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20250124-83640-11

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Submitted by Obiageli Agbu on

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 December, 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 working group (WG) members, the DOC Commissioner, and Merrimack County DOC to gather additional feedback on priority areas to target potential policy options for action. Lastly, CSG Justice Center staff completed and shared additional data analysis, per a request from the DOC Commissioner, regarding trends of high utilizers (HUs) exiting New Hampshire state prisons annually from 2017 to 2023, the most recent year available. Data will be 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 NH 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 December, CSG Justice Center staff shared common challenges and gaps with WG members related to law enforcement (LE) and emergency medical services (EMS) drop offs learned in stakeholder discussions this month. CSG Justice Center staff continued to assist the DOC Commissioner in identifying necessary cost estimates to align policy recommendations with budgetary priorities.
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 December, CSG Justice Center staff met with WG members to share the updated work plan and common challenges in program referrals, Medicaid re-enrollment, and information sharing among the county jails. CSG Justice Center staff engaged with key stakeholders, including the DOC Commissioner and Merrimack County DOC, to enhance inter-agency collaboration and advance efforts in establishing care coordination requirements and identifying funding for in-reach services to jails. Merrimack County DOC staff provided an overview of current county jail programs and reentry planning. Merrimack County DOC staff shared barriers in tracking Medicaid approvals, preventing future referrals for individuals releasing to the community and continued care in the community.
Priority Area 4: Assist in identifying ways in which NH agencies could improve their capacity for collecting and sharing data to better and more quickly track criminal justice trends.
Update: In December, CSG Justice Center staff met with representatives from Merrimack 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 emphasized the need for a cross-system data management platform to improve interoperability between systems and ensure consistent recidivism tracking and program evaluation. Merrimack County DOC staff expressed barriers in information sharing with local stakeholders due to individuals not signing releases of information. 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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JR New Hampshire JRI Phase II TA (December 2024)
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JR New Hampshire JRI Phase II Technical Assistance (December 2024)
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