Indiana Law Review "The Mess We're in"*: Five Steps Towards the Transformation of Prison Cultures Lynn S. Branham* Whether working with correctional officials, policy makers, victims' advocates, prisoners' advocates, researchers, or others concerned about the efficacy and costs, both tangible and intangible, of incarceration, a question I commonly hear is: "How can and should prison conditions be improved?" But I think that this question misses the mark. Of course prison conditions can and should be improved to produce what perhaps appropriately, but impersonally, are referred to as "better outcomes." Few ofthose who are familiar with prisons and the persons confined within them would argue that the status quo is acceptable: that, for example, the vast numbers ofprisoners with substance abuse and mental health problems should continue to never have those problems addressed, and addressed effectively, while they are incarcerated;' that prisoners who are * See President Ronald Reagan, Remarks at a Reception for Members of the Associated General Contractors of America (Mar. 16, 1981), available at http://www.reagan.utexas.edu/ archives/speeches/198 1/3 1681c.htm [hereinafter Reagan Remarks]. ** Visiting Professor of Law, Saint Louis University School of Law. B.A., University of Illinois; J.D., University of Chicago Law School. 1. In 2006, 65% of the prisoners in state prisons and 55% of federal prisoners met the medical criteria delineated in the Diagnostic and Statistical Manualfor Mental Disorders (DSM) for having a "substance use disorder." Nat'l Ctr. on Addiction & Substance Abuse at Columbia Univ., Behind Bars II: Substance Abuse and America's Prison Population 23, 25 (20 1 0), available at http://www.casacolumbia.org/articlefiles/575-report20 1 0behindbars2.pdf However, less than one in five ofthese inmates with the disorder—14% ofthe state prisoners and 16% of the federal prisoners—received some form of substance-abuse treatment. Id. at 40. Even when prisoners with a substance abuse problem do receive treatment, much of that treatment is deficient in quality. In a national study on the extent to which correctional substance abuse treatment programs comport with the thirteen evidence-based practices considered necessary for effective treatment, prison administrators reported that the treatment programs in their prisons incorporated an average ofonly 5.9 ofthe prescribed evidence-based practices. Peter D. Friedmann et al., Evidence-Based Treatment Practices for Drug-Involved Adults in the Criminal Justice System, 32 J. SUBSTANCE ABUSE TREATMENT 267, 267-68, 272 (2007). Although the assessments of these treatment programs by their directors differed somewhat from those of the prison administrators, the directors also reported significant departures from basic treatment protocols. According to these treatment providers, the substance abuse treatment programs in the prisons adhered to, on average, only 7.8 of the thirteen evidence-based practices. Id. at 272. A high percentage of prisoners—in 2005, 56% of state inmates and 45% of federal inmates—also have mental health problems. DoRis J. James & Lauren E. Glaze, Bureau of Justice Statistics, U.S. Dep't of Justice, Mental Health Problems of Prison and Jail Inmates 3 (2006), available at http://bjs.ojp.usdoj.gov/index.cfm?ty=pbdetail&iid=789. Yet the majority of these ill prisoners receive no mental health treatment while in prison. See id. at 9 (reporting that in 2005, only 34% ofthe state prisoners and 24% ofthe federal prisoners who were mentally ill had received mental health treatment since their incarceration). For an in-depth discussion ofthe failure to meet the healthcare needs ofmentally ill prisoners, see HUMAN RIGHTS 704 INDIANA LAW REVIEW [Vol. 44:703 functionally illiterate or otherwise uneducated should continue to leave prison without concerted efforts to rectify those educational deficits;^ and that inmates with few, if any, job skills should continue to sit idly in their cells or dorms rather than participate in vocational training or work programs that might facilitate their successful reentry into our communities.^ The more fundamental question though, one that is raised with rarity, is: "Can prisons be notjust changed and improved, but transformed?" This question can, in turn, spark a debate about what "transformation" means in the abstract and what it might mean, or could mean, in the prison context. While the lure of entering into this debate is inviting, suffice it to say that for the purposes of this Article and the ideas propounded within it, transformation entails changes that are not merely at the periphery or even solely external. Transformation instead refers to deeper, sustained, and indeed radical changes—changes in the ethos of those who work and live in prisons. Watch, Ill-Equipped: U.S. Prisons and Offenders with Mental Illness (2003), available at http://www.hrw.org/en/node/12252/sectionl. 