Adult Male Svori Participants Reentry Evaluation Dec 2009
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Prisoner Reentry Experiences of Adult Males: Characteristics, Service Receipt, and Outcomes of Participants in the SVORI Multi-site Evaluation THE MULTI-SITE EVALUATION OF THE SERIOUS AND VIOLENT OFFENDER REENTRY INITIATIVE December 2009 Pamela K. Lattimore Danielle M. Steffey RTI International 3040 East Cornwallis Road Research Triangle Park, NC 27709 Phone: (919) 485-7759 Fax: (919) 541-5985 Lattimore@rti.org RTI International 3040 East Cornwallis Road Research Triangle Park, NC 27709 Phone: (919) 485-7759 Fax: (919) 541-5985 Steffey@rti.org Christy A. Visher University of Delaware/The Urban Institute Center for Drug and Alcohol Studies 77 East Main Street Newark, DE 19716 Phone: (302) 831-6921 Fax: (302) 831-3307 Visher@udel.edu This project was supported by Grant No. 2004-RE-CX-002 awarded by the National Institute of Justice, Office of Justice Programs, U.S. Department of Justice. Points of view in this document are those of the authors and do not necessarily represent the official position or policies of the U.S. Department of Justice. Acknowledgments The Multi-site Evaluation of the Serious and Violent Offender Reentry Initiative (SVORI) was supported by grant number 2004-RE-CX-002 from the National Institute of Justice (U.S. Department of Justice) and was conducted by RTI International and the Urban Institute. Points of view are those of the authors and do not necessarily represent those of the U.S. Department of Justice. Principal Investigators Pamela K. Lattimore, RTI International Christy A. Visher, University of Delaware and Urban Institute Report Authors Pamela K. Lattimore, RTI International Danielle M. Steffey, RTI International Christy A. Visher, University of Delaware and Urban Institute Staff Contributors Susan Brumbaugh, RTI International Alexander Cowell, RTI International Debbie Dawes, RTI International Christine Lindquist, RTI International Mark Pope, RTI International Laura Winterfield, Urban Institute We also acknowledge the contributions of the site liaisons from RTI and the Urban Institute, who documented the implementation of SVORI programming across the sites and facilitated data collection for the impact study. In addition, we are grateful for the hard work and dedication shown by our field interviewers, supervisors, and data collection task leader throughout the data collection period. iii RTI and the Urban Institute thank the SVORI project directors, other program and research staff from the SVORI sites, and staff at the facilities where interviews were conducted. We greatly appreciate the assistance and support received from these individuals. Finally, RTI and the Urban Institute acknowledge the invaluable assistance and direction provided by the members of our external advisory group. For more information about the SVORI Multi-site Evaluation, please visit our Web site at http://www.svori-evaluation.org/. iv Abstract Statement of Purpose The Serious and Violent Offender Reentry Initiative (SVORI) funded 69 agencies in 2003 to develop programs to improve criminal justice, employment, education, health, and housing outcomes for released prisoners. These programs were to conduct assessments and provide participants programs and services during and after incarceration. The SVORI Multi-site Evaluation was funded by the National Institute of Justice to examine the extent to which SVORI program participation improved access to appropriate, comprehensive, integrated services and resulted in better outcomes. Research Subjects This report presents findings for the adult male participants in 12 programs selected for the impact evaluation (863 SVORI participants; 834 comparison men). The study participants had extensive criminal and substance use histories, low levels of education and employment skills, and high levels of need across a range of services (e.g., education, driver’s license, substance abuse treatment, job training and employment). Study Methods The impact evaluation included interviews 30 days pre-release and 3, 9, and 15 months post-release. Data from state agencies and the National Criminal Information Center documented post-release recidivism. Propensity score techniques were used to improve the comparability between the SVORI and non-SVORI groups. Weighted analyses examined the treatment effects of SVORI program participation. Major Findings The report provides evidence that SVORI program participation increased receipt of services and programming. Program participants were significantly more likely, e.g., to have reentry v plans, met with someone and participated in programs to prepare for release, participated in programs to reduce criminal thinking, participated in employment and education programs, and received a needs assessment—although levels of provision for most services fell short of 100% and declined substantially following release. Modest improvements were observed for some outcomes in the housing, employment, substance use, and criminal behavior domains. SVORI appeared to have a positive impact on abstinence from drug use, although drug use was quite high for both groups and increased across the follow-up periods. The men enrolled in SVORI programs were less likely to report perpetrating violence and engaging in criminal behavior and to have an officially recorded rearrest, although these differences were not statistically significant. There was no difference in the proportions reporting being booked in jail or reincarcerated. Administrative data confirmed no difference in reincarceration rates—with about 40% of both groups reincarcerated within 24 months. Conclusions Although SVORI programs were successful in increasing the types and amounts of needs-related services provided prior to and after release from prison, the proportion of individuals who reported receiving services was less than reported need and, generally, less than the expectations of the SVORI program directors. This finding is consistent with SVORI programs that were developing and implementing their programs and provides a reminder that starting complex programs may require sustained effort over several years to reach full implementation. Service delivery declined following release. Thus, overall, the programs were unable to sustain support to individuals during the critical, high-risk period immediately following release. This decline may be due to the programs’ difficulty identifying and coordinating services for individuals released across wide geographic areas and, again, suggests the need for sustained effort to reach full implementation. SVORI program participation resulted in modest improvements in intermediate outcomes at levels consistent with findings from meta-analyses of single-program efforts (e.g., 10% to 20%). If vi the underlying model that links services to improved intermediate outcomes that in turn improve recidivism is correct, the level of improvement in these intermediate outcomes may have been insufficient to result in observable reductions in recidivism. Additional analyses are planned to determine whether there are specific programs or subgroups associated with positive outcomes and to examine the relationship between receipt of specific services and outcomes. vii Contents Section Page Executive Summary ES-1 Introduction 1 Research on Prisoner Reentry ..................................... 4 SVORI ....................................................................16 Adult Impact Site SVORI Programs .............................19 Multi-site Evaluation design .......................................22 Characteristics of the SVORI and Non-SVORI Comparison Respondents 35 Demographic Characteristics ......................................35 Housing ..................................................................39 Family and Children ..................................................39 Substance Use and Physical and Mental Health .............42 Employment History and Financial Support ..................50 Criminal History, Violence, Victimization, and Gang Involvement .......................................................54 In-Prison Experiences ...............................................56 Summary ................................................................62 Self-reported Service Needs 65 Weighted Service Need Bundle Scores across Waves 1 through 4 ..............................................68 Employment/Education/Skills Services ........................71 Transition Services ...................................................72 Health Services ........................................................76 Domestic Violence Services ........................................76 Child Services ..........................................................78 Levels of Need Across Services ...................................80 Self-reported Service Receipt 83 Weighted Service Need Bundle Scores Across Waves 1 through 4 ..............................................86 Coordination Services ...............................................89 ix Employment/Education/Skills Services ........................92 Transition Services ...................................................94 Health Services ........................................................97 Domestic Violence Services ........................................99 Child Services ..........................................................99 Summary and Conclusions ....................................... 100 Outcomes 105 Housing ................................................................ 107 Employment .......................................................... 113 Family, Peers, and Community Involvement ............... 117 Substance Use and Physical and Mental Health ........... 121 Criminal Behavior and Recidivism ............................. 127 Taking a Broad View: Outcomes Over Domains and Time ............................................................... 134 x Conclusions, Policy Implications, and Future Work 139 References 147 Appendix A. Data Tables A-1 Exhibits Exhibit Number ES-1. Completed interviews by wave, group, and site ES-6 ES-2. Use of specific substances during the 30 days prior to incarceration, by group ES-9 ES-3. Criminal history of respondents, by group ES-9 ES-4. Weighted average super bundle scores by group for Waves 1 through 4 ES-11 ES-5. Weighted average service receipt super bundle scores by group for Waves 1 through 4 ES-13 1. SVORI program logic model and evaluation framework 17 2. Outcome foci among adult impact and non–impact sites 20 3. Mean proportion of SVORI program participants receiving pre-release and post-release services in adult program impact sites (as reported by program directors) 21 4. Adult male sample sizes, by state and group 25 5. Completed interviews by wave, group, and site 27 6. t-statistics comparing means of SVORI and nonSVORI groups 29 7. Balance checks for Wave 1 data based on propensity score weighted regression of the variable on a SVORI indicator 33 ˆ distributions for adult male Characteristics of p SVORI and non-SVORI evaluation participants 34 9. Demographic characteristics of respondents at time of interview, by group 36 10. Age at time of interview, by site and group 37 11. Race (white or black), by site and group 38 12. Completed 12th grade or obtained a GED, by site and group 39 8. xi Page 13. Percentages of fathers reporting on child care or child support responsibilities, by group 40 14. Criminal history and substance use of family and peers, by group 41 15. Lifetime substance use, by group 43 16. Lifetime use of cocaine, heroin, and hallucinogens, by site and group 44 17. Substance use during the 30 days prior to incarceration, by site and group 45 18. Use of specific substances during the 30 days prior to incarceration, by group 45 19. Any substance use treatment prior to current incarceration, by site and group 46 20. Lifetime health problems, by group 47 21. Current health problems, by group 48 22. Average scores on Brief Symptom Inventory subscales, by group 49 23. Employment prior to incarceration, by group 51 24. Employment during the 6 months prior to incarceration, by site and group 51 25. Characteristics of respondents’ jobs prior to incarceration, by groupa 52 26. Sources of income during the 6 months prior to incarceration, by employment status and group 54 27. Criminal history of respondents, by group 55 28. Conviction offenses for current incarceration, by group 56 29. Average duration of incarceration at time of interview, by site and group 57 30. Disciplinary infractions and administrative segregations during current incarceration, by group 58 31. Institutional employment, by site and group 59 32. Work-release participation, by site and group 60 33. Frequency of in-prison contact with family members and friends, by group 61 34. Amount of contact with family members and friends at time of interview compared with contact when first incarcerated 62 35. Pre-release service need bundle scores across service bundles, by group 67 36. Most commonly reported service needs prerelease, by group 67 Weighted average super bundle scores by group for Waves 1 through 4 69 37. xii 38. Weighted average service bundle scores by type (Employment/Education/Skills, Transition Services, Health Services), group (SVORI, nonSVORI), and wave (1, 2, 3, 4) 70 Weighted average super bundle scores by type (Child Services, Domestic Violence, group (SVORI, non-SVORI), and wave (1, 2, 3, 4) 71 40. Weighted means for employment/education/skills bundles and items, by group and wave 73 41. Weighted means for transition services bundles and items, by group and wave 74 42. Weighted means for health services bundles and items, by group and wave 77 43. Weighted means for domestic violence services bundles and items, by group and wave 78 44. Weighted means for child services bundles and items, by group and wave 79 45. Pre-release service receipt bundle scores across service bundles, by group 85 46. Weighted average service receipt super bundle scores by group for Waves 1 through 4 86 47. Weighted average service need and receipt super bundle scores by group for Waves 1 through 4 87 48. Weighted average service receipt bundle scores by type, group, and wave 88 49. Weighted average service receipt bundle scores by type, group, and wave 89 50. Weighted means for coordination services bundles and items, by group and wave 91 Weighted means for employment/education/skills service receipt bundles and items, by group and wave 93 Weighted means for transition services receipt bundles and items, by group and wave 95 53. Weighted means for health services receipt bundles and items, by group and wave 98 54. Weighted means for domestic violence services receipt bundles and items, by group and wave 100 55. Weighted means for child services bundles and items, by group and wave 101 56. SVORI Program Model 106 57. Self-reported homeless, living in a shelter, or without a set place to live, by group and wave 108 58. Percentages living with mothers or fathers postrelease, by group (SVORI and non-SVORI) and post-release follow-up wave (2, 3, and 4) 109 39. 51. 52. xiii 59. Percentages living with partners, spouses, or children post-release, by group (SVORI and nonSVORI) and post-release follow-up wave (2, 3, and 4) 110 60. Weighted means and regression parameter estimates for housing outcomes 111 61. Percentage reporting living in own house or apartment; weighted means by group and followup wave 112 Weighted means and regression parameter estimates for employment outcomes 115 Weighted means for self-report that job provides insurance or paid leave, by group (SVORI, nonSVORI) and data collection wave (2, 3, or 4) 116 Weighted means for self-report of supporting self with a job, by group and data collection wave 117 65. Marital status and intimate partnerships by group and wave 119 66. Percentage reporting civic action since release/last interview 121 67. Weighted means and regression parameter estimates for substance use outcomes 123 68. Percentages of each group who reported no drug use since release/last interview and had no positive drug test 124 Percentages of each group who reported no drug use in the past 30 days and had no positive drug test 124 70. Weighted means and regression parameter estimates for mental health outcomes 126 71. Weighted means and regression parameter estimates for core self-report recidivism outcomes 128 72. Weighted average reports of committing no crimes since release/last interview 129 73. Weighted average reports of committing no violent crimes/no weapons since release/last interview 130 74. Weighted average reports of not reincarcerated at interview 131 75. Weighted average reports of not reincarcerated at interview and no jail/prison stay of more than 24 hours since release/interview 131 76. Official measures of recidivism 133 77. Cumulative rearrest rates by group 134 78. Cumulative reincarceration rates by group 134 62. 63. 64. 69. xiv 79. Odds ratios from propensity score weighted logistic regressions of 98 Wave 2 (3-month) outcomes as a function of SVORI program participation 135 Odds ratios from propensity score weighted logistic regressions of 93 Wave 3 (9-month) outcomes as a function of SVORI program participation 136 Odds ratios from propensity score weighted logistic regressions of 98 Wave 4 (15 month) outcomes as a function of SVORI program participation 136 Summary results of odds ratios from propensity score weighted logistic regressions of three waves of outcomes as a function of SVORI program participation 137 A-1. Adult male case disposition—Wave 1 (pre-release) A-1 A-2. Respondent characteristics, by group (prerelease) A-2 A-3. Proportion of respondents who reported needing specific services, by group (pre-release) A-11 A-4. Proportion of respondents who reported receiving specific services, by group (pre-release) A-12 A-5. Proportion of respondents who reported living with the indicated individuals in the period since the last interview A-14 80. 81. 82. xv Executive Summary SVORI responded to emerging research findings that suggested providing individuals with comprehensive, coordinated services based on needs and risk assessments could result in improved post-release outcomes. In 2003, the U.S. Department of Justice (DOJ), Department of Labor (DOL), Department of Education (DOEd), Housing and Urban Development (HUD), and Department of Health and Human Services (HHS) provided more than $100,000,000 in grant funds to states to develop, enhance, or expand programs to facilitate the reentry of adult and juvenile offenders returning to communities from prisons or juvenile detention facilities. The Serious and Violent Offender Reentry Initiative (SVORI) funded agencies to develop programs to improve criminal justice, employment, education, health, and housing outcomes for released prisoners. Sixty-nine agencies received federal funds ($500,000 to $2,000,000 over 3 years) to develop 89 programs. The initiative responded to emerging research findings that suggested that providing individuals with comprehensive, coordinated services based on needs and risk assessments could result in improved post-release outcomes. Grantees were to use their SVORI funding to create a threephase continuum of services for returning serious and/or violent prisoners that began during the period of incarceration, intensified just before release and during the early months post-release, and continued for several years after release as former inmates took on more productive and independent roles in the community. The initiative imposed relatively few restrictions on grantees. The criteria for programs funded by SVORI grants were the following: Programs were to improve criminal justice, employment, education, health (including substance abuse and mental health), and housing outcomes. Programs were to include collaborative partnerships between correctional agencies, supervision agencies, ES-1 Prisoner reentry experiences of adult males other state and local agencies, and community and faith-based organizations. Program participants were to be serious and/or violent offenders. Program participants were to be 35 years of age or younger. Programs were to encompass three stages of reentry—in prison, post-release on supervision, and postsupervision. Needs and risk assessments were to be used to guide the provision of services and programs to participants. In some cases, grantees asked for and received permission for exceptions to these criteria. For example, some programs were primarily post-release programs, and age restrictions were sometimes lifted (e.g., for programs targeting sex offenders). The SVORI programs attempted to address the initiative’s goals and provide a wide range of coordinated services to returning prisoners. Although SVORI programs shared the common goals of improving outcomes across various dimensions and improving service coordination and systems collaboration, programs differed substantially in their approaches and implementations (Lindquist, 2005; 2005; Winterfield, Lattimore, Steffey, Brumbaugh, & Lindquist, 2006; Winterfield & Lindquist, 2005). In spring 2003, the National Institute of Justice awarded RTI International, a nonprofit research organization, a grant to evaluate programs funded by SVORI. The Urban Institute, a nonpartisan economic and social policy research organization, collaborated on the project. With data collected from grantee staff, partnering agencies, and returning prisoners, the 6-year evaluation involved an implementation evaluation of all 89 SVORI programs, an intensive impact evaluation of 12 adult and 4 juvenile programs, and an economic analysis of a subset of the impact sites (see Lattimore, Visher, Winterfield, Lindquist, & Brumbaugh, 2005). The goal of the SVORI evaluation was to document the implementation of SVORI programs and determine whether they accomplished SVORI’s overall goal of increasing public safety by reducing recidivism among the populations served. The SVORI evaluation was designed to answer the following research questions: ES-2 To what extent did SVORI lead to more coordinated and integrated services among partner agencies? Executive Summary The evaluation was designed to determine whether individuals who participated in enhanced reentry programming, as measured by their enrollment in SVORI programs, had improved post-release outcomes. To what extent did SVORI participants receive more individualized and comprehensive services than comparable non-SVORI offenders? To what extent did reentry participants demonstrate better recidivism, employment, health, and personal functioning outcomes than comparable non-SVORI offenders? To what extent did the benefits derived from SVORI programming exceed the costs? The local nature of the SVORI programs and the expectation that programs would tailor services to meet individual needs meant that the intervention to be evaluated was not a program in the typical conceptualization of the term (e.g., a residential drug program or a cognitive behavior program). Instead, SVORI was a funding stream that agencies used to expand and enhance existing programs or to develop and implement new programs. Further, individuals not in SVORI programs also generally received some services. Thus, although the components of the individual programs were identified and the extent of service receipt was measured, the SVORI Multi-site Evaluation was not designed to examine the impact of specific services or combinations of services. The evaluation was designed to determine whether individuals who participated in enhanced reentry programming, as measured by their enrollment in SVORI programs, had improved post-release outcomes. This report presents findings for the adult male participants in the impact evaluation. Other results from the impact and economic evaluations are presented in the following reports: Lattimore, P. K., & Visher, C. A. (2009). The Multi-site Evaluation of SVORI: Summary and synthesis. Research Triangle Park: RTI International. Lattimore, P. K., & Steffey, D. M. (2009). The Multi-Site Evaluation of SVORI: Methodology and analytic approach. Research Triangle Park, NC: RTI International. Lindquist, C. H., Barrick, K., Lattimore, P. K., & Visher, C. A. (2009). Prisoner reentry experiences of adult females: Characteristics, service receipt, and outcomes of participants in the SVORI Multi-site Evaluation. Research Triangle Park, NC: RTI International. ES-3 Prisoner reentry experiences of adult males Lattimore, P. K., Steffey, D. M., & Visher, C. A. (2009). Prisoner reentry experiences of adult males: Characteristics, service receipt, and outcomes of participants in the SVORI Multi-site Evaluation. Research Triangle Park, NC: RTI International. Hawkins, S., Dawes, D., Lattimore, P. K., & Visher, C. A. (2009). Reentry experiences of confined juvenile offenders: Characteristics, service receipt, and outcomes of juvenile male participants in the SVORI Multi-site Evaluation. Research Triangle Park, NC: RTI International. Cowell, A., Roman, J., & Lattimore, P. K. (2009). An economic evaluation of the Serious and Violent Offender Reentry Initiative. Research Triangle Park, NC: RTI International. The following section summarizes the research design. Subsequent sections present key findings and conclusions. RESEARCH DESIGN The SVORI Multi-site Evaluation included an implementation assessment (to document the programming delivered across the SVORI programs) and an impact evaluation (to determine the effectiveness of programming). Sixteen programs were included in the impact evaluation, comprising 12 adult programs and 4 juvenile programs located in 14 states (adult only unless specified): Colorado (juveniles only), Florida (juveniles only), Indiana, Iowa, Kansas (adults and juveniles), Maine, Maryland, Missouri, Nevada, Ohio, Oklahoma, Pennsylvania, South Carolina (adults and juveniles), and Washington. 1 The impact evaluation included pre-release interviews (conducted approximately 30 days before release from prison) and a series of follow-up interviews (conducted at 3, 9, and 15 months post-release). Nearly 2,400 prisoners returning to society—some of whom received SVORI programming and some of whom received “treatment as usual” in their respective states—were included in the impact evaluation. An economic analysis was also conducted in five of the impact sites to assess the extent to which program benefits exceeded costs; findings from this study are reported separately (see Cowell et al., 2009). 1 ES-4 Site selection and other methodological aspects of the study are described in The Multi-site Evaluation of SVORI: Methodology and Analytic Approach (Lattimore & Steffey, 2009). Executive Summary A site-specific research design was developed for each impact site (see Lattimore & Steffey, 2009). In two sites (Iowa and Ohio), individuals were randomly assigned to SVORI programs. In the remaining sites, comparison groups were developed by isolating the criteria that local site staff used to identify individuals eligible for enrollment in their SVORI program (these included factors such as age, criminal history, risk level, post-release supervision, transfer to pre-release facilities, and county of release) and replicating the selection procedures on a different population. Where possible, the comparison participants came from the same pre-release facilities and were returning to the same post-release geographic areas as the SVORI participants. Data collection consisted of four waves of in-person, computerassisted interviews: the pre-release interview (Wave 1) conducted about 1 month before expected release and three follow-up interviews (Waves 2 through 4) conducted 3, 9, and 15 months after release. In addition, oral swab drug tests were conducted during the 3- and 15-month interviews for respondents who were interviewed in a community setting. For examination of recidivism outcomes, the interview and drug test data were supplemented with arrest data obtained from the FBI National Crime Information Center (NCIC) and with administrative records obtained from state correctional agencies. 2 All interviews were conducted in private settings by experienced RTI field interviewers using computer-assisted personal interviewing. Pre-release interviews were conducted from July 2004 through November 2005 in more than 150 prisons and juvenile detention facilities and were designed to obtain data on the respondents’ characteristics and pre-prison experiences, as well as incarceration experiences and services received since admission to prison. Post-release interviews were conducted from January 2005 through May 2007. The post-release interviews were similar in content across waves and obtained data on reentry experiences, housing, employment, family and community integration, substance abuse, physical and mental health, supervision and criminal history, service needs, and service receipt. 2 Note that in some instances these administrative records were supplemented with data obtained from online criminal history databases. Readers are referred to Lattimore and Steffey (2009) for details. ES-5 Prisoner reentry experiences of adult males A total of 2,564 cases were fielded of adult men eligible for inclusion in the multi-site evaluation. Wave 1 (pre-release) interviews were obtained with 1,697 (66%) of these men. Among eligible subjects approached for interviews, refusal rates were reasonably low—11.5% across the 12 sites. Most of the noninterviews (21% of fielded cases) were due to the men being released before their Wave 1 pre-release interview could be scheduled and completed. Nearly 80% of the men who were interviewed at Wave 1 responded to at least one of the followup interviews. All cases were fielded for each follow-up wave. Overall, the response rate for follow-up interviews increased over time. Response rates for the Wave 2, 3, and 4 interviews were 58%, 61%, and 66%, respectively. All three follow-up interviews were obtained for 43% of the adult male samples. Exhibit ES-1 shows the number of interviews conducted at each wave, by group and site. Exhibit ES-1. Completed interviews by wave, group, and site State IA IN KS MD ME MO NV OH OK PA SC WA Total Wave 1 (Pre-release) NonSVORI SVORI 114 55 64 94 23 48 130 124 35 44 36 50 107 50 47 38 42 51 57 66 179 166 29 48 863 834 Wave 2 (3 Months Post) NonSVORI SVORI 59 29 49 53 11 15 58 63 20 21 26 31 77 31 25 26 26 12 43 50 123 104 12 20 529 455 Wave 3 (9 Months Post) NonSVORI SVORI 82 39 41 56 14 15 64 56 24 26 27 24 81 31 28 27 29 17 44 50 119 95 12 34 565 470 Wave 4 (15 Months Post) NonSVORI SVORI 87 46 45 59 15 24 65 65 25 30 26 35 82 29 28 26 24 27 46 48 126 109 13 33 582 531 Although the response rates were reasonable, the possibility remains that respondents who “dropped out” of subsequent waves of interviews differed from those who completed the follow-up interviews. As preliminary evidence that the attrition was random or affected the SVORI and non-SVORI groups similarly, the SVORI and comparison groups were compared ES-6 Executive Summary and were found to be similar at each wave on a range of characteristics. Results from models that examined for differences between groups with respect to response also suggested that SVORI program participation was not related to whether a participant responded. Propensity score techniques were used to improve the comparability between the SVORI and non-SVORI groups. Weighted analyses were used to examine the treatment effects of SVORI program participation with respect to outcomes in housing, employment, family/peer/community involvement, substance use, physical and mental health, and criminal behavior and recidivism. KEY FINDINGS This section summarizes key findings from the evaluation. Characteristics of study participants are described next, followed by descriptions of expressed service needs, reported service receipt, and post-release outcomes. Research Subject Characteristics The study participants were high-risk offenders who had extensive criminal and substance use histories, low levels of education and employment skills, and families and peers who were substance and criminal justice system involved. The study enrolled 863 SVORI program participants and 834 comparison men. The study participants were high-risk offenders who had extensive criminal and substance use histories, low levels of education and employment skills, and families and peers who were substance and criminal justice system involved. There were few statistically significant differences in the characteristics of the groups. More than half (57%) of the SVORI respondents were black and 32% were white. Only 4% of both groups identified themselves as Hispanic. The average age of respondents in both samples was about 29 years at the time of the pre-release interview. Respondents in both groups had substantial educational deficiencies—over one third (39% SVORI and 42% non-SVORI) had not completed 12th grade or earned a GED. Most subjects reported having worked at some time prior to incarceration— 89% of SVORI versus 92% of non-SVORI—and about two thirds of both groups reported having a job during the 6 months prior to incarceration (64% and 68%, SVORI and non-SVORI, respectively). More than 1 in 10 of both SVORI and non-SVORI respondents reported that they were homeless, living in a shelter, or had no ES-7 Prisoner reentry experiences of adult males set place to live prior to their current incarceration. About 40% of both groups reported that they were either currently married or in a steady relationship (39% SVORI, 40% non-SVORI) at the time of the pre-release interview. Most study participants from both groups (59% SVORI and 61% non-SVORI) reported having children under age 18. Large majorities of both groups reported having family members and friends who had been convicted of a crime or incarcerated, and who had problems with drugs or alcohol. Nearly all of the respondents reported having used alcohol and drugs during their lifetimes. About two thirds of both groups reported having used one or more illicit drugs during the 30 days prior to their imprisonment. Nearly all of the respondents reported having used alcohol and drugs during their lifetimes. The majority of both groups reported using alcohol (96% SVORI and 97% non-SVORI), and the average age of first use was about 14 years (13.7 and 13.6 for the SVORI and non-SVORI respondents, respectively). Similarly, nearly all respondents in both groups reported having used marijuana (92% SVORI and 94% non-SVORI), again reporting a young age of first use (13.9 and 14.1 for the SVORI and non-SVORI respondents, respectively). More than half of all respondents reported having used cocaine (53% and 58% of the SVORI and non-SVORI respondents, respectively), and nearly one half reported having used hallucinogens (43% and 49%, SVORI and non-SVORI, respectively). Fewer respondents reported using other substances. There were few differences between the two groups with respect to reported drug use during the 30 days prior to their current incarceration. About two thirds of both groups reported having used one or more illicit drugs during the 30 days prior to their imprisonment (66% and 69% for the SVORI and nonSVORI respondents, respectively). Exhibit ES-2 shows the two groups’ reported drug use during the 30 days prior to incarceration for the most commonly reported drugs. More than half of both SVORI and non-SVORI respondents reported using marijuana; approximately one quarter of all respondents reported using cocaine. More than half of SVORI and nonSVORI respondents had received treatment for a substance use or mental health problem at some point during their lifetime (56% and 55% of SVORI and non-SVORI, respectively). SVORI and non-SVORI respondents reported considerable involvement with the criminal justice system prior to their current incarceration (Exhibit ES-3). On average, the respondents were 16 years old at the time of their first arrest ES-8 Executive Summary Exhibit ES-2. Use of specific substances during the 30 days prior to incarceration, by group 52 53 Marijuana 22 26 Cocaine Amphetamines 13 14 Pain relievers 11 14 SVORI Non-SVORI 9 9 Hallucinogens 0% 20% 40% 60% 80% 100% Note: Differences between SVORI and non-SVORI are not significant at the 0.05 level. Exhibit ES-3. Criminal history of respondents, by group Criminal History Age at first arrest (mean) Times arrested (mean) Times convicted (mean) Ever been previously incarcerated* Times previously incarcerated (mean)* SVORI 15.92 12.42 5.48 83% 1.20 Non-SVORI 16.03 13.14 5.70 87% 1.47 *p < 0.05 for test of significant difference between SVORI and non-SVORI. and had been arrested more than 12 times. 3 In addition to their current term of incarceration, most respondents had served a previous prison term, with the non-SVORI group being significantly more likely to report a prior prison term (83% of SVORI, 87% of non-SVORI). Also, the non-SVORI respondents reported significantly more incarcerations, on average, than the SVORI group (1.20 for SVORI, 1.47 for non-SVORI). The two groups were similar in self-reported juvenile detentions. Overall, about half reported that they had spent time in a juvenile correctional facility for committing a crime. Of 3 This measure of prior arrest recoded extreme values to the 95th percentile of reported arrests. The uncapped means were 14.48 (standard deviation 23.25) and 14.56 (standard deviation 17.49) for SVORI and non-SVORI groups, respectively. ES-9 Prisoner reentry experiences of adult males those who reported a juvenile detention, they reported having been detained, on average, 3.5 times. SVORI respondents had been incarcerated significantly longer than non-SVORI respondents…and were more likely to report infractions and segregation. At the time of the pre-release interview, SVORI respondents had been incarcerated significantly longer than non-SVORI respondents (an average of 2.8 years and 2.3 years, respectively). SVORI respondents also were more likely than the non-SVORI respondents to report disciplinary infractions and administrative segregations during their current incarceration. Nearly two thirds (64%) of SVORI respondents reported at least one disciplinary infraction, compared with 57% of non-SVORI respondents. Less than half reported administrative segregation during the current term of incarceration (45% of SVORI and 40% of non-SVORI). These differences between groups are statistically significant but may simply reflect the longer lengths of stay reported by the SVORI respondents. 4 Service Needs The findings substantiate previous research that male prisoners returning to their communities after serving more than 2 years in prison comprise a population with extremely high needs and that their expressed needs remained high (if somewhat diminished from pre-release) up to 15 months following release from prison. Overall, there was little difference in reported needs between the two groups. Key findings are summarized below. 4 ES-10 Expressed need for services post-release were lower overall than those expressed 30 days prior to release. There was little difference in reported service needs at 3, 9, and 15 months following release. Levels of expressed need for educational/education/skills and transition services and programming were high and similar overall for men participating in SVORI programs and the comparison subjects. More than 85% of respondents at all waves reported needing more education, the highest need of six employment/education/skills services Financial assistance, transportation and a driver’s license were the most commonly reported of 10 transition Longer lengths of stay expose subjects to greater opportunity to commit infractions and receive administrative segregation; in other words, the period at risk is longer. Executive Summary service needs pre-release and at 3, 9 and 15 months post-release. SVORI and non-SVORI subjects were similar on the level of reported need. Overall need dropped following release. Average need was similar at 3, 9, and 15 months post-release. Exhibit ES-4. Weighted average super bundle scores by group for Waves 1 through 4 Public health care insurance and financial assistance were also consistently reported as needs by majorities of both groups. Service need bundle scores were developed to summarize needs across specific domain areas (transition services; health care services; employment, education and skills services; domestic violence-related services; and child-related services) and overall. There were a total of 28 needs across the bundles, including 5 in the child-related services that were only relevant for the men who reported having children. Scores for each individual were generated by summing one/zero indicators for whether the individual reported or did not report needing each of the items; this sum was then divided by the number of items in the bundle. At the individual respondent level, this score can be interpreted as the proportion of the services in the bundle that the individual reported needing. The “super bundle” need scores are shown in Exhibit ES-4, which suggests three findings: (1) SVORI and non-SVORI subjects were similar on the level of reported need across all waves; (2) overall need dropped following release; and (3) there was little difference in average need across the three follow-up waves. 100 SVORI 90 Non-SVORI 80 70 60 54 54 50 42 43 43 43 44 45 40 30 20 10 0 Wave 1 Wave 2 Wave 3 Wave 4 Note: Differences between groups were not significant at the 0.05 level. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. ES-11 Prisoner reentry experiences of adult males Service Receipt The report provides evidence that SVORI program participation increased receipt of services and programming, including programs to prepare for release, meeting with a case manager, and receiving a needs assessment—although levels of provision for most services fell far short of 100%, were substantially below expressed needs for services, and declined substantially following release. Key findings are summarized below: SVORI program participants received substantially more services pre-release. Service receipt dropped following release. Service receipt continued to decline as the time since release increased. By 15 months following release, there was little difference in receipt, with both groups reporting receipt of less than 10% of service items. SVORI program participants reported receiving significantly more coordination, employment/education/skills, and transition services than comparison subjects at all interviews. Overall levels of reported service receipt declined substantially between the pre-release and the first postrelease interview and the differences between SVORI and non-SVORI groups diminished over time. The percentages of SVORI participants who reported receiving any employment-related services was 37% pre-release—a small proportion that dropped to 34% at 3 months, 21% at 9 months, and 14% at 15 months post-release; although far less than 100%, these proportions were significantly higher at all waves than reported by the non-SVORI group—20% pre-release, declining to 10% at 15 months. Aggregate levels of service receipt were substantially lower than comparable measures of service need (across all bundles and time periods and among both groups), indicating that most men had unmet needs. The services that men were most likely to report receiving after release were similar across the postrelease waves and included post-release supervision, case management, and needs assessments. In addition to the domain areas identified for expressed needs, a coordination services bundle was identified for service receipt. Exhibit ES-5 summarizes information on average reported service receipt for each group across the four waves of interview data. For Wave 1, the results suggest that, on average, about 30 days before release the SVORI subjects reported receiving about a third (34%) of the various service items and the non-SVORI comparison subjects reported receiving about one quarter (24%) of the items. Exhibit ES-5 suggests four findings: (1) SVORI program participants ES-12 Executive Summary Exhibit ES-5. Weighted average service receipt super bundle scores by group for Waves 1 through 4 100 SVORI 90 Non-SVORI 80 70 60 50 34 40 30 22 20 18 12 10 13 10 9 8 0 Wave 1 Wave 2 Wave 3 Wave 4 Note: Differences between groups at Waves 1, 2, and 3 were significant at the 0.0001 level. