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20170724-151719-54

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Submitted by Ms. Harmony Re… on

In June, North Dakota made progress in establishing the new Community Behavioral Health Program (CBHP) and setting up data collection mechanisms to track outcomes. CSG Justice Center staff conducted two site visits to provide support to the core implementation team planning for CBHP, learn state data systems and data collection capacity, and conduct a needs assessment of a potential CBHP pilot site.

Following several intensive implementation planning sessions, North Dakota made adjustments to the program model as originally envisioned during the justice reinvestment policy analysis phase. First, the state decided to expand the CBHP program population to serve people on pre-trial status in county jails along with people on probation and parole. Secondly, the core implementation team decided to pilot CBHP with a set of “core” services in all locations, rather than graduated “tiers” of services depending on current service capacity in specific locations. Agency staff decided that starting the same levels of services across the state was important so that rural sites didn’t feel like they were receiving less than urban areas. Additionally, the core implementation team narrowed in on four CBHP pilot sites that reflect both rural and urban communities dealing with diverse behavioral health needs. They also made progress finalizing an initial program model for the pilot sites, drafting Request for Proposals (RFP) and contract language, figuring out provider payment rates, determining eligibility critera, and other key aspects of the model.

CSG Justice Center staff traveled to Devils Lake, North Dakota – one of the pilot sites – to conduct a behavioral health needs analysis. The Devils Lake region presents many unique challenges that make it a especially hard to serve location. This rural area has a high rate of poverty and drug-related crime and is home to the Spirit Lake reservation, which has particular issues with transportation (very few people have drivers licenses) and a lack of housing options. CSG Justice Center staff interviewed community leaders, services providers, and key stakeholders on region-specific behavioral health needs and current resources in order to help the state build a pilot model that can be customized to this particular high-needs area.

Additionally, CSG Justice Center staff conducted a series of meetings with agency IT and research staff to help North Dakota think through IT system and data collection capacity for the behavioral health program and general state monitoring activities. North Dakota leaders are narrowing down potential projects to increase their data collection and analysis capacity and strengthen their IT infrastructure.

TTA Short Name
JR North Dakota Site Visits, Phone Calls & Data Analysis (June 2017)
Status of Deliverable
Type of Agency
Provider Reference
TTA Title
JR North Dakota Site Visits, Phone Calls & Data Analysis (June 2017)
TTA Point of Contact
TTAR Source
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Is this TTA in support of implementing or maintaining an evidence-based or promising practice?
Yes
Is this TTA in response to emerging public safety needs?
Yes
Demographic - Gender
Target Audience
County
Burleigh County
TTA Program Area
Program Area - Sub Topics
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Justice Reinvestment
Demographic - Age
Demographic - Race
Demographic - Ethnicity
Demographic - Other
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Recipient Agency Scope
No
Additional Recipient Agency Names
Additional Recipient Agency Name
Office of the Governor of North Dakota
Additional Recipient Agency Name
North Dakota State Supreme Court
Additional Recipient Agency Name
Office of the Attorney General of North Dakota
Additional Recipient Agency Name
North Dakota State Legislature
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Milestone
Milestone Title
Site Visit - June 5-8
Milestone Description

o Meeting with DHS BH Director to discuss community behavioral health implementation. Meeting with DHS Assistant Director of Behavioral Health to discuss DHS data systems and behavioral health program tracking.
o Meeting with Bureau of Criminal Investigation Administrative Staff Officer II, and Bureau of Criminal Investigation Administrative Staff Officer II to discuss ND’s criminal history and arrest data.
o Meeting with ND data researchers to discuss monthly state monitoring.
o Meeting with Attorney General to provide implementation updates.
o Meeting with DHS BH Director, DHS Assistant Director of Behavioral Health, DOCR JR Coordinator to discuss implementation planning progress.
o Meeting with DOCR JR Coordinator to go over project management and plan for upcoming site visits.
o Meeting with ITD CIO, Governor’s Office General Counsel, DHS Director, and DOCR Director to discuss data tracking and building the capacity of ND data systems.

Start Date
Actual Completion Date
Planned Completion Date
Complete %
100
Milestone Title
Site Visit - June 19-23
Milestone Description

o Meeting with Governor’s Office General Counsel, and Governor's Office Director of Agency Operations to behavioral health implementation planning progress).
o Meeting with DOCR JR Coordinator, and DOCR Behavioral Health Director to discuss the behavioral health program model.
o Meeting with DHS Behavioral Health Director, DOCR JR Coordinator, and DOCR Behavioral Health Director to discuss implementation planning and pilot sites.
o Meeting with DHS Behavioral Health Director, DOCR JR Coordinator, and DOCR Behavioral Health Director to finalize the community behavioral health program model and reach consensus on key pieces.
o Meeting with DOCR Director, DHS Behavioral Health Director, DOCR JR Coordinator, and DOCR Behavioral Health Director to present the community behavioral health program model and obtain input.
o Meeting with Appropriations Committee Member to discuss implementation planning progress and community needs in rural North Dakota.
o Meeting with Northeast Region Judge, Spirit Lake Tribal Court Chief Justice, Ramsey County Commissioner, and Devils Lake Mayor to discuss regional behavioral health needs.
o Meeting with Lakes Social Service District Director, Lakes Social Service District Case Manager, and Blooming Prairie Assessment and Therapy Center Psychology Resident to discuss regional behavioral health needs.
o Meeting with Bethel Free Church Pastor to discuss regional behavioral health needs.
o Meeting with Devils Lake Human Service Center Clinical Director to discuss regional behavioral health needs.
o Meeting with Law Enforcement Center Director, and DOCR Probation and Parole Officer to discuss regional behavioral health needs.

Start Date
Actual Completion Date
Planned Completion Date
Complete %
100
Milestone Title
Phone Calls
Milestone Description

• 6/1 - Call with DOCR JR Coordinator to plan for the upcoming site visit.
• 6/9 - Call with DOCR Director to discuss behavioral health implementation planning and fall pilot sites.
• 6/12 - Call with DOCR JR Coordinator to discuss behavioral health implementation planning.
• 6/26 - Call with Office of the Governor Legal Counsel, and Governor's Office Director of Agency Operations to debrief about the prior week's site visit.
• 6/29 - Call with DHS Behavioral Health Director to discuss rate development for the community behavioral health program.

Start Date
Actual Completion Date
Planned Completion Date
Complete %
100
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Event Location Geo
POINT (-100.7816022 46.8210256)
Congressional District
ND0
BJA Policy Advisor
BJA Policy Division
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