2. In 2003, 57% of prisoners had not received a high school diploma or GED. See Elizabeth Greenberget al., U.S. Dep't of Educ, Literacy Behind Bars: Results fromthe 2003 National Assessment of Adult Literacy Prison Survey 48 (2007), available at http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2007473 [hereinafter PrisonLiteracy Survey] . Half, or more than half, ofthem functioned at the two lowest literacy levels, with the exact figure depending on the type of literacy being measured. Id. at 13 (reporting that 56% ofprisoners were at the basic, or below basic, literacy level in "prose" literacy, 50% fell within one of these two lowest literacy levels in "document" literacy, and 78% measured at the basic or below basic level on the "quantitative" literacy scale). Many prisoners' literacy skills are so deficient that they would be unable to locate an intersection on a straightforward street map or determine the time of an appointment from an appointment slip. See id. at 5-7, 13. Most prisons offer some educational programming to a segment of their prison populations. Caroline Wolf Harlow, Bureau of Justice Statistics, U.S. Dep't of Justice, Education and Correctional Populations 1 , 4 (2003), available at http://www.policyalmanac.org/crime/ archive/education_prisons.pdf But relatively few prisoners are enrolled in an academic program at any one time. In 2003, only 5% of prisoners were enrolled in an academic class, though an additional 1 9% of prisoners had received their high school diploma or GED while serving their current prison sentences. Prison Literacy Survey, supra, at 48. 3 . The majority ofprisoners surveyed in 2003 had received no vocational training since their incarceration, and most ofthose who had were trained for a relatively short period oftime. Prison Literacy Survey, supra note 2, at 51 (reporting that 71% of the prisoners had received no vocational training, 1 1% participated in a vocational training program lasting less than six months, and 8% participated in a vocational training program lasting six to twelve months). And while a little over half of the prisoners eligible to work in prison—some are foreclosed from working for security or medical reasons—have job assignments, the vast majority of these inmates work in positions geared toward facility operations, such as janitorial and laundry work, rather than jobs specifically tailored to prepare them for reentry. Amy L. Solomon et al.. Urban Inst., From Prison to Work: The Employment Dimensions of Prisoner Reentry 1 6 (2004), available at http://www.urban.org/uploadedPDF/4 1 1 097_From_Prison_to_work.pdf 2011] THE TRANSFORMATION OF PRISON CULTURES 705 That altered ethos would be far different than the antiquated mindset that continues to pervade correctional institutions in this country—the mindset of "captor and caged." That ethos would embody at least four precepts: (1) hope as an imperative; (2) the viability of renewal; (3) the catharsis that attends personal responsibility and accountability; and (4) the duty and call to respect human dignity, an obligation that encompasses both correctional employees and prisoners. While some might describe this ethos as "new," it would, in fact, not be new at all but would rather reflect what are considered ancient truths, though truths long ignored behind prison walls."* Naysayers will immediately counter that talk of such transformation occurring in the environs ofa prison reflects poUyannaish yearnings disconnected from political realities and betraying a lack ofunderstanding ofwhat life is really like, for prisoners and correctional employees alike, in the hidden confines of prisons. But parsing through these naysayers' remonstrations reveals that what they are actually saying is that deep-seated cultural norms cannot be changed. And as history, including recent history, confirms, that assertion is utterly false. The memories are still vivid in the minds of many people, for example, of a time when African-Americans had to drink from separate water fountains, when female teachers had to quit their jobs after getting married, and when married women who were able to retain their jobs were forced to resign from them when they became pregnant. There are some correctional leaders, though not nearly enough, who have publicly espoused the need for, and the feasibility of, what has been aptly termed "culture busting" in prisons.^ But in the end, the question is not whether culture 4. To give but one example of the age-old origins of these precepts, they are propounded in the Bible, though sometimes in different nomenclature. As for the first precept—the need for each individual to retain hope—what Oliver Wendell Holmes, Sr. said in secular terms when cautioning, "Beware how you take away hope from any human being," has its own biblical iterations. Oliver Wendell Holmes, Sr., Valedictory Address to the Medical Graduates at Harvard University (March 10, 7955J,LVIIIB0S. MED. & SURGICAL J. 149, \5%{\^5^)\ see, e.g.. Proverbs 13:12 ("Hope deferred makes the heart sick."). The second precept regarding the promise of renewal—the affirmation that people can change and, as individuals, be transformed—is also articulated in Scripture, including in the story of the life of Saul, a murderer, who became the Apostle Paul. See Acts 9:1-21. The Bible is replete with examples of, and exhortations regarding, the third precept—the redemptive effects of acknowledging and atoning for one's wrongdoing. See, e.g., Proverbs 28:13 ("He who conceals his transgressions will not prosper, but he who confesses and forsakes them will obtain mercy."); Matthew 5:23-25 ("So if you are offering your gift at the altar, and there remember that your brother has something against you, leave your gift there before the altar and go; first be reconciled to your brother, and then come and offer your gift."). The Bible also extols the value ofthe fourth precept, expounding on the dignity (and love) with which each individual—even those considered the least of the least—is to be treated. See, e.g., Luke 6:3 1 ("And as you wish that men would do to you, do so to them."); Matthew 25:39-40 ("'And when did we see thee sick or in prison and visit thee?' And the King will answer them, 'Truly, I say to you, as you did it for one of the least of these my brethren, you did it to me.'"). 