of us to some extent, either directly or indirectly, and I must say it has truly affected me directly. I have family members that have succumbed to this addiction. This epidemic has dealt a severe blow to the city, the State, as well as the entire country. It is now time to openly and honestly face the reality of where our city stands and the degree of this epidemic. It is important to understand the impact of this problem. By 1996, drug use in Baltimore had soared over the last several years to the extent that the city was actually in danger of becoming the drug capital of the Nation. The drug abuse warning network--and I would like to submit that report as an exhibit--is a survey of reported drug episodes in emergency rooms throughout 21 major American cities. Baltimore had the highest number of heroin and cocaine episodes in any of these cities in 1994, and the second highest number for heroin and highest number for cocaine in 1995. In 1995, emergency room visits in Baltimore were 12 times more likely to involve heroin than the national average. Baltimore had more than twice the heroin-related emergency episodes per capita than New York City, and more than twice the cocaine-related emergency room episodes for either Detroit or Miami. In 1998, Baltimore was only the sixth highest rated city of heroin episodes and the eighth for cocaine. The chairman had indicated figures somewhat higher than mine, but Maryland's Alcohol and Drug Abuse Administration estimated, in 1994, that an astonishing 9 percent of the city residents, or close to 62,000 of our residents, actually needed drug treatment. A more conservative number is--using national standards, place the number around 44,000. As I indicated in the paper, this epidemic has had a disastrous impact on the fiber of this city. From the human factor, this cancer has devastated generations. Rarely does a week pass without the loss of life from drug-related activity, AIDS, murder, overdose, and so forth. Families are destroyed, loved ones are at odds with one another, and the list goes on. This sudden explosion of drug-related issues has had a major impact on our court system also. In 1993, our typical felony caseload in the Baltimore City Circuit Court was about 3,300 defendants. By 1998, this number had exploded to close to 8,500, mostly black males. Last week, I took the liberty to determine the number of individuals being held at our pretrial detention services, and 3,200 defendants were being held, 2,900 of them being black. Easily two-thirds of the cases in our criminal system handling felonies are narcotic cases, either indicted or charged through criminal information, through the Narcotics Division. Now, this explosion in our dockets has attributed to many of the problems of our court system that the media has focused on. Obviously, the courts and support agencies did not expand proportionately to address the problem. Baltimore City contains roughly 14 percent of the State's population, but accounts for 64 percent of the new prison commitments. And to correct one misconception--when I found this information, I was somewhat surprised. But the Department of Justice reports that six times as many homicides and four times as many assaults and one and one-half times as many robberies are committed due to the psychopharmacologic influence of drugs as are committed to obtain money for drugs. This problem has inundated our court system to the extent that we now have four full-time felony drug courts operating handling exclusively drug cases. Effective drug treatment must now be seriously considered in addressing this dilemma, as many now are beginning to admit. The goal of treatment must be to intervene effectively in an individual's addiction, to stop both the drug use and the collateral behaviors harmful to the individuals in this community. Treatment must consist of educating and counseling to alter thinking and attitudes. In March 1994, the drug treatment court began to effectively counter this problem. Another exhibit that should be included--in Baltimore City we now have 467 defendants in the Circuit Court, and in the District Court 271 defendants, participating in our drug treatment program. The program has proven very successful for those who have been involved. The recidivist rate is significantly lower than for those on standard probation. Seventy-seven percent of the graduates were arrest-free as of June 1998. The program consists of active monitoring and treatment. When a defendant goes into this program initially, we hope that the defendant is not employed and has all free time, because the first 4 to 6 weeks of the program are extremely rigorous, with urinalysis, treatment, and counseling. This program also has a job component built in once the defendant evolves through the program. The average age of the participant in this program is 36 years of age. I have found that the older defendant is more amenable to treatment than many of the younger individuals. And I find that most of them just have to hit rock bottom before they are actually willing to consider treatment seriously. Now, the gender ratio is 58.1 percent male and 41.9 percent female. Now, drug treatment can also be cost effective. The average daily cost of incarceration is $56.65. And that is annually over $20,000. The average cost of those involved in our drug treatment program is $10 a day, which averages out to just over $4,000. Participants in this program, the only alternative--for most of the participants, the only other alternative would be incarceration, because most of them have such significant records because most of the defendants we have have long- standing, long-term addiction problems, and their records accurately reflect that. They have been--and you can look at a defendant's record and realize if it is an addiction record, because of the thefts, the shopliftings, and the continuous use of drugs. As one graduate told me, the program is not going to work until the participant wants a life change. This is why I feel the successful participant is usually the older individual. Our society must develop a means to make the addict realize the necessity to change. This will only be accomplished by our efforts to educate. We must recognize the actual health problems addiction presents and expand effective treatment. Now, to some extent, the success of our program has caused us many problems because as of January we had to stop accepting defendants in the program because we ran out of funding, and, fortunately, another program gave us outpatient treatment slots but no inpatient residential slots. We review this monthly in an effort to try to resume admission into the program because of its success. And I must admit the first time I went into drug court, I was not optimistic. I had real reservations about those that could-- whether or not an individual could change. But I have seen many, many individuals who have changed. One defendant comes to see me regularly, and now he has gotten his--whatever the license is required, to drive tractor- trailers, and he drives nationally now. And this individual usually comes to our drug court graduations, and our next graduation is April 28th, the Circuit Court, and I would invite all of you to attend. To effectively combat this drug epidemic, law enforcement will also have to broaden its perspective and rearrange some priorities. When reviewing this problem, we must not only look at it from the perspective of the volume of illegal narcotics in the community, we must also begin to focus on the money generated from the sales. Am I running out of time? Mr. Mica. You could begin to conclude. Judge Noel. The average dealer earns one-tenth of the moneys or funds generated from drug sales, and where does this balance go? Tracking the money may ultimately lead us to those in control. Our past course of following the narcotics has yet to prove successful. All branches of Government, the clergy, law enforcement, as well as those working in the area of academics, are holding a meaningful dialog on the alternatives to the past. A strategy is necessary to effect change because this problem is having a devastating effect on our city. Mr. Chairman, thank you. [The prepared statement of Judge Noel follows:] [GRAPHIC] [TIFF OMITTED] T8775.024 [GRAPHIC] [TIFF OMITTED] T8775.025 [GRAPHIC] [TIFF OMITTED] T8775.026 [GRAPHIC] [TIFF OMITTED] T8775.027 [GRAPHIC] [TIFF OMITTED] T8775.028 [GRAPHIC] [TIFF OMITTED] T8775.029 [GRAPHIC] [TIFF OMITTED] T8775.030 [GRAPHIC] [TIFF OMITTED] T8775.031 [GRAPHIC] [TIFF OMITTED] T8775.032 [GRAPHIC] [TIFF OMITTED] T8775.033 [GRAPHIC] [TIFF OMITTED] T8775.034 [GRAPHIC] [TIFF OMITTED] T8775.035 [GRAPHIC] [TIFF OMITTED] T8775.036 [GRAPHIC] [TIFF OMITTED] T8775.037 [GRAPHIC] [TIFF OMITTED] T8775.038 [GRAPHIC] [TIFF OMITTED] T8775.039 [GRAPHIC] [TIFF OMITTED] T8775.040 [GRAPHIC] [TIFF OMITTED] T8775.041 [GRAPHIC] [TIFF OMITTED] T8775.042 Mr. Mica. Thank you for your testimony. We will ask questions after we have heard from all of the panelists. I would now like to recognize Mr. Ronald Daniel, who is the police commissioner. Mr. Daniel. Chairman Mica, Congressman Cardin, thank you for your kind invitation to participate today. As a law enforcement officer, I enjoy arresting people involved in the drug trade. It is my job. But it pains me when I talk to so many individuals who are addicted to drugs, who want and seek treatment, and it is not available for them. Many police officers, particularly ones who develop informants and sources of information, talk to people who want to try to get out of their problem. A lot of them are bright, decent, hardworking people. When you watch a drug dealer operate, if they just took that energy and just did something else, they could be very productive citizens. And coming up in Baltimore--you know, I grew up in this city, and so many of my childhood friends got involved with drugs. Some of my relatives have the same problems. Even people who grew up in the same households, one child goes one way, another goes another way. It happens all the time. I think that if there were more treatment opportunities--I have worked with a program called ``hot spots'' for the past 2 years, which is a program sponsored to give parolees and probationers enhanced supervision by reducing the caseload in heavy crime areas of the city. And when I was going out with them on field interviews and talking to so many addicts, a lot of them weren't doing what they were supposed to. And the ones--again, I saw significant numbers of people wanting treatment and being told, ``You have to wait 30 or 45 days just to be screened to get into a treatment program.'' And with an addict, you know, when they make that decision they want to try to turn things around, you have got to have some type of immediate response to help them. Otherwise, you simply lose them. They are just back in the same environment they were in before. A lot of times an arrest situation could be the factor that triggers it. But if we can't offer them some assistance immediately, you know, it doesn't do us any good. Without question, there is a connection between drugs and crime, especially violent crime in Baltimore. We have significant numbers of open air drug markets in this city. The mayor has committed, and I am committed, to shutting down 10 of them within 6 months. We have pledged to do that, and then we are going to identify 20 more open air drug markets within the next year. These are the kinds of things and aggressive law enforcement action that we are going to take. Beyond the enforcement action regarding shutting down the open air drug markets, we have been working with the Health Department, the Department of Social Services, Department of Public Works, to improve the quality of life in the surrounding neighborhoods. And we are not going to leave the neighborhoods or the areas until the problem goes away. So unlike some enforcement actions, where you come in, raid, and then leave, and the neighborhood reverts back, we are going to take steps so that that doesn't happen. And that is a little difference here for us. I was going to talk a little bit about the dollar figure with addicts, but that was spoken about before. But the fact that addicts steal $100 a day to get $10 for cocaine, or a hit of cocaine, or heroin in this city, means when you multiply that by their needs and the number of addicts that we have in this city, that is why people's homes are broken into. That is why people get robbed. That is why cars are broken into down in the Inner Harbor, to feed and fuel this drug trade. In this city, we also have some significant--you heard about it--suburbanites coming into Baltimore to buy drugs. We do something called reverse stings here, where police officers pose as drug dealers, and we target areas where we can get people from out of the city who come in. And a couple of weeks ago we ran an operation over in the southwest part of the city, and we asked the people, ``Why did you come here? What led you to Baltimore?'' One gentleman was from southern Pennsylvania, and he told us that he had gotten the directions for this particular drug corner written on a 7-11 wall in Pennsylvania. And the reason that we have such high purity, low cost, and significant numbers of drug markets in this city, which is one of the reasons why we have this large drug problem. Also, quite frankly, we have had prior enforcement action of the drug trade that wasn't what it was supposed to be. You asked about HIDTA. I met with the local HIDTA officials a couple of weeks ago, got a briefing. HIDTA is good for us, and I thank you for their support. We have underutilized HIDTA here. We have not kept up with our commitment for HIDTA. You know, most law enforcement agencies commit to having some of their own people, and we withdrew those people without explanation to HIDTA. I have already taken care of that problem, and I think HIDTA will say that we are cooperating much better than we had. HIDTA helps us a lot. They have excellent crime analysis capabilities, criminal intelligence capabilities, and, of course, they have some sophisticated equipment that we use. And they are posed to tackle and take on some of our heaviest drug organizations, and we are extremely appreciative. Heroin is the primary drug of choice in Baltimore, followed by cocaine and marijuana. I was surprised about the resurgence of marijuana with regard to violent crimes. In my old neighborhood, in West Baltimore, marijuana is the only drug sold on that corner. And I was surprised to see the violence shootings, killings, significant numbers of arrests, and so marijuana, cocaine, and heroin are some of the significant problems for us in this city. Drugs are moved through this city every way imaginable. Primarily we get most of our drugs from New York. It is still a source city. Trains, cars, and we do interdiction exercises at most of these places, but it is difficult to stem the tides. What we intend to do is to try to shut down as many open air drug markets that we can, because we think that that directly affects the violence in the city, and we are going to work as hard as we can on stabilizing neighborhoods and getting people to feel good about themselves, to move back into the city, because we are significantly losing some of our tax base. Citizens deserve to be safer than they are right now. You asked the question about why, and about policies here. Our police officers have often been confused about policies of the leadership in the city, what direction they should take, do they want us to make drug arrests or not, what are they saying about drugs. There is no confusion any more. We are going to be aggressive with drug enforcement in the city. We have to be. We have a horrendous murder rate. We have got 64 murders so far this year, many of them--at least 40 to 60--are probably drug related. We have had some significant problems investigating crimes because of failed policies in the past, and have taken corrective action for that. We feel that we should turn things around. We certainly appreciate your assistance. We appreciate your coming here, listening to us. But we do have a significant problem in Baltimore. Mr. Mica. Thank you, Commissioner Daniel. We will now hear from Dr. Peter Beilenson, commissioner of the Baltimore Department of Public Health. You are recognized, sir. Dr. Beilenson. Thank you very much, Mr. Chairman, and Congresspeople. Well, you have heard very eloquently from several people now about what the problems are, and I think you will find that we are an unusual jurisdiction in that most of the people you have been hearing from have criminal justice backgrounds. And you will be hearing from Secretary Simms shortly. And in few, if any, other jurisdictions, can you find that public health and criminal justice officials agree completely that (a) you need to have some type of criminal justice activity on the violent, drug-related offenders, but you also clearly need more treatment, both voluntarily and through the courts. And I think you hear this loud and clear from the mayor, from the county executive, from our police commissioner. And I assume you will hear it also from Secretary Simms. I don't want to speak for him. We have done a lot in this city over the last several years to increase drug treatment. Along with San Francisco, we are the only city that I know of that has doubled drug treatment. Most of that has been through city resources and foundation dollars that we have raised. In answer to your earlier question, our block grant, at least until this past year, has been static--the State-Federal block grant--for several years. And the only increase we had recently was to increase salaries for some of our treatment providers because the counselors are woefully underpaid. Even still, with doubling treatment availability in the city, we are serving only about 18,000 to 20,000 of the 55,000 or so addicts in this city. I would just point out that that chart is not right. In 1950, we didn't have 300 heroin addicts in Baltimore. We had tens of thousands. So it has not increased, whatever that is, 3,800-fold, or whatever. Clearly, we have a major problem. We have about 55,000 addicts, as Commissioner Daniel was mentioning. The primary drug of choice is heroin about 70 percent of the time. However, most of our addicted individuals in the city are polysubstance users. They use heroin and cocaine, maybe marijuana as well, alcohol, tobacco. So it is a serious problem. Our proposal is very simple. You asked the mayor earlier I think does his proposal include things like jobs, and Congressman Cummings was talking about that. It has been in the