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 June, CSG Justice Center staff completed a site visit to New Hampshire to share key findings and final policy recommendations with two important groupsÑstakeholders attending the New Hampshire Judicial Branch Mental Health Summit and the GovernorÕs Commission on Alcohol and Other Drugs. During the site visit, CSG Justice Center staff met with multiple stakeholders to discuss which administrative recommendations the state is most interested in pursuing. Most notably, CSG Justice Center staff met with the New Hampshire DOC commissioner to discuss the stateÕs interest in pursuing additional data analysis to better understand the behavioral health needs of the prison and supervision populations. The commissioner confirmed that she will be meeting with New Hampshire state leadership to secure support for signing a letter of interest. CSG Justice Center staff also met with the director of the Bureau of Mental Health Services, New Hampshire DHHS, to discuss the alignment between DHHSÕs work and the JRI policy recommendations. Finally, CSG Justice Center staff continued drafting and reviewing the final report, which will be released later this year. 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 June, CSG Justice Center staff met with the 11 superintendent affiliates to discuss the policy recommendations and the potential for future implementation assistance. 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 of the current gaps in behavioral health resources and care coordination with criminal justice systems. Update: In June, CSG Justice Center staff met with the Recovery Community Organization directors in New Hampshire, led by the project director for the Recovery Support Center and Services, to present the findings and policy recommendations. CSG Justice Center staff shared the executive summary and full presentation with the group and answered questions regarding next steps for the project. 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 the criminal justice system for people with behavioral health conditions. Update: In June, CSG Justice Center staff met with the chiefs of police from the town of Tuftonboro and Bedford County to discuss the policy recommendations and answer questions. The Bedford County chief asked about the benefit of providing more treatment to people while incarcerated and informed us he was very encouraged that the superintendents are working on legislation to clarify the protective custody hold statute. CSG Justice Center staff also met with the Strafford County Attorney to discuss policy recommendations and obtain insight on how best to prepare for the GovernorÕs Commission on Alcohol and Other Drugs presentation. CSG Justice Center staff also met with chief justice of the New Hampshire Supreme Court to discuss the funding recommendations and treatment availability inside facilities.
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