2. Development of the Report Card Mothers Behind Bars Coalition Mothers Behind Bars Coalition Began with shackling and expanded to include prenatal care and alternative sentencing Began with shackling and expanded to include prenatal care and alternative sentencing Methodology Methodology Limitations Limitations Purpose Purpose

3. Overall Grades A: Pennsylvania B: California, Colorado, Illinois, New Mexico, New York, Oklahoma, Texas C: Alabama, Arizona, Arkansas, Florida, Hawaii, Iowa Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, Oregon, Rhode Island, Tennessee, Utah, Washington, West Virginia, Wisconsin D: Alaska, Connecticut, Delaware, D.C., Georgia, Idaho, Indiana, Kansas, Louisiana, Montana, New Hampshire, New Jersey, North Carolina, South Dakota, Vermont F: Maine, Mississippi, Nevada, South Carolina, Virginia, Wyoming

4. Prenatal Care Nothing publicly available! Alabama, Arizona, Arkansas, Georgia, Hawaii, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nevada, North Dakota, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virginia, West Virginia, Wisconsin, Wyoming Others failed to specifically include basic elements like medical examinations.

5. The use of restraints (“Shackling”) Ten with laws, though strength of laws varies: California, Colorado, Illinois, New Mexico, New York, Pennsylvania, Texas, Vermont, Washington and West Virginia Ten with laws, though strength of laws varies: California, Colorado, Illinois, New Mexico, New York, Pennsylvania, Texas, Vermont, Washington and West Virginia Called each DOC without a law to get specifics on policies. Called each DOC without a law to get specifics on policies.

6. Alternative Sentencing to Family- Based Treatment Seventeen states without any family- based treatment programs [Sixteen! NC has a program!] Seventeen states without any family- based treatment programs [Sixteen! NC has a program!] Some claimed they didn’t have the demand Some claimed they didn’t have the demand Two did not allow for women to be sentenced to treatment in lieu of Two did not allow for women to be sentenced to treatment in lieu of prison: Alaska and Connecticut

7. State Program Highlights Illinois DOC Office of Women and Family Services Illinois DOC Office of Women and Family Services Oregon Parenting Inside Out Oregon Parenting Inside Out Pennsylvania’s MOMobile Pennsylvania’s MOMobile Tamar Village Comprehensive Family- Based Treatment Program Tamar Village Comprehensive Family- Based Treatment Program

8. Highlights continued… Indiana Family Preservation Program Indiana Family Preservation Program Girl Scouts Behind Bars Girl Scouts Behind Bars Bedford Hills Prison Nursery Bedford Hills Prison Nursery

9. Summary of Federal Findings Prenatal Care Prenatal Care Good policies for BOP Good policies for BOP ICE policies in development ICE policies in development More can be done to encourage states to improve policies More can be done to encourage states to improve policies The use of Restraints (“Shackling”) The use of Restraints (“Shackling”) BOP Policy is an excellent start, but enforcement is a concern BOP Policy is an excellent start, but enforcement is a concern No restrictions for ICE Detention No restrictions for ICE Detention Commitment to examine states use of restraints Commitment to examine states use of restraints Alternative Sentencing Alternative Sentencing Limited availability for certain drug crimes Limited availability for certain drug crimes MINT program MINT program Available in ICE, but not used nearly enough Available in ICE, but not used nearly enough More can be done to encourage states, and make federal funding available for treatment More can be done to encourage states, and make federal funding available for treatment

10. Goals moving forward

11. Advocacy Partnership Opportunities Partnership Opportunities Make a connection with local medical community. Make a connection with local medical community. Reaching out to state law makers for support Reaching out to state law makers for support Get Involved in Documentation of Cases Get Involved in Documentation of Cases Human rights documentation of federal shackling cases was instrumental in changing laws. Human rights documentation of federal shackling cases was instrumental in changing laws. Join the Anti-Shackling Coalition Join the Anti-Shackling Coalition

12. Anti-Shackling Coalition The National Anti-Shackling Coalition, 84 members strong and growing, is comprised of: The National Anti-Shackling Coalition, 84 members strong and growing, is comprised of: state advocates, state advocates, national organizations, national organizations, faith based and religious organizations and faith based and religious organizations and academics located all over the country. academics located all over the country. Monthly Calls to stay informed also provide assistance and support. Monthly Calls to stay informed also provide assistance and support.

13. Technical Assistance for States Online Toolkit For States: Online Advocate Toolkit will provide advocates resources useful for spearheading anti- shackling campaigns in their state. Toolkit Includes: model state legislation; fact sheets; supportive documents and research; resolutions and letters of support mother testimonies; contact information for potential partner organizations; child welfare and faith based organizations

14. Federal Action Following meeting with Attorney General Holder, Rebecca Project partnered with Department of Justice Office of Justice Programs and will hold a DOJ Symposium on the Use of Restraints. Following meeting with Attorney General Holder, Rebecca Project partnered with Department of Justice Office of Justice Programs and will hold a DOJ Symposium on the Use of Restraints. However, Bureau of Prisons still needs to provide documentation of the use of restraints on pregnant women at the federal level as required under Second Chance Act However, Bureau of Prisons still needs to provide documentation of the use of restraints on pregnant women at the federal level as required under Second Chance Act

15. Enforcing Policies: Moving Beyond Passage of Legislation Training Required for: Training Required for: State Department of Corrections Wardens, Security Guards, and Medical Personnel State Department of Corrections Wardens, Security Guards, and Medical Personnel Incidents of restraint use: Incidents of restraint use: Must be reported and reviewed by an independent body, commission or task force. Must be reported and reviewed by an independent body, commission or task force. Input of medical staff: To determine the safest and least restrictive method of restraint. Culture of accountability: Including consequences for individuals and/or institutions that shackle women without justification

16. POLLING QUESTIONS 1. Which section of the report card provided you with the most valuable information? A. Pre-natal Care B. Shackling C. Alternative Sentencing to Family Based Treatment D. Prison Nurseries. 1. Which section of the report card provided you with the most valuable information? A. Pre-natal Care B. Shackling C. Alternative Sentencing to Family Based Treatment D. Prison Nurseries. 2. How much new information from the report card did you learn on the condition of maternal confinement for your state? A. A lot of information B. Some information C. Report card told me nothing new. 2. How much new information from the report card did you learn on the condition of maternal confinement for your state? A. A lot of information B. Some information C. Report card told me nothing new.