Working With the Criminal Justice Population
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Simply having health coverage can significantly reduce the odds that an individual involved in the criminal justice system will be arrested or incarcerated in the future. Yet enrollment during release and probation can be difficult. Interested in learning how the enrollment community and probation organizations can work together to help meet the promise of access for this special population? Check out the slides of this webinar from August 4, 2015, on how to navigate new partnerships with the criminal justice system, promising practices for consumer engagement, and post-enrollment support.
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Working With the Criminal Justice Population
- 1. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Working with the Criminal Justice System: Education and Enrollment Strategies for the Recently Incarcerated
- 2. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org2 • Provide attendees with pathways to work with the justice population • Offer a variety of concrete suggestions for starting partnerships between criminal justice agencies and health organizations Outline and Objectives I. Why It Matters II. Examples of Initiatives III. Getting Started IV. Places to Look for Partnerships V. Maintaining Momentum VI. Best Practices VII. Q & A
- 3. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Jennie Sutcliffe, Moderator Sargent Shriver National Center on Poverty Law, Chicago, IL Deanna Adams, Program Director Friends Outside, Santa Cruz County, CA Jennifer Hawkins Office of the Deputy County Manager, Maricopa County, AZ Anne Peak Kentuckiana Regional Planning & Development Agency (KIPDA) Panelists
- 4. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org WHY IT MATTERS Jennie Sutcliffe
- 5. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Health Status of the Justice Population Only 1 in 10 of the individuals involved in the criminal justice system already have insurance Rates of inmates with mental health issues range from 56% at state prisons to 64% at county jails Justice-involved individuals disproportionally suffer from chronic diseases and disorders – Hypertension – Asthma – Arthritis
- 6. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Health Care Patterns Upon Re-Entry Returning citizens are more like to obtain episodic care that is not managed or coordinated More than 70% of recently released inmates utilized some sort of health services in the 10 months following release – One study found that re-entering citizens used the ER an average of 3.6 times per person in the first year post release – 44% of study participants used the ER within the first three months post-release
- 7. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Health Care as a Cost Savings Tool Provision of healthcare is estimated to save criminal justice agencies a lot of money $1 of treatment provided will save $2.58 in criminal justice costs Example: Substance use treatment • Access to substance use treatment will prevent escalation of other physical and mental conditions Example: Mental health treatment • High recidivism rates for individuals with mental health diagnoses can be combated with continuous access to quality care
- 8. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org EXAMPLES OF INITIATIVES Kentucky Maricopa County, Arizona Illinois Santa Cruz & Sonoma, California
- 9. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Healthy Re-Entry Coalition of Kentucky Coalition started by state assister organizations as a subset of another broader work-group – Targeting harder to reach/previously untargeted populations Priorities: – Health and health care access – Successful reentry – System improvements Wide range of enrollment and advocacy activities Over 50,000 justice involved individuals have enrolled – Large increase since the HRC
- 10. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Maricopa County, AZ - Adult Probation Offices & Jails - Message: “Help is available” - GetCoveredAmerica.org - Client contact info and follow-up - Customized for jail inmates: release date - Paper and digital
- 11. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Illinois Workgroup on Justice Populations • Convened senior level state officials in corrections and health • Training for criminal justice personnel • Technical assistance for county jails • Health literacy tools for the justice-involved population
- 12. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Santa Cruz County, CA Contract with CBO with existing relationship with criminal justice population – Expand partnerships with criminal justice agencies and CBOs Initiatives: – Health care enrollment video – Health care informational classes – Multiple enrollment locations Joint Efforts: – Benefits Collaborative – Informational training for law enforcement
- 13. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org GETTING STARTED
- 14. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Research and Prep Build on current momentum Assess the landscape – What organizations/services are doing this work? – What state policies impact this work? • Medicaid expansion – Benefits covered • Medicaid suspension vs termination • Facility coordination Link with enrollment assister groups
- 15. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Criminal Justice Intercepts Explore enrollment opportunities
- 16. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Coalition Development Decide on an approach – Within organization – Coalition – Work group – Government lead task force Select leadership
- 17. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org PLACES TO LOOK FOR PARTNERSHIPS Anne Peak
- 18. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Essential • Local, State and Federal Correctional Facility’s • Department of Medicaid Services • State Based Exchange • State DOC and related state offices (Justice/Public Safety Cabinet) • County Jail Representatives • Probation and Parole • Reentry Councils, Family and Friends of the Incarcerated • Enrollment assister groups – IPA, Navigator, CAC, FQHCs • Social service providers (Catholic Charities, Freedom 101 etc.) • ACLU – essential to our beginning process • Health or Outreach and Enrollment Coalitions • National Partners – Chicago, Denver, Oregon Etc, • Behavioral Health Departments
- 19. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Nice to have • National Institute of Corrections • Judges • Drug Courts • Halfway Houses • National Criminal Justice Association • Department of Public Advocacy • Social Workers • VA • Jailers Association • Community Mental Health Centers • Department of Juvenile Justice • City and/or County Offices (Mayor, Justice Commission Etc) • QHP’s Qualified Health Plans
- 20. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Unexpected - Adult Education Council on Postsecondary Education - Fairness Campaign - Job Corps - University - Local Community College - Planned Parenthood - Family Planning - Local Health Care Providers
- 21. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org MAINTAINING MOMENTUM Jennifer Hawkins
- 22. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Seek out the Right Partners – Identify your needs • Target population(s) – Race, gender, language, age, income, health care needs • Service delivery – Enrollment assistance, education, referral – Service location (jail, probation offices, clinics) – Delivery method (hands-on vs. education) • Reporting and outcomes – Outcome measures – Data format, delivery and timelines
- 23. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Identify Barriers and Resources Identify and Combat Barriers • Policies, practices, cultural norms • Background checks • Badging • Parking and building access • Safety • Written agreements • Hours of operation Identify Existing Internal Resources • Personnel • Funding • Equipment • Office Space
- 24. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Match Your Needs to Theirs • Target populations that fit a partner’s mission or grant requirements • Use data to incentivize partners
- 25. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Assign the Right Tasks to the Right People/ Partners • Identify points of contact • Go to the leadership level • Develop and reiterate goals • Identify action items/give people something to do • Follow through & follow up
- 26. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org • Follow up cards • Behind the scenes coordination • Enrollers in facilities • Enrolling families during visiting hours • Rural outreach • Tailoring materials and media • Re-entry groups and classes • Safety training/ addressing concerns about safety • Training for criminal justice personnel See handouts for sample materials and other information on the various initiatives. Recap: Best Practices
- 27. © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org © 2015 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Questions?