paper--I don't expect that Congressman Mica has read this, but I know that our two congressional representatives certainly have. We have a proposal in to the Governor for $25 million. Just so you know, our general--where we are coming from, about $30 million is spent on drug treatment in Baltimore City each year. The crime costs, as Commissioner Daniel was referring to, are $2 to $3 billion a year; $50 to $75 a day habit times 55,000 addicts times 365 days comes to about $1\1/2\ billion. But people get on the street, for what they--you can't sell what you steal on the street on a one-to-one basis. So the bottom line is $2 to $3 billion in crime each year. What we have asked for is $25 million to be able to expand treatment so that we will be able to have people who are either required by the courts in whatever way that happens, through drug court or on parole and probation, or referred directly in from the streets, self-referrals, because they have hit bottom and are ready for treatment, to be able to have whatever modality that would serve them best within 24 hours. So you have this immediate treatment, as Commissioner Daniel was talking about--the importance of that. But it is not enough just to get people clean. It is not that difficult to get people clean. And if you want to ask questions later, I have a lot of our statistics here from Baltimore, our performance measures of our treatment programs. The key is to keep them clean. And the way to keep them clean is, as Congressman Cummings was implying, are wraparound services--kind of a silly term for very important things. So our $25 million proposal included enough treatment slots to provide the appropriate type of treatment for everybody who needs it or is required to go into treatment in Baltimore City within 24 hours; plus onsite housing services, so we can refer people to appropriate housing; job training and placement. And there is a strive program in Baltimore, which you may want to ask about, that has worked very well at getting addicted individuals who are recovering into jobs. Babysitting and day care services--crucial for the moms and more and more a lot of dads who have custody of their kids who can't go to drug treatment during the day if they can't find someone to watch their children. And mental health and medical services. All of these are in the $25 million proposal. And as the mayor has said, he has met several times with the Governor and now the Lieutenant Governor, and so far we are not getting the $25 million. It is a tiny amount of money in a huge State budget. And when you look at the incredible cost to the State of Maryland of these $2 to $3 billion in crime costs--and that is city cost alone. It doesn't include the Baltimore County crimes that are being committed by city residents. We think it would be money extremely well spent. I would be happy when you ask questions--I know you are concerned, Congressman Mica, about the needle exchange program. We have excellent statistics on that. And if you want to ask about the performance measures we use here in the city in our treatment programs to show that they do work, I would be happy to answer them as well. [The prepared statement of Dr. Beilenson follows:] [GRAPHIC] [TIFF OMITTED] T8775.043 [GRAPHIC] [TIFF OMITTED] T8775.044 Mr. Mica. Thank you. I would like to recognize now Mr. Stuart Simms, who is the secretary of the Maryland Department of Public Safety and Correctional Services. You are recognized, sir. Mr. Simms. Good morning, Chairman. Good morning, Congressman Cummings. Good morning, ladies and gentlemen. I am Stuart Simms, secretary, Department of Public Safety and Correctional Services. We operate the prisons throughout the State, of which there are 26, also the Division of Parole and Probation, as well as the local jail facilities. And so we operate the Baltimore City Detention Facility as well. I will try to move quickly through these remarks. I will submit the prepared remarks for your review, but very quickly I want to thank Congressman Cummings. His interest in this issue has been consistent throughout. As you may know, he had a substantial role in development of a study on African-American males by this State, which focuses particularly on the racial imbalance in our institutions. I have used it as a principle starting point to broaden educational services within our current system. You can look at the ACA, American Correctional Association, review, which points out Maryland as being one of those States that has a progressive educational system. I also want to express my thanks to the Congress for their early support of the correctional options amendments to the Crime Control Act of 1990. That act enables our State agency to be the State agency which funds the bulk of drug court, along with the State Department of Health and Mental Hygiene, which funds most of the substance abuse treatment services that have been discussed and will be discussed here today. I also wanted to indicate, with respect to your interest about HIDTA, you are going to hear from Ms. Robinson. HIDTA has been of invaluable assistance certainly on the law enforcement side. I am familiar with that because I was the former elected prosecutor for Baltimore City for two terms, as well as a former Federal prosecutor. And they have been extremely vital, both on the law enforcement side and on the treatment side as well. Indeed, one of our former directors of parole and probation served as treatment chairman for several years. I also wanted to indicate there are two things that I think we have done as a State agency. The first fundamental principle is that basically treatment has to be viewed as a crime reduction strategy. Second, that the public safety agencies cannot solely implement after-care substance abuse services. We have done that in partnership with the local Department of Health. We have done that in substantial partnership with the State Department of Health and Mental Hygiene. Secretary Georges Benjamin was here. However, I know representatives of the State Alcohol and Drug Abuse Administration are here, and they have participated significantly in the local service delivery issue. I want to point out, as has been said, I think it would be great to get the $25 million that Dr. Beilenson just discussed. We are moving forward as an agency to expand, I think, our service by expanding the number of parole and probation agents, as well as our services. You must understand also that there are State legislators who are certainly interested in the returns that they are getting on these dollars. And so at the same time that they are being appropriated, both from State and Federal sources, local and State are asking for results. I am pleased to report that HIDTA has been an important link in providing those results. And as you will hear from later, both from Ms. Robinson and from Dr. Taxman, your funding of HIDTA has elevated the whole delivery and monitoring system to show our results. And that has been a key issue. There are three basic and interrelated approaches which comprise the balance of our service delivery, and I want to sketch those very quickly for you. The first is the correctional options program I just discussed. That began back in 1994, and in 1994 it was a direct response to unprecedented growth in the State's prison population, which had doubled between 1987 and 1997. Basically, the program targets offenders whose criminality is due principally to substance abuse problems. Those entering the programs are screened to determine severity of their addiction, with the appropriate instruments, and we rule out any person who has been convicted or charged with a serious felony. The offenders are often required to participate in mandatory drug testing, outpatient drug treatment, job counseling, and those who comply with the conditions may be placed in less stringent levels of supervision. And offenders who do not comply may be placed in more stringent levels of supervision and may be returned to State prison in special programs, such as a regimented offender treatment center, which is institutionally based. Interesting components of the program include intensive supervision units, day reporting centers, which we are having problems locating incidentally, community resource coordinators, and a urine testing lab. We run a huge urine testing lab in East Baltimore, and it tests over 10,000 offenders a year. Currently, there are 3,000 offenders in our correctional office's program locally, and about 400 of those are institutional, who are going back and forth as a sanction of sorts. A study was conducted of this particular facet of our program and offering, and we found that there was a 30 percent difference in the rate of return versus regular DOC releases. We found that 50 percent of the people in programs are less likely to commit new offenses. We found--or I should say the National Center for Crime Delinquency, which did the study, found that there was a $50 million cost avoidance in prison construction and a $13 million cost avoidance in operating costs. In summary, the low recidivism rate and fiscal savings supported our conclusion that the program was cost effective. The second approach is drug treatment court that the judge just talked about, utilizing a partnership with the judiciary and prosecutor's office. I did see the DTAP program under--I Charles Hynes, who is a prosecutor up there, and I know John O'Hare, who was a prosecutor in Detroit. We looked at the program, looked at the program facets. We utilized that partnership with the State Drug and Alcohol Abuse Administration, as well as the City Health Department, as well as the city prosecutor's office and the local public offender's office, to feature expedited case handling, intensive drug supervision, with periodic drug testing and mandatory drug treatment. And it may be pointed out by other witnesses today, a University of Maryland official, Dr. Denise Gotferson, has done a preliminary analysis, and certainly the program has proved to be effective. Note from what Judge Noel indicated, the program has about 700 folks in it. And it is primarily focused for individuals who are usually about above 30 and have a heroin background. The second approach is distinguished from the third basic approach that we use called ``break the cycle'' where we focus on a younger offender who potentially is more violent and more volatile. And in 1998, the legislation did fund about roughly $3 million to fund that program in seven jurisdictions. The key approach to this is utilizing, as I said, the very funding that you made available through HIDTA, a program called HATTS, which is our Automated Treatment and Tracking System, because you need to know the outcomes on individuals and where they went, what happened to them, and what their rate of recidivism was or repeat offense was. This program relies on all of the other facets that I have just mentioned, the drug testing, and monitoring, but it relies on followup with agents of the Division of Parole and Probation to ensure that the offenders attend urinalysis testing. We haven't done any outcome study, yet. The program is relatively new, but some of the preliminary data, which I am sure Dr. Taxman will highlight in our discussion, was a typical offender is male, between 21 and 29, as opposed to a 36-year old; 23 percent decrease in the number of rearrests; a decline in drug use of 53 percent; and a decrease in the number of people who failed to appear for urinalysis testing as we developed this particular program. We think these combined strategies and approach are very fruitful. They have to be continued and built upon. There are some additional factors I think that you need in order to sustain significant drug prevention and alternatives to incarceration programs. The first is a successful drug treatment delivery system. Again, I salute my partners in the State health system, Dr. Benjamin and also Dr. Beilenson here. You will hear a little bit later about the Baltimore Substance Abuse System, BSAS. There is a representative of that organization here, which is a public-private partnership, to try to work with the providers and get people into treatment. Second, you need community service. You need community service grants, whether that is from State, local, or Federal Government. And, third, I think--and something that this Congress should think about--is appropriating dollars for sentencing guideline organizations, of which there is one in the State of Maryland, to look at developing local treatment options and alternatives to incarceration. Three things I would like to recommend to you--the continuing funding of the residential substance abuse treatment program. This Department receives dollars from the Federal Government to treat offenders behind bars. We do not treat enough of them. Any program broadening would be helpful. Second, expanding funding in technical assistance for transitional programs. You have heard here today that transitional programming, including those components of day care, after care, and other aspects, need to be offered from a Division of Parole and Probation or a State correctional perspective. That is not our core competency. Therefore, job referrals and other aspects that we do do, we should be referring them to professionals who do that on a full-time basis. And, last, I think you have a clear opportunity--Maryland has one of the lowest referral rates of women to prison. And although that is a growing population nationally, we think because they are ``smarter'' than men, you have a clear opportunity, if you fund specific programs related to women, that we can develop in scale and score some big opportunities. And so if you take nothing else from this hearing from me today, I think it is an incredible opportunity, I think, to specifically design and tailor programs related to women involved in substance abuse who primarily at all do not need to be in an incarcerative situation. I thank you for the opportunity to testify and look forward to your questions. [The prepared statement of Mr. Simms follows:] [GRAPHIC] [TIFF OMITTED] T8775.045 [GRAPHIC] [TIFF OMITTED] T8775.046 [GRAPHIC] [TIFF OMITTED] T8775.047 [GRAPHIC] [TIFF OMITTED] T8775.048 [GRAPHIC] [TIFF OMITTED] T8775.049 [GRAPHIC] [TIFF OMITTED] T8775.050 [GRAPHIC] [TIFF OMITTED] T8775.051 Mr. Mica. Thank you, and we will now recognize Ms. Renee Robinson, who is the treatment/criminal justice coordinator for Baltimore/Washington, HIDTA. You are recognized. Ms. Robinson. Good morning, Mr. Chairman and Congressman Cummings. I would like to thank everyone for the opportunity to speak on the Washington/Baltimore HIDTA. I thank my distinguished colleagues for their positive comments of support, and I ask that the committee indulge my fluctuations in voice. Today is the day that my allergies decided that they would attack me, but I will proceed as best I can. You have heard a lot about the Washington/Baltimore HIDTA, and I represent specifically, as Congressman Mica mentioned, the treatment/criminal justice component. That initiative is comprised of 12 jurisdictions across the Maryland and Washington, DC area. The Washington/Baltimore HIDTA is considered somewhat of a prototype because it is one of the only HIDTAs across the country that has a treatment, criminal justice, and a prevention component. I would like to share with you also that the primary goal of that initiative is to reduce the demand for drugs for the hard core drug addicted offender population. We recognize that the demand reduction approach and the criminal justice supervision and treatment interventions for this population are effective tools. By improving outcomes for hard core offenders, changes can be expected in their substance abusing consumption as well as their criminal behaviors. The second goal is to improve treatment services for the hard core offender population. The objective of this goal is to address enhancing and developing the continuum of care and wraparound services that my colleagues have mentioned previously, and using HIDTA funds to provide for one part of that continuum. Both treatment interventions and sanctions are incorporated into this process and expanding the use of community resources in addressing critical gaps in services. The third goal aims to improve communications by developing regional and local management information systems. Dr. Simms mentioned the HATTS system. An objective of HATTS is to create an automated system for both treatment and criminal justice systems in each jurisdictions to case manage automatically and appropriately services for offenders who are involved in both systems, so that both will have access to progress or lack thereof of those offenders while they are involved in those systems. This automation will allow for prompt and appropriate information dissemination and sharing across these systems, and within jurisdictions within the region. The cornerstone of the HIDTA model is the development of a seamless system in the jurisdiction, and that was mentioned earlier this morning, too. The seamless system is defined as having service delivery links across criminal justice and treatment agencies, together with umbrella policies and procedures. And that is a very, very critical piece because there is a misnomer, I believe, that exists within the community, the criminal justice community, as well as the treatment community, that there is a system. There is not a system per se, but there are separate agencies that have separate functions that don't always work together collaboratively in order to manage the offender while they are effectively under supervision in those respective agencies. They don't always communicate with one another effectively, so establishing those links between those systems, and establishing communication across those systems, is what ensures accountability for those offenders as they move through the service continuum. If we are not talking to one another, we are not allowing these offenders opportunities to know up front what is expected of them while they are involved in the treatment system, and while they are involved in the supervision system. We are creating gaps for them to wiggle between. We need to close those gaps if we are going to be effective in developing systems, and if we are going to be effective in increasing the likelihood of success and increasing the outcomes for these offenders. Agencies who are involved in the HIDTA continuum make decisions based on memorandums of agreement, whereby the responsibilities are outlined by each agency, and they are signed off on. There is no miscommunication between these agencies