I am an award-winning freelance journalist based in Brooklyn (formerly based in Providence, R.I.) and and an MFA student in creative nonfiction at the New School. This is not a blog, but rather a collection of some of my work.

My favorite stories are about people: people who do unlikely or awe-inspiring things, people with dreams and visions and singular voices, people and communities whose voices are marginalized or forgotten by the popular press. I have a special interest in the criminal justice system and health care for the underserved and disenfranchised, particularly HIV/AIDS. (Before I became a journalist, I worked as an outreach worker and research assistant at an HIV clinic.) I also write news and book reviews, and have been known to write enthusiastically about books, beer, old houses, music, and politics.

Lately I've slowed down my professional output to focus on my thesis, a book-length work of narrative journalism about hepatitis C and addiction. It should be finished over the summer, at which point I'll turn my attention back to newspapers, magazines, and (hopefully) teaching.

Thanks for stopping by to take a look at my clips.
Showing posts with label The American Prospect. Show all posts
Showing posts with label The American Prospect. Show all posts

American Prospect>Former Prisoners Reforming Prisons



Politicians and correctional officials are recognizing that, in conversations about prison reform, they must reserve a seat at the table for those who have lived it.

By Beth Schwartzapfel
June 28, 2007

Elizabeth Gaynes has worked with people involved in the criminal justice system for more than 30 years: as a young law student in the early 1970s, she was galvanized by the uprising at Attica, and helped to defend some of the incarcerated people who were involved. Later, she took the reins as executive director of the nonprofit Osborne Association, which provides services to incarcerated people and their communities.

But until her daughter turned 16 and started speaking up about prison issues, Gaynes kept a rather relevant piece of personal information close to her chest: her kids' own father was incarcerated, and had been for a decade. "We really didn't volunteer that information very much in the world," she says. "Even people like me who worked in this business felt pretty restrained."

All of that's changed now. Part of it, Gaynes says, was her daughter's outspokenness. Part of it, however, was a larger cultural shift that is now reaching a tipping point. People affected by incarceration are raising their voices and telling their stories in ever-larger numbers. And, for the first time, politicians, policymakers, correctional officials, and foundations are listening.
"There are more formerly incarcerated people speaking up, organizing to fight for civil and human rights," says Dorsey Nunn of the San Francisco-based nonprofit organization Legal Services for Prisoners With Children.

There is now more funding than ever before available for organizations doing work around issues of incarceration -- some $40 million in federal and foundation dollars, up from almost nothing in 1999. More organizations working in the field are employing people affected by incarceration, and graduating those employees to leadership positions. And politicians and correctional officials are recognizing that, in conversations about correctional policy, they must reserve a seat at the table for those who have lived it.

"Especially in the last year and a half there's been a tremendous change in the attitudes of correction personnel," says Scott Washington, an attorney with the Dayton, Ohio-based nonprofit, Workplace Reconnections. Washington served some three years in prison and jails after spending his youth as a crack addict and member of the Crips gang. He later went on to college and then law school. "There's always going to be an ‘us against them' mentality," he says. "But the attitude of politicians is changing."

The U.S. prison system is in the midst of a unique historical moment. Federal "Truth in Sentencing" laws and mandatory minimums have recently turned 20, and the stringent state laws which followed suit -- California's 1994 ‘three strikes' law, for instance -- are coming of age, such that the first generation of people who have served 10- and 20-year sentences under these laws are re-joining their communities in record numbers. They're arriving home at a time of increasing political consciousness about incarceration -- the term "prison-industrial complex" was coined only a decade ago, by activist and historian Mike Davis in a 1995 article in The Nation -- as well as a growing awareness on both sides of the political spectrum that the current system is not sustainable. More than 2 million people are incarcerated in U.S. jails and prisons. If you include people on probation and parole, that number jumps to over 7 million, or 1 in every 32 adults, according to the Bureau for Justice Statistics. At least 95 percent of them will come back home: 1700 people a day are released from state and federal prison.