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. received substantially more services pre-release than nonSVORI subjects; (2) service receipt dropped substantially at release; (3) reported service receipt continued to drop as the time since release lengthened; and (4) there was little difference in average receipt at 15 months following release. Post-Release Outcomes The significant—albeit less-than-universal—increase in service receipt associated with participation in SVORI programs was associated with moderately better outcomes with respect to housing, employment, substance use, and self-reported criminal behavior—although these improvements were not associated with reductions in official measures of reincarceration. As many of the previous evaluations of reentry programs have focused primarily on recidivism and substance use, this evaluation provided an opportunity to examine the impacts of reentry programming on an array of other important indicators of successful reintegration, including housing and employment. Key findings are summarized below. Housing SVORI programming did not appear to affect core housing outcomes, including housing independence, stability, and the extent to which housing challenges were encountered. Although SVORI participants were significantly more likely to have achieved housing independence at 15 months, they were also less likely ES-13 Prisoner reentry experiences of adult males (albeit not significantly) to report that housing had been stable and that they had not encountered housing challenges during the 6 months prior to the 15-month interview. For both the SVORI and non-SVORI groups, housing situations improved gradually over the 3-, 9-, and 15month post-release time periods; for example, 72% of SVORI participants and 70% of the non-SVORI group were “housing independent” at the 3-month interview compared to 86% of SVORI and 80% of non-SVORI 15 months following release. SVORI program participants were more likely to report living in their own house or apartment at each follow-up, although differences were not statistically significant at the 0.05 level. Employment SVORI programming appeared to positively affect many dimensions of employment, with effects being strongest for the time period prior to the 15-month post-release interview. Compared with the non-SVORI group, SVORI program participants were more likely to report – supporting themselves with a job (at 15 months post-release), – working at a job that provided health insurance and paid-leave benefits (at 3 and 15 months postrelease), – working at a job that provided formal pay (at 3 months) Members of both groups reported working about the same number of months during the reference period— about two thirds of the 3 or 6 months prior to interview. SVORI program participants were much more likely post-release to report having supported themselves with a job during the reference period in comparison to the period immediately preceding their incarceration— increasing from 59% prior to incarceration to 64% at 3 months post-release to 71% at 15 months; there was little difference over time for those in the comparison group. Family, Peers, and Community Involvement ES-14 SVORI programming did not have an impact on familial or peer relationships. For both groups, the levels of family emotional support, family instrumental support, and the quality of intimate- Executive Summary partner relationships declined over the three postrelease time periods. The SVORI and non-SVORI groups reported similar levels of negative peer exposure. Participation in civic activities, such as performing volunteer work or participating in local organization, was low for both groups; however, reports of civic action increased over the three follow-up periods such that by 15 months post-release SVORI program participants were significantly more likely to report civic activity. Substance Use SVORI appeared to have a positive impact on abstinence from drug use. Self-reported substance use was generally lower for the SVORI group than the nonSVORI group, in several cases significantly so. Members of the SVORI group were also more likely to report not using drugs and to not test positive on oral swab drug tests that were conducted at 3 and 15 months post-release although these differences were not statistically significant at the 0.05 level. Overall, substance use was quite high (primarily marijuana) and increased across the post-release followup periods. Physical and Mental Health SVORI did not appear to influence physical outcomes. No differences were observed, at any time period, between the SVORI and non-SVORI subsamples on the 12-Item Short Form Health Survey (SF-12; Ware et al., 2002) physical health scale or the number of physical conditions experienced. SVORI group members appeared to have slightly better mental functioning as indicated by the SF-12 mental health scale (at 3 and 15 months post-release) and mental health status as measured by the Global Severity Index (GSI-45; at 15 months post-release). Criminal Behavior and Recidivism The men enrolled in SVORI were less likely to report having perpetrated violence and to have engaged in any criminal behavior during the 3 or 6 months prior to the follow-up interviews, although differences were statistically significant only for no criminal behavior at 3 months post-release. ES-15 Prisoner reentry experiences of adult males There was little difference between the two groups in a measure that combined reports of carrying a weapon and committing a violent crime. SVORI program participants were more likely than nonSVORI respondents to report complying with conditions of supervision at 15 months post-release. The proportion of members of both groups who either (1) reported having been booked into jail since the last interview or (2) were incarcerated at the time of the follow-up interview was high and similar. Only about 80% of both groups were either not incarcerated during the 3 month interview or reported having not been booked into jail. This proportion declined to about 50% at the 15 month interview. Members of the SVORI group were less likely to have an officially recorded arrest during the 24 months following release, but the differences were not statistically significant. Reincarceration rates for both groups were high with about 40% of both groups reincarcerated (official measure) within 24 months of release. Conclusions Although SVORI programs were successful in increasing the types and amounts of needs-related services provided prior to and after release from prison, the proportion of individuals who reported receiving services was less than reported need and, generally, less than the expectations of the SVORI program directors. This finding is consistent with SVORI programs that were developing and implementing their programs and provides a reminder that starting complex programs may require sustained effort over several years to reach full implementation. Service delivery declined following release. Thus, overall, the programs were unable to sustain support to individuals during the critical, high-risk period immediately following release. This decline may be due to the programs’ difficulty identifying and coordinating services for individuals released across wide geographic areas and, again, suggests the need for sustained effort to reach full implementation. SVORI program participation resulted in modest improvements in intermediate outcomes at levels consistent with findings from meta-analyses of single-program efforts (e.g., 10% to 20%). If ES-16 Executive Summary the underlying model that links services to improved intermediate outcomes that in turn improve recidivism is correct, the level of improvement in these intermediate outcomes may have been insufficient to result in observable reductions in recidivism. Additional analyses are planned to determine whether there are specific programs or subgroups associated with positive outcomes and to examine the relationship between receipt of specific services and outcomes. ES-17 Introduction SVORI was a collaborative federal effort to improve outcomes for adults and juveniles returning to their communities after a period of incarceration. The initiative sought to help states better utilize their correctional resources to address outcomes along criminal justice, employment, education, health, and housing dimensions by providing grant funds in 2003 to state agencies to establish or enhance prisoner reentry programming. 5 Funded by the U.S. Departments of Justice (DOJ), Labor (DOL), Education (DOEd), Housing and Urban Development (HUD), and Health and Human Services (HHS), SVORI was an unprecedented national response to the challenges of prisoner reentry. Sixty-nine state and local grantees (corrections and juvenile justice agencies) received SVORI funding, representing all 50 states, the District of Columbia, and the U.S. Virgin Islands. These grantees developed 89 programs that targeted adult and juvenile correctional populations. The initiative responded to emerging research findings that suggested that providing individuals with comprehensive, coordinated services based on needs and risk assessments could result in improved post-release outcomes. Grantees were to use their SVORI funding to create a three-phase continuum of services for returning prisoners that began during the period of incarceration, intensified just before release and during the early months post-release, and continued for several years after release as former inmates took on more productive and 5 Although grant awards were announced by the federal partners in 2002, grantees were required to complete planning and other activities prior to having access to full funding. Program directors reported in a survey conducted in 2005 that access to full grant funds was provided to grantees over a substantial time frame— February 2003 to May 2004. 1 Prisoner reentry experiences of adult males independent roles in the community. The SVORI programs attempted to address the initiative’s goals and provide a wide range of well-coordinated services to returning prisoners. Although SVORI programs shared the common goals of improving outcomes across various dimensions and improving service coordination and systems collaboration, programs differed substantially in their approaches and implementations (Lindquist, 2005; Winterfield & Brumbaugh, 2005; Winterfield et al., 2006; Winterfield & Lindquist, 2005). The SVORI evaluation was designed to answer the following research questions: ● To what extent did SVORI lead to more coordinated and integrated services among partner agencies? ● To what extent did SVORI participants receive more individualized and comprehensive services than comparable, nonSVORI offenders? ● To what extent did reentry participants demonstrate better recidivism, employment, health, and personal functioning outcomes than comparable, non-SVORI offenders? ● To what extent did the benefits derived from SVORI programming exceed the costs? In spring 2003 the National Institute of Justice awarded RTI International, a nonprofit research organization, a grant to evaluate programs funded by SVORI. The Urban Institute, a nonpartisan economic and social policy research organization, collaborated on this project, which was one of the largest evaluation studies ever funded by the National Institute of Justice. With data collected from grantee staff, partnering agencies, and returning prisoners, the 6-year evaluation involved an implementation evaluation of all 89 SVORI programs, an intensive impact evaluation of 16 selected programs, and an economic analysis on a subset of the impact sites (Lattimore et al., 2005). The goal of the SVORI evaluation was to document the implementation of SVORI programs and determine whether they accomplished SVORI’s overall goal of increasing public safety by reducing recidivism among the populations served. The SVORI evaluation was designed to answer the following research questions: To what extent did SVORI lead to more coordinated and integrated services among partner agencies? To what extent did SVORI participants receive more individualized and comprehensive services than comparable, non-SVORI offenders? To what extent did reentry participants demonstrate better recidivism, employment, health, and personal functioning outcomes than comparable, non-SVORI offenders? To what extent did the benefits derived from SVORI programming exceed the costs? This report presents findings for the adult male participants in the impact evaluation, which included 863 SVORI participants and 834 comparison subjects returning from prison in 12 2 Introduction states. 6 Other results from the impact and economic evaluations are presented in the following reports: Lattimore, P. K., & Visher, C. A. (2009). The Multi-site Evaluation of SVORI: Summary and synthesis. Research Triangle Park: RTI International. Lattimore, P. K., & Steffey, D. M. (2009). The Multi-Site Evaluation of SVORI: Methodology and analytic approach. Research Triangle Park, NC: RTI International. Lindquist, C. H., Barrick, K., Lattimore, P. K., & Visher, C. A. (2009). Prisoner reentry experiences of adult females: Characteristics, service receipt, and outcomes of participants in the SVORI Multi-site Evaluation. Research Triangle Park, NC: RTI International. Hawkins, S., Dawes, D., Lattimore, P. K., & Visher, C. A. (2009). Reentry experiences of confined juvenile offenders: Characteristics, service receipt, and outcomes of juvenile male participants in the SVORI Multi-site Evaluation. Research Triangle Park, NC: RTI International. Cowell, A., Roman, J., & Lattimore, P. K. (2009). An economic evaluation of the Serious and Violent Offender Reentry Initiative. Research Triangle Park, NC: RTI International. In the remainder of this chapter, previous research on prisoner reentry is summarized, the SVORI and the evaluation design are described, and the SVORI programs provided in the 12 impact evaluation sites are characterized. Subsequent sections provide detailed information on characteristics of the evaluation participants, self-reported service needs and receipt at each of the four interviews, post-release outcomes, and conclusions and policy recommendations. 6 Findings from the analysis of the pre-release interview data collected, on average, 30 days prior to release from prison were published in Pre-release Characteristics and Service Receipt among Adult Male Participants in the SVORI Multi-site Evaluation (Lattimore et al., 2008). These findings were primarily descriptive and conveyed characteristics of the respondents, as well as their pre-prison and incarceration experiences. Differences between the SVORI and nonSVORI groups were also identified and discussed with respect to assessing the comparability of the groups and implications for outcome analyses. 3 Prisoner reentry experiences of adult males RESEARCH ON PRISONER REENTRY In 2008, more than 735,000 prisoners were released from state and federal prisons across the country (West, Sabol, & Cooper, 2009). This number represents a greater than four-fold increase over the nearly 170,000 released in 1980 (Harrison, 2000). With the exception of those who die while in prison, all prisoners will eventually “re-enter” the community. Prisoner reentry has sweeping consequences for the individual prisoners themselves, their families, and the communities to which they return (Petersilia, 2003; Travis, 2005). Nationwide, over half of individuals who are released from prison are reincarcerated within three years. Programs and services for men and women leaving prison are designed to stop this revolving door and encourage individuals to desist from offending. Imprisonment without such preparation for community reintegration may reduce human capital and impede the acquisition of pro-social skills and behaviors, thus lessening the probability of a successful transition from prison to the community (Visher & Travis, 2003; Western, 2007). However, in comparison to twenty years ago, men and women leaving prison are less prepared for reintegration, less connected to community-based social structures, and more likely to have health or substance abuse problems than prior cohorts (Lynch & Sabol, 2001; Petersilia, 2005). In recent years, significant attention has been focused on the impact of these increases in rates of incarceration and rates of return from jail or prison (Bonczar & Beck, 1997; Clear, Rose, & Ryder, 2001; Hagan & Coleman, 2001; Mauer, 2000; Travis, 2005). The geographic clustering of former prisoners by socioeconomic characteristics has led to disproportionate rates of removal from, and return to, already distressed communities (Clear et al., 2001; Lynch & Sabol, 2001). As a result, current research on the social and economic impacts of incarceration is increasingly focused on local effects of incarceration and prisoner reintegration, and the concurrent effects on family structure, intergenerational offending, and general community well-being (Clear et al., 2001; Hagan & Dinovitzer, 1999). Prisoner reentry programs that have emerged since the late 1990s seek to address the effects of incarceration by more successfully reintegrating former prisoners, thereby reducing subsequent offending. 4 Introduction Reentry programming is designed to break the cycle between offending and incarceration. Incarcerating offenders generally has two purposes: incapacitation and deterrence. Incapacitation leads to temporary instrumental desistance, and specific deterrence may lead to future deterrence. However, desistance is mainly achieved through rehabilitative programming. Predictors of desistance generally do not vary by the pattern of past criminal behavior or by the antecedent characteristics of the offender (Laub & Sampson, 2001). Processes that consistently are identified as leading to desistance include marriage and stable families (Laub & Sampson, 1993; Sampson & Laub, 1993), aging (Glueck & Glueck, 1974; Gottfredson & Hirschi, 1990; Laub & Sampson, 2003), stable employment (Laub & Sampson, 1993; Sampson & Laub, 1993) and reduced exposure to antisocial peers (Laub & Sampson, 2003; Warr, 1998). In addition, all of these outcomes may be dependent upon cognitive changes in identity which are the precursor to changes in behavior (Maruna, 2001). Until recently, the majority of rehabilitation and reentry strategies have been dominated by service providers who represent a single domain from among the possible correlates of desistance. For instance, many reentry programs are centered on one-stop workforce centers whose main function is to prepare and place individuals in jobs. Reentry services may include interventions directly related to skill acquisition to improve labor market prospects such as job readiness, training, and placement programs. Other reentry programs may focus on reducing specific deficits by reducing substance abuse, addressing physical and mental health disorders, improving educational attainment through GED or high school programming, or offering other assistance from the small (access to official identification and transfer of prescriptions) to the large (securing transitional and long-term housing). Reentry initiatives also may assist in the cognitive development of participants to promote behavioral change through faithbased or classroom-based programming (e.g., anger management, parenting skills, and life skills). 5 Prisoner reentry experiences of adult males The complexity of the disadvantages confronting prisoners after release means that individual offenders often require more than a single program or intervention. …many reentry specialists are encouraging a broader focus on comprehensive reentry strategies, not specific programs… However, the needs of individuals returning to the community usually span these domains of problems, and typical service providers are unlikely to be as effective at providing or facilitating other services as they are in their primary area of expertise. For example, it is not unusual for individuals struggling with mental health and substance abuse disorders to be denied entry into programs designed to respond to either but not both of these disorders. The complexity of the disadvantages confronting prisoners after release means that individual offenders often require more than a single program or intervention. To address this dilemma, many reentry specialists are encouraging a broader focus on comprehensive reentry strategies, not specific programs (Lattimore, 2007; National Research Council, 2007; Re-entry Policy Council, 2005; Visher, 2007). Such strategies would involve multiple levels of government, coordination of efforts across agencies, and involvement of organizations that are traditionally not part of the reentry discussion (e.g., public health, local businesses; community colleges). Moreover, these coordinated efforts may improve reintegration across a broader range of outcomes (e.g., employment, substance use, health) than simply reductions in recidivism. This emerging focus on the need for comprehensive programming provided the context within which the federal government developed the Serious and Violent Offender Reentry Initiative, resulting in the award of SVORI grants in 2002 and SVORI program start-ups in 2003 and 2004. The brief review of literature discussed in the remainder of this section provides a context in which the findings of the Multi-Site Evaluation of the Serious and Violent Offender Reentry Initiative can be assessed. Characteristics and Needs of Former Prisoners Individuals in the prison population face disadvantages associated with poor educational and employment histories, alcohol and other drug misuse, and poor physical and mental health (e.g., Petersilia, 2005). These disadvantages can result in serious challenges at the time of release as the individual attempts to reenter and integrate with the community. Among the most serious challenges facing former prisoners are finding employment and addressing health needs, including risk of renewed substance abuse after release. Most prisoners have 6 Introduction extensive substance use histories and need substance abuse treatment. About half of individuals incarcerated in state prisons report that they used illegal drugs in the month before the arrest that led to the current prison term (Karberg & James, 2005), and many used drugs on a daily or weekly basis (Petersilia, 2005; Visher & Mallik-Kane, 2007). Despite high levels of drug use, half or fewer receive drug treatment while incarcerated (Petersilia, 2005; Visher & Mallik-Kane, 2007; Winterfield & Castro, 2005). Prisoners are also more likely to suffer from physical and mental health problems than the general population (see Greifinger, Bick, & Goldenson, 2007; Petersilia, 2005). The Bureau of Justice Statistics reported that as many as 16 percent of those in state prisons, local jails, or on probation are mentally ill (James & Glaze, 2006). Finally, finding employment is the single largest concern reported by men and women before they are released from prison (Visher, 2007). Although, about two thirds of prisoners nationwide had worked before incarceration (Petersilia, 2005) , former prisoners often have difficulty finding and maintaining employment. Results of a study of men and women leaving prison in three states revealed that less than one in five had a job lined up in the month before release (Visher, 2007). Not surprisingly, nine in ten prisoners also reported that they needed job training and more education. Former prisoners are also not a homogeneous group. The need for services immediately before and soon after release is likely to vary from individual to individual. For example, although one in five have served sentences of five years or more, the average prisoner in the U.S. serves about 28 months, and about 17 percent are released within one year (Lynch & Sabol, 2001). The average age of men leaving state prison is older than many realize—33 years—and those in their thirties will likely have different needs than those in their twenties (Petersilia, 2005). Some have serious mental or physical health needs; others are fathers with minor children. Thus, men and women face formidable challenges in their personal lives as they leave prison and return to the community. Many individuals require intensive services and support to meet post-release needs ranging from transportation to employment services to health care. Further, these individuals are often faced with additional obstacles to a successful transition from prison in the form of collateral effects 7 Prisoner reentry experiences of adult males (sometimes called “invisible punishments”) that may include exclusions from certain professions (e.g., realtor or health care) and access to public benefits (e.g., student loans, public housing, or food stamps), as well as the loss of parental rights (Hagan & Dinovitzer, 1999; Petersilia, 2003; Travis, 2002). These realities, in conjunction with conditions imposed upon their release (e.g., employment, in-person reporting, and payment of restitution, fees, and fines), make the first few weeks and months after release especially difficult. Risk and Needs Assessment Research over the past 25 years has led to the development of a new generation of risk assessment tools that are reasonably able to predict the probability that an individual will commit additional crimes (Holsinger, Lurigio, & Latessa, 2001). Moreover, there is considerable evidence that concentrating both services and supervision on the higher-risk individuals will result in greater reductions in crime than a more generalized approach to service delivery and supervision (Byrnes, Macallair, & Shorter, 2008; MacKenzie, 2006). Programs that adhere more strictly to assessment results to generate appropriate treatment matching may ultimately achieve better outcomes, although this hypothesis remains generally untested 8 An important first step in linking newly incarcerated men and women to rehabilitative programming is a thorough assessment of needs. Intake screening is widely utilized in correctional institutions for security classification, and prisoners are also typically screened for literacy and physical and mental health conditions. However, problems exist with screening instruments and procedures including choice of instrument, lack of staff training, and lack of follow-through regarding subsequent assessment and treatment while in prison (Moore & Mears, 2003). Moreover, if programs are limited (which is a typical situation in many prisons), staff can feel that screening and assessment serves no worthwhile purpose. Programs that adhere more strictly to assessment results to generate appropriate treatment matching may ultimately achieve better outcomes, although this hypothesis remains generally untested. There is also general agreement that promising correctional programs should be timed so that they are provided close to a prisoner’s release date, focus on skills applicable to the local job market, reflect current market demands, and are provided for an extended period of time, generally three to six months (Cullen & Gendreau, 2000). However, the duration of in-prison programming is somewhat arbitrary—one research area that Introduction remains unexplored is whether reentry programs would be more effective if the length of reentry programs varied according to the magnitude of the individual prisoner’s deficits. Employment, Education, and Skills Building Research indicates that ‘work’ is a primary feature of successful reintegration (Laub, Nagin, & Sampson, 1998; Sampson & Laub, 1990, 1993) as connections made at work may serve as informal social controls that help prevent criminal behavior. For former prisoners, employment is correlated with lower recidivism (Rossman & Roman, 2003; Visher, Debus, & Yahner, 2008) and rates of return to prison are significantly reduced by participation in work readiness programs (Buck, 2000; Finn, 1998; Sung, 2001). Although recent studies have indicated that work programs can have a significant impact on the employment and recidivism rates of men (see Bushway & Reuter, 2002), vocational and educational programs often are unavailable in prisons, and their availability has declined (Lynch & Sabol, 2001). Stable employment is one of the key predictors of desistance that can be directly addressed through policy or programming. As a result, many reentry initiatives have typically focused on preparing returning prisoners to re-enter the job market. Reentry services often include interventions directly related to skill acquisition to improve labor market prospects such as job readiness, training and placement programs. Although about two thirds of prisoners worked prior to incarceration (Beck et al., 1993), their educational level, work experience, and skills are well below national averages for the general population (Andrews & Bonta, 2006), and the stigma associated with incarceration often makes it difficult for them to secure jobs following release (Bushway & Reuter, 2002; Holzer, Raphael, & Stoll, 2006). When former prisoners do find jobs, they tend to earn less than individuals with similar background characteristics who have not been incarcerated (Bushway & Reuter, 2002). Thus, research supports a strong programmatic emphasis on increasing individual employability through skills training, job readiness, and work release programs, both during incarceration and after release. Few such programs have been studied using a random assignment research design. One exception is the evaluation of the Opportunity to Succeed (OPTS) program, which delivered 9 Prisoner reentry experiences of adult males employment services within a set of comprehensive services for drug-using former prisoners, and found that participants were more likely to be employed full-time in the year after release. However, self-reported arrests and official record measures of recidivism showed no differences between participants and controls (Rossman & Roman, 2003). Employed participants, however, reported fewer arrests and less drug use. Another study of prisoners in Tennessee, who were required to secure either employment or enroll in a training program as a condition of release, found that those who graduated had marginally better outcomes than a matched comparison, while those who failed had significantly worse outcomes (Chalfin, Tereshchenko, Roman, Roman, & Arriola, 2007). In a meta-analysis examining the impact of employment training and job assistance in the community for persons with a criminal record, Aos, Miller, and Drake (Aos, Miller, & Drake, 2006) concluded that these programs have a modest, but significant, 5 percent impact on recidivism. However, in another meta-analysis, using a very similar set of studies and methods, Visher, Winterfield, and Coggeshall (Visher, Winterfield, & Coggeshall, 2005) concluded that community-based employment programs do not significantly reduce recidivism for persons with previous involvement with the criminal justice system. Contemporary job assistance and training programs for former prisoners such as the Center for Employment Opportunities (New York), Safer Foundation (Chicago), and Project Rio (Texas) are more holistic in their approach and incorporate other transition services and reentry support into their programs (Buck, 2000) while maintaining a primary focus on job placement. Although several rigorous evaluations are underway, the impact of these newer types of comprehensive, employment-focused programs on former prisoners’ employment and recidivism rates is not yet known. In the U.S., adult corrections has a long history of providing education and employment training (Gaes, Flanagan, Motiuk, & Stewart, 1999; Piehl, 1998). Comprehensive reviews of dozens of individual program evaluations generally conclude that adult academic and vocational programs lead to modest reductions in recidivism and increases in employment (Aos, 2006; Cullen & Gendreau, 2000; Gaes et al., 1999; Gerber & Fritsch, 1994; 10 Introduction Wilson, Gallagher, & MacKenzie, 2000). However, the majority of the evaluations have one or more methodological problems (Wilson et al., 2000). Numerous studies show that recidivism rates are significantly reduced for those with more education; however, just getting a GED—the most prevalent in-prison educational programming— generally does not show impacts on reentry outcomes (Adams et al., 1994; Boudin, 1993; Harer, 1995; Stillman, 1999). Despite the high demand for these programs by inmates, participation in these programs declined from 42 percent in 1991 to 35 percent in 1997 (Lynch & Sabol, 2001). Reasons for these declines include the rapid growth in prison populations in combination with decreased funding for correctional programming, the frequent transfer of prisoners from one facility to another, and greater interest in short-term programs such as substance abuse and cognitive-behavioral programs (Lawrence, Mears, Dubin, & Travis, 2002). Research suggests that correctional education programming is most successful as part of a systematic approach, integrating employability, social skills training, and other specialized programming (Holzer & Martinson, 2005). Best-practice correctional education programs carefully tailor programming to the needs of individuals and to related vocational and job skills training. Education and job training for low earners are most successful when they provide workers with credentials that meet private sector demands. Thus, comprehensive programs that provide training, a range of services and supports, job retention incentives, and access to employers are promising, but rigorous evaluations are lacking. Integrated Post-release Service Delivery Individuals exiting prison are at the highest risk of rearrest during the first few months after release. Individuals exiting prison are at the highest risk of rearrest during the first few months after release. The overall probability of arrest is roughly twice as high in the first month of supervision as it is in the fifteenth month (National Research Council, 2007). Just as important, the arrest rate between months 15 and 36 is uniformly lower than in the earlier period. Between months 1 and 15, the chance of arrest for property and drug offenses drops by 40 percent. Thus, the challenge for policy makers and corrections professions is to respond to this ‘high-risk’ period by frontloading services and supervision during these early months (Pew Center on the States, 2009). 11 Prisoner reentry experiences of adult males Developing tailored reentry plans to guide post-release services begins with an assessment and classification of re-offending risk, needs, and strengths leading to individualized and unified case planning and management that addresses individual variation in likelihood to re-offend (Andrews & Bonta, 2006; Wiebush, McNulty, & Le, 2000). These assessments differ from the initial screens conducted at prison entry and are the foundation for an individualized reentry plan. Such targeted assessments not only determine the specific kinds of services and supervision level that individuals need to succeed, but also determine who requires documents, medications, or other immediate transition preparation. The ideal case management approach incorporates a family and social network perspective, a mix of surveillance and services focused on risk and protective factors, the imposition of realistic and enforceable release conditions coupled with graduated incentives and sanctions. In addition, this approach uses service brokering to community service providers and resources and other supportive community organizations (Healy, Foley, & Walsh, 1999; Petersilia, 2003). In the immediate period after release from prison, access to supportive reentry (or transitional) services are critical in those first few days, weeks, and months for men and women as they readjust to life in the community. Among the most important are obtaining photo identification, getting appropriate clothes, securing stable housing, having reliable transportation, and signing up for public assistance, if eligible. Unfortunately, often these types of needs are not addressed before release and it falls to family and friends to help arrange these for the former prisoner. There are no evaluations of programs that focus exclusively on the immediate post-release period, but one program in Maryland that generally focused on this period was found to reduce recidivism—particularly the most serious and violent offenses—and to be cost-effective (Roman, Brooks, Lagerson, Chalfin, & Tereshchenko, 2007). Research suggests that an integrated, multi-modal intervention strategy—often referred to as ‘wraparound’ service delivery— can be effective in meeting the multiple needs of this population. This strategy involves “wrapping” a comprehensive array of individualized services and support networks “around” clients, rather than forcing them to enroll in pre-determined, inflexible treatment programs (Franz, 2003). Treatment 12 Introduction services are usually provided by multiple agencies working together as part of a collaborative interagency agreement, and each individual’s treatment plan is determined and managed by an interdisciplinary team consisting of a caseworker, family and community members, and several social services and mental health professionals. General Evaluations of Reentry Programs Over many decades of attention, the overwhelming majority of evaluations of rehabilitative programs for offenders have focused on programs designed to address specific individual needs, such as reducing drug and alcohol use, addressing mental health issues, or finding a job. But as discussed earlier, the focus of recent reentry services and programs has been to ease the transition of individuals exiting prison, addressing needs with individualized approaches. Many, if not most reentry programs for individuals exiting prison are relatively new, having begun as a result of federal funding in the early years of this decade. As a result, there are few impact evaluations of programs focused specifically on reentry (Petersilia, 2004). Numerous challenges characterize the extant research assessing the effectiveness of programs for formerly incarcerated individuals, whether focused on reentry or general rehabilitation. Foremost among the challenges is the lack of theoretical models that articulate behavior change among former prisoners. Within any particular substantive area, there are also problems of fidelity in that a particular service approach may manifest itself in different ways under different programs and circumstances. As a result, it is often difficult to generalize research findings from one program to others, and substantial variability exists among the outcome variables examined (e.g., employment, homelessness, substance use, recidivism). The numerous combinations of program types unique to each study also render comparisons difficult. Finally, there are problems related to the research itself, as rigorous experimental designs—including the use of comparison groups (randomly assigned or otherwise)—are rare in this research literature (National Research Council, 2007). Several reviews of reentry program evaluations recently have examined the available research on what works with regard to reentry and/or rehabilitative programming (Aos et al., 2006; Gaes et al., 1999; Lipsey & Cullen, 2007; MacKenzie, 2006; 13 Prisoner reentry experiences of adult males Petersilia, 2004; Seiter & Kadela, 2003). The evidence has been very consistent in establishing that contact-driven supervision, surveillance, and enforcement of supervision conditions have a limited ability to change offender behavior or to reduce the likelihood of recidivism (MacKenzie, 2006). However, intensive supervision programs with a clear treatment component do show a sizeable impact on recidivism (Aos et al., 2006; Gaes et al., 1999; Petersilia, 2004). All of the strategies MacKenzie identified as effective focus on dynamic criminogenic factors, are skill-oriented, are based on cognitive/behavioral models, and treat multiple offender deficits simultaneously. MacKenzie (MacKenzie, 2006) recently summarized the “what works” literature in corrections, with specific chapters on various community corrections programs (e.g., life skills, cognitive behavioral therapy, education, drug treatment, and intensive supervision). She concluded that human serviceoriented programs were much more effective than those based on a control or deterrent philosophy. In particular, there is growing consensus that practices focusing on individual-level change, including cognitive change, education, and drug treatment, are likely to be more effective than other strategies, such as programs that increase opportunities for work, reunite families, and provide housing (see also Andrews & Bonta, 2006). All of the strategies MacKenzie identified as effective focus on dynamic criminogenic factors, are skill-oriented, are based on cognitive/behavioral models, and treat multiple offender deficits simultaneously. These conclusions are consistent with several large meta-analyses of the evaluation literature (Andrews et al., 1990; Aos et al., 2006; Lipsey & Cullen, 2007). Selection of program type may be less important than proper implementation of the program. Delivering a program in the wrong context (i.e., intensive substance abuse treatment to casual drug users) or poor implementation are common and may explain most of the weak or null findings in the research studies. Despite advances in knowledge and best practices, studies of programs for offenders have documented persistent problems in implementation and adherence to the fidelity of evidence-based practice models (Lowenkamp, Latessa, & Smith, 2006; Petersilia, 2004; Young, 2004). Additionally, improperly implemented programs may be harmful. One recent reentry program, Project Greenlight, was developed from research and best practice models to create an evidence-based reentry initiative which was evaluated with a random assignment research design (Wilson & Davis, 2006). However, 14 Introduction the program participants performed significantly worse than a comparison group on multiple measures of recidivism after one year. The evaluators concluded that the New York program did not replicate past best practice. Instead, Project Greenlight modified past practice to fit institutional requirements, was delivered ineffectively, did not match individual needs to services, and failed to implement any post-release continuation of services and support (Wilson & Davis, 2006; see also Rhine, Mawhorr, & Parks, 2006; Visher, 2006; Marlowe, 2006). The evaluators attributed the findings to a combination of implementation difficulties, program design, and a mismatch between participant needs and program content. A key difficulty for Project Greenlight, as with many other communitybased reentry programs, was its lack of integration into an overall “continuum of care” strategy that linked prison and community-based treatment. … effective rehabilitation strategies have strong program integrity, identify criminogenic factors, employ a multimodal treatment approach, use an actuarial risk classification, and ensure responsivity between an offender’s learning style and mode of program delivery. Another line of research has focused on identifying the principles of effective treatment (as opposed to the substantive content of the program) in assessing evidence-based practices (e.g., Andrews & Bonta, 2006; Cullen & Gendreau, 2000). MacKenzie (2006) summarizes this work, identifying five principles of effective rehabilitation strategies. Specifically, she notes that effective rehabilitation strategies have strong program integrity, identify criminogenic factors, employ a multimodal treatment approach, use an actuarial risk classification, and ensure responsivity between an offender’s learning style and mode of program delivery. One of the failings of Project Greenlight was poor management of the program according to these principles that help guide or maximize program effectiveness (Andrews, 2006). In her review of what works in reentry programming, Petersilia (2004) discusses the striking disconnect between the published ‘what works’ literature and the efforts of governmental reentry task forces to develop programs that are thought to improve offender transitions from prison to the community. The goal of most reentry programs is to develop a seamless transition from prison to the community. However, the challenges in this regard are enormous. Corrections departments and community supervision agencies often have conflicting incentives, and community-justice partnerships linking these organizations with community groups face even larger hurdles. An important barrier to effective reentry strategies in many communities is 15 Prisoner reentry experiences of adult males the lack of information sharing between the criminal justice system and the community because of institutional barriers and privacy rules. Effective service delivery after release requires coordinated actions by government agencies, non-government service providers, and the community to ensure that returning prisoners do not fall through service gaps between agencies. Yet, knowledge about how to develop and manage these partnerships is lacking (Rossman & Roman, 2003). … the SVORI Multi-site Evaluation provided an opportunity to test whether coordinated services provided in response to assessment to meet individual needs could be implemented and whether these services would have positive impacts on criminal justice, employment, health, housing, and substance abuse outcomes. SVORI programs were developed and implemented by the grantee agencies as these strands of research findings were emerging. The programs were to provide a range of coordinated services (based on needs and risk assessments) that spanned incarceration and return to the community, including services that focused on cognitive development. Although the programs differed from site to site, as discussed below, the overall focus of the SVORI initiative was consistent with emerging recommendations at the time the programs were developed and implemented. Thus, the SVORI Multi-site Evaluation provided an opportunity to test whether coordinated services provided in response to assessment to meet individual needs could be implemented and whether these services would have positive impacts on criminal justice, employment, health, housing, and substance abuse outcomes. SVORI Exhibit 1 shows the SVORI program logic model and the SVORI Multi-site Evaluation design, including the evaluation components. The SVORI program model identifies SVORI funding, technical assistance (TA) and requirements as INPUTS that, in combination with local resources in the sites (THROUGHPUTS), yield a set of services and programming (OUTPUTS) that are expected to improve the OUTCOMES for SVORI participants, as well as to improve the state and local systems that provide these services and programs. Community and individual participant characteristics influence these throughputs, outputs, and outcomes. The criteria for programs funded by SVORI grants were as follows: 16 Programs were to improve criminal justice, employment, education, health (including substance abuse and mental health), and housing outcomes. Introduction Exhibit 1. SVORI program logic model and evaluation framework Programs were to include collaborative partnerships between correctional agencies, supervision agencies, other state and local agencies, and community and faith-based organizations. Program participants were to be serious and/or violent offenders. Program participants were to be 35 years of age or younger. Programs were to encompass three stages of reentry—in prison, post-release on supervision, and postsupervision. Needs and risk assessments were to be used to guide the provision of services and programs to participants. In some cases, grantees asked for and received permission for exceptions to these criteria. For example, some programs were 17 Prisoner reentry experiences of adult males primarily post-release programs, and age restrictions were sometimes lifted (e.g., for programs targeting sex offenders). SVORI programs were locally designed, varying in terms of what was provided, when, and to whom. The evaluation was designed to determine whether individuals who participated in enhanced reentry programming, as measured by their enrollment in SVORI programs, had improved post-release outcomes. Operating within the broad guidelines of these criteria, each program was locally designed along a variety of dimensions, including the types of services offered, the focus on pre-release and post-release components, and the type(s) of individuals to be served. In other words, programs varied in terms of what was being provided, when, and to whom. Grantees also identified the locations where the program would be provided both pre- and post-release. Thus, a SVORI program could be narrowly focused on a single institution pre-release serving participants who were returning to a single community postrelease or could be implemented throughout the correctional (or juvenile justice) system serving participants who were to be released statewide. A combination of multiple (but not all) institutions and multiple (but not all) communities was the modal configuration. Finally, because services were to be delivered to individuals based on their specific needs and risk factors, individuals participating in a SVORI program could receive different types and amounts of services depending upon individual needs. 