as to what is expected, what role each of them will play, and which role each of them are responsible for as the offender goes respectively through that system. This mix increases coordination between these agencies and reduces duplication of services, and that is critically important. We all know that there is a resource pool that is dwindling. There is a resource pool that does not meet the need of that population that we serve, so it makes absolutely no sense that we are duplicating services. What HIDTA tries to do is to bring together all of the players involved and make these decisions up front, so that we can best expend the resources as we can. Finally, agencies must define how these entities are going to be integrated in order to meet the tasks and the service functions in this delivery system. The other set of policies that are required for an effective seamless system has already been mentioned earlier this morning, and that is the development of graduated sanctions. Graduated sanctions are critical in ensuring that the offender is held accountable while they are involved in the system, so that the wiggle room that I mentioned earlier is closed. That is how I believe the recidivism rates continue to escalate throughout the criminal justice system in the manner that it does, because we have these large gaps where they are just in limbo, and the system has not all the time set up adequate mechanisms to address the offenses once they occur. The offenders get the opinion that they are not going to be held accountable. In a previous life, I worked in the Virginia Department of Corrections, and I was the program director of the largest substance abuse prison facility at the time in the country. And on numerous opportunities I have spoken with the offenders, and one of the things that they always shared with me is, ``Ms. Robinson, no one ever told me what I needed to do. No one ever said to me--or if I did something wrong, no one came back to me and said that this was going to be the response for that.'' It is critical that jurisdictions come together and develop the set of graduated sanctions, so that the offenders, when they first come into the system, are specifically told what it is that is expected of them, and what is going to happen to them in the event that they are not performing at the levels that we expect that they should. Excuse me. My voice is fading. The development also of drug testing policies is critical because we need to know that with the interventions that we are utilizing that they are not outwardly complying but still using, and drug testing is a critical component in ensuring that they are adhering to their sanction schedule, that they are adhering to their supervision schedule, that they are adhering to their treatment expectations, and, most importantly, that they are not using drugs anymore. I would like to also, in closing with my comments, mention that the Washington-Baltimore HIDTA has received level funding for the treatment/criminal justice initiative. I think that in order for us to continue to assist the jurisdictions involved in our project that we need to account for the lack of funding that the jurisdictions are facing in expanding the services for the number of offenders that continually are coming through their system. HIDTA does not provide absolute funding for any of the jurisdictions. What we have allowed them to do is to utilize HIDTA moneys to augment existing gaps in their current system. And in doing so, there are a number of clients that are not being served with HIDTA funds for a number of reasons. Some of them do not meet the criteria for the HIDTA protocol, and there are such numbers involved in that system that we cannot serve all of--we cannot provide funding in those jurisdictions for the number of clients that may meet our criteria. So I would like to also close with that comment. [The prepared statement of Ms. Robinson follows:] [GRAPHIC] [TIFF OMITTED] T8775.052 [GRAPHIC] [TIFF OMITTED] T8775.053 [GRAPHIC] [TIFF OMITTED] T8775.054 [GRAPHIC] [TIFF OMITTED] T8775.055 [GRAPHIC] [TIFF OMITTED] T8775.056 [GRAPHIC] [TIFF OMITTED] T8775.057 [GRAPHIC] [TIFF OMITTED] T8775.058 [GRAPHIC] [TIFF OMITTED] T8775.059 [GRAPHIC] [TIFF OMITTED] T8775.060 [GRAPHIC] [TIFF OMITTED] T8775.061 [GRAPHIC] [TIFF OMITTED] T8775.062 [GRAPHIC] [TIFF OMITTED] T8775.063 Mr. Mica. Thank you for your testimony. I would like to now recognize Mr. George McCann. He is the executive director of the Baltimore Addict Referral and Counseling Center. Mr. McCann. I would like to thank the chairman and Congressman Cummings for the opportunity to be here. My perspective is a little different. I am an executive director of a treatment program in Baltimore City, and I have been affiliated with that program since 1970. It was a program that was established to treat the criminal justice system. I am also a recovering alcoholic and drug addict. I have been a part of both systems. I have been incarcerated as many times as I have been in treatment. I say that not braggingly but to illustrate that we are dealing with illness here that has a relapse factor, and that many people do not get well the first time they are put in a treatment program. There is a dire need for multi-modalities of treatment, especially involved in the city. Prior to 1997, we were the central referral for Baltimore City programs, and our service was discontinued at that time because it was--the situation presented itself, it was more problems--I mean, more patients presenting themselves for treatment than there were treatment slots in the community. So people were being put on waiting lists, rearrested, and reincarcerated, and it was deemed that this service was no longer needed. However, we are now a part of this criminal justice initiative, drug court, break the cycle. And we, at our agency--I won't speak for the whole system--at our agency, it has caused extreme difficulties in operating an agency, in keeping the staff employed, in keeping clients in treatment, because they have put together a treatment--with break the cycle, with graduated sanctions, where you must comply, go to, and complete urinalysis during treatment. However, if you don't go, nothing happens. And as a result, when the people that come to us know that nothing happens, first of all, 50 percent of the people do not even show up for their first appointment at the treatment program. And when you inquire about that, we are told by a unit that that is not their job. Their job is to make the referral, and then it is so--what I am trying to say, is that hundreds of people are falling through the cracks, out there roaming the streets of Baltimore, continuing to commit crimes, use drugs, all because the system is broken. I mean, the concept makes sense to me. Had I not been coerced in my own experiences, I probably would not have entered treatment. That is the nature of the illness. You know, you don't wake up 1 day and say, ``I think I will run to a treatment program and get my life together.'' There is usually some force that pushes you in there. I have to tell you, had I been in the system today, I would probably either be in jail or be dead. The system is so overburdened--the treatment system that is. It has been since the Nixon administration. From that administration down, there has been a--year after year they have taken money out of the funds for substance abuse and alcohol treatment, continually. Whenever there is a shortfall, the history indicates to go to mental health, go to substance abuse, and take it there. As a result, we have lost social workers, psychiatrists, doctors, and many resource people that we had at one time when I was a part of the system, that allowed it to work that are no longer a part of that system. It is hard to--I have employment opportunities now. And I will tell you, it is hard to even hire people because for the salary you want--you want them to be a death and dying counselor. They have to be an employment counselor. They have to be a family counselor. They have to provide child care services. And that is what we are asked to do, and we can't do it. I think if we look at what is effective treatment, and Congressman Cummings alluded to it, if you look at the things that are effective for the recovering community, they basically have to deal with spiritual or 12-step programs. And I think it is worth mentioning that I think one of the reasons they are so effective is that they have a primary purpose. They are not to treat everything and everybody and do everything for everybody. What they are designed to do, and do do, is allow people to get clean and sober, allow them to have resources and to get jobs, allow them to put their families back together, and allow them to go into a treatment program and utilize the treatment services, because at that point they recognize they need other help. So there are a lot of things--I have submitted written testimony. I started using and abusing drugs when I was 13 years old. And, you know, I am not proud of it, but that is what happened. I was caught up in the criminal justice system similar to what was spoken about here today. I would go away for a year, serve my time, I would--I had the same lifestyle in jail as I had outside. You know, I would deal, buy, and use drugs to stay high, in prison as well. It was like a city within a city. Anything that was available on the street was available in the institution. I would get out. I would stay out for about 6 months. I would start drinking again, start using drugs. I would be caught back up in the system. Went back in. And it was just a continual cycle. I knew I was a drug addict. I knew I needed help. But I didn't know what kind of help I needed, but I kind of suspected I was not going to get it in jail. So I was a part of that revolving door they were talking about. I would like to close with this, because I can get lengthy sometimes and I try not to do that. One of the things that is very needed are treatment slots. OK? And I have to say, along with the treatment slots, they need agents on the Division of Parole and Probation. When I inquire as to why sanctions and why action is not taken for these people not following the plans that are set up for them, we are told things like there is not enough agents. I know there are not enough agents, but there are not enough drug counselors either. We have a treatment program located in Baltimore City that treats the sickest of the sick and the most needy of Baltimore City. And we deal with every kind of issue possible. One of the things I never hear anybody talk about is the client-counselor ratio. I mean, as a way to address funding sources, they say to the counselors, ``You have to see more people.'' So instead of seeing 20 people and being able to do a good, effective job, they want you to see 35 or 40 people. You know, so the soup gets so watered that the help is not really rendered to the degree that it can be. There needs to be residential treatment, graduated sanctions, a mechanism put in place--there was a mechanism in place prior to this break the cycle initiative where we went from operating at 20 percent above capacity to operating at 40 percent below capacity. And that was when the agents could refer themselves. Now they set up a little network here, chose a gatekeeper, and you have got to go through the gate and jump through all of the loops, and ultimately, you get a referral to a treatment program. If you go, fine; and if you don't go, also fine. So, you know, the system is obviously broken. I have a commitment to do what I can, to try and make it work. I think conceptually it is a good system. Both parties need to be at the table--criminal justice and treatment. But neither agency has the resources or manpower needed to do a complete job. [The prepared statement of Mr. McCann follows:] [GRAPHIC] [TIFF OMITTED] T8775.064 [GRAPHIC] [TIFF OMITTED] T8775.065 [GRAPHIC] [TIFF OMITTED] T8775.066 [GRAPHIC] [TIFF OMITTED] T8775.067 Mr. Mica. Thank you. I would like to now recognize Ms. Anne Swern. She is the deputy district attorney, and she is coming to us today from Kings County, NY. I think she will talk about the DTAP program, for which we have had previous testimony in Congress. Also, our panel has visited the program in New York. Welcome, and you are recognized. Ms. Swern. Thank you, Congressman Mica. Thank you, Congressman Cummings, for inviting me to Baltimore. I am here on behalf of District Attorney Charles J. Hynes to speak to you about drug treatment alternatives to prison, and substance abuse. With me is my colleague, Hillel Hoffman, who is woking on the legislative proposals with your committee. On the way over here, Hillel and I remarked to each other that it feels like Fort Green, Brooklyn, as we drove through Baltimore. I have seen and I have heard a lot about the similarities between Brooklyn and Baltimore as I sat and listened for the past several hours. Brooklyn is Kings County, NY, and it is one of the five counties in New York City. If it were a city, it would be the fourth largest in this Nation. It has a very ethnicly diverse population--30 percent foreign-born, and there are 2.3 million people living in Brooklyn. In Brooklyn, in 1999, we had over 30,000 drug arrests. Most of those were misdemeanor cases, although a substantial portion of them were felony cases as well. In 1990, District Attorney Hynes was elected to the position of DA, and in that year there were 765 homicides in our county. I am pleased to say that last year there were fewer than 300 homicides in our county, and I think some of the strategies that District Attorney Hynes has employed, and some of the strategies of the police department, have helped us bring our homicide rate down. There is still much more that we can do, though. One of the programs that District Attorney Hynes is most proud of is the Drug Treatment Alternative to Prison Program, also know as DTAP. He started DTAP in 1990, recognizing and targeting drug addicted predicate felony offenders who were destined for prison. In New York, you may know that we have some of toughest drug laws in the country. Those laws have actually been in existence since 1973, and they are commonly called the Rockefeller Drug Laws. There are mandatory prison sentences for second-time felony offenders accused of possessing or selling drugs. Typically, that defendant--somebody who has been previously convicted of a felony is facing a mandatory minimum sentence of 4\1/2\ to 9 years in prison. Now, even when assistant district attorneys engage in substantial plea bargaining, the average defendant facing that second felony offense on a non-violent felony receives sentences of 2 to 4 years in State prison or 3 to 6. Recognizing the senselessness of continuing to incarcerate non- violent addicts, the District Attorney proposed the Drug Treatment Alternative to Prison Program, which targeted predicate felons who were non-violent who were selling drugs to support their habit, and obviously possessing drugs. As long as the defendants were non-violent and not major traffickers, we accepted the addicts into the program. Recently we have expanded DTAP to include people not only charged with selling and possessing drugs, but other types of crimes as well as long as they are not violent crimes. Typically, we have included larcenies and other types of crimes that contribute to or are caused by the drug addiction. Now, when the District Attorney started this program, it wasn't politically popular to take the mandatory prison bound defendants and place them in a drug treatment program. But he felt if he could deal with this difficult population, then maybe we could make some in-roads into the revolving door aspect of the criminal justice system. As it has turned out, predicate felons are one of the easiest to treat populations of defendants. We have learned, and we have seen through our drug court and DTAP, that actually targeting people who face a substantial amount of time in prison contributes enormously to the success of the treatment outcomes. Now, what we do in DTAP is we require the defendant to take a plea to the felony charge, then we defer the sentence for the period of time that the defendant is in a therapeutic community, in a residential drug treatment program, and at the end of that time, if the defendant successfully completes the program--which includes the job component, and gets housing that is appropriate to continue the defendant to be drug-free and crime-free--we will allow the defendant to withdraw that plea and end up with a dismissal of the charges. So for the instant case, the defendant will have no criminal record. If the defendant fails in treatment, then the defendant is returned back to court to be sentenced on the original plea. DTAP also recognizes a system of rewards and sanctions, as prosecutors have learned that recovery is a process. And so we recognize that there may be minor relapses, there may be other matters on the road to recovery that we as prosecutors have learned to address in an appropriate way, and that includes this system of rewards and sanctions, intermediate prison sentences, and things like that. As we have become more adept at dealing with the intricacies of addiction, we actually find that our retention rate improves, and our recidivism rate is lower. So recognizing what the treatment community has known for a long time has actually been successful in reducing crime for us. When we started with DTAP, we were hopeful that it posed no risk to public safety. And, in fact, we have demonstrated that that is true. Basically, the DTAP ``in prison'' recidivism rate is lower than that for the pretrial and in-prison recidivism rate for a comparison group. So, basically, while people are in treatment, they are actually committing fewer crimes than they would if they were sent to prison. Also, we looked at recidivism for the treatment graduates as opposed to the people who were eligible for the program but did not accept the program or were found ineligible for other reasons, and we found that our DTAP graduates, 3 years after receiving treatment, recidivated at a rate of 23 percent. In comparison, the people who were sent to prison for at least 2 years, after 3 years of being released from prison recidivated at a rate of 47 percent. So basically by putting them into treatment we reduced their recidivism rate by half. Now, the other thing--the other reason that we know that DTAP poses very little risk to public safety is we employ a warrant enforcement team. The team consists of detectives hired by the Brooklyn DA's office who interview the defendants before we accept them