The staggering numbers of people being released are, at least in part, at the root of this new trend towards a larger role for formerly incarcerated people in the criminal justice policy discussion. In 1999, Jeremy Travis was director of the National Institute of Justice when then-Attorney General Janet Reno asked him what was happening to all the people coming out of prison. The answer was Travis's 2005 book, But They All Come Back, and a shift in the conversation from its previous focus, rehabilitation to the new buzz-word: re-entry.

"Rehabilitation was seen as a pure left kind of issue," says Amy Solomon, senior research associate at the Urban Institute, who worked with Travis when he was a senior fellow there. "It was a discussion about helping offenders, coddling offenders." Re-framing the debate to be about re-entry, she explains, meant "rethinking how people are released into the community, [putting it in the context of] public safety, about doing things smarter so we prepare people for work and family when they get out. It really galvanized people on the right and the left."

Further, the sheer number of those incarcerated, and the reach of the war on drugs, has meant that "we've now gotten to the point where there are very few people left who have not been personally touched," says Gaynes of the Osborne Association. "It's hard for it to keep being ‘them' all the time." Suddenly, politicians on both sides of the aisle could listen to those with a bent towards reform without being seen as soft on crime.

In the past, says Glenn Martin, co-director of the H.I.R.E. Network, which seeks to increase job opportunities for those with criminal records, "we were caught in such a tough-on-crime era that people would stay away from taking advice from those directly affected because they were worried that their constituents would say, ‘what are you doing taking advice from these criminals?'" Now, says Martin, who served six years in New York state prison for armed robbery before being hired as a receptionist at the H.I.R.E. Network and working his way up to his current position, "I have to pinch myself. I'm sitting here with the head of criminal justice services, or I'm sitting here with the top Republican in a state somewhere."

Susan Tucker, program director at the Open Society Institute's After Prison Initiative, one of the key funders in the field, says that six or seven years ago, meetings and panels about re-entry rarely included the perspectives of formerly incarcerated people. Now, she says, including formerly incarcerated people on the agenda is "pro-forma."

State and federal funds are pouring into re-entry programs, which means there is more money than ever allocated for positions specifically for formerly incarcerated people. President Bush, in his 2004 State of the Union Address, proposed a $300 million prisoner re-entry initiative, citing Bureau of Justice Statistics data that some 600,000 inmates are released each year. "We know from long experience that if they can't find work, or a home, or help, they are much more likely to commit crime and return to prison," Bush said.

The resulting $25 million Prisoner Re-entry Initiative was funded in fiscal year 2005 and now has 30 grantee organizations nationwide that work to transition formerly incarcerated people back into the workforce. State-financed programs have followed, and with them, more employment and advocacy opportunities for former inmates.

Critics are quick to point out that re-entry work is, in the words of one person in the field, "tinkering around the edges." Which is to say, it doesn't address the real problem: the massive numbers of incarcerated people in the United States, and the socio-political structures which cause poor people and people of color to be locked up in numbers vastly disproportionate to their numbers in the country as a whole.

"Out of the punishment industry comes a group of people who says, let's try something different," says a skeptical Nunn of Legal Services. "I don't know how different it is--they're just acknowledging that we're releasing a lot of people." In other words, politicians may be able to make changes to the way people are released without seeming soft on crime, but it would be a different story for a senator to propose changing the way we approach incarceration altogether.
These types of proposals, more often than not, come from formerly incarcerated persons themselves. A 1998 conference was convened by formerly incarcerated people, including Nunn and Angela Davis, to examine ways of dismantling the prison-industrial complex. Nunn says the organizers were expecting some 500 attendees -- instead thousands flocked to New York City, and the weekend led to the birth of Critical Resistance, a national grassroots organization which seeks to "build an international movement to end the Prison Industrial Complex by challenging the belief that caging and controlling people makes us safe," according to its website.

Organizations like Critical Resistance are still considered relatively fringe, but they have been successful in raising awareness and helping to politicize the issue. "We took an obscure term out of a Mike Davis [article]-- prison-industrial complex -- we turned that into common language," says Nunn.