7 Thus, one challenge for the evaluation was to attempt to characterize SVORI and the SVORI programs. The local nature of the SVORI programs and the expectation that programs would tailor services to meet individual needs meant that the intervention to be evaluated was not a program in the typical conceptualization of the term (e.g., a residential drug program or a cognitive behavior program). Instead, SVORI was a funding stream that agencies used to expand and enhance existing programs or to develop and implement new programs. Further, individuals not in SVORI programs also generally received some services. Thus, although the components of the individual programs were identified and the extent of service receipt was measured, the SVORI Multi-site Evaluation was not designed to examine the impact of specific services or combinations of services. The evaluation was designed to determine whether individuals who participated in 7 18 Specific details on the planned characteristics of individual programs are available in the National Portrait of SVORI (Lattimore et al., 2004). Winterfield and Lindquist (2005) and Lindquist (2005) provide information on the delivery of services and programs by the SVORI programs, along with information on barriers to implementation. Introduction enhanced reentry programming, as measured by their enrollment in SVORI programs, had improved post-release outcomes. Exhibit 1 shows the evaluation components. The implementation assessment addressed the extent to which the 89 SVORI programs (69 grantees) increased access to services and promoted systems change. The impact evaluation assessed the effectiveness of SVORI by comparing key outcomes among those who received services as part of SVORI programs with those of a comparable group of individuals who received “treatment as usual” in 16 sites. The third component of the evaluation, an economic analysis, determined the return on SVORI investment and included both a cost-benefit and a costeffectiveness analysis. The remainder of this chapter briefly describes the SVORI programs provided in the 12 adult impact sites, and the evaluation design. Subsequent chapters provide detailed information on the characteristics of study participants, selfreported service needs and receipt, post-release outcomes, and conclusions and policy recommendations. ADULT IMPACT SITE SVORI PROGRAMS Information on the SVORI programs was obtained by reviewing program proposals and implementation plans and through annual surveys of the local SVORI programs. This section provides information on the characteristics of the adult programs in the sites selected for the impact evaluation. Two thirds of the SVORI program directors (PDs) for the 12 adult impact programs reported that their programs focused equally on the pre- and post-release phases, while one PD reported that the pre-release phase and three PDs reported that the post-release phase was the primary focus.8 Six of the 12 PDs indicated that the SVORI grant funds were used to start new programs; three indicated the funds were used to fill 8 Source: 2005 SVORI program director survey; see Lattimore and Steffey (2009) for comparisons between impact and non–impact sites and for additional information on program characteristics. With the exception of specific impact site selection criteria including expected enrollment and likelihood of implementation, the impact and non–impact sites were similar along most measured dimensions. 19 Prisoner reentry experiences of adult males service gaps, and two said they were used to expand existing services. Exhibit 2 shows the primary outcome foci for the 12 adult impact sites, as reported by the PDs. When asked to identify the top 3 (of 8) outcomes for their program, six or more of the PDs indicated community integration, employment, improved decision-making or self-sufficiency, and substance use. Further, 6 or more of the 12 PDs thought that it would be fair to use all of the eight outcomes as measures of the effectiveness of their programs. Indeed, all 12 PDs thought that it would be fair to rate the effectiveness of their programs with respect to community integration and employment outcomes; and 11 reported that it would be fair to rate effectiveness based on the programs’ ability to reduce recidivism. Exhibit 2. Outcome foci among adult impact and non–impact sites % Outcomes Outcomes targeted (program director ranked in top 3) Community integration 66.70% Employment 58.30% Improved decision-making or self-sufficiency 58.30% Reduced substance use 50.00% Housing 33.30% Educational attainment 16.70% Improved physical and/or mental health 8.30% Family reunification/functioning 8.30% Outcomes fair to determine program effectiveness Community integration/connectedness 100.00% Employment 100.00% Reduced recidivism 91.70% Reduced substance use 75.00% Family reunification/functioning 75.00% Educational attainment 66.70% Housing 66.70% Improved physical and/or mental health 50.00% N 8 7 7 6 4 2 1 1 12 12 11 9 9 8 8 6 Source: 2006 program director survey of 12 impact site PDs. Exhibit 3 provides information on the types of services that the SVORI PDs reported were being provided to SVORI program participants in 2005. The services are organized into “service bundles,” which are described in more detail in subsequent chapters. Of coordination services, the 12 PDs suggested that, on average, most participants were receiving risk and needs assessments, as well as treatment/release plan development, both pre- and post-release. Further, most of the PDs reported 20 Introduction Exhibit 3. Mean proportion of SVORI program participants receiving pre-release and postrelease services in adult program impact sites (as reported by program directors) Services Bundle 1: Coordination Services Risk assessment Needs assessment Treatment/release plan development Formal post-release supervision Bundle 2: Transition Services Legal assistance Assistance obtaining identification (e.g., driver’s license, Social Security card) Assistance obtaining benefits and completing applications (e.g., Medicaid, disability) Financial support/emergency assistance Peer support groups One-on-one mentoring Housing placements or referrals Transportation Bundle 3: Health Services Comprehensive drug treatment programs Alcoholics Anonymous/Narcotics Anonymous Counseling sessions Mental health services Anger management/violence counseling Medical services Dental services Bundle 4: Employment, Education, and Skills Development Services Education/GED/tutoring/literacy Vocational training Employment referrals/job placement Resume and interviewing skills development Work-release program Cognitive skills development/behavioral programming Life skills training Bundle 5: Family Services Domestic violence services Parenting skills development Family reunification Family counseling Pre-release Mean (SD) Post-release Mean (SD) 0.88 (0.30) 0.88 (0.30) 0.91 (0.29) NA 0.86 (0.29) 0.81 (0.35) 0.91 (0.29) 0.82 (0.27) 0.24 (0.25) 0.60 (0.42) 0.21 (0.24) 0.46 (0.35) 0.44 (0.35) 0.47 (0.35) 0.45 (0.43) 0.42 (0.38) 0.50 (0.42) 0.54 (0.39) NA 0.63 (0.29) 0.37 (0.34) 0.45 (0.38) 0.66 (0.29) 0.60 (0.34) 0.31 (0.20) 0.39 (0.33) 0.60 (0.37) 0.35 (0.31) 0.52 (0.34) 0.70 (0.41) 0.70 (0.41) 0.32 (0.28) 0.44 (0.30) 0.48 (0.31) 0.35 (0.30) 0.35 (0.25) 0.30 (0.32) 0.24 (0.23) 0.67 (0.29) 0.33 (0.29) 0.51 (0.35) 0.68 (0.33) 0.17 (0.30) 0.49 (0.35) 0.71 (0.39) 0.37 (0.29) 0.34 (0.30) 0.65 (0.33) 0.56 (0.37) 0.24 (0.39) 0.46 (0.35) 0.62 (0.37) 0.38 (0.35) 0.40 (0.37) 0.39 (0.34) 0.18 (0.26) 0.32 (0.32) 0.48 (0.34) 0.50 (0.34) 0.24 (0.25) Note: NA = Not applicable, GED = general educational development, SD = standard deviation. Values were calculated by taking the midpoint of the response categories (0%, 1–25%, 26–50%, 51–75%, 76–99%, and 100%) reported by the SVORI adult program directors for each of the services. Source: 2005 program director survey. 21 Prisoner reentry experiences of adult males that most SVORI program participants were expected to be on post-release supervision. Other services were reported to be less universally provided. Housing placements/referrals was the only one of seven transition services that the PDs reported was being provided to more than half of SVORI program participants both pre- and post-release. The PDs were also asked about the provision of post-release transportation assistance and indicated, on average, that 60% of SVORI participants were receiving help with transportation post-release. Although the PDs reported that more than half of program participants were receiving counseling, anger management/violence counseling, or medical and dental services pre-release, this finding did not apply to post-release, as the PDs reported providing less than half of all participants with the seven different types of health services. PDs were asked to report the percentage of SVORI program participants who were provided each of seven different types of employment, education, and skills development services. The PDs reported that about two thirds were receiving education programming pre-release, but only about one third (0.37) postrelease. The PDs did report that, on average, more than half of all SVORI program participants were provided employment referrals/job placement, resume and interviewing skills development, and life skills training both pre- and post-release. Of the four types of family services, only family reunification post-release was provided to half or more of the SVORI program participants. In a subsequent chapter of this report, reports on service receipt by SVORI program participants are compared with those of the comparison subjects who did not participate in SVORI programs. MULTI-SITE EVALUATION DESIGN This section briefly summarizes the evaluation design, data collection procedures, and issues related to potential bias. Interested readers are referred to Lattimore and Steffey (2009) for a full description of the evaluation methodology. The evaluation components are shown in Exhibit 1. The implementation assessment addressed the extent to which the 89 SVORI programs (69 grantees) increased access to services 22 Introduction and promoted systems change. Results were presented in Lattimore et al. (2005) and Winterfield et al. (2006) and in a series of Reentry Research in Action brief reports, including Lindquist and Winterfield (2005) and Lindquist (2005). The impact evaluation assessed the effectiveness of SVORI by comparing key outcomes among those who received services as part of SVORI programs with those of a comparable group of individuals who received “treatment as usual” in 16 sites. These impact sites were chosen from the 89 SVORI programs following an extensive site selection process, with the objective of achieving diversity in programmatic approach and geographic representation. Likelihood of implementation and anticipated program enrollment (case flow) were other criteria considered during the site selection process. The 16 programs included 12 adult programs and 4 juvenile programs located in 14 states (adult only unless specified): Colorado (juveniles only), Florida (juveniles only), Indiana, Iowa, Kansas (adults and juveniles), Maine, Maryland, Missouri, Nevada, Ohio, Oklahoma, Pennsylvania, South Carolina (adults and juveniles), and Washington. The impact evaluation consisted of a longitudinal study of 2,391 returning prisoners (adult males, adult females, and juvenile males) who were interviewed approximately 1 month before release and then again at 3, 9, and 15 months post-release. 9 As detailed in Lattimore and Steffey (2009), a site-specific research design was developed for each impact site. In two sites (Iowa and Ohio), the programs implemented a randomassignment evaluation design. 10 In the remaining sites, comparison groups were developed by isolating the criteria that local site staff used to identify individuals eligible for enrollment in their SVORI program (these included factors such as age, criminal history, risk level, post-release supervision, transfer to pre-release facilities, and county of release) and replicating the selection procedures on a different population. Where possible, the comparison participants came from the same pre-release 9 Juvenile females were excluded from the impact evaluation because of the extremely small number of SVORI participants in this subgroup. 10 Even though random assignment was employed in Iowa, participants were not evenly allocated to the two conditions. Program slots were filled first, and then the remaining participants were assigned to the control condition (which is the reason SVORI participants exceeded non-SVORI comparisons in Iowa). 23 Prisoner reentry experiences of adult males The evaluation adopted an “intent to treat” approach… facilities and were returning to the same post-release geographic areas as the SVORI participants. In some instances, comparison participants were identified as those who met all eligibility criteria except pre- or post-release geographic parameters. When this exception occurred, the comparison sample consisted of selected individuals from pre-release facilities that were comparable to facilities in which SVORI was available, or they consisted of selected individuals from SVORI facilities who were returning to a separate but similar geographic area. Eligible respondents (both SVORI and comparison) were identified monthly during the 17-month enrollment period for the impact evaluation. The evaluation adopted an “intent to treat” approach—SVORI participants were individuals who were enrolled in SVORI programs at the time of the pre-release interview regardless of the extent of services received or the length of time in programs. The third component of the evaluation, an economic analysis, determined the return on SVORI investment and included both a cost-benefit and a cost-effectiveness analysis; results are presented in Cowell, Roman and Lattimore (2009). Exhibit 4 presents the distribution of adult male pre-release interview respondents by site and by group. As the exhibit indicates, there was variation in the numbers of individuals who enrolled in the study across the sites, with the total number of enrollees ranging from 71 (Kansas) to 345 (South Carolina). Although the within-site case distribution was roughly 50:50 (SVORI to non-SVORI) in most sites, there were exceptions— most notably Iowa, Indiana, and Kansas. Data Collection Procedures Data collection consisted of four waves of in-person, computerassisted interviews: the pre-release interview (Wave 1) conducted about one month before expected release and three follow-up interviews (Waves 2 through 4) conducted 3, 9, and 15 months after release. In addition, oral swab drug tests were conducted during the 3- and 15-month interviews for respondents who were interviewed in a community setting. For examination of recidivism outcomes, the interview and drug test data were supplemented with arrest data obtained from the FBI National Crime Information Center (NCIC) and with 24 Introduction Exhibit 4. Adult male sample sizes, by state and group State Iowa Indiana Kansas Maine Maryland Missouri Nevada Ohio Oklahoma Pennsylvania South Carolina Washington Total SVORI 114 64 23 35 130 36 107 47 42 57 179 29 863 Non-SVORI 55 94 48 44 124 50 50 38 51 66 166 48 834 Total 169 158 71 79 254 86 157 85 93 123 345 77 1697 % of Total 10.0 9.3 4.2 4.7 15.0 5.1 9.2 5.0 5.5 7.2 20.3 4.5 100.0 administrative records obtained from state correctional agencies. 11 Pre-release interviews were conducted approximately 30 days before release… The post-release interviews were conducted approximately 3, 9, and 15 months following release … All interviews were conducted in private settings by experienced RTI field interviewers using computer-assisted personal interviewing. Pre-release interviews were conducted from July 2004 through November 2005 in more than 150 prisons and juvenile detention facilities. Pre-release interviews were conducted approximately 30 days before release and obtained data on the respondents’ characteristics and preprison experiences, as well as incarceration experiences and services received since admission to prison. These interviews also obtained data on the respondents’ post-release plans and expectations about reentry. Post-release interviews were conducted from January 2005 through May 2007. The post-release interviews were conducted approximately 3, 9, and 15 months following release and were similar in content across waves and obtained data on reentry experiences, housing, employment, family and community integration, substance abuse, physical and mental health, supervision and criminal history, service needs, and service receipt. The interview instruments were developed through an 11 Note that in some instances these administrative records were supplemented with data obtained from online criminal history databases. Readers are referred to Lattimore and Steffey (2009) for details. 25 Prisoner reentry experiences of adult males extensive instrumentation process involving substantive domain experts and the use of existing, validated measures and scales. In addition to obtaining approval from and oversight by the Institutional Review Boards at RTI and the Urban Institute, memoranda of agreement or formal research agreements were negotiated with all agencies, and evaluation staff ensured that study procedures were approved by all facilities in which interviews were conducted (or by correctional agencies overseeing the facilities). The following sections summarize the examination of nonresponse, attrition, and selection. The concluding section in this chapter provides information on the propensity score model and approach to the analyses. Approach for Addressing Nonresponse and Attrition A total of 2,564 cases were fielded of adult men eligible for inclusion in the multi-site evaluation. Wave 1 (pre-release) interviews were obtained with 1,697 (66%) of these men. Among eligible subjects approached for interviews, refusal rates were reasonably low—11.5% across the 12 sites. A breakdown of the categories of noninterviews and ineligible cases is provided in Appendix A, Exhibit A-1. As shown in the exhibit, most of the noninterviews with eligible men (21%) were due to the men being released before their Wave 1 pre-release interview could be scheduled and completed. 12 Nearly 80% of the men who were interviewed at Wave 1 responded to at least one of the follow-up interviews. All cases were fielded for each follow-up wave. Overall, the response rate for follow-up interviews increased over time. Response rates for the Wave 2, 3, and 4 interviews were 58%, 61%, and 66%, respectively. All three follow-up interviews were obtained for 43% of the adult male samples. Exhibit 5 shows the number of interviews conducted at each wave, by group and site. 12 26 Release before an interview could be completed was particularly problematic during the initial fielding of the Wave 1 interviews. The original protocols required identifying eligible participants 30 to 60 days prior to release. Although these cases were processed quickly (i.e., within 2 weeks to attempt an interview), some subjects were released before the interview could be scheduled. The protocols were changed to identify subjects earlier. No information was uncovered that would suggest that these “early releases” affected individuals in the two study groups differently. Further, although the release was “early,” the difference between actual and expected release dates was only a few days. Introduction Exhibit 5. Completed interviews by wave, group, and site State IA IN KS MD ME MO NV OH OK PA SC WA Total Wave 1 (Pre-release) NonSVORI SVORI 114 55 64 94 23 48 130 124 35 44 36 50 107 50 47 38 42 51 57 66 179 166 29 48 863 834 Wave 2 (3 Months Post) NonSVORI SVORI 59 29 49 53 11 15 58 63 20 21 26 31 77 31 25 26 26 12 43 50 123 104 12 20 529 455 Wave 3 (9 Months Post) NonSVORI SVORI 82 39 41 56 14 15 64 56 24 26 27 24 81 31 28 27 29 17 44 50 119 95 12 34 565 470 Wave 4 (15 Months Post) NonSVORI SVORI 87 46 45 59 15 24 65 65 25 30 26 35 82 29 28 26 24 27 46 48 126 109 13 33 582 531 Although the response rates were reasonable, the possibility remains that respondents who “dropped out” of subsequent waves of interviews differed from those who completed the follow-up interviews. As preliminary evidence that the attrition was random or affected the SVORI and non-SVORI groups similarly, the SVORI and comparison groups were compared and were found to be similar at each wave on a range of characteristics. Results from models that examined for differences between groups with respect to response also suggested that SVORI program participation was not related to whether a participant responded. Approach for Addressing Selection Bias In most sites, men were not randomly assigned to SVORI or non-SVORI conditions. Although considerable effort was expended during the planning phases of the evaluation to work with each site to identify appropriate comparison populations, the possibility of differences between the SVORI and nonSVORI groups existed. A multitude of variables were examined, comparing SVORI to non-SVORI evaluation participants, and few differences between the two adult male groups were observed. 27 Prisoner reentry experiences of adult males Exhibit 6 shows the t-statistics for comparisons between SVORI and non-SVORI participants. As can be seen, for the adult males, there are statistically significant differences for several variables, some of which have traditionally been linked to criminal behavior. In particular, those in SVORI programs were younger on average than non-SVORI participants at the time of the instant incarceration (26.1 years versus 27.1 years), more likely to be black (57% versus 50% black), less likely to be white (32% versus 37% white), and less likely to have been employed either in the 6 months prior to the current incarceration (64% versus 68%) or ever (89% versus 92%)— although the latter differences are relatively small. Although there were no significant differences in self-reported drug use immediately prior to the current incarceration, those in the non-SVORI group were more likely to report ever using cocaine (58% versus 53%) and heroin (23% versus 18%). SVORI participants were more likely than non-SVORI participants to be serving time for a drug crime (36% versus 31%), while nonSVORI participants were more likely to be serving time for a public order crime (22% versus 17%). This last finding is consistent with non-SVORI participants being more likely than SVORI participants to report that they were currently incarcerated for a parole violation (which was coded as a public order crime; 35% versus 27%) and for non-SVORI participants to report more prior prison incarcerations on average (1.33 versus 1.12 incarcerations). 13 Propensity score matching techniques were used to improve the comparability between the SVORI and non-SVORI groups. The propensity score model is discussed in the following section. 13 28 Subjects were asked to indicate all crimes for which they were currently incarcerated, so an individual could have reported serving time, for example, for both a violent crime and a parole violation. Introduction Exhibit 6. t-statistics comparing means of SVORI and non-SVORI groups Variable Age at incarceration Race_white Race_black Race_other Homeless/shelter/no set place to live prior to incarceration Intimate relationship 6 months prior to incarceration Employed during 6 months prior to incarceration Ever held a job? Received substance use treatment prior to incarceration Received treatment for MH problem prior to incarceration Any victimization 6 months prior to incarceration Any violence perpetration 6 months prior to incarceration Used alcohol 30 days prior to incarceration Used marijuana 30 days prior to incarceration Used drugs other than marijuana 30 days prior to incarceration Ever use marijuana Ever use cocaine Ever use heroin Conviction offense: person/violent crime Conviction offense: property crime Conviction offense: drug crime Conviction offense: public order/other crime Currently serving time for parole violation Age at first arrest (minimum set at 7 years) Arrest rate Conviction rate Times in juvenile lockup Incarceration rate Number of previous prison incarcerations Adult Males N = 1,691 −2.57* −2.30* 2.74* −0.83 −0.12 −0.28 −2.04* −2.21* 0.42 −0.52 0.61 0.80 0.43 −0.76 −1.92 −1.25 −2.09* −2.59* 0.92 −1.35 2.36* −2.58* −3.18* −0.47 −0.50 −0.25 0.86 −3.28* −2.97* Note: MH = mental health. *p value < 0.05, two-tailed test. Propensity Score Model A propensity score model was used to address potential selection bias due to the quasi-experimental design (see Rubin [2006] for a collection of seminal papers in propensity score modeling; see D’Agostino [1998] for an accessible tutorial). Propensity score models use observed characteristics to model the likelihood that an individual with those characteristics will 29 Prisoner reentry experiences of adult males be selected (or assigned) to the intervention. 14 The purpose is to identify a set of parameters that are then used to estimate the probability of assignment to the intervention for each ˆ ) are then individual in a study. These probabilities (p-hats or p used either (1) to establish probability strata (or bins) within which subjects have similar probabilities of receiving the intervention; (2) as weights in the outcome models; or (3) as matching variables. The success of the estimation is judged by the effectiveness of the strata or weights in reducing differences between the treatment and control groups on observed characteristics or, in the common terminology, achieving balance between the two groups. The stratification or binning approach was used during preliminary assessments of the impact of SVORI on multiple outcomes. The final outcome models were estimated using the weighting approach, since it greatly simplifies the presentation of findings. Results showed that population average treatment effects estimated by combining results from the analyses based on strata were nearly identical to those derived from the weighted models—as would be expected. The adult male sample included 1,697 observations, 1,500 (88.4%) of which had no missing values on any of the variables 14 30 Propensity scoring methods are not without limitations. For example, use of propensity scores can only adjust for included covariates (Glynn, Schneeweiss, & Sturmer, 2006; Rosenbaum & Rubin, 1983). Unlike randomization, which tends to balance treatment and control groups on observed and unobserved covariates, use of propensity scores only balances on observed confounding covariates. The failure to include unobserved covariates can lead to biased estimates of treatment effects. However, if many of the covariates believed to be related to treatment assignment are measured, propensity score approaches (i.e., matching, stratification, regression adjustment) should yield consistent and approximately unbiased estimates of treatment effects (D'Agostino, 1998; Rosenbaum & Rubin, 1983). A second limitation is that propensity score approaches work better in larger samples; in studies with small samples, substantial imbalances of covariates may be unavoidable (Rubin, 1997). However, this is also true of randomized experiments and is not limited to propensity score methods. A third possible limitation is that included covariates that are strongly related to treatment assignment and only weakly correlated with the outcome are treated the same as covariates that are strongly related to both treatment assignment and outcome (Rubin, 1997). This might be considered a limitation because including irrelevant covariates can reduce efficiency. Rubin (1997) notes, however, that the potential biasing effects of failing to control for weakly correlated covariates are worse than the potential loss of efficiency from including them. Introduction included in the propensity score model. However, to take advantage of the full sample (and minimize selection issues with respect to item missingness), imputation procedures were used to generate values for missing items. In particular, the logit model to generate the probability of assignment to SVORI [p(SVORI) or p(S)] was estimated within the framework of SAS® 9.1 PROC MI ANALYZE. This SAS procedure allowed accommodation of item missingness by imputing values for missing values. As detailed in Lattimore and Steffey (2009), the propensity score model included a total of 24 variables that reflected preassignment characteristics. These variables were the following: age at incarceration; race (white and other; black was reference); homeless in the 6 months prior to incarceration; employed in the 6 months prior to incarceration; steady relationship in the 6 months prior to incarceration; experienced victimization in the 6 months prior to incarceration; family deviance scale; peer deviance scale; used drugs other than marijuana in the 30 days prior to incarceration; used marijuana in the 30 days prior to incarceration; drank alcohol in the 30 days prior to incarceration; mental health treatment prior to incarceration; substance abuse treatment prior to incarceration; age at first arrest; times locked up in juvenile detention; arrest rate; conviction rate; incarceration rate; currently serving time for a parole violation; currently serving time for a person/violent crime; currently serving time for a property crime; currently serving time for a drug crime; and currently serving time for a public order or other crime. 31 Prisoner reentry experiences of adult males The coefficients from the logit model were then used to ˆ for each individual (i.e., the 1,697 adult male generate a p 15 subjects). Assessment of the validity of the model is attained by examining the extent to which the propensity scores allow attainment of balance between the SVORI and non-SVORI groups. After this issue is addressed, information is presented on the distribution of the propensity scores that the models generated. The purpose of the propensity score is to achieve greater comparability between treatment and comparison groups. Two ways of checking for balance are to examine t statistics comparing SVORI and non-SVORI means or standardized differences (see, e.g., Rosenbaum & Rubin, 1985). The data were examined using both approaches; results suggested substantial improvement with respect to balance within bins. These results are presented in Lattimore and Steffey (2009). ˆ values were used as weights in Additionally, the estimated p models that provided checks to determine the extent to which these weights resulted in comparability between the two groups. Exhibit 7 provides one indication in the improvement in balance attained with the propensity scores. This exhibit presents the results of regressing individually the variables that were included in the SVORI propensity score model on the SVORI indicator using Proc Survey Logistic Regression. These analyses tested whether knowledge of a particular characteristic (e.g., race) resulted in better prediction of SVORI program participation. As can be seen in Exhibit 7, the results suggest that this hypothesis was rejected in every case, 15 Within the PROC MI procedure, each of the five data sets was used to generate the five sets of coefficients shown above. Each set of coefficients was then applied to the dataset from which it was generated, resulting in five p ˆ s for each individual. The five estimates were then averaged to produce one estimate for each individual. Because the range of parameter estimates is small for all of the variables included in the model, the difference between the minimum and maximum p ˆ values is also small for most observations. The difference between the minimum and maximum ˆ values ranged from 0.0008 to 0.1271 with a mean of 0.012 p (standard deviation = 0.012) and median of 0.008. Extreme values in the maximum difference between estimated p-hats were rare. The 99th, 95th, 90th, and 75th percentiles were 0.063, 0.032, 0.023, and 0.012, respectively 32 Introduction Exhibit 7. Balance checks for Wave 1 data based on propensity score weighted regression of the variable on a SVORI indicator Variable Estimate SE Wald Chi Sq Age at incarceration Race_white Race_black Race_other No home Employed Steady relationship Drug treatment prior MH treatment prior Victim_prior Perpetration rBSUA1b rBSUA10b Other_drug Person crime Property crime Drug crime Public order/other crime Parole violation Age first arrest arrest_rate convict_rate # juvenile detentions inc_rate −0.00006 −0.00280 0.00206 0.00107 0.00096 −0.00077 0.00225 0.00696 −0.00293 −0.00636 0.00000 0.00645 −0.00112 −0.00211 0.00217 0.00226 −0.00050 −0.00151 0.00150 0.00048 −0.00760 0.01522 −0.00024 −0.07839 0.007 0.104 0.099 0.149 0.148 0.104 0.106 0.100 0.114 0.100 0.106 0.106 0.099 0.099 0.101 0.114 0.105 0.123 0.114 0.010 0.108 0.206 0.016 0.874 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.005 0.001 0.004 0.000 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 0.005 0.005 0.000 0.008 Prob Chi Sq Odds Ratio Estimate Lower CL Upper CL 0.993 0.979 0.983 0.994 0.995 0.994 0.983 0.945 0.980 0.949 1.000 0.951 0.991 0.983 0.983 0.984 0.996 0.990 0.990 0.962 0.944 0.941 0.988 0.929 1.000 0.997 1.002 1.001 1.001 0.999 1.002 1.007 0.997 0.994 1.000 1.006 0.999 0.998 1.002 1.002 0.999 0.998 1.002 1.000 0.992 1.015 1.000 0.925 0.987 0.813 0.825 0.748 0.749 0.814 0.814 0.827 0.797 0.816 0.813 0.818 0.823 0.821 0.823 0.802 0.814 0.784 0.800 0.981 0.803 0.678 0.970 0.167 1.013 1.223 1.217 1.340 1.337 1.226 1.234 1.226 1.248 1.209 1.230 1.238 1.213 1.213 1.221 1.253 1.228 1.272 1.253 1.020 1.226 1.520 1.031 5.129 Note: CL = confidence level. SE = standard error. implying no differences between the groups with respect to these observed characteristics. Similar balance checks were conducted on the data from Waves 2 through 4 to determine whether the balance attained with the propensity scores persisted with the reduced samples available for the follow-up data. Results were similar to those presented above for Wave 1 data. No parameter estimate was significantly different from zero at the alpha = 0.05 level. ˆ are shown in Exhibit 8. As can The distributional findings for p ˆ ranges from a low of 0.1806 to a high of 0.7412. be seen, p The means of the distributions of the SVORI and non-SVORI groups are similar—0.5232 for SVORI and 0.4934 for nonSVORI. It is also clear that the distributions have substantial overlap. 33 Prisoner reentry experiences of adult males ˆ distributions for adult male SVORI and non-SVORI evaluation Exhibit 8. Characteristics of p participants N ˆ mean p ˆ standard deviation p ˆ minimum p ˆ maximum p All SVORI Non-SVORI 1,697 0.5085 0.0862 0.1806 0.7412 863 0.5232 0.0823 0.1933 0.7412 834 0.4934 0.0876 0.1806 0.7020 To estimate the impact of SVORI program participation on a variety of outcomes, weighted regression models were ˆ . For these models, estimated that used weights based on the p ˆ were used to produce weights to estimate population the p average treatment effects. Specifically, the following weights, wi for each subject i, were generated: If subject i was a SVORI participant, wi = 1 ˆ pi else wi = 1 . ˆi 1 − p Outcome analyses are presented later in this report. In the next chapter, the characteristics of the evaluation subjects are presented, followed by examination of self-reported service needs and service receipt across the four waves of interviews. 34 Characteristics of the SVORI and NonSVORI Comparison Respondents This chapter provides descriptive information about the 1,697 adult male SVORI and non-SVORI respondents interviewed in the 12 adult impact sites. Exhibit A-2 in Appendix A provides the means, standard deviations, and t-statistics for the variables discussed here. 16 DEMOGRAPHIC CHARACTERISTICS The men in the SVORI and non-SVORI samples were almost exclusively U.S. born (100% and 98% of the SVORI and nonSVORI respondents, respectively) and spoke English as a first language (98% and 97%, SVORI and non-SVORI, respectively). In addition, as shown in Exhibit 9, more than half (57%) of the SVORI respondents were black and 32% were white. 17 The SVORI sample included a higher percentage of black men and a lower percentage of white men than the non-SVORI comparison sample, which was 50% black and 37% white. Only 4% of both groups identified themselves as Hispanic. 18 16 17 18 The results in this chapter are updated from material presented in Lattimore et al. (2008). In a few cases, results differ slightly from those presented earlier. The small differences result from decisions made during the final cleaning of the data. Respondents were allowed to select all that applied. Individuals who reported more than one race are coded here as “other,” which also includes American Indian or Alaska Native, Asian or East Indian, and Native Hawaiian or other Pacific Islander. Individuals are coded Hispanic if they chose “Hispanic, Latino or Spanish,” regardless of whether they chose a race category. 35 Prisoner reentry experiences of adult males Exhibit 9. Demographic characteristics of respondents at time of interview, by group Variable Race SVORI Non-SVORI Black* 57% 50% White* 32% 37% Hispanic 4% 4% Other race Age 8% 9% 28.9 29.3 61% 58% Age at interview (mean) Education 12th grade/GED *p < 0.05 for test of significant difference between SVORI and non-SVORI. The average age of respondents in both samples was about 29 years at the time of the pre-release interview. As is evident from Exhibit 9, respondents in both groups had substantial educational deficiencies. Well over one third (39% SVORI and 42% non-SVORI) had not completed 12th grade or earned a GED. Given the diversity in the states selected for the impact evaluation, it is not surprising that demographic characteristics varied among the 12 sites. For example, Exhibit 10 shows the average age at the time of the pre-release interview for respondents by group and site. The overall mean age was 29 years; however, average age ranged from a low of 22.6 years for Maine respondents to a high of 35.1 years for Indiana nonSVORI respondents. 19 Only the average age difference between groups for the Iowa respondents was statistically significant (27.0 years for SVORI, 28.9 years for non-SVORI). There were racial and ethnic differences among the state samples. Race and ethnic differences across the state samples (and, within a state, between SVORI and non-SVORI samples) were more substantial than was observed for age. As shown in Exhibit 9, SVORI respondents were significantly more likely than non-SVORI respondents to report being black (57% versus 50%) and significantly less likely to report being white (32% versus 37%). Exhibit 11 shows the percentages of each group 19 36 Although the SVORI funding guidelines mandated that funds be used for individuals 35 years or younger, many states requested and received waivers of this requirement. Respondent Characteristics Exhibit 10. Age at time of interview, by site and group 34.6 32.5 27.5 27.1 28.9 30.0 27.2 27.4 26.2 26.0 28.8 28.4 26.4 27.1 Non-SVORI 28.4 27.8 22.7 22.6 25 Years 27.8 26.8 30 27.0 28.9 35 32.8 35.1 SVORI 40 20 15 10 5 0 IA* IN KS ME MD MO NV OH OK PA SC WA *p < 0.05 for test of significant difference between SVORI and non-SVORI. by site who reported that they were white or black.20 There were considerable variations among sites, however. For example, in Maryland, only 2% of the SVORI respondents were white, whereas in Maine, 69% of the SVORI respondents and 73% of the non-SVORI respondents were white. Overall, where there were statistically significant differences within a state, more SVORI respondents than non-SVORI respondents reported that they were black. This was true for 5 of the 12 sites—Kansas, Maryland, Missouri, Oklahoma, and South Carolina. Furthermore, in three sites—Maryland, Missouri, and Oklahoma—the proportion of white SVORI respondents was significantly less than the proportion of white non-SVORI respondents. 20 Respondents were also coded as Hispanic or other/multiracial—see footnote 18. 37 Prisoner reentry experiences of adult males Exhibit 11. Race (white or black), by site and group White (SVORI) 95 100% White (Non-SVORI) Black (Non-SVORI) 78 81 Black (SVORI) 66 31 39 19 24 30 25 27 24 26 2 5 9 11 19 20 20 23 20% 39 37 39 36 35 25 34 32 40% 44 45 49 52 55 59 56 54 52 43 52 60 69 61 66 58 60% 70 66 73 80% 0% IA IN KS* ME MD** MO** NV OH OK** PA SC* WA *p < 0.05 for test of significant difference between SVORI and non-SVORI within site in the proportion of black respondents. **p < 0.05 for test of significant difference between SVORI and non-SVORI within site in the proportion of black respondents and in the proportion of white respondents. There was also considerable state-level variation in educational attainment, as can be seen in Exhibit 12. 21 In Iowa, more than 80% of respondents had either finished high school or obtained a GED. Pennsylvania, Indiana, and Kansas also had high rates of high school or GED completion. But in South Carolina, Maryland, and Washington, less than half of the respondents reported that they had a high school degree or GED. In only one state was educational attainment significantly different between SVORI and non-SVORI sample members: in Nevada, significantly more SVORI respondents (79%) than non-SVORI respondents (52%) reported that they had completed 12th grade or earned a GED. 21 38 Respondents could have completed the GED during their current incarceration. The respondents were asked whether they had completed 12th grade or had received a GED at the time of the prerelease interview. Respondent Characteristics Exhibit 12. Completed 12th grade or obtained a GED, by site and group SVORI 100% 45 48 51 52 46 47 61 66 40% SC WA 39 40 48 50 60% 58 58 66 65 70 65 80% 79 74 79 79 84 89 Non-SVORI 20% 0% IA IN KS ME MD MO NV* OH OK PA *p < 0.05 for test of significant difference between SVORI and non-SVORI within site. HOUSING More than 1 in 10 respondents reported that they were primarily homeless, living in a shelter, or had no set place to live during the 6 months prior to incarceration. During the 6 months prior to incarceration, the most common housing situation reported by the respondents was living in a house or apartment that belonged to someone else. Just under half (46%) of both SVORI and non-SVORI respondents reported primarily living in a house or apartment that belonged to someone else. About one third (35% SVORI and 32% nonSVORI) reported living primarily in their own house or apartment. Finally, more than 1 in 10 (12%) of both SVORI and non-SVORI respondents reported as their primary housing situation that they were homeless, living in a shelter, or had no set place to live. FAMILY AND CHILDREN Although about 40% of both groups reported that they were either currently married or in a steady relationship (39% SVORI, 40% non-SVORI), only small proportions reported being married (9% and 10%, SVORI and non-SVORI, respectively). Of those who reported that they were currently married or in a steady relationship, 59% of SVORI respondents and 67% of non-SVORI respondents said that they lived with that person before incarceration. 