into the program, to make sure that they have appropriate contacts, so should they leave treatment facilities, we can return them back to court to face sanctions for leaving. In fact, we have been able to return 96 percent of our defendants in a median time of 9 days, leaving virtually no opportunity to commit a new crime. The other measure of DTAP's success is the length of time we keep defendants in treatment. All of the literature suggests that the longer people stay in treatment, the more likely a successful outcome, meaning managing a drug-free and crime-free life. We started with two therapeutic communities, and now we have more than 11 therapeutic communities. The therapeutic communities in DTAP use use a social learning model that emphasizes a self-help approach and relies on program graduates to act as peer counselors, role models, and administrators. It uses 12-step approaches. We also, require our defendants who are prison-bound for at least 2 to 4 years to stay in treatment 15 to 24 months. And because it is a court-mandated program, in New York State the Government pays for treatment. As a result of staying for almost 2 years in treatment, the defendants not only become drug-free, they are given pro social skills that help them adapt to life after they leave the treatment facility. We have a 1-year retention rate of 66 percent, and that is far higher than other programs that are either not mandated or not run by effective monitors. Nearly 60 percent of our people are still in treatment or have graduated from treatment. After we changed the program slightly, we have raised the retention rate from 64 percent to 74 percent, so we expect that our overall retention rate will increase with the number of new graduates. We also note, that this is not because of the selection process, but people entering DTAP now are a little bit older and they were previously employed prior to entering DTAP. So we expect those numbers to actually increase over time. Congressman Cummings, I just want to reemphasize something you mentioned earlier. DTAP, at our own expense, has a job developer, a full-time job developer. Additionally, we have a Business Advisory Council, whom we meet with on a regular basis, to assess the community's needs for employment as well as our ability to service that employment. I think this strategy together provides a very effective tool for allowing our defendants to stay drug-free and crime- free. We noted that 26 percent of our DTAP graduates were employed before they entered DTAP. Now we note proudly that 92 percent of our employable graduates are working or are in a training program. We not only help them get their first job, we help them get every job. A lot of these jobs are seasonal employment. A lot of these jobs are transitional. And it is unrealistic to expect that the first job is the only job that the defendants will ever have. A very important tool that we have is this job developer, who allows us to keep in touch with our defendants, to support them after the case is over, after the case has been dismissed, to keep them in jobs, which is to my mind, and certainly to the District Attorney's mind, one of the key elements in keeping them drug-free and crime-free. I just want to point out that DTAP is highly cost- effective. I see my time is up. We had 441 graduates of DTAP. Our graduates represent a cost saving to New York State of more than $16 million. Most of those cost savings are corrections cost savings. In New York, it costs about $82,000 to provide a slot for a defendant in both the city and State corrections system. By contrast, in New York it costs about $21,000 per year to treat them in a residential facility. The success of DTAP is demonstrated also by the law enforcement community's adoption of DTAP. Basically, our four city DAs and our special narcotics prosecutor, have all started DTAP, as well as many of the other upstate county DAs. We have been recognized by the Justice Department as one of the successful recipients of original Byrne funding, which supported DTAP for a period of time. We are also the subject of a 5-year NIDA study. That study has been extended for another 2 years to continue to look at some of the post-treatment outcomes, cost effectiveness, the participants' perception of legal coercion, and other things that NIDA has found particularly helpful and instrumental in terms of their further study of substance abuse. The success of DTAP encouraged us to support our drug treatment court. We have had 1,600 people in our drug treatment court. They also have a tremendous retention rate. They have a tremendous success rate. They recently added a job development component, based on the success of DTAP, and we support our drug treatment court by sending a very experienced DA into it who has a lot of discretion to take the pleas and to divert people into treatment where it is warranted. I invite anybody who is in this room to come to us in Brooklyn to see what we do, and I thank you for inviting us here to Baltimore today. [Note.--The report entitled, ``DTAP, Drug Treatment Alternative-to-Prison Program Ninth Annual Report, October 15, 1998 to October 14, 1999,'' may be found in subcommittee files.] [The prepared statements of Ms. Swern and Mr. Hynes follow:] [GRAPHIC] [TIFF OMITTED] T8775.068 [GRAPHIC] [TIFF OMITTED] T8775.069 [GRAPHIC] [TIFF OMITTED] T8775.070 [GRAPHIC] [TIFF OMITTED] T8775.071 [GRAPHIC] [TIFF OMITTED] T8775.072 [GRAPHIC] [TIFF OMITTED] T8775.073 Mr. Mica. Thank you, and I want to thank each of our witnesses on this panel. We will start with our first round of questions here. Commissioner Daniel, did I hear you correctly when you testified that I guess the city of Baltimore really wasn't participating actively with the HIDTA? Mr. Daniel. No, we participate. But we enter into an understanding with HIDTA. We had a commitment for a certain number of officers that was not sustained throughout the term of the agreement. And when that knowledge---- Mr. Mica. What was the term of that agreement? Mr. Daniel. They usually run for a year at a time. Mr. Mica. So in the past, you are saying that the city did not keep its commitment to participate at the level that it agreed upon with the HIDTA? Mr. Daniel. That is correct. Mr. Mica. And your directive and policy from the mayor and the current council is to participate at a full level. Is that correct? Mr. Daniel. No, I didn't get a directive from them. I just did it. Basically, there was a need for us to have appropriate staffing levels in HIDTA. HIDTA gives us so much, we certainly--it is a small commitment in return. Mr. Mica. You testified one of the problems is that you are having difficulty getting the intelligence and information to go after some of these dealers? Mr. Daniel. No. I testified that HIDTA has exceedingly high criminal intelligence capabilities, and that we needed to use that capability to enhance our efforts in the city. Mr. Mica. I am sorry. Then you weren't able to utilize that in the past, is that the problem? Mr. Daniel. I don't think it was utilized in the past because we didn't make significant numbers of high-level drug cases in the city, but as many as we could and should be making, based on not using HIDTA. HIDTA was there. They have intelligence capabilities. Mr. Mica. Right. It has been there. It has also leveled at a fairly high level, $11.4 million I understand, which is one of the higher ones that I am aware of. But something seems wrong in the enforcement end. Now, the playground that the mayor referred to that was cleaned up---- Mr. Daniel. Yes, sir. Mr. Mica [continuing]. That was through tough enforcement, a new enforcement initiative. Is that similar to the kind of activity you are going to go after in the open--you said you are going to close down 10 open air drug markets in the next 6 months and go after 20 afterwards. Is that correct? Mr. Daniel. Yes, sir, that is correct. Mr. Mica. Why not go after all of them now? Mr. Daniel. We simply don't have enough police officers and support assistance---- Mr. Mica. What would it take to close down drug trafficking in Baltimore? Is this something you can't handle because of lack of personnel, resources? What do we need? Mr. Daniel. We do have a personnel shortage in the police department currently. Mr. Mica. What would it take to close down all of the drug markets and go after the big drug traffickers here? Mr. Daniel. 500 additional police officers. Mr. Mica. 500 additional police officers. Mr. Daniel. To do it at one time, yes, sir. Mr. Mica. To do it at one time. What about Federal prosecution? Are these people--now, everywhere I have been they fear Federal prosecution more than they do State. States seem to be sort of a revolving door. I heard testimony over here that there is so much wiggle room, and the mayor described a situation where there--it could be weeks and months before they are heard, they are back out on the street, the problem continues. And those aren't decisions we make at the Federal level, as far as State and local prosecution. Those are decisions that are made here. It sounds like you have a very ineffective enforcement mechanism. And then I heard testimony from someone, I thought they said 50 percent of them don't even show up for their first treatment. Is that correct? Mr. Simms. That is correct. Mr. Mica. What is the problem? Mr. Simms. On the Federal end, if I might, Congressman---- Mr. Mica. OK. The Federal end. Mr. Simms [continuing]. Linda Tagley, the U.S. Attorney, has devoted significant resources to going after Federal prosecution. Mr. Mica. Are prosecutions up here? Mr. Simms. Prosecutions are up. Mr. Mica. The last 4 or 5 years? Mr. Simms. Have been up consistently since the 1980's. I myself was involved in drug prosecutions of local cases in Federal court, basically. There are some concerns within the judiciary, obviously, of how much you do. The Federal Government here also has its own version. It, in effect, predated project exile with its own program called project disarm. And it is a program which the commissioner, myself, and other law enforcement agencies are also participating in. And so we don't lack for the fact that there are Federal cases being handled here. And with respect to the operational issues that was mentioned by the gentleman, there are---- Mr. Mica. All right. For the record, I would like submitted the number of Federal prosecutions in the last 10 years, the record of those, and where we are. We need to see what it is going to take at the Federal level. You are telling me the Federal level is adequate. I am hearing that they don't have adequate resources at the State and local level. Why is the State of Maryland so reluctant to fund--to put additional resources into this area? Mr. Simms. It has appropriated additional resources. I think the question that we are grappling with now is the rate of that increase, as well as your colleagues at the State level asking questions about the returns that they are getting with respect to those investments. Mr. Mica. It sounds like there is a real problem even with the treatment programs that we do have in place, that we can't even get people to show up from the programs to--and I have heard people say they are not held accountable. I am taking phrases. That there is no--I mean, the program that I visited with Ms. Swern, and I visited one in Hawaii, I have been in California---- Mr. Simms. Right. Mr. Mica [continuing]. Different programs, you don't show up, you don't participate, even in the drug courts, you are in the jail. Mr. Simms. Yes. Two things that are different here than a number of other jurisdictions. Baltimore City is a city unto itself. It has no county. And in Baltimore City, where I was a State prosecutor, as Mr. O'Malley said, there was no addition to prosecutorial resources for over 10 years. When I went to see Charles Hynes to talk about that program, Charles Hynes had the support of the Federal Government. And although it was somewhat controversial, he had some other political support. We had none. The State started the correctional options program. The State funds the prosecutors for drug court. The State funds Break the Cycle. The State takes the whole deal. And right now in Baltimore City the State funds it all. So the---- Mr. Mica. Have you applied for any discretionary funds? Mr. Simms. Anything that is out there we go for. Anything that is out there we go for it. So what we are attempting to do at the State level, and what we did with a number of programs in the last 3 years, we ramped up very fast. In Break the Cycle, for example, we are almost up to 20,000 people over a 2- year period. Very fast to try to throw them into the program. Did we have operational issues? Yes. Still have some. Did we have some successes? Yes, we have some. Did we have some operational difficulties with people showing up? Yes, we have some. And we are trying to mull through and cut through a number of those. Mr. Mica. It is interesting. Most of the attention today has focused on after somebody is an addict, after someone has probably committed many crimes to get into the system. It appears that there has been a fairly sizable gap in going after active drug dealers, people dealing in death on the streets. Somewhere, there is something missing. At least if you don't have the narcotics being dealt with on the streets, that is a pretty good alternative to incarceration. They are not dealing here in this venue, and these people are not getting drugs to start with. Mr. Simms. I think the piece that you saw missing is part of the piece that you heard the Deputy District Attorney talk about when she spoke about the involvement of detectives, and spoke about the involvement of capacity apparatus. And one of the issues that we are trying to move forward here is our ability to have the capacity to address all of the service issues related to all of these models. Mr. Mica. A lot of what has been talked about here is that people at the end of the spectrum that have committed crimes and are already drug addicts. They have $100-plus a day habit. Then we get them in the system, and the best I have heard today is that 50 percent may have a success ratio. I have heard that--the same thing I hear in other communities--the best programs are the faith-based or spiritual programs. They don't even qualify in most instances for Federal funds. Mr. Cummings and I have heard that testimony before. So I am concerned that we are manufacturing many of these people into a system that is failing. And you can keep adding more and more folks into it. You will never have enough beds. I mean, if we continue at the rate we are at, in 2050, there will be 10 percent of the population that won't be addicted in this town. We will never have enough beds at that continued rate. So there is something wrong with what is going on here, and I am trying to find out what pieces we are not helping with. I have heard from the State that, or at least the Federal aspect, that there is prosecution they are going after. I heard from the locals. I have questions about their participation and commitment in the past, not today. I have heard from the judicial branch that he is part of a system that is sort of regurgitating these folks out. I have heard from this lady over here that there is so much wiggle room, no one is held accountable. And then I have heard from this gentleman here that tells me 50 percent of them don't even show up for their first treatment session. There are problems here. Let me hear from the judge. Judge Noel. Mr. Chairman, we need to determine what programs we are talking about. The drug treatment program has proven to be quite effective. The problem is the funding for it, the lack of available spaces. We don't have a situation where people don't respond. In the drug treatment program, they do respond. They are held accountable, and sanctions are imposed regularly. This is a very proactive program, where the defendant comes before a judge on a routine scheduled basis, sometimes within every 2 to 3 weeks. Sanctions are imposed most frequently, and they are graduated. But it is usually at the discretion of the court. It is quite different than the other programs you are hearing about. We have almost begged the Governor for additional funding to expand the drug treatment court because this is the one program that has proven effective. Mr. Mica. Yes. Judge Noel. It is quite similar to the program in New York. Mr. Mica. Yes, Your Honor. My whole point is that you are manufacturing these people in this locale at a rate we cannot keep up with. Judge Noel. I agree. Mr. Mica. You will never keep up with it at this rate. If Mr. Beilenson is correct that it was from 10,000--I don't know what the number DEA gave us is--but we will take 10,000, and we are at 60,000 or 80,000. It has just been on a continual rise. You have a city with a crisis and we have got to stem that. I don't want to be sending them to you for an alternative to incarceration. That is where I am trying to stop it, before we get them into any of these programs down at this end. Not that I am against any of those programs. I want them to be in the most successful programs. Unfortunately, I am told by some constraints we work under that we can't even support those spiritual or faith-based programs, and we are trying to find a way to--because they do have a high rate of success. Most of the public programs I have seen, even the DTAP program, it does a good job, they are expensive, they are at the other end of the spectrum. And you testified, sir, too, that when they hit rock bottom, and they want a change in their life--I just heard this same thing on the West Coast and also in Hawaii, and I sat in the prisons with these guys, and most of them were older rather than younger. Most of them had spent--if they were 36 years, they had been 18 years either in jail or in and out of prisons at great expense. So we have got to have something--education. We have got to have something--an early diversion that works, and those things I don't--I don't see as readily available. The DTAP--I sat with folks, a heroin addict, his wife just had died from a heroin overdose. Most of them were--they had hit rock bottom, and we were pulling some of them out. That is very necessary. But there is a bigger part of this picture, and that is--and there are pieces to that missing in this community and across the country we need to fill in. Mr. Cummings, I have taken more than my time. Go ahead. Mr. Cummings. Thank you very much, Mr. Chairman. I want to just pick up where you left off. One of the things that has always concerned me is the question of how we prevent people from