Nunn, who notes that after years of being the only one in his organization to be directly affected by incarceration, now up to 50 percent of his coworkers have done time, says that an increased political consciousness among people affected by incarceration has made the community speak out with a louder voice than before.

"I used to run from being this particular thing. Now I'm not running anymore. That's absolutely new. Used to be a time we would internalize it," he says. He used to tell himself, "Maybe I'm not good enough for the apartment. Now, I say, I have a right to get an apartment. Maybe I don't deserve a job. No, I deserve a clean application."

Foundation money has supported the push of the political envelope further to the left, allowing organizations to focus not just on re-entry, but on more systemic issues raised by incarceration, such as poverty and racism. "Most everybody agrees from right to left, people are coming out, they deserve a second chance, they need services, they need help," says the Open Society Institute's Tucker. "A more nuanced understanding is that incarceration itself is both a cause and an effect of political, economic, and social disenfranchisement."

Since it was launched in 2000, the Institute's After Prison Initiative has distributed $16 million in grants to some 100 organizations doing work "to decrease U.S. over-reliance on mass incarceration and harsh punishment," according to its website. And this year the Funding Exchange, a national network of local community foundations, under its Criminal Justice Initiative, released its first request for proposals specifically targeting organizations with formerly incarcerated persons in leadership roles.

Now that politicians and policy makers are listening, formerly incarcerated people have seen their stories go from being a source of shame to a force for change. Scott Washington of Workplace Reconnections, which helps people coming out of prison to lay the groundwork for successful re-entry, says, "I tell the guys that I work with, you're experts. If you transition fully back to community life, you have a commodity: your story."

"I'm the storyteller in my organization," says Patty Katz, a program director at the Oregon-based nonprofit Partnership for Safety and Justice. "My claim to fame is I can make a legislator cry in two minutes." Katz, who served a cumulative total of some six years in prison and jail as a result of her 14-year drug and alcohol addiction, says, "you don't wish to shut the door on your past because your experience can benefit others. I had to believe that if I were brave enough to stand up out of my box of anonymity and publicly tell my story, I would be delivering hope to decision makers."

The American Prospect>Barrier Methods




Barrier Methods

Could a redesigned diaphragm not only become popular among American women, but also save lives in HIV-ravaged nations?

By Beth Schwartzapfel
February 21, 2006

Reprinted in the Chicago Sun-Times, February 25, 2007

When Margaret Sanger was arrested in 1916 for "obscenity" (which is to say, advocating birth control), diaphragms were a revolutionary way for women to take control of their bodies. What do most women think of diaphragms today? Yawn. So quaint, so old-fashioned, so ... Margaret Sanger. The number of women using the diaphragm has fallen steeply since highly effective hormonal methods were introduced in the United States in the 1960s. What was once the country's most common contraceptive device is now used by less than 2 percent of couples nationwide, according to the Centers for Disease Control and Prevention.

A small but growing number of researchers and advocates think that the oldest contraceptive on the market -- a latex or silicone cup with a firm, flexible rim and a shallow dome -- could be re-imagined for the 21st century. A Seattle-based international nonprofit organization, Program for Appropriate Technology in Health (PATH), is working on a diaphragm redesign, the first ever in the device's 120-year history. Not only could it offer American women yet another contraceptive option, but it could prove a powerful tool in reducing HIV infection rates both at home and abroad. In a large-scale clinical trial that's the first of its kind, researchers are currently testing the impact that diaphragm use has on HIV infection rates in Africa -- where methods of protection that women can initiate without requiring their partners' consent are badly needed.

The new diaphragm, known as SILCS, tested well in early trials and is poised to enter the market before the end of the decade. Unlike the Ortho All-Flex, currently the most commonly prescribed diaphragm, which comes in nine sizes and requires a woman to undergo a specialized pelvic exam to be fitted with the correct size, SILCS is a "one size fits most" silicone device. "Providers look at [the Ortho All-Flex] as a hassle because of the fitting requirements," said Dan Grossman, a San Francisco-based gynecologist and senior associate at the nonprofit research and advocacy organization Ibis Reproductive Health. In a recent article in the American Journal of Public Heath, Grossman argued that there is no evidence for utility of the fitting requirement, and that a diaphragm in the most commonly-prescribed size may be just as effective as a fitted one.

