Innovative Uses of Technology to Address the Needs of Justice-

Involved Persons with Behavioral Health Issues

Overview

• Paper for the NASMHPD Technical Assistance Coalition (TAC)

• Funded by SAMHSA

• Available on NASMHPD’s website after SAMHSA clearance

• Conceptualized with the help of NASMHPD’S Forensic Committee. Special thanks to:

Betsy Neighbors, Ph.D., ABPP (Nevada)

Juliet Britton, J.D (Oregon)

Li-Wen Grace Lee (New York)

• Authored by Vera Hollen, Glorimar Ortiz, Lucille Schacht

© 2016 National Association of State Mental Health Program Directors Research Institute 2

© 2016 National Association of State Mental Health Program Directors Research Institute 3

Why Focus on Technology?

Service systems are facing challenges and seek creative solutions

• Rising number of individuals with mental illness becoming justice involved

• Public behavioral health service budgets are still recovering from the

Great Recession

• Workforce shortages

• Overall increased demand for behavioral health services due to ACA &

Parity

© 2016 National Association of State Mental Health Program Directors Research Institute 4

Intercepts

5

Intercept 1

Law Enforcement

Emergency Services

Intercept 2

Initial detention

Initial court hearing

Intercept 3

Jails

Courts

Intercept 4

Re-entry

Intercept 5

Community Corrections

Community Support

Intercept 0

Prevention

Early Intervention

Integrated Datasets

© 2016 National Association of State Mental Health Program Directors Research Institute 6

Camden New Jersey ARISE person-level linked datasets

Data Set: Type of information:

Camden Coalition Static hospital claims data from area hospitals

Camden County Policy Department Arrest, calls for service, overdose, and crime incident data

New Jersey State Prison Inmate data

Camden County Schools Student attendance and demographic information

CamConnect Identifies addresses that are vacant (used as a proxy for homelessness)

South Jersey Perinatal Cooperative Data on pregnant women

7

Intercept 1

Law Enforcement

Emergency Services

Intercept 2

Initial detention

Initial court hearing

Intercept 3

Jails

Courts

Intercept 4

Re-entry

Intercept 5

Community Corrections

Community Support

Intercept 0

Prevention

Early Intervention

Intercepts

Bed Registries

© 2016 National Association of State Mental Health Program Directors Research Institute 8

Virginia Oregon

9

Intercept 1

Law Enforcement

Emergency Services

Intercept 2

Initial detention

Initial court hearing

Intercept 3

Jails

Courts

Intercept 4

Re-entry

Intercept 5

Community Corrections

Community Support

Intercept 0

Prevention

Early Intervention

Intercepts

Person-level Data Linkages

© 2016 National Association of State Mental Health Program Directors Research Institute 10

© 2016 National Association of State Mental Health Program Directors Research Institute 11

Video Technology

© 2016 National Association of State Mental Health Program Directors Research Institute 12

Video Visitation

© 2016 National Association of State Mental Health Program Directors Research Institute 13

Photo Credit: Website of the Chautauqua County, NY Sheriff Office

14

Intercept 1

Law Enforcement

Emergency Services

Intercept 2

Initial detention

Initial court hearing

Intercept 3

Jails

Courts

Intercept 4

Re-entry

Intercept 5

Community Corrections

Community Support

Intercept 0

Prevention

Early Intervention

Intercepts

Video Conferencing

15

Photo Credit: IWebVisit.com

AcknowledgementsNASMHPD Forensic Division Executive Committee

Elizabeth Neighbors, Ph.D., ABPP

Juliet Britton, J.D.

Li-Wen Grace Lee, M.D.

Brian Hepburn, M.D.

Dan Abreu

Gregory Burkhardt

Dawn Wiest, PhD

Abigail Fallen, RHIA, CHDA, CHSP

Matthew Vinson, MSW, CADC II

Charlene Smith, MSW

Wendy Vogel

Shelley Curran, LPC

Dan Martin

Aaron Bowen, Psy.D.

Aaron J. Walker, M.P.A.

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