even getting in this process? I have told the Congress many times about the neighborhood that I live in, which is the neighborhood, by the way, Mr. Chairman, where that school is, the one that the mayor showed. And I was just wondering if you all had any comments on any--I mean, we are not just talking about--I am not just talking about young people. I mean, I think about the whole process of what the chairman was just talking about, how year after year these people are committing more and more crimes, that are hitting our communities harder. The interesting thing is, that what I find in my community is that it sort of feeds on itself. People who work hard every day--and you see it, Judge, I know. People who work hard every day, raise their families, go to church, the whole bit, they come home and their place is ransacked because somebody took some items that they are going to sell for about 5 percent of what they are worth. And, we have Judge Ken Johnson who brought this to my attention very early on. Do you have any comment on that, Judge? Why don't you move--they need to get--you need to get to a mic. If you can just pick it up, I guess that will work. He gave you his seat, so---- Judge Johnson. Oh. Mr. Cummings. Thank you, sir. Judge Johnson. Thank you very much. Mr. Cummings. Judge, how long have you been on the bench? Judge Johnson. Eighteen years pretty soon. And I would just like to add I was a former Judge Advocate General's Corps [JAGC] officer in Southeast Asia with the United States Army for 3 years during the war. And then from there to the Justice Department, in President Lyndon Johnson's days, I headed up Alabama and Georgia and then to Baltimore. So I have been on the bench for about 18 years. And some time ago, June 21, 1992, I wrote a piece in the Sun paper that said the war on drugs is mainly eyewash, and for that I have been in trouble ever since for it. But it is true. We have to start following the money trail rather than the drug trail only. We should follow both. When you follow the drug trail, you are going to find a young, black, high school dropout. When you follow the money trail, you are going to find a banker, a lawyer, and the others. So we have to start looking at both, and we have to stop them from getting on drugs in the first place. Interdiction sure is fine, but the money should be reallocated wherein we have education. We have to have a job for this person. We must educate this person to keep him off of drugs in the first place, and that is where I have always stood, and that is where I stand now. It is a controversial position because there are billions of dollars out there, and you would be surprised at the people who are making this money. It is not this little black boy on the corner down here who pedals his bicycle down the East Coast, rides all the way across the Gulf of Mexico, across the Rio Grande, and he pedals back up to sell on Monroe and North. That is not the way to get here. We may as well face facts. What has happened is the press--and I must say the white press, and I don't mean to be racist. If I had a racist bone in my body, I would take it out and put this mic in it. But we must admit that the press, the white press, has fooled the public into thinking that the drug problem is a black problem when just the opposite is closer to the truth. Thank you. [The information referred to follows:] [GRAPHIC] [TIFF OMITTED] T8775.074 Mr. Cummings. Thank you, Judge. Anybody else? Mr. Simms. I just wanted to say, Congressman Cummings, again, I wanted to thank you and the chairman because, again, with your funding, and what you made available to help us start correctional options through your work, correctional options, and the drug court, you answered part of the issues that were brought up by Dr. Taxman and people like Mark Kliman, who said there are three things that community corrections has to do-- the technology to monitor behavior that occurs outside your presence, the authority to impose rapid and predictable sanctions, and the resources to acquire and use the technology and administer the authority. We have answered two of those things, I think, with the support that you have given us. And what you hear today, and I think the Congressman was concerned about, is our--that last step, that last link is part of the capacity issue that we are struggling with at this point in time. Now, on the prevention issue that you asked, there is effort, both within the Health Department and a massive grant that they have received and the city of Baltimore is working on, called the Safe and Sound Campaign that you are familiar with, which is really a ground-level campaign to bring those who are causing difficulty within the community in, and to say, ``Here are the resources. Here is what you need to do. We can't have this particular problem.'' Now, that effort is less than a year old, and it is making and moving some things within the community. But it is that kind of educational community effort that is very important. The last piece is the efforts that you have done to continue to talk--to have people talk about the whole issue of restore through justice. That is, the community as a victim-- and to put that out in the community and to educate the community. We are trying to do that. We are trying to put together victim panels to go to institutions to educate people, to rethink people, so that it doesn't start in the first place. So I didn't want the Congressman to leave here today and think there is a dearth of things that aren't happening--things that aren't happening in the community on the prevention side. There are some things that are happening on the prevention side. Ms. Robinson. And, Chairman Mica, Congressman Cummings, I would like to address some I think misunderstanding about my comments. What I intended to say was that certainly there is wiggle room in the traditional system. What HIDTA tries to do with the jurisdictions that are involved in our system particularly, in Baltimore County and in Baltimore City, is to assist them in developing the capacity within those jurisdictions to address, through drug treatment sanctions, through the accountability factors, so that the wiggle room that I reference is closed. We provide them with technical assistance, and we have excellent outcomes that I have attached to my written testimony that attest to the effectiveness of the HIDTA model. But the HIDTA model only works in a small vacuum. What we would like to see happen is that that model is replicated across the system- wide, not just in individual jurisdictions, because in order to effect change within these systems, we have got to come to a point where we recognize that certain pieces of it are non- functional, certain pieces of it are not working together, certain pieces are not communicating well, bring all of those entities together and collaborate on a mechanism to address this problem. We have the knowledge, I believe, and we have the technology. What we are struggling with at this point, I believe, is the whole funding piece. And that is a critical piece. Once we begin to look at these issues from a systemic viewpoint, then we know what it is we need to do. We just need assistance in gaining funding to do what is required, because we have a lot of information on best practices. HIDTA has published again a recent study on the effectiveness of our model. We know what it is that we need to do. We know where we have struggled with operational issues. We are addressing those issues, but we need support and assistance. Mr. Cummings. Ms. Swern, one other thing, if you have worked with drug addicts at all. I had a brother-in-law who died about 2 years ago who was a drug addict, and he was 43 years old and I would just watch him disintegrate. One of the things that you notice, and I think people like Ricky Phaison could tell us about this, when you talk to them, is that somebody who is on drugs appears as if you are not really talking to them. They look like them, but they are it is basically a ghost of their former selves. And what I have found in dealing with people who are on drugs, is that a lot of times they are not always honest. They will do almost anything to get their drug. And I think what happens to the business community--I mean, if I am--let us say, for example, I run some copying company or something, and I want to hire somebody. And I have got to have somebody who I can depend on to come to work, somebody who if I am not there I know all my receipts are going to be, you know, straight, and I know they are going to do what they say they are going to do. That is maybe not the person--and if I have got a choice between three or four people, and that is one of them, that person probably won't, you know, come to the top of my list. What I am trying to get at is, you know, when I listened to Mayor O'Malley, and we were talking a little bit earlier about jobs, because I do believe that is very important. How do you make sure in the DTAP program that--I mean, and I realize this is--the job piece apparently comes at the end. But still, it comes in the middle? But I am just wondering, how do you convince employers to participate and to hire folks? Ms. Swern. I think what you said earlier helps a lot. When employees have had successful graduates working there, they are the best public relations for DTAP. Also, our defendants, because they spend a substantial amount of time in a therapeutic community, they--we could basically vouch for the last 2 years of their life. Not only are they off drugs. That is--in a way--the easiest thing. The harder things are the social skills, all of the other things that we have kind of alluded to here that are being addressed in these therapeutic communities. Now, I come from a State that, relatively speaking, after listening here, is a little bit more rich in resources in terms of residential treatment beds. And we utilize them to the maximum capacity. And so what we do is we make sure DTAP participants spend 15 to 24 months in treatment. When defendants come into DTAP, about 80 percent of them say the reason they come in is to avoid jail or prison. They don't come in because they think they have hit rock bottom, to help their family and friends, to address any of that stuff. The No. 1 reason that they have given, by far and away, is prison or jail avoidance. Over time, and different amounts of time for different people--it could be the first month, it could be the 14th month--they decide, you know, maybe these things that all of the other peers are talking about, all of the others in the substance abuse community, makes sense. And then not only do we convince them that a drug-free life seems to be the best option, we provide them with options. We have constant feedback from our business community. When I speak to groups, frequently somebody at the end of the speech says, ``I have a job, one job.'' And I will go out myself and see the place where the job is. My job developer goes too--even for 1, because I know 1 job could lead to 5, that could lead to 10. And the other thing is we do everything. It doesn't matter whether the job is 3 months or 3 years. We try to use every available resource to make sure that people get employed and stay employed, and they are our best spokespeople. Mr. Cummings. Judge Noel, when you see people coming into court, who have violated probation, or whatever, do they usually have jobs? Judge Noel. The typical---- Mr. Cummings. With regard to drug situations. Judge Noel. The typical defendant in the drug treatment program is unemployed when they come in. We expect relapses. It would be unrealistic to expect, once they got into the program, that they would not relapse. Jobs usually come along. Also, I find that they relocate, and that seems to have quite an impact on the success rate. They have to move from that continuous negative environment before they will make changes, before they will want that change in their life. Typically, they do come in to avoid incarceration, obviously. But to stay in the program, and to go through the rigors of the program, they have got to want that for themselves. Mr. Cummings. Last but not least, one of the things that I know, just piggybacking on something you just said, when I was in the State legislature we had an after care program for juveniles in the boot camp system. And one of the things that we noticed is that the people who stopped hanging with the guys who sent them there did fine. But usually there were not a lot of options. That is the problem. Because they didn't--maybe they didn't have a job, and they sort of--they may have--said all of these wonderful things while they were in prison, and then when they got out, they had all of these high hopes. But then when they got out they couldn't find a job, and the next thing you know they were gravitating. They might do OK for a month or two, but then they gravitate right back to the corner, and the next thing you know they were back in prison. Judge Noel. That is why we expect the relapses. And it is typical in the program. Many defendants stay in our program for over 2 years when you consider the relapses before they ultimately become drug-free, and they have to remain drug-free for at least a year before they are even considered for graduation. Mr. Cummings. Finally, if there is something, commissioner, that you want from us, because we are trying--we are not here just for window dressing. We are trying to figure out how to help. What is at the top of your priority list, I mean, that we could do to help you help us? Mr. Daniel. I think just your interest today, this hearing, is helpful. It is helpful when we are fighting this battle and know that other people care. You know, I am new on this job, with about 3 months experience, and we are looking for some of the best practices, so that we can come back to you and say this works. That is what I am a firm believer in. You know, I want to make sure that you are confident that your money is being well spent, and that we can show you some types of results. I am looking forward to going to Chairman Mica's meeting to discuss matters dealing with HIDTA. I hope I get invited to that because I think that will be very helpful as well. Mr. Cummings. He just said you certainly will be. And I was just wondering, as we move forward in this process, I guess you would be willing to go to the mayor, to the business community, and to ask them to help us out with regard to the job piece. Would you? Mr. Daniel. Certainly we can do that. We are going to start a police foundation here, and we are going to ask businesspeople to support that foundation for other things that we don't want to ask Government for, for special projects and things like that as a funding source. So we are going to have an excellent relationship with the business community, and we certainly would be confident that we can help my co-workers up there with some of the other aspects of this thing that aren't necessarily police-related, like looking for jobs. But, you know, police officers do that with people that we encounter every day. You know, it is not organized, but we often are out there helping people, trying to find them jobs, going to businesses. Officers go in their own pockets and buy clothes for people to be able to go to an interview. I mean, those kinds of things happen all the time in the police department. Mr. Cummings. In answer to an earlier question, the chairman asked you what it would take to eliminate all of the drug corners, and you said 500 officers. One of the things that concerns me is that a lot of times, when I look at the folks on the corners, I wonder where they are going to go. In other words, because there are so many of them, and I know we push them here and we push them there. I am just wondering, what we would see, let us say if we had the 500 officers. Mr. Daniel. OK. Mr. Cummings. Hypothetically. Mr. Daniel. I can tell you where they are going to go. Mr. Cummings. Where? Mr. Daniel. They are going to go to Baltimore County. They are going to go to Anne Arundel County. They are going to go to the surrounding jurisdictions, which is why we have the great collaboration that we now do with my counterparts. You know, I meet regularly with the Baltimore County police chief, and with the Anne Arundel County police chief, and with the State police superintendent. And we meet regularly because we know that we are tired of pushing this thing between borders, and we know that we are going to get more bang for the bucks if we work together and collaboratively. So no law enforcement has no turf battles at all. And, you know, we want to drive this problem that we have with open air drug markets completely out of the State, and where they go after that I can't answer. Mr. Cummings. Thank you. Ms. Robinson. I would like to take an opportunity to address that. One of the things that HIDTA has been doing is developing a cross-border initiative, that is bringing together the law enforcement community as well as the supervision community in Washington, DC, and Prince George's County. And that has been a very helpful process in where they are going to go. But there is a secondary piece to that. I mentioned that that was a law enforcement and a supervision liaison. That has not been inclusive of the treatment community. What is going to need to happen, if you really want to look at addressing that issue, is that the treatment slots that are allocated to Baltimore City and treated slots that are allocated to Baltimore County are going to have to be looked at very closely, because once you incarcerate those individuals then you summarily are also going to have to provide a level of treatment services and wraparound community-based services, so that once they complete the treatment regime and they go out into the community, that they get jobs, and that they are placed in a different environment for at least a period of time in order for them to integrate internally the new value system. I mean, she speaks very eloquently about the therapeutic community, and I worked for years in the therapeutic community. What you endeavor to do in that is to teach pro social values to these individuals. And it takes 2 years for those pro social values to be internalized. But if they are going back into the same environment, what you are looking at is a 6-month period and they are going to lose all of the benefits basically that they acquired while they were in treatment. We have got to provide opportunities for them to move to a different community, and that is a faith-based community, that could be AA, NA. I mean, there are support mechanisms that are existing