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TRAUMATIC BRAIN INJURY IN THE JUSTICE SYSTEM 35 80 Incarcerated Population 12 General Population In Ontario men and women with TBI are over 2 5 times more likely to be incarcerated than men and women who never sustained a traumatic brain injury Traumatic brain injury is associated with cognitive communication emotional and behavioural challenges that complicate management during incarceration and create barriers to successful community reintegration Communication Listening Speaking Reading Writing Thinking Behaviour Impulse control Emotional Dys regulation Changes in affect THE IMPACTS OF A TBI Emotion Heightened or blunted emotional response Depression Anxiety Cognition Attention Memory Processing Reasoning Problem Solving Executive Functions THE CATCH 22 CONDITIONS OF SUPERVISION People living with TBI face a range of cognitive behavioural emotional and communication challenges such as limited memory troubles with social interactions and a reduced ability to regulate emotions These challenges make it difficult for them to comply with standard supervision conditions such as orders to report to a supervision officer attend appointments maintain curfew and avoid particular people and places Violations can result in more restrictive conditions additional charges and reimprisonment perpetuating entanglement in the criminal justice system Breaking the Cycle Solutions Network is a diverse group of community stakeholders including researchers service providers criminal justice professionals and persons with lived experience committed to developing a solution to help improve community supervision outcomes among people with a history of TBI

WHAT IS TRAUMATIC BRAIN INJURY Traumatic brain injury TBI occurs when an external force injures the brain such as with falls vehicular accidents or violence As many as 80 of incarcerated adults have a reported history of TBI significantly higher than that of the general population ON THE RIGHT Learn more about our work in this area WANT TO LEARN MORE Visit our website follow us on twitter or contact us HTTPS MAPHEALTH CA BREAKINGTHE CYCLE TWITTER COM JUSTICEQUITYMAP FLORA MATHESON UNITYHEALTH TO Scan the QR code to learn more about the Justice Equity Research program at the MAP Centre for Urban H ealth Solutions Linktr ee justiceandequitylab The Justice Equity Lab Illustration by Joe Fleming Learn about our work in Traumatic Brain Injury in the Justice System SOCIAL DETERMINANTS OF HEALTH AND THE INCARCERATED POPULATION Hidden Inequities The justice involved are more likely to face income housing and employment precarity than the general population Rates of the following are disproportionately high among the justiceinvolved population substance use disorders mental illness traumatic brain injury childhood abuse victimization ON THE LEFT Learn more about this issue Indigenous peoples represent 4 of the Canadian population yet over 30 of all people in federal and provincial custody Black men and women represent 3 5 of the Canadian population yet over 8 of all people in federal and provincial custody