Analysis Area 1: Facilitate a cross-system data match between DHHS and county jails to identify the overlapping population of people who have behavioral health challenges who move through local criminal justice systems and identify high utilizers of both systems. CSG Justice Center staff will conduct an in-depth descriptive analysis of the matched Medicaid claims data to provide information on trends in services accessed in the community by people incarcerated in each participating jail. CSG Justice Center staff will also analyze county jail data related to demographic information, booking and release information, screening and assessment information, medications, and programming and treatment information to understand the criminal justice and behavioral health characteristics of locally incarcerated populations.
Update: CSG Justice Center staff finished meeting with all nine jails participating in the project to review the DHHS DUA and discuss the process for submitting data to DHHS for the Medicaid match. CSG Justice Center staff also received jail administrative data from the last two counties and began to clean and analyze the data in preparation for a presentation to the Advisory Commission in November.
Analysis Area 2: Conduct a qualitative assessment on the availability, quality, and data collection practices of jail-based mental health and substance use disorder programming and treatment. CSG Justice Center staff will conduct interviews and focus groups with superintendents, jail staff, and contracted behavioral health providers to provide information on the identification of people with behavioral health needs, services, programming, and options within jails for care coordination to support connections to community-based care. CSG Justice Center staff will review jail policies that guide the practice of identifying, tracking, and referring people with behavioral health conditions to services. This assessment will provide qualitative data on local trends in jail populations, behavioral health needs, and participation in jail-based treatment and services.
Update: CSG Justice Center staff documented and reviewed findings from the county jail assessments in preparation for a presentation to the Advisory Commission in November.
Analysis Area 3: Conduct a community-based behavioral health assessment with mental health center staff, substance use disorder treatment and recovery support service providers, housing and homeless service providers, and people with lived experiences. CSG Justice Center staff will identify and geographically map current behavioral health services, crisis response, and alternatives to incarceration programs to provide an overview of availability of services in each county. This assessment will inform stakeholders on the current gaps in behavioral health resources and care coordination with criminal justice systems.
Update: CSG Justice Center staff and a contractor from Policy Research Associates conducted
the second of three on-site behavioral health assessments with the county mental health centers and substance use disorder treatment providers. CSG Justice Center staff and the contractor met with a broad range of leadership and staff to learn more about their experiences working with the high utilizer population.
Analysis Area 4: Connect with criminal justice stakeholders (law enforcement, judges, defense attorney, prosecuting attorneys, and community-based corrections) to examine the extent to which law enforcement, courts, and other criminal justice stakeholders have viable, evidence-informed community resources available for people in the criminal justice system who have behavioral health and housing needs, including access to effective crisis and treatment services. CSG Justice Center staff will also identify and geographically map current alternatives to incarceration programs to provide an overview of availability of options for criminal justice agencies in each county. This assessment will inform stakeholders on the current gaps in alternatives to criminal justice system for people with behavioral health conditions.
Update: No update in September.
Research Monthly Status:
CSG Justice Center Research staff prepared TA guidance in advance of each TA call with jail partners, prepared TA follow-up materials after each call, and answered ad-hoc questions for jail partners. Additionally, Research staff provided technical assistance to jails regarding the DHHS DUA and data submission process. CSG Justice Center Research also cleaned and began analyzing administrative data.
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