Criminalization does not begin with a crime
When we hear the word criminalization, most of us picture what happens after somebody breaks a law. That’s not really what it describes. Criminalization is about who gets watched in the first place, before anything has happened at all.
A justice system is supposed to respond to what people do. Criminalization works the other way around. It starts with a group of people, decides they’re the kind who need managing, and then builds the tools to manage them. Whether anybody actually does anything is almost beside the point.
That’s why it never really goes away. It just changes clothes. Slave patrols became Black Codes. Black Codes became vagrancy laws, where being out of work was enough to get you arrested. Vagrancy laws fed convict leasing, which rebuilt forced labor right out of the exception written into the Thirteenth Amendment. Then came loitering ordinances, stop and frisk, and the sentencing policies that built mass incarceration. All of it legal. All of it doing the same work.
Most of us picture criminalization happening to Black men, and it does. But when that’s the only picture we carry, we look straight past most of the machinery.
Black women are the fastest-growing incarcerated population in this country, and their account of their own situation gets discounted the same way at a traffic stop as it does at a triage desk. Black mothers meet it as a drug test at delivery and a call to child protective services from a hospital bed. Black fathers get removed from their households at scale by sentencing policy, and then the culture turns around and blames them for being absent. And Black boys and girls run into it before they can read, through adults who look at them and see somebody older, tougher, and less in need of protecting than they actually are.
So let’s follow it across those lives — the same tool, used on different people, at different ages, by different institutions. Ours included.
Exhibit — Interactive
Seven instruments, three centuries apart. Open any one to see who it named and who enforced it.
1704 · Slave patrols
South Carolina, then across the South
Who it named
Any Black person found away from a plantation without a written pass
Who enforced it
Armed civilian patrols, drawn from the local white militia

A patrol stops two men on a road at night and inspects their passes by lantern. The written pass is the instrument: without one, being outside was itself the offense.Nineteenth-century wood engraving. Provenance to be confirmed. 1865 · Black Codes
Mississippi and South Carolina first, then most of the former Confederacy
Who it named
Black people who could not produce written proof of employment
Who enforced it
County sheriffs and local courts
1866 · Vagrancy law and convict leasing
Across the South, under the Thirteenth Amendment’s own exception
Who it named
People convicted of vagrancy, loitering, or petty theft
Who enforced it
State penitentiaries, leasing the convicted to private industry
1920s · Suspicious person ordinances
Northern and Western cities during the Great Migration
Who it named
Anyone an officer judged unable to give a good account of themselves
Who enforced it
Municipal police departments
1968 · Stop and frisk
Nationwide, after Terry v. Ohio
Who it named
Anyone an officer suspected on less evidence than an arrest would require
Who enforced it
Municipal police departments

The Plain Dealer, Cleveland, 11 June 1968 — the morning after Terry v. Ohio was decided. The paper records Chief Justice Warren acknowledging the complaints of minority groups about police harassment in the same ruling that authorized the practice, and Justice Douglas dissenting that giving police more power than a magistrate was a step down a totalitarian path.The Plain Dealer, 11 June 1968. Reproduced for commentary and criticism. 1994 · Sentencing enhancements
Federal and state law
Who it named
People convicted under mandatory minimums and habitual-offender statutes
Who enforced it
Federal and state courts
Today · Mandated reporting
Every state, in every hospital
Who it named
Patients flagged at delivery, most often on a drug screen ordered without a stated rule
Who enforced it
Hospitals, and the child welfare agencies they report to
Instruments and dates from the historical record.
Start with the version we all recognize, because the shape shows up most clearly there.
When a Black man is killed by police, the same sequence tends to follow. The photo that circulates is a mugshot instead of a graduation picture. Old school records and a prior arrest get dragged out and offered up like they explain something. Toxicology results, or the person’s size, or a discredited label like “excited delirium” turns the body itself into the cause of death. Responsibility slides onto the last few seconds — if he had just complied — and away from the decision to shoot. And the family ends up in front of cameras having to argue that the person they lost deserved to live.
None of this started after death, either. The FBI surveilled and wiretapped Dr. King and Malcolm X and worked to discredit them while they were still alive. The case was being built the whole time.
Now watch the same logic work in places nobody calls policing.
In school it looks like discipline. Researchers have measured adults perceiving Black children as older and less innocent than their peers starting at age five. Five. Black girls make up fifteen percent of girls in American public schools and receive close to half of all suspensions and expulsions, often for things like tone of voice, hair, dress, or “disrespect.” Black boys carry the biggest disparity of any group. A child doesn’t have to do anything unusual to get treated as a problem that needs managing.
In the delivery room it looks like protection. Black infants are more likely than white infants to be screened for substance exposure, and more likely to be reported to child welfare when they are. Investigations of infants that started with a report from a medical professional doubled between 2010 and 2019. By 2019, one in eighteen Black infants was investigated by child welfare after a report like that. For white infants it was one in forty-one. And more than half of all Black children will go through a child protective services investigation before they turn eighteen.
That’s this machinery running through a hospital instead of a police department. Mandated reporting put us inside it. Nobody set out to do that; it’s how the law was written, and we work under it.
The consequences don’t stop when a case closes, either. A report filed at somebody’s bedside can come back years later in a completely unrelated proceeding, whether or not anything was ever substantiated. And families who’ve been reported once learn to avoid care afterward, which means a policy written to protect children ends up producing the exact harm it was meant to prevent.
Which brings us to the question worth carrying out of this chapter. We’d all report a patient in good faith. So the thing to look at is who gets tested in the first place, on what grounds, and whether those grounds are written down anywhere a person could actually go check.
Criminalization doesn't wait for somebody to do something. It decides who's worth watching first, and then goes looking for a reason.
Sources 5 entries
- Kim, Hyunil, Christopher Wildeman, Melissa Jonson-Reid and Brett Drake. “Lifetime Prevalence of Investigating Child Maltreatment Among US Children.” American Journal of Public Health 107, no. 2 (2017).
- “Medical Professional Reports and Child Welfare System Infant Investigations: An Analysis of National Child Abuse and Neglect Data System Data.” Health Equity, September 2023. Investigation rates doubled from 13.1 to 27.1 per 1,000 infants between 2010 and 2019; in 2019, 1 in 18 Black, 1 in 31 Indigenous and 1 in 41 white infants.
- U.S. Government Accountability Office. Analysis of Civil Rights Data Collection school discipline data, 2024.
- Georgetown Law Center on Poverty and Inequality. Girlhood Interrupted: The Erasure of Black Girls’ Childhood. 2017.
- Terry v. Ohio, 392 U.S. 1 (1968). Earlier instruments from the historical record.
