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 November, CSG Justice Center staff continued to use the completed data analysis to inform planning and next steps on the policy recommendations and technical assistance. CSG Justice Center staff met with staff from Hillsborough County DOC and Merrimack County DOC, as well as DHHS to gather additional feedback on priority areas. Lastly, working group (WG) members, DOC staff, and DHHS staff are identifying any additional data analysis that could be conducted before the data is deleted in December, per the data use agreement (DUA) guidelines.
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 November, CSG Justice Center staff met with staff from Riverbend Community Mental Health Center (CMHC) to expand on prior discussions about crisis response challenges and technical assistance needs. Key topics included enhancing coordination between crisis response teams, county jails, and law enforcement (LE), as well as exploring shared protocols to improve emergency medical services (EMS) and LE collaboration with crisis services. Riverbend CMHC emphasized the importance of aligning reentry practices and early intervention efforts, particularly for high-utilizer populations, and highlighted gaps in policies governing 911 and 988 responses. CSG Justice Center staff continued assisting the DOC Commissioner in drafting cost estimates for identified policy recommendations. Lastly, CSG Justice Center staff continued collaborating with DHHS and DOC staff to identify any additional data requests, outside of the original scope, that would enhance data analysis to support coordinated service delivery. Data will be deleted in December per DUA guidelines.
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 November, CSG Justice Center staff collaborated with DHHS, Riverbend CMHC, and representatives from Hillsborough County DOC and Merrimack County DOC to advance efforts in establishing care coordination requirements and identifying funding for in-reach services to jails. Discussions highlighted the significant barriers that CMHCs face in providing in-reach services, including extensive county jail access requirements, limited relationships with correctional facilities, and staffing shortages. To address these issues, discussions focused on implementing models like the Critical Time Intervention (CTI) model, aligning efforts with Senate Bill (SB) 508 requirements, and simplifying county jail access processes to strengthen partnerships between CMHCs and county jails. Additionally, CSG Justice Center staff met with representatives from Hillsborough County DOC and Merrimack County DOC to explore solutions to these barriers, such as simplifying county jail access processes, strengthening partnerships between CMHCs and county jails, and addressing gaps in care coordination. Lastly, CSG Justice Center staff continued developing cost estimates for policy recommendations and collaborating with stakeholders to explore sustainable care coordination practices that connect individuals to community-based behavioral health services post-release.
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 November, CSG Justice Center staff met with representatives from Merrimack County DOC and Hillsborough County DOC to discuss ongoing challenges with siloed systems and the absence of a unified SID number, which complicates tracking trends and resource allocation. Merrimack County DOC and Hillsborough County DOC emphasized the need for a cross-system data management platform to improve interoperability between systems and ensure consistent recidivism tracking and program evaluation. Discussions also explored potential legislative opportunities and funding sources to support these initiatives, including aligning data-sharing efforts with Medicaid reimbursement processes, reentry case management, and behavioral health services. Moving forward, CSG Justice Center staff will collaborate with DHHS and DOC to refine cost estimates and prioritize next steps to improve system-wide data coordination and tracking capabilities.
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