39 Prisoner reentry experiences of adult males About 60% of respondents reported that they were fathers of minor children. About three quarters of these fathers reported that they were married or in a steady relationship at the time of the interview. Nearly all fathers required to pay child support reported that they owed back child support. Exhibit 13. Percentages of fathers reporting on child care or child support responsibilities, by group Most study participants from both groups (59% SVORI and 61% non-SVORI) reported having children under age 18. On average, respondents with children had more than two (2.22 SVORI and 2.29 non-SVORI). About three quarters of these fathers reported that they were currently married or in a steady relationship (77% SVORI and 74% non-SVORI). Furthermore, as can be seen in Exhibit 13, about half of those with children under 18 indicated that they had primary care responsibilities for their children (either with or without a partner) during the 6 months prior to incarceration (47% of SVORI respondents and 49% of non-SVORI respondents). Nearly one third of the fathers (30% SVORI and 32% non-SVORI) reported that they were required to pay child support during the 6 months prior to incarceration, and, of those, more than half reported that they had made court-ordered payments (59% SVORI and 56% nonSVORI). Nearly all fathers required to pay child support reported that they owed back child support (93% SVORI and 91% non-SVORI), and most of these respondents reported that they owed more than $5,000 (62% and 55%, SVORI and nonSVORI, respectively). As is evident in Exhibit 13, SVORI and non-SVORI respondents were similar on these family background characteristics. 100% 80% 60% 93 SVORI 91 Non-SVORI 59 47 49 40% 30 56 32 20% 0% Primary care f or children under 18 Required to pay child support a Made required child support b Owed back child support b Note: Differences between SVORI and non-SVORI are not statistically significant at the 0.05 level. a Of those with children under 18 years of age. b Of those required to pay child support. 40 Respondent Characteristics Nearly all SVORI and non-SVORI respondents (97% of both groups) reported having people in their lives they considered to be family. Respondents also reported that their family provided an important source of emotional support (data not shown). Nearly all respondents (88% of SVORI and 91% of non-SVORI) agreed or strongly agreed that they felt close to their family and wanted their family to be involved in their life (95% SVORI and 96% non-SVORI). Although they provided a substantial source of emotional support for these men, family members also may have served as a negative influence. As shown in Exhibit 14, about three quarters of both SVORI and non-SVORI respondents reported having family members who had been convicted of a crime or incarcerated, and nearly three quarters (72% SVORI and 74% non-SVORI) reported having family members who had problems with drugs or alcohol. About three quarters of respondents reported having family members who had been convicted of a crime or incarcerated. Exhibit 14. Criminal history and substance use of family and peers, by group SVORI 100% Non-SVORI 83 80% 75 76 75 74 72 83 81 81 82 83 74 60% 40% 20% 0% Family who have been convicted Family who have been incarcerated Family with drug or alcohol problems Friends who have been convicted Friends who have been incarcerated Friends with drug or alcohol problems Note: Differences between SVORI and non-SVORI are not statistically significant at the 0.05 level. 41 Prisoner reentry experiences of adult males A large majority of respondents reported having criminally involved friends prior to incarceration. Similarly, the reported prevalence of illegal behavior and problems with substance use among friends was also high. A large majority of respondents reported having criminally involved friends prior to incarceration. The majority of both SVORI and non-SVORI respondents reported having friends prior to incarceration who had been convicted of a crime (83% of both groups) or incarcerated (81% of both groups). The respondents also reported that, prior to incarceration, they had friends who had problems with drugs or alcohol (82% SVORI and 83% non-SVORI). SUBSTANCE USE AND PHYSICAL AND MENTAL HEALTH Respondents were asked a variety of questions about their preprison alcohol and drug use, as well as their substance abuse treatment experiences. They were also asked about their lifetime and current experiences with a variety of physical illnesses. In addition, they were asked to respond to a series of items that comprise three well-known scales—the SF-12 physical health scale, the SF-12 mental health scale, and the SA-45 Global Severity Index (GSI; Ware et al., 2002; Strategic Advantages, 2000). Substance Use and Treatment Nearly all of the respondents reported having used alcohol and drugs during their lifetimes. Self-reports on “ever using” indicate somewhat higher usage among the non-SVORI respondents for most drugs. 42 Nearly all of the respondents reported having used alcohol and drugs during their lifetimes. The majority of both groups reported using alcohol (96% SVORI and 97% non-SVORI), and the average age of first use was about 14 years (13.7 and 13.6 for the SVORI and non-SVORI respondents, respectively). Similarly, nearly all respondents in both groups reported having used marijuana (92% SVORI and 94% non-SVORI), again reporting a young age of first use (13.9 and 14.1 for the SVORI and non-SVORI respondents, respectively). Exhibit 15 shows responses for lifetime use for the most common drugs. As can be seen, self-reports on “ever using” indicate somewhat higher usage among the non-SVORI respondents for most drugs. More than half of all respondents reported having used cocaine (53% and 58% of the SVORI and non-SVORI respondents, respectively), and nearly one half reported having used hallucinogens (43% and 49%, SVORI and non-SVORI, Respondent Characteristics Exhibit 15. Lifetime substance use, by group 92 94 Marijuana 53 Cocaine* 58 43 Hallucinogens* 49 26 Amphetamines 30 25 Tranquilizers* 31 24 Pain relievers* 30 18 Heroin* 23 18 Sedatives 21 16 Stimulants* SVORI 20 Non-SVORI 15 16 Inhalants 0% 20% 40% 60% 80% 100% *p < 0.05 for test of significant difference between SVORI and non-SVORI. respectively). Fewer respondents reported using other substances. 22 There was considerable variability among the states with respect to self-reports of ever using specific drugs. Exhibit 16 presents the percentages of respondents in each site and group who reported ever using cocaine, heroin, and hallucinogens. Only 22% of the Missouri SVORI respondents reported ever using cocaine in comparison with 82% of the non-SVORI respondents from Maine. Self-reported heroin use ranged from a low of 3% (Missouri SVORI) to a high of 64% (Maine nonSVORI), whereas self-reported hallucinogen use ranged from 21% (Maryland SVORI) to 86% (Maine non-SVORI). 22 Less than 10% reported ever using methadone (6% and 9% for the SVORI and non-SVORI respondents, respectively) or anabolic steroids (2% for both the SVORI and non-SVORI respondents). 43 Prisoner reentry experiences of adult males Exhibit 16. Lifetime use of cocaine, heroin, and hallucinogens, by site and group Cocaine Site IA IN KS ME MD MO NV OH OK PA SC WA SVORI 75% 72% 30%* 69% 48% 22%* 36% 34% 55% 49% 56% 66% Heroin Non-SVORI 65% 67% 62%* 82% 52% 58%* 50% 50% 54% 59% 53% 60% SVORI 14% 17% 9% 49% 49% 3%* 5%* 11% 7% 12% 7% 38% Non-SVORI 13% 17% 21% 64% 49% 26%* 16%* 13% 12% 17% 9% 23% Hallucinogens SVORI 68% 47% 48% 83% 21%* 56% 48% 38% 62% 39% 22%* 76% Non-SVORI 65% 49% 64% 86% 36%* 62% 48% 32% 63% 53% 31%* 63% *p < 0.05 for test of significant difference between SVORI and non-SVORI within site. In some sites, more nonSVORI than SVORI respondents reported ever using various types of drugs. About two thirds of respondents reported having used one or more illicit drugs during the 30 days prior to their imprisonment. 44 There were only a few statistically significant differences between SVORI and non-SVORI groups within site; in each of these cases more non-SVORI than SVORI respondents reported ever using various types of drugs. Specifically, non-SVORI respondents in Kansas and Missouri were much more likely than SVORI respondents in those states to report having used cocaine, and non-SVORI respondents in Missouri and Nevada were more likely than SVORI respondents in those states to report heroin use. Finally, in Maryland and South Carolina, nonSVORI respondents were more likely than SVORI respondents to report hallucinogen use. There were few differences between the two groups with respect to reported drug use during the 30 days prior to their current incarceration. About two thirds of both groups reported having used one or more illicit drugs during the 30 days prior to their imprisonment (66% and 69% for the SVORI and nonSVORI respondents, respectively). Exhibit 17 shows that there were SVORI/non-SVORI differences among the sites on this measure although the differences between groups within site are not statistically significant at the 0.05 level. Reported use ranged from a high of 84% of non-SVORI respondents in Maine to a low of 46% of SVORI respondents in Pennsylvania. Respondent Characteristics SVORI Non-SVORI 83 68 62 46 52 60 58 62 58 60% 72 79 82 69 77 65 68 73 64 74 76 80% 83 82 100% 84 Exhibit 17. Substance use during the 30 days prior to incarceration, by site and group 40% 20% 0% IA IN KS ME MD MO NV OH OK PA SC WA Note: Within-site differences between SVORI and non-SVORI are not significant at the 0.05 level. Exhibit 18 compares the two groups’ reported use during the 30 days prior to incarceration for the most commonly reported drugs. More than half of both SVORI and non-SVORI respondents reported using marijuana; approximately one quarter of all respondents reported using cocaine. Exhibit 18. Use of specific substances during the 30 days prior to incarceration, by group 52 53 Marijuana 22 26 Cocaine Amphetamines 13 14 Pain relievers 11 14 SVORI Non-SVORI 9 9 Hallucinogens 0% 20% 40% 60% 80% 100% Note: Within-site differences between SVORI and non-SVORI are not significant at the 0.05 level. 45 Prisoner reentry experiences of adult males More than half of respondents had received treatment for a substance use or mental health problem at some point during their lifetime. More than half of SVORI and non-SVORI respondents had received treatment for a substance use or mental health problem at some point during their lifetime (56% and 55% of SVORI and non-SVORI, respectively). Of these, about one quarter had received treatment for alcohol abuse or dependency (25% of SVORI respondents and 28% of nonSVORI respondents), and more than one third reported that they had received treatment for drug abuse or dependence (42% SVORI and 41% non-SVORI). On average, those who had received treatment had started a treatment program on more than two separate occasions. As shown in Exhibit 19, the percentage of respondents reporting receiving treatment prior to prison varied considerably across sites (but not within). Whereas less than 30% of Nevada respondents reported having previously received treatment for substance use, about two-thirds of those in Iowa reported that they had participated in substance use treatment prior to their current incarceration. 100% SVORI Non-SVORI 80% 41 42 36 OK 28 33 37 OH 21 28 36 33 34 32 KS 44 48 50 IN 40% 45 47 48 60% 51 50 57 58 67 64 Exhibit 19. Any substance use treatment prior to current incarceration, by site and group 20% 0% IA ME MD MO NV PA SC WA Note: Within-site differences between SVORI and non-SVORI are not significant at the 0.05 level. 46 Respondent Characteristics Physical Health Overall, the study participants reported currently experiencing few physical health problems. Overall, the study participants reported currently experiencing few physical health problems. Most respondents rated their current physical health as excellent or very good (65% of SVORI and 63% of non-SVORI). The percentages of subjects in each group who reported ever or currently having specific diseases are shown in Exhibits 20 and 21. Exhibit 20. Lifetime health problems, by group 20 Asthma 19 17 16 High blood pressure 15 Chronic back pain 16 6 Tuberculosis 7 5 5 Heart trouble 5 Arthritis 6 3 Hepatitis B or C 5 2 2 Diabetes SVORI Non-SVORI 1 1 HIV positive/AIDS 0% 5% 10% 15% 20% 25% Note: Differences between SVORI and non-SVORI are not significant at the 0.05 level. Asthma, high blood pressure, and chronic back pain were the most commonly reported. Only 1% of the respondents reported that they were HIV positive or had been diagnosed with AIDS, whereas about 4% reported that they had been diagnosed with hepatitis B or C. There were no statistically significant differences in the reports of physical illnesses between the two groups. 47 Prisoner reentry experiences of adult males Exhibit 21. Current health problems, by group 11 Asthma 10 9 High blood pressure 8 11 Chronic back pain 13 0 Tuberculosis 0 3 3 Heart trouble 5 5 Arthritis 3 Hepatitis B or C* 5 SVORI 1 Diabetes 2 Non-SVORI 1 1 HIV positive/AIDS 0% 5% 10% 15% 20% 25% Note: Differences between SVORI and non-SVORI are not significant at the 0.05 level. Mental Health There were no differences between SVORI and nonSVORI respondents in their general measures of physical and mental functioning and mental health. 48 There were also no differences between SVORI and non-SVORI respondents in their scores on the four scales measuring physical and mental functioning (the SF-12 scales) and mental health (the SA-45 GSI and Positive Symptom Total [PST]). Scores on the SF-12 physical health scale were above 50 (53.63 for SVORI respondents, 53.34 for non-SVORI respondents). Furthermore, more than half of each group responded that they had no limitations with respect to each of the five items that constitute the physical health scale (59% of SVORI respondents and 56% of non-SVORI respondents). Scores on the SF-12 mental health scale were nearly 50 (48.93 for SVORI respondents, 48.51 for non-SVORI respondents). Both groups scored less than 70 on the GSI, which has a range of 45 to 225; higher scores indicate more psychopathology (66.64 and 68.09 for the SVORI and non-SVORI respondents, respectively). Average scores on the PST index were 13 for both SVORI and non-SVORI respondents, meaning that respondents reported experiencing, on average, 13 of the 45 Respondent Characteristics symptoms included in the SA-45 during the 7 days prior to the interview. Non-SVORI respondents were significantly more likely than SVORI respondents to indicate symptoms of hostility and psychoticism. Exhibit 22. Average scores on Brief Symptom Inventory subscales, by group In addition to the GSI, the SA-45 includes subscales indicating symptoms of specific psychopathologies. Of the nine subscales, there were statistically significant differences for two measures—in each case indicating that the non-SVORI respondents were slightly worse on these measures than the SVORI respondents. Results are shown in Exhibit 22. Scores on these subscales range from a low of 5 to a high of 25, and all results for the respondents were on the lower end of the range. Scores were similar between groups for anxiety, depression, interpersonal sensitivity, obsessive-compulsive disorder, paranoid ideation, phobic anxiety, and somatization. NonSVORI respondents were significantly more likely than SVORI respondents to indicate symptoms of hostility (6.41 for SVORI respondents, 6.69 for non-SVORI respondents) and psychoticism (6.58 for SVORI respondents, 6.89 for non-SVORI respondents). Measure Anxiety scale Depression scale Hostility scale* Interpersonal sensitivity scale Obsessive-compulsive scale Paranoid ideation scale Phobic anxiety scale Psychoticism scale* Somatization scale SVORI 7.42 8.31 6.41 7.50 8.12 8.84 6.42 6.58 7.05 Non-SVORI 7.67 8.45 6.69 7.60 8.17 8.85 6.56 6.89 7.16 *p < 0.05 for test of significant difference between SVORI and non-SVORI. Depression was cited as the most common reason for the treatment. As reported previously, more than half of SVORI and nonSVORI respondents had received treatment for a substance use or mental health problem at some point during their lifetime (56% and 55% of SVORI and non-SVORI, respectively). Of those who reported that they had ever received mental health treatment, depression was cited as the most common reason for the treatment. About 20% of each group reported that they had received care for depression or dysthymia (19% SVORI and 20% non-SVORI). Ten percent or more reported that they had received treatment for attention deficit hyperactivity disorder (12% of SVORI respondents and 13% of non-SVORI 49 Prisoner reentry experiences of adult males respondents) or bipolar disorder (10% SVORI and 12% nonSVORI). Less than 10% reported that they were currently receiving treatment for any mental health problem. Of those who reported that they were currently receiving treatment, the most common diagnoses were depression or dysthymia (6% and 10%, SVORI and non-SVORI, respectively) and bipolar disorder (5% and 6%, SVORI and non-SVORI, respectively). Most respondents described their mental health status at the time of the pre-release interview as excellent or very good. Most respondents described their mental health status at the time of the pre-release interview as excellent or very good (52% SVORI and 49% non-SVORI). During their current period of incarceration, 13% of SVORI respondents were prescribed medication for emotional problems, and 22% felt they needed treatment for mental health problems. The non-SVORI respondents were significantly more likely to have been prescribed medication for a mental or emotional problem while incarcerated (19%) and to feel in need of treatment for mental health problems (29%). EMPLOYMENT HISTORY AND FINANCIAL SUPPORT This subsection covers the respondents’ employment history prior to incarceration and describes additional sources of financial support. Employment History Most subjects reported having worked at some time prior to incarceration. As shown in Exhibit 23, most subjects reported having worked at some time prior to incarceration—89% of SVORI versus 92% of non-SVORI—and about two thirds of both groups reported having a job during the 6 months prior to incarceration (64% and 68%, SVORI and non-SVORI, respectively). Although these differences are statistically significant (at 0.05 levels), they are relatively small in magnitude. Some variation in the percentage of respondents who had worked during the 6 months prior to entering prison was evident across the 12 sites (Exhibit 24). More than 70% of SVORI respondents in Iowa, Maine, and South Carolina reported working during the 6 months prior to their incarceration. In contrast, only about 40% of all respondents in Washington reported working immediately prior to incarceration. Differences between SVORI and non-SVORI respondents were not statistically significant at the 0.05 level in any state. 50 Respondent Characteristics Exhibit 23. Employment prior to incarceration, by group 100% SVORI 92 89 Non-SVORI 80% 68 64 60% 40% 20% 0% Ever held job* Held job in 6 months before prison* *p < 0.05 for test of significant difference between SVORI and non-SVORI. SVORI 100% 72 73 63 63 57 38 44 47 48 60% 71 66 64 68 56 57 67 72 74 70 67 67 80% 81 82 Non-SVORI 72 Exhibit 24. Employment during the 6 months prior to incarceration, by site and group 40% 20% 0% IA IN KS ME MD MO NV OH OK PA SC WA Note: Within-site differences between SVORI and non-SVORI are not significant at the 0.05 level. For those who worked during the 6 months prior to incarceration, about three quarters of respondents described their most recent job as a permanent job (75% SVORI and 73% non-SVORI) for which they received formal pay (Exhibit 25). 51 Prisoner reentry experiences of adult males Exhibit 25. Characteristics of respondents’ jobs prior to incarceration, by groupa SVORI 100% 80% 93 Non-SVORI 75 73 74 94 72 60% 40% 20% 0% Held a permanent Worked for formal Worked more than job pay 20 hrs/wk Note: Differences between SVORI and non-SVORI are not significant at the 0.05 level. a Among respondents who worked during the 6 months prior to incarceration. Almost all who worked reported that they had worked more than 20 hours a week, working an average of about 42 hours (41.7 hours per week for SVORI respondents and 41.8 hours per week for non-SVORI respondents). The SVORI respondents reported a slightly higher average hourly rate of $10.91 compared with the average $10.13 reported by the non-SVORI respondents. When asked about the longest they had ever worked at one job since they were 18, most respondents reported less than 2 years. Although the majority described their most recent job as a permanent job, many of the respondents who had worked reported having had more than one job during the 6 months prior to incarceration. More than one third of the sample (35% SVORI, 36% non-SVORI) reported having had two or more jobs during the 6 months prior to incarceration. Furthermore, well over one third (35% SVORI, 38% non-SVORI) reported that they worked at the job for 3 months or less. When asked about the longest they had ever worked at one job since they were 18, most respondents reported less than 2 years (61% SVORI, 62% non-SVORI). The jobs that respondents typically held were blue-collar jobs. More than one third of the respondents in both groups who had been employed during the 6 months prior to incarceration 52 Respondent Characteristics reported that the last job they had was as a laborer, which includes construction workers, day laborers, landscapers, and roofers (35% SVORI, 36% non-SVORI). About one fifth of respondents (22% of each group) had worked in the service industry as cooks, waiters, janitors, cashiers, and dishwashers. Many respondents also reported working as skilled craftsmen (15% SVORI, 17% non-SVORI) or equipment operators (16% SVORI, 13% non-SVORI). Few respondents reported having professional or technical occupations or jobs as managers or administrators (4% of each group). Financial Support Nearly half of the respondents reported supporting themselves with income from illegal activities during the 6 months prior to incarceration. The respondents were asked how they had supported themselves, in addition to legal employment, during the 6 months prior to incarceration. Nearly half of the respondents reported supporting themselves with income from illegal activities (46% and 43% of SVORI and non-SVORI, respectively). Another one third received support from family (32% of both groups). Fewer reported receiving financial help from friends (17% of SVORI respondents, 14% of non-SVORI respondents) or the government (11% of SVORI respondents, 10% of non-SVORI respondents). Exhibit 26 shows the sources of financial support for SVORI and non-SVORI respondents, disaggregated by their employment status during the 6 months prior to incarceration. As shown in the exhibit, within employment status there were relatively few differences between SVORI and non-SVORI respondents with respect to whether they reported receiving financial support from each of the four sources. The most substantial difference between the reports of those working and not working was in reports of support from illegal activities. More than 60% of those who were not employed during the 6 months prior to incarceration reported financial support from illegal activities, compared with less than 40% of those who reported working during that period. For both SVORI and non-SVORI respondents, those who held a job prior to incarceration were somewhat less likely than those who had no job to receive financial support from friends, the government, or other sources. 53 Prisoner reentry experiences of adult males Exhibit 26. Sources of income during the 6 months prior to incarceration, by employment status and group 100% Held job (SVORI) Held job (Non-SVORI) No job (SVORI) 80% 63 63 No job (Non-SVORI) 14 3 6 19 34 35 8 8 14 16 18 14 20% 12 20 32 34 31 40% 31 60% 0% Family Friends Government Illegal Other* *p < 0.05 for test of significant difference between SVORI (Held Job) and non-SVORI (Held Job). CRIMINAL HISTORY, VIOLENCE, VICTIMIZATION, AND GANG INVOLVEMENT This subsection describes respondents’ involvement with the criminal and juvenile justice systems prior to incarceration and outlines preincarceration perpetration of violence and victimization. Respondents’ reports of gang involvement are also briefly described. Criminal History Respondents reported considerable involvement with the criminal justice system prior to their current incarceration. 54 SVORI and non-SVORI respondents reported considerable involvement with the criminal justice system prior to their current incarceration (Exhibit 27). On average, the respondents were 16 years old at the time of their first arrest and had been arrested more than 12 times. In addition to their current term of incarceration, most respondents had served a previous prison term, with the non-SVORI group being significantly more likely to report a prior prison term (83% of SVORI, 87% of nonSVORI). Also, the non-SVORI respondents reported significantly more incarcerations, on average, than the SVORI group (1.20 for SVORI, 1.47 for non-SVORI). Respondent Characteristics Exhibit 27. Criminal history of respondents, by group Criminal History Age at first arrest (mean) Times arrested (mean) Times convicted (mean) Ever been previously incarcerated* Times previously incarcerated (mean)* SVORI 15.92 12.42 5.48 83% 1.20 Non-SVORI 16.03 13.14 5.70 87% 1.47 *p < 0.05 for test of significant difference between SVORI and non-SVORI. The two groups were similar in self-reported juvenile detentions. Overall, about half (51% and 49% of the SVORI and non-SVORI respondents, respectively) reported that they had spent time in a juvenile correctional facility for committing a crime. Of those who reported a juvenile detention, they had been detained, on average, 3.5 times (3.58 times for SVORI, 3.49 times for non-SVORI). About 40% of respondents reported that they were currently serving time for a violent crime. Exhibit 28 shows the conviction offense(s) that were reported by the respondents. 23 About 40% of respondents reported that they were currently serving time for a person/violent crime (42% SVORI and 40% non-SVORI)—including 19% of SVORI and 16% of non-SVORI respondents and 15% of SVORI and 13% of non-SVORI who reported that they were currently serving time for assault and robbery, respectively. About 25% reported a property crime (24% and 27% of the SVORI and non-SVORI respondents, respectively), most commonly burglary. SVORI respondents were significantly more likely than non-SVORI respondents to report that their current incarceration was for a drug crime (36% SVORI, 31% nonSVORI)—in particular for drug dealing/manufacturing (21% of SVORI, 15% of non-SVORI). SVORI respondents were significantly less likely to report that their current incarceration was for a public order crime (17% SVORI, 22% non-SVORI). Public order offenses include probation and parole violations; members of the non-SVORI group were more likely to report that their current incarceration was for a violation of probation or parole (27% and 35% of SVORI and non-SVORI respondents, respectively). 23 Two percent of the SVORI and 1% of the non-SVORI respondents reported that their conviction offense was “other.” This category includes unspecified felonies, gang activity, and habitual offender violations. 55 Prisoner reentry experiences of adult males Exhibit 28. Conviction offenses for current incarceration, by group 40 Person/Violent 42 27 Property 24 31 Drug* 36 Non-SVORI 22 Public order* SVORI 17 0% 20% 40% 60% 80% 100% *p < 0.05 for test of significant difference between SVORI and non-SVORI. More than two thirds of respondents reported violent behavior prior to incarceration. Most also reported being victims of violence. Perpetration of Violence During the 6 months prior to incarceration, more than two thirds of both SVORI and non-SVORI respondents (69% and 67%, respectively) reported violent behavior (including threats of violence). Victimization Most respondents also reported being victims of violence. More than half of the respondents (59% SVORI and 58% non-SVORI) reported being victimized either through threats or use of violence during the 6 months prior to incarceration. Gang Membership Very few respondents in both groups (5% of SVORI and 6% of non-SVORI) reported being a member of a gang. Of the small number of respondents in a gang, about half (53% of SVORI, 52% of non-SVORI) considered their gang to be family and about half reported that they had relatives who were members of the gang (55% SVORI, 58% non-SVORI). IN-PRISON EXPERIENCES This subsection describes respondents’ in-prison experiences on several dimensions, including sentence length, disciplinary infractions, and in-prison victimization. This is followed by a 56 Respondent Characteristics description of in-prison work and a discussion of interaction with family during prison. Sentence Length At the time of the pre-release interview, SVORI respondents had been incarcerated significantly longer than non-SVORI respondents (an average of 2.8 years and 2.3 years, respectively). The difference between these is due, primarily, to statistically significant differences in 5 of the 12 sites, as can be seen in Exhibit 29. In particular, in Kansas, Missouri, Nevada, and Oklahoma, SVORI respondents had served, on average, about 2 years longer than the non-SVORI respondents. In Washington, SVORI respondents had been incarcerated for 1 year longer than non-SVORI respondents, on average. Respondents in Maine reported the shortest lengths of stay of slightly more than a year, whereas stays of about 2 years were reported by most respondents in the remainder of sites, without statistically significant differences in length of stay. SVORI 4.6 3.8 2.6 2.7 1.5 2.3 2.1 2.3 2.6 2.1 1.8 2.2 1.3 1.4 2 2.0 2.2 Years 3 3.1 3.4 4 3.9 3.9 Non-SVORI 1.7 5 3.7 Exhibit 29. Average duration of incarceration at time of interview, by site and group 2.1 1.9 SVORI respondents had been incarcerated significantly longer than non-SVORI respondents. 1 0 IA IN KS* ME MD MO* NV* OH OK* PA SC WA* *p < 0.05 for test of significant difference between SVORI and non-SVORI within site. Disciplinary Infractions and Administrative Segregations SVORI respondents also reported more disciplinary infractions and administrative segregations than were reported by the non-SVORI respondents. As shown in Exhibit 30, 64% of SVORI respondents reported at least one disciplinary infraction, 57 Prisoner reentry experiences of adult males Exhibit 30. Disciplinary infractions and administrative segregations during current incarceration, by group Infractions and Segregations Disciplinary Infractions None One More than one Administrative Segregations None One More than one SVORI Non-SVORI 35% 17% 47% 43% 17% 40% 55% 19% 26% 60% 18% 22% *p < 0.05 for test of significant difference between SVORI and non-SVORI. compared with 57% of non-SVORI respondents. Less than half reported administrative segregation during the current term of incarceration (45% of SVORI and 40% of non-SVORI). These differences between groups are statistically significant but may simply reflect the longer lengths of stay reported by the SVORI respondents. 24 In-prison Victimization Slightly more than half of all respondents reported being victimized during the current incarceration. Reported in-prison victimization was similar for the two groups. Slightly more than half of all respondents (55% and 54% of SVORI and non-SVORI respondents, respectively) reported being victimized during the current incarceration—somewhat fewer than reported being victimized during the 6 months prior to incarceration (59% SVORI and 58% non-SVORI). This measure includes both threat of violence (including someone threatening to hit the respondent with a fist or anything else that could hurt him or someone threatening to use a weapon on him) and perpetration of violence (including someone throwing anything at the respondent; pushing, grabbing, shoving, slapping, kicking, biting, hitting with a fist, or using a weapon on him; or the respondent needing medical attention for violent acts directed at him). The reported severity of victimization was low. On a 36-point victimization scale, SVORI and non-SVORI respondents scored an average of 2.7 and 2.9, respectively. 25 This victimization severity was somewhat lower than was 24 25 58 Longer lengths of stay expose subjects to greater opportunity to commit infractions and receive administrative segregation; in other words, the period at risk is longer. Responses to six victimization items were coded 0 though 6, with higher values indicating more frequent victimization. (Response options ranged from “never” to “daily.”) The six items were summed to create the in-prison victimization scale. Respondent Characteristics reported for the 6 months prior to incarceration (3.85 SVORI, 3.75 non-SVORI). In-prison Work SVORI 81 82 69 62 66 58 48 52 40 44 52 56 54 64 71 75 80% 60% 90 Non-SVORI 83 100% 69 Exhibit 31. Institutional employment, by site and group Nearly two thirds of the respondents (63% of SVORI and 61% of non-SVORI) said that they had a job in the institution where they were incarcerated. On average, respondents with prison jobs spent about 23 hours per week working (23.8 and 22.3 hours for SVORI and non-SVORI respondents, respectively). Most of the jobs were prison service as opposed to prison industry jobs. About 60% reported having a prison service job (60% of SVORI, 57% of non-SVORI), but only 4% of both groups reported having a prison industry job. As can be seen in Exhibit 31, respondents in South Carolina and Pennsylvania were most likely to report working while in prison, and those in Nevada were the least likely. A significant difference between SVORI and non-SVORI respondents was observed only for Indiana (56% and 29%, respectively). 65 69 Nearly two thirds of the respondents said that they had a job in the institution where they were incarcerated. 23 29 30 40% 20% 0% IA IN* KS ME MD MO NV OH OK PA SC WA *p < 0.05 for test of significant difference between SVORI and non-SVORI. Very few respondents reported having a workrelease job. Very few respondents reported having a work-release job. Only 3% of SVORI and 4% of non-SVORI respondents reported that they were on work release. Those with work-release jobs reported working more hours than those with institution jobs. SVORI respondents reported working significantly more hours than non-SVORI respondents (40 and 31 hours, respectively). 59 Prisoner reentry experiences of adult males As shown in Exhibit 32, only in Pennsylvania did more than 10% of the respondents participate in work release. 26 For the remaining states, less than 10% (and usually many fewer) reported having a work-release job. Exhibit 32. Work-release participation, by site and group 35% 29 SVORI 30% Non-SVORI 25% 16 20% 15% 6 IA* ME MD MO NV OH 3 2 0 2 2 2 0 2 0 0 0% 3 5 2 4 5% 5 6 8 10% OK PA SC WA Note: Values for IN and KS were 0%. *p < 0.05 for test of significant difference between SVORI and non-SVORI within site. Family Most respondents indicated that family members served as an important source of emotional support during incarceration. Most respondents (97% of both groups) indicated that they had people in their lives that they considered to be family and that these family members served as an important source of emotional support. A scale was created to represent the degree of family emotional support that respondents felt at the time of the pre-release interview. Respondents were asked the degree to which they agreed with 10 statements about their relationships with their family, such as “I have someone in my family who understands my problems” and “I have someone in my family to love me and make me feel wanted.”27 The items were combined to create a scale with possible values ranging 26 27 60 Most respondents in Pennsylvania were interviewed at a community corrections center, where work-release jobs were common. Response categories were “strongly agree,” “agree,” “disagree,” and “strongly disagree.” Values of 0 through 3 were assigned to response categories, with higher values representing greater family emotional support. The values for each of the 10 items were summed to create the family emotional support scale. Respondent Characteristics from 0 to 30 and higher scores indicating higher levels of family emotional support. There were no significant differences between SVORI respondents and non-SVORI respondents on this measure (21.63 for SVORI, 21.35 for non-SVORI). Respondents were also asked about the frequency of contact with family members and friends. Response options for each type of contact ranged from “never” to “daily.” SVORI and nonSVORI respondents reported similar frequencies of contact with their family members through phone calls or mail (Exhibit 33). About 40% of both groups reported weekly phone or mail contact with family members. Both SVORI and non-SVORI respondents reported less frequent phone and mail contact with friends than with family. In-prison visits with family members were less frequent than phone calls and mail. However, on average, SVORI respondents received more visits from family and non-family members than the comparison group. Exhibit 33. Frequency of in-prison contact with family members and friends, by group Form of Contact Phone Contact Never A few times Monthly Weekly Daily Mail Contact Never A few times Monthly Weekly Daily In-Person Visits Never A few times Monthly Weekly Daily Contact with Family Members SVORI Non-SVORI Contact with Friends SVORI Non-SVORI 16% 15% 16% 38% 14% 18% 14% 16% 36% 16% 47% 16% 13% 16% 8% 52% 13% 11% 15% 9% 10% 17% 23% 41% 9% 9% 18% 21% 41% 10% 30% 19% 16% 30% 6% 36% 17% 16% 25% 6% 35%* 23% 17% 21% 3% 43%* 21% 18% 17% 2% 64% 16% 8% 10% 2% 71% 13% 6% 8% 1% *p < 0.05 for test of significant difference between SVORI and non-SVORI. 61 Prisoner reentry experiences of adult males Respondents were also asked whether the amount of each type of contact with family and friends was currently more, about the same, or less than when they were first incarcerated (i.e., during the first 6 months of incarceration). Almost half of the respondents in both groups reported that they had about the same amount of contact with family and friends as they did when they were first incarcerated (Exhibit 34). More respondents reported having less contact, rather than more contact, with family and friends than when they were first incarcerated. Exhibit 34. Amount of contact with family members and friends at time of interview compared with contact when first incarcerated More contact (SVORI) 100% More contact (Non-SVORI) About the same (SVORI) 80% About the same (Non-SVORI) Less contact (Non-SVORI) 30 16 20 17 26 35 36 48 47 32 17 21 20 20% 34 40% 46 46 54 60% 55 Less contact (SVORI) 0% Phone contact Mail contact In-person visits Note: Differences between SVORI and non-SVORI are not significant at the 0.05 level. SUMMARY The SVORI was targeted to serious and violent offenders. The grantees were allowed to define “serious and violent,” so it was possible that the programs would “cream” (i.e., select “better” offenders for the enhanced services to be provided by their SVORI programs). The criminal histories and circumstances of their current incarcerations suggest that the adult male respondents included in the SVORI Multi-site Evaluation fit the “serious and violent” label. At the time of their pre-release interview, they were, on average, about 30 years old and had 62 Respondent Characteristics been in prison more than 2 years. More than 40% were serving time for a violent/person offense, most commonly assault and robbery. Other common offenses included drug dealing/manufacturing and drug possession. Nearly all had a history of alcohol and drug use and nearly two thirds reported using drugs in the 30 days prior to their current incarceration. They reported substantial arrest histories (an average of more than 12 arrests) and conviction histories (an average of more than 6). Most also reported having family members and peers who had crime and substance use involvement. Consistent with profiles of prisoners found in the literature, the respondents had low levels of educational attainment and unstable employment histories. Most had worked at some point, but only about two thirds reported working in the 6 months prior to their incarceration. Although about 60% said they had supported themselves with a job, many reported that they also relied on illegal activities and family for support prior to their incarceration. These characteristics suggest that these individuals had high levels of need that could be addressed with programs and services to facilitate their transitions back to their communities at release—a topic that is addressed in the following chapter. 63 Self-reported Service Needs SVORI programs were to identify individual service needs and provide services and programming to respond to those needs. This chapter focuses on self-reported service needs. In each interview, respondents were asked about the extent to which they needed each of 28 specific services. 28 For ease of presentation and interpretation, the individual services were grouped into five service categories or “bundles.” The bundles are 28 transition services (10 items: need legal assistance, financial assistance, public financial assistance, public health care insurance, mentoring, documents for employment, place to live, transportation, drivers license, clothes/food bank); health care services (5 items: need medical treatment, mental health treatment, substance abuse treatment, group for abuse victims, anger management services); employment, education, and skills services (6 items: job, more education, money management skills, life skills, work on personal relationships, change attitudes on criminal behavior); domestic violence-related services (2 items: need batterer intervention program, need domestic violence support group); and child-related services (5 items: need child support payments, modifications in child support debt, modifications in custody, parenting skills, child care). Response options were “a lot,” “a little,” or “not at all.” Responses were recoded to “some” and “not at all.” 65 Prisoner reentry experiences of adult males SVORI service bundle scores were developed to summarize service needs and service receipt by summing indicators of needs and receipt in multiple domain areas. The service need bundle scores were developed from the interview data to summarize respondents’ needs in the domains of transition, health, employment/education/skills, domestic violence, and child services (which was calculated only for respondents with children). Scores for each individual were generated by summing one/zero indicators for whether the individual reported or did not report needing each of the items within a bundle; this sum was then divided by the number of items in the bundle. At the individual respondent level, this bundle score can be interpreted as the proportion of the services in the bundle that the individual reported needing (Winterfield et al., 2006). 29 The pre-release data suggested high levels of expressed need as can be seen in Exhibit 35. The levels of expressed need for employment, education, and skills were very high—on average, respondents reported needing nearly three quarters of all of the service items in the employment bundle (average bundle scores of 75 for SVORI and 74 for non-SVORI). Respondents also expressed a high level of need for the services and assistance contained in the transition services bundle. On average, respondents reported needing nearly two thirds of these services, which include financial assistance, transportation, and obtaining a driver’s license and other documentation (average scores of 64 for SVORI and 62 for non-SVORI). SVORI and non-SVORI reported high need across the spectrum of services. SVORI and non-SVORI respondents were similar on most measures and reported high need across the spectrum of services (see Exhibit A-3 in Appendix A). Specifically, as shown in Exhibit 36, most SVORI respondents reported needing more education (94%), financial assistance (86%), a driver’s license (83%), job training (82%), and a job (80%). About three quarters (75%) also reported needing public health care insurance and life skills training. Of these services, non-SVORI respondents were significantly less likely than SVORI respondents to report needing financial assistance or job training—perhaps because SVORI participants had an increased awareness of need as a result of needs assessments conducted in conjunction with their SVORI program participation. 