Priority Area 1: Facilitate a cross-system data match between Department of Health and Human Services (DHHS) and Department of Corrections (DOC) to identify the overlapping population of people who have behavioral health challenges in state and move through the county and state criminal justice system and to identify high utilizers of these systems. CSG Justice Center staff will conduct an in-depth analysis of the matched Medicaid claims data to provide information on trends in services accessed in the community by people who are incarcerated and a qualitative assessment on the behavioral health interventions and programming that are available for people who have behavioral health needs and are part of the state corrections system.
Update: In September, CSG Justice Center staff used the completed data analysis to inform planning and next steps on the policy recommendations and technical assistance. CSG Justice Center staff presented final recommendations at the NH Reentry in Affordable Housing conference and provided testimony at the NH Committee to Study the Adult Parole Board on the final data analysis and policy recommendations. CSG Justice Center staff met with leadership at DHHS and DOC to further discuss the policy recommendations and gather their thoughts on policy priorities and next steps. Additionally, CSG Justice Center staff met with the DOC Commissioner, after reviewing the policy recommendations with the Advisory Commission, and provided feedback on priority areas identified by the Advisory Commission.
Priority Area 2: Support DHHS in developing and rolling out Crisis Receiving Centers (CRCs), which are facilities embedded in New Hampshire communities that provide no-wrong-door access to mental health and substance use disorder care and accept all walk-ins, ambulance, fire, and police drop-offs, by facilitating stakeholder engagement to align community need with program resources.
Update: In September, CSG Justice Center staff met with DHHS staff to learn more about their CRC work and where technical assistance may be helpful. DHHS staff shared ongoing challenges related to the implementation of crisis services, including funding disparities, workforce shortages, and the need for law enforcement and emergency medical services (EMS) engagement protocols. The Plymouth center, which is peer-led, faces challenges with workforce availability and funding, while the Derry center works closely with law enforcement (LE) and operates with a larger budget. Additionally, DHHS staff discussed strategies to streamline EMS drop-offs to crisis centers and reduce the reliance on law enforcement involvement. Such strategies will be brought back to the WG to focus on providing guidance more accessible to law enforcement and addressing funding gaps to ensure sustainable crisis care models across the state.
Priority Area 3: Assist DHHS in establishing requirements and identifying funding for care coordination, including in-reach to the jails for people who are high utilizers of jail and behavioral health resources. CSG Justice Center staff will remain connected with the DOC Commissioner to provide ballpark cost estimates for policy recommendations.
Update: In September, CSG Justice Center staff met with representatives from DHHS to discuss the CTI model, which involves nine months of coaching and community support following a person's discharge from a CMHC or New Hampshire hospital. While the model holds promise, staff identified challenges to applying it within the jail system, including a lack of standardization, funding limitations, and barriers to employment for individuals with a criminal record. Further, CSG Justice Center staff connected CSG National Center for Interstate Compacts (NCIC) staff and NH stakeholders to facilitate a discussion regarding possible opportunities for an interstate compact for counselors in NH.
Priority Area 4: Assist in identifying ways in which New Hampshire agencies could improve their capacity for collecting and sharing data to better and more quickly track criminal justice trends.
Update: In September, the WG continued discussions on data coordination and the various number of data systems across the state. Among the county jails, the transition to the same vendor for data has not yet occurred, but may provide an opportunity for increased coordination in the future.
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