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 people who are 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: CSG Justice Center staff facilitated regular meetings with both DHHS and jail stakeholders to assess and support the jail to Medicaid cross-system data match. CSG Justice Center staff created a collection of data submission guidance documents and data sharing templates for the county jails. On March 23, CSG Justice Center staff hosted a jail data workshop attended by 8 of the 10 county jails to present the project data-sharing plan and provide initial technical assistance. Additionally, CSG Justice Center staff drafted and extensively revised two sets of data use agreements with the DHHS privacy information officer.
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 conducted regular meetings and engagement with jail staff to provide an update on the project, identify the key staff or contracted providers who manage the jail’s behavioral health programming, and learn about each jail’s data collection system. On March 23, CSG Justice Center staff also presented an overview of the qualitative assessment process to jail stakeholders during the jail data workshop.
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: CSG Justice Center staff began identifying key stakeholders through engagement with New Hampshire’s behavioral health foundations, service provider associations, and additional commissions related to substance use disorder and mental illness.
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 involvement for people with behavioral health conditions.
Update: CSG Justice Center staff identified key criminal justice stakeholders for interviews and engagement and began initial steps of scheduling meetings.
Research Monthly Status:
The CSG Justice Center research team focused this month on preparing for the jail to Medicaid data match. CSG Justice Center research staff regularly met with the designated county jail staff to discuss the needed steps for the data pull. CSG Justice Center research staff also drafted and extensively revised two sets of data use agreements for the jails and DHHS.
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