29 66 Although not presented in this report, program-level bundle scores of service delivery were also developed from reports provided by SVORI program directors. These bundle scores are discussed in Winterfield et al. (2006). Self-reported Service Needs Exhibit 35. Pre-release service need bundle scores across service bundles, by group Employment/education/life skills services 75 74 64 62 Transitional services 46 48 a Child servicesa 31 34 Health services* SVORI 7 8 Domestic violence services 0 Non-SVORI 20 40 60 80 100 a Among those who reported having minor children. *p < 0.05 for test of significant difference between SVORI and non-SVORI. Exhibit 36. Most commonly reported service needs prerelease, by group 94 92 Education 86 82 83 81 Financial assistance* Driver’s license 82 Job training* 76 80 76 Job Public health care insurance 75 73 Life skills 75 73 SVORI Non-SVORI 0% 25% 50% 75% 100% *p < 0.05 for test of significant difference between SVORI and non-SVORI. When asked to identify their top two service needs, more than one third of respondents mentioned needing a job after release (38% SVORI, 36% non-SVORI). About one quarter (24% SVORI, 25% non-SVORI) listed needing a driver’s license as one of their top two needs. The next four needs mentioned by the most respondents as one of their top two included more education (18% of both groups), job training (17% SVORI, 14% non-SVORI), financial assistance (15% SVORI, 16% non- 67 Prisoner reentry experiences of adult males SVORI), and a place to live when released (15% SVORI, 16% non-SVORI). Respondents reported needing more than half of all the service items. In addition to the domain-specific service bundles, an “all services” bundle was also created to capture the level of overall need across all services (individual items are in Exhibit A-3 in Appendix A). 30 On average, the respondents reported needing more than half of all the service items (average score of 54 for both SVORI and non-SVORI). The findings on self-reported service needs are discussed for each of the five bundles over the four interview waves in the remainder of this chapter. Needs are first presented and discussed at the service bundle level. More detailed information for each bundle and the individual services contained therein are then presented. The findings presented in the remainder of this chapter were generated using SAS procedures that allow use of the propensity scores to weight the observations (as described earlier). The mean values were generated using Proc Survey Means. Tests of significance of differences between SVORI and non-SVORI were conducted using Proc Survey Logistic or Regression to regress the SVORI indicator on each of the service need scores and assessing whether the resulting parameter estimate was significantly different from zero. WEIGHTED SERVICE NEED BUNDLE SCORES ACROSS WAVES 1 THROUGH 4 Four waves of interviews were conducted: Wave 1: 30 days prior to respondent’s release Wave 2: 3 months following respondent’s release Wave 3: 9 months following respondent’s release Wave 4: 15 months following respondent’s release Respondents were asked about their need for services at each wave. Exhibit 37 summarizes information on average reported service needs for each group across the four waves of interview data. As noted previously, the averages were generated using 30 68 The number of items varied, depending on whether the individual had children (59% of SVORI and 61% of non-SVORI respondents reported having children under the age of 18; 62% and 64% reported having any children). Self-reported Service Needs Exhibit 37. Weighted average super bundle scores by group for Waves 1 through 4 100 SVORI 90 Non-SVORI 80 70 60 54 54 50 42 43 43 43 44 45 40 30 20 10 0 Wave 1 Wave 2 Wave 3 Wave 4 Note: Differences between groups were not significant at the 0.05 level. Wave 1 data were collected 30 days prior to release; Wave 2, 3, and 4 data were collected 3, 9, and 15 months, respectively, post-release. the propensity-score weights. The “super bundle” scores that are shown in Exhibit 37 include all of the needs and were generated by summing across reports of needs for all service items and dividing by the total number of service items (28 items for those with children and 23 items for those without children). For Wave 1, the results suggest that on average about 30 days before release the subjects reported needing (a little or a lot) 54% of the items. 31 SVORI and non-SVORI subjects were similar on the level of reported need. Overall need dropped following release. Average need was similar at 3, 9, and 15 months post-release. Exhibit 37 suggests three findings: (1) SVORI and non-SVORI subjects were similar on the level of reported need across all waves; (2) overall need dropped following release; and (3) there was little difference in average need across the three follow-up waves (i.e., at 3, 9, and 15 months following release). As noted, prior to release, the subjects reported needing about 54% of the various items. Following release, need dropped to slightly more than 40% of the items. Exhibit 38 shows the weighted average bundle scores for the employment/education/skills, transition, and health services bundles, by group and data collection wave. As can be seen, the highest levels of expressed need are for employment/ 31 It is interesting to note that the weighted and unweighted averages are the same, reflecting how well balanced (similar) the two groups were even prior to the development and application of the propensity score weights. 69 Prisoner reentry experiences of adult males Exhibit 38. Weighted average service bundle scores by type (Employment/Education/Skills, Transition Services, Health Services), group (SVORI, non-SVORI), and wave (1, 2, 3, 4) Employment/education skills bundle-1 Employment/education skills bundle-2 Employment/education/ skills bundle-3 Employment/education/ skills bundle-4 74 74 60 60 62 63 64 63 64 62 Transition services bundle-1 49 50 49 49 49 50 Transition services bundle-2 Transition services bundle-3 Transition services bundle-4 32 34 Health services bundle-1 24 25 26 27 28 29 Health services bundle-2 Health services bundle-3 Health services bundle-4 0 10 20 30 SVORI Non-SVORI 40 50 60 70 80 90 100 Bundle Score education/skills programming and services. On average, prior to release, SVORI and non-SVORI respondents reported needing nearly three quarters (74%) of the seven services included in this bundle. At the subsequent three time points, the level of expressed needs remains very high compared to the other bundles—in particular, at 15 months, respondents are still reporting needing nearly two thirds (about 63%) of these services. Finally, these relatively young men (average age of about 29 at release) expressed lower levels of need for the five health-related services, reporting on average a need for about one third of the five types of services included in this bundle prior to release and about one quarter post-release. For each of these three bundles, the pattern is similar to that observed in Exhibit 37 for the super bundle scores—higher levels of need expressed prior to release than observed at 3 months postrelease, with reports remaining level in subsequent follow-up periods. It is interesting to note for health care services that although the differences are small, there appears to be an upward trend post-release. 70 Self-reported Service Needs Exhibit 39 presents similar data for the remaining two needs bundles—child services and domestic violence services. As can be seen, the levels of expressed need for help with child-related issues among those with children is fairly high, with respondents suggesting the need for two or more of the five services prior to release. Although there is a decline in reported need post-release, this decline is smaller than for the other bundles. Few of the men reported needing help with domestic violence—either through domestic violence support groups or batterer intervention programs. Exhibit 39. Weighted average super bundle scores by type (Child Services, Domestic Violence, group (SVORI, non-SVORI), and wave (1, 2, 3, 4) 46 48 Child services-1 Child services-3 39 39 38 41 Child services-4 40 41 Child services-2 7 8 Domestic violence-1 Domestic violence-2 4 4 Domestic violence-3 3 3 Domestic violence-4 4 6 0 SVORI Non-SVORI 20 40 60 80 100 Bundle Score The following sections examine the patterns for the specific items in each of these service bundles. EMPLOYMENT/EDUCATION/SKILLS SERVICES The service area for which the men consistently reported the greatest need was employment, education, and skills-related services (E/E/S). On average, as was seen in Exhibit 38, the men reported needing more than 60% of these six items throughout and there were no differences between the two groups. 71 Prisoner reentry experiences of adult males Exhibit 40 shows the weighted means for the bundle scores and individual items by group and wave. Included are the weighted means and the parameter estimate from the Proc Survey Regression (bundle scores) or Logistic (individual items), the test statistic (t-statistic for the regression models and Wald chisquare for the logistic regression models), and the associated p values; estimated odds ratios are also included for the individual items—indicating the odds of needing a specific item conditioned on SVORI status. As can be seen, none of the parameters was significant at the 0.05 level, indicating no differences in the expressed need for these services between the SVORI participants and the comparison subjects. Exhibit 40 also includes entries for the percentage of subjects reporting at each wave to need ANY of the E/E/S services— virtually everyone indicated needing help in this domain—99% at Wave 1, about 95% at Waves 2 and 3, and more than 96% at Wave 4. Education was the area in which the greatest proportions of men indicated needing more. More than 90% said they needed additional education prior to release and between 80% and 90% stated the need for additional education post-release. A job followed education as the most frequently reported need. Majorities also indicated the need for programs to address money management and other life skills, as well as personal relationships. Overall, majorities reported a continuing need for these five services throughout the follow-up period. Respondents were less likely over time to express the “need to change attitudes about criminal behavior.” Although about two thirds of subjects pre-release indicated a need to change their attitudes, this proportion diminished to 44% at 3 months following release and remained below 50% throughout the follow-up period. TRANSITION SERVICES As shown in Exhibit 41, the men in the study also reported high levels of need for transition services, which included 10 forms of assistance with the reentry process. Self-reported need for these services was highest at the time of the pre-release interview (when the weighted bundle scores were 64 for the SVORI group and 62 for the non-SVORI group) and declined at the 3-month post-release interview to about 50 (where they remained for the following interview waves). As noted earlier, there was no 72 Self-reported Service Needs Exhibit 40. Weighted means for employment/education/skills bundles and items, by group and wave Variable Wave 1 Employ/Ed/Skills Score Need ANY E/E/S* Need job Need education Need money mgmt skills Need life skills Need work personal relationships Need change attitudes criminal behavior Wave 2 Employ/Ed/Skills Score Need ANY E/E/S* Need job Need education Need money mgmt skills Need life skills Need work personal relationships Need change attitudes criminal behavior Wave 3 Employ/Ed/Skills Score Need ANY E/E/S* Need job Need education Need money mgmt skills Need life skills Need work personal relationships Need change attitudes criminal behavior Wave 4 Employ/Ed/Skills Score Need ANY E/E/S* Need job Need education Need money mgmt skills Need life skills Need work personal relationships Need change attitudes criminal behavior S N NonSVORI N S Mean NonSVORI Mean 863 863 862 863 863 859 862 834 834 834 834 833 831 832 74.40 0.99 0.79 0.93 0.71 0.75 0.64 73.60 0.99 0.77 0.92 0.68 0.74 0.63 860 833 0.65 529 529 527 529 529 529 529 455 455 455 455 455 455 455 527 Par. Est. SE Test Stat. p Val. OR 0.80 −0.52 −0.16 −0.15 −0.13 −0.04 −0.05 1.25 0.49 0.12 0.19 0.11 0.11 0.10 0.64 1.12 1.76 0.65 1.56 0.12 0.26 0.52 0.29 0.18 0.42 0.21 0.73 0.61 NA 0.60 0.85 0.86 0.88 0.96 0.95 0.69 0.16 0.11 2.41 0.12 1.18 59.73 0.95 0.61 0.85 0.54 0.60 0.54 60.04 0.96 0.63 0.85 0.57 0.58 0.53 −0.31 −0.34 0.06 0.06 0.12 −0.10 −0.04 1.91 0.32 0.13 0.18 0.13 0.13 0.13 −0.16 1.17 0.19 0.13 0.77 0.52 0.12 0.87 0.28 0.67 0.72 0.38 0.47 0.73 NA 0.71 1.06 1.07 1.12 0.91 0.96 454 0.44 0.44 0.00 0.13 0.00 0.99 1.00 564 564 564 564 563 562 563 469 469 469 469 469 468 469 63.17 0.95 0.58 0.87 0.63 0.66 0.58 62.04 0.95 0.62 0.88 0.59 0.64 0.56 1.12 −0.05 0.18 0.05 −0.15 −0.12 −0.08 1.88 0.30 0.13 0.19 0.13 0.13 0.13 0.60 0.02 1.96 0.06 1.41 0.74 0.39 0.55 0.88 0.16 0.80 0.23 0.39 0.53 NA 0.96 1.20 1.05 0.86 0.89 0.92 562 469 0.48 0.44 −0.16 0.13 1.66 0.20 0.85 582 582 582 582 582 581 581 531 531 531 530 530 530 530 63.15 0.96 0.59 0.88 0.62 0.64 0.59 64.16 0.97 0.62 0.89 0.62 0.68 0.56 −1.01 −0.42 0.15 0.10 0.02 0.19 −0.15 1.80 0.34 0.13 0.19 0.13 0.13 0.12 −0.56 1.52 1.48 0.25 0.03 2.26 1.42 0.57 0.22 0.22 0.62 0.85 0.13 0.23 NA 0.66 1.16 1.10 1.02 1.21 0.86 580 531 0.48 0.48 0.02 0.12 0.03 0.87 1.02 Note: NA = Not applicable. E/E/S = employment/education/skills bundle. OR = odds ratio. Par. Est. = parameter estimate. p Val = probability value. S = SVORI. SE = standard error. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. *Included for information; not included in bundle calculations. 73 Prisoner reentry experiences of adult males Exhibit 41. Weighted means for transition services bundles and items, by group and wave Variable Wave 1 TransSvcsScore Need ANY transition services* Need legal assistance Need financial assist Need public financial assist Need public health care insurance Need mentor Need docs for employ Need place to live Need transportation Need drivers license Need cloth/food bank Wave 2 TransSvcsScore Need ANY transition services* Need legal assistance Need financial assist Need public financial assist Need public health care insurance Need mentor Need docs for employ Need place to live Need transportation Need drivers license Need cloth/food bank Wave 3 TransSvcsScore Need ANY transition services* Need legal assistance Need financial assist Need public financial assist Need public health care insurance Need mentor Need docs for employ Need place to live Need transportation 74 S N NonNonSVORI S SVORI N Mean Mean Par. Est. SE Test Stat. p Val. OR 863 863 834 834 63.82 0.99 62.43 0.99 1.39 −0.18 1.21 0.47 1.14 0.16 0.25 0.69 NA 0.83 856 862 861 861 834 834 834 832 0.45 0.86 0.52 0.76 0.48 0.82 0.54 0.73 0.14 −0.36 0.07 −0.14 0.10 0.14 0.10 0.11 1.97 6.89 0.49 1.48 0.16 0.01 0.48 0.22 1.15 0.70 1.07 0.87 862 863 862 862 863 863 833 834 833 834 834 833 0.60 0.55 0.50 0.72 0.82 0.61 0.60 0.56 0.46 0.70 0.81 0.55 0.00 0.03 −0.16 −0.09 −0.05 −0.26 0.10 0.10 0.10 0.11 0.13 0.10 0.00 0.09 2.70 0.69 0.17 6.83 0.99 0.77 0.10 0.40 0.68 0.01 1.00 1.03 0.85 0.91 0.95 0.77 529 529 455 455 48.89 0.94 49.82 0.97 −0.92 −0.56 1.76 0.33 −0.52 2.89 0.60 0.09 NA 0.57 529 529 528 529 455 455 455 455 0.37 0.62 0.38 0.59 0.40 0.61 0.41 0.62 0.12 −0.02 0.12 0.12 0.13 0.13 0.13 0.13 0.77 0.02 0.88 0.86 0.38 0.89 0.35 0.35 1.12 0.98 1.13 1.13 528 529 529 529 529 529 455 454 454 455 455 454 0.44 0.20 0.47 0.70 0.70 0.44 0.39 0.26 0.46 0.70 0.70 0.44 −0.20 0.34 −0.06 0.02 0.01 0.03 0.13 0.16 0.13 0.14 0.14 0.13 2.24 4.76 0.19 0.03 0.00 0.04 0.13 0.03 0.66 0.86 0.96 0.84 0.82 1.40 0.94 1.03 1.01 1.03 564 564 469 469 48.52 0.93 49.19 0.94 −0.67 −0.07 1.80 0.26 −0.37 0.07 0.71 0.78 NA 0.93 563 563 564 564 469 469 469 467 0.43 0.62 0.38 0.58 0.46 0.65 0.37 0.58 0.13 0.16 −0.05 0.02 0.13 0.13 0.13 0.13 1.02 1.41 0.15 0.02 0.31 0.23 0.70 0.88 1.14 1.17 0.95 1.02 564 563 564 564 469 469 469 468 0.48 0.25 0.45 0.62 0.46 0.30 0.45 0.64 −0.09 0.25 −0.02 0.08 0.13 0.14 0.13 0.13 0.50 2.94 0.02 0.40 0.48 0.91 0.09 1.28 0.89 0.98 0.53 1.09 (continued) Self-reported Service Needs Exhibit 41. Weighted means for transition services bundles and items, by group and wave (continued) Variable Need drivers license Need cloth/food bank Wave 4 TransSvcsScore Need ANY transition services* Need legal assistance Need financial assist Need public financial assist Need public health care insurance Need mentor Need docs for employ Need place to live Need transportation Need drivers license Need cloth/food bank S N 564 564 NonNonS SVORI SVORI N Mean Mean 468 0.65 0.63 469 0.40 0.38 Par. Est. −0.07 −0.07 SE 0.13 0.13 Test Stat. 0.30 0.27 p Val. 0.58 0.61 OR 0.93 0.94 582 582 531 531 48.89 0.94 50.04 0.92 −1.15 0.32 1.80 0.24 −0.64 1.84 0.52 0.17 NA 1.38 582 582 582 582 528 529 529 528 0.46 0.64 0.36 0.54 0.46 0.64 0.39 0.58 0.03 0.02 0.09 0.17 0.12 0.13 0.13 0.12 0.05 0.02 0.55 1.99 0.82 0.89 0.46 0.16 1.03 1.02 1.10 1.19 582 581 581 582 582 582 530 530 531 531 531 531 0.51 0.31 0.45 0.60 0.64 0.37 0.49 0.34 0.45 0.62 0.65 0.40 −0.10 0.12 0.01 0.06 0.05 0.11 0.12 0.13 0.12 0.13 0.13 0.13 0.71 0.81 0.00 0.22 0.15 0.72 0.40 0.37 0.97 0.64 0.70 0.40 0.90 1.13 1.01 1.06 1.05 1.11 Note: NA = Not applicable. OR = odds ratio. Par. Est. = parameter estimate. p Val. = probability value. S = SVORI. SE = standard error. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months postrelease; Wave 4 = 15 months post-release. *Included for information; not included in bundle calculations. significant difference in SVORI and non-SVORI subjects with respect to the transition services bundle scores. Need for at least one of these services was high prior to release, with 99% reporting that they needed at least one of the services, and expressed need remained above 90% throughout the subsequent interviews. The most commonly reported needs remained fairly constant across the waves, although the percentages expressing those needs diminished some over time. More than half reported needing all forms of assistance except legal assistance prior to release, with financial assistance (such as short-term loans or housing deposits) identified as a need by the largest percentage and with a driver’s license, transportation, and public health care identified as needs by more than 70%. 75 Prisoner reentry experiences of adult males HEALTH SERVICES Self-reported needs for health services declined slightly between the pre-release and 3-month post-release interviews and then increased slowly for both the SVORI and non-SVORI groups. Exhibit 42 shows the bundle scores for health service needs at each interview wave. Prior to release, subjects reported needing about one third of the five health services. At the time of the 15-month post-release interview, men reported needing about 28% of the services. The most commonly reported need was for medical treatment. Unlike items in previously discussed service bundles, SVORI and non-SVORI subjects differed on one of the health services items. In particular, non-SVORI subjects were more likely to report needing mental health treatment than were SVORI program participants. Prior to release, 28% of the comparison subjects reported needing mental health treatment in comparison to 23% of the SVORI program participants. The percentages expressing need for mental health treatment dropped to 18% and 23% for SVORI and non-SVORI subjects at 3 months following release—fewer overall, but still a significant difference between the two groups. Interestingly, the numbers reporting a need for mental health treatment increased at 9 and 15 months following release, such that the proportions reporting a need for treatment at 15 months was essentially the same as those observed at the time of the Wave 1 interview. DOMESTIC VIOLENCE SERVICES As shown in Exhibit 43, domestic violence services were a lowranked service need among the adult male sample. Only about 10% of the men reported prior to release needing either domestic violence support groups or batterer intervention programming. Following release, the percentages dropped to about 5%. There were no differences between the SVORI and non-SVORI groups. 76 Self-reported Service Needs Exhibit 42. Weighted means for health services bundles and items, by group and wave Variable Wave 1 Health Services Score Need ANY health services* Need medical tx Need MH tx Need substance use tx Need group for abuse victims Need anger mgmt program Wave 2 Health Services Score Need ANY health services* Need medical tx Need MH tx Need substance use tx Need group for abuse victims Need anger mgmt program Wave 3 Health Services Score Need ANY health services* Need medical tx Need MH tx Need substance use tx Need group for abuse victims Need anger mgmt program Wave 4 Health Services Score Need ANY health services* Need medical tx Need MH tx Need substance use tx Need group for abuse victims Need anger mgmt program S N NonNonSVORI S SVORI N Mean Mean Par. st. SE Test Stat. p Val. OR 863 863 862 861 862 863 834 834 834 832 834 834 31.55 0.80 0.57 0.23 0.38 0.04 33.65 0.80 0.57 0.28 0.42 0.04 −2.10 −0.02 0.01 0.26 0.16 −0.14 1.21 0.12 0.10 0.11 0.10 0.25 −1.73 0.03 0.02 5.36 2.47 0.33 0.08 0.85 0.89 0.02 0.12 0.57 NA 0.98 1.02 1.30 1.17 0.87 861 833 0.36 0.37 0.07 0.10 0.48 0.49 1.07 529 529 529 529 529 529 455 455 455 453 455 455 23.55 0.68 0.53 0.18 0.22 0.03 25.37 0.69 0.56 0.23 0.23 0.02 −1.82 −0.04 0.11 0.33 0.07 −0.08 1.52 0.14 0.13 0.16 0.16 0.41 −1.20 0.07 0.72 3.98 0.22 0.04 0.23 0.80 0.39 0.05 0.64 0.85 NA 0.96 1.12 1.39 1.08 0.93 529 455 0.22 0.22 0.00 0.16 0.00 0.99 1.00 564 564 564 564 563 564 469 469 469 468 469 469 25.57 0.68 0.52 0.19 0.29 0.03 26.56 0.71 0.53 0.24 0.30 0.02 −0.99 −0.17 0.07 0.26 0.04 −0.18 1.55 0.14 0.13 0.16 0.14 0.39 −0.64 1.52 0.31 2.87 0.08 0.21 0.52 0.22 0.58 0.09 0.78 0.65 NA 0.84 1.07 1.30 1.04 0.84 564 469 0.25 0.23 −0.09 0.15 0.33 0.57 0.92 582 582 582 580 582 582 530 530 530 530 530 529 27.86 0.71 0.54 0.23 0.32 0.03 28.65 0.72 0.56 0.27 0.32 0.02 −0.79 −0.06 0.09 0.23 0.02 −0.35 1.53 0.14 0.12 0.14 0.13 0.40 −0.52 0.18 0.48 2.59 0.03 0.78 0.60 0.67 0.49 0.11 0.86 0.38 NA 0.94 1.09 1.26 1.02 0.70 582 530 0.28 0.26 −0.11 0.14 0.64 0.42 0.90 Note: NA = Not applicable. MH = mental health. OR = odds ratio. Par. Est. = parameter estimate. p Val. = probability value. S = SVORI. SE = standard error. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. *Included for information; not included in bundle calculations. 77 Prisoner reentry experiences of adult males Exhibit 43. Weighted means for domestic violence services bundles and items, by group and wave Variable Wave 1 DomViolScore Need ANY DV services* Need batterer intervention program Need DV support group Wave 2 DomViolScore Need ANY DV services* Need batterer intervention program Need DV support group Wave 3 DomViolScore Need ANY DV services* Need batterer intervention program Need DV support group Wave 4 DomViolScore Need ANY DV services* Need batterer intervention program Need DV support group S N NonSVORI N NonS SVORI Mean Mean 862 862 861 834 834 833 6.82 0.09 0.08 862 833 529 529 527 Par. Est. SE Test Stat. p Val. OR 8.17 0.11 0.08 −1.35 −0.20 0.00 1.15 0.16 0.18 −1.17 1.50 0.00 0.24 0.22 0.99 NA 0.82 1.00 0.06 0.09 0.40 0.19 4.42 0.04 1.49 455 455 455 4.35 0.06 0.05 4.37 0.06 0.06 −0.03 −0.05 0.09 1.18 0.27 0.28 −0.02 0.03 0.10 0.98 0.87 0.75 NA 0.96 1.10 529 455 0.04 0.03 −0.14 0.36 0.15 0.70 0.87 564 564 564 469 469 468 3.06 0.04 0.04 3.47 0.05 0.04 −0.41 −0.24 0.19 1.01 0.30 0.33 −0.41 0.62 0.34 0.68 0.43 0.56 NA 0.79 1.21 564 468 0.03 0.03 0.04 0.40 0.01 0.91 1.04 582 582 582 529 529 529 3.81 0.05 0.04 5.76 0.07 0.06 −1.95 −0.43 0.37 1.22 0.26 0.27 −1.60 2.69 1.85 0.11 0.10 0.17 NA 0.65 1.45 582 529 0.03 0.05 0.51 0.31 2.73 0.10 1.67 Note: NA = Not applicable. DV = domestic violence. OR = odds ratio. Par. Est. = parameter estimate. p Val. = probability value. S = SVORI. SE = standard error. Wave 1 = 30 days pre-release; Wave 2 = 3 months postrelease; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. *Included for information; not included in bundle calculations CHILD SERVICES More than 60% of the men reported having children (62% of SVORI and 64% of non-SVORI respondents), and nearly all of those with children reported having children under the age of 18 years (96% SVORI and 95% non-SVORI). Among those who had minor children, the expressed need for child-related services (which included instruction in parenting skills, child care, child support payments, modifications in the child support debt they owed, and modifications in the custody of their children) decreased somewhat over the follow-up period. As shown in Exhibit 44, the men reported needing about half of 78 Self-reported Service Needs Exhibit 44. Weighted means for child services bundles and items, by group and wave Variable Wave 1 ChildSvcsScore Need ANY child services* Need child support payments Need child support debt modified Need custody modified Need parenting skills Need child care Wave 2 ChildSvcsScore Need ANY child services* Need child support payments Need child support debt modified Need custody modified Need parenting skills Need child care Wave 3 ChildSvcsScore Need ANY child services* Need child support payments Need child support debt modified Need custody modified Need parenting skills Need child care Wave 4 ChildSvcsScore Need ANY child services* Need child support payments Need child support debt modified Need custody modified Need parenting skills Need child care S N NonSVORI N NonS SVORI Mean Mean 508 508 500 503 503 495 46.07 0.83 0.46 137 139 502 507 507 Par. Est. SE Test Stat. p Val. OR 47.82 0.85 0.47 −1.75 −0.10 0.07 1.99 0.18 0.13 −0.88 0.31 0.28 0.38 0.58 0.59 NA 0.91 1.07 0.87 0.86 −0.10 0.36 0.07 0.79 0.91 500 502 500 0.35 0.60 0.39 0.37 0.63 0.39 0.11 0.13 0.02 0.13 0.13 0.13 0.70 0.94 0.03 0.40 0.33 0.87 1.12 1.14 1.02 314 314 314 273 273 272 38.82 0.77 0.34 38.99 0.78 0.36 −0.16 −0.03 0.12 2.46 0.20 0.18 −0.07 0.02 0.45 0.95 0.88 0.50 NA 0.97 1.13 99 95 0.87 0.86 −0.04 0.44 0.01 0.92 0.96 312 314 314 272 273 271 0.30 0.53 0.29 0.31 0.49 0.31 0.02 −0.13 0.06 0.18 0.17 0.18 0.01 0.63 0.12 0.92 0.43 0.73 1.02 0.88 1.07 333 333 332 274 274 274 37.85 0.75 0.33 41.15 0.80 0.40 −3.30 −0.28 0.29 2.52 0.20 0.17 −1.31 1.86 2.78 0.19 0.17 0.10 NA 0.76 1.33 109 96 0.79 0.85 0.43 0.38 1.28 0.26 1.53 333 333 332 274 274 274 0.31 0.53 0.28 0.34 0.52 0.30 0.17 −0.06 0.11 0.18 0.17 0.18 0.88 0.13 0.38 0.35 0.72 0.54 1.18 0.94 1.12 354 354 353 342 342 339 40.21 0.80 0.35 41.44 0.81 0.39 −1.24 −0.04 0.17 2.28 0.19 0.16 −0.54 0.05 1.10 0.59 0.82 0.29 NA 0.96 1.18 111 121 0.89 0.90 0.10 0.43 0.06 0.81 1.11 353 354 353 341 342 342 0.31 0.59 0.27 0.33 0.53 0.31 0.06 −0.25 0.23 0.16 0.16 0.17 0.14 2.56 1.87 0.71 0.11 0.17 1.06 0.78 1.26 Note: NA = Not applicable. OR = odds ratio. Par. Est. = parameter estimate. p Val. = probability value. S = SVORI. SE = standard error. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months postrelease; Wave 4 = 15 months post-release. *Included for information; not included in bundle calculations 79 Prisoner reentry experiences of adult males the child-related services at the time of the pre-release interview, but only about 40% at the follow-up interviews. The greatest need across all waves was for modification to child support debt—a need expressed by most of those with children. However, a majority also indicated that they needed services to improve their parenting skills. LEVELS OF NEED ACROSS SERVICES Overall, the men reported high needs in the days immediately before release and somewhat lower needs at each of the followup interviews. Among the various service bundles, services related to education, employment, and skill building consistently were reported the most frequently. In terms of individual services, the ones most consistently identified as a need by the largest proportion of men were more education, employment, public health care insurance, and financial assistance. The most commonly reported service needs in the top two across all waves were a job (24– 38%) and more education (18–22%). At each interview wave, in addition to self-reporting whether a particular service was needed, respondents were also asked to report their “top two” service needs. According to this measure, two employment/education/skills services ranked among the top five most commonly reported. Specifically, among the services that were most commonly reported in the top two across all waves were a job (24–38% of the men) and more education (18–22%). Other services reported were a driver’s license (19–28%), financial assistance (11–16%), and a place to live (12–15%). Importantly, very few differences in self-reported needs were observed between the SVORI program participants and the non-SVORI comparison subjects at any interview wave. Given that SVORI programming was supposed to identify and provide services to address individual needs, these findings at first glance might be considered disappointing and might seems to suggest either that needs weren’t addressed or that the services were ineffective. An alternative and plausible explanation, however, is that many of these needs are ongoing—regardless of whether they are addressed or not. Even if someone receives education or medical treatment, the need for these two types of services can persist—more education will be helpful, and treatment for a new illness or injury may be needed. Additionally, former prisoners may 80 Self-reported Service Needs struggle with low-paying jobs that threaten on an ongoing basis their ability to attain and retain housing, meet child support obligations, etc. Findings presented in the following section show that SVORI programs were, in fact, successful in increasing the numbers and types of services provided to program participants. 81 Self-reported Service Receipt In addition to collecting extensive information on subjects’ needs, the Multi-site Evaluation of SVORI collected analogous information on service receipt to determine whether SVORI programs were successful in increasing participants’ access to services. In the report Pre-release Characteristics and Service Receipt among Adult Male Participants in the SVORI Multi-site Evaluation (Lattimore, Visher, & Steffey, 2008), extensive findings were presented that suggest that the SVORI programs substantially increased access to pre-release services for program participants. For all service areas, men enrolled in SVORI programs reported significantly higher service receipt during their periods of incarceration than comparable men not enrolled in SVORI. Service receipt bundle scores were calculated analogous to the calculations of the service need bundle scores: the number of “yes” responses to items in a bundle was divided by the number of bundle items and multiplied by 100. Individual bundle scores were averaged to get site-level scores, which were averaged to get overall scores. Child services receipt bundle scores were generated only for those respondents who reported having children under the age of 18. In addition to the five service need bundles, a sixth service receipt bundle was developed consisting of coordination items. The service receipt bundles measured receipt of specific items since the last interview 32 and are as follows: 32 Individuals who did not complete the previous interview were asked about the comparable time period for the 9- and 15-month interviews (i.e., in the past 6 months rather than since the last interview). 83 Prisoner reentry experiences of adult males SVORI programs were successful in increasing access to a wide range of services and programming. coordination services (4 items: received a needs assessment, met with a case manager, worked with anyone to reintegrate; currently on probation or parole; Wave 1 did not include currently on probation or parole, but did include two additional items: received needs assessment specific for release and reentry plan developed); transition services (10 items: received legal assistance, financial assistance, public financial assistance, assistance with public health care insurance, mentoring, documents for employment, place to live, transportation, drivers license, clothes/food bank); health care services (6 items: received any medical treatment, dental services, mental health treatment, substance abuse treatment, group for abuse victims, anger management services); employment, education, and skills services (6 items: received any employment services, any educational services, money management assistance, life skills training, assistance with personal relationships, training to change attitudes on criminal behavior); domestic violence-related services (2 items: participated in batterer intervention program, domestic violence support group); and child-related services (5 items: received assistance getting child support payments, modifying child support debt, modifying custody, parenting skills classes, finding child care). Exhibit 45 shows the pre-release service receipt bundle scores for all SVORI and non-SVORI respondents and clearly demonstrates that SVORI programs were successful in increasing access to a wide range of services and programming. 33 In all cases, SVORI respondents were significantly more likely than non-SVORI respondents to report receiving more services across the six bundles. However, the exhibit also shows that, with the exception of the coordination services bundle that includes assessments and reentry planning, SVORI respondents reported receiving 40% or less of the items in the service receipt bundles. Further, the levels of service receipt are substantially lower than the levels of need 33 84 Note that the items included in the health services and employment/education/skills bundles differ slightly from those that were included in the bundles reported in Lattimore, Visher, and Steffey (2008). Self-reported Service Receipt Exhibit 45. Pre-release service receipt bundle scores across service bundles, by group 60 Coordination services 33 38 Employment/education/skills services 24 36 31 Health services 29 Transitional services 17 11 Child services* 6 SVORI 8 Domestic violence services Non-SVORI 4 0 20 40 60 80 100 Note: DV = domestic violence. All differences between SVORI and non-SVORI are significant at p < 0.05. *Among those who reported having minor children. reported by the respondents and shown earlier in Exhibit 35. Expressed need was highest pre-release for the services included in the employment/education/skills and the transition services bundles. The average employment/ education/skills service need bundle score was 75 for SVORI and 74 for nonSVORI respondents—substantially higher than the 38 and 24 service receipt scores shown in Exhibit 45. Specifically, the need score for SVORI respondents was about twice the receipt score, suggesting that services were provided for only about one half of needs—substantially better, however, than for nonSVORI respondents whose need score was about three times the receipt score, suggesting that they received services in response to only one third of their needs. Exhibit A-4 in Appendix A shows the proportion of respondents who reported receiving each item in these six bundles. This chapter examines whether self-reported service receipt remained higher for the SVORI participants across each interview wave (with the weighted service receipt scores shown for the pre-release time period as a reference point). Weighted means and logistic parameter estimates to assess the significance of SVORI program participation on service receipt are reported. 85 Prisoner reentry experiences of adult males WEIGHTED SERVICE NEED BUNDLE SCORES ACROSS WAVES 1 THROUGH 4 Exhibit 46 summarizes information on average reported service receipt for each group across the four waves of interview data. As noted previously, the averages were generated using the propensity-score weights. The “super bundle” scores that are shown in Exhibit 46 reflect all of the services and were generated by summing across reports of receipt for all service items and dividing by the total number of service items. Exhibit 46. Weighted average service receipt super bundle scores by group for Waves 1 through 4 100 SVORI 90 Non-SVORI 80 70 60 50 40 30 34 22 20 18 12 10 13 10 9 8 0 Wave 1 Wave 2 Wave 3 Wave 4 Note: Differences between groups at Waves 1, 2, and 3 were significant at the 0.0001 level. SVORI program participants received substantially more services pre-release. Service receipt dropped following release. Service receipt continued to decline as the time since release increased. By 15 months following release, there was little difference in receipt with both groups reporting receipt of less than 10% of service items. 86 For Wave 1, the results suggest that on average about 30 days before release the SVORI subjects reported receiving about a third (34%) of the various service items and the non-SVORI comparison subjects reported receiving about one quarter (24%) of the items. (This difference and the differences at Waves 2 and 3 are significant at the p < .0001 level.) Exhibit 46 suggests three findings: (1) SVORI program participants received substantially more services pre-release than non-SVORI subjects; (2) service receipt dropped substantially at release (at 3 months post-release the average subject reported receiving roughly half as many services as 30 days prior to release); (3) reported service receipt continued to drop as the time since release lengthened; and (4) there was little difference in average receipt at 15 months following release—with both groups reporting receiving less than 10% of the service items. Self-reported Service Receipt Recall that the reported needs also dropped between the prerelease interview (Wave 1) and the 3-month post-release interview (Wave 2), but the decline was not as dramatic as that in Exhibit 46. Exhibit 47 combines the data from Exhibits 37 and 46. As can be seen, need exceeds receipt at all waves and the decline in receipt is steeper than the decline in reported need. Exhibit 47. Weighted average service need and receipt super bundle scores by group for Waves 1 through 4 SVORI-Need 100 non-SVORI-Need 90 Svori-Receipt 80 non-SVORI-Receipt 70 60 54 54 50 42 43 43 43 44 45 40 30 20 10 0 Wave 1 Wave 2 Wave 3 Wave 4 Note: S = SVORI. Differences between groups for service receipt at Waves 1, 2, and 3 were significant at the 0.0001 level; no other difference is significant at the 0.05 level. Wave 1 = 30 days pre-release; Wave 2 = 3 months postrelease; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. Exhibit 48 shows the weighted average bundle scores for the coordination, employment/education/skills, and transition services bundles, by group and data collection wave. As can be seen, the average proportion of services being received post-release drops rapidly for the employment/education/skills and the transition services. The coordination services bundle scores deviate from the pattern of substantial drops between 30 days prior to release (Wave 1) and 3 months following release (Wave 2) that were observed for the super bundle scores. One explanation is that for this one bundle the items contained in the Wave 1 and Wave 2 bundles differ somewhat (i.e., Wave 1 includes received needs assessment specific for release and reentry plan developed; Wave 2–4 does not include these items but includes probation/parole status). But, more likely the explanation is that most of the study participants were released to supervision and thus received a minimum of one of the four coordination services included in the post- 87 Prisoner reentry experiences of adult males Exhibit 48. Weighted average service receipt bundle scores by type, group, and wave Coordination bundle-1 60 33 Coordination bundle-2 57 40 Coordination bundle-3 43 31 30 Coordination bundle-4 24 Employment/education/ skills bundle-1 38 24 Employment/education/ skills bundle-2 14 8 Employment/education/ skills bundle-3 Employment/education/ skills bundle-4 6 8 8 11 Transition services bundle-1 17 Transition services bundle-2 Transition services bundle-3 7 6 6 Transition services bundle-4 0 9 9 10 28 13 SVORI Non-SVORI 20 30 40 50 60 70 80 90 100 Bundle Score Note: CoS = coordination bundle. E/E/S = employment/education/skills bundle. TS = transition services bundle. All differences between SVORI and non-SVORI are significant at the .01 level except for the TS-4, where there is no significant difference between the two groups. release bundles. The contributions of individual items to the coordination bundle are explored in more detail in the following section. Exhibit 48 clearly shows the dramatic drop in receipt of employment/education/skills and transition services following release. The decline occurred for both SVORI and non-SVORI subjects and continued over time such that by 15 months postrelease there was no difference between SVORI and non-SVORI in terms of the average number of transition services received (6%). Since there are 10 items in this bundle, the findings suggest that at 15 months following release, these men were receiving very little assistance—less than one of the 10 different services. Exhibit 49 shows the weighted average bundle scores for the remaining three bundles—health services, child services and domestic violence services. As can be seen, there was a substantial decline between pre-release and post-release 88 Self-reported Service Receipt Exhibit 49. Weighted average service receipt bundle scores by type, group, and wave Health services bundle-1 31 35 13 11 13 13 11 12 Health services bundle-2 Health services bundle-3 Health services bundle-4 Child services bundle-1 34 22 Child services bundle-2 Child services bundle-3 Child services bundle-4 Domestic violence services bundle-1 1 1 1 1 1 2 Domestic violence services bundle-2 Domestic violence services bundle-3 Domestic violence services bundle-4 0 5 12 13 10 9 8 7 18 SVORI Non-SVORI 10 20 30 40 50 60 70 80 90 100 Bundle Score Note: HS = Health services bundle. CS = Child services bundle. DV = Domestic violence services bundle. Wave 1 differences between SVORI and non-SVORI were significant at the 0.05 level; difference for CS-2 was also significant at the 0.05 level; other differences were not statistically significant at the 0.05 level. values. Virtually no one reported receiving domestic violence treatment or batterer intervention post-release—a finding that is consistent with very low reports of need. The following sections examine the patterns for the specific items in each of these service bundles, presenting the results of the weighted means and regression analyses for each service bundle (and individual item) across waves. COORDINATION SERVICES The coordination services bundle measures the receipt of services associated with developing a treatment plan, preparing for release, and monitoring the offender’s status. Because the various dimensions of service coordination differed for incarcerated and released individuals, the coordination services bundle was scored differently for post-release measures. Specifically, the pre-release coordination services bundle (as described previously) included (1) whether a needs assessment 89 Prisoner reentry experiences of adult males had been conducted, (2) whether a needs assessment specifically designed to help the individual prepare for release had been conducted, (3) whether any case management had been provided, (4) whether a reentry plan had been developed, and (5) whether the inmate had worked with anyone to help plan for release. The post-release coordination services included (1) whether a needs assessment had been conducted, (2) whether any case management had been provided, (3) whether the individual had worked with anyone to help reintegrate him or her back into the community, and (4) whether the individual was currently on post-release supervision. Although the bundle scores were standardized on the basis of the number of items in the score, comparing the bundle score values from Wave 1 with those from the subsequent waves was nonetheless difficult since they reflect different services. SVORI program participants were more likely to report receiving coordination services than non-SVORI comparisons at all four interviews Although more likely to report having a reentry plan, only 57% of the SVORI program participants reported that they had a reentry plan about 30 days prior to their release. 