"Manufacturing processes have changed, materials have been updated, we know a lot more about vaginal anatomy now, so this is a good, simple technology that we could make significant improvements in," said PATH program officer Maggie Kilbourne-Brook. If all goes according to plan, SILCS will gain FDA approval and be available to American women by late 2009 or early 2010. The initial approval will likely require some sort of prescription, though once the product is on the market, PATH plans to submit a second round of applications to allow for over-the-counter access, according to Kilbourne-Brook.

It remains to be seen whether even the most high-tech barrier method will become popular among a generation of American women who are far more comfortable using hormonal methods of contraception. The pill prevents pregnancy more effectively, and for many women it is more convenient. "Many women are likely to see the diaphragm as outdated, messy, unreliable, and generally inconvenient," wrote women's health researcher S. Marie Harvey in the journal Perspectives on Sexual and Reproductive Health.

"The problem with the diaphragm was that it has to be 'in place' to work, and didn't work if it lay in its case in the drawer," said Dr. Diane Merritt, Professor of Obstetrics and Gynecology at Washington University in St. Louis and a member of the FDA's Advisory Committee on Reproductive Health Drugs. "It required planning, and as anyone will tell you, sex isn't always planned. Removing the act of contraception from the act of intercourse led to the popularity of the pill."

Still, there's a reason the diaphragm has endured; when used correctly and consistently, it can prevent unintended pregnancy for upwards of 90 percent of users. (Researchers differentiate between "typical use" and "perfect use"; the diaphragm's typical use effectiveness is more like 85 percent, as opposed to 92 percent for hormonal birth-control pills). Unlike the pill and the vast array of other hormonal methods, including the patch, the Nuva-Ring, implantable rods, and Depo-Provera injections, a diaphragm is not systemic, has no side-effects, and can be immediately reversed by simply taking it out. It is a woman-controlled barrier method, meaning women can use it without the need for their partners' consent or approval.

Perhaps most importantly, the newly redesigned diaphragm could prevent more than pregnancy. Scientists already know that the device provides some protection from gonorrhea, pelvic inflammatory disease, and abnormal cell growth. Why not HIV? Particularly among sex workers and other women in vulnerable situations, who may be unable to negotiate condom use given uneven power dynamics, the fact that diaphragms are woman-controlled and can be used without a partner's knowledge could make them a critical tool in the fight against AIDS.

In 2002, PATH convened with virologists and immunologists to determine if cervical barrier methods, such as the diaphragm, might offer some protection against HIV. Inside and around the cervical os (the passage through the cervix into the uterus) is a single layer of delicate, easily ruptured, tissue. This area is packed with HIV receptor cells, and thus is thought to be particularly vulnerable to STIs. Conversely, the vaginal walls are lined with some 30 layers of tougher, more durable cells that are less susceptible to infection.

But the vagina itself does contain HIV receptors, and lesions from other STIs, like herpes, can make even tough cells vulnerable to infection. Clearly a cervical barrier would only provide partial protection. However, in places like sub-Saharan Africa, where 2.4 million people are infected with HIV each year, even partial protection could potentially make a huge difference.

PATH's research caught the attention of the Bill and Melinda Gates Foundation, which gave $28 million to the Women's Global Health Imperative program at the University of California, San Francisco medical school to further investigate whether diaphragms might be a part of the HIV prevention puzzle. The result is a large-scale randomized, controlled trial of 4,500 women in Zimbabwe and South Africa, examining whether diaphragm use may provide them with some protection against HIV. Preliminary results are expected this summer.

"The world is waiting for the results," said Kilbourne-Brook. Unlike brand-new methods of HIV prevention which are still in the research and development phase, diaphragms are already widely available, cheap to manufacture, and relatively easy to distribute. "If it turns out that something as simple as a diaphragm, this old-fashioned technology, could actually offer some protection from HIV, that's something that could get into women's hands very easily."