5 . See, e.g., Dora B. Schriro, Reducing Inmate Litigation: Missouri 's Constituent Services 706 INDIANA LAW REVIEW [Vol. 44:703 busting, in the sense of a transformation in prisons and the people working and living within them, can be realized; the question, the one on which this Article focuses, is how the transformation can be effectuated. There are innumerable steps—some big, some small—^that need to be taken if hope, renewal, personal responsibility, accountability, and a shared commitment to human dignity are to become hallmarks of U.S. prisons, as well as ofthe larger sentencing and correctional systems ofwhich they are a part. This Article describes five key steps that are integral to this transformative mission: Step One: Each state and the federal government should establish a maximal limit on the per-capita imprisonment rate that is at least 50% lower than the current national rate and should adopt mechanisms to responsibly implement and enforce the limit. Step Two: Each state and the federal government should develop and implement a comprehensive plan to ensure that the public is aware of conditions and operations in that jurisdiction's prisons. The plan should include, among other components, the establishment of an independent public entity to monitor, and report publicly on, conditions in the prisons. These monitoring entities should meet the "Key Requirements for the Effective Monitoring of Correctional and Detention Facilities" promulgated by the American Bar Association.^ Step Three: Each state and the federal government should modify prison policies, practices, and programs to reflect and inculcate a restorative- justice ethos within prisons. Step Four: Each state and the federal government should adopt and implement policies requiring that each prisoner be assigned a trained and Office Proves Value ofCommunication, CORR. TODAY, Aug. 1998, at 74-78. Stratagems are also being developed to create a more positive culture in prisons through strategic planning, strategic management, and stafftraining, with the National Institute ofCorrections playing a leadership role in that endeavor. See, e.g., CAROL Flaherty-Zonis Assocs., Building Culture Strategically: A Team Approach for Corrections (2007), available at http://nicic.gov/ library/files/02 1 749.pdf; James Byrne et al., Examining the Impact of Institutional Culture (and Culture Change) on Prison Violence and Disorder: A Review ofthe Evidence on Both Causes and Solutions, Paper Presented at the 14th World Congress ofCriminology (Aug. 1 1 , 2005), available at http : //faculty,uml . edu/jbyme/44 . 327/institutional_cultureUpdateworldcongressrevised.doc . 6. These requirements are part of a resolution approved by the American Bar Association in 2008 calling on jurisdictions to develop comprehensive plans to bring transparency and accountability into the operations of correctional and detention facilities. Am. Bar Ass'n, Criminal Justice Section, Report to the House of Delegates 9-10 (2008), available at http://www.americanbar.org/content/dam/aba/publishing/criminalJustice_section_newsletter/cr imjust_policy_am08104b.authcheckdam.pdf [hereinatter Report to the House of Delegates] (listing the "Key Requirements for the Effective Monitoring of Correctional and Detention Facilities"). 2011] THE TRANSFORMATION OF PRISON CULTURES 707 dedicated mentor at the outset of his or her incarceration. Step Five: Each state and the federal government should implement procedures to accord prisoners a central role in the development of an individualized reentry plan. This planning process should commence, at the latest, upon the prisoner's incarceration and would encompass his or her involvement in prison programs and other constructive activities. The taking of these steps would not only catalyze the transformation of prison cultures but also, if the steps were implemented correctly, yield significant cost savings and public-safety and prison-safety benefits. These five pivotal steps, which are capsulized below, are discussed in greater depth in the succeeding parts of this Article. I. Step One: Capping the Per-Capita Imprisonment Rate The threshold step to be taken by each state and the federal government to transform prison cultures is to place a firm cap on the per-capita imprisonment rate in the jurisdiction, one which limits the per-capita imprisonment rate to a level far below the inflated national rate of recent years. The imprisonment rate climbed from 94 out of every 100,000 residents in 1968 to 504 per 100,000 in 2008, though the crime rate remained the same.^ Many trees have been cut down to produce the writings that explain all too clearly why this nation not only should, but must, escape from what has become an obsessive-compulsive drive to incarcerate, often reflexively, individuals who commit the wrongs denominated as crimes.^ These reasons for discarding the 7 . James Austin, ReducingAmerica 's CorrectionalPopulations: A Strategic Plan , 1 2 JuST . Res. & Pol'y 1, 14 (2010). Considering imprisonment statistics in a bit different light, one out of every 198 U.S. residents was incarcerated in a state or federal prison at the end of2008. William J. Sabol et al., Bureau of Justice Statistics, U.S. Dep't of Justice, Prisoners in 2008, at 1 , 6 (2009), ava//