in the community to assist them along their recovery path. Mr. Cummings. I don't want you to answer this now. I just want, maybe you can give us something in writing or contribute it to the HIDTA meeting that will be held. But you said something a little bit earlier about the fact that funds that HIDTA is now using to I guess supplement drug treatment in Baltimore City and Baltimore County, and elsewhere I guess, it then takes away from other things that you might want to do. Is that what you said? Ms. Robinson. No, no. No, no. Mr. Cummings. What did you say? Ms. Robinson. Once you--you asked the question, what would happen to these individuals---- Mr. Cummings. No. I am going back to something you said a little bit earlier. Ms. Robinson. OK. Mr. Cummings. You were talking about the fact that you use HIDTA money with regard to treatment. Ms. Robinson. Yes. Mr. Cummings. And you said something to the effect of, we need to maybe look at that and see whether we are taking away from other things that you might want to use the money for, or other people. Ms. Robinson. No. Mr. Cummings. OK. Ms. Robinson. Each jurisdiction that is involved in the HIDTA projects has an opportunity to look--assess their own system, and they utilize HIDTA funds to augment gaps within those systems. So once they make that determination--and it is different in just about every jurisdiction that is involved in HIDTA--then that does conversely take resources away from other pursuits. Mr. Cummings. OK. Ms. Robinson. Because they could utilize that money in Baltimore County specifically. Their money is all utilized in drug treatment slots, and in Baltimore City it ranges from drug treatment to positions that are purchased with their money. I mean, they have---- Mr. Cummings. Sure. Ms. Robinson [continuing]. Utilized it in very different ways. Mr. Cummings. Right. Thank you. Mr. Mica. Thank you, Mr. Cummings. And I want to thank each of the witnesses on this panel. It appears that there has been a slaughter going on in this community for the last decade or more. If it is on average 300 dying, that is 2,500, 3,000 people have died in this slaughter. I have been in the Washington area, as I said, for about a decade, and I saw every night a slaughter going on there. It averages as many as 400 a year in our Nation's capital close by, which I guess is part of this HIDTA effort. We have had some success in bringing the deaths down in Washington. They have been fairly reduced. But in Baltimore we haven't seen that success, and we have got to stop that slaughter in some fashion. We have our jails full. The judge testified that it is imprisoning not only a record number, but also the ones that are suffering most are the minority population who are the victims of these murders, of the incarceration. And then we have a system that is failing them even at the end where they are cast into a community that doesn't have the jobs. Coming from the business community, I can tell you that any community that has the kinds of problems this community has experienced, I would not invest where you have rampant drugs, crime, murders. And so you have a perpetuation of a cycle of even when these folks come out, the judge said their best hope is to go someplace else, and that is their best success rate. Somehow this has all got to be turned around, and I am hoping working with the mayor, with the new commissioner, with the individuals who are here--the county executive, and all of those who have testified--and my colleague, Mr. Cummings, and others, that we can be a partner in turning this situation around. I guarantee you we will do everything possible. It may not have been possible before the beginning of this year, but I guarantee you we will give every effort to turning this around and working as a partner with you. With those comments, I will excuse this panel, and thank you again. I call our third and final panel. The third panel consists of Dr. Faye Taxman, who is a professor of criminology at the University of Maryland. The second witness on the panel is Mr. Ricky Phaison. He is a program participant in project excel. The other panelist on this third and final panel is Mr. Israel Cason. He is president of I Can't, We Can. I am pleased to welcome the three witnesses to our panel. Once again, I will reiterate that this is an investigations and oversight subcommittee of the U.S. House of Representatives. In that capacity, and with those responsibilities, we do swear in our witnesses for testimony. If you have any lengthy statements to be made part of the record, upon request to the subcommittee that will be included in the record. At this time, I will ask our three witnesses on this panel to please stand and be sworn. Raise your right hands. [Witnesses sworn.] Mr. Mica. The witnesses answered in the affirmative. Again, I thank each of you for joining us. I will recognize first Dr. Faye Taxman, professor of criminology at the University of Maryland. Welcome, and you are recognized. STATEMENTS OF FAYE TAXMAN, Ph.D., PROFESSOR OF CRIMINOLOGY, UNIVERSITY OF MARYLAND; RICKY PHAISON, PROGRAM PARTICIPANT, PROJECT EXCEL; AND ISRAEL CASON, PRESIDENT, I CAN'T, WE CAN Ms. Taxman. Good afternoon. Thank you very much for inviting me to testify today, and I appreciate the opportunity, Congressman Mica and members of the subcommittee, to talk a little bit more about an issue that you have been discussing today which has to do with a redirection in national policy in terms of dealing with the problems of drugs and crime in our community. In particular, my interest is in terms of building more effective community correctional treatment and control programs that prevent criminal behavior and penetration into the criminal justice system. I think what you have seen today is the tragedy in a city like Baltimore where we have people with very lengthy criminal justice histories. And it affects them and their families and their children and their communities, and I think we have to reflect on how better to provide services to prevent all of these factors. If you look at what we have done over the last 30-somewhat years, is we have really focused on incarceration at the State, Federal, and local levels. We have built jails. We have built prisons. And in many States, including this State, we spend more money on incarceration than we spend on educating school- age children. In my own community, we are currently building--I live down the road--a very large jail, once again, that is taking away needed resources for the school children. And I think that is part of the travesty that we feel. If you look at what we have done through RSAT at the Federal level and other crime control initiatives, we put money into programs in prisons and jails, which makes sense. But we haven't invested the same level of resources into the community-based programs, and there have been some minor modifications in RSAT which have allowed the programs to use like 10 percent of the funds in after care or continuing care in the community. But that does not really build the types of programs like DTAP or the drug courts or some of the longer term initiatives to really help people get themselves back on the right track. So I think we really have to look at how we fund things, and begin to look at where our priorities are. The other thing I would like to mention is this State and many States struggle with this notion that everything in the community has to be done at a cost containment or a cost reduction over incarceration. So while we are comfortable to spend $23,000 a year, or $85,000 a year in the State of New York, to incarcerate someone, we skirmish at the notion of spending $2,000 or $3,000 a year to put someone in a drug treatment program. I think that is a clear reflection of priorities that are mismatched in terms of where to get the most effective care for our community. So what I would like to do is basically talk about three points very quickly, because I know your time is short, and hope that you will consider from a Federal level to really start some national Federal initiatives to deal with people on community supervision, because I believe, as Congressman Cummings noted earlier, that I feel we can get the most effectiveness in terms of reducing crime and improving the quality of lives and communities by focusing on probation and parole services. My three points today which I would like--as part of some testimony that I entered in--are, first that incarceration has a limited impact. And, in fact, I think what we have done and the research literature has shown is that incarceration actually is no longer a deterrent to criminal behavior. And I will talk about that a little bit more. My second point, is that treatment is very effective, but some programs work better than others, and we need a system of care. And my third point, is that effective supervision is the key to reduced crime. On the first point about incarceration, we have seen generations of families that have been in prison and jail. What we have seen--and you can see this through a number of ethnographic studies--is that people are immune to prison and jail. It does not matter now. You can talk to most prison wardens, you can talk to most jail wardens, and they will tell you that people don't fear jail. And even kids don't fear jail as much as one would think. And I think we have to reflect on where we perceive jail to be a deterrent, it is no longer the deterrent. And that is-- that raises a number of questions in terms of a national priority of how to change that value system so people do fear periods of time away in incarceration facilities. Related to that is that in order to--from my perspective, to overturn that, is to really deal with the issue that we need to build better things within the community and the community framework. Repeatedly, we have over the past several--15 or 20 years--built correctional programs in the community that mainly focus on controlling orientation. And when I say control I mean things like house arrest, electronic monitoring, drug testing only. But what we haven't done is given the people who get caught up in the criminal justice system the tools to help themselves. Now, we have heard discussion today about how people need to hit rock bottom, have to be motivated to want to change their lives. I take a slightly different position. I think that you can help people become motivated, and that we need to build treatment systems and correctional systems that include components of effective care, that will help people become motivating. There is a whole body of literature, scientific literature, on motivational readiness programs, cognitive behavioral restructuring programs, that really deal with building people's motivation to change their lives. Now, you can't deliver those services in a short period of time. You can't do that in 6 months or less. So what we need to do is we need to develop a treatment delivery system based upon the scientific principles of effective care, and those treatment delivery systems have to be for longer durations. You heard the judge talk about the drug court program being 2 years in duration. You heard Ms. Swern talk about DTAP being 2 years in duration. We can work within time periods if we are given the resources to do that, and right now people under treatment or under supervision are under supervision for 12 to 24 months. We don't effectively use that whole period of time, but we could build programs that connect and walk people through stages of change, so they get the motivation to change their lives. You give them the skills and tools. You help them reorient their value system, and you have to deal with the criminogenic value system. And you help them in some of the areas of stabilization, which many people have talked about today in terms of jobs. I am not going to go over it, but I did provide for you some analysis that was done actually at the request of Congress in a report that was done by my department, the Department of Criminology and Criminal Justice on what works and what doesn't work. There are many programs that we fund that do not work. There are many programs that we don't fund that do work. And so I suggest that as you begin to look at providing scientifically based programs to help overcome these long-term problems, we focus on those programs that work. Those programs have some key principles. They provide programs of significant duration to change the behaviors of offenders. They utilize cognitive and behavioral approaches to provide consistent and effective techniques to assist offenders in learning how to assume accountability for their lives. They assure that these programs assist individuals in restructuring their lives. And they emphasize value systems, attacking the criminogenic traits and the ability to stabilize yourself in the community. Those multi-dimensions are very important. They encompass everything from helping people motivate change to helping people get more active in their community, whether that includes their faith community, family, or other support mechanisms that they may have. But I implore you to really look at the scientific literature, because over the last 15 years we have built a very nice base in order to really decide what works and what doesn't work. And we have to move away from the myths. A lot of people work on one person, that one war story here or there. But really focus on, you know, good, controlled studies. My last point today has to do with supervision. People commonly talk about probation as being a slap on the wrist. And, in fact, you know, to be more accurate, it probably is because most people who are on probation, not only in the State of Maryland but nationwide, are not supervised adequately. They have this ``wait and see'' period of self-destruction. And, unfortunately, most States' prison population is driven by the failures on probation and parole. So what we need to do is look at how to build effective supervision systems. And we right now have much like what law enforcement had about 30 years ago--a much more reactive stance to supervision. It used to be that law enforcement was reactive in terms of crime problems. That is what probation and parole is. So we can build different models of probation, and I think that there is a need at the Federal level to encourage that and to help States learn to turn around the problem. This is not just a problem in Maryland. I deal with about 15 other States that are all grappling with how to deliver the best effective probation and parole services to control crime. In that end, we also know that there are key principles of what works under supervision. One is that we need to use that whole supervision period as an intervention period, not just a period of wait and see. We need to make sure that supervision agents learn how to use behavioral management techniques. Many people today have talked about accountability, through sanctions. I would also add a reward system, because we know from the psychological literature that most people react better to rewards than sanctions. But we need to have these principles of swiftness, certainty, and progressiveness, to address the problem behaviors of offenders. And these become the tools to help people restructure their lives. We need to ensure that the criminal justice system provides timely response to offender non-compliance. It is a major problem. It contributes to crime in the community, and it contributes to the offender's perception that the criminal justice system is a joke. And, finally, we need to incorporate effective treatment services throughout that whole period of supervision. Added together, these components can significantly reduce crime at a very minimal cost enhancement to current probation services. There were several examples today of programs that you have heard that employ little components of these programs. I think the challenge that Secretary Simms mentioned is, how do you go from running a program for several hundred people to dealing with the system? Because that is where the bottlenecks occur. I have been analyzing Baltimore City data for about the last 10 years, in terms of the criminal justice system, and the bottlenecks occur all the way from the intake in number of arrests through all of the different components of their system. And Maryland's break the cycle effort is one effort that was aimed to look at systemic changes in how the criminal justice system works. Now, the program has been up and running for less than 2 years, and it takes a while in terms of getting some of the results. But what the initial findings were were, you know, in the direction which suggests that some systemic reforms could have long-term changes. The first systemic reform was adding drug testing as a component. What the evaluation found was that by a consistent pattern of testing--and when I say consistent I mean every--twice a week testing for 3 months in duration, which is unlike most other States or jurisdictions where they drug test people at most once a week, maybe several times a month, or at random. But this consistent pattern of testing reduced the drug test positive rate by 53 percent within a 60-day window of time. When you do not do the consistent drug testing, what we found is that there was not a significant reduction in drug test positive rates. We also looked at the rearrest rate during this period of time for these hard core offenders, or for the offender population. Again, most of the offenders here had an average of four prior arrests, so they had been through the criminal justice system many times. And we have reduced--what we have seen is that--this is only Baltimore City data, where for this short period of time we reduced the probability of rearrest by 23 percent. That was just merely with the drug testing component. Adding treatment and the accountability, which are the system components, being built as we are here today; they are in the process of construction. You know, the expectation is is that we could see even more market changes in terms of rearrest rates and improvements in safety in the community. As you heard mentioned earlier, this requires better coordination across all levels of Government, amongst criminal justice and treatment programs, and a tool is the ability to track people. Have I run out of time? Mr. Mica. Getting close. Ms. Taxman. OK. And there was a tool that was developed under the HIDTA program, called HATTS, that provides a very easy tool, but it is difficult to retool the whole industry. And when I say the industry, the criminal justice system, the public health system, because you have a work force that is not used to