90 Exhibit 50 shows the weighted means for the SVORI and nonSVORI groups, as well as the parameter estimate, standard error, test statistic, p value, and odds ratio for the coordination services bundles for each of the four waves. The men reported higher levels of coordination services than the other service areas considered in the evaluation, and this pattern was true at all time periods. Further, higher proportions of the SVORI group reported receipt of every service item for every wave, but there was no significant difference in the proportions of the two groups who reported being on probation/parole. Focusing first on the Wave 1 data, SVORI program participants were more likely to report receiving services related to reentry while they were incarcerated. Specifically, 49% of SVORI program participants, compared to 23% of the non-SVORI comparisons, reported receiving a needs assessment specifically related to their pending release and 66% of SVORI, compared to only 31% of the non-SVORI comparison subjects, reported working with anyone to plan for release. A somewhat surprising finding concerns the proportion of subjects who reported that they had a reentry plan at the time of the interview—only 57% of the SVORI program participants (compared with 25% of the non-SVORI subjects) reported having a reentry plan. Self-reported Service Receipt Exhibit 50. Weighted means for coordination services bundles and items, by group and wave Variable Wave 1 Coordination Score Rcvd ANY coordination services* Rcvd needs assessment Met with case manager Rcvd needs assessment specific for release Reentry plan developed Worked with anyone to plan for release Wave 2 Coordination Score Rcvd ANY coordination services* Rcvd needs assessment Met with case manager Worked with anyone to reintegrate Currently on probation or parole Wave 3 Coordination Score Rcvd ANY coordination services* Rcvd needs assessment Met with case manager Worked with anyone to reintegrate Currently on probation or parole Wave 4 Coordination Score Rcvd ANY coordination services* Rcvd needs assessment Met with case manager Worked with anyone to reintegrate Currently on probation or parole S N NonNonSVORI S SVORI N Mean Mean Par. Est. SE Test Stat. p Val OR 863 863 834 834 59.52 0.88 33.00 0.66 26.52 1.27 1.66 0.13 15.96 97.57 0.00 0.00 NA 3.57 860 860 852 830 834 826 0.63 0.66 0.49 0.46 0.41 0.23 0.69 1.06 1.14 0.10 0.10 0.11 47.03 107.24 108.66 0.00 0.00 0.00 2.00 2.89 3.12 843 861 820 834 0.57 0.66 0.25 0.31 1.38 1.42 0.11 0.11 160.58 181.59 0.00 0.00 4.00 4.14 529 529 455 455 57.42 0.92 39.56 0.89 17.87 0.34 1.90 0.22 9.40 2.35 0.00 0.00 NA 1.40 528 527 529 455 455 454 0.44 0.58 0.46 0.18 0.34 0.22 1.31 1.02 1.08 0.15 0.14 0.15 72.11 56.71 54.95 0.00 0.00 0.00 3.69 2.77 2.94 528 454 0.82 0.85 −0.22 0.17 1.54 0.21 0.81 565 565 469 470 43.17 0.81 30.98 0.72 12.19 0.54 1.97 0.15 6.19 12.69 0.00 0.00 NA 1.72 537 539 540 443 441 443 0.29 0.42 0.36 0.18 0.24 0.20 0.59 0.85 0.78 0.16 0.14 0.15 13.65 34.93 26.95 0.00 0.00 0.00 1.80 2.35 2.19 564 468 0.70 0.65 0.25 0.14 3.25 0.07 1.28 580 582 529 531 29.76 0.63 24.41 0.58 5.35 0.20 1.79 0.13 2.99 2.57 0.00 0.11 NA 1.22 476 476 476 443 444 446 0.24 0.31 0.27 0.15 0.22 0.16 0.55 0.43 0.64 0.17 0.15 0.17 9.83 7.79 14.58 0.00 0.01 0.00 1.73 1.54 1.89 579 529 0.53 0.53 0.00 0.12 0.00 1.00 1.00 Note: NA = Not applicable. OR = odds ratio. Par. Est. = parameter estimate. p Val. = probability value. S = SVORI. SE = standard error. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months postrelease; Wave 4 = 15 months post-release. *Included for information; not included in bundle calculations 91 Prisoner reentry experiences of adult males The Wave 2, 3, and 4 data indicate that most subjects reported being on probation or parole at the time of the interview and that SVORI and non-SVORI were equally likely to report being on parole. The proportion on parole did decline steadily over time, dropping from more than 80% at 3 months post-release, to 65% to 70% at 9 months, and to 53% at 15 months following release. EMPLOYMENT/EDUCATION/SKILLS SERVICES The service area for which the men consistently reported the greatest need was employment, education, and skills-related services. On average, as shown in Exhibit 38, the men reported needing more than 60% of the six items throughout, and there were no differences between the two groups. Exhibit 51 shows the weighted means for the service receipt bundle scores and individual items by group and wave. Greater proportions of SVORI program participants than non-SVORI comparison subjects reported receiving most items. Pre-release, 79% of SVORI and 69% of non-SVORI comparison subjects reported that they had received at least one of the six services that included any employment service, any education, money management, life skills, relationship building, and training to change their attitudes about criminal behavior. These percentages dropped to 50% for SVORI and 31% for nonSVORI subjects 3 months following release and declined at each successive interview until only 26% of SVORI participants and 19% of non-SVORI subjects reported receiving any of these services at 15 months following release. The most commonly reported services received pre-release were education and training to change criminal behavior attitudes. Employment-related services were the most commonly reported postrelease. 92 The most commonly reported services pre-release were education (51% SVORI, 44% non-SVORI) and training to change criminal behavior attitudes (51% SVORI, 36% nonSVORI). Following release, few reported receiving either education or training to change criminal attitudes—only about 10% reported receiving any education following release, substantially less than the 85% or so who indicated that they needed more education. SVORI participants were more likely than non-SVORI respondents to report receiving training to change criminal attitudes at 3 and 9 months following release, but the percentages were small (18% and 16% at 3 and 9 months for SVORI compared to 10% for non-SVORI). Self-reported Service Receipt Exhibit 51. Weighted means for employment/education/skills service receipt bundles and items, by group and wave Variable Wave 1 Employ/Ed/Skills Score Received ANY E/E/S * Rcvd any employment Rcvd any education Rcvd money mgmt training Rcvd life skills Rcvd help with personal relationships Rcvd training to change attitudes criminal behavior Wave 2 Employ/Ed/Skills Score Received ANY E/E/S* Rcvd any employment Rcvd any education Rcvd money mgmt training Rcvd life skills Rcvd help with personal relationships Rcvd training to change attitudes criminal behavior Wave 3 Employ/Ed/Skills Score Received ANY E/E/S* Rcvd any employment Rcvd any education Rcvd money mgmt training Rcvd life skills Rcvd help with personal relationships Rcvd training to change attitudes criminal behavior Wave 4 Employ/Ed/Skills Score Received ANY E/E/S* Rcvd any employment Rcvd any education Rcvd money mgmt training Rcvd life skills Rcvd help with personal relationships Rcvd training to change attitudes criminal behavior S N NonSVORI N 863 863 863 863 862 861 863 834 834 833 834 834 832 834 38.16 0.79 0.37 0.51 0.23 0.42 0.25 863 834 529 529 528 529 529 529 529 S Mean NonSVORI Mean Par. Est. SE Test Stat. p Val. OR 24.33 0.69 0.20 0.44 0.08 0.21 0.17 13.83 0.51 0.87 0.29 1.28 0.97 0.48 1.39 0.11 0.12 0.10 0.15 0.11 0.12 9.92 20.23 56.72 8.79 68.33 76.28 15.09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NA 1.67 2.38 1.34 3.59 2.65 1.62 0.51 0.36 0.60 0.10 35.54 0.00 1.83 455 455 455 455 455 455 455 14.40 0.50 0.34 0.11 0.05 0.11 0.07 8.25 0.31 0.20 0.08 0.02 0.05 0.04 6.15 0.79 0.76 0.44 0.75 0.76 0.58 1.09 0.14 0.15 0.23 0.37 0.25 0.28 5.66 34.03 25.11 3.66 4.17 8.96 4.24 0.00 0.00 0.00 0.06 0.04 0.00 0.04 NA 2.21 2.14 1.55 2.12 2.14 1.79 529 455 0.18 0.10 0.64 0.19 10.95 0.00 1.89 540 565 540 540 540 540 540 444 470 444 444 444 443 444 11.48 0.38 0.21 0.11 0.04 0.08 0.09 7.75 0.28 0.14 0.10 0.02 0.05 0.06 3.74 0.45 0.49 0.12 0.80 0.66 0.44 1.05 0.14 0.18 0.21 0.42 0.28 0.26 3.56 10.72 7.57 0.32 3.61 5.59 2.87 0.00 0.00 0.01 0.57 0.06 0.02 0.09 NA 1.56 1.63 1.13 2.23 1.94 1.55 540 444 0.16 0.10 0.48 0.20 5.87 0.02 1.62 476 582 476 476 476 476 476 445 531 445 445 445 445 445 8.47 0.26 0.14 0.10 0.03 0.06 0.07 5.88 0.19 0.10 0.07 0.02 0.03 0.06 2.59 0.40 0.44 0.41 0.60 0.72 0.25 0.93 0.15 0.22 0.25 0.47 0.34 0.27 2.80 7.17 4.19 2.73 1.67 4.40 0.83 0.01 0.01 0.04 0.10 0.20 0.04 0.36 NA 1.49 1.55 1.51 1.83 2.06 1.28 476 445 0.10 0.08 0.24 0.24 1.01 0.31 1.27 Note: NA = Not applicable. E/E/S = employment/education/skills bundle. OR = odds ratio. Par. Est. = parameter estimate. p Val. = probability value. S = SVORI. SE = standard error. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. *Included for information; not included in bundle calculations 93 Prisoner reentry experiences of adult males Employment-related services (e.g., help with resume, job referrals) were the most commonly reported at each postrelease interview; however, the overall percentage of individuals reporting receiving employment-related services was small. Only 34% of SVORI program participants reported receiving any employment-related services 3 months following release—significantly higher than the 20% of non-SVORI respondents who reported employment services, but substantially below 100%, which one might have expected for programs with an employment focus. TRANSITION SERVICES As was shown in Exhibit 41, the men in the study reported high levels of need for transition services, which included various forms of assistance with the reentry process. Nearly all reported needing at least 1 of the 10 services at each interview, and a majority reported in the pre-release interview that they needed help with all of the items except legal assistance. Among the top needs identified were large services (financial assistance, public health care insurance) and small (drivers license, documents for employment). A need for housing was identified by about half of the respondents pre-release; this need persisted as about 45% continued to identify housing as a need in each of the three post-release interviews. Finally, more than half prior to release and about half following release said that they needed a mentor, a service that has been linked to transforming criminal behavior. Most SVORI program participants reported participating in programs (75%) or classes (65%) to prepare for release. 94 Exhibit 52 shows the reported receipt of transition services by group. SVORI program participants were more likely than nonSVORI respondents to report receiving transition services and to report receiving more transition services from pre-release through the 9-month post-release interview (Wave 3). The likelihood and amount declined following release, and the differences between the two groups diminished over time until there was no difference at 15 months following release. Most SVORI participants reported participating in programs (75%) or classes (65%) to prepare for release, significantly more than non-SVORI respondents (52% reported participating in programs, 38% reported participating in classes). Self-reported Service Receipt Exhibit 52. Weighted means for transition services receipt bundles and items, by group and wave Variable Wave 1 TransSvcsScore Rcvd ANY transition services* Rcvd programs for release Rcvd classes for release Rcvd legal assistance Rcvd financial assist Rcvd public financial assist Rcvd public health care insurance Rcvd mentor Rcvd docs for employ Rcvd place to live Rcvd transportation Rcvd drivers license Rcvd cloth/food bank Wave 2 TransSvcsScore Rcvd ANY transition services* Rcvd legal assistance Rcvd financial assist Rcvd public financial assist Rcvd public health care insurance Rcvd mentor Rcvd docs for employ Rcvd place to live Rcvd transportation Rcvd drivers license Rcvd cloth/food bank Wave 3 TransSvcsScore Rcvd ANY transition services* Rcvd legal assistance Rcvd financial assist Rcvd public financial assist Rcvd public health care insurance Rcvd mentor Rcvd docs for employ Rcvd place to live Rcvd transportation Rcvd drivers license Rcvd cloth/food bank S N nonNonSVORI S SVORI N Mean Mean Par. Est. SE Test Stat. p Val. OR 863 863 863 862 863 863 862 861 834 834 833 833 834 834 834 834 28.40 0.87 0.75 0.65 0.12 0.13 0.14 0.13 16.77 0.73 0.52 0.38 0.08 0.04 0.11 0.09 11.63 0.89 1.01 1.11 0.39 1.25 0.27 0.42 0.95 0.13 0.11 0.10 0.17 0.21 0.15 0.16 12.20 47.80 90.62 115.94 5.28 35.50 3.20 7.07 0.00 0.00 0.00 0.00 0.02 0.00 0.07 0.01 NA 2.44 2.76 3.03 1.47 3.48 1.31 1.53 863 859 863 862 862 862 834 834 834 834 834 834 0.19 0.41 0.28 0.19 0.22 0.21 0.08 0.26 0.13 0.12 0.08 0.11 0.93 0.66 0.94 0.56 1.15 0.74 0.16 0.11 0.13 0.14 0.16 0.14 36.11 37.59 51.53 16.06 54.76 28.42 0.00 0.00 0.00 0.00 0.00 0.00 2.54 1.93 2.55 1.76 3.17 2.10 529 529 529 529 529 528 455 455 455 455 455 455 13.43 0.59 0.04 0.07 0.20 0.11 8.87 0.43 0.03 0.04 0.16 0.08 4.56 0.66 0.24 0.58 0.29 0.26 0.95 0.13 0.36 0.31 0.17 0.22 4.80 25.31 0.47 3.55 2.90 1.35 0.00 0.00 0.49 0.06 0.09 0.25 NA 1.94 1.28 1.79 1.34 1.30 528 529 529 529 529 528 455 455 455 455 455 455 0.14 0.25 0.12 0.15 0.12 0.16 0.04 0.16 0.11 0.12 0.07 0.08 1.32 0.59 0.09 0.30 0.52 0.74 0.26 0.17 0.21 0.19 0.23 0.21 25.39 12.52 0.18 2.40 5.07 12.62 0.00 0.00 0.68 0.12 0.02 0.00 3.75 1.80 1.09 1.35 1.68 2.10 540 565 539 540 540 540 444 470 444 444 444 444 9.23 0.45 0.06 0.07 0.12 0.09 6.73 0.31 0.07 0.02 0.10 0.07 2.50 0.58 −0.25 1.29 0.20 0.20 0.81 0.13 0.26 0.36 0.21 0.24 3.08 19.12 0.94 12.57 0.88 0.71 0.00 0.00 0.33 0.00 0.35 0.40 NA 1.79 0.78 3.64 1.22 1.22 540 540 540 540 540 540 444 444 444 444 444 444 0.13 0.13 0.07 0.10 0.08 0.07 0.06 0.09 0.06 0.07 0.05 0.07 0.91 0.43 0.08 0.36 0.58 −0.07 0.24 0.21 0.27 0.24 0.29 0.25 14.13 4.09 0.09 2.30 4.14 0.08 0.00 0.04 0.76 0.13 0.04 0.78 2.50 1.54 1.09 1.44 1.79 0.93 (continued) 95 Prisoner reentry experiences of adult males Exhibit 52. Weighted means for transition services receipt bundles and items, by group and wave (continued) Variable Wave 4 TransSvcsScore Rcvd ANY transition services* Rcvd legal assistance Rcvd financial assist Rcvd public financial assist Rcvd public health care insurance Rcvd mentor Rcvd docs for employ Rcvd place to live Rcvd transportation Rcvd drivers license Rcvd cloth/food bank S N nonNonSVORI S SVORI N Mean Mean Par. Est. SE Test Stat. p Val. OR 476 582 476 476 476 445 531 444 445 445 6.00 0.27 0.06 0.05 0.07 6.01 0.26 0.08 0.02 0.11 −0.01 0.07 −0.31 0.69 −0.47 0.76 0.14 0.27 0.38 0.24 −0.02 0.26 1.30 3.32 3.99 0.98 0.61 0.25 0.07 0.05 NA 1.07 0.73 2.00 0.62 476 476 476 476 476 476 476 445 445 445 445 445 445 445 0.06 0.09 0.07 0.04 0.06 0.05 0.05 0.07 0.04 0.06 0.05 0.05 0.05 0.06 −0.16 0.79 0.09 −0.28 0.10 0.12 −0.18 0.26 0.28 0.27 0.32 0.30 0.31 0.29 0.35 8.03 0.11 0.76 0.12 0.15 0.37 0.56 0.00 0.74 0.38 0.73 0.70 0.54 0.86 2.20 1.10 0.76 1.11 1.13 0.84 Note: NA = Not applicable. OR = odds ratio. Par. Est. = parameter estimate. p Val. = probability value. S = SVORI. SE = standard error. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months postrelease; Wave 4 = 15 months post-release. *Included for information; not included in bundle calculations SVORI participants were much more likely to report receiving help pre-release obtaining drivers licenses (22%) and documents for employment (41%) than non-SVORI respondents (8% and 26%), although at levels substantially below the more than the 80% who said they needed help obtaining drivers licenses and the 55% who said they needed documents for employment. The percentages reporting having a mentor pre-release were substantially less than the 60% of both groups who said they needed a mentor. SVORI participants were 2.5 times more likely to report having a mentor, but only 19% of SVORI participants (compare 8% nonSVORI) reported having a mentor. The most commonly reported service received across the four interviews was assistance obtaining documents for employment. 96 While most members of both groups reported receiving at least one of the transition services prior to release, the proportions declined dramatically following release. Only 59% of SVORI program participants and 43% of non-SVORI comparison subjects reported receiving ANY transition services during the first 3 months following their release from prison. The most commonly reported service across the four waves was assistance obtaining documents for employment (e.g., Social Security card, birth certificate). Perhaps the most surprising Self-reported Service Receipt finding in Exhibit 52 is how few of these men received support as they transitioned back into the community. Although SVORI participants received significantly more help—at least prerelease and immediately after release—less than 50% reported receiving any of these services at the 9- and 15-month interviews. HEALTH SERVICES Exhibit 42 showed the bundle scores for health service needs at each interview wave. Prior to release, subjects reported needing about one third of the five health services. At the time of the 15-month post-release interview, men reported needing about 28% of the services. The most commonly reported need was for medical treatment, with substantial minorities also indicating a need for substance use treatment and anger management programs. Exhibit 53 provides the means and test statistics for the receipt of various health services, including medical, dental, mental health, and substance abuse treatment; included in this bundle is victims’ group counseling and anger management. Most subjects indicated that they had received health services while they were incarcerated, with medical and dental treatment being the most commonly reported. Not surprisingly, as medical treatment is mandated by law, there was no difference in the receipt of medical and dental services while subjects were incarcerated. There was also no difference in mental health treatment, although non-SVORI subjects were slightly more likely than SVORI program participants (19% to 16%) to report receiving mental health treatment while incarcerated; this finding is consistent with non-SVORI subjects having been more likely to report needing mental health treatment (see Exhibit 42). SVORI program participants were much more likely to report receiving substance abuse treatment while they were incarcerated—48% of SVORI and 38% of non-SVORI reported receiving substance abuse treatment while incarcerated—and anger management programming (33% SVORI, 26% nonSVORI). Following release, the respondents were less likely to receive any service; they also reported receiving many fewer services. The health services bundle scores declined from about one third pre-release (35.28 SVORI, 31.21 non-SVORI) to about one 97 Prisoner reentry experiences of adult males Exhibit 53. Weighted means for health services receipt bundles and items, by group and wave Variable Wave 1 Health Services Score Rcvd ANY health services* Rcvd medical tx Rcvd dental tx Rcvd MH tx Rcvd substance use tx Rcvd group for abuse victims Rcvd anger mgmt program Wave 2 Health Services Score Rcvd ANY health services* Rcvd medical tx Rcvd dental tx Rcvd MH tx Rcvd substance use tx Rcvd group for abuse victims Rcvd anger mgmt program Wave 3 Health Services Score Rcvd ANY health services* Rcvd medical tx Rcvd dental tx Rcvd MH tx Rcvd substance use tx Rcvd group for abuse victims Rcvd anger mgmt program Wave 4 Health Services Score Rcvd ANY health services* Rcvd medical tx Rcvd dental tx Rcvd MH tx Rcvd substance use tx Rcvd group for abuse victims Rcvd anger mgmt program S N NonNonS SVORI SVORI N Mean Mean Par. Est. SE Test Stat. p Val. OR 863 863 861 863 854 862 862 863 834 834 830 833 821 834 834 833 35.28 0.88 0.58 0.50 0.16 0.48 0.07 0.33 31.21 0.83 0.55 0.47 0.19 0.38 0.03 0.26 4.08 0.40 0.14 0.11 −0.22 0.42 0.91 0.33 1.09 0.14 0.10 0.10 0.13 0.10 0.26 0.11 3.75 7.87 1.98 1.30 2.72 17.14 12.41 9.50 0.00 0.01 0.16 0.25 0.10 0.00 0.00 0.00 NA 1.49 1.15 1.12 0.81 1.52 2.48 1.40 529 529 525 526 524 529 529 529 455 455 450 452 449 455 455 455 12.75 0.53 0.25 0.05 0.09 0.28 0.01 0.08 11.06 0.45 0.23 0.07 0.08 0.23 0.01 0.05 1.69 0.32 0.10 −0.26 0.12 0.27 0.35 0.52 0.95 0.13 0.15 0.27 0.24 0.15 0.58 0.26 1.77 5.89 0.41 0.95 0.26 3.30 0.36 3.98 0.08 0.02 0.52 0.33 0.61 0.07 0.55 0.05 NA 1.37 1.10 0.77 1.13 1.31 1.42 1.68 541 565 537 540 535 541 540 540 444 470 440 443 439 443 444 444 12.70 0.50 0.30 0.08 0.08 0.22 0.01 0.08 12.50 0.50 0.29 0.08 0.07 0.23 0.01 0.07 0.20 0.02 0.04 −0.09 0.14 −0.04 −0.55 0.14 0.95 0.13 0.14 0.24 0.25 0.16 0.75 0.25 0.21 0.03 0.09 0.13 0.34 0.07 0.54 0.33 0.83 0.87 0.77 0.72 0.56 0.79 0.46 0.57 NA 1.02 1.04 0.92 1.15 0.96 0.58 1.15 476 582 472 473 470 474 476 476 445 531 442 443 440 443 445 445 10.86 0.37 0.27 0.09 0.07 0.18 0.02 0.03 11.93 0.41 0.27 0.10 0.09 0.21 0.00 0.05 −1.07 −0.14 −0.02 −0.09 −0.31 −0.19 2.08 −0.41 0.96 0.12 0.15 0.22 0.25 0.17 1.06 0.35 −1.12 1.34 0.01 0.17 1.56 1.26 3.81 1.38 0.26 0.25 0.91 0.68 0.21 0.26 0.05 0.24 NA 0.87 0.98 0.91 0.73 0.83 7.99 0.66 Note: NA = Not applicable. MH = mental health. OR = odds ratio. Par. Est. = parameter estimate. p Val. = probability value. S = SVORI. SE = standard error. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. *Included for information; not included in bundle calculations 98 Self-reported Service Receipt eighth at 3 months post-release (12.75 SVORI, 11.06 nonSVORI). The most commonly reported health service was medical treatment (23% to 30%), with similar percentages reporting receipt between the two groups. A slightly smaller percentage (18% to 28%) reported receiving substance abuse treatment since the previous interview. Less than 10% reported receiving dental care. Anger management programming was also reported to have been received by less than 10% following release, although more than 25% of respondents said they needed anger management programming. DOMESTIC VIOLENCE SERVICES Subjects were asked about their participation in domestic violence support groups or batterer intervention programs— services that were ranked as low-need by most of the men (see Exhibit 54). About 10% of respondents (9% SVORI, 11% nonSVORI) reported needing domestic violence support groups or batterer intervention programs at the pre-release interview (see Exhibit 43), about the same percentage who reported receiving services. Exhibit 54 shows the proportion of subjects who reported participating in these two programs. SVORI program participants were more likely pre-release to have participated in a domestic violence group (10% versus 6%), but post-release few subjects reported participating and there were no differences between the two groups. CHILD SERVICES More than 60% of the men reported having children, as noted earlier. The most commonly reported child-related needs were help with modifying child support payments, but many also indicated a need to improve their parenting skills. As shown in Exhibit 55, 34% of SVORI program participants and 22% of nonSVORI comparison subjects reported receiving any child-related services while they were in prison. The most commonly reported services were assistance modifying child support debt and participation in parenting skills classes. SVORI participants were significantly more likely to report receiving these two services. 99 Prisoner reentry experiences of adult males Exhibit 54. Weighted means for domestic violence services receipt bundles and items, by group and wave Variable Wave 1 DomViolScore Rcvd ANY DV services* Rcvd batterer intervention program Rcvd DV support group Wave 2 DomViolScore Rcvd ANY DV services* Rcvd batterer intervention program Rcvd DV support group Wave 3 DomViolScore Rcvd ANY DV services* Rcvd batterer intervention program Need DV support group Wave 4 DomViolScore Rcvd ANY DV services* Rcvd batterer intervention program Rcvd DV support group S N NonNonS SVORI SVORI N Mean Mean Par. Est. SE Test Stat. p Val. OR 863 863 862 834 834 834 7.43 0.11 0.05 4.72 0.07 0.04 2.71 0.53 0.28 1.00 0.18 0.25 2.71 9.02 1.29 0.01 0.00 0.26 NA 1.70 1.33 863 834 0.10 0.06 0.60 0.19 10.02 0.00 1.82 529 529 529 455 455 455 0.97 0.01 0.01 1.17 0.02 0.01 −0.21 −0.19 0.04 0.60 0.54 0.68 −0.35 0.12 0.00 0.73 0.72 0.96 NA 0.83 1.04 529 455 0.01 0.02 −0.35 0.56 0.40 0.53 0.70 540 565 540 444 470 444 1.35 0.02 0.01 1.40 0.02 0.01 −0.05 −0.10 −0.40 0.64 0.44 0.77 −0.07 0.05 0.27 0.94 0.83 0.60 NA 0.91 0.67 540 444 0.02 0.02 0.11 0.47 0.05 0.82 1.11 476 582 476 445 531 445 1.02 0.01 0.01 1.64 0.02 0.01 −0.62 −0.76 −0.31 0.67 0.51 0.74 −0.92 2.24 0.18 0.36 0.13 0.67 NA 0.47 0.73 476 445 0.01 0.02 −0.57 0.53 1.15 0.28 0.57 Note: NA = Not applicable. OR = odds ratio. Par. Est. = parameter estimate. p Val. = probability value. S = SVORI. SE = standard error. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months postrelease; Wave 4 = 15 months post-release. *Included for information; not included in bundle calculations Receipt of child-related services dropped dramatically following release. Only 8% of SVORI and 3% of non-SVORI subjects reported receiving any child-related services at the 3-month post-release interview, and the percentages declined in subsequent interviews. SUMMARY AND CONCLUSIONS Overall, the examination of service receipt shows that the men who enrolled in SVORI programming received substantially higher levels of services than men who received “treatment as usual.” Although programming was concentrated on the prerelease phase (i.e., levels of service receipt were dramatically 100 Self-reported Service Receipt Exhibit 55. Weighted means for child services bundles and items, by group and wave Variable Wave 1 ChildSvcsScore Rcvd ANY child services* Rcvd help getting child support payments Rcvd help modifying child support debt Rcvd help modifying custody Rcvd parenting classes Rcvd help with child care Wave 2 ChildSvcsScore Rcvd ANY child services* Rcvd help getting child support payments Rcvd help modifying child support debt Rcvd help modifying custody Rcvd parenting classes Rcvd help with child care Wave 3 ChildSvcsScore Rcvd ANY child services* Rcvd help getting child support payments Rcvd help modifying child support debt Rcvd help modifying custody Rcvd parenting classes Rcvd help with child care Wave 4 ChildSvcsScore Rcvd ANY child services* Rcvd help getting child support payments Rcvd help modifying child support debt Rcvd help modifying custody Rcvd parenting classes Rcvd help with child care S N NonNonSVORI S SVORI N Mean Mean Par. Est. SE Test Stat. p Val. OR 508 508 507 503 503 502 11.26 0.34 0.06 5.74 0.22 0.02 5.53 0.59 1.22 0.99 0.15 0.37 5.61 16.67 10.90 0.00 0.00 0.00 NA 1.81 3.39 152 158 0.22 0.11 0.84 0.33 6.60 0.01 2.32 507 502 0.04 0.02 0.54 0.39 1.89 0.17 1.72 508 508 503 502 0.25 0.08 0.15 0.03 0.63 1.01 0.16 0.32 14.65 9.87 0.00 0.00 1.88 2.75 314 529 314 273 455 273 4.19 0.08 0.03 1.37 0.03 0.02 2.83 0.95 0.49 0.74 0.31 0.62 3.82 9.38 0.61 0.00 0.00 0.44 NA 2.58 1.62 116 109 0.14 0.04 1.49 0.58 6.59 0.01 4.43 314 273 0.03 0.00 17.68 0.45 0.00 >999 314 314 273 273 0.05 0.04 0.03 0.00 0.54 2.34 0.45 1.04 1.45 5.04 0.23 0.02 1.72 10.42 321 565 321 259 470 258 2.75 0.06 0.02 2.14 0.05 0.01 0.61 0.34 0.47 0.69 0.29 0.87 0.88 1.34 0.30 0.38 0.25 0.59 NA 1.40 1.60 116 105 0.11 0.04 1.07 0.61 3.08 0.08 2.92 321 258 0.01 0.03 −0.86 0.64 1.79 0.18 0.42 321 321 259 257 0.04 0.02 0.03 0.02 0.36 0.36 0.52 0.58 0.49 0.39 0.48 0.53 1.44 1.44 292 582 291 284 531 284 1.71 0.03 0.01 1.68 0.03 0.01 0.03 −0.04 −0.30 0.58 0.34 1.01 0.06 0.02 0.09 0.95 0.90 0.77 NA 0.96 0.74 115 127 0.05 0.05 −0.05 0.60 0.01 0.93 0.95 290 284 0.02 0.01 0.35 0.74 0.22 0.64 1.42 292 290 284 284 0.01 0.02 0.02 0.01 −0.70 0.72 0.64 0.72 1.20 0.99 0.27 0.32 0.50 2.05 1511 Note: NA = Not applicable. OR = odds ratio. Par. Est. = parameter estimate. p Val. = probability value. S = SVORI. SE = standard error. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months postrelease; Wave 4 = 15 months post-release. *Included for information; not included in bundle calculations 101 Prisoner reentry experiences of adult males higher at that time period than at any of the post-release time periods), SVORI appeared to increase access to services well beyond release. Even 15 months after release, the SVORI group still reported significantly higher rates of service receipt than the non-SVORI group in many service areas. The services that men were most likely to receive pertained to the coordination of services, including post-release supervision, case management, and working with someone to reintegrate into society. SVORI participants were more likely to receive transition services pre-release and through 9 months postrelease. Prior to release, most SVORI participants participated in programs or classes to prepare for release and were also significantly more likely than non-SVORI respondents to report receiving the 10 services included in the transition bundle, with help obtaining documents for employment being the most likely service reported. Although most adult SVORI programs listed employment as one of their priorities and most men reported needing help finding employment, most men enrolled in SVORI programs did not report receiving employment-related services. Prior to release, only 37% of SVORI program participants (compared to 20% of non-SVORI respondents) reported that they had received any employment-related services while incarcerated—about the same as the 34% of SVORI participants who reported having received employment-related services during the 3 months following release. SVORI program participation greatly increased the likelihood of receiving a wide range of services, but levels of participation were less than reported needs. SVORI program participants were also much more likely than non-SVORI respondents to report having received programs such as cognitive behavior therapy that were directed at changing their attitudes about criminal behavior—change that some have suggested is a prerequisite to affecting recidivism. About half (51%) of SVORI participants reported participating in such programs prior to release compared to 36% of nonSVORI respondents. Despite the increase in access to services afforded to those participating in SVORI programs, the proportions of SVORI program participants who received the service items were usually substantially less than 100%. Although need clearly should drive the receipt of services in the sense that individuals should not receive unneeded services, need exceeded service receipt for most service items. Overall, aggregate levels of 102 Self-reported Service Receipt service receipt were substantially lower than aggregate levels of service need (across all bundles and time periods, and among both groups). For example, most men reported needing employment, education, and skills services, and only about half (51%) of SVORI participants reported receiving any educationrelated services and only 37% reported receiving any employment-related services while they were incarcerated. These levels were much higher, however, than what was observed post-release, as only 34% of SVORI program participants reported receiving any employment services during the 3 months following release. The chapter that follows reports the impact of SVORI programming on several key domains. Detailed findings for housing, employment, family/peer/community outcomes, substance abuse and physical and mental health, and criminal behavior/recidivism are presented. 103 Outcomes The purpose of the multi-site evaluation was to identify the impact of SVORI program participation on a range of postrelease outcomes, with a primary goal of examining the impact of SVORI program participation on recidivism. The SVORI programs were intended to affect a range of outcomes that have been linked to recidivism, including housing, employment, and substance use, using a case managed or wraparound approach to provide integrated services based on individual needs assessments. …the approach to the outcome analyses was to test first-order effects of SVORI program participation on each of the identified outcomes. The implicit SVORI program model linking inputs, services, and outcomes is shown in Exhibit 56. This presentation of the program model makes clear that most services are intended to affect intermediate outcomes which, in turn, are then assumed to be correlated with improvements in criminal behavior. (Only programs directed at changing attitudes towards criminal behavior were envisioned to directly affect post-release criminal behavior). Under this model, the outputs (services) directly affect the intermediate outcomes that, in turn, impact the criminal behavior outcomes. For example, suppose employment services increase the likelihood of employment by 20% and being employed reduces the likelihood of recidivism by 20%, then receiving employment services would be associated with a 4% reduction in recidivism. Of course, the SVORI program participants (and, to a lesser extent, the non-SVORI respondents) received a variety of different services, each of which could impact one or more intermediate outcomes that could impact recidivism. There is little theoretical or empirical guidance for the correct specification of such a complex recidivism model and, thus, the approach to the outcome analyses was to test first-order effects of SVORI program participation on each of the identified outcomes. 105 Prisoner reentry experiences of adult males Exhibit 56. SVORI Program Model The previous chapter showed that SVORI program participants were more likely than non-participants to report receiving a wide range of reentry services, although the levels of service provision were less than reported needs. Further, most service provision was concentrated in the incarceration phase of the program and diminished following release. In this chapter, a wide range of outcomes are examined across the domains of interest to the SVORI—housing, family and community, employment, physical and mental health (including substance use), and criminal behavior. The effect of SVORI program participation on individual outcomes was assessed by estimating a series of models in which the outcome variables were regressed on the dichotomous SVORI indicator variable (see the Introduction to this report and Lattimore & Steffey, 2009). Weights to control for observed differences between the SVORI and non-SVORI groups were applied in the estimation of these outcome models. The weights were based on propensity scores that provided individual-level estimates of the probability of 106 Outcomes assignment to a SVORI program. 34 The weights were incorporated into the regression models using the survey procedures in SAS® 9.1. Proc Survey Means was used to generate weighted group means by group. This procedure produces weighted means but not weighted standard errors. So, to provide tests of significance of the effect of SVORI program participation on outcomes, a second set of models was estimated in which the outcome variables were regressed on the dichotomous SVORI indicator variable using Proc Survey Logistic or Regression for dichotomous or continuous dependent variables, respectively. The odds ratios from the logistic regressions provide one measure of treatment effects. The percentage difference between SVORI and non-SVORI weighted means provides another. The following sections address the impact of SVORI program participation on outcomes in the following domains: housing; employment; family, peers, and community involvement; substance use and physical and mental health; and criminal behavior and recidivism. HOUSING As reported in the Introduction, the SVORI PDs said that 54% of SVORI participants would receive housing placements or referrals pre-release and 66% would be assisted post-release (see Exhibit 3). The SVORI evaluation participants were much less likely to report receiving help with housing. Pre-release, 28% of SVORI participants (compared to 13% of non-SVORI respondents) reported help with housing, a percentage that declined to 12% 3 months post-release (compared to 11% of non-SVORI; see Exhibit 52). Thus, most of SVORI respondents reported receiving no help with housing. Three “core” housing outcomes were housing independence, housing stability, and the extent of challenges faced in locating housing after release. Prior to discussing these outcomes, data are presented on the housing experiences of these men prior to and following incarceration. 34 The propensity score model used observed characteristics to model the likelihood that an individual with specified characteristics would be selected or assigned to treatment, in this case to a SVORI program. A logit model was estimated in SAS® 9.1.3 using PROC MI and PROC MIANALYZE to accommodate item missingness, which was relatively rare. Thirty-one independent variables were included in this model. See Lattimore and Steffey (2009) for details. 107 Prisoner reentry experiences of adult males In the 6 months prior to their current incarceration, 13% of the men reported that they were homeless, staying in a shelter, or had no set place to stay. Following release, most were not homeless—less than 5% of either group reported homeless status during the periods since the previous interview. Exhibit 57 shows the percentage of each group reporting being homeless, living in a shelter, or without a set place to live in the 6 months prior to incarceration (Wave 1 interview conducted 30 days prior to release) or since the previous interview 35 (Waves 2 through 4 interviews conducted 3, 9, and 15 months post-release). Thus, self-reported housing difficulties were lower following release than prior to incarceration, although it is possible that there was higher nonresponse for unhoused individuals in the post-release interviews. Exhibit 57. Self-reported homeless, living in a shelter, or without a set place to live, by group and wave 100% SVORI Non-SVORI 80% 60% 40% 20% 13% 13% 1% 1% 1% 3% 3% 4% 0% Wave 1 Wave 2 Wave 3 Wave 4 Note: Differences between SVORI and non-SVORI were not significant at the 0.05 level. (Wave 3 difference was significant at the 0.06 level.) The respondents also reported with whom they were living. Depending on the interview wave, 7% to 11% of the men reported that they were living alone. The most common categories of people with whom the men reported living were 35 108 Individuals who missed the previous follow-up interview were asked about the 6 months prior to the current interview. Individuals who were reincarcerated were asked about the period immediately prior to their current incarceration. Individuals who had been incarcerated for the entire period since the last interview were coded as missing on housing questions. Outcomes their mother/stepmother and boy/girlfriend/fiancé. 36 Exhibit 58 shows the percentages of each group that reported living with their mother/stepmother or father/stepfather. More than one third of the men were living with their mothers during the period immediately following their release from prison, and about half that percentage reported living with their fathers. These percentages declined over time such that by 15 months post-release only about one quarter reported living with their mothers. Exhibit 58. Percentages living with mothers or fathers post-release, by group (SVORI and nonSVORI) and post-release follow-up wave (2, 3, and 4) 100% 80% SVORI-2 Non-SVORI-2 SVORI-3 Non-SVORI-3 SVORI-4 Non-SVORI-4 60% 40% 35 33 30 29 26 27 18 20% 15 17 14 13 14 0% Mother/stepmother Father/stepfather Note: Differences between SVORI and non-SVORI were not significant at the 0.05 level. Exhibit 59 shows the percentages of each group that reported living with partners, spouses, or children over the 15 months following their release. As can be seen, the number reporting living with spouses increased over time, as did the number reporting living with children. The complete responses to the questions related to with whom the respondent was living are included as Exhibit A-5 in Appendix A. The co-residence patterns were similar for the SVORI and nonSVORI groups, with the only significant differences being that the non-SVORI group was significantly more likely to report living with a boyfriend/girlfriend/fiancé at the 9-month 36 Subjects were allowed to select as many as applied; for example, someone could indicate that they were living with their mother, father, and brother(s). On average, the respondents indicated they were living with individuals in less than two categories. 109 Prisoner reentry experiences of adult males Exhibit 59. Percentages living with partners, spouses, or children post-release, by group (SVORI and non-SVORI) and post-release followup wave (2, 3, and 4) 100% 80% SVORI-2 Non-SVORI-2 SVORI-3 Non-SVORI-3 SVORI-4 Non-SVORI-4 60% 40% 20% 18 19 23 29 27 26 7 9 12 9 10 10 13 13 17 17 18 19 0% Boy/girlfriend,fiance Husband/wife Child/step Note: Non-SVORI comparisons were more likely to report living with a boy/girlfriend/fiancé at the 9 month interview; other differences between SVORI and non-SVORI were not significant at the 0.05 level interview and significantly more likely to report living with a grandparent at the 15-month interview. Three dimensions of housing—housing independence, housing stability, and the extent of challenges faced in locating housing—were examined as reentry outcomes. The SVORI and non-SVORI groups were compared on these outcomes at 3, 9, and 15 months post-release. Exhibit 60 shows the weighted proportion of men in each group (with estimates, standard errors, and odds ratios from the logistic regression models) who 110 were classified as “housing independent” (defined as living in their own house or apartment, contributing to the costs of housing, or having their name on the lease or mortgage of the place where they currently lived); were classified as having stable housing (defined as having lived in only one place during the reference period or two places if the move was to secure their own place or a nicer place); and did not experience housing challenges (respondents were classified as not having housing challenges if they were not homeless, reported that they did not have trouble finding a place to live, and reported that their current living situation was better or about the same as their last one). Outcomes Exhibit 60. Weighted means and regression parameter estimates for housing outcomes Wave 2 Housing independence Housing stability No housing challenges Wave 3 Housing independence Housing stability No housing challenges Wave 4 Housing independence Housing stability No housing challenges SVORI Mean N = 529 0.723 0.784 0.837 N = 565 0.818 0.695 0.847 N = 582 0.861 0.672 0.815 NonSVORI Mean N = 455 0.692 0.781 0.815 N = 470 0.829 0.709 0.820 N = 531 0.798 0.728 0.833 Par. Est. SE OR 0.151 0.017 0.154 0.143 0.157 0.170 1.163 1.017 1.167 −0.074 −0.070 0.201 0.172 0.142 0.175 0.929 0.932 1.222 0.450* −0.267 −0.123 0.179 0.147 0.176 1.569 0.766 0.884 Note: OR = odds ratio. Par. Est. = parameter estimate for weighted regression. SE = standard error. N’s are the total responses for each wave of interviews and do not reflect any item missingness. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. * p < 0.05 There were few differences in housing outcomes. Housing independence improved gradually for both groups over the post-release follow-up period. As can be seen, the SVORI and non-SVORI groups are similar along these core housing dimensions, indicating that SVORI programming did not significantly improve the post-release housing experiences for returning adult male prisoners. Given the relative few who reported receiving help with housing, this result is not surprising. The single statistically significant difference (at the 0.05 level) was that the SVORI group, on average, was more likely than the non-SVORI group to report being housing independent 15 months after release. Also of interest in Exhibit 60 are the variable temporal patterns observed among these three core housing measures. For example, housing independence improved gradually over the post-release follow-up period (with 72% of the SVORI and 70% of the non-SVORI men classified as “housing independent” at the 3-month interview and 86% of SVORI and 80% of nonSVORI classified as “housing independent” at the final, 15-month interview), housing stability declined over time (with the highest levels of stability being observed at the immediate post-release time period and the lowest being observed at the 15-month post-release time period). This pattern may be because the 9- and 15-month post-release interviews had longer reference periods (6 months) than the 3-month post- 111 Prisoner reentry experiences of adult males release interview (3 months) so that respondents had more opportunities to experience instability during the 9- and 15month interviews. There was little difference over time in the measure of housing challenges, which is perhaps the broadest measure of difficulty in finding quality housing. Specifically, the percentages of men in both groups indicating they had experienced housing challenges ranged from 81% to 84% across the three follow-up interviews. In addition to the three core housing measures, several other dimensions of housing were measured that provide insight into the men’s overall post-release housing experiences. For example, one of the individual measures that was included in the “housing independence” measure was whether the respondent lived in his own house or apartment, lived in someone else’s house or apartment, or was homeless, living in a shelter, or without a set place to live. Exhibit 61 shows the percentage of men in each group who reported that they were living in their own homes at each follow-up. As can be seen, SVORI program participants were more likely than non-SVORI comparison subjects to report that they were living in their own house or apartment, although differences (as measured by the significance of the logistic regression parameter estimate) were not significant at the 0.05 level (p values were 0.1, 0.15 and 0.08, for Waves 2, 3, and 4). Further, the percentages of both groups reporting living in their own places increased over time. Exhibit 61. Percentage reporting living in own house or apartment; weighted means by group and follow-up wave 100% SVORI Non-SVORI 80% 60% 36 40% 25 31 37 32 21 20% 0% Wave 2 Wave 3 Wave 4 Note: Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. 