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 May, CSG Justice Center staff continued drafting and reviewing the final report, which included data analysis and policy recommendations. CSG Justice Center staff met with multiple stakeholders to engage them in discussion on the findings and policy recommendations. On May 1, staff met with Commissioner Helen Hanks (New Hampshire DOC Director) to discuss next steps and potential administrative policies the state might decide to pursue. Commissioner Hanks found the data analysis compelling and is meeting with state leadership as well as the Governor’s Commission on Mental Illness and the Corrections System regarding next steps on June 1, 2023. On May 15, CSG Justice Center staff met with Director Julianne Carbin (Director, Bureau of Mental Health Services, New Hampshire DHHS) and discussed the policy recommendations and next steps for state engagement and implementation. CSG Justice Center staff began drafting a focus of work document to inform the letter of interest for the implementation phase of the project and met with research staff to brainstorm research capacity for the next phase of Justice Reinvestment 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: In May, CSG Justice Center staff met with Superintendent Brackett (Jail Superintendent, Stafford County House of Corrections) to discuss the policy recommendations, protective custody (PC) holds, and future engagement with jail superintendents in New Hampshire. CSG Justice Center staff shared the executive summary containing the jail and behavioral health assessment findings with jail superintendents and law enforcement in New Hampshire. 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 May, CSG Justice Center staff used the behavioral health assessment from Policy Research Associates (PRA) to inform the final report that is being drafted. CSG Justice Center staff shared the executive summary containing the assessment findings with behavioral health stakeholders in New Hampshire. CSG Justice Center staff contacted Cheryle Pacapelli (Project Director, PRSS Facilitating Organization) to request a meeting with the Recovery Community Organizations and contacted Lisa Madden (Executive Director, Riverbend CMHC) to request a meeting with Community Mental Health Centers in New Hampshire to discuss the data analysis and policy recommendations. CSG Justice Center staff will use their feedback to inform next steps and implementation. 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 May, CSG Justice Center staff met with Chief Mark Chase (Chief of Police, Center Harbor) to discuss the data analysis and policy recommendations. CSG Justice Center staff shared the findings and policy recommendations with the New Hampshire Chiefs of Police Association members and are scheduled to meet with them in June. CSG Justice Center staff requested to meet with Chief Andrew Shagoury (Chief of Police of Tuftonboro) to discuss the policy recommendations and next steps.
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