automation. So what we found in the implementation of HATTS is that, you know, we basically had to give the employees of these programs, whether they be in treatment or supervision agencies, computer skills. But as, you know, the county executive, Mr. Ruppersberger, talked about, it is important for the criminal justice system to be able to talk automatically with other systems about the progress of people. And what HATTS does is provide a nice tool to get away from the phones and faxes and letters sent, so someone can open up a screen and see, did the person come to treatment? Were they testing positive? Did they go to supervision? Did they go to court? And are they working? All of the key components that one needs to really know whether someone is making some progress. And so there is a need for some more investment, though, and, you know, that is part of your responsibility in Congress, to really look at how to provide technological tools to help advance the field. And, if you would like, I can submit in writing some other ideas about technological tools. But it is really critical in this thinking about reshaping probation, and reshaping supervision, to really work on advancement of the field, much like what LEAA provided back in the 1970's. It provided the funding for training. It provided the funding for tools for the field. And it helped to redirect law enforcement into being much more strategic in its activities. There has been nothing in the supervision field that has really done that. In conclusion, I would like to suggest that we really need to talk about alternatives to incarceration in the context of trying to prevent penetration into the criminal justice system. An alternative suggests that the person should go to prison. What would be nice is if we really built a structure up front, including the juvenile justice system, that was focused on prevention and providing the earlier intervention, taking the principles of what we know that works for very younger kids who start to have troubles within their own communities. But we must employ these effective tools and move away from the short-funded episodic type of interventions that we seem to have a mindset. The gains that can be made are really important in terms of trying to overcome, particularly in communities like Baltimore City where you have, you know, significant poverty problems and other types of social, you know, safety net disintegration. But even in rural communities, you can see the effects that drugs have had in those communities where they could also benefit from better quality supervision in building of systems, to build a safety net to prevent people from penetrating into the system. So I would like to suggest, in conclusion, that at the Federal level the following would really help States. One is to be able to put more funding into supervision agents to protect communities. Most States have very large ratios of staff to agents, 1 agent to 100 to 300 offenders. Obviously, this is very insufficient to meet any type of supervision or oversight needs. The second, is that we need to fund the expansion of graduated responses capacity in many of these systems by offering day reporting programs, day treatment programs, longer term therapeutic community programs that link across the different legal statutes, to really enhance our community control efforts, and to focus in on trying to help that person learn to restructure their life. I would add, that we should try to really move away from the simple notions that people have to hit rock bottom to help us understand why they need to change their lives. Third, I would like to suggest that there is a need to expand funding for training and technical assistance, much like you did through LEAA, to develop comprehensive treatment, testing, and sanction and responses practices throughout the jurisdictions. [The prepared statement of Ms. Taxman follows:] [GRAPHIC] [TIFF OMITTED] T8775.075 [GRAPHIC] [TIFF OMITTED] T8775.076 [GRAPHIC] [TIFF OMITTED] T8775.077 [GRAPHIC] [TIFF OMITTED] T8775.078 [GRAPHIC] [TIFF OMITTED] T8775.079 [GRAPHIC] [TIFF OMITTED] T8775.080 [GRAPHIC] [TIFF OMITTED] T8775.081 [GRAPHIC] [TIFF OMITTED] T8775.082 Mr. Mica. Thank you for your testimony. We will now hear from Mr. Ricky Phaison, who is a program participant with project excel. You are recognized, sir. Welcome. Mr. Phaison. Thank you. First of all, I would like to thank God for allowing me to be here, and thank Congressman Cummings and Congressman Mica for allowing me to testify. I want to testify on a personal level. I heard a lot of talk today about alternative to incarceration. I remember at the end of my addiction when I was--when they locked me up and I went to jail, and the furthest thing from my mind was my disease, my disease of addiction. I knew that I had some type of problem. I just could not identify the problem. So when I went to jail, and when I got to jail, I didn't see any educational programs, any meetings which I attend now, and any 12-step program or nothing when I went to jail. So the first thing I had on my mind--my attitude was-- see, all my life I have blamed society on what I did, on all of my problems. So my thoughts were, while I was incarcerated was, I was going to pay society back when I got out of jail. When I got out of jail, I paid society back by repeating the same thing I had always done. Went back to the same corner, repeated the same thing. No education whatsoever. I really didn't understand about the disease of addiction. I didn't know I had a problem. I had to be at my bottom before I realized that I needed some help. I got my help through a treatment center, thank God, called excel. And in participating--it was a 28-day treatment center, and on the second floor they had a juvenile facility, and then on the first floor they had a long-term behavior program. And I found out that I had to be broken all the way down and built back up again. I had to see my personality was part of my problem. My addictive behavior was part of my problem. I remember seeing so much travesty in my younger life, trying to forget it, and when I took that first drug it made me forget all of my problems, everything. I didn't start off using drugs to become an addict. I started off using drugs as social acceptability, curiosity, and then it became my problem at the end. At the end, I had to surrender. I had to forgive. I had to get off--I had to move out of my way. And I remember going through this treatment program, and for the first time in my life I started identifying that I had a problem, that I had a disease. Now, what am I going to do about this disease? What am I going to do about this problem? I had to learn how to get rid of all of those deep, dark secrets I carried all of my life. I also had to learn how to start living step by step, day by day, all over again. I got a lot of help through my 12-step program. My 12-step program has taught me how to become a father, become a husband, become a responsible individual. In other words, grabbed me by the hand and rebuild me all over again. It has got to be treatment for me. It has got to be treatment for me. It is like everybody that I have talked to or I have come across in the last 13 years of my sobriety has dealt with treatment, has come out of treatment, has been successful with going to treatment. A lot of people I know have gone into jail have come back out and repeated the same thing. So my answer to alternative to incarceration would absolutely be treatment. And we need to put everything together that I have heard here today and maybe give me some of your ideas, and take some of my ideas, and take some of her ideas, and take some of his ideas, and then put them all together. Because I know every time I come to a symposium, or I see something going on like this, when I shared my idea I am rolling out the door and I am not listening to other people. And I think we all need to listen to each other and come together and understand that you can lock me up as much as you want to. But, I mean, as long as I am locked up in the mind, there is nothing else you can do to me. Thank you for letting me share. Mr. Mica. Thank you for your testimony. We will now hear from Mr. Israel Cason, who is president of I Can't, We Can. Mr. Cason. Good afternoon. First of all, I would like to thank God for allowing all of us to be here. My name is Israel Cason. I am the president and founder of I Can't, We Can recovery program. I Can't, We Can is a spiritually based tough love, self-supported, grassroots, nonprofit recovery program for alcoholics and addicts. Our primary purpose is to save lives, win souls, and to uplift the fallen of humanity. We utilize the therapeutic value of one addict helping another addict. I Can't, We Can, through positive networking, works closely with prosecutors, public defenders, lawyers, penal institutions, and judges. We have gained the trust of the criminal justice system through the good works we have accomplished in our community. As ex-offenders, I Can't, We Can staff, we are asked for our opinions and expertise on how lives can be changed by way of alternatives to prison. Although we are self-supported, we manage to monitor and take the responsibility for people who want to change. Through urinalysis, case management, tough love, spiritual meetings, educational programs, and job readiness training programs, we are able to change deviants into productive members of society. We realize that people who are imprisoned are a part of that fallen humanity, but human nonetheless. As Plato said it more than 2,500 years ago, ``the parts can never be well unless the whole is well.'' Here the solution must be approached holistically. We have come to understand that incarceration will never allow a person the opportunity to acquire true clean time. This clean time--incarceration--does not equal recovery. From this observation, we realize that drugs are not the real problem, but the symptoms of the problem. We also understand that substance abuse and drug addiction are the results of the acquisition and the practicing of addictive behaviors. These behaviors cause people to form negative networks and thus become familiar with that negative environment. Now, there is comfortability in familiarity. When people are incarcerated, they are attracted to negative networks. This means whatever zone they find comfortable to practice their addictive behavior in, they will. Case in point: What do you have when you clean and sober up a drunken horse thief? Answer: a horse thief. We have now discussed three parts--the biological, the psychological, and the social aspects--of inmates. Let us remember that the parts can never be well unless the whole is well. A man is made of mind, body, and soul. There is another part that needs to be addressed: spirituality. We are going to define the term spirituality as a source that gives your life meaning and purpose. Spirituality allows inmates to encounter that which is unfamiliar to them, which is a positive networking. This positive network should begin as soon as the inmates are detoxed or free of mind- altering or mood-changing substances. Alternatives to incarceration should be approached with familiarity of each individual's background and the understanding that what may seem to be the reason for the incarceration may only be the effect of the problem which caused the incarceration. We also must implement steps to change negative networks into positive networks by using the following steps. Education on the disease of addiction should begin with the teaching of psychological effects, sociological effects, physical effects, and spiritual effects. Exposure to spiritual understanding. Case management should be in place to determine short-term and long-term goals. Co-dependents must be identified, and if possible, educated. A smooth transition back into society must begin long before release, such as birth certificates, driver's license, or State ID, Social Security card, child support, and housing. Secondary diseases identified. A place of residence conducive to recovery identified and contacted. I Can't, We Can has realized that when given the opportunity, the majority of people can make the transition back to being a productive member of society. Our recovery program has grown into a recovering community that utilizes a holistic approach to incorporates individuals back into society. This structure, which I Can't, We Can uses, allows members to practice building their lives on a daily basis. The members live in neighborhoods as residents and neighbors, and belong to the community associations, civic groups, religious organizations, and support the merchants in our communities. The gratitude one acquires for the opportunity to be part of such a positive society is tremendous. Residents are encouraged to further their education while working on creating balanced lives. Being a self-supported organization, we have found ways to help sick and suffering addicts regardless of their financial status. In the therapeutic community, we manage to salvage our most precious resource, our people. When people recover, everything is reduced--crime, grime, and negativity. In conclusion, addicts seeking recovery should not be denied treatment or left to die. It is God's will, not ours, that must be done. Thank you. [The prepared statement of Mr. Cason follows:] [GRAPHIC] [TIFF OMITTED] T8775.083 [GRAPHIC] [TIFF OMITTED] T8775.084 Mr. Mica. I want to thank all of our panelists for their testimony this afternoon. I have a couple of questions. I don't want to get too personal, but I want to ask Mr. Phaison and Mr. Cason some questions about where we failed as a society, or where your problems began, whether--did you have problems as far as your family life to begin with, Mr. Cason? Mr. Cason. I come from a religious family. My mother and father were preachers. But in my environment I learned the behaviors of the people that I hung around with and---- Mr. Mica. So that is where your problems started? You came from a very good, religious, nuclear family that--and you say that your problems started with the people you---- Mr. Cason. That I hung around with. Mr. Mica [continuing]. Associated with. How about you, Mr. Phaison? Mr. Phaison. Well, I came--my mother did the best she could raising us, and she was a practicing alcoholic. But I never wanted to be a part of that family. I always wanted to be outside, so I looked for things outside of my family structure. Mr. Mica. But is there something that either of you could have seen that we could have done early on, either as a society--maybe in education, or who you--is there something you could identify where you might have taken another path? Mr. Cason. Mr. Cason. Well, looking back, I see that addictive behavior is the polar opposite of spirituality, and no two things can occupy the same space at the same time. You either have to---- Mr. Mica. But you hung with some folks, and it must--you must have gotten involved either with alcohol or drugs at some point. Did you finish your education? Was there ever anything in school? Or did you have any exposure to anything that would stop you? You know, the topic of this is alternatives to incarceration, and I am trying to back it up to say, well, maybe we are doing something wrong; we didn't do something. We obviously short-changed you in some way. You had a good religious family, but you said you hung with the wrong guys. Were there drugs out there that were available? Did you do this because of peer pressure? What happened? Mr. Cason. Well, with me, I--the drug life seemed more inviting, and it appealed more to me. Mr. Mica. Did you finish your education, your high school diploma? Mr. Cason. Well, I went to jail first. Mr. Mica. Went to jail first. What about you, Mr. Phaison? Mr. Phaison. Well, the---- Mr. Mica. Was there anything--when did you leave school? Mr. Phaison. Well, I attended Antioch University and obtained 96 credits in human services and worked in the Juvenile Justice Department before I even decided to take a drink or a drug. Mr. Mica. Before you took a drug? Mr. Phaison. Right. Before I took a drink or a drug. In other words, I am saying it just--in my---- Mr. Mica. And then where did you--where did things fail for you? Mr. Phaison. Well, curiosity, say, killed the cat. I---- Mr. Mica. So the availability of drugs---- Mr. Phaison. Yes. Absolutely. It was--I mean, it was just readily available. Mr. Mica. Readily available for you? Mr. Phaison. Yes. Mr. Mica. Both in the city of Baltimore and outside? Mr. Phaison. Yes. Mr. Mica. Still available today? Mr. Phaison. Absolutely. Mr. Cason. More so. Mr. Mica. More so. All over the---- Mr. Phaison. Yes. Ten times as much. Mr. Cason. At one time it was--you know, it---- Mr. Mica. How would you--I have heard mixed reviews on the enforcement. It sounds like there is not that much enforcement. If a guy from Pennsylvania can get the locale on a 7-11 wall for where to get drugs in Baltimore, it doesn't sound like there is much enforcement here. So is that part of the problem or---- Mr. Cason. Yes, I think that if they would go after the drug dealers--instead they are chasing the victims. Mr. Mica. Yes. Well, you are the--you are victims. There are a lot of young people that are victims, but they are not going after--we heard Judge--was it Johnson, the other judge? Mr. Cummings. Right. Yes. Mr. Mica. He said that the people that are making the money, that are doing the deals, the big deals, and bringing the drugs in, there is no--I said there is no poppies or coca grown in Baltimore. Mr. Cason. That is right. Mr. Mica. That I know of. So we are not going--there is definitely a plentiful supply and availability, and somebody is making money and killing people off of this deal. Is that correct? Mr. Cason. Right. Mr. Phaison. Absolutely. Mr. Mica. You think so? Mr. Phaison. Absolutely. Mr. Mica. So that is part of it. You have both been involved in treatment programs. And you are both here, you said, by the grace of God. And you are lucky because there is--I don't know the names behind these. I have read some of them before, the ones that died in Washington and Baltimore. On the House floor, I do that from time to time. I picked up a paper--I fly into Baltimore and often pick up a paper and read of the slaughter going on here. And it has got to be humanity and a real person behind all of those people that die, and certainly you two are fortunate to even be with us. My question is, again, what elements--you both came from-- you told me yours was faith-based, no public money, did you say? Or is there public money? Mr. Cason. No public