112 Outcomes Another individual component of housing independence also showed improvement (for both the SVORI and non-SVORI groups) during the post-release follow-up period. Specifically, the percentage of men who contributed to housing costs increased for SVORI program participants from 70% at 3 months to 79% at 9 months to 85% at 15 months. The percentages also increased for non-SVORI comparison subjects, rising from 67% at 3 months post-release to 81% at 9 months before dropping to 78% at 15 months post-release. SVORI program participants were more likely to report having their name on the mortgage or lease at 3 months post-release—22% versus 16%. Smaller, but insignificant differences persisted at 9 and 15 months (29% versus 25% at 9 months and 35% and 31% at 15 months). Neighborhood quality was a final relevant dimension of housing. At each post-release interview the men were asked a series of questions about the quality of the neighborhoods in which they lived. The following items were combined to create a score measuring neighborhood quality: “It is hard to stay out of trouble in your neighborhood.” “Drug selling is a major problem in your neighborhood.” “You think your neighborhood is a good place to live.” “You think your neighborhood is a good place to find a job.” “Living in your neighborhood makes it hard to stay out of incarceration.” When the mean neighborhood quality scores at the three postrelease time periods were examined, little variability over time was found (weighted means on the 15-point scale ranged from 9.3 to 10 across the groups and follow-up periods), indicating that the men in both groups had similar perceptions of the neighborhoods in which they were living at each time period at which they were interviewed. EMPLOYMENT Employment was a primary focus of many of the SVORI programs, and all 12 adult impact site Program Directors felt that it would be fair to determine program effectiveness by examining employment (see Exhibit 2). Employment was also of considerable importance to the subjects, who consistently 113 Prisoner reentry experiences of adult males indicated high levels of need for services to improve their employment, education, and other skills (see Exhibit 40). As was shown in the previous chapter, the SVORI programs were successful in increasing the likelihood that individuals received employment-related services during confinement and during the first few months following release (see Exhibit 51). However, levels were far less than reported need, which neared 100% for all respondents. Specifically, only 37% of SVORI program participants (compared with 20% of non-SVORI) reported receiving, during their incarcerations, any employment-related services (such as employment readiness classes, help preparing a resume, advice about interviewing, or names of potential employers). Further, only 25% of SVORI program participants (compared with 16% of non-SVORI) received help obtaining documents related to employment such as Social Security cards or birth certificates. Most of the respondents (64% SVORI, 68% non-SVORI; tstatistic = −2.04) reported working in the 6 months prior to incarceration and about 60% (59% SVORI, 62% non-SVORI; tstatistic = −0.87) reported that they had supported themselves with jobs during that same period. Of those working, three quarters (75% SVORI, 73% non-SVORI; t-statistic = 0.65) indicated the job was permanent. More than half (57%) of those who had worked expected to be able to return to a previous job. Extensive data were collected from respondents to assess their post-release employment experiences. Of these measures, several core employment outcomes were identified: current support of oneself with a job; the number of months worked during the reference period; worked for each month during the reference period; the number of months at which the same job was held; receipt of formal pay from a job; and whether the job provided benefits (a summary measure indicating whether the job provided health insurance or paid leave). The results for these outcomes at 3, 9, and 15 months postrelease are shown in Exhibit 62. 114 Outcomes Exhibit 62. Weighted means and regression parameter estimates for employment outcomes Wave 2 Support self with job Number months worked Worked each month Received formal pay Job benefits Wave 3 Support self with job Number months worked Worked each month Received formal pay Job benefits Wave 4 Support self with job Number months worked Worked each month Received formal pay Job benefits SVORI Mean N = 529 0.64 2.04 0.38 0.84 0.47 N = 565 0.68 3.83 0.43 0.80 0.53 N = 582 0.71 3.70 0.44 0.78 0.52 NonSVORI Par. Mean Est. N = 455 0.59 0.230 1.96 0.079 0.39 −0.056 0.74 0.604 0.39 0.337 N = 470 0.68 0.027 3.73 0.102 0.44 −0.033 0.77 0.178 0.42 0.472 N = 531 0.60 0.481 3.50 0.197 0.42 0.045 0.74 0.183 0.44 0.326 p Value OR 0.086 0.420 0.716 0.001 0.028 1.258 NA 0.945 1.829 1.400 0.848 0.536 0.823 0.310 0.001 1.027 NA 0.968 1.195 1.602 0.001 0.252 0.772 0.306 0.034 1.617 NA 1.046 1.201 1.386 Note: OR = odds ratio. Par. Est. = parameter estimate for weighted regression. NA = not applicable, since model was a regression. p value = probability value of test statistic. N’s are the total responses for each wave of interviews and do not reflect any item missingness. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. Although SVORI program participation was not associated with increased likelihood of having a job, SVORI program participants were more likely to report supporting themselves with a job and having a job with formal pay and benefits. The results in Exhibit 62 suggest that SVORI program participants had better post-release employment experiences than the non-SVORI comparison subjects—if only moderately so. They were more likely to report that they were currently supporting themselves with a job at 3 and 15 months postrelease. They reported working about the same number of months on average—about two thirds of the available months (2 of 3 months immediately following release, and about 4 of 6 months at the 9- and 15-month interviews)—and were equally likely to have reported working all months in the reference period. SVORI participants appear to have secured better jobs—jobs that provided formal pay and benefits. A breakdown of the benefits measure, which includes insurance and paid leave, is shown in Exhibit 63. As can be seen, SVORI program participants were more likely than non-SVORI respondents to 115 Prisoner reentry experiences of adult males Exhibit 63. Weighted means for self-report that job provides insurance or paid leave, by group (SVORI, nonSVORI) and data collection wave (2, 3, or 4) 100% SVORI-2 SVORI-3 SVORI-4 80% 60% 47 44 40% 36 29 33 36 35 NON-SVORI-2 NON-SVORI-3 NON-SVORI-4 41 33 40 32 37 20% 0% Insurance Paid leave report having formal pay and benefits across all waves, but the most substantial differences are in having a job that provides insurance. Differences between SVORI and non-SVORI in reported insurance is significant at p < 0.1 at 3 months and p < 0.05 at 9 and 15 months. The difference in paid leave is significant at the p < 0.05 level at 9 months. Another measure of potential interest is hours worked. SVORI program participants who reported working reported more hours worked at 3 and 15 months post-release (39.6 for SVORI, 37.9 for non-SVORI at 3 months; 42.5 for SVORI, 41.4 for non-SVORI at 15 months). There was no difference at 9 months (40.9 for SVORI, 40.4 for non-SVORI). Additionally, SVORI program participants were more likely to report not having problems finding a job (30% versus 25% at 3 months; 35% versus 32% at 9 months; and 37% versus 30% at 15 months; the latter difference was significant at the .05 level). Program effects were identified, and men’s post-release employment situations were compared to their preincarceration employment experiences. Exhibit 64 shows the percentage of each group who reported supporting themselves with a job in the preceding period (6 months prior to incarceration or since the last interview or equivalent time period). As can be seen, supporting oneself with a job was reported at a higher rate than in the pre-release interview at all post-release interviews (Waves 2 through 4) for SVORI program participants, whereas non-SVORI respondents were about equally as likely as their 116 Outcomes Exhibit 64. Weighted means for self-report of supporting self with a job, by group and data collection wave SVORI 100% Non-SVORI 80% 60% 59 62 64 68 68 71 59 60 40% 20% 0% Wave 1 Wave 2 Wave 3 Wave 4 Note: Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. preincarceration experience to report supporting themselves with jobs at 3 and 15 months. Finally, very few men reported receiving money from illegal activities across all three post-release time periods, in contrast to the 6 months prior to incarceration. About 5% of both groups reported receiving money from illegal activity during the 3 months post-release, a percentage that increased to about 10% for both groups at 9 and 15 months post-release. These percentages are in comparison to the more than half (56% SVORI, 54% non-SVORI) who reported receiving money from illegal activity during the 6 months prior to incarceration. In summary, SVORI program participation led to modest increases in employment-related services. Although SVORI program participation appeared to have had little impact on whether someone was working, program participation was associated with modest improvements in several employmentrelated outcomes. FAMILY, PEERS, AND COMMUNITY INVOLVEMENT Family Relationships Family relationships have been shown to be extremely influential for returning prisoners. However, because none of the adult SVORI programs focused on family services, no 117 Prisoner reentry experiences of adult males family-related measures were identified as key outcomes. However, several aspects of family relationships, including family emotional support, family instrumental support, quality of intimate-partner relationships, and quality of relationship with children were examined. Not surprisingly, given the lack of emphasis on family-related services among the SVORI programs, few differences between the SVORI and non-SVORI groups were observed in these measures at any of the postrelease time periods. In addition, for both groups, the levels of family emotional support, family instrumental support and the quality of intimate-partner relationships declined over the three post-release time periods; little variation was observed (for both groups) over the three post-release time periods in the scale measuring the quality of relationship with their children (for those with children). Exhibit 65 shows the percentage of men at each interview who reported (1) being married and (2) being married or in a steady relationship. Although the proportions of men who reported being currently married (9–13%) were similar across all time periods, the men were more likely to report intimate partnerships at all post-release time periods than during the preincarceration time period. Interestingly, the percentages reporting being in a steady relationship or married declined from the 9-month to the 15-month period, perhaps reflecting the fact that substantial numbers of these subjects were reincarcerated by 15 months, as reported later in this chapter. Somewhat fewer than two thirds of the men reported having children (62% of SVORI, 64% of non-SVORI) at the pre-release interview—percentages that remained fairly constant over the three post-release interviews. Only about one third of those who reported having children said that they had been required to pay child support prior to their incarceration. Following release, about two thirds of those required to make payments said that they were making the required child support payments. 118 Outcomes Exhibit 65. Marital status and intimate partnerships by group and wave SVORI-1 Non-SVORI-2 100% Non-SVORI-1 SVORI-3 SVORI-2 Non-SVORI-3 80% 64 58 60% 39 40% 20% 9 10 9 11 10 11 11 57 64 56 58 40 13 0% Married Married/Steady Relationship Peer Relationships Peer relationships may be influential for returning prisoners. Importantly, as with family relationships, peer relationships may be both positive and negative. For example, receiving critical instrumental support from peers, such as help with rides to appointments, may be beneficial. On the other hand, if one’s peers are criminally involved, such relationships may be detrimental to reentry success. Because many SVORI programs included cognitive-behavioral components intended to teach inmates to change criminal behavior by modifying which individuals they associated with (among other topics), it was appropriate to measure the “negative exposure” reported by the men both from friends with whom they spent time and from individuals with whom they lived. A summary measure of negative exposure was developed that included indicators of the extent to which the respondent reported the following: living with people who had ever been incarcerated, used illegal drugs, engaged in any other illegal activity, or used alcohol in their presence 119 Prisoner reentry experiences of adult males spending time with friends who were not employed, got them “in trouble,” had been incarcerated, had assaulted someone, had committed theft, or had sold drugs The composite measure has a range of from 0 to 14 and is coded such that higher values indicate less negative exposure. The results for this measure suggested that there was little difference between groups or across the post-release time periods, as weighted averages ranged between 10.8 and 11.3. Most men (81%) reported that prior to incarceration they had friends who had been incarcerated. They were asked in the follow-up interviews whether they had close friends who had been incarcerated. Most said they did, although the percentage declined over time—from about 74% (both groups) at 3 months to less than 70% at 15 months. Positive peer support was also measured. Specifically, the men were asked about the following types of instrumental support from their friends: help or advice on finding a place to live; help or advice on finding a job; support for dealing with a substance abuse problem; transportation to work or other appointments, if needed; and financial support. There was little variation across post-release time periods or between groups in this measure, which could have values of from 0 to 15, with higher scores indicating more instrumental support. Across the three waves, weighted average scores ranged from 9.3 to 9.9, with no difference between the groups. Community Involvement To assess the extent to which men became involved in their communities after release, they were asked whether they had (1) done volunteer work in any programs in the community (e.g., youth groups, programs for the elderly); (2) done mentoring with peers, youth, or other community members; (3) participated in any local organizations like clubs, sports teams, ethnic or racial pride groups, political organizations, or other community groups; (4) voted in any political election (including general elections, primary elections, and special referendums); or (5) served in a Neighborhood Watch or tenant 120 Outcomes patrol program. 37 A dichotomous measure was developed that was equal to 1 if the respondent reported doing any of the activities in the period since the previous interview. As shown in Exhibit 66, civic action was low for both groups, although it increased over time—particularly for SVORI program participants such that by 15 months post-release SVORI participants were significantly more likely to report participating in one or more of the civic measures than the non-SVORI comparison subjects. Exhibit 66. Percentage reporting civic action since release/last interview 100% SVORI Non-SVORI 80% 60% 40% 25 24 29 27 34 28 20% 0% Wave 2 Wave 3 Wave 4 Note: Difference at Wave 4 is significant at p < 0.05. Wave 1 = 30 days prerelease; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. SUBSTANCE USE AND PHYSICAL AND MENTAL HEALTH Substance Use At the pre-release interview, about 95% of the men in this study reported having used drugs during their lifetimes and about two thirds reported having used drugs during the 30 days prior to their current incarceration. Drug use has been identified as a correlate of recidivism, and reducing drug use has been the focus of many interventions. For the 12 SVORI impact programs, PDs reported that less than half of SVORI program participants were participating in either comprehensive drug 37 The question initially included “participated in the activities of a church, mosque, temple, or other religious group” in this measure, but later excluded the option to better capture the other measures (most participants participated only in church services). 121 Prisoner reentry experiences of adult males treatment programs or programs like Alcoholics Anonymous or Narcotics Anonymous (see Exhibit 3). These estimates were loosely consistent with the self-reports of the evaluation respondents: 48% of SVORI program participants reported receiving alcohol or drug treatment while incarcerated, significantly more than the 38% of non-SVORI respondents (see Exhibit 53). SVORI program participants were also somewhat more likely to report treatment in the immediate months following release (28% compared with 23%). Substance use outcomes were measured both by self-report during all three follow-up interviews and by oral fluids drug tests administered to nonincarcerated respondents at the 3- and 15-month interviews. The results for the core substance use outcomes are shown in Exhibit 67. This exhibit shows abstinence measures, for example “no self-reported drug use.” Thus, higher percentages are better because they suggest less use. Self-reported abstinence was generally higher for the SVORI group than for the non-SVORI group Only about half of both groups reported no drug use or had a negative drug test at 30 days postrelease. Self-reported abstinence was generally higher for the SVORI group than for the non-SVORI group across all follow-up waves; in several cases these differences were statistically significant. Similar results obtained for the measure that combined either self-reported drug use over the past 30 days or confirmed (by drug tests) drug use, although these differences are not statistically significant. The patterns for substance use, based on the combined selfreport and drug test measures, are shown graphically in Exhibits 68 and 69. Exhibit 68 shows the percentages of both groups who reported no drug use since release (Wave 2) or the last interview (Wave 4) and who did not refuse or test positive on the drug test. Only about half of both groups reported no drug use or had a negative drug test at 30 days post-release. This proportion dropped to 40% or less at 15 months postrelease. 38 Exhibit 69 shows the percentages of each group who reported no drug use in the past 30 days and who did not refuse or test positive on the drug test. The results are similar to those in Exhibit 68 and suggest high levels of drug use by both groups. 38 122 Individuals who were incarcerated for the 6 months prior to the 15month interview were not asked about drug use, nor did they take a drug test. Outcomes Exhibit 67. Weighted means and regression parameter estimates for substance use outcomes SVORI Mean NonSVORI Mean N = 529 N = 455 No self-reported drug use 0.74 No self-reported drug use other than marijuana or steroids Par. Est. p Value OR 0.70 0.170 0.243 1.185 0.85 0.85 −0.030 0.868 0.970 No self-reported drug use past 30 days 0.79 0.77 0.160 0.313 1.174 No self-reported drug use other than marijuana or steroids past 30 days 0.88 0.89 −0.066 0.747 0.936 No self-reported drug use past 30 days or positive drug test 0.54 0.52 0.093 0.475 1.098 N = 565 N = 470 No self-reported drug use 0.57 0.52 0.201 0.125 1.223 No self-reported drug use other than marijuana or steroids 0.74 0.71 0.177 0.227 1.194 No self-reported drug use past 30 days 0.69 0.62 0.301 0.028 1.351 No self-reported drug use other than marijuana or steroids past 30 days 0.81 0.79 0.088 0.589 1.092 — — — — — N = 582 N = 531 No self-reported drug use 0.58 0.50 0.337 0.012 1.401 No self-reported drug use other than marijuana or steroids 0.78 0.72 0.311 0.045 1.365 No self-reported drug use past 30 days 0.66 0.62 0.1512 0.2784 1.163 No self-reported drug use other than marijuana or steroids past 30 days 0.82 0.80 0.168 0.326 1.182 No self-reported drug use past 30 days or positive drug test 0.46 0.43 0.118 0.381 1.126 Wave 2 Wave 3 No self-reported drug use past 30 days or positive drug test Wave 4 Note: Par. Est. = parameter estimate for weighted regression. p value = probability value of test statistic. OR = odds ratio. N’s are the total responses for each wave of interviews and do not reflect any item missingness. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months postrelease. 123 Prisoner reentry experiences of adult males Exhibit 68. Percentages of each group who reported no drug use since release/last interview and had no positive drug test 100% SVORI Non-SVORI 80% 60% 51 49 41 40% 35 20% 0% Wave 2 Wave 4 Note: Difference at Wave 4 is significant at p < 0.1. Wave 1 = 30 days prerelease; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. Exhibit 69. Percentages of each group who reported no drug use in the past 30 days and had no positive drug test 100% SVORI Non-SVORI 80% 60% 54 52 46 43 40% 20% 0% Wave 2 Wave 4 Note: Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. Marijuana was by far the most common drug reported used in the self-reports of specific drug use. Additionally, over time, non-SVORI comparison subjects were less likely to report having not used marijuana such that the difference was significant at 15 months. At the 3-month post-release interview, 80% of SVORI and 76% of non-SVORI subjects reported no marijuana use. At 9 months post-release, 68% of SVORI and 63% of non-SVORI subjects reported no marijuana use. At the final follow-up interview, 66% of SVORI and 59% of non-SVORI subjects reported no marijuana use. Cocaine use was also reported—particularly during the later interviews. At 3 124 Outcomes months, 93% of both groups reported no cocaine use. At 9 months, 84% of SVORI and 87% of non-SVORI subjects reported no cocaine use. At 15 months, 88% of SVORI and 85% of non-SVORI subjects reported no cocaine use. The results suggest that SVORI program participants were doing somewhat better with respect to drug use but that all men continued to be at high risk for continuing drug use. Physical Health Physical health services were not a major programmatic focus among the SVORI programs; therefore, no core physical health outcomes were identified as relevant for analysis of program effects in the evaluation. Of interest, however, is the physical health status of the men during the post-release time period. Several dimensions were measured in the post-release interviews, including specific physical health conditions experienced by the respondents (including asthma, chronic back pain, high blood pressure, arthritis, hepatitis B or C, heart trouble, diabetes, tuberculosis, and HIV/AIDS) and the SF-12 physical health scale, which measures five dimensions of physical health functioning (including moderate activities such as moving a table, climbing several flights of stairs, accomplishing less than one would have like to accomplished because of physical health, being limited in the kind of work or activities done as a result of physical health, and pain that interferes with normal work). Based on a composite measure that summed the number of physical health conditions experienced by the men, the results suggest that members of both groups on average had less than one of the nine conditions, with no differences evident between the SVORI and non-SVORI groups and no temporal trend apparent during the post-release follow-up period. Likewise, the SVORI and non-SVORI groups scored similarly on the SF-12 physical health scale, with no evidence of temporal trends. The SF-12 is normed to an average of 50 (range of 0 to 100), with higher scores indicating better results. Across the three followup interviews, both groups averaged about 52. The postrelease scores were slightly lower than the 53 that the groups scored on the Wave 1 interview. These findings suggest that no major differences in physical health status occurred throughout the entire observation period. 125 Prisoner reentry experiences of adult males Mental Health Two core mental health outcomes were identified: the SF-12 mental health scale (a measure of mental health functioning) and the GSI (an index of mental health status that ranges from 45 to 225, with higher scores indicating better status). There was no difference between the two groups at Wave 1 on either of these two scales. At Wave 1, the SVORI group averaged 48.9 on the SF-12 and 66.6 on the GSI; the non-SVORI group averaged 48.5 on the SF-12 and 68.1 on the GSI. These results suggest that pre-release, the non-SVORI group had slightly worse scores, but the differences were not significantly different. It is important to remember, however, that the nonSVORI group was more likely at Wave 1 to report needing mental health services a little or a lot (29% versus 22%) and also more likely to report needing mental health services a lot (10% versus 6%). The non-SVORI group was also more likely pre-release to report having received mental health treatment while they were incarcerated (20% versus 16%). Exhibit 70 shows the results for the post-release interviews. As can be seen, SVORI group members had slightly better mental functioning as indicated by the SF-12 at 3 and 15 months postrelease. Results were also better for SVORI group members at 15 months on the GSI-45. Exhibit 70. Weighted means and regression parameter estimates for mental health outcomes Wave 2 SF-12 mental health GSI-45 Wave 3 SF-12 mental health GSI-45 Wave 4 SF-12 mental health GSI-45 SVORI Mean N = 529 51.01 164.13 N = 565 48.82 160.56 N = 582 48.82 161.06 Non-SVORI Par. Est. Mean N = 455 49.80 1.211 162.76 1.363 N = 470 48.13 0.692 160.82 −0.257 N = 531 47.15 1.666 158.25 2.810 p Value 0.078 0.285 0.332 0.859 0.018 0.046 Note: Par. Est. = parameter estimate for weighted regression. p value = probability value of test statistic. N’s are the total responses for each wave of interviews and do not reflect any item missingness. Wave 1 = 30 days prerelease; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. 126 Outcomes Focusing on these key outcomes, there is some evidence that SVORI program participation had an impact on the mental health status of men. In addition, as in the pattern observed for physical health, the mental health status of men remained fairly stable over time although weighted average scores diminished slightly over time. CRIMINAL BEHAVIOR AND RECIDIVISM The SVORI logic model suggests that services that are responsive to needs will result in improvements in intermediate outcomes including housing, employment, and substance abuse. Improvements in these outcomes, in turn, are hypothesized to result in improvements in criminal behavior. Results presented here suggest that participants in SVORI programs were more likely to report receipt of a variety of services, although service receipt was far less than universal. Further, the SVORI program participants registered modest improvements in many measures of the intermediate outcomes. At issue is whether the observed differences in intermediate outcomes are sufficient to generate measurable differences in recidivism, even if the research hypothesis is correct. Because of the importance of recidivism, multiple measures were included in the evaluation to determine program effects on desistance from criminal activity. These measures include self-reported and official measures of criminal behavior. Core criminal behavior/recidivism outcomes based on “unofficial” (i.e., self-reported) data sources are shown in Exhibit 71. The first measure listed in the exhibit does not directly measure criminal behavior, but rather perpetration of violence. Respondents were asked about several specific types of violence: threatening to hit, throwing, pushing/grabbing/ shoving, slapping/kicking/biting/hitting, and threatening to use or using a weapon. The measure was scored 1 if the respondent answered yes to any of these queries and 0 otherwise. The men in the SVORI group were slightly less likely to report having perpetrated violence than the men in the comparison group at each post-release time period, but none of the differences was statistically significant. Interestingly, a measure parallel to the perpetration measure (but which assessed victimization) also 127 Prisoner reentry experiences of adult males Exhibit 71. Weighted means and regression parameter estimates for core self-report recidivism outcomes SVORI Mean Non-SVORI Mean N = 529 N = 455 No perpetration of violence 0.73 Complied with conditions of supervision Par. Est. p Value OR 0.71 0.117 0.422 1.124 0.78 0.78 0.005 0.977 1.005 No criminal behavior 0.79 0.73 0.327 0.034 1.386 No violent or weapons crimes 0.90 0.91 −0.076 0.732 0.927 Not reincarcerated at follow-up 0.93 0.92 0.235 0.352 1.265 N = 565 N = 470 No perpetration of violence 0.64 0.60 0.178 0.175 1.195 Complied with conditions of supervision 0.69 0.70 −0.025 0.881 0.975 No criminal behavior 0.64 0.59 0.207 0.112 1.230 No violent or weapons crimes 0.85 0.82 0.222 0.199 1.249 Not reincarcerated at follow-up 0.73 0.74 −0.067 0.641 0.935 N = 582 N = 531 No perpetration of violence 0.69 0.67 0.069 0.595 1.072 Complied with conditions of supervision 0.66 0.57 0.398 0.023 1.489 No criminal behavior 0.66 0.61 0.189 0.136 1.208 No violent or weapons crimes 0.84 0.83 0.073 0.654 1.076 Not reincarcerated at follow-up 0.64 0.66 −0.065 0.612 0.937 Wave 2 Wave 3 Wave 4 Note: Par. Est. = parameter estimate for weighted regression. p value = probability value of test statistic. OR = odds ratio. N’s are the total responses for each wave of interviews and do not reflect any item missingness. Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months postrelease. showed no evident differences between the two groups (data not shown). The second core measure of criminal behavior/recidivism was compliance with conditions of supervision. This outcome is important because the majority of men reported being under post-release supervision throughout the follow-up period. As shown in Exhibit 71, among the men who were under postrelease supervision, the results were mixed. There was no difference in reports of compliance at 3 months—on average 78% of both groups reported complying with supervision conditions. At 9 months, slightly fewer members of the SVORI group reported complying (69% versus 70%). However, at 15 months, a significantly higher percentage of the SVORI group reported that they had complied with the conditions of their supervision (66% versus 57%). 128 Outcomes Self-reported criminal behavior is another important dimension of recidivism to capture because it includes criminal behavior that may not have been detected (and that, therefore, is not reflected in official measures of criminal activity). Two outcomes reflecting self-reported criminal behavior are shown in Exhibits and 72 and 73: any self-reported criminal behavior (which includes violent crimes, carrying a weapon, other crimes against people, drug possession crimes, drug sales crimes, DWI/DUI, property crimes, and lesser types of crimes, such as prostitution, soliciting, shoplifting, or disorderly conduct) and self-reported involvement in violent or weapons offenses. As shown in Exhibit 72, SVORI program participants were more likely than non-SVORI comparison subjects to report committing no crimes since release/last interview. This difference is statistically significant at the 3-month interview (p < 0.05), but not for subsequent follow-up periods. Exhibit 72. Weighted average reports of committing no crimes since release/last interview 100% 80% SVORI 79 Non-SVORI 73 64 60% 66 59 61 40% 20% 0% Wave 2 Wave 3 Wave 4 Note: Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. Exhibit 73 shows the weighted average means of self-reports of committing any violent crime or carrying a weapon. As can be seen, about 9–10% of both groups reported committing a violent crime and/or carrying a weapon in the 3 months following their release from prison. In subsequent periods, greater numbers reported either committing a violent crime or carrying a weapon in the average of 6 months since the previous interview. None of the differences was statistically significant (the p value for the Wave 3 SVORI to non-SVORI difference was 0.2). 129 Prisoner reentry experiences of adult males Exhibit 73. Weighted average reports of committing no violent crimes/no weapons since release/last interview 100% SVORI Non-SVORI 90 91 85 82 84 83 80% 60% 40% 20% 0% Wave 2 Wave 3 Wave 4 Note: Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. The final core criminal behavior/recidivism outcome based on self-reported data is whether the respondent was not reincarcerated at the time of his follow-up interview. Exhibit 74 shows the weighted average means and suggests a high reincarceration rate for these serious and violent offenders (most of whom were on supervision at release). Somewhat more than 90% had not been reincarcerated within 3 months of release—a percentage that declined to less than two-thirds by the 15 month interview. These percentages imply that by the time of the 9-month interview more than a quarter had been reincarcerated and, by the 15-month interview, more than one third had been reincarcerated. Exhibit 75 presents an even more sobering picture. This exhibit shows a composite measure reflecting whether the respondent was not reincarcerated at the time of the follow-up interview and reported that he had not been booked into jail or prison (for 24 hours or more) during the reference period. This measure is obviously more inclusive because it reflects any (self-reported) incarceration during the reference period—not just the point at which the interview was conducted. This exhibit shows that there is no significant difference on this outcome between SVORI and comparison men for any follow-up period. In other words, SVORI and comparison men appeared equally likely to have been reincarcerated during the follow-up periods. What is perhaps most surprising, however, are the 130 Outcomes Exhibit 74. Weighted average reports of not reincarcerated at interview 100% 93 SVORI 92 80% Non-SVORI 73 74 64 66 60% 40% 20% 0% Wave 2 Wave 3 Wave 4 Note: Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. Exhibit 75. Weighted average reports of not reincarcerated at interview and no jail/prison stay of more than 24 hours since release/interview 100% SVORI 82 Non-SVORI 81 80% 59 60% 59 51 49 40% 20% 0% Wave 2 Wave 3 Wave 4 Note: Wave 1 = 30 days pre-release; Wave 2 = 3 months post-release; Wave 3 = 9 months post-release; Wave 4 = 15 months post-release. percentages of individuals indicating that they had not been reincarcerated. Only about 80% were NOT reincarcerated between release and the 3-month interview, a percentage that drops to about 60% at 9 months, and 50% at 15 months. The remaining set of criminal recidivism measures were based on official data sources and therefore reflect criminal behavior detected by authorities. These measures include both rearrest (obtained from the National Crime Information Center [NCIC], as described in Lattimore and Steffey (2009) and reincarceration in state prisons (obtained from the state Departments of 131 Prisoner reentry experiences of adult males Corrections). The rearrest data reflect all data reported to the NCIC and, thus, may include arrests in states other than the states in which the evaluation subjects were identified. In contrast, the reincarceration data reflect only reincarceration into the same state system (e.g., if one of the SC subjects was incarcerated in NC or GA, that incarceration is not captured in the data). Unlike the self-report measures, data were obtainable for almost all subjects. As with the self-report measures, the reported means are weighted using the propensity scores, and the parameter estimates are for the SVORI indicator variable in the weighted logistic regression models. These core recidivism measures based on official records are shown in Exhibit 76. The findings for rearrest are shown graphically in Exhibit 77. The findings suggest (1) members of the SVORI group were less likely to be rearrested across the 24 months following release than the non-SVORI group, but the differences were not statistically significant; and (2) rearrest rates for these serious and violent offenders were quite high, with about 70% having had at least one new arrest within 24 months of release. The SVORI program participants were less likely than the nonSVORI comparison subjects to have a new arrest for all crime types (i.e., the slightly lower rearrest rate did not obscure higher arrest rates for certain types of crimes). The difference between SVORI and non-SVORI was significant at the 0.05 level for other crimes at 21 and 24 months and at the 0.10 level for public order crimes at 21 and 24 months, including arrest for a parole or probation violation. The findings for reincarceration (shown in Exhibit 78) indicate that the SVORI and non-SVORI groups were equally likely to be reincarcerated throughout the 24 month follow-up period—and rates are actually higher for SVORI participants (albeit not significantly so) after 3 months. These results are somewhat at odds with both the self-report data and the arrest data, which consistently, if weakly, suggest less criminal activity by the SVORI participants. 132 Outcomes Exhibit 76. Official measures of recidivism SVORI Mean Rearrest 1st rearrest within 3 months of release 1st rearrest within 6 months of release 1st rearrest within 9 months of release 1st rearrest within 12 months of release 1st rearrest within 15 months of release 1st rearrest within 21 months of release 1st rearrest within 24 months of release Rearrest within 21 months for violent crime Rearrest within 21 months for property crime Rearrest within 21 months for drug crime Rearrest within 21 months for public order crime Rearrest within 21 months for other crime Rearrest within 24 months for violent crime Rearrest within 24 months for property crime Rearrest within 24 months for drug crime Rearrest within 24 months for public order crime Rearrest within 24 months for other crime Reincarceration 1st reincarceration within 3 months of release 1st reincarceration within 6 months of release 1st reincarceration within 9 months of release 1st reincarceration within 12 months of release 1st reincarceration within 15 months of release 1st reincarceration within 21 months of release 1st reincarceration within 24 months of release Non-SVORI Par. Est. Mean SE OR 16% 28% 41% 49% 55% 64% 68% 19% 23% 28% 41% 3% 20% 26% 30% 44% 3% 18% 32% 44% 51% 56% 66% 71% 21% 24% 30% 45% 6% 23% 27% 32% 49% 6% −0.163 −0.191 −0.129 −0.089 −0.036 −0.089 −0.131 −0.112 −0.080 −0.118 −0.175 −0.560 −0.142 −0.054 −0.117 −0.189 −0.585 0.136 0.111 0.104 0.102 0.103 0.107 0.112 0.129 0.120 0.114 0.104 0.250 0.127 0.117 0.112 0.104 0.249 0.849 0.826 0.879 0.915 0.964 0.914 0.877 0.894 0.923 0.889 0.839 0.571 0.867 0.948 0.890 0.828 0.557 3% 11% 19% 25% 30% 39% 42% 4% 10% 17% 25% 29% 36% 39% −0.163 0.062 0.113 −0.023 0.033 0.135 0.128 0.280 0.160 0.128 0.114 0.108 0.102 0.102 0.849 1.064 1.120 0.977 1.033 1.145 1.137 Note: Par. Est. = parameter estimate for weighted regression. OR = odds ratio. SE = standard error. For rearrest, SVORI N = 806 for all periods except N = 787 for 24 month measures; non-SVORI N = 775 for all periods except N = 759 for 24 month measures. For reincarceration, SVORI N = 863 for all periods; non-SVORI N = 834 except for N = 817 for 24 month measure. *p < 0.05 for test of significant difference between SVORI and non-SVORI. 133 Prisoner reentry experiences of adult males Exhibit 77. Cumulative rearrest rates by group 100% SVORI 80% Non-SVORI 64 66 60% 44 41 40% 20% 49 51 68 71 55 56 32 28 16 18 0% 3 6 9 12 15 21 24 Months since release Exhibit 78. Cumulative reincarceration rates by group 100% SVORI Non-SVORI 80% 60% 39 40% 20% 11 10 19 17 25 25 30 29 36 42 39 4 3 0% 3 6 9 12 15 Months since release 21 24 TAKING A BROAD VIEW: OUTCOMES OVER DOMAINS AND TIME In this chapter, the findings suggest that for a variety of specific outcomes in each domain men who participated in SVORI programs had better outcomes, if only moderately so. This section presents a broader view, looking across about 100 outcomes across the domains for each wave of data collection. Odds ratios for 98 outcomes for the Wave 2 and Wave 4 data and 91 outcomes for the Wave 3 data (the difference is due to outcomes from drug tests conducted at Waves 2 and 4). In all 134 Outcomes cases, the outcomes were coded such that a positive difference meant the SVORI group performed better on that outcome (e.g., arrested was reverse coded to no arrest). Exhibit 79 shows the odds ratios for 98 dichotomous outcomes measured 3 months following release. Most of these ratios are greater than 1, signifying that SVORI participants had even or higher odds of having these positive outcomes. Specifically, 75 of 98 odds ratios are 1 or more, and 11 of these are significant at the 0.10 or better level. If SVORI were ineffective, roughly the same number of positive as negative outcomes would be expected for SVORI participants in comparison to non-SVORI subjects. Instead, roughly three out of four outcomes are neutral or better. Exhibit 79. Odds ratios from propensity score weighted logistic regressions of 98 Wave 2 (3-month) outcomes as a function of SVORI program participation 2.5 2.0 1.5 1.0 0.5 0.0 Exhibit 80 provides similar if somewhat weaker results for Wave 3 data. There were 93 9-month outcomes because drug tests weren’t conducted in conjunction with these interviews. Here, Of the 93 odds ratios, 65 are 1 or larger and 13 are significant at the 0.10 level or better. Exhibit 81 presents similar results for the 98 outcomes at Wave 4. For the 15-month data, 81 of the 99 outcomes have odds ratios of 1 or larger, and 22 are significant at the 0.10 level or better. 135 Prisoner reentry experiences of adult males Exhibit 80. Odds ratios from propensity score weighted logistic regressions of 93 Wave 3 (9-month) outcomes as a function of SVORI program participation 2.5 2.0 1.5 1.0 0.5 0.0 Exhibit 81. Odds ratios from propensity score weighted logistic regressions of 98 Wave 4 (15 month) outcomes as a function of SVORI program participation 2.5 2.0 1.5 1.0 0.5 0.0 Exhibit 82 summarizes the findings presented in Exhibits 79 through 81. As noted earlier, if SVORI program participation had no impact on outcomes, SVORI outcomes would be better than non-SVORI outcomes about 50% of the time; in this case, however, for each follow up, the percentage of odds ratios greater than 1 exceeds 70% (specifically, 76% at 3 months, 70% at 9 months, and 82% at 15 months). The probability of these outcomes if SVORI were not effective (i.e., if the odds of a better outcome for SVORI over non-SVORI was 50:50) is effectively zero (binomial distribution). 136 Outcomes Exhibit 82. Summary results of odds ratios from propensity score weighted logistic regressions of three waves of outcomes as a function of SVORI program participation Number of outcomes SVORI better than non-SVORI (OR > 1) SVORI better than non-SVORI (p < 0.05) SVORI better than non-SVORI (p < 0.1) non-SVORI better than SVORI (OR > 1) non-SVORI better than SVORI (p < 0.05) non-SVORI better than SVORI (p < 0.1) Follow-up 3 9 15 Months Months Months 98 93 98 75 65 80 4 10 16 11 13 21 23 3 0 28 1 4 18 1 2 Note: OR = odds ratio. 137 Conclusions, Policy Implications, and Future Work In 2003, the U.S. DOJ, DOL, DOEd, HUD, and HHS provided more than $100,000,000 in grant funds to states to develop, enhance, or expand programs to facilitate the reentry of adult and juvenile offenders returning to communities from prisons or juvenile detention facilities. The $500,000 to $2,000,000 3-year grants were used to establish programs that were to span the periods before release, in the community on supervision, and post-supervision. In addition to the funding, SVORI encouraged agencies to coordinate with correctional and community partners and services; these activities were mentioned by SVORI program directors as a significant—and, for most, sustained—change from business as usual. The initiative responded to emerging research findings that suggested that providing individuals with comprehensive, coordinated services based on needs and risk assessments could result in improved post-release outcomes. The multi-site evaluation was designed to determine whether participation in SVORI programs resulted in increased service receipt and better post-release outcomes. The findings in this report provided information on the characteristics and experiences of adult male SVORI program participants and comparison subjects in 12 states who were released from prison between July 2004 and November 2005. Many of the services were intended to improve intermediate outcomes that have been correlated with recidivism—for example, employment services to improve employment, substance abuse treatment to reduce use, and cognitive programs to address 139 Prisoner reentry experiences of adult males criminal thinking. The underlying model suggests that improvements in these outcomes will lead to reductions in criminal behavior. The SVORI program participants (and, to a lesser extent, the non-SVORI respondents) received a variety of different services, each of which could impact one or more intermediate outcomes that could impact recidivism. There is little theoretical or empirical guidance for the correct specification of such a complex recidivism model and, thus, the approach to the outcome analyses was to test first-order effects of SVORI program participation on each of the identified outcomes including recidivism. The findings substantiate previous research that male prisoners returning to their communities after serving more than 2 years in prison comprise a population with extremely high needs and that their expressed needs remained high (if somewhat diminished from pre-release) up to 15 months following release from prison. Overall, the men in the study had weak educational and employment histories, extensive substance abuse histories, substantial experience with the criminal justice system, and extensive exposure to drug or criminally involved family members and peers. In particular, most had used drugs in the past—including two thirds who reported using in the 30 days prior to their incarceration. Most had been previously incarcerated. A majority had been treated for mental health or substance use problems. SVORI program participation increased the likelihood of receiving a wide range of services, but levels of receipt were generally much less than reported needs. Results from the impact study suggest that SVORI programs were successful in significantly increasing access to a variety of services and programming—particularly services related to transitioning to the community and employment/education/ skills, as well as to substance abuse treatment. For example, 75% of SVORI program participants, in contrast to 51% of nonSVORI comparison subjects, reported involvement in programs while in prison to prepare for release (see Exhibit 52). 