Intersectionality With Brain Injury
The issue of Traumatic Brain Injury in prisons and jails is big enough that the CDC recognizes it as an important public health problem. Within five years after an injury, nearly one-third report some involvement with the criminal justice system. In the adult criminal justice system 50-80% have had a Traumatic Brain Injury (as compared with 8.5% in the general population. People with a TBI are 14 times more likely to incur a serious charge and 12 times less likely to achieve a discretionary release. Having a TBI increases the risk of recidivism by 69%. It is believed that close to 100% of women in the justice system have a history of TBI – much of these injuries are due to domestic violence.

People with TBI in the CJ System are likely to have auditory comprehension; verbal and written language; reading; social communication; mental health (depression and anxiety) and/or behavior challenges (including anger control issues). These issues will cause problems with treatment and upon their release. Their lack of cooperation may be wrongly attributed to deliberate defiance.

Routine screening for a prior history of Brain Injury is recommended, as is cognitive testing for those identified with an injury. Transition services should involve accommodating for problems from the TBI. People with TBI in the Criminal Justice System also have higher rates of Substance Abuse and Mental Health issues. (TBI in the Youth Justice System, Ontario Neurotrauma Foundation & McMaster University. Traumatic Brain Injury in Prisons and Jails: An Unrecognized Problem; CDC.)

  • What does Tennessee's criminal justice system include?

    • a range of city and county law enforcement agencies,
    • a prosecution arm,
    • a public defense system,
    • the state judiciary, local and state corrections, and
    • a range of for-profit and non-profit service providers.

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  • What are the Criminal Justice numbers in Tennessee?

    • Tennessee currently has approximately 30,000 people incarcerated in jail and approximately 20,000 people incarcerated in prison.
    • Out of these, approximately 95% will be released.
    • 1 in 3 Tennesseans has a criminal background.
    • 1 in 2 Tennesseans has a family member that has been incarcerated. https://www.tn.gov/workforce/reentrytn/about.html
    • Tennessee Department of Corrections (TDOC) supervises 79,000 offenders on probation, parole or community corrections. Learn More

    Like other corrections departments nationwide, Tennessee’s most pressing challenge today is population growth. The agency has developed strategies that have been shown to reduce populations including the expansion of regional drug court programs, residential and community-based treatment and diversion programs, sentencing reforms, and contracting with counties for bed space. To address the issue of escalating health care costs, the Office of Clinical Services has secured contractual agreements for medical as well as mental health and substance use treatment. Learn More

  • TDOC Reentry Services

    TDOC Reentry Services helps to address the challenges face in the transition from incarceration to community. Their services include:

    • Personal Document Assistance
    • Employment Assistance
    • Housing Support
    • Education and Skill Building
    • Community Support
    • Veteran’s Benefits

TN Brighter Futures groups that are a part of this system of care:

  • TN Department of Corrections
  • TN Association of Recovery Court Professionals
  • TN Public Defender’s Office
  • Administrative Office of the Courts
  • Rutherford County Recovery Court
  • TN Office of Re-entry, Department of Labor and Workforce Development