moneys. Mr. Mica. And what about you? Mr. Phaison. Well, we had public money, but when they took away the public funds, the treatment centers closed. Mr. Mica. You did have, though. Mr. Phaison. Yes. Mr. Mica. But you both came out of treatment programs that worked, one that is closed, one that is faith-based that we couldn't put money---- Mr. Cason. Well, we are spiritually based, and we still operate now. We have over 500 people that is in the program. Mr. Mica. All right. Well, I am just trying to find out--we are spending a lot of money on the whole drug effort-- prosecution, enforcement. Mr. Cummings and I helped put together $1 billion education program, which is underway now, plus combined with private donations it will be double that, we hope. And we are trying to find out what works. As a final question, what in these programs really made a difference in your lives that we could replicate in our future programs? Mr. Phaison. Well, for me it was ``Talk, Hurt, and Grow.'' In other words, I identified what the problem was and talked about it. You talk about a bad---- Mr. Mica. And there were elements of that program that helped you get to that point. Mr. Phaison. Absolutely. Mr. Mica. And that is what is important to you, sir. Mr. Cason. To me, the key is to bring a person to a spiritual awakening, and that is--you have to work on addictive behaviors, because they are two--that is what gets two different results. One is spiritual and one is addictive thinking. And that takes a process. A spiritual awakening, a person will become self-supporting and productive members of society. Mr. Mica. Just a final question for Dr. Taxman. I heard you testify to different things. You said the criminal justice system is sometimes a joke, that we need swiftness and certainty--and you gave several elements--in these programs. That you know that drug testing does produce better results if it is an element introduced into these programs. Why haven't these reforms, if we know what works, and elements like drug testing that prove such dramatic increases in success, why haven't those reforms been instituted? And that is the first part of my question. And the second is, should the Federal Government mandate that they be a part of programs to receive our funds, at least our funds? Ms. Taxman. I think that the first question you asked is why aren't the best practices that we know are available, put in place in programs across the Nation---- Mr. Mica. Well, let us just deal with right here. Ms. Taxman. OK. Or here. And I think part of it is there is a gap of knowledge in terms of, you know, what is funded and what the practitioners look at in terms of their base. And over the last 5 years, there has been an increase in terms of trying to disseminate more best practice information. So some of the things that I talked about are things that the research literature has discussed over the years, but hasn't necessarily been readily available in the actual field. Mr. Mica. OK. The other part is you testified here today you know what works. Ms. Taxman. Well, the components. Mr. Mica. Why shouldn't Mr. Cummings and I go back and make that a requirement to get Federal funds so that we would require that what you say works is incorporated in these programs to make them successful? Ms. Taxman. I would think that it would be good for there to be some Federal initiatives that have standards in them. Much like what RSAT tried to do was putting some standards into place. What is good quality prison-based treatment? The same could be true for the Federal block grant dollars that go to many of the States in terms of their public health funding for treatment and prevention programs. There is no Federal initiative on drug testing itself, but it seems to me that it would make a lot of sense, and the research literature suggests that drug testing should be in drug treatment programs as well as in correctional programs. Why those haven't occurred in the past has to do a lot with what you heard today--a lack of funding specifically. I mean, program administrators have choices. They fund clinical services, or they fund drug testing. And they are scrambling enough to fund quality, you know, clinical services. So they took away from other things that they would like to do. If you talk to many of the treatment providers in the city, they would desire for more drug testing as well as the ability to expand the types of services that they offer to clients. Mr. Mica. Thank you. Mr. Cummings. Mr. Cummings. Thank you very much. As I listened to the testimony, I couldn't help but think about all of the people who are dead, you know, the ones who were not as fortunate as you all here today. And, Mr. Phaison, you and I have talked about this. One of the things that--and it is the direct result of my conversations with you that I have constantly pushed in the last few hearings that we have had in Washington about effective drug treatment. One of the things that you said to me a while back is that one of the worst things you can do is send an addict to a treatment situation that ain't real. It is not real. Mr. Phaison. Yes. Mr. Cummings. Because all that does is send it is very frustrating and, of course, he is not getting better. Mr. Phaison. Right. Mr. Cummings. Right now, I guess you have a lot of people that come to you asking for---- Mr. Phaison. Oh, yes. Mr. Cummings [continuing]. Help. Mr. Phaison. Oh, yes, on a daily basis, sir. I have about 15 or 20 people on a daily basis trying to get into treatment. Thank God for my commitment, so I have at a couple of treatment centers that allow me to get a couple of free slots every month. But if you have got 20 people per day asking you and you have only got one or two slots per month, you know, it just doesn't add up. You know, I have a question, too, because I remember speaking in front of Congressional Black Caucus before, and as a result you said $156 million was allocated for the black and Hispanic community---- Mr. Cummings. That is right. Mr. Phaison [continuing]. On drugs and AIDS. But in my community, I still have not seen any change. See, we are talking $156 million, but when it trickles down I really haven't seen any change. Mr. Cummings. Well, I can address that at some other point. Let me just ask my questions. Mr. Phaison. OK. Mr. Cummings. But I can tell you one of the organizations that received some of that $156 million is Ms. Pascal, who is right behind you. And I think she can tell you that we pulled together a little coalition to try to deal with the whole drug problem, but I want to talk to you about that. But let me just ask you this. There is something about that critical point when you said people come to you asking for treatment. I mean, where are you looking to send them? In other words, what are the things that you think are going to be best--I know everybody is different. But you are just not going to send them anywhere. Mr. Phaison. No. First of all, I am going to look for the sincerity. That is No. 1, because a lot of times people have a tendency to play a lot of games. I can't. I have to look for the sincerity of the person because I may only have one or two slots, with 200 people asking for them. So I have to try to the best of my ability, to feel them, to understand that this is what they really want because once you put them--or once you suggest where they should go, and they go and they don't stay, that is not--the credibility is not good for you. Mr. Cummings. OK. Assuming that they are sincere---- Mr. Phaison. Assuming that they are sincere---- Mr. Cummings [continuing]. What criteria are you looking for? If you have five or six different programs, what are you looking for as far as treatment and thinking, hoping, and believing that it will be most effective? That is what I am trying to get at. Mr. Phaison. OK. Mr. Cummings. In other words, you are just not going to send them anywhere. Mr. Phaison. Right. In other words, I am looking for a place like I went to--excel, the drug treatment center. They have seminars. They have candlelight seminars. They talk--they have a program called ``Talk, Hurt, and Grow,'' to get down to the root of the problem. I wouldn't just send them somewhere where they--you know, people are just getting a dollar, just getting a dollar for them. I am going to send them somewhere where they really, really can get some help, and they have recovering addicts who work in those positions who really understand where they are coming from. Mr. Cummings. Now, Dr. Taxman says that you have to have-- the most effective treatment needs to be--you need to spend a substantial amount of time in-house. Is that right, Dr. Taxman? Ms. Taxman. Well, when you say in-house, do you mean in a residential component? Mr. Cummings. Yes. Ms. Taxman. No. It is really an issue of trying to use residential services for those who need to be away from their community stabilizing themselves. So it depends on the person, but I would say from what we have learned that somewhere around 30 percent of the people need some sort of residential component. Mr. Cummings. And that is so that they can get away from their community. Ms. Taxman. Right. For those who are probably less motivated, for those who need more stable--initial stabilization. I think the key is making sure that the treatment process includes a motivational enhancement component up front. A lot of people aren't quite ready there. Whether you are trying to decide to quit smoking, or you have a diabetic situation, you don't come to a doctor saying, I want to change my behavior today. You need to be motivated to do that. So I was just going to add that it is really a treatment process. The way funding is for treatment is thorugh episodes usually. You fund an outpatient program that has an episode to it. You don't fund a treatment process for a person. So that if they can begin--let us say if they need some residential, and then move from a residential to day treatment to an outpatient program, to some support services. Mr. Cummings. In one of our recent hearings with SAMHSA, we spent quite a bit of time talking about the best practices, and one of the things that they said was that there are some States, that when it comes to drug treatment they don't have any way of analyzing whether the treatment is effective. On the other hand, there are States that do. Ms. Taxman. Right. Mr. Cummings. Is that something that you think is important as far as when a State takes a look at effective treatment, to have some kind of criteria? Ms. Taxman. Most definitely. You know, in the public sector, what we are most concerned about is getting outcomes that, you know, work toward the greater good of trying to help people recover. But we have to be able to sort through two issues: what programs work, and what programs work for what types of people. And without having good data, you really can't make those determinations. The field has suffered because we don't have enough studies. I mean, NIDA has done and CSAT has done some studies over the last 5, 7 years that have found the base for us. But, really, if you look over the last 30 years, there are very few studies that have been done on different types of programs' effectiveness. Mr. Cummings. Mr. Cason, this is my last question. We are running out of time here. But, looking back at what you are dealing with today and the process that have been through, and going back to some things that Chairman Mica was talking about is how do we try to make sure that people--do what we can to make sure that people don't have to go through what you did. I mean, are there things that if you could request of Congress, in the most powerful Nation of the world, what would you want to see? I am just curious. Mr. Cason. Well, first of all, I would like to see that-- because the grass-roots organization, we work with the people that is in the city, in the gutter, and in the neighborhood. And a lot of the addicts that is recovering becomes the example that--to the people that is coming up. That is the preventative measurement. I would like to see the recovering communities be more supportive because they get no support from State, Federal, or nobody. So we have got to become self-supporting, which is that adversity causes us to develop because we are going to recover anyway. But I would like to see the people be held accountable because we have got people who come from jails, from institutions, and they send them to this--to our program, and if they would have kept them in jail they would have to pay for them. But they refuse to give us any money. We have got hundreds of people that are coming out of jail every day--I mean, that is in the program. Mr. Cummings. I just want to take a moment to thank all of you for--and everybody who testified today. This is an ongoing struggle, as you all well know. And I think when we look at--I once said that, you know, when drugs was introduced to this society, it really--I mean, and when people talk about drug- infected, that is probably a very accurate word, because I don't think a lot of people even know the depth of the drug problem. I am not just talking about the person who is addicted. I am talking about the family members and the children, and it just goes on and on. Even people who may be in the choir every Sunday and singing may have a son who, you know, who is drug addicted. And the deaths that we see. But I am just hoping that hearings like this puts a face on this whole situation. One of the reasons why, as I conclude, Mr. Chairman, I wanted to come to Baltimore was because so often in Congress we hear about Baltimore and the negative comments about drug addiction and various problems. A lot of times I think it is important to put a face on all of that. I think it is important to put a face on the fact that there are people who are struggling every day, who have had problems, but got up, dusted themselves off, and are doing a good job now. We didn't get into it too much, Mr. Phaison, but the fact that you are a barber and you took off today, and you are not going to regain that money---- Mr. Phaison. Certainly not. Mr. Cummings [continuing]. But nobody is going to pay you leave time. Mr. Phaison. We can talk about that. Mr. Cummings. Yes. [Laughter.] But the fact is that that is the kind of commitment, Mr. Chairman, that I am talking about. And I am sure it is a similar situation for you. And, Dr. Taxman, all of the work that you have done, and you seem like you have made a life commitment to try to address this problem. And we appreciate it. And I guess what I am trying to explain to you is that we take this--several reporters have asked, ``Well, what do you do with all of this?'' What we do is I think we have to--we can't just be policymakers. Dr. Martin Luther King, Sr., said you cannot lead where you do not go, and you cannot teach what you do not know. And that is why it is so important for us to reach out and come here and listen and try to figure this out. As a matter of fact, I know, that these hearings have an impact. When somebody like Chairman Mica addresses his Republican colleagues, he has a greater base of knowledge because he was here and he is senior. My last question is--and I have said it earlier, Mr. Phaison and Mr. Cason, I am amazed at the number of recovering addicts in Baltimore who are successful. I am sure there are thousands upon thousands---- Mr. Phaison. Absolutely. Mr. Cummings [continuing]. Working every day, who have been working for years, raising their families, doing what they are supposed to be doing. They don't drink, smoke, and a lot of them don't even take an aspirin. Mr. Phaison. Right. Mr. Cummings. A fellow was telling me that the other day because he considers it a drug. They are special people, and I want to thank you all for being here, and I want to thank you, Ms. Taxman. And I want to thank the university, as we come to our end, I want to thank everybody, my staff, who has worked tirelessly on this and done a great job. And I want to thank the majority staff, too. Ms. Beverly Fields who is in the back, our legislative director in Washington, and Aliyah Horton, who is out in the hall, and others, who have worked so hard to make this happen. I want to thank you. Mr. Mica. Thank you, Mr. Cummings, and I do appreciate each of our witnesses coming forward today. And I know you waited some time to testify, particularly those who gave up compensation personally to be with us and provide testimony at this hearing. And just to reiterate what Mr. Cummings said, what we do with this is we try to take this back. Our subcommittee is responsible for trying to put together a coherent Federal drug policy. The speaker--I inherited this responsibility from the current Speaker of the House, Mr. Hastert, who I can tell you this is one of his very highest priorities, that we get a handle on this, that we fulfill our Federal responsibility. If the war on drugs was closed down, as we heard--was it Judge Johnson also say--that that has become a joke. That is a Federal responsibility, to stop this stuff before it ever gets into our shores or into these communities. And that needs to be fulfilled. This is an incredibly--I am a bit of a historic fan. I love history. This community holds an incredible amount of rich history from this Nation, and there is no reason that it should be in the condition or the situation it is in today, that we are just left with--and we don't want to be just left with discussing alternatives to incarceration, incarcerating the population or remembering the thousands that have been lost in this war. We have got to turn this around. So we will meet with the HIDTA. We will meet with our Federal officials involved that are supposed to be working with Maryland and with this local community. We will convene as many meetings as we need, additional hearings. We have got to do something to fulfill our responsibility to the good people of this community and the country. We cannot let this continue. So with that commitment, Mr. Cummings, I thank you again, your staff, and others, for helping bring us here, and for your commitment to working together to resolve this problem for our community and Nation. There being no further business to come before this subcommittee, this meeting of the Criminal Justice, Drug Policy, and Human Resources Subcommittee is adjourned. [Whereupon, at 1:57 p.m., the subcommittee was adjourned.] [Additional information submitted for the hearing record follows:] [GRAPHIC] [TIFF OMITTED] T8775.085 [GRAPHIC] [TIFF OMITTED] T8775.086 [GRAPHIC] [TIFF OMITTED] T8775.087 [GRAPHIC] [TIFF OMITTED] T8775.088 [GRAPHIC] [TIFF OMITTED] T8775.089 [GRAPHIC] [TIFF OMITTED] T8775.090