39 This approximately 50% increase in the likelihood of reentry program participation that was observed for the SVORI program participants was seen more broadly in the super bundle scores, which summarized service receipt at each of the four interviews. SVORI program participants reported service receipt while in prison across all domains, resulting in a super 39 140 Values are propensity score weighted means unless otherwise noted. Conclusions, Policy Implications, and Future Work bundle score that was 34–55% higher than the 22 score calculated for non-SVORI respondents (see Exhibit 46). These findings add to emerging research regarding the feasibility of improving service receipt across broadly conceived reentry programs. … on average, respondents reported needing more than half of all services (54%)—much greater than the receipt of 34%, on average, for SVORI program participants and 22% for non-SVORI respondents. Although the SVORI programs were successful in increasing the types and amounts of needs-related services provided prior to and after release from prison, the proportion of individuals who reported receiving services was less than reported need (sometimes much less) and, generally, less than the expectations of the SVORI program directors. Thus, respondents in both groups reported needs that generated super bundle service need scores of 54 at the time of the prerelease interview (see Exhibit 37). The super bundle scores calculated from program director survey data showed that the program directors expected that their programs on average were providing services that resulted in an average pre-release bundle score of 52 and 36 for SVORI and non-SVORI, respectively (Winterfield et al., 2006). 40 These findings suggest that, on average, respondents reported needing more than half of all services (54%)—much greater than the receipt of 34%, on average, for SVORI program participants and 22% for nonSVORI respondents. Similarly, in a 2005 survey, program directors reported that on average about 52% of SVORI program participants were expected to receive each service (compared to 36% for non-SVORI). Thus, the expressed needs of the participants and the expectations for SVORI program service delivery by the program directors both exceeded the reported levels of service receipt. This finding is consistent with the fact that SVORI programs were still developing and implementing their programs and provides a substantial reminder that starting up complex programs may require a sustained effort over several years to reach full implementation. Service delivery declined substantially, on average, following release. Thus, overall, the programs were unable to sustain 40 The components and calculations of bundle scores for the program director data are analogous to, but differ somewhat from, the components and calculations for the offender interview data. One interpretation of the program director scores is that it identified the average percentage of offenders who received each service included in the bundle (in this case all services). See Winterfield et al. (2006) for details. 141 Prisoner reentry experiences of adult males providing support to individuals during the critical, high risk period immediately following release. This decline may be attributable to the difficulty programs experienced early on in their efforts to identify and coordinate services for individuals released across wide geographic areas and, again, suggests the need for sustained effort to reach full implementation. SVORI programs were unable to sustain levels of service provision to respondents with high levels of expressed needs following release. The level of services received diminished quickly over time following release, regardless of expressed need. For example, 85% or more of both groups reported at all interviews that they needed more education. While 51% of SVORI program participants (44% of non-SVORI) reported receiving educational services while in prison, this percentage dropped to 11% for SVORI (8% for non-SVORI subjects) during the 3 months following release and remained essentially unchanged over the next 12 months (10% SVORI and 7% non-SVORI at the 15month interview). Similar results were seen overall. The service need super bundle scores ranged between 42 and 45 for the two groups over the three follow-up interviews—relatively stable following about a 10 point drop from the 54 score estimated from pre-release data. As shown in Exhibit 46, reported service receipt scores declined for SVORI participants from 34 at the pre-release interview to 18 at 3 months postrelease, 13 at 9 months, and 9 at 15 months post-release. SVORI participants’ scores were significantly higher than those for non-SVORI respondents (22 pre-release and 12, 10, and 8 in the three post-release waves) through 9 months postrelease. However, these scores demonstrated that the programs were unable to sustain levels of service provision to respondents with high levels of expressed needs following release. As previous research suggests the importance of after care to successful reintegration, the failure of the programs to provide sustained support during the critical, high-risk period immediately following release may have contributed to the modest impact findings. The failure to provide substantial levels of services following release, however, may also point to the difficulty of implementing broadly based reentry programs to provide services across a wide range of domains—a difficulty exacerbated for programs that released SVORI program participants across multiple geographic areas or even statewide. These considerations suggest that ample time should be provided for development and implementation and that 142 Conclusions, Policy Implications, and Future Work there may be a need for a sustained, multi-year effort to reach full implementation. SVORI program participation was associated with moderately better outcomes in housing, employment, substance use, and self-reported criminal behavior. SVORI program participants had lower arrest rates but the differences were not statistically significant. The significant—albeit less-than-universal—increase in service receipt associated with participation in SVORI programs was associated with moderately better outcomes with respect to housing, employment, substance use, and self-reported criminal behavior. For example, SVORI program participants were more likely to report living in their own house or apartment at each interview. Further, although SVORI and nonSVORI respondents were equally likely to report having worked since the last interview, SVORI program participants were more likely to report currently supporting themselves with a job at 3 and 15 months post-release and to report that they were working at a job that offered formal pay and provided benefits (health insurance or paid leave). Additionally, SVORI program participants were more likely to have abstained from drug use— with more reporting no drug use since the last interview or in the last 30 days. Similar results were found when self-report measures were combined with drug test results. However, overall, abstinence from illegal drugs was disappointing. For example, at 15 months following release, only 46% of SVORI program participants and 43% of non-SVORI comparison subjects reported no drug use in the previous 30 days and tested negative on an oral swab drug test. As many of the previous evaluations of reentry programs have focused primarily on recidivism and substance use, this evaluation has extended knowledge about the potential impacts of reentry programming on an array of other important indicators of successful reintegration, including housing and employment. The recidivism results were mixed—with SVORI program participants less likely to report criminal activity (significantly so at 3 months post-release, when 79% of SVORI and 73% of non-SVORI reported no crimes since release). The differences remained about 6 percentage points over successive time points (64% versus 59% at 9 months and 66% versus 61% at 15 months), implying that about 10% more SVORI program participants reported no crimes during the previous 6 months than non-SVORI comparisons. SVORI program participants were also less likely to have an officially recorded arrest at a variety of points during the 24-month period following release, although these differences were small and not significant. Rearrest rates, overall, were high for both groups—by 24 143 Prisoner reentry experiences of adult males months following release, 68% of the SVORI program participants and 71% of the non-SVORI comparisons had a new arrest recorded at NCIC. There was little difference in reincarceration rates, although by 21 months post-release 39% of SVORI program participants versus 36% of non-SVORI comparison subjects had been reincarcerated. Although self-reported criminal behavior and official arrest records were consistent in supporting somewhat lower criminal activity among SVORI program participants, this was not associated with lower reincarceration rates—and, in fact, by 21 months post-release the reincarceration rate for SVORI program participants was about 10% higher than the nonSVORI rate (39% versus 36%). The reincarceration findings would be consistent with self-reported compliance with conditions of supervision, which was similar for SVORI and nonSVORI subjects at 3 and 9 months post-release in that noncompliance could lead to revocation. However, SVORI program participants were more likely to report complying with conditions of supervision at 15 months (66% versus 57%). Additional investigation is needed to determine whether supervision is in some way associated with the reincarceration findings. From a policy perspective, the multi-site SVORI evaluation adds to the sparse reentry evaluation literature that addresses the effect of broad-based (wraparound) programmatic efforts on high risk individuals. Specifically, much of the reentry literature to date presents findings from single-focus interventions, such as drug treatment or cognitive behavior therapy, which have been implemented with low-risk offenders. SVORI was initiated as consensus began to build that programs needed to address the multiplicity of needs of offenders and that interventions were likely to be more successful when focused on high-risk (or higher risk) offenders. The scale of the evaluation—including programs in 12 states and enrolling nearly 1,700 men— provided an opportunity to develop a comprehensive portrait of high-risk individuals as they attempted to reintegrate into communities following prison release, providing insight into their post-release circumstances. The gaps between reported service needs and receipt for SVORI program participants may be attributable to the early stage of implementation when these subjects were enrolled in the evaluation. Further, most of the SVORI impact programs were deployed in multiple prisons and enrolled participants who returned to multiple communities. Developing and 144 Conclusions, Policy Implications, and Future Work implementing the panoply of services for a comprehensive reentry program within multiple prisons and identifying and enlisting community programs and resources are complex tasks that could easily take several years to fully realize. Thus, for example, although “only” 57% of SVORI participants reported having a reentry plan 30 days prior to release, this is a 138% increase over the percentage of non-SVORI respondents who reported having a plan. The 57% finding suggests an opportunity for continued program improvement and more complete implementation. Indeed, many states appear to have viewed their program development and implementation with SVORI funds as a foundation upon which to build better programs—by enhancing services and expanding the reach of the services. As reported in Winterfield, Lindquist, and Brumbaugh (2007), most SVORI program directors said in response to a 2006 survey that their states were continuing to build on the programs that they established with SVORI grant funds. Importantly, service delivery was not sustained during the critical, high risk period immediately following release. The treatment literature suggests that 90 to 270 days of continued care is optimal (Friedmann, Taxman, & Henderson, 2007; Taxman, Perdoni, & Harrison, 2007). Larger program effects would be expected with continuous service delivery after release—which was one of the primary features of the SVORI. The modest improvements in intermediate outcomes observed in the evaluation of SVORI are consistent with findings from several meta-analyses of single-program efforts. These analyses suggest treatment effects from 10% to 20% across a wide range of types of programming for offenders (e.g., Aos et al., 2006). Whether a multi-focus reentry program can lead to significantly greater treatment effects of 30% to 50% is unknown. Results from the SVORI evaluation suggest that programs will need to be given sufficient time to implement multi-component, multi-phase programs before this hypothesis can be tested. The evaluation was designed to address the question of whether SVORI programs—enhanced reentry programs—could impact the post-release outcomes of high-risk offenders. In other words, the goal was to answer the question “Did SVORI work?” SVORI programs were “black boxes” that under the 145 Prisoner reentry experiences of adult males SVORI model were assumed to contain the need-based services appropriate for each individual. Thus, although the programs differed across sites, all programs conformed to this higherorder definition of program. Deficiencies in service delivery are, thus, ascribed to development or implementation shortcomings. Of course, this is not wholly satisfactory. Indeed, the extensive data collection on service receipt was intended to allow examination of other evaluation questions that were beyond the scope of this evaluation. Additional evaluation questions will be addressed in future work, answers to which may help guide policy. This research will address “what worked?” (Were some SVORI programs more successful than others? 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Sustaining adult reentry programs after SVORI. The Multi-site Evaluation of the Serious and Violent Offender Reentry Initiative: Reentry research in action. Retrieved December 18, 2009, from http://www.svori-evaluation.org/ %5Cdocuments%5Creports%5CRRIA_2007_Adult_Sustainabili ty.pdf Young, D. (2004). First count to ten: Innovation and implementation to juvenile reintegration programs. Retrieved December 15, 2009, from http://www.uscourts. gov/fedprob/September_2004/juvenile.html 155 Appendix A. Data Tables Exhibit A-1. Adult male case disposition—Wave 1 (pre-release) TOTAL ALL CASES Case Disposition—Eligible Cases Completed Interview completed Released Early R released prior to Wave 1 interview Refused Final refusal by R, guardian or other Access Denied Access to R denied by prison Other Noninterview R absconded Private setting not available R deceased Language barrier—Spanish Language barrier—Other Physically/mentally incapable Other noninterview TOTAL ELIGIBLE CASES Case Disposition—Ineligible Cases Ineligible Cases R transferred to non-study facility R releasing to non-study area R not releasing during data collection period Date of release unknown Case fielded incorrectly R ineligible to participate Site dropped from study Other ineligible TOTAL INELIGIBLE CASES SVORI N % 1,406 43.92% SVORI % of Eligible N SVORI Non-SVORI N % 1,795 56.08% Non-SVORI % of Eligible N non-SVORI All Cases N % 3,201 100.00% All Cases N % of Eligible 863 73.70% 834 59.87% 1,697 66.19% 169 14.43% 369 26.49% 538 20.98% 126 10.76% 166 11.92% 295 11.51% 6 0.51% 8 0.57% 14 0.55% 2 2 1 1 0 1 0 1,171 0.17% 0.17% 0.09% 0.09% 0.00% 0.09% 0.00% 100.00% 3 1 0 5 1 2 1 1,393 0.22% 0.07% 0.00% 0.36% 0.07% 0.14% 0.07% 100.00% 5 3 1 6 1 3 1 2,564 0.20% 0.12% 0.04% 0.23% 0.04% 0.12% 0.04% 100.00% SVORI % of Ineligible N SVORI Non-SVORI % of Ineligible N non-SVORI All Cases N % of Ineligible 21 7 8.94% 2.98% 56 37 13.93% 9.20% 77 41 12.09% 6.44% 100 42.55% 92 22.89% 192 30.14% 2 5 86 4 10 235 0.85% 2.13% 36.60% 1.70% 4.26% 100.00% 25 158 12 18 4 402 6.22% 39.30% 2.99% 4.48% 1.00% 100.00% 32 163 98 28 6 637 5.02% 25.59% 15.38% 4.40% 0.94% 100.00% Note: R = respondent. Wave 1 = 30 days pre-release. A-1 Prisoner reentry experiences of adult males Exhibit A-2. Respondent characteristics, by group (pre-release) Characteristic Demographics and Housing Age at incarceration Age at pre-release (Wave 1) interview White Black Hispanic Multiracial/other Born in United States English is primary language Homeless/shelter/no set place to live prior to incarceration Employment History Ever held a job Employed during 6 months prior to incarceration Source of support 6 months prior to incarceration: Family Source of support 6 months prior to incarceration: Friends Source of support 6 months prior to incarceration: Government Source of support 6 months prior to incarceration: Illegal income Source of support 6 months prior to incarceration: Other Last job: Hours worked per week Last job: Hourly salary Last job: Was permanent Last job: Received formal pay Last job: Health insurance provided Completed 12th grade or GED/other high school equivalent Currently in school Ever served in the military Family and Peers Married Involved in steady relationship 6 months prior to incarceration Currently married or in steady relationship Lived with spouse/partner before incarceration N SVORI Mean (SD) Non-SVORI Mean (SD) 1,697 1,697 1,694 1,694 1,694 1,694 1,697 1,697 26.13 (7.49) 28.89 (7.14) 0.32 (0.46) 0.57 (0.50) 0.04 (0.20) 0.08 (0.27) 1.00 (0.07) 0.98 (0.13) 27.06 (7.41) 29.30 (7.48) 0.37 (0.48) 0.50 (0.50) 0.04 (0.20) 0.09 (0.29) 0.98 (0.13) 0.97 (0.16) −2.57 −1.17 −2.30 2.74 −0.13 −0.89 2.59 1.59 1,695 0.12 (0.33) 0.12 (0.33) 0.18 1,696 0.89 (0.31) 0.92 (0.27) −2.21 1,696 0.64 (0.48) 0.68 (0.47) −2.04 1,693 0.32 (0.47) 0.31 (0.46) 0.15 1,693 0.16 (0.37) 0.14 (0.35) 1.40 1,693 0.11 (0.31) 0.10 (0.30) 0.48 1,693 0.45 (0.50) 0.43 (0.50) 0.99 1,693 0.07 (0.25) 0.10 (0.30) −2.14 1,107 1,083 1,117 1,120 1,094 41.72 (13.86) 10.91 (8.51) 0.75 (0.43) 0.74 (0.44) 0.37 (0.48) 41.76 (14.07) 10.13 (6.87) 0.73 (0.44) 0.72 (0.45) 0.34 (0.47) −0.04 1.67 0.65 0.64 0.93 1,695 0.61 (0.49) 0.58 (0.49) 0.88 1,697 1,697 0.15 (0.35) 0.05 (0.22) 0.13 (0.34) 0.05 (0.21) 0.83 0.39 1,697 0.09 (0.28) 0.10 (0.30) −1.05 1,693 0.68 (0.47) 0.69 (0.46) −0.28 1,690 0.39 (0.49) 0.40 (0.49) −0.33 670 0.59 (0.49) 0.67 (0.47) −2.15 t-statistic (continued) A-2 Appendix A – Data Tables Exhibit A-2. Respondent characteristics, by group (pre-release; continued) Characteristic Family and Peers (continued) Have any living children Number of children (only respondents with children) Number of children (respondents with and without children) Have child(ren) under 18 Primary care responsibilities for any children under 18 6 months prior to incarceration Number of children under 18 supported 6 months prior to incarceration Required to pay child support 6 months prior to incarceration Made court-ordered child support payments 6 months prior to incarceration Court order for support changed while incarcerated Owe back child support Dollar amount of back child support owed State has forgiven/decreased back child support Have people in life that are considered family Have a family member who has been convicted of a crime Have a family member who has been in a correctional facility Have a family member who has had problems with drugs/alcohol Family emotional support scale (0–30: >more support) Had a friend (before incarceration) who has been convicted of a crime Had a friend (before incarceration) who has been in a correctional facility Had a friend (before incarceration) who has had problems with drugs or alcohol Physical and Mental Health Physical health scale (>better) Mental health scale (>better) Received treatment for mental health problem prior to this incarceration Global Severity Index (45–225: >worse) Positive Symptom Total (0–45: >worse) N SVORI Mean (SD) Non-SVORI Mean (SD) 1,684 0.62 (0.49) 0.64 (0.48) −0.88 1,056 2.22 (1.63) 2.29 (1.60) −0.65 1,684 1.37 (1.67) 1.46 (1.69) −1.07 1,684 0.59 (0.49) 0.61 (0.49) −0.59 1,009 0.47 (0.50) 0.49 (0.50) −0.59 527 1.17 (1.18) 1.19 (1.18) −0.23 1,007 0.30 (0.46) 0.32 (0.47) −0.56 312 0.59 (0.49) 0.56 (0.50) 0.51 283 0.26 (0.44) 0.27 (0.44) −0.01 301 0.93 (0.25) 9127.02 (11281.27) 0.91 (0.29) 10728.93 (12558.94) 0.73 253 0.05 (0.21) 0.09 (0.28) −1.21 1,697 0.97 (0.16) 0.97 (0.17) 0.27 1,574 0.75 (0.43) 0.76 (0.43) −0.22 1,602 0.75 (0.44) 0.74 (0.44) 0.21 1,591 0.72 (0.45) 0.74 (0.44) −0.99 1,615 21.63 (4.87) 21.35 (4.71) 1.18 1,540 0.83 (0.37) 0.83 (0.37) −0.07 1,556 0.81 (0.39) 0.81 (0.39) 0.03 1,572 0.82 (0.39) 0.83 (0.38) −0.42 1,673 1,673 53.63 (9.23) 48.93 (10.54) 53.34 (9.19) 48.51 (10.65) 0.64 0.80 1,693 0.24 (0.43) 0.25 (0.44) −0.52 1,697 1,697 66.64 (21.43) 12.62 (9.77) 68.09 (23.07) 13.33 (10.07) −1.34 −1.47 234 t-statistic −1.03 (continued) A-3 Prisoner reentry experiences of adult males Exhibit A-2. Respondent characteristics, by group (pre-release; continued) Characteristic Physical and Mental Health (continued) Anxiety Scale (5–25: >worse) Depression Scale (5–25: >worse) Hostility Scale (5–25: >worse) Interpersonal Sensitivity Scale (5–25: >worse) Obsessive-Compulsive Scale (5–25: >worse) Paranoid Ideation Scale (5–25: >worse) Phobic Anxiety Scale (5–25: >worse) Psychoticism Scale (5–25: >worse) Somatization Scale (5–25: >worse) No physical health-related limitations Ever had asthma Currently have asthma Receiving treatment for asthma Taking prescription for asthma Ever had diabetes Currently have diabetes Receiving treatment for diabetes Taking prescription for diabetes Ever had heart trouble Currently have heart trouble Receiving treatment for heart trouble Taking prescription for heart trouble Ever had high blood pressure Currently have high blood pressure Receiving treatment for high blood pressure Taking prescription for high blood pressure Ever had arthritis Currently have arthritis Receiving treatment for arthritis Taking prescription for arthritis Ever had chronic back pain Currently have chronic back pain Receiving treatment for chronic back pain Taking prescription for chronic back pain Ever had tuberculosis Tuberculosis is currently active Ever diagnosed as being HIV positive or having AIDS N SVORI Mean (SD) Non-SVORI Mean (SD) 1,696 1,696 1,697 7.42 (2.90) 8.31 (3.94) 6.41 (2.52) 7.67 (3.18) 8.45 (3.84) 6.69 (2.88) −1.75 −0.76 −2.11 1,691 7.50 (3.30) 7.60 (3.55) −0.62 1,697 8.12 (3.67) 8.17 (3.66) −0.25 1,697 1,697 1,695 1,697 1,697 1,697 1,690 175 175 1,696 1,693 24 24 1,695 1,687 53 53 1,695 1,664 143 144 1697 1696 85 85 1,697 1,697 205 205 1,695 1,692 8.84 (3.66) 6.42 (2.32) 6.58 (2.38) 7.05 (2.78) 0.59 (0.49) 0.20 (0.40) 0.11 (0.31) 0.48 (0.50) 0.48 (0.50) 0.02 (0.15) 0.01 (0.11) 0.91 (0.30) 0.91 (0.30) 0.05 (0.23) 0.03 (0.17) 0.36 (0.49) 0.36 (0.49) 0.17 (0.38) 0.09 (0.29) 0.73 (0.45) 0.71 (0.46) 0.05 (0.23) 0.05 (0.21) 0.13 (0.33) 0.13 (0.33) 0.15 (0.35) 0.11 (0.32) 0.14 (0.35) 0.18 (0.39) 0.06 (0.23) 0.00 (0.00) 8.85 (3.74) 6.56 (2.74) 6.89 (2.59) 7.16 (3.04) 0.56 (0.50) 0.19 (0.39) 0.10 (0.30) 0.58 (0.50) 0.61 (0.49) 0.02 (0.13) 0.02 (0.12) 0.77 (0.44) 0.69 (0.48) 0.05 (0.22) 0.03 (0.18) 0.36 (0.49) 0.39 (0.50) 0.16 (0.37) 0.08 (0.27) 0.65 (0.48) 0.61 (0.49) 0.06 (0.23) 0.05 (0.23) 0.22 (0.42) 0.24 (0.43) 0.16 (0.37) 0.13 (0.33) 0.14 (0.35) 0.12 (0.33) 0.07 (0.25) 0.00 (0.03) −0.04 −1.12 −2.61 −0.82 1.20 0.40 0.33 −1.32 −1.64 0.75 −0.49 0.89 1.29 0.49 −0.54 0.02 −0.24 0.70 0.80 1.09 1.25 −0.28 −0.71 −1.17 −1.41 −0.84 −0.93 0.05 1.24 −0.97 −1.00 1,697 0.01 (0.08) 0.01 (0.10) −0.60 t-statistic (continued) A-4 Appendix A – Data Tables Exhibit A-2. Respondent characteristics, by group (pre-release; continued) Characteristic Physical and Mental Health (continued) Receiving treatment for HIV/AIDS Taking prescription for HIV/AIDS Ever had hepatitis B or C Currently have hepatitis B or C Receiving treatment for hepatitis B or C Taking prescription for hepatitis B or C Wear glasses or corrective lenses Need eye glasses Currently use a hearing aid Need a hearing aid Ever received care for mental health or alcohol/drug problems Ever received care for: Alcohol abuse/dependence Ever received care for: Anxiety Ever received care for: Attention deficit hyperactivity disorder Ever received care for: Bipolar disorder Ever received care for: Conduct disorder Ever received care for: Depression/dysthymia Ever received care for: Drug abuse/dependence Ever received care for: Obsessivecompulsive disorder Ever received care for: Oppositional defiant disorder Ever received care for: Posttraumatic stress disorder Ever received care for: Phobia (social or specific) Ever received care for: Schizophrenia Ever received care for: Other problem/diagnosis Did not receive care for problem/no diagnosis Currently receiving treatment: Alcohol abuse/dependence Currently receiving treatment: Anxiety disorder Currently receiving treatment: Attention deficit hyperactivity disorder N SVORI Mean (SD) Non-SVORI Mean (SD) 14 14 1,691 1,689 60 60 1,697 1,238 1,697 1,690 0.83 (0.41) 0.67 (0.52) 0.03 (0.18) 0.03 (0.16) 0.23 (0.43) 0.14 (0.35) 0.27 (0.45) 0.22 (0.41) 0.00 (0.05) 0.02 (0.15) 0.88 (0.35) 0.88 (0.35) 0.05 (0.22) 0.05 (0.21) 0.11 (0.31) 0.05 (0.23) 0.26 (0.44) 0.22 (0.42) 0.01 (0.08) 0.05 (0.21) −0.20 −0.90 −1.61 −2.25 1.27 1.00 0.34 −0.10 −1.17 −2.54 1,696 0.56 (0.50) 0.55 (0.50) 0.32 925 0.25 (0.44) 0.28 (0.45) −0.87 925 0.06 (0.23) 0.07 (0.26) −0.88 925 0.12 (0.33) 0.13 (0.33) −0.31 925 925 0.10 (0.30) 0.03 (0.18) 0.12 (0.33) 0.04 (0.19) −1.23 −0.34 925 0.19 (0.39) 0.20 (0.40) −0.32 925 0.42 (0.49) 0.34 (0.48) 2.33 925 0.01 (0.12) 0.02 (0.12) −0.10 925 0.01 (0.11) 0.00 (0.07) 1.36 925 0.03 (0.18) 0.02 (0.15) 0.66 925 0.01 (0.08) 0.01 (0.11) −1.08 925 0.04 (0.21) 0.05 (0.21) −0.18 925 0.18 (0.39) 0.18 (0.38) 0.12 925 0.17 (0.38) 0.15 (0.36) 0.97 783 0.07 (0.25) 0.10 (0.29) −1.38 783 0.02 (0.14) 0.03 (0.17) −0.94 783 0.01 (0.09) 0.03 (0.16) −1.98 t-statistic (continued) A-5 Prisoner reentry experiences of adult males Exhibit A-2. Respondent characteristics, by group (pre-release; continued) Characteristic Physical and Mental Health (continued) Currently receiving treatment: Bipolar disorder Currently receiving treatment: Conduct disorder Currently receiving treatment: Depression/dysthymia Currently receiving treatment: Drug abuse/dependence Currently receiving treatment: Obsessivecompulsive disorder Currently receiving treatment: Oppositional defiant disorder Currently receiving treatment: Posttraumatic stress disorder Currently receiving treatment: Phobia (social or specific) Currently receiving treatment: Schizophrenia Currently receiving treatment: Other problem/diagnosis Currently not receiving treatment for any condition Doctor prescribed medication for emotional/psychological problem during this incarceration Received the prescribed medication Any victimization (6 months prior to incarceration) Victimization severity prior to incarceration (0–30: >worse) Any victimization (during incarceration) Victimization severity during incarceration (0–36: >worse) Substance Use Ever drank any type of alcoholic beverage Age at first drink Used alcohol 30 days prior to this incarceration Age at last drink if no alcohol 30 days prior Ever used drugs Number of drugs used in lifetime Used drugs 30 days prior to this incarceration Number of drugs used 30 days prior to this incarceration N SVORI Mean (SD) Non-SVORI Mean (SD) 783 0.05 (0.21) 0.06 (0.24) −0.69 783 0.01 (0.07) 0.01 (0.09) −0.47 783 0.06 (0.23) 0.10 (0.29) −2.10 783 0.10 (0.31) 0.09 (0.28) 0.90 783 0.00 (0.00) 0.01 (0.09) −1.74 783 0.00 (0.00) 0.00 (0.00) 783 0.01 (0.11) 0.01 (0.10) 0.31 783 0.00 (0.05) 0.00 (0.05) −0.01 783 0.04 (0.19) 0.03 (0.18) 0.15 783 0.05 (0.22) 0.06 (0.24) −0.68 783 0.72 (0.45) 0.67 (0.47) 1.48 1,697 0.13 (0.34) 0.19 (0.39) −3.23 268 0.95 (0.23) 0.96 (0.21) −0.33 1,696 0.59 (0.49) 0.58 (0.49) 0.61 1,696 3.87 (5.61) 3.75 (5.49) 0.47 1,696 0.55 (0.50) 0.54 (0.50) 0.47 1,696 2.71 (3.64) 2.88 (4.05) −0.93 1,696 1,616 0.96 (0.19) 13.71 (3.85) 0.97 (0.17) 13.64 (3.76) −0.80 0.34 1,693 0.68 (0.47) 0.67 (0.47) 0.43 479 1,697 1,697 24.18 (7.41) 0.94 (0.24) 3.39 (2.78) 25.66 (7.86) 0.96 (0.21) 3.84 (2.93) −2.11 −1.67 −3.26 1,696 0.66 (0.48) 0.69 (0.46) −1.56 1,697 1.37 (1.56) 1.58 (1.75) −2.63 t-statistic (continued) A-6 Appendix A – Data Tables Exhibit A-2. Respondent characteristics, by group (pre-release; continued) Characteristic Substance Use (continued) Used drugs other than marijuana and steroids 30 days prior to this incarceration Ever used sedatives Age first used sedatives Used sedatives 30 days prior to this incarceration Age last used sedatives Ever used tranquilizers Age first used tranquilizers Used tranquilizers 30 days prior to this incarceration Age last used tranquilizers Ever used stimulants Age first used stimulants Used stimulants 30 days prior to this incarceration Age last used stimulants Ever used pain relievers Age first used pain relievers Used pain relievers 30 days prior to this incarceration Age last used pain relievers Ever used methadone Age first used methadone Used methadone 30 days prior to this incarceration Age last used methadone Ever used anabolic steroids Age first used anabolic steroids Used anabolic steroids 30 days prior to this incarceration Age last used anabolic steroids Ever used marijuana Age first used marijuana Used marijuana 30 days prior to this incarceration Age last used marijuana Ever used hallucinogens Age first used hallucinogens Used hallucinogens 30 days prior to this incarceration N SVORI Mean (SD) Non-SVORI Mean (SD) 1,696 0.42 (0.49) 0.47 (0.50) −1.92 1,695 328 0.18 (0.39) 17.62 (4.24) 0.21 (0.41) 17.13 (4.45) −1.63 1.02 1,693 0.06 (0.23) 0.09 (0.29) −2.88 205 1,695 461 22.48 (5.32) 0.25 (0.43) 17.93 (4.34) 24.12 (7.09) 0.31 (0.46) 18.47 (5.04) −1.86 −2.86 −1.22 1,691 0.08 (0.28) 0.13 (0.33) −2.86 285 1,696 298 22.79 (5.62) 0.16 (0.36) 16.66 (4.09) 23.04 (6.47) 0.20 (0.40) 17.05 (4.77) −0.35 −2.31 −0.75 1,696 0.07 (0.25) 0.09 (0.29) −1.84 165 1,695 454 21.05 (5.30) 0.24 (0.43) 18.21 (4.96) 22.84 (6.91) 0.30 (0.46) 18.53 (5.59) −1.88 −2.78 −0.64 1,693 0.11 (0.31) 0.14 (0.34) −1.97 251 1,695 132 23.38 (5.46) 0.06 (0.24) 23.71 (8.24) 24.67 (7.15) 0.09 (0.29) 23.10 (6.62) −1.61 −2.28 0.47 1,695 0.02 (0.13) 0.02 (0.13) −0.28 103 1,696 30 26.95 (8.63) 0.02 (0.13) 17.94 (4.54) 26.27 (7.36) 0.02 (0.13) 19.50 (3.20) 0.43 0.27 −1.07 1,696 0.00 (0.00) 0.00 (0.00) 30 1,695 1,568 18.94 (5.32) 0.92 (0.27) 13.94 (3.15) 21.79 (4.04) 0.94 (0.24) 14.14 (3.33) −1.63 −1.25 −1.24 1,694 0.52 (0.50) 0.53 (0.50) −0.76 675 1,695 784 23.33 (7.20) 0.43 (0.50) 17.16 (3.45) 23.61 (6.72) 0.49 (0.50) 17.58 (3.95) −0.53 −2.51 −1.59 1,694 0.09 (0.28) 0.09 (0.29) −0.30 t-statistic (continued) A-7 Prisoner reentry experiences of adult males Exhibit A-2. Respondent characteristics, by group (pre-release; continued) Characteristic Substance Use (continued) Age last used hallucinogens Ever used cocaine Age first used cocaine Used cocaine 30 days prior to this incarceration Age last used cocaine Ever used heroin Age first used heroin Used heroin 30 days prior to this incarceration Age last used heroin Ever used amphetamines Age first used amphetamines Used amphetamines 30 days prior to this incarceration Age last used amphetamines Ever used inhalants Age first used inhalants Used inhalants 30 days prior to this incarceration Age last used inhalants Received alcohol/drug treatment before this incarceration Current Incarceration and Criminal Historya Duration of incarceration at Wave 1 interview (years) Wave 1 conviction offense(s) category: Person/violent crime Robbery Assault Lethal crime Sex offense Other person/violent crime Wave 1 conviction offense(s) category: Property crime Burglary Theft Car theft Fraud/forgery Other property crime N SVORI Mean (SD) Non-SVORI Mean (SD) 626 1,694 935 20.92 (4.07) 0.53 (0.50) 19.39 (5.32) 21.56 (5.35) 0.58 (0.49) 19.52 (4.90) −1.69 −2.09 −0.39 1,694 0.22 (0.42) 0.26 (0.44) −1.77 528 1,695 343 24.65 (7.31) 0.18 (0.38) 20.90 (6.13) 24.62 (6.95) 0.23 (0.42) 21.34 (5.62) 0.04 −2.59 −0.68 1,695 0.08 (0.27) 0.09 (0.28) −0.83 206 1,692 473 26.19 (8.70) 0.26 (0.44) 17.10 (3.76) 24.75 (6.65) 0.30 (0.46) 18.47 (4.81) 1.30 −1.86 −3.47 1,690 0.13 (0.33) 0.14 (0.34) −0.55 251 1,694 267 22.58 (5.97) 0.15 (0.36) 15.83 (3.91) 23.74 (6.49) 0.16 (0.37) 15.76 (3.34) −1.45 −0.63 0.16 1,693 0.01 (0.10) 0.01 (0.08) 0.71 252 18.06 (4.87) 17.34 (4.17) 1.26 1,696 0.42 (0.49) 0.41 (0.49) 0.42 1,697 2.76 (2.46) 2.26 (2.63) 4.10 1,688 0.42 (0.49) 0.40 (0.49) 0.92 1,688 1,688 1,688 1,688 1,688 0.15 (0.36) 0.19 (0.39) 0.04 (0.21) 0.05 (0.22) 0.03 (0.18) 0.13 (0.33) 0.16 (0.36) 0.03 (0.17) 0.07 (0.25) 0.06 (0.24) 1.28 1.88 1.68 −1.51 −2.46 1,688 0.24 (0.43) 0.27 (0.44) −1.35 1,688 1,688 1,688 1,688 1,688 0.11 (0.31) 0.08 (0.28) 0.03 (0.16) 0.02 (0.15) 0.04 (0.20) 0.12 (0.32) 0.08 (0.27) 0.03 (0.18) 0.05 (0.21) 0.05 (0.21) −0.71 0.43 −0.55 −2.52 −0.50 t-statistic (continued) A-8 Appendix A – Data Tables Exhibit A-2. Respondent characteristics, by group (pre-release; continued) SVORI Characteristic N Mean (SD) Current Incarceration and Criminal Historya (continued) Wave 1 conviction offense(s) category: 1,688 0.36 (0.48) Drug crime Drug dealing/manufacturing 1,688 0.21 (0.41) Drug possession 1,688 0.22 (0.41) Other drug offense 1,688 0.01 (0.11) Wave 1 conviction offense(s) category: 1,688 0.17 (0.37) Public order crime Wave 1 conviction offense(s) category: 1,688 0.02 (0.13) Other crime Current incarceration for probation or parole 1,695 0.27 (0.44) violation Current incarceration for probation violation 1,695 0.05 (0.22) Current incarceration for parole violation 1,695 0.22 (0.41) Parole violation: Technical violation 459 0.59 (0.49) Parole violation: New crime 459 0.42 (0.49) Age at first arrest 1,685 15.92 (4.78) Number of lifetime arrests 1,586 12.42 (11.45) Number of lifetime convictions 1,658 5.48 (6.05) Number of lifetime convictions/age at 1,658 0.21 (0.24) incarceration Ever locked up in a juvenile correctional 1,696 0.51 (0.50) facility for committing a crime Number of times in juvenile lockup (only 833 3.58 (3.89) those who reported ever being locked up) Number of times in juvenile lockup (all 1,680 1.82 (3.30) respondents) Ever been in jail/prison more than 24 hours 1,694 0.83 (0.38) at one time Number of times sent to prison (only those 1,434 1.45 (1.82) who reported ever having been in prison) Number of times sent to prison (all 1,688 1.20 (1.74) respondents) Any disciplinary infractions during this 1,694 0.65 (0.48) incarceration One disciplinary infraction during this 1,694 0.17 (0.38) incarceration Two or more disciplinary infractions during 1,694 0.47 (0.50) this incarceration Placed in administrative segregation during 1,692 0.45 (0.50) this incarceration Non-SVORI Mean (SD) t-statistic 0.31 (0.46) 2.36 0.15 (0.36) 0.21 (0.41) 0.01 (0.10) 3.34 0.65 0.16 0.22 (0.42) −2.92 0.01 (0.10) 1.21 0.35 (0.48) −3.71 0.06 (0.25) 0.29 (0.45) 0.64 (0.48) 0.37 (0.48) 16.03 (5.09) 13.14 (11.39) 5.70 (6.26) −1.42 −3.18 −1.05 1.03 −0.47 −1.25 −0.73 0.22 (0.25) −0.25 0.49 (0.50) 1.07 3.49 (3.64) 0.35 1.69 (3.07) 0.86 0.87 (0.33) −2.42 1.69 (2.05) −2.35 1.47 (1.99) −2.97 0.56 (0.50) 3.50 0.17 (0.37) 0.36 0.40 (0.49) 3.17 0.40 (0.49) 2.41 (continued) A-9 Prisoner reentry experiences of adult males Exhibit A-2. Respondent characteristics, by group (pre-release; continued) SVORI Characteristic N Mean (SD) Current Incarceration and Criminal Historya (continued) Current gang member 1,688 0.05 (0.21) Considers gang to be family 92 0.53 (0.51) Relatives are members of the gang 92 0.55 (0.50) Any perpetration of violence (6 months 1,697 0.69 (0.46) prior to incarceration) Current Gang Member Have institution job 1,697 0.63 (0.48) Have prison service job 1,692 0.60 (0.49) Have prison industry job 1,692 0.04 (0.19) Hours per week at institution job 1,035 23.78 (16.95) Have work release job 1,697 0.03 (0.17) Hours per week at work release job 59 39.92 (14.28) Non-SVORI Mean (SD) t-statistic 0.06 (0.24) 0.52 (0.50) 0.58 (0.50) −1.45 0.05 −0.26 0.67 (0.47) 0.80 0.61 (0.49) 0.57 (0.50) 0.04 (0.21) 22.29 (16.12) 0.04 (0.20) 30.97 (11.91) 0.95 1.40 −0.77 1.45 −1.31 2.63 Note: GED = general educational development. SD = standard deviation. Wave 1 = 30 days pre-release. a Results for W1 Conviction Offenses may not sum to 100% because some respondents reported multiple conviction offenses. A-10 Appendix A – Data Tables Exhibit A-3. Proportion of respondents who reported needing specific services, by group (pre-release) Service Transition Services Legal assistance Financial assistance Public financial assistance Public health care insurance Mentor Documents for employment Place to live Transportation Driver’s license Access to clothing/food banks Health Services Medical treatment Mental health treatment Substance use treatment Victims’ group for abuse Anger management program Employment/Education/Skills Services Job Job training More education Money management skills Life skills Work on personal relationships Change attitudes on criminal behavior Domestic Violence Services Batterer intervention program Domestic violence support group Child Services Child support payments Modification of child support debt Modification of child custody Parenting skills Child care N SVORI Mean (SD) Non-SVORI Mean (SD) 1,690 1,696 1,695 1,693 1,695 1,697 1,695 1,696 1,697 1,696 0.45 (0.50) 0.86 (0.35) 0.52 (0.50) 0.75 (0.43) 0.60 (0.49) 0.55 (0.50) 0.49 (0.50) 0.72 (0.45) 0.83 (0.38) 0.60 (0.49) 0.48 (0.50) 0.82 (0.39) 0.54 (0.50) 0.73 (0.45) 0.61 (0.49) 0.56 (0.50) 0.46 (0.50) 0.71 (0.46) 0.81 (0.39) 0.55 (0.50) −1.38 2.61 −0.94 1.19 −0.37 −0.15 1.32 0.59 1.02 2.30 1,696 1,693 1,696 1,697 1,694 0.56 (0.50) 0.22 (0.42) 0.37 (0.48) 0.04 (0.20) 0.36 (0.48) 0.57 (0.50) 0.29 (0.45) 0.43 (0.50) 0.04 (0.20) 0.38 (0.48) −0.19 −3.09 −2.64 0.22 −0.82 1,696 1,696 1,697 1,696 1,690 1,694 1,693 0.80 (0.40) 0.82 (0.39) 0.94 (0.24) 0.71 (0.45) 0.75 (0.43) 0.64 (0.48) 0.64 (0.48) 0.76 (0.43) 0.76 (0.43) 0.92 (0.27) 0.68 (0.47) 0.73 (0.44) 0.64 (0.48) 0.69 (0.46) 1.94 2.62 1.23 1.38 0.96 0.15 −2.12 1,694 1,695 0.08 (0.27) 0.06 (0.24) 0.08 (0.27) 0.09 (0.28) −0.02 −2.23 995 276 1,002 1,009 1,007 0.45 (0.50) 0.88 (0.33) 0.35 (0.48) 0.60 (0.49) 0.39 (0.49) 0.48 (0.50) 0.86 (0.35) 0.38 (0.49) 0.63 (0.48) 0.39 (0.49) −1.04 0.48 −0.97 −1.11 0.08 t-statistic SD = standard deviation. A-11 Prisoner reentry experiences of adult males Exhibit A-4. Proportion of respondents who reported receiving specific services, by group (pre-release) Variable Label Coordination Services Received needs assessment Received release-specific needs assessment Met with case manager Developed reentry plan Worked with anyone to plan for release Transition Services Participated in programs to prepare for release Took class specifically for release Received legal assistance Received assistance accessing financial assistance Received assistance accessing public financial assistance Received assistance accessing public health care assistance Received mentoring services Received assistance obtaining documents Received assistance finding transportation Received assistance finding place to live Received assistance getting driver’s license Received assistance accessing clothing/food banks Health Services Received any medical treatment Received dental services Received any mental health treatment Received any substance use treatment Participated in groups for victims of abuse Participated in anger management program N SVORI NonSVORI t-statistic 1,690 1,678 1,694 1,663 1,695 0.63 (0.48) 0.49 (0.50) 0.66 (0.47) 0.57 (0.50) 0.66 (0.48) 0.45 (0.50) 0.23 (0.42) 0.40 (0.49) 0.24 (0.43) 0.31 (0.46) 7.43 11.61 11.05 14.69 15.22 1,696 1,695 1,697 1,697 1,696 0.75 (0.43) 0.65 (0.48) 0.12 (0.32) 0.13 (0.34) 0.14 (0.35) 0.51 (0.50) 0.37 (0.48) 0.08 (0.27) 0.04 (0.19) 0.11 (0.31) 10.64 11.89 2.38 7.11 1.81 1,695 0.13 (0.34) 0.09 (0.29) 2.46 1,697 1,693 1,696 1,697 1,696 1,696 0.20 (0.40) 0.41 (0.49) 0.19 (0.39) 0.28 (0.45) 0.22 (0.41) 0.21 (0.41) 0.08 (0.27) 0.26 (0.44) 0.12 (0.32) 0.13 (0.33) 0.08 (0.27) 0.11 (0.32) 6.92 6.66 4.30 7.82 8.46 5.54 1,691 1,696 1,675 1,696 1,696 1,696 0.58 (0.49) 0.55 (0.50) 0.50 (0.50) 0.47 (0.50) 0.16 (0.36) 0.20 (0.40) 0.48 (0.50) 0.38 (0.48) 0.07 (0.25) 0.03 (0.16) 0.34 (0.48) 0.26 (0.44) 1.55 1.38 −2.17 4.44 4.02 3.88 (continued) A-12 Appendix A – Data Tables Exhibit A-4. Proportion of respondents who reported receiving specific services, by group (pre-release; continued) Variable Label Employment/Education/Skills Services Received any employment services Participated in employment readiness program Participated in job training program Talked to potential employer Given advice about job interviewing Given advice about answering questions about criminal history Given advice about how to behave on the job Given names of people to contact in community to find job Put together a resume Received any educational services Received money management services Received other life skills training Received assistance with personal relationships Received training to change criminal behavior attitudes Domestic Violence Services Participated in batterer intervention programs Participated in domestic violence support groups Child Services Received assistance making child support payments Received assistance modifying child support debt Received assistance modifying child custody Participated in parenting classes Received assistance finding child care N 1,696 1,693 1,696 1,696 1,696 SVORI 0.37 (0.48) 0.23 (0.42) 0.17 (0.38) 0.15 (0.35) 0.32 (0.47) NonSVORI tstatistic 0.19 (0.39) 0.09 (0.28) 0.04 (0.20) 0.06 (0.23) 0.14 (0.35) 8.71 8.06 9.16 6.37 9.01 1,695 0.30 (0.46) 0.13 (0.34) 8.53 1,696 0.31 (0.46) 0.13 (0.34) 9.12 1,695 0.27 (0.44) 0.13 (0.33) 7.37 1,696 1,697 1,696 1,693 1,697 1,697 8.01 4.06 9.28 9.84 4.32 6.76 0.24 (0.43) 0.53 (0.50) 0.24 (0.43) 0.42 (0.49) 0.25 (0.43) 0.52 (0.50) 1,696 0.05 (0.22) 1,697 0.11 (0.31) 1,009 310 1,009 1,011 1,010 0.10 (0.30) 0.43 (0.50) 0.08 (0.27) 0.21 (0.41) 0.17 (0.37) 0.36 (0.48) 0.03 (0.18) 0.06 (0.23) 1.44 3.91 0.07 (0.25) 0.02 (0.14) 0.22 (0.42) 0.11 (0.31) 0.04 (0.19) 0.02 (0.15) 0.25 (0.43) 0.15 (0.36) 0.08 (0.27) 0.03 (0.16) 3.70 2.77 1.29 4.04 3.73 A-13 Prisoner reentry experiences of adult males Exhibit A-5. Proportion of respondents who reported living with the indicated individuals in the period since the last interview Variable Label Mother/stepmother Boy/girlfriend/fiancé Father/stepfather Sister/stepsister Child/stepchild Nobody Brother/stepbrother Someone else Niece/nephew Husband/wife Friend Aunt/uncle Grandparent Facility/shelter residents Cousin In-laws Foster parent Ex-husband/wife Wave 2 NonSVORI SVORI tstat 0.35 0.33 0.6984 0.18 0.19 −0.4843 0.18 0.15 1.1948 0.16 0.12 1.8106 0.13 0.13 −0.1810 0.11 0.07 1.6992 0.11 0.09 0.5784 0.09 0.10 −0.6759 0.08 0.07 0.4181 0.07 0.09 −0.9268 0.05 0.07 −1.3948 0.05 0.05 −0.2640 0.05 0.08 −1.9078 0.04 0.04 −0.0205 0.03 0.02 0.01 0.00 0.03 0.03 0.00 0.00 Note: NA = not applicable. S = SVORI. A-14 0.6960 −0.7852 1.7353 NA Wave 3 NonSVORI SVORI 0.30 0.29 0.23 0.29 0.17 0.14 0.13 0.09 0.17 0.17 0.10 0.08 0.10 0.10 0.10 0.10 0.06 0.06 0.09 0.10 0.08 0.09 0.06 0.05 0.07 0.06 0.02 0.03 0.04 0.02 0.00 0.00 0.03 0.03 0.01 0.00 tstat 0.4019 −2.0785 1.0535 1.9282 −0.2178 0.9764 0.3645 0.0836 0.4632 −0.7288 −0.5302 0.7254 0.5972 −1.0485 1.4518 −1.2500 −1.0064 −0.1271 Wave 4 NonSVORI SVORI 0.26 0.27 0.27 0.26 0.13 0.14 0.11 0.12 0.18 0.19 0.10 0.07 0.10 0.08 0.13 0.11 0.05 0.04 0.10 0.12 0.09 0.09 0.05 0.05 0.05 0.08 0.04 0.04 0.04 0.02 0.00 0.01 0.03 0.02 0.00 0.00 tstat −0.4099 0.2058 −0.2771 −0.1980 −0.2829 1.5907 1.2370 1.1021 0.6577 −1.2257 −0.1815 −0.0921 −2.0237 0.2925 0.4846 −0.2261 0.5025 0.9270