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: In March, CSG Justice Center staff completed the cross-system data match analysis. CSG Justice Center staff met with DHHS staff, the Medicaid director and jail superintendents to provide a preview of the data analysis and visualizations. CSG Justice Center staff completed drafting the final presentation, which contains the primary data analysis. 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 completed its assessment of jail-based mental health and substance use disorder programming and treatment in August 2022. Since then, CSG Justice Center staff have used the findings from the jail assessment to inform ongoing data analysis, stakeholder engagement, and the results from the community-based behavioral health assessment. 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: In March, CSG Justice Center staff used the behavioral health assessment from Policy Research Associates (PRA) to inform policy recommendations and create data visualizations for the final presentation. CSG Justice Center staff continued building an interactive map of New Hampshire containing behavioral health services and treatment availability within the state with the purpose of identifying strengths and gaps in services based on location. 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: In March, CSG Justice Center staff were invited to join the monthly jail superintendents meeting. In this meeting, CSG Justice Center staff provided a preview of the data analysis and policy recommendations ahead of the final presentation. CSG Justice Center staff and the jail superintendents discussed the use of protective custody holds and issues faced by the high utilizer population. Additionally, CSG Justice Center staff met with Superintendent Brackett (Superintendent of Strafford County) and Superintendent Cushman (Superintendent, Merrimack County DOC) to discuss jail cost data. CSG Justice Center staff met with the clinicians and corrections group, led by Donna Magee (Program Director, Sullivan County Department of Corrections) to discuss behavioral health needs among the high utilizer population. CSG Justice Center staff also met with Chief Justice Gordon MacDonald and Dianne Martin (Director of Administrative Offices NH Superior Courts) of the NH Courts to discuss drug court data and the NH courts’ upcoming SIM mapping project.
Please check the box next to the following questions if the answer is 'yes'.
Please enter the applicable Event Date if there is an Event associated with this TTA.
When entering an Event Date, the Time is also required.
If the TTA is targeted to a particular audience or location, please complete the questions below.
Milestones are an element, activity, work product, or key task associated with completing the TTA (e.g. kick-off meeting, collect data from stake holders, deliver initial data analysis).
Please complete the fields below, if applicable, to create a milestone for this TTA.
Please respond to the Performance Metrics below. The Performance Metrics questions are based on the TTA Type indicated in the General Information section of the TTA.
Please submit a signed letter of support from your agency’s executive or other senior staff member. The letter can be emailed to or uploaded with this request. The letter should be submitted on official letterhead and include the following information:
- General information regarding the request for TTA services, i.e., the who, what, where, when, and why.
- The organizational and/or community needs specific to the request for TTA services.
- The benefits or anticipated outcomes from the receipt of TTA services.
By submitting this application to BJA NTTAC, I understand that upon approval of this application for TTA, the requestor agrees to keep BJA NTTAC informed of any circumstances that may impact the delivery of the TTA, including changes in the date of the event, event cancellation, or difficulties communicating with the assigned TTA provider.
Please call [